Bone Grafting

hardtissue3Bone Grafting & Tissue Engineering for Implant Dentistry 

April 30 - May 2, 2017

This 3 day limited attendance immersion course is designed for 16 clinicians who desire to achieve mastery of: The clinical and scientific knowledge, diagnosis, treatment planning, patient consultation-case presentation methods and surgical skills required to successfully implement advanced bone grafting and tissue engineering procedures in their clinical practice. This course features; detailed interdisciplinary scientific and clinical presentations bolstered by extensive edited procedure videos, case treatment planning sessions to help you select the best treatment approach in individual cases, intensive hands-on training in our state-of-the-art simulation lab to improve your surgical skills with one-on-one mentoring by Dr. Sclar and his team and interactive live procedure observations captured by quad robotic HD video cameras that are broadcast to our ultra-comfortable multimedia classroom where participants enjoy procedural details and nuances from multiple viewing angles emulating the operating surgeon's point of view.

Who should attend this course?

• Clinicians with intermediate-advanced experience in implant surgery & soft tissue procedures

• Clinicians looking to experience practice growth by increasing their indications for placement of dental implants at anatomically compromised sites

• Clinicians looking to improve their bone grafting success by implementing evidence based bone augmentation and tissue engineering procedures that achieve the highest success rates while avoiding unnecessary complications

• Clinicians who strive to become the "implant expert" in their area.

• Team members involved in patient consultation and/or clinical aspects of implant surgery and bone grafting

Why you should attend this course:

• You and your team members will experience professional empowerment and elevated enthusiasm by participating in a Sclar Center Advanced Implant Dentistry Immersion course

• Upgrade your knowledge and surgical skills related to successful implementation of all aspects of evidenced based advanced bone grafting and tissue engineering procedures for the benefit of your implant patients

• Immerse yourself and enjoy 3 days of comprehensive interdisciplinary education with ground breaking teaching methodologies that support a highly interactive, effective, comfortable and confidence boosting experiential learning environment uniquely recognized as the Sclar Center Immersion Course Experience

• World renowned clinician and educator, Dr. Anthony G. Sclar, OMFS and widely recognized and published restorative and laboratory faculty members who all work together in a private practice environment allowing them to empower students to implement practical "real-world" approaches to complex dental implant reconstruction.

• Extensive Hands-on training sessions with one-on-one mentoring by Dr. Sclar and the Sclar Center team. Work at your own pace on models and cadaver specimens in a fully equipped individual lab station. Students control the video playback of each procedure that they will be executing in the lab thereby reinforcing the procedural steps and surgical skills required for successful execution of each assigned procedure exercise.

• Our student alumni have consistently experience unprecedented implementation of newly learned procedures and growth of their implant practice shortly after participating in our immersion courses

• From beginning to end, we support our student alumni! We maintain a mentoring relationship by answering their questions, providing consultations regarding challenging cases and serving as a primary force acting to further empower our alumni to achieve their professional goals and change the course of their practice towards growth and fulfilment of their visions for the future.

• Academic Purity is maintained during all Sclar Center Courses where we provide unbiased, evidence based and clinically relevant education with a singular goal of seeing you succeed!

• In addition to attending the general sessions, team members who attend the course receive additional training on the course topics thereby facilitating immediate procedure implementation in your practice

Course Topics:

I. Critical Concepts for Successful Intra-oral Bone Augmentation

A. Biology and Principles of Intra-oral Bone Grafting & Regeneration

• Factors that favor successful results for Intra-oral bone grafting
• Factors related to graft shrinkage and failure
• Bridging & Regional acceleratory phenomenon (RAP)

B. Intra-Oral Donor Site Considerations

• Types of intra-oral bone grafts
• Mandibular donor sites: Ramus-buccal shelf, body, retromolar, symphysis, local site
• Maxillary donor sites: Tuberosity, zygomatic buttress and local site
• Safe harvest of; autogenous trabecular, cortical strut, cortico-cancellous block and dowel grafts

