Bone Grafting: What Are the Keys to Success?

Dr Arnaud Paturel

Together, we will review the key concepts behind successful bone grafting, as well as the biological principles that ensure predictable outcomes. Without taking a dogmatic approach, we will cover both guided bone regeneration (GBR) and autogenous graft harvesting. We will look at when to choose one over the other, learn how to ensure long-term treatment stability through proper soft tissue management, and conclude with the management of complications and failures.

Indications, limitations, and success criteria

Patient-related factors and defect analysis

Definition

Surgical translation of the PASS principles

Impact on surgical design and closure

Flap design according to the defect

Periosteal releasing incisions

Suturing strategies
🔹 HANDS-ON: incisions, releases, and suturing

Horizontal and vertical defects

Selection of membranes, biomaterials, and stabilization systems
🔹 HANDS-ON: GBR, membrane fixation, and closure

Targeted indications

Techniques and morbidity management

Thickness, keratinized tissue, and long-term stability

Exposures, infections, and volume loss

Salvage and prevention strategies