3D Bone Regeneration: Fundamentals, Indications and surgical techniques. Step by Step. Part 2

The implant treatment on the esthetic zone aims healthy, functional and also esthetic results. In order to obtain an esthetic result is mandatory that the implants are placed in optimal 3D position and completely surrounded by healthy bone.

A harmonious and healthy status of the soft tissues is also a pre-requisite of an esthetic result. Due to the alveolar ridge destruction caused by trauma and dental or implant infections, bone availability often is not ideal to obtain a good esthetic result. In order to treat predictably such cases there are surgical techniques that allow a complete 3D reconstruction of the alveolar ridge. However, if an optimal esthetic result is searched periodontal plastic techniques have to be also performed.

When an implant is malpositioned on the Esthetic Zone, it is more susceptible to develop biological (periimplantitis) and esthetic failures. If a malpositioned implant is infected, that implant should not be treated, since although bone can be regenerated, the new bone is highly susceptible to new bone resorption because an important part of the ethiology of the problem is the wrong implant position (specially to labial and too deep) which avoids the bone maintenance. In such cases, extraction of the implant and 3D bone regeneration of the resulting defect is desirable in order to place a new implant in optimal 3D position so a highly esthetic restoration may be placed.

All these topics will be addressed on this 3-hours presentation. Objectives:Propose a rationale and a protocol to have predictability on 3D Bone Regeneration.

Teach indications and Step-by-Step description of 3D Bone Regeneration Techniques: GBR using PTFE and Ti reinforced membranes and Khoury´s Technique.Explain the rational and regenerative techniques to treat esthetic and biological implant failure on the Esthetic Zone.