Reconstruction of Complex Defects and the Interaction of Hard and Soft Tissue
Complex defects always refer to horizontal and vertical compromised tissue, which require some repair work - not only on the hard tissue but also (if not more) on the soft tissue.
Many techniques can be successfully performed and during this webinar we will present and explain some of them. When possible, we try to perform the augmentation simultaneously with the implant placement, where as we will work on the gingiva during the 2nd stage surgery with roll flaps, modified rotation flaps and mostly modified free gingival grafts.
There will be solutions with a tenting approach and with Re - Oss 3 D cages, customized on the DICOM data of the patients defect, performed by an DVT- or CT -Scan. In order to accept as little compromises as possible, the handling of the soft tissue is most important. The tension free closure of the split flaps with anchor sutures is supported by sticky bone, a mixture of growth factors and bone chips, the cages or bone plates. Missing more than one element in the esthetic zone will lead to a pontic design of the fixed restoration, in all that situations it is highly recommended that the dental technician is able to understand the was the prosthetics have to fit into the tissue, so as the treating doctor needs to know a lot about the work in the dental laboratory. Only with an optimal team, missing Volume can be restored, either with tissue or with dental ceramic.
The lecture will try to give an overview of the modern solution options and an assessment of the risk factors.
Take home massage:
Tenting technique in bone augmentation, stciky bone, 3 D cages (Re - Oss), block graft, 2 nd stage surgery in the esthetic zone, Pontic design and ceramic restorations
Duration: 90 minutes including 15 minutes of Q&A