Contents: - Minimally invasive, atraumatic extraction of an anterior tooth - Buccal soft tissue augmentation using a modified tunneling technique - Socket preservation technique for conservation of the extraction socket - Provisional restoration and closure using modified suspension sutures Materials Checklist: Tunneling Knife® (Dr. Zuhr), No. 1 / No. 2 Keydent Microblade SR Geistlich Bio-Oss® Spongiosa, particle size 0.25 - 1 mm Geistlich Bio-Gide® membrane, 25 x 25 mm Seralene Blue 7/0 DS-15, 0.5 m sutures CV-5 Gore-Tex sutures

Contents: - Periodontal regeneration and alveolar -ridge augmentation using a connectivetissue graft - Implant insertion and augmentation - Implant re-entry and prosthetics Materials Checklist Emdogain, Bio-Oss, BioGide, Block fixating screw for autologous bone cylinder, 4/0 and 5/0 sutures, Resolut membrane Titanium pins, Autologous bone chips, 2 Replace Groovy Tapered 4, 3x13 mm implants

Drill guide preparation with the aid of a temporary; Bone augmentation using a bone block graft; Implant insertion; Augmentation of gingival margin with a soft tissue graft from the roof of the mouth; Preparation of tooth replacements according to esthetic criteria, in some cases, as all-ceramic crowns.

based on the book chapter by Nikos Donos and Nikos Mardas Summary This protocol focuses on measuring radiographic bone levels on the buccal side of augmented areas around implants after horizontal ridge augmentation, rather than at interproximal sites (a limitation of most published studies). The design offers a standardized means to assess graft materials, bone fillers and bone substitutes for horizontal ridge preservation, allowing comparisons of resorbable and non-resorbable materials and natural and synthetic membranes. It includes two randomized controlled trials for patients with bone defects from destructive gum disease who need local ridge augmentation before implantation. One trial uses a simultaneous technique whereby implants are placed in bone augmented with a new bone substitute plus a new or standard membrane, or a standard collagen membrane plus deproteinized bovine bone mineral; this trial comprises two phases surgical implantation and observation. The other trial is a staged technique comprising a new block-bone graft/substitute plus a new or standard membrane, and autogenous block bone graft plus a standard collagen membrane; this has a third phase. A 1-year timeline and 5-year follow-up is suggested for both trials. The authors cite various histologic and radiographic endpoints, photon bubble oscillations, peri-implant bone preservation, implant survival, patient morbidity, adverse events and patient-related outcomes. Images are provided of the change in bucco-palatal/lingual alveolar ridge width 6 months after the procedure. Open full-text PDF (1.3 MB)

based on the book chapter by Isabella Rocchietta, David Nisandand Massimo Simion Summary This chapter reviews the need for standardized research into vertical ridge augmentation procedures because restoring bone volume after trauma or disease is clinically challenging; the outcomes are unpredictable, the complication rates are high and success is limited. The presented protocol involves initial augmentation surgery comprising a composite graft of autogenous bone and deproteinized bovine bone, with tenting screws and a PTFE membrane overlay, followed 6 months later by surgical removal of the membrane and screws and placement of an implant. Guided bone regeneration is compared with a gold standard two-stage procedure using autogenous bone strips with deproteinized bovine particles and a titanium-reinforced membrane. The timeline incorporates a 6-month evaluation phase and further evaluation 4 months later, with a 5-year follow-up. Patient numbers and selection criteria are defined, along with suitable endpoints, care routines and the use of cone-beam CT to assess bone gain and quality. The descriptions are illustrated by CT images, radiographs and clinical photographs that show preparation of the donor and implant sites in both surgical phases. The evaluation phase relates to responses of the defect over time in terms of resorption of graft particles, soft tissue swelling, inflammation, and bone destruction and formation. What the protocol aims to do is improve outcomes for patients with traumatic tooth extractions, jaw damage, endodontic infections and failed implants. Open full-text PDF (1.4 MB)

Periodontitis case with acute pain and furcation involvement, fixed reconstructions on teeth, implants and tooth-implant combination.