Topics

	Synergy of Reconstructive Hard and Soft Tissue Surgery
	28.09	Dr. Maurice Salama, USA

The Role of Bioengineering in Clinical Practice

To be a viable treatment choice in the partially edentulous case, the implant-supported restoration must cosmetically equal or surpass that of conventional crown and bridge.  This requires development of the edentulous ridge or potential implant restorative site to mimic that of a natural tooth. The essence in the creation of this illusion of reality is the soft tissue restorative frame.

The three-dimensional reconstruction of the implant receptor site comprises three distinct phases:

1. Development of the hard tissues
2. Reconstruction of the soft tissue
3. Shaping of the tissues through the restorative profile  

Biologic Modifiers can often be synergistically combined with periodontal plastic surgical techniques, guided bone regeneration and various osseous grafts to effectively establish the optimal foundation for functional and esthetic implant restorations. Vertical soft tissue and interdental papilla enhancement is frequently combined with innovative second-stage periodontal plastic surgery to create an ideal restorative frame.    

This program will cover the importance of CBCT 3D Planning in Reconstructive Dentistry. Site preparation techniques for conventional restorative dentistry as well as prior to and at the time of implant placement utilizing new bioengineering protocols will also be featured and introduced as treatment planning options in everyday clinical practice..

Educational Objectives:

1. Diagnosis and classification of implant recipient sites using CBCT and 3D software.
2. Augmentation techniques available at the time of extraction.
3. Management of the “deficient” site through horizontal and vertical augmentation techniques.
4. Evaluation of new techniques and bioengineering technologies for future applications.