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SUMMARY:Glasgow Study Club
UID:484
DESCRIPTION:Bone grafting procedures are utilised whenever bone deficiencies are present. The timing of the bone grafting procedure can be either at the time of tooth removal or at a later date after primary healing of the site.\n\nBone grafting after primary healing - the staged approach - is often considered the gold standard with regards to achieving predictable guided bone regeneration.\n\nComplete flap closure over a bone graft leads to protection of the graft from external influences and promotes undisturbed healing.\n\nHowever\, this technique requires a period of healing following tooth extraction\, and if the resulting bone defect will not allow for predictable implant placement\, then a separate bone grafting procedure may be required. In such a scenario\, the timing of implant placement can be many months after the initial removal of the tooth.\n\nThe open wound healing concept is well referenced in the literature and includes the application of a guided bone regeneration protocol at the same time as tooth removal. With correct application\, the assimilation of the bone graft is not impeded or compromised despite the fact that primary closure of the soft tissues is not achieved. This technique ensures that there is no need to perform a block graft procedure and ensures that the mucogingival line is not disturbed or altered in position.

\n\nLearning Objectives:\n\nTo understand the alveolar changes that occur after tooth removal and the common GBR strategies to deal with bone deficienciesTo be familiar with the rationale for choosing differing implant/bone grafting treatment options with an emphasis on evidence based dentistryTo appreciate the role of differing treatment strategies that are utilised during the open wound healing concept to achieve predictable outcomesTo be familiar with the procedural steps required to obtain passive closure over the bone graft and without disturbing the muco-gingival line.
DTSTAMP:20191129T000000Z
DTSTART:20191129T000000Z
DTEND:20191129T000000Z
LOCATION:Village Hotel Glasgow, 7 Festival Gate, Glasgow, G51 1DB
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