
Autogenous bone is recognized to be the gold standard in bone augmentation procedures for its incomparable biological properties. Bone harvesting free-hand is a very skill-dependent technique and this fact create an important limitation for many Clinicians. but today, the digital technologies give the chance to perform the bone harvesting procedure in a computer guided way, improving the safety, the predictability and the simplicity of the approach.
During the coruse the Participants will learn how to understand the characteristics of the defect increasing the capatbility to decide the optimal graft material and teh surgical approach from both soft tissue and hard tissue point of xiews. The handson trainings will give the oportunity to improve the understanding of the concept behind the bone augmentation procedures.
Day 1
Decision Criteria in Bone Augmentation Procedures

- Biological defect classification
- How surgeon´s choicesma y influence the final bone regeneration result.
- Why and when performa a GBR.
- Why and when performa khoury Approach.
- Clinical limitations of Khoury Approach.
- The relining Approach.
- The soft tissue regeneration concept.
Day 2
Soft tissue management rational and clinical protocols

- Why we have wound dehiscence
- Bone sugmentation flap strategy.
- Flap desing:
- The lower jaw flap design
- The upper jaw flap design «the shiffed incision concept».
- Flap elongation:
- The lingual flap management.
- The buccal flaps management.
- Wound closure:
- The lower jaw protocol.
- The upper jaw protocol.
- Soft tissue management at implant placement:
- The connective tissue graft.
- The soft tissue regeneration approach.
- Soft tissue management at implant second-stage surgery:
- Lowe jaw approach.
- Upper jaw approach.



Day 3
The Khoury Approach in the Digital Era
- Defect analysis in relation to the optimal khoury Approach.
- The «L» shape approach
- The «II» shape approach
- The donor site analysis and it´s relationship to the Khoury approach.
- The computer guided bone harvesting:
- The digital planning.
- The surgical steps.
- The bone block management:
- Free-hand approach protocol.
- The guided aprroach protocol.
- The bone laminae fixation protocol step by step:
- The «L» shape approach.
- The «II» shape approach.
- The guided bone laminae fixation approach:
- Digital planning.
- Surgical steps.
- Hands-oN performed on plastic model.
Lopesan Costa Meloneras, Resort & Spa
NEXT COURSE: June 29, 30 y 01 July


