Advanced Perio Masterclass

Category: Surgery

Instructor(s): Marisa Roncati, David Kim, Jerry Lin, Roger Wise, Gianluca Paniz, Myron Nevins, Richard Hermann, Alvise Cenzi, Vanessa Ruiz, Daniele Cardaropoli, Stefano Parma Benfenati, Mark Nevins, Dean Vafiadis, Giorgio Carusi, Marco Ronda, Massimo Simion

Course structure: Lessons: 15 lessons | Duration: 38 h 54 min

Course overview

Investing in knowledge you will definitely have a higher return on investment than investing in Bitcoin, Real Estates, Gold or Stocks. It has always been so and always will be. You will immediately gain prestige,competitive advantage and knowledge for more advanced, safe and valuable therapies.
Never before have these excellent mentors participated in an advanced periodontology online program, all together.

Curriculum

1. Advances For Esthetic Dental Implants Minimally Invasive Techniques With Biologics (RhPDGF-BB)

• This presentation will provide a clinical update on minimally invasive approaches for Esthetic Implant Site Development. The utilization of recombinantly engineered platelet-derived growth factor-BB (rhPDGF-BB) has accelerated the trend toward minimally invasive surgical procedures to preserve and enhance the esthetic foundation for dental implant supported restorations.
• This program will present guidelines for incremental levels of flap elevation from flapless to open procedures for implant site development. The use of growth factors has increased the ability for optimal hard and soft tissue regeneration with less invasive techniques. This course will provide a decision matrix for how to manage extraction site defects including whether to raise a flap and how to sequence soft tissue grafting.

2. Aesthetic in Implant Restoration

• In the last few years the aesthetic result of the final prosthetic restoration has become one of the most fascinating challenge in implant dentistry. As a matter of fact, the implant position is now driven more by the prosthetic request than by the quantity and the morphology of the available bone. The introduction of the biological concepts of Guided Bone Regeneration (GBR) in the last 10-15 years has determined a major improvement in the aesthetic outcomes. A correct diagnosis based on a multidisciplinary approach, including periodontal, prosthetic and surgical parameters is crucial. The periodontal evaluation must consider different factors regarding the patient’s periodontal health and anatomy like the periodontium bio-type, amount of cheratinized gingiva and mucosa, the height and the width of available bone.

3. Crestal Approach In Sinus Elevation, 20 Years Of Researches

• Maxillary sinus surgery has always been the subject of discussion among advocates of the most traumatic technique through the vestibular porthole and supporters of crestal access. There are elements, given mainly by the height of the residual crestal bone, i.e. the distance between the floor of the maxillary sinus and the bony ridge. Twenty years ago, when Dr. Carusi began to study and develop a strategy for lifting the floor of the maxillary sinus by crest, he began with a residual height of at least 5 mm, as Summers had suggested in 1994 and later Cosci. Gradually improving the technique and increasing the experience, he started using this technique even with residual bone heights of 3-4 mm, paying maximum attention to bone density and the slow and progressive lifting of the mucous membrane.

4. Hot Topics In Implants, Aesthetics and Occlusion

• This presentation will de-mystify some basic restorative and implant decisions that we make everyday. What cementation technique is best? Can we connect teeth to implants? How many implants do we really need for full arch restorations? Is an Implant Over-denture as good as Fixed Implant Prosthesis?
• These and many other questions will be discussed according to new literature and clinical experience. Facial analysis techniques and smile design will also be discussed and practical approach fro private practice will be demonstrated.

5. Long-Term Definitive Periodontal And Endodontic Treatment Clinical Approaches And Evidence Of Success

• All dental decisions must be predicated on preserving and improving the esthetic, phonetic, and a functional dentition as perceived by both the therapist and the patient. Although it is impossible to circumvent the modifiers of physical health, patient behavior, financial capabilities, and performance variability as they pertain to treatment modalities, there must be an endpoint goal of periodontal and endodontic therapy for patients with chronic adult periodontitis.

6. Orthodontic and Periodontic Approach to the Management of Dental Alveolar Trauma

• The treatment of dental alveolar trauma should be a multidisciplinary discussion. Early mixed-dentition injuries ranging from simple displacements to multiple advanced intrusions combined with partial to total avulsions will be described in detail, with special emphasis on the role of orthodontist and periodontist. Similar injuries in the adult dentition will be differentiated. The timing of guided bone regeneration and implant placement, combined with exquisite soft-tissue management, will be demonstrated on long-term follow-up cases displaying external root resorption and/or ankylosis. Participants will be enlightened by the outstanding results achievable when the focus is always from a multidisciplinary approach in the esthetic zone.

7. Prosthetic Enhancement of Surgically Augmented Soft Tissue around Dental Implants

• This course is a unique opportunity for dental professionals to refine their skills in soft tissue management around dental implants, learning from some of the leading experts in the field. This course is an advanced online course designed for dental professionals, focusing on the critical aspect of soft tissue management in implant dentistry. Led by the esteemed Prof. Giovanni Zucchelli and Dr. Carlo Monaco, this course offers an in-depth exploration of surgical techniques and principles for enhancing soft tissue aesthetics and health around dental implants.
• The curriculum combines theoretical knowledge with practical applications, emphasizing the latest research and innovations in periodontal plastic surgery and implantology. Through detailed video demonstrations and case studies, participants will gain a comprehensive understanding of soft tissue augmentation procedures, ensuring optimal outcomes for their implant treatments.

