Hard and Soft Tissue Grafting for Optimal Implant Reconstruction

Dr. Daniel Buser

Pikos Symposium 2018

Dr. Daniel Buser is Professor and Chairman at the Department of Oral Surgery at the University of Bern in Switzerland since 2000. He spent several sabbaticals at Harvard University in Boston (1989-91), at Baylor College of Dentistry in Dallas (1995), at the University of Melbourne (2007/08), and again at Harvard University in 2016.

He served as President of various academic associations including the European Association for Osseointegration (EAO) in 1996/97, the Swiss Society of Oral Implantology (SSOI) in 1999-2002, the Swiss Society of Oral Surgery and Stomatology (SSOS) in 2002-07. He was also President of the ITI (2009-13), the world’s largest association in the field of implant dentistry.

He received several scientific awards by professional organizations such as the ITI, the AO, the AAP and the AAOMS. Recently, he was honored with an Honorary Professorship by the University of Buenos Aires (2011), the Brånemark Osseointegration Award by the Osseointegration Foundation in the USA (2013), an Honorary Doctorate by the University of Szeged in Hungary (2014), the Jerome and Dorothy Schweitzer Research Award by the Greater New York Academy of Prosthodontics (GNYAP) in New York (2015), and most recently the ITI Honorary Fellowship (2017) by the ITI.

His main research areas are in surface technology, long-term stability of dental implants, tissue regeneration around dental implants, and Guided Bone Regeneration. He has authored and co-authored with his team 380 publications, and several text books including two GBR books and several ITI Treatment Guides. He widely lectures at national and international conferences.

Saturday November 3, 2018

4:15 pm – 6:15 pm Dr. Daniel Buser

Long-term Stability of Contour Augmentation in Implant Patients: Why does it work so well?

The timing of implant placement post extraction in the esthetic zone is a critical decision, since it influences the predictability of esthetic outcomes. The clinician has 3 options for treatment: immediate, early or late implant placement. Immediate implant placement is only used in ideal anatomic sites with a thick facial bone wall (> 1mm; 5-10%). It’s used with a flapless surgery using an internal grafting of the gap between the implant surface and facial bone wall, and an immediate restoration without functional loading. Early implant placement is most often used (>80%), when the facial bone wall is thin or lacking. After a healing period post extraction of 4 to 8 weeks, implant placement is combined with a simultaneous contour augmentation using autograft bone chips and DBBM, covered with a collagen membrane. Lateimplant placement is rarely necessary (>5%), for patient or site specific reasons.

Learning Objectives:
1. Understand the tissue biology in post-extraction single tooth sites with bundle bone resorption and its consequences.
2. Understand the inclusion criteria for the selection of the most appropriate treatment approach: immediate, early, late.
3. Understand the power of BCM and a 2-layer composite graft for successful contour augmentation using GBR.