JC BONE AUMENTATION IS SO GOOD AND SO COOL

JC BONE AUMENTATION IS SO GOOD AND SO COOL

1. BONE AUGMENTATION PROCEDURES IN IMPLANTOLOGY GUIDED BY: DR. KALYAN CHAKRAVARTHY, HOD DR. AVINASH, READER DR. SATYA SRI, SENIOR LECTURER DR. ALAVENI MANGA, SENIOR LECTURER PRESENTED BY DR. SRI MANASA II YR PG  Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

2. CONTENTS Introduction Bone biology Composition Bone remodelling Resorption pattern Bone Grafts and Bone Substitutes Barrier Membranes Guided Bone Regeneration Onlay Bone Grafting Sinus Floor Elevation Conclusion References

3. INTRODUCTION

4. BONE BIOLOGY Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69

5. BONE BIOLOGY Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69

6. BONE BIOLOGY Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69

7. COMPOSITION OF BONE Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69

8. BONE REMODELLING Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69 Bones of the human body are in a constant state of renewal, the process known as bone remodelling . Bone resorption, Reversal phase, Mineralisation phase and Resting phase

9. ALVEOLAR BONE-RESORPTION PATTERN Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L. Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69

10. Myeroff , C., & Archdeacon, M. (2011). Autogenous Bone Graft: Donor Sites and Techniques. The Journal of Bone and Joint Surgery-American Volume, 93(23), 2227–2236. BONE GRAFTS AND BONE SUBSTITUTES Graft is defined as the portion of tissue removed from one site and placed at another, either in same or in another individual in order to repair a defect caused by operation , accident or disease.

11. Oryan , Ahmad & Alidadi , Soodeh & Moshiri, Ali & Maffulli , Nicola. (2014). Bone regenerative medicine: Classic options, novel strategies, and future directions. Journal of orthopaedic surgery and research. 9. 18. 10.1186/1749-799X-9-18. CLASSIFICATION OF BONE GRAFTS

12. AUTOGRAFT INTRA-ORAL SITES FOR AUTOGRAFT A B C Coronoid process of mandible Ramus of mandible Mandibular symphysis EXTRA-ORAL SITES FOR AUTOGRAFT Pelvic bone Calvarium Free fibula graft

13. TYPES OF AUTOGRAFT BLOCK GRAFT PARTICULATE BONE GRAFT Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

14. It refers to bone originating from another human, either a living donor or following the death of an organ donor. Usually, the allogeneic bone is harvested from the iliac bone or tibia and can be fresh-frozen, freeze-dried or processed as demineralised freeze-dried bone . ALLOGENEIC BONE GRAFT OR ALLOGRAFT

15. XENOGRAFT Xenogeneic bone substitute or xenograft is bone-substitute material originating from another species . These could be sea algae, corals, equine (originating from horses), porcine (originating from pigs) or most commonly, bovine (originating from cows). Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

16. Bone-substitute materials can also be manufactured purely by synthetic means, produced in the laboratory. These are called alloplastic graft materials examples of these are Hydroxyapatite, Beta-tricalcium phosphate , Calcium silicophosphate , Bioglasses , Polymers, Titanium particles or a combination of these. ALLOPLASTIC GRAFT Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

17. Bone grafts can also be described and classified based on the mechanism of action and biological activity into Osteogenic, Osteoinductive and Osteoconductive. CLASSIFICATION OF BONE GRAFTS Oryan , Ahmad & Alidadi , Soodeh & Moshiri, Ali & Maffulli , Nicola. (2014). Bone regenerative medicine: Classic options, novel strategies, and future directions. Journal of orthopaedic surgery and research. 9. 18. 10.1186/1749-799X-9-18.

18. CLASSIFCATION OF BONE GRAFTS BASED ON THE MECHANISM OF ACTION Ozcan , Mutlu & Hotza , Dachamir & Fredel , Márcio & Cruz, Ariadne & Volpato, Claudia. (2021). Materials and Manufacturing Techniques for Polymeric and Ceramic Scaffolds Used in Implant Dentistry. Journal of Composites Science.

