The success and long-term stability of dental implants is directly related to the quantity and quality of the supporting bone and surrounding soft tissue. When there is a lack of adequate bone volume for implant placement, a variety of bone augmentation procedures and materials are common to develop the site. Grafting with autogenous bone is considered the Gold Standard of grafting materials. This technique is also referred to as the Khoury technique.
Why is it the gold standard?
Compared with other bone substitutes, the superiority of autogenous bone has been demonstrated on a biologic, immunologic, and even medicolegal basis. Due to graft morphology, autogenous bone has additional mechanical and osteogenic properties allowing early revascularisation and functional remodelling with low complication rates that are unequalled by any allograft, xenograft or alloplastic material. The main problem of xenografts and allografts, especially in a block form is their poor ability for revascularisation, offering to the material low resistance against the oral flora.
Autografts have favourable osteoconductive properties, allowing bone to form on the surface and can exert osteogenic properties where the transplanted cells contribute to bone formation. The resorption of autografts releases growth factors that support graft consolidation.
I. Three-dimensional bone grafting with thin bone blocks stabilised with microscrews. The prepared box will be filled with autogenous bone chips
II. Clinical results 3 months postoperatively. Many blood vessels are observed in the surrounding bone (arrows pointing out) for the revasularization of the grafted area
Prof Dr Fouad Khoury: The founder of the Khoury Technique
Prof Dr Fouad Khoury is a world renowned clinician in the field of oral surgery and dental implantology who developed innovative techniques using autogenous bone. He is the Chairman and Director of Privatklinik Schloss Schnellenstein in Olsberg, Germany, one of the most well known clinics in the field of Implantology and Augmentation.
The Khoury bone plate technique has been proven as a very predictable method for the 3-dimensional reconstruction of the maxilla and mandible. Prof Khoury’s clinical philosophy has also stressed that successful bone augmentation requires impeccable soft tissue management.
Autogenous bone augmentation and Soft tissue management course
with Prof Khoury’s clinic partner, Dr Thomas Hanser
27-28th October 2023, London
Master the Khoury technique from the original source, Dr Thomas Hanser, Deputy Director and clinical partners with Prof Fouad Khoury at clinic Scloss Schnellenstein.
The course will cover biology of bone regeneration, diagnostic and treatment planning, safe bone block harvesting and predictable grafting procedures demonstrated and practiced by the participants step-by step on sheep jaws. As soft tissue management has a great influence on the success of the grafting procedure, the second day will cover hands-on soft tissue management.
This two-day hands-on masterclass will focus on both theoretical and practical aspects of Autogenous Bone Augmentation.
About the Speaker
DR. THOMAS HANSER
Clinic partners with Fouad Khoury at Schloss Schellenstein in Germany
Oral Surgeon, MSc Periodontology, MSc Implantology – German Association of Periodontology (DGParo)
- Deputy Director at the International Dental Implant Centre (Chairman: Prof F. Khoury), Olsberg, Germany
- Co-Author with Prof Fouad Khoury: Bone and Soft Tissue Augmentation in Implantology (2021 and 2009) Quintessence Textbooks
- Senior Academic Advisor and Adjunct Professor at Goethe-University Frankfurt
What will you learn?
- In-depth information not only on the underlying scientific concept and autogenous bone augmentation techniques but also the associated Soft Tissue Management
- Learn safe techniques of extracting bone blocks from the molar area.
- Understand the methods of collection, preparation and optimisation of autologous grafts.
- Familiarise yourself with the principles of the Khoury technique
- Get a better understanding of predictable, long-term and stable horizontal and vertical bone block augmentation.
- Explore innovative techniques for closing soft tissues at the site of augmentation in order to avoid postoperative complications.