C. Fundamental Material Science & Instrumentation for Intra-oral bone grafting

• Ideal properties of bone graft substitutes
• Indications for and selection of autogenous bone grafts and graft substitutes
• Indications for and selection of Barrier membranes
• Indications for and selection of blood component therapy ( PRP, PRGF)

D. Tissue Engineering for Intra-oral Bone Augmentation

• Principles and scientific concepts of tissue engineering
• Autogenous corticocancellous and particulate grafts
• PRP, PRGF, BMAC, Gem 21S rhPdgf-BB, Emdogain, Infuse Bone Graft
• Growth factor carriers and/or graft matrix
• Applications of tissue engineering for bone augmentation at complex implant sites

E. Patient Evaluation and Treatment Planning for Intra-oral Bone Augmentation

• Patient and Local Site Evaluation & Risk Assessment
• Determining the Degree of difficulty for bone grafting: ( Patient & local site factors)
• Role of Cone Beam CT in reducing donor and recipient site morbidity for intra-oral bone grafting

F. Soft Tissue Considerations for Successful Intra-oral Bone Augmentation

• Principles of soft tissue flap management for bone augmentation procedures
• Determining the need for soft tissue augmentation and when to perform
• Step-by-step procedures for soft tissue incisions, flap designs and maneuvers that ensure passive closure
• Suture techniques and materials for secure flap closure
• Considerations for interim provisional restorations

II. Reconstruction of Deficient Alveolar Ridges for Implant Site Development

A. Synchronous Implant Placement with Guided Bone Regeneration Procedure:

• Diagnosing and Treatment Planning (CBCT& Clinical Evaluation)
• Recipient site requirements and preparation (RAP) for successful bone augmentation
• Step-by-step procedure description for particulate GBR composite grafts
• Considerations for interim provisional restorations & Peri-operative patient management

B. Staged Reconstruction with Block Grafts & Guided Bone Regeneration Procedures:

• Diagnosing and Treatment Planning (CBCT & Clinical Evaluation)
• Recipient site requirements and preparation (RAP) for successful bone augmentation
• Step-by-step procedures for autogenous block grafts for horizontal & vertical Augmentations
• Step-by-step procedures for allograft block with GBR for horizontal Ridge Augmentations
• Considerations for interim provisional restorations & Peri-operative patient management

C. Sinus Lift Bone Graft Procedures (SLBG):

• Anatomy, physiology and blood supply of the maxillary sinus
• Diagnosing and Treatment Planning (CBCT & Clinical Evaluation)
• Step-by-step Lateral wall and crestal sinus lift surgical procedures
• Guidelines and procedures for simultaneous vs. delayed implant placement
• Simultaneous SLBG and lateral block bone augmentations
• Considerations for interim provisional restorations & Peri-operative patient management

D. Bone Spreading and Ridge splitting procedures for Alveolar Ridge Expansion

• Diagnosing and Treatment Planning (CBCT & Clinical Evaluation)
• Indications, instrumentation, limitations and step-by-step procedures

E. 3D Biologic Techniques for Significant Horizontal and Vertical Ridge Augmentation

• 3D Alveolar Ridge Reconstruction Procedures Using Autogenous Bone
   o Corticocancellous Block Grafts
   o Cortical block bone grafts cribs with trabecular bone graft
   o Bone transport via osteotomy and Inter-positional graft
   o Buccal plate repositioning-stabilization procedure with Inter-positional graft

F. Synergistic Tissue Engineering Approach to Reconstruction of Complex Horizontal Ridge Defects

• Diagnosing and Treatment Planning (CBCT & Clinical Evaluation)
• Indications, instrumentation, limitations and step-by-step procedures

G. Management of Intraoral Bone Grafting Complications

• Understand the biology of bone regeneration & bone graft healing, the biologic inter-dependency of soft and hard tissues and the anatomic basis for intra-oral bone augmentation at anatomically compromised implant sites.
• Fully grasp the surgical principles, material science and tissue engineering concepts related to performing autogenous bone augmentation procedures that set the stage for restoration driven implant placement at sites with deficient alveolar ridges and/or poor regenerative capacity.

