Hard and Soft Tissue Grafting for Optimal Implant Reconstruction

Dr. Craig Misch

Graft, Graftless and Graft Less Approaches to Managing Ridge DeficienciesFriday, October 16, 2020, 4:15 pm – 6:15 pm

Bone augmentation is often required to place an adequate number of dental implants in ideal positions for prosthetic support. In addition to improving biomechanics, bone enhancement can improve esthetic outcomes. The use of autogenous bone is still a mainstay in our surgical techniques but growth factors can be used as an alternative.

Inherent disadvantages of bone grafting techniques include increased morbidity, surgical time, costs and treatment length. As such a trend has developed towards alternative augmentation procedures with fewer morbidity and more minimally invasive approaches that avoid the need for bone grafting including shorter and narrower implants, angled implants and/or fewer implants for prosthetic support. Rather than surgically reconstructing esthetic zone defects, many clinicians opt to replace the missing hard and soft tissue with the prosthesis. This presentation will guide clinicians on implant rehabilitation with grafting and non-grafting approaches.

Learning Objectives

  1. Discuss alternative methods to manage sites with reduced bone volume
  2. Review methods that may reduce morbidity for bone augmentation
  3. Discuss the advantages and disadvantages of grafting and non-grafting solutions

Dr. Craig Misch received certificates in postgraduate prosthodontics, oral implantology as well as a Master of Dental Science from University of Pittsburgh.  Thereafter he became faculty and acted as Co-Director of the University of Pittsburgh Oral Implantology Center.  

Dr. Misch also completed specialty training in oral and maxillofacial surgery in Pittsburgh and is board certified by the American Board of Oral and Maxillofacial Surgery as well as the American Board of Oral Implantology/Implant Dentistry.  

Dr. Misch practices as a dual specialist in Sarasota, Florida.  He is a Clinical Associate Professor at the University of Florida, Alabama and Michigan in the departments of periodontics and prosthodontics. Dr. Misch serves as  Editor in Chief of The International Journal of Oral implantologyand is on the editorial boards of Implant Dentistry, the Journal of Oral Implantology and the International Journal of Periodontics and Restorative Dentistry. He has been a featured speaker for numerous organizations and has published extensively with over 50 publications and 20 textbook chapters. 

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