Dr. Dan Cullum – Minimally Invasive Grafting & Implant Reconstruction: Predictable, Rewarding & Fun

Daniel R. Cullum DDS, Oral and Maxillofacial Surgeon, Coeur d’Alene, Idaho

Minimally Invasive Grafting & Implant Reconstruction: Predictable, Rewarding & Fun

Outline:
Minimally Invasive Techniques - Introduction and Evidence
Enhanced Wound Healing and Up-regulation
Tunnel grafting - Augmentation and Immediate Implants
Complications and Applications

Synopsis:
This course will teach advanced minimally invasive techniques for open wound and tunnel grafting, enhanced wound healing, immediate management of single and multi-rooted extraction sites, including the spectrum of anatomic defects encountered in daily practice. Digital planning and dynamic navigation provide a paradigm shift in predictable implant treatment for optimal outcomes. Surgical instrumentation, selection of graft materials, use of Amnion/Chorion and biologics to up regulate wound healing. will also be presented. Participants will learn techniques offering faster healing interval, stable long term results and minimal discomfort. Applications of Cone Beam CT imaging, anatomic evaluation, case selection and progressive skill development can avoid potential complications for predictable patient centered outcomes.

Learning Objectives:

• - Identify the role of CBCT diagnosis, planning and navigation software as indicators of technique selection, risk prevention and treatment in patient centric care
• - Select surgical open or tunnel graft treatment options based on anatomy and host factors to enhance outcomes, reduce treatment time and morbidity in management of vertical and horizontal alveolar deficiencies
• - Understand the anatomic and implant design parameters for implant positioning and primary stability to optimize immediate and long-term success
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• Educational Goals:
• - Understanding patient centric treatment options are dependent on anatomy, surgeon training and host factors
• - Align minimally invasive treatment choices and outcomes with individual patient needs and desires
• - Attendees to build overlapping and "stackable “skill sets for appropriate application under varying clinical demands
• - The attendees to develop critical thinking skills, team treatment and a “life-long” learning processes for continued growth
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• Scientific Evidence:
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  Block MS, Kelley B. Horizontal posterior ridge augmentation: the use of a collagen membrane over a bovine particulate graft: technique note, J Oral Maxillofac Surg 2013:71.1513-0.
• Block MS, Does the Use of High-Temperature–Processed Xenografts for Ridge Augmentation Result in Ridge Width Stability Over Time? MS Block - JOral and Maxillofacial Surgery, 2020
• Block MS, Scoggin ZD, Yu Q. Assessment of bone width for implants in the posterior mandible. J Oral Maxillofac Surg. 2015;73(9):1715-1722.
• Block M, Closed Approach for Horizontal Augmentation of the Maxilla. J Oral Maxillofac Sure 76:521-527, 2018.
• Cullum DR & Jensen OT: The Sinus Bone Graft, Jensen OT ed, Chapter 21, Quintessence Publishing, Hanover Park, IL 2006.
• Cullum DR & Lucas M. Minimally Invasive Extraction Site Management With Dehydrated Amnion/Chorion Membrane (dHACM): Immediate Implant Placement With Dynamic Navigation. Compendium 2019: 4;10 646-651.
• Cullum, DR. Advances in bone manipulation techniques. Part 2: Osteo-mobilization for horizontal and vertical implant site development. Selected Readings in Oral and Maxillofac Surg 2010; 18: 1-44.
• Cullum DR, Ridge Expansion Ch 16 In: Minimally Invasive Dental Implant Surgery. Cullum DR & Deporter D, ed. Hoboken NJ: Wiley 2016, pp 285-310.
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• Deeb GR, Wilson GH, Carrico CK, Laskin DM, Deeb JG, Is the tunnel technique more effective than open augmentation with a titanium-reinforced polytetrafluoroethylene membrane for horizontal ridge augmentation? J Oral Maxillofac Surg 2016,74:1752-6.
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• Mazzocco, Carlo; Buda, Sergio; De Paoli, Sergio. The Tunnel Technique: A Different Approach to Block Grafting Procedures. International Journal of Periodontics & Restorative Dentistry, 2008, v. 28, n. 1, p. 44
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• Prosper L, Crespi R, Valiant E et al. Five-year follow-up of wide-diameter implants placed in fresh molar extraction sockets in the mandible: Immediate versus delayed loading. Int J Oral Maxillofac Implants 2010; 25: 607-612.
• Rasperini G, Taveili L, Barootchi S, Karmon B. Tunnel technique with a subperiosteal bag for ridge augmentation: A case series. Int J Periodontics Restorative Dent 2021,41:693-700.
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• Testori T Panda S & Clasuer T et. al.
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