True Bone Regeneration – Grafting without a Collagen Membrane Using Modern Synthetic Regenerative Material
Hands-on course
08 Nov 2019, 09:00 – 17:00 Dubai | UAE | InterContinental Hotel | DFC Area of interest: General Dentistry, Implantology

Objectives

  1. Learn about bone healing and host regeneration
  2. Understand the many different ways to repair bone 
  3. Evaluate the many different types of particulate graft materials, looking at pros and cons of each material
  4. Learn about the different surgical protocols, understanding the value and practical application of True Bone Regeneration
  5. Assessing outcomes by understanding all the routes of assessment, from CBCT to Histology and Histomorphometry

Abstract

The loss of bone due to disease and modelling after tooth removal is always a limiting factor in the placement of dental implants to restore the patients’ dentition. 

This hands on course will discuss and evaluate the numerous materials and protocols used to restore the host hard tissue, with specific focus on the newer generation of synthetic materials used in True Bone Regeneration which up-regulate the host healing response.  New Protocols (published on Pubmed by the speaker, Dr Fairbairn) will also be shown in all situations including buccal defects, socket grafts, periodontitis and sinus augmentation.

The course will begin with a discussion on bone healing and host regeneration of hard tissue, including a review of Guided Bone Regeneration concepts featuring collagen membranes and foreign graft particulates.  All methods of bone repair will then be discussed, from autogenous blocks to the use of PRF. 

The different types of particulate graft materials (allograft, xenograft, alloplast) will be discussed in detail, with samples available for delegates to experience the differences in texture, particle size and handling.  The benefits and disadvantages of each material will be discussed.

Delegates will then have a hands-on opportunity with the use of modern alloplast (synthetic) materials, concentrating on the newer materials (65% BTCP, 35% Calcium Sulphate) that do not require a traditional collagen barrier membrane.  This initial section will concentrate on standard bone defect repair situations.

Utilising these materials in more complex situations including sinus augmentation, socket grafting, apicectomies and cyst removals and more complex augmentation sites will all be discussed.  Again, many different methods and techniques will be shown, which have been recently developed to enhance the safety and predictability of procedures.  Delegates will understand the differences between host regeneration and augmentation with foreign materials and how this theory is applied to the True Bone Regeneration model.

This will be followed by an extensive hands on session, with delegates utilising several different tools and instruments which can be used in sinus augmentations, with specific focus on how these can all work alongside modern graft materials.  It will be shown how these instruments can lift the Schniederian Lining safely, without damage, making the procedure safer.

Finally, outcomes will be discussed and how to analyse the results we see for long term patient monitoring of the success of our work.  Delegates will look at cores and different staining techniques as well as learn how to look at radiographs and CBCT scans to assess the bone quality, which is as important as bone quantityin the long-term stability of dental implants in regenerated sites.

Explanation of the hands on course

The hands on course will cover the preparation, mixing and placement of modern alloplast (synthetic) graft materials (65% BTCP, 35% CS) in a variety of clinical settings.   

Delegates will have the opportunity to mix, prepare and place the graft material using non-sterile samples and demonstration models. Implants will also be provided to give delegates experience in placement, along with the simultaneous grafting protocol recommended by Dr Fairbairn.

The afternoon session will include an introduction to more advanced techniques, which delegates will also get the opportunity to practice hands-on.  This will include creating a “dome device” from resorbable suture material which can be used to increase graft stability in challenging cases.

Target Audience

The event will be suitable for any clinician with an interest in dental bone grafting and dental implant placement. This will include both experienced practitioners and relative newcomers to the speciality, from any country.

In particular, the workshop will be useful for dentists who have a specific interest in modern alloplast (synthetic) bone grafting materials, as an alternative to xenograft and allograft, and reliable treatment protocols which ensure grafts can be placed without a collagen membrane.

Agenda

09:00 - 10:00 Introduction to bone regeneration, different types of materials used and their different physiological reactions with the host. Understand the “how” and “why” of all aspects of bone regeneration.
Examination of recommended treatment protocols.  
Assessment of blocks, particulates (allograft, xenograft, alloplast) and membranes.
Ideology of “True Bone Regeneration” vs. “Guided Bone Regeneration”
10:00 - 11:00 Hands on with modern synthetic / alloplast grafting materials (65% BTCP & 35% Calcium Sulphate).
Explanation of mixing and preparation procedures – demonstration and hands-on
Advanced mixing and preparation techniques, including differentiating between a “wet” and “dry” mixture for different clinical indications – demonstration and hands-on
11:00 - 11:15 Coffee Break
11:15 - 13:00 Hands on continued
Simultaneous implant placement with grafting in routine dehiscence defects – demonstration and hands-on
Socket grafting for ridge preservation – demonstration and hands-on
13:00 - 14:00 Lunch Break
14:00 - 15:00 True Bone Regeneration – complex cases
Sinus augmentation – overview and case presentations
Tunnel grafting – overview and case presentations
Cysts and wisdom tooth removal – overview and case presentations
“Dome Device” technique for increasing graft stability using resorbable sutures – overview and case presentations
15:00 - 15:15 Coffee Break
15:15 - 16:30 Hands on – “Dome Device” technique
Hands on – Sinus Augmentation using Densah Burs and Dask techniques
16:30 - 17:00 Questions


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