Shell technique Master Course – Autologous to Relining to Allogeneic – Current concepts & new developments (including live surgery)

In many implant rehabilitations bone augmentation is necessary to provide sufficient volume of the alveolar process for implant placement in the correct prosthetic position. Although many options and materials are available, the shell technique according to Prof. Khoury becomes more and more the standard of bone augmentation. Further developments of the technique do even show better results and less morbidity for the patient, such as augmentative relining during implantation after shell technique augmentation and allogeneic bone plates. Is autologous bone irreplaceable as the gold standard or are there now equivalent methods? What do allogeneic bone substitutes do and how safe is their use?

This course is aimed at dentists, periodontologists, oral surgeons and oral / maxillofacial surgeons who want to expand their spectrum, especially in the field of augmentative surgery and soft tissue management. Using numerous clinical images and video demonstrations, the principles, methods and materials for the autologous and allogeneic shell technique will be presented in a practical and reproducible manner. Practical exercises on the model and on the pig‘s jaw facilitate direct implementation and handling.

• Instruments & materials – what do we need?
• Differential therapeutic indications for bone substitutes & membranes – where are the limits?
• Autologous bone harvesting – techniques, indications & limitations.
• Autologous bone augmentation using the shell technique / split bone technique – basic principles of the standard therapy.
• Augmentative relining during implantation – what is it useful for?
• Allogeneic bone grafts – the new gold standard of the shell technique?
• Soft tissue management during shell technique augmentation, implantation and stage 2 surgery – the basic of success.
• Complication management – how to handle different complications.

Timetable:
Day 1 – the autologous day (incl. coffee and lunch breaks):
09:00 – 09:15 Come together
09:15 – 10:45 Theory part 1: Basic principles of augmentative implant surgery, Alternatives to augmentation, Guided bone regeneration – indications and limitations
11:15 – 12:30 Theory part 2: Autologous bone harvesting, Shell technique with autologous bone plates
13:30 – 15:00 Live surgery: autologous bone harvesting and shell technique augmentation
15:30 – 17:00 Theory part 3: Shell technique and augmentative relining
19:00 Dinner

Day 2 – the allogeneic day (incl. coffee and lunch breaks):
09:00 – 10:15 Theory part 4: Allogeneic shell technique augmentation, Scientific background, Horizontal and vertical augmentation with allogeneic bone plates
10:45 – 11:45 Theory part 5: Basic rules to follow during allogeneic bone augmentation, Shaping of bone plates, Complication management, Extreme cases – where are the limits?
11:45 – 12:45 Live surgery: implantation with augmentative relining after allogeneic bone augmentation
13:45 – 15:15 Live surgery: augmentation with allogeneic bone block in split-bone technique
15:30 – 17:00 Hands-on: augmentation with allogeneic bone plates (model)