Bone Augmentation & Flap Design

Jan 13-14, 2023

Course Details

The key to successful implant dentistry is the ability of the clinician to provide adequate volume and quality of bone to the recipient site. This requires a thorough and precise diagnostic evaluation utilizing bone sounding, PA films, and CBCT 3D software.

Once the volume of the deficiency has been properly registered the appropriate bone grafting technique can then be selected. The desire is to utilize the least invasive and most conservative techniques needed to get the required results.

A critical part of ALL bone grafting success is incision design, flap management, flap release techniques to gain tension free closure, and suturing materials and concepts.

Classic GBR approaches, Onlay Block Grafting, Ti-mesh, and titanium-reinforced membrane materials will be highlighted. The additional utilization and importance of bioactive modifiers such as PRGF/PRF & BMP-2 will be discussed.

Modern biologics and material science available today for bone augmentation include allograft, xenograft, synthetic particulate bone, various resorbable and non-resorbable membranes, bone tacks, fixation screws, etc. BMP-2, titanium mesh, and various membranes will be clarified as to their effectiveness in each potential procedure.

This hands-on course will highlight the three most utilized bone graft procedures in clinical practice, including;

1. GBR with membrane technology,

2. Autologous/Allograft Block Bone and

3. Ti-mesh with titanium tenting screws.

It will teach in detail and simplify the process of site evaluation, critical anatomy, flap design, bone harvest techniques, suturing, and the required armamentarium to perform these techniques.

All necessary materials will be made available to each attendee;

Fresh Frozen specimens, Bone models, surgical instruments, membranes and ti-mesh, all grafting materials, and fixation screws.

Educational Objectives:  

1. To learn basic Surgical Anatomy and Incision Techniques in Hard Tissue Surgery.

2. To apply three commonly used bone grafting techniques in clinical practice.

3. To manage the “deficient” site through various innovative augmentation techniques

bone graft image 1
bone graft image 2
bone graft image 3
Dr. Robert Carvalho da Silva

Dr. Robert Carvalho da Silva

Primary Instructor

Dr. Maurice Salama

Dr. Maurice Salama

Secondary Instructor