Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies Bone Grafting Assessment: Focus on the Anterior and Posterior Maxilla Utilizing Advanced 3-D Imaging Technologies

Author(s):

Scott D. Ganz, DMD

Date Added:

1/9/2012


Summary:

As dental implant reconstruction has evolved into a mainstream alternative to replace missing teeth, bone grafting techniques have also evolved as an ancillary procedure for site development, sinus augmentation, and guided bone regeneration. Concurrently, imaging technologies have been developed which allow unsurpassed inspection of the dental alveolar complex, providing clinicians with innovative tools to plan for dental implant reconstruction. The ability to diagnose and treat dental implants have been forever changed by the ability to assess patient anatomy using Computed Tomography (CT), Cone Beam (CBCT), and interactive treatment planning software within the universal standard "language" of data called DICOM (Digital Imaging and Communications in Medicine). This increased ability has been expanded to include appraisal of bone grafting receptor and donor sites through innovations in the interpretation of three dimensional data. In the completely edentulous mandible or maxilla, the use of CBCT technology is an essential tool for assessing anatomy in preparation for implants or grafting. The ability to visualize the extent of a defect from various angles, views, and 3-D reconstructions has helped to define a new set of diagnostic paradigms. A two-dimensional panoramic reconstruction of the maxilla can provide a good scout film of the anatomy; however, as a two-dimensional modality, it has inherent limitations and distortion. The right and left maxillary alveolar bone height can be approximated, and the relative size of the bilateral maxillary sinuses or extent of pnuematization can be assessed in relation to the underlying bone and nasal cavity. However, it is not until all possible two-dimensional and 3D views have been examined that the actual bone anatomy can be appreciated and assessed in relation to the planned reconstruction.

Related Articles
"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases

"Sandwich" Bone Augmentation Technique - Rationale and Report of Pilot Cases
The aim of this article is to present a new technique for augmentation of deficient alveolar ridges and/or correction of osseous defects around dental implants.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Carl Misch, DDS, MDS; Rodrigo F. Neiva, DDS, MS
View Article>>
Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico

Manejo Integral de Maloclusion Clase III en Adulto, con Requerimientos Periodontales y Protesicos; Reporte de un caso clinico
En nuestra clinica observamos un aumento de pacientes adultos con problemas esqueletales, compromiso periodontal y necesidades protesicas. Debemos recurrir a la interconsulta con el periodoncista, protesista y cirujano maxilofacial, para la correccion del caso, prestando especial atencion al componente dentario, esqueletal y los tejidos blandos faciales del paciente. La cirugia ortognatica, que generalmente la realizamos luego de una preparacion ortodoncica, permite corregir discrepancias en el adulto y restaurar la funcion y estetica en los tres planos del espacio. Realizada la correccion oclusal, procedemos a sustituir dientes ausentes, mediante implantes y protesis fijas. El Periodoncista, mantiene un control constante de la salud de los tejidos de soporte, durante todas las fases de la terapia multidisciplinaria.

Author(s): Miguel Hirschhaut, DDS;Jorge Ravelo, DDS
View Article>>
Physical And Chemical Properties Of Commercially Available Mineralized Bone Allograft

Physical And Chemical Properties Of Commercially Available Mineralized Bone Allograft
Bone graft materials are critical to the success of dental implants when there is a need to increase the volume of bone in a defect. The surface properties of these graft materials will have a profound impact on the outcome of the graft procedure. The clinician has many choices of bone graft substitutes when augmenting bony deficits. Allograft bone is the most widely used class of bone graft substitutes. Within this class there are a number of different bone allografts, which are manufactured utilizing widely varying processing techniques. There also appears to be a wide range of results in the published literature across the spectrum of different bone allografts. This in-vitro study evaluated chemical and surface properties of five different commercially available mineralized bone allografts.

Author(s): David C. Greenspan, Ph.D.
View Article>>
Related Videos
Single Tooth Implant Restoration in the Aesthetic Zone Premium Member Content

Single Tooth Implant Restoration in the Aesthetic Zone
Dr. Ryan Kazemi shares his team's replacement of a missing central incisor with an implant supported crown.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

Presented By:: Joseph Choukroun, MD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implant Removal & Ridge Preservation in Infected Site: A Technique Video Premium Member Content

Implant Removal & Ridge Preservation in Infected Site: A Technique Video
More often in clinical practice we are faced with failing implants that require careful removal and reconstruction of the residual bone deficiencies. This step by step technique video takes you though the critical clinical steps in implant removal, debridement, bone augmentation utilizing blood born biomodifiers and Titanium mesh as well as Flap release and tension free closure. Additional keys include intra-marrow penetration of the recipient site as well as post op bandages that minimize hematoma formation. 

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence Premium Member Content

Integrating Orthodontics with Orthognatic Surgery; From Virtual Planning to Clinical Excellence
Dentofacial deformities in adults require the combination and skills of the orthodontist and maxillofacial surgeon. In order to achieve all the functional and esthetic goals. In digital dentistry’s days virtual planning of orthodontics and orthognatic surgical corrections has become a valuable tool. Results can be compared to planning both for reevaluation and sharing information with colleagues and our patients. Virtual planning account for more reliable and precise results in our orthognatic surgery. Orthodontic preparation is the gold standard for maximizing the surgical correction. Cases will illustrate our treatment protocol from A to Z for these complex and challenging situations.

Presented By:: Miguel Hirschhaut, DDS;Nelson Leon, DDS, OMFS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2 Premium Member Content

Microsurgical Soft Tissue Reconstruction for Teeth & Implants - Part 1 of 2
This presentation is focused in the importance of soft tissue grafting techniques around teeth and implants and how to do it in a predictable, modern and a minimally invasive way. We present many different techniques illustrated with clinical cases.

Presented By:: Ramon Gomez Meda, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register