Dr. Vinay Bhide is a board-certified Periodontist who provides the full scope of surgical periodontal and dental implant therapy. In addition to conventional periodontal procedures such as pocket reduction and crown lengthening, Dr. Bhide has a special interest in esthetic and reconstructive periodontics, procedures including soft tissue grafting for correction of gingival recession, periodontal regeneration, and pre-prosthetic site development procedures such as alveolar ridge augmentation, maxillary sinus floor augmentation (both direct and indirect), and guided bone regeneration (GBR). Dr. Bhide holds the rank of Assistant Professor at the University of Toronto and is involved in didactic and clinical teaching of periodontics at both undergraduate and post-graduate levels. He has lectured nationally and internationally on various topics related to periodontology.
In this rescue mission workshop, Dr Vinay Bhide is faced with the task of reconstructing the anterior maxilla after implants have failed due to peri-implantitis. Sounds straightforward, doesn’t it? It is, until it isn’t! Surgical reconstruction of a deficient ridge in preparation for dental implant therapy has been shown to be a successful and predictable modality of treatment. Now, super-impose a history of peri-implantitis and failed implants onto this scenario and things aren’t so linear anymore. This workshop will showcase a 47-year-old patient who had implants placed in the anterior maxilla and restored with a fixed bridge and subsequently developed peri-implantitis after more than five years in function. The implants were lost to the disease process leaving Dr Bhide the formidable task of reconstructing the deficient, residual ridge for implant therapy… again! While the reconstructive surgery went well, the post-operative healing events that ensued did not. Faced with an already compromised site which was now healing poorly:
How could the initial peri-implantitis and bone loss have been prevented in the first place?
What would Dr Bhide have to do to change the course of treatment so this case could be restored successfully?
Attendees of this workshop will get an insight into surgical complications and how to deal with them effectively so the ultimate goals of esthetics and function can be achieved!
Upon completion of this course, attendees should be able to:
Understand surgical approaches for ridge construction in preparation for implant therapy in sites with a previous history implant failure due to peri-implant disease
Appreciate the potential for post-operative complications and the problem-solving required to deal with them for a successful prosthetically driven result