Bone grafting was once performed only by specialists. Now conscientious clinicians are obtaining predictable results in sockets, on ridges and with perio defects utilizing a new generation of bone graft materials and inexpensive guided tissue (bone) barriers. The result is improved esthetics, simplified prosthetics and salvaged dentitions for everyday, happy patients. Begin your grafting with the highly predictable extraction socket preservation. The rewards are enormous: preservation of the bony housing, restoration of the vertical bone height and protection of the papilla; all while gaining remarkable pontic contours.
The socket graft is initiated with an atraumatic, Periotome assisted extraction. For all extraction sites, the aggressive debridement is a key to regeneration. The surgical spoon curette and large round burs assure proper removal of all granulation tissue and decortication of the socket wall. Vigorous bleeding is a frequent complication of the decortication procedure that can be controlled with lint-free gauze prior to placement of the graft material. Load the syringe with 1 inch of graft material, hydrate and gently fill to the crest of bone. Cover with a trimmed GBR (GTR) barrier to contain the particulate graft. Several suture techniques will be described including a four-corner crisscross suture approach that holds the GBR membrane and simultaneously protects the papilla. Examination of a wide rage of graft material will give the clinician an insight into product selection for every specific application. Emphasis will be placed on using a resorbable graft material which will stabilize the socket, while allowing a wide variety of prosthetic and implant options not available with dense, non-resorbable materials.
Restoration of the lost ridge can be accomplished with gingival grafts (taught at our Connective Tissue Graft Course) or bone grafting. The benefit of bone grafting is the ability to add dimension in both a horizontal and vertical dimension. Admittedly, some patients will require a two-stage procedure utilizing both bone grafting and CTG techniques. The keys to ridge grafting success are the preservation of periosteum, creation of “space” and passive flap management. All facets will be addressed in the “hands on” seminar.
Every practice has examples of the vertical bone loss associated with the surgical extraction of the third molar. These defects can be effectively treated with the new generation of bone graft materials that provide scaffolding, mineralization potential and utilization of host supplied growth factors and BMP’s. These tissue engineered products have added an unprecedented predictability to these simplified graft therapies. Following the principles of good surgical technique, the root surface preparation becomes the single most important variable for molar grafting success. In addition, adequate surgical access facilitates proper decortication, allows for tenting and abundant bone fill.
The violation of the maxillary sinus can emit a sense of terror for the unsuspecting clinician. Now with the advent of biocompatible graft carriers, the doctor can not only be confident of a quality closure, he/she might use the opportunity to secure additional implant support by hydraulically elevating the sinus membrane. An osteotome technique is a commonly used to prepare the apical osteotome area for placement of the flowable graft material. The resulting dome-like bone formation at the apex of the implant affords additional implant stability.
A masterful approach to solving the problem of voids around the immediate implant placement is the use of bone grafting. The clinician atraumatically removes the tooth prepares the osteotomy site and inserts the appropriate graft material just prior to placing the implant. The gel like consistence assures all voids are properly filled for more complete osseointegration.
These and other bone grafting techniques will be thoroughly discussed with voluminous clinical examples at the “hands on” course. Join us, please, for a fun filled seminar that will kick-start your grafting success.
8:30 - 3:30 (Hands On)
What You Will Learn
A comprehensive, illustrative manual will be given to each doctor. This manual along with techniques taught will enable you to learn when, why, and how to use the grafts.Course Techniques and Materials
Grafting Extraction Sockets Graft Materials Barrier Membranes Guided Tissue Regeneration Bony Defects 4, 2, 2 Wall Why Our Workshops Are Successful
Each procedure is explained in detail using an instruction book and slides. (You get to keep the book.) After each explanation you do the actual procedures. (We supply all the instruments.) All procedures are taught by licensed periodontists who understand your problems. Attendance is limited to ensure personal attention by the instructors.
Dennis M. Thompson, DDS, MS.
Over the past 17 years I have provided lectures and hands on workshops to hundreds of dental practitioners. The subjects have encompassed the entire spectrum of periodontal practice, including the nuances of non-surgical therapy to the advanced sophistication of current bone regeneration treatments.
Armed with a Masters degree from the Department of Education, my career in education began with an invitation to assist with establishing the University of Colorado, School of Dentistry. During the first tumultuous year, I taught, albeit poorly, subjects ranging from microbiology to anatomy and dental materials. The students sat on backless stools in the anatomy lab for hours on end while enduring our droning. I have also provided lectures on periodontal subjects to the dental assisting schools throughout Denver, the dental hygiene program in Pueblo and served on the permanent faculty at the newly created Lowry dental hygiene school. I maintain a continuing working relationship with the University of Southern California, Department of Continuing Education through which I offer two or more major lectures to dentists and hygienists each year.
Industry has provided an outlet for much of my continuing education efforts. Beginning in 1984, I became a consultant to Vipont Pharmaceutical where I worked with Irene Woodall to develop the outreach programs that gave Viadent rinse and toothpaste its’ broad professional acceptance. In 1988 I traveled with Lee Southard and Michele Morgan while we secured millions of dollars in funding from brokerage houses and private investors for the Vipont spin-off, Vipont Labs; later to become Atrix. My dental office was the principle investigation site for the initial toxicology and safety studies on the local delivery agent, now known as Atridox. As Atrisorb was launched, I worked as an Atrix consultant to implement the workshop concept and delivered dozens of the initial lectures until Block Drug obtained the marketing rights for Atrisorb and Atridox. Then, I went with Don Freeman to Block Drug where we planned and implemented the launch of Atridox. I also have a strong history of involvement with Actisite. After receiving FDA approval, I did 13 lectures in all the major cities on the West coast to introduce Actisite to the profession for Proctor and Gamble.
Finally, you are aware of my support of PerioStat as a spokesperson for your evening telephone programs. I truly believe that my in-depth understanding of antimicrobials and long history of clinical use every product in the local delivery category gives me a unique status with your current desire to launch a spectacularly successful multi-product venture. I maintain an enormous library of complete, documented cases of treated patients which could help provide validation of the merits of PerioStat/Atridox therapies.
The Course Schedule includes dates, times and locations.
Call 1-800-327-3746 for more information or to registerReferences For This Course Available On Request
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