Dr. Ernesto Lee is the developer of the S.M.A.R.T.™ Minimally Invasive Bone Grafting Method, a novel procedure that provides superior bone regeneration with less pain, less swelling and fewer complications than the traditional techniques.

The S.M.A.R.T.™ method was initially developed to provide a more predictable esthetic alternative to challenging clinical scenarios in the anterior region.  Traditional flap-based approaches all too often result in membrane exposure, infection and soft tissue dehiscences.  These complications lead to loss of papillae, recession, and gingival defects; with catastrophic consequences in the esthetic zone.  After achieving successful early results, the S.M.A.R.T. method has been utilized in an expanding range of clinical applications including horizontal augmentation, buccal plate regeneration on natural teeth and implants, and vertical augmentation. 

The S.M.A.R.T™ (Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique) bone grafting method requires only a small incision, with no flap elevation, no tenting screws and no membranes. It delivers a xenograft/growth factor mixture to the site, using specially designed instruments and laparoscopic techniques. Bone augmentation can be performed predictably and with minimal risk of complications. Complex scenarios in the esthetic zone can be treated with fewer procedures, and less risk of soft tissue deformities. The S.M.A.R.T.™ method represents a disruptive technology that will dramatically impact the future of bone grafting.

The S.M.A.R.T.™ technique was published for the first time in the March/April issue of the International Journal of Periodontics and Restorative Dentistry. This article presents the results from a prospective case series including 60 sites and five treatment categories, with a follow up period ranging from 4 to 30 months. Human histology was included providing proof of concept. The mean horizontal augmentation reported was 6.47 mm. The average augmentation for all treatment categories was 5.11 mm.

Dr. Lee formally introduced the S.M.A.R.T. Minimally Invasive Bone Grafting method to the profession at the 2017 Academy of Osseointegration Annual Meeting. Special training and surgical instrumentation are required to adequately perform this revolutionary technique. 

*The method, devices and trademarks associated with S.M.A.R.T. Jaw Reconstruction are protected under intellectual property laws.