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
Surgical Management of Posterior Mandible

Description:
Implant therapy is a recognized treatment for edentulous areas with long term success. Nevertheless in some critical situations we have to use complex techniques of advanced oral surgery and bone regeneration to permit the implant placement avoiding the damage of important anatomical structures, like the inferior alveolar nerve (IAN). In severe cases of posterior mandible atrophy we have to use very specific techniques to solve the problem. In these techniques we can consider the nerve transposition and the nerve lateralization. The techniques of nerve manipulation for implant placement are going to be explained in detail with some clinical cases. With this lecture we pretend to clear that oral neurosurgery is not a myth and can be a reality in specific extreme cases.

Date Added:
10/19/2017

Author(s):

Raquel Zita Gomes, DMD, PG, MsC, PhD Raquel Zita Gomes, DMD, PG, MsC, PhD
• Dental Medical Doctor by the Faculty of Dental Medicine of the University of Oporto (FMDUP) (1996-2002)

• Post-graduation in Implantology in Sweden (2002)

...
[read more]


Featured Products
Integrated Dental Systems
IDS AnyRidge Implant System
Process For PRF
i-PRF
A-PRF


Online Videos / Surgery / Other Surgical / Surgical Management of Posterior Mandible




Questions & Comments
Islam Eldardir - (11/16/2018 12:42 PM)

Hi very nice presentation do you have any videos for the surgery that would be great thank

ward clemmons530 - (11/6/2017 8:15 PM)

Great presentation. Thank you very much.

Raquel Gomes - (10/27/2017 3:38 PM)

Gerald Rubick In all my cases I never had any disthesia. Only temporary paresthesia or hipostesia . But it's described in the literature as a possible complication. I think the fact of using PRF ( as Prof Choukroun explained ) , vitamin B complexes and LLLT probably diminished the odds.

Raquel Gomes - (10/27/2017 3:34 PM)

Aleksandr Rubinov I use short implants , GBR, Ti-mesh , all on four , angulated implants in the correct indications. The lateralization , transposition and trespass is one more option , when the other options are not indicated. As you know the vertical growth on the posterior maxilla is difficult and sometimes not viable when you need to construct more than 10mm . And in some of these cases even if I managed that miraculous bone in height with more tradicional techniques I had unfavorable relation in height between crown and implant. Also almost every case that I did lateralization or transposition were previous implant failures and the patients wanted the less surgical interventions possible.

Raquel Gomes - (10/27/2017 3:21 PM)

Thanks Snejana , Pedro , Delia ,Somesh and Joseph for the comments.

snjezana pohl - (10/26/2017 8:48 AM)

Great clinician, great presentation! Only high-heels moment from your lecture in NY is missing lol!

pedro moura - (10/25/2017 5:16 PM)

I loved it Raquel Zita. Congratulations.

Somesh Grover - (10/25/2017 1:37 PM)

Wonderful presentation with great inspirations thanks a lot ....

Joseph Choukroun - (10/23/2017 1:12 AM)

Gerald, in surgery the nerve suffers if you have not good hands.. In this presentation, Raquel is doing the perfect surgical protocol. There is no reason to meet any complications.. Since 15 years, my friends are using PRF to avoid fibrosis around the nerve after surgery (origin of dysethesia). And it works.. what else ?

Related Videos
Diagnosis and Management of a Maxillary Periapical Cyst Premium Member Content

Diagnosis and Management of a Maxillary Periapical Cyst
In this video, Dr. H. Ryan Kazemi discusses diagnosis and treatment for a large maxillary periapical cyst. He presents the use of CBCT for accurate diagnostics, flap design, cyst enucleation technique, and bone grafting.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Making Effective Surgical Guides Premium Member Content

Making Effective Surgical Guides
In this short video, Dr. Kazemi discusses one of the common mistakes in fabrication of implant surgical guides and criteria for an 'effective' surgical guide.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Dr. Salama's Extraction Kit by Dowell Dental Products Premium Member Content

Dr. Salama's Extraction Kit by Dowell Dental Products
In this tutorial video, Dr. Maurice Salama demonstrates the extraction of several teeth with the DoWell Dental Diamond Plated Extraction Elevators.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Controlled Ridge Splitting (CRS) Premium Member Content

Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded. Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.

Presented By:: Suheil M. Boutros, DDS, MS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability Premium Member Content

Positive & Negative Factors in Stem Cells & Wound Healing: Solutions for Long Term Stability
The main factor for soft and hard tissue healing is the speed and quality of new vascularization. This lecture will present all the positive and negative factors who control the angiogenesis, blood supply and bone metabolism: -Biological factors as vit. D and cholesterol have to be checked before the surgery -The management of the flaps with sutures is one the main factor for the bone and soft tissue maintenance.. -The soft brushing technique is a new technique which increases the flap without periosteal incision nor bleeding. -Careful Implant placement without too much torque, specially in cortical bone or grafted bone at the re-entry.. -The A-PRF liquid and i-PRF are solutions to reduce the mobility of the granules (sticky bone) with an improvement of angiogenesis The use of growth factors is a stimulation of angiogenesis. The prevention of the negative factors will allow us to achieve the long term stability.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction Premium Member Content

The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction
In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and significantly better in updated generations prior.

Presented By:: Alessandro Agnini, DMD;Andrea Mastrorosa Agnini, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique

Periodontal Accelerated Osteogenic Orthodontics - A Description of the Surgical Technique
The purpose of this article is to describe the clinical surgical procedures that comprise the PAOO procedure.

Author(s): Kevin George Murphy, DDS, MS;M. Thomas Wilcko, DMD; William M. Wilcko, DMD, MS; Donald J. Ferguson, DMD, MSD
View Article>>
The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
View Article>>
Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study

Human Histologic Evaluation of Anorganic Bovine Bone Mineral Combined with Recombinant Human Platelet-Derived Growth Factor BB in Maxillary Sinus Augmentation: Case Series Study
The objective of this study was to examine the potential for improved bone regenerative outcomes in maxillary sinus augmentation procedures using platelet-derived growth factor BB and anorganic bovine bone mineral.

Author(s): David Garber, DMD;Maurice Salama, DMD;Steven S. Wallace, DDS;Myron Nevins, DDS;James J. Hanratty, DDS; Bradley S. McAllister, DDS; Marc L. Nevins, DMD, MMSc; Peter Schupbach, PhD; Simon M. Bernstein, DDS, MS; David M. Kim, DDS, DMSc
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login ·