8. Prosthetic Management of Periodontal and Peri-Implant Tissues

• This presentation will focus on the restorative details that enhance the natural gingival esthetic result on restorations supported by teeth and by dental implants.
• The interaction of the prosthesis with the supracrestal tissues, both on teeth and on implants will be discussed looking at biology, gingival architecture, margins design and margin positioning, morphologies of restorative profiles, materials and clinical procedures. Analogue and digital workflows will be discussed.

9. Prosthodontic Planning to Obtain Natural Esthetics on Implants

• In recent years, various technologies have been introduced in the dental market that aim to improve the treatment and maintenance of teeth, dental implants and other tissues of the oral cavity. One of these tools is laser technology. It is necessary that dentists who wish to offer this technology within their daily clinical practices, know which the fundamental bases of the laser are, the safety rules of use, the indications of each wavelength and the protocols of use for each treatment. To achieve natural appearence is the main goal when restoring implants in the aesthetic area. Therefore, a precise and proper prosthetic and surgical planning is required. New technologies like Intraoral scanning and computer guided surgery can be very helpful and easy to use. Along this presentation, a key aspect like the prosthetic emergence profile, will be discussed and some useful surgical and prosthetic tips about how to reach predictable results in the management of the soft tissues will be explained.

10. Seeking The Optimal Aesthetic Result In The Maxillary Anterior

• Single or multiple tooth extractions, due to periodontal disease, periapical infection, root fracture or dental trauma, may lead to insufficient bone volume for the insertion of endosseous implants. Literature evidence suggests the possibility to compensate for post-extraction marginal ridge contraction using socket preservation techniques, using bone substitutes and collagen membranes via an open-healing concept. On the contrary, augmentation procedures are needed when the pre-existing bone height doesn’t allow for a correct space-related implant insertion, when a proper primary stability cannot be reached or when the prosthetic rehabilitation will provide an unfavorable crown/root ratio. Severe horizontal and vertical bone resorptions require lateral and supracrestal regeneration, a challenge for clinicians since the external soft tissue pressure is considered to be a major reason for failure of the surgical procedure in nonspacemaking bone defects. Guided bone regeneration using non-resorbable membranes, customized titanium mesh as well as compressed collagen membranes have been proposed for horizontal and vertical bone augmentation. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues and to improve the final esthetic outcome.

11. Soft Tissue Augmentation Around Teeth and Dental Implants

• Soft tissue management has long been an important part in implant dentistry. It is not only the quantity, but also the quality of the soft tissue around implants that will lead to the long-term stability and success. This presentation will begin with the foundation of soft tissue healing and further lead to the principles of soft tissue surgeries. The clinical applications of soft tissue augmentation in implant dentistry will be reviewed. A variety of surgical techniques will be introduced to treat different types of soft tissue defects. Concepts and techniques for preventive soft tissue management are also incorporated into this lecture. This presentation will focus on clinical decision-making and surgical techniques by which comprehensive guidelines for soft tissue management can be established.

12. Surgical and Non-Surgical Laser Applications in Periodontology

• In recent years, various technologies have been introduced in the dental market that aim to improve the treatment and maintenance of teeth, dental implants and other tissues of the oral cavity. One of these tools is laser technology. It is necessary that dentists who wish to offer this technology within their daily clinical practices, know which the fundamental bases of the laser are, the safety rules of use, the indications of each wavelength and the protocols of use for each treatment. To achieve natural appearence is the main goal when restoring implants in the aesthetic area. Therefore, a precise and proper prosthetic and surgical planning is required. New technologies like Intraoral scanning and computer guided surgery can be very helpful and easy to use.
• Along this presentation, a key aspect like the prosthetic emergence profile, will be discussed and some useful surgical and prosthetic tips about how to reach predictable results in the management of the soft tissues will be explained.

13. Surgical And Nonsurgical Peri-Implantitits Treatment Protocols

• Early interception is a crucial factor that can improve treatment prognosis. The correct diagnosis will facilitate pre-operative selection of appropriate techniques for the maintenance of peri-implant tissue health. The primary objective of surgical treatment in peri-implantitis lesions is to get access to the exposed implant surface to optimize the removal of bacterial contaminants and decontamination or conditioning, resolving the inflammatory lesion. Additionally, it is necessary to reconstruct the lost periodontal tissues even if the process of re-osseointegration is not currently considered predictable. Several peri-implantitis cases with survival follow up, strategies, clinical protocol and techniques for treatment will be presented.

14. Treatment of Deep Post Orthodontic Gingival Recession in the Lower Incisors

• Buccal malposition of teeth may be the result of excessive tooth/teeth proclination beyond the cortical bone as a consequence of specific anatomic conditions, or created (or worsened) by orthodontic movement
• In these cases, the occurrence of gingival recession is often associated with poor mucogingival characteristics (e.g. the apical third of the root may become transparently visible through the extremely thin alveolar mucosa, the keratinized tissue apical and lