Connecticut Society of Oral and Maxillofacial Surgeons

Dr. Polido is a Clinical Professor of Oral and Maxillofacial Surgery and Co-Director of the Center for Implant, Esthetic and Innovative Dentistry at the Indiana University School of Dentistry, Indianapolis.

Dr. Polido received his Master and PhD degrees at the PUC University in Porto Alegre, Brasil and completed his OMS Residency at the University of Texas, Southwestern Medical Center at Dallas.

His main interests are in Computer Aided Maxillofacial and Implant Surgery, with a focus on Interdisciplinary Treatment, and in Orthognathic Surgery. He has many publications and lectures worldwide on digital tools, bone grafts, implants in the treatment of the esthetic area, complications, and the treatment of fully edentulous patients.

Surgical alternatives for the atrophic posterior mandible

Abstract:
Several surgical techniques are employed to vertically reconstruct atrophic alveolar bone.

However, these ancillary techniques have higher morbidity and are technique sensitive, prone to more complications with less experienced surgeons.
The use of short implants is an alternative to adequately restore partially edentulous patients, and its use has grown exponentially on the last years due to great improvements on materials and techniques.  Recently, ultra-short implants have been introduced, showing promising results for the rehabilitation of patients with severely resorbed alveolar ridges.

Our presentation will review indications, risks and benefits of the existing surgical alternatives to rehabilitate the atrophic posterior mandible with bone augmentation and implants.

Learning objectives:
1). List main surgical techniques utilized to vertically augment the posterior mandible
2). Describe characteristics of short and ultra-short implants
3). Select clinical indications where the use of grafting OR short implants may be advantageous

Timing for extraction, implant placement and grafting

Abstract
Numerous details are indispensable to achieve an excellent and long-lasting outcome in Implant Dentistry. Among them is the increasing need for bone and soft tissue augmentation, in both vertical and horizontal aspects. However, these grafts can be applied at different moments of the treatment, according to the clinical situation.

Immediate or delayed implant placement, ridge preservation procedures and staged grafts and implant placement are the possible choices to rehabilitate patients that will have unrestorable teeth replaced by implants.  Digital planning and guided implant surgery can assist in improving outcomes.

Our presentation will discuss risk assessment, patient selection, treatment planning and alternatives, aiming at making the right decision of when to do immediate, late or early implant.

Learning Objectives:
1). Assess the surgical risk in patients in need for extraction and implants 
2). Recognize different moments for implant placement in relation to the extraction
3). Select clinical indications and techniques for immediate placement and tissue augmentation after extraction.