Versah LLC Corporate Forum
10:15 am - noon
The Synergy of Osseodensification and Partial Extraction Therapy
Salah Huwais, DDS; Charles Schwimer, DMD; and Marcel Firlej, DDS, PhD
Osseodensification, The Evidence and Clinical Protocols
Salah Huwais, DDS
Osseodensification, a universal additive bone instrumentation method. It utilizes specially designed burs that induce a time dependent hydrodynamic wave ahead of the point of contact, which enhances bone plasticity and allows for Osteotomy creation through compaction autografting bone into the trabecular space. It is an evidence-based approach to osteotomy preparation that is shown to enhance implant stability in multiple clinical scenarios, both in maxillary and mandibular sites. This lecture will outline the benefit of bone plasticity and present the biomechanical, histological, and clinical evidence, as well as clinical protocols for Osseodensification including Crestal Sinus Augmentation, Plastic Ridge Expansion, Immediate Implant Placement (in both single and multi-root sites), and Guided Expansion Graft to manage severe resorbed ridges.
SPOT Surgical Technique for Socket Shield Procedure
Charles Schwimer, DMD
Socket Shield prevents hard and soft tissue collapse following immediate implant placement. Challenges associated with various other Socket Shield techniques have produced inconsistent precision and outcomes. Selective Preservation of Tooth (SPOT) is a standardized, reproducible tooth-guided preparation protocol for the socket shield and immediate implant placement. It emphasizes the utilization of the osseodensification burs in both forward (clockwise rotation - CW) to allow for simultaneous precise root apex removal as well as socket shield preparation, and reverse (counterclockwise - CCW) rotation to allow for further compaction-autografting of bone and dentin, hence improving implant primary stability and its subsequent early healing. This presentation focuses on describing the step-by-step application of SPOT for single and multiple rooted teeth.
Fully Guided SPOT Protocol for Socket Shield Procedures
Marcel Firlej, DDS, PhD
The Selective Preservation of Tooth (SPOT) approach is a tooth-guided protocol designed for socket shield preparation in both anterior and posterior teeth. It ensures precise apex removal, shield preparation, implant site preparation with osseodensification, and immediate implant placement. The guided SPOT protocol improves drilling precision, enhances predictability, and reduces chairside time by using two surgical guides: one for apex removal and shield preparation, and the other for implant site insturmentation. This approach streamlines the prefabrication of provisional restorations prior to surgery for immediate restoration delivery. The presentation will show a Socket Shield technique in a fully guided SPOT protocol for immediate implant placement with immediate provisional restoration.