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Herman Ostrow School of Dentistry of USC

Vertical Ridge Augmentation (LECTURE & HANDS-ON)

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Overview / Abstract:


It is undeniable that implant treatment has modified treatment plans and patients’ outcomes dramatically. Implant treatment has been modified over the years from surgical techniques to material modifications, all of which aim at a theoretical perfection of treatment. However, one of the major endeavours in implant dentistry is still the esthetic result of the final prosthetic restoration. Implant positioning is now driven by the prosthetic demands and requirements rather than the quality, quantity and morphology of the available bone.
A correct diagnosis based on a multidisciplinary approach, including periodontal, prosthetic and surgical parameters is crucial. The assessment of the anatomical site where implants will be positioned is paramount. Indeed we are faced with a multitude of alternatives when it comes to treatment plan. Often we find ourselves confronted with the dilemma on wether, after a meticulous diagnosis, the treatment plan should contemplate bone regeneration or not and if yes with which technique and with what material. This is applicable to “border line” cases, where the final aim may be well achieved via a more pragmatic approach other than bone regeneration. On the other hand, there are clinical conditions or anatomical sites where an adequate volume of bone is mandatory to allow implant treatment. Such areas include the maxillary molar and premolar region, where only a reduced alveolar process may separate the maxillary sinus from the oral cavity, and the corresponding mandibular region, with its mandibular nerve canal. Moreover, a large inter-arch space alters coronal length and form and produces an unfavorable crown-to-root ratio in the final prosthetic reconstruction. The latter may result in an esthetically unacceptable final prosthetic restoration, and/or lead to difficulties in performing adequate oral hygiene regimes, hence potentially jeopardizing the long-term prognosis.

In the past decade, many predictable techniques have been proposed in the literature to augment deficient alveolar ridges both horizontally and vertically and/or to enhance bone deformities in conjunction or prior to implant placement. Bone regeneration has been further improved through the introduction of more effective barrier membranes and osteoconductive/osteoinductive biomaterials and the development of new surgical procedures. However, predicable bone regeneration in severe cases still remains challenging. This hands-on course will focus on the Vertical Ridge Augmentation technique using the GBR biologic principles.


Learn how to fully assess the patient for a correct diagnosis and case selection following specific guidelines.
Experience with their own hands the challenge of a vertical bone augmentation surgery, with particular emphasis on the precise steps of the surgical procedures
Learn all the tips and tricks that make GBR successful and learn how to avoid surgical pitfalls.
Learn how to handle the soft tissues during GBR which are crucial to achieve success.




January 24, 2019 at 8:00 AM - 5:00 PM PT


Jan 24, 2019


Dental CDE



Credits / Hours




Presenters / Authors / Faculty

Isabella Rocchietta, DDS MSc, Specialist in Periodontics

Keywords / Search Terms

Herman Ostrow School of Dentistry of USC

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