Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Modern Flap Management in Bone Augmentation

Description:
What does it mean “Modern”? Less traumatic? More predictable? More biology? Less incisions? Let’s see what modern means from a biological and from a surgical standpoint. How can we achieve a full passive closure from the flaps without damaging the blood supply? Can we take care of the oxidative stress? Can PRF help us in these matters? Surgically, the management of anatomical elements such as the mylo-hyoid muscle and the mental foramen will be discussed and a simplification protocol will also be presented. No doubt, “modern” flap management raises a lot of questions!

Date Added:
5/9/2019

Author(s):

Jérôme Surmenian, DDS Jérôme Surmenian, DDS
Jérôme Surmenian

- Dental Degree from the Dental School in Nice, France

- Master of Science in Oral Biology, Boston University...
[read more]


Featured Products
Process For PRF
A-PRF
i-PRF


Online Videos / Surgery / Bone Grafting / Modern Flap Management in Bone Augmentation




Questions & Comments
Bikramjit Sandhu - (5/15/2019 9:44 AM)

Just Bloody Aweeesome!!!!!! too good stuff mate

hoa binh nguyen cuu - (5/9/2019 9:24 PM)

thanks you

Bill Ta - (5/9/2019 5:00 PM)

Thanks for the reply and once again congrats for an excellent presentation!

jerome surmenian - (5/8/2019 2:49 PM)

So sorry, I didn't know the lecture was this week! Thanks a lot for the kind comments!! To give some answers : - Postoperative care : yes they quickly rinse with chlorhexidine the day after the surgery, even if we leave the A-PRF membranes exposed - Soft brushing : when necessary the superficial incision is performed at least 5 mm below the muco-gingival junction, and the incision runs in the entire length of the flap Again thanks for the comments and sorry for the delay of the answers

FARHAN DURRANI492 - (5/5/2019 5:00 AM)

congratulations great lecture

Paulo Marcelo Santos - (5/2/2019 3:23 PM)

Congratulations on your presentation. I have some doubts: what are your recommendations for the patient regarding post-operatory care? Is there any objection for the use of Clorhexidine when you leave A-PRF membranes exposed? Thank you

Bill Ta - (4/25/2019 10:49 AM)

Another great presentation! Could you please explain when the soft brush not release enough. You add one incision, where exactly the incision is? Is it at the base of the flap ? And how long is the incision in the mesio-distal dimension? Thanks so much for sharing your brilliant techniques! Bill Ta

Stevan Murganic - (4/24/2019 5:24 PM)

Great lecture, congrats. Can you explain overdrilling protocol for implant placement in augmenteded bone? Thanks in advance

Daniel Delrose - (4/24/2019 10:49 AM)

Saw you in Florida, great video, now my team knows what I am attempting to do! Thank you for your expertise.

Related Videos
"Partial Extraction Therapies" for Preservation of the Ridge Premium Member Content

"Partial Extraction Therapies" for Preservation of the Ridge
Understand PET/Socket Shield’s healing biology according to present knowledge. Learn about PET/Socket Shield complications, and how to solve them. Learn the benefits of combining Biological Modulators (Endoret®) to enhance PET/Socket Shield’s results. Learn how to obtain an adequate 3D soft tissue thickness around dental implants, and how this biological benefit is reflected in the aesthetics and durability of treatments.

Presented By:: Bernardo de Mira Corrêa, DDS, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Treatment of the Extremely Atrophied Edentulous Maxilla Using Bone Marrow Stem Cells Premium Member Content

Treatment of the Extremely Atrophied Edentulous Maxilla Using Bone Marrow Stem Cells
Treatment of the extremely atrophied edentulous maxilla is one of the most challenging problems in reconstructive surgery. Due to the size of the graft and inherent co-morbidities of these patients they some of the most difficult and challenging to treat requiring multiple surgeries with significant morbidity. The gold standard of care has long been the use of autologous block grafts from the iliac crest prior to implant placement however harvesting bone from the iliac crest comes with significant donor site morbidity. New treatment modalities using minimal invasive procedures and the use of Bone marrow stem cells and growth factors will be discussed.