Course Leaning Objectives: At the completion of this course, doctors should be able to:

• Understand the biology of bone regeneration & bone graft healing, the biologic inter-dependency of soft and hard tissues and the anatomic and basis for intra-oral bone augmentation at anatomically compromised sites.
• Fully grasp the surgical principles, material science and tissue engineering concepts related to performing autogenous bone augmentation procedures that set the stage for restoration driven implant placement at sites with deficient alveolar ridges and/or poor regenerative capacity.
• Use cone beam CT technology and planning software to minimize morbidity and maximize success with intra-oral autogenous bone harvesting and grafting procedures.
• Select, sequence and perform soft tissue connective tissue procedures with bone augmentation as part of interdisciplinary management of complex dental implant reconstructions.
• Understand the indications, limitations and sequencing of various soft tissue flaps and grafting procedures used to improve success with intra-oral bone grafting.

At the completion of the scientific, clinical, treatment planning, interactive live procedure observation and intensive hands-on training featured in this immersion course: doctors should have gained confidence in their knowledge base, treatment planning methods and improvement of their surgical skills for successful execution and implementation of the following bone augmentation & tissue engineering procedures in their practice:

• Simultaneous implant placement with guided bone regeneration procedures and soft tissue management or grafting procedures for reconstruction of peri-implant bone defects contained within the alveolar housing
• Harvest, handling and immobilization of autogenous corticocancellous block and particulate cancellous, cortical and bone graft substitutes at implant sites with deficient anatomy and perform soft tissue flap management and/or grafting procedures to ensure passive closure and enhance bone graft success
• Lateral window and crestal sinus lift bone grafting procedures with immediate and delayed implant placement
• Lateral window sinus lift bone grafting procedures with simultaneous block bone reconstruction of horizontal defects to optimize the biomechanics and esthetics of the subsequent implant reconstruction
Pre-implant hard tissue implant site development procedures:
    o Autogenous & allogeneic block- particulate grafts with GBR for horizontal and vertical augmentation
    o 3-D biologic bone grafting techniques for horizontal augmentation
    o Synergistic tissue engineering bone regeneration procedures for reconstruction of complex horizontal and vertical alveolar ridge defects with simultaneous or delayed implant placement

Course Details:

24 hours CE credits are earned in 3-day Advanced Certificate Course. Although no prerequisite is required, participants are expected to have intermediate to advanced experience in dental implant surgery as well as peri-implant soft tissue management and grafting procedures at a level comparable to the published leaning objectives for the Sclar Center Soft Tissue Immersion; Periodontal and Peri-implant Plastic Surgery Course. Prior to the course, students should become familiar with the recommended pre-course reading materials supplied by the Sclar Center. Students are encouraged to make hotel arrangements at the Mayfair Hotel in Coconut Grove to take advantage of daily round-trip transportation to and from the Sclar Center. A healthy breakfast with gourmet coffee service and Nespresso and a delicious lunch is served daily. We also host an early evening cocktail reception and graduation dinner following our graduation ceremony. Adjunctive team members are encouraged to participate in the course (space available). Our experience demonstrates that their participation in the course and the additional training they receive from the Sclar Center team will facilitate procedural implementation in your practice. 

2017 Doctor's Tuition $6,350

2017 Team Member's Tuition $750

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Come for the Education and stay for a vacation!

Situated in beautiful South Miami, Florida, the Sclar Center is just 20 minutes from Miami International Airport (MIA) by car or taxi. It is easily accessible by all major airlines. After enjoying the educational opportunities at the Sclar Center, you can also take advantage of the excellent recreational activities and dining options that South Miami and Miami Beach have to offer. Blessed with year-round mild climates and unrivaled ocean access, America's southernmost resort city is also a sought-after international recreation destination. Miami caters to action-oriented visitors from around the globe with some of the world's top golf, tennis and sporting facilities. Add sparkling waters that are a magnet for boating enthusiasts, fishermen, divers and water sports aficionados to the equation, and it is easy to see why Miami is a number one choice for active travelers of all ages and skill levels.

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