Bone Manipulation and Immediate Implants in single and multi-rooted teeth are becoming established practice in implant reconstruction. Expansion of a vital “bone flap” creates an intra-bony defect for implant placement with the innate healing potential of host bone. Benefits include: improved esthetics, less discom¬fort, faster healing, eager acceptance and less cost than conventional grafting procedures. The synergy of Cone Beam CT, Piezosurgery®, modified implant designs and rotary mechanical expanders with modified osteotome techniques have simplified this group of technically demanding procedures. For Bone Expansion, we will discuss the continuum of anatomic and procedural variations in the maxilla and mandible including: single stage placement, full thickness flap, use of over-graft, “periosteal bone flap,” bone incision design and expansion techniques. For Immediate Implants, we will discuss keys for predictably and long-term stability, esthetic analysis and team treatment planning, provisional restoration, flapless surgery and atramatic ex¬traction, minimally invasive bone grafting, connective tissue grafts and avoiding complications.
Ridge Expansion Maxilla: Flapless, Split Thickness & Overgrafting Ridge Expansion Mandible: Bone Flap & Overgrafting Immediate Esthetic Zone & Molar Implants Immediate Esthetic Provisional Restoration LIVE surgery observation Hands-on application session