Presented By:: Melvin Maningky, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Extraction and Bone Grafting Techniques to Optimize Site Preservation Premium Member Content

Extraction and Bone Grafting Techniques to Optimize Site Preservation
Implant placement is dependent upon bone quantity and quality. The ideal opportunity for bone preservation exists at the time of tooth extraction. All too often this opportunity is lost.

Presented By:: Michael Sonick, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Modern Flap Management in Bone Augmentation Premium Member Content

Modern Flap Management in Bone Augmentation
Let’s see what modern means from a biological and from a surgical standpoint. How can we achieve a full passive closure from the flaps without damaging the blood supply? Can we take care of the oxidative stress? Can PRF help us in these matters? Surgically, the management of anatomical elements such as the mylo-hyoid muscle and the mental foramen will be discussed and a simplification protocol will also be presented. No doubt, “modern” flap management raises a lot of questions!

Presented By:: Jérôme Surmenian, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics Premium Member Content

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool Premium Member Content

CBCT as an Interdisciplinary Diagnostic and Treatment Planning Tool
This presentation will discuss and demonstrate the utilization of CBCT imaging from the perspective and scope of a periodontist and an oral and maxillofacial surgeon. Treatment planning, critical thinking skills and surgical execution of cases demonstrating complex dentoalveolar bone reconstruction and craniofacial deformities will be presented demonstrating how this paradigm shift has expanded capabilities and predictability to treat demanding cases.

Presented By:: Daniel B. Spagnoli, DDS, PhD;George A. Mandelaris, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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>>
Related Articles
Reconstruction of Damaged Fresh Sockets by Connective-Bone Sliver Graft From the Maxillary Tuberosity, to Enable Immediate Dentoalveolar Restoration - A Clinical Case

Reconstruction of Damaged Fresh Sockets by Connective-Bone Sliver Graft From the Maxillary Tuberosity, to Enable Immediate Dentoalveolar Restoration - A Clinical Case
This paper describes a procedure for immediate loading of an implant following tooth extraction, in a socket presenting severe damage to the vestibular bone plate and gingival recession in the region of the upper central incisors. The procedures of extraction of the tooth, immediate insertion of the implant, connective- bone graft from the maxillary tuberosity and immediate restoration were shown to be a predictable treatment alternative. These procedures led to restoration of the tooth, bone and gingival structures in a single surgical stage and to maintenance of the favorable esthetic and functional result 24 months afterwards.

Author(s): José Carlos Martins da Rosa, DDS, MS;Darcymar Martins da Rosa; Carla Mônica Zardo; Ariádene Cristina Pértile de Oliveira Rosa; Luigi Canullo
View Article>>
Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series

Immediate Implant Placement into Extraction Sockets with Labial Plate Dehiscence Defects: A Clinical Case Series
To measure the buccal plate reconstruction of extraction sockets with labial plate dehiscence defects using a bone allograft in combination with an absorbable collagen membrane and a custom-healing abutment at the time of tooth removal. Implants placed into sockets with labial plate dehiscence defects demonstrated radiographic reformation of the labial plate dehiscence defect at 6 to 9 months post-treatment. The net gain in labial plate on CBCT in L1 and L2 was 3.0 mm, where 0 mm existed at pre-treatment. The minimum amount of labial plate thickness of 2.0 mm was achieved in all treated sites, evaluated radiographically at 6-9 months post-operatively, in a single procedure, without flap elevation and maintaining the gingival architecture and satisfactory esthetics.

Author(s): Stephen J. Chu, DMD, MSD, CDT;Dennis P. Tarnow, DDS;Guido O. Sarnachiaro, DDS; Evangelina Sarnachiaro, DDS; Sergio Luis Gotta, DDS
View Article>>
Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks

Multitier Technique for Bone Augmentation Using Intraoral Autogenous Bone Blocks
Brånemarket al1 originally described autologous bone grafts used with dental implants,and they are now a well-accepted procedure in oral and maxillofacial rehabilitation. Placement of an end osseous implant requires sufficient bone volume for complete bone coverage.Further-more,the patter no fridge resorption ,which contributes to a nun favorable maxillo mandibular relationship,requires angulation of the implant and/or angled abutment,and affects the proximity of adjacent facial concavities (maxillary sinus,nasal cavity)and vital structures(mandibular nerve).

Author(s): Devorah Schwartz-Arad, DMD, PhD;Liran Levin, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·