Nov 102018

This elaborately illustrated and concisely written book takes a fresh look at alveolar bone reconstruction, positing that the vitality of the gingiva-alveolus-implant complex is more important than simple implant longevity. With the use of osteoperiosteal flaps, the surgeon manipulates available bone to recover what is missing in a very specific way: endosteally. This relatively closed wound approach seems to spontaneously activate the epigenetic signal within the gingivoalveolar complex, and the augmentation develops in a manner analogous to primordial growth. Soft tissue generally follows suit, and implant therapy can commence, creating a functional gingiva-alveolus-implant matrix. Once mastered, bone flaps can almost entirely eliminate the need for block grafting or guided bone regeneration. The culmination of many years of clinical research independently conducted by experts around the world, this volume presents procedures for various osteoperiosteal flaps that are not only easy to learn but result in significantly fewer complications and a more vital alveolar reconstruction. It is intended for the “wet finger” clinician the private practitioner, who must use techniques that work consistently, minimize morbidity, and are simple and relatively quick to perform. The osteoperiosteal flap, in its various permutations, fulfills these criteria beautifully.ContentsSection I: Biologic Rationale1. Biologic Basis of the Osteoperiosteal Flap2. A New Biologic Classification of Bone AugmentationSection II: Distraction Osteogenesis Techniques3. Alveolar Distraction Osteogenesis4. Supraperiosteal Transport Distraction Osteogenesis5. Rapid Alveolar Expansion of Osteoperiosteal FlapsSection III: Pedicled Segmental Osteotomy Techniques6. Book Bone Flap7. Island Osteoperiosteal Flap8. Internal Alveolar Split Bone Graft9. Sandwich Osteotomy Bone Graft in the Anterior Maxilla10. Sandwich Osteotomy Combined with Extraction Socket Bone Graft11. Sandwich Osteotomy Bone Graft in the Anterior Mandible12. Smile Osteotomy13. Sinus Graft Combined with Osteoperiosteal Flaps14. Maxillary Alveolar Split Horseshoe Osteotomy15. Sinus Floor Intrusion as a Vascularized Osteoperiosteal FlapSection IV: Restorative Techniques16. Alveolar Design by Stereolithography17. Esthetically Driven Prosthetic Management of Osteoperiosteal Flaps18. Esthetically Driven Surgical and Prosthetic Management of Alveolar Distraction Osteogenesis19. Recombinant Protein Application for Bony and Periodontal Augmentation20. Dental Implant Repositioning by Osteotomy in the Esthetic ZoneSection V: Developing Technologies21. Osteoperiosteal Tissue-Engineered Injectable Bone22. De Novo Tooth Engineering to Replace Lost Teeth
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