Surgical Instruction Video Series

Includes all of the following:

• Video 1: Pedicle Tunnel Connective Tissue Graft™
• Video 2: Resorbable Mesh/rhBMP-2 Bone Graft
• Video 3: rhBMP-2 and Mineralized Allograft
• Video 4: Anterior Maxillary Ridge Expansion and Implant Placement
• Video 5: Sinus Augmentation with rhBMP-2 and Simultaneous Nonsubmerged Implant Placement
• Video 6: Flapless Extraction #8 with Socket Graft, PTCTG™ (Pedicle Tunnel Connective Tissue Graft™) and L-PRF
• Video 7: Mandibular Vestibuloplasty with Alloderm® and PRF; Simultaneous, Stage Two Implant Surgery
• Video 8: Titanium Mesh / rhBMP-2 Bone Graft for Mandibular Anterior Horizontal Deficiency
• Video 9: Titanium Mesh Removal and Implant Placement: Status Post Horizontal Augmentation of the Anterior Mandible
• Video 10: Sinus Graft with Immediate Implant Placement
• Video 11: Fully Guided Full Arch Immediate Implant Reconstruction Case with nSequence Prosthetic Protocol

This video will feature the use of a unique pedicle tunnel connective tissue graft technique in conjunction with flapless extraction of a compromised maxillary central incisor, and simultaneous socket grafting with a mineralized allograft. Detailed step-by-step procurement and placement of a pedicle connective tissue graft is discussed in detail. Recipient and donor site closure will also be covered.

• Flapless extraction of maxillary central incisor
• Surgical technique for harvesting and placing a pedicle tunnel connective tissue graft™ (PTCTG™)
• Recipient site preparation and suturing
• Donor site closure

Products: Powertome, Periotome, MinerOss

This video will feature the use of rhBMP-2/ACS with resorbable mesh (SonicWeld) to correct a horizontal deficiency of the existing atrophic maxillary central incisor sites. Incision design, flap reflection and release,site preparation, along with step-by-step description of the application of rhBMP-2 with SonicWeld mesh will be covered in detail. Soft tissue closure with specific suturing techniques will also be shown.

• Surgical technique for horizontal bone augmentation with SonicWeld mesh and rhBMP-2/particulate bone graft.
• Incision design, flap elevation and release
• Recipient site preparation Sonic Weld pin placement with mesh rhBMP-2 preparation
• Bone grafting
• Site closure

Products: rhBMP-2, MinerOss, SonicWeld, Mem-Lok Collagen Membrane, AutoTac  Products: rhBMP-2, MinerOss, SonicWeld, Mem-Lok Collagen Membrane, AutoTac

This patient presented with mandibular right first molar in a failing mode that included periapical pathology and buccal plate loss. This video details surgical tooth extraction along with site preparation and the use of rhBMP-2 and mineralized allograft. It also features the use of a titanium reinforced PTFE membrane with appropriate screw fixation. Finally, it includes detailed soft tissue manipulation and suturing.

• Surgical extraction mandibular right first molar
• Incision design
• Flap management
• Surgical extraction
• Site preparation
• PTFE membrane placement
• rhBMP-2 preparation with mineralized allograft
• Soft tissue closure

Products: rhBMP-2, MinerOss, Cytoplast titanium reinforced membrane, Pro-fix screws

This video will cover a unique step by step surgical protocol of anterior maxillary ridge expansion and simultaneous implant placement.  It will include buccal veneer grafting with mineralized allograft and rhPDGF and use of a collagen membrane with fixation. It also features soft tissue flap manipulation and suturing.

• Incision design and flap management
• Site preparation including bone cuts Implant placement
• Buccal flap release
• Veneer bone grafting
• Collagen membrane placement
• Soft tissue closure

Products: Ellman Surgitron, PiezoSurgery, Spatula Osteotomes, BioHorizons Laser- Lok Tapered Internal Implants, MinerOss, Gem 21 (rhPDGF-BB), CollaTape, Mem-Lok Collagen Membrane, AutoTac

This case features the use of rhBMP-2 and mineralized allograft for grafting the partially pneumatized left maxillary sinus along with simultaneous placement of a large diameter implant in a non submerged mode into the maxillary left second bicuspid site. The step by step surgical protocol will focus on incision design, lateral window osteotomy, membrane elevation and repair, the use of rhBMP-2 for bone grafts, and simultaneous non-submerged implant placement.

• CBCT evaluation
• Incision design
• Step-by-step surgical protocol
• Sinus membrane repair
• rhBMP-2 bone graft
• Implant placement
• Suturing

Products: Carestream 3D imaging software, Piezosurgery, Mem-Lok Collagen Membrane, PRGF, AutoTac, rhBMP-2, MinerOss, Biohorizons Tapered Internal Laser-Lok Implant

This video will feature flapless extraction of tooth #8 (maxillary right central incisor) with socket graft and simultaneous placement of a Pedicle Tunnel Connective Tissue Graft (PTCTG™). A detailed step by step description will cover the flapless extraction, use of mineralized allograft (MinerOss®), along with both the harvesting of the Pedicle Tunnel Connective Tissue Graft and placement of this graft in to the facial pouch created at the socket recipient site. Donor site closure will also be featured with use of L-PRF.

• Flapless extraction #8 with Powertome, periotome and forceps
• Incision design, flap elevation and harvesting of PTCTG™
• Socket grafting with MinerOss®
• Recipient site preparation (facial socket subperiosteal pouch)
• Palatal (donor) and recipient site closure including use of L-PRF

Products: MinerOss®, Powertome, periotome, dental alveolar curette, periodontal probe, Ellman® Surgitron® Radiosurgery®, L-PRF, 5-0 Nylon suture, 4-0 Vicryl suture, Essix retainer

This video will include a step by step protocol of an edentulous mandible vestibuloplasty in preparation for an implant bar supported overdenture. It will feature the use of acellular dermis matrix (Alloderm), detailed recipient site preparation, and the role of radiosurgery and L-PRF.

• Incision design and flap management
• Recipient site preparation
• Use of Alloderm as a soft tissue graft
• Use of radiosurgery
• Use of L-PRF

Products: Alloderm, Ellman Surgitron (Radiosurgery), L-PRF

Note: Removal of titanium mesh placed in this video is featured in Video 9.

This video will feature the use of rhBMP-2/ACS with titanium mesh to augment a horizontal alveolar ridge deficiency associated with two remaining mandibular incisors. Incision design, flap reflection and release, site preparation, along with step by step description of the application of rhBMP-2 and partial allograft / xenograft will be covered in detail. Soft tissue closure with specific suture techniques will also be shown.

• Surgical technique for horizontal bone augmentation of the anterior mandible with rhBMP-2/Particulate allograft and xenograft
• Step by step incision design, flap management with elevation and release
• Recipient site preparation with titanium mesh sizing, placement and fixation
• Flap management including soft tissue closure

Products: rhBMP-2, MinerOss, BioOss, Titanium Mesh, Ellman Surgitron, Osteomed screws, L-PRF, Cytoplast PTFE sutures.

Note: Placement of titanium mesh removed in this video is featured in Video 8.

This video will feature a step by step protocol for titanium mesh removal with implant placement of the anterior mandible. A previous video showcased the use of titanium mesh with rhBMP-2 and particulate allograft/xenograft for horizontal alveolar ridge augmentation of the mandibular incisor region. A sequential approach will be described for flap management, titanium mesh retrieval, implant placement and soft tissue closure.

• Incision design, flap management and use of Ellman radiosurgery for flap separation from titanium mesh
• Step by step titanium mesh retrieval, site preparation and handling of pseudo periosteum
• Implant placement, flap management and soft tissue closure

Products: Ellman Surgitron, Osteomed screwdriver, Quinn periosteal elevator, BioHorizons small diameter implants, healing abutments, nylon and Cytoplast PTFE sutures

This video will feature a right sinus augmentation with simultaneous placement of two implants in a nonsubmerged mode. Step by step protocols will include incision design, flap management, sinus bone grafting with particulate allograft, xenograft and L-PRF, along with simultaneous placement of two implants nonsubmerged.

• Incision design, flap management and lateral window design
• Use of Piezosurgery device, implant osteotomy preparation, sinus bone grafting including the use of allograft, xenograft, and L-PRF
• Simultaneous implant placement nonsubmerged, flap release, soft tissue closure

Products: Piezosurgery device, Memlok membrane, titanium tacks, MinerOss, BioOss, L-PRF, BioHorizons implants, Vicryl and Cytoplast PTFE suture

This video will feature a two jaw fully guided full arch immediate implant reconstruction case using the nSequence® prosthetic plan.  It will focus on a comprehensive, step by step surgical protocol and includes detailed coverage from extractions to placement of the provisional prostheses with 5-year follow-up.  There are many pearls to be gleaned from this video.

Learning objectives:

• Understand the step by step surgical protocol for fully guided full arch immediate implant reconstruction cases using the nSequence® prosthetic protocol.
• Understand the many advantages of fully guided full arch immediate implant reconstruction over conventional conversion protocols.
• Understand how to avoid pitfalls with this unique protocol.