19. BARRIER MEMBRANES Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

20. COMMONLY CARRIED OUT AUGMENTATION PROCEDURES GBR (guided bone regeneration) Onlay bone grafting Sinus floor elevation Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

21. GBR (GUIDED BONE REGENERATION) Guided bone regeneration is a bone-augmentation technique that uses the principle of space maintenance within a bony defect with the use of a barrier membrane. Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

22. GBR (GUIDED BONE REGENERATION) Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

23. AUGMENTATION OF 2 AND 3 WALLED DEFECTS Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

24. AUGMENTING APICAL FENESTRATIONS Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

25. GBR FOR RIDGE PRESERVATION INDICATIONS Missing facial wall due to trauma or infections Accute infection in sockets Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

26. HARVESTING BONE FROM THE DONOR SITE MANDIBULAR RAMUS AS THE DONOR SITE Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

27. CHIN (ANTERIOR MANDIBLE) AS THE DONOR SITE Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

28. ILIAC CREST AS THE DONOR SITE

29. CALVARIUM AS A DONOR SITE Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

30. SINUS FLOOR ELEVATION Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

31. SINUS FLOOR ELEVATION Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

32. Misch 1987 classifed the edentulous posterior maxilla based on the amount of subantral bone available into: SA1: more than 12 mm of the subantral bone height. SA2: 0–2 mm less than the ideal bone height (10–12 mm). SA3: 5–10 mm of the subantral bone height. SA4: less than 5 mm subantral bone height. CLASSIFCATION AND TREATMENT OPTIONS FOR THE POSTERIOR EDENTULOUS MAXILLA Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

33. DECISION-MAKING: LATERAL VERSUS TRANSCRESTAL TECHNIQUE Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

34. DECISION-MAKING: SIMULTANEOUS VERSUS STAGED APPROACH Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai, Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

35. RECENT ADVANCES Bendable titanium frameworks into PTFE material Bone Grafts Containing Growth Factors Gene-Activated Bone Grafts Dam VV, Trinh HA, Rokaya D, Trinh DH. Bone Augmentation for Implant Placement: Recent Advances. International Journal of Dentistry. 2022.‌

36. CONCLUSION

37. REFERENCES Mackiewicz Z, Niklinska WE, Kowalewska J, Chyczewski L.   Bone as a source of organism vitality and regeneration. Folia Histochem Cytobiol . 2011;49(4):558–69. Myeroff , C., & Archdeacon, M. (2011). Autogenous Bone Graft: Donor Sites and Techniques. The Journal of Bone and Joint Surgery-American Volume, 93(23), 2227–2236. Oryan , Ahmad & Alidadi , Soodeh & Moshiri, Ali & Maffulli , Nicola. (2014). Bone regenerative medicine: Classic options, novel strategies, and future directions. Journal of orthopaedic surgery and research. 9. 18.

38. REFERENCES Ozcan , Mutlu & Hotza , Dachamir & Fredel , Márcio & Cruz, Ariadne & Volpato, Claudia . (2021). Materials and Manufacturing Techniques for Polymeric and Ceramic Scaffolds Used in Implant Dentistry. Journal of Composites Science. Jensen SS, Terheyden H.  Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants. 2009;24( Suppl ):218–36.

39. REFERENCES Katsuyama H, Jensen SS . Treatment options for sinus foor elevation. In: Chen S, Buser D, Wismeijer D, editors. ITI treatment guide sinus foor elevation procedures. ITI treatment guide. Berlin: Quintessence Publishing; 2011. p. 34–59. Krishnamurthy Bonanthaya , Elavenil Panneerselvam , Manuel S, Kumar VV, Anshul Rai , Springerlink (Online Service. Oral and Maxillofacial Surgery for the Clinician. Springer Singapore, Imprint Springer; 2021.

40. REFERENCES Stefanski S, Svensson B, Thor A.  Implant survival following sinus membrane elevation without grafting and immediate implant installation with a one-stage technique: an up-to-40-month evaluation. Clin Oral Implants Res. 2017;28(11):1354–9. Caballe -Serrano J, Munar -Frau A, Delgado L, Perez R, Hernandez Alfaro F.  Physicochemical characterization of barrier membranes for bone regeneration. J Mech Behav Biomed Mater. 2019;97:13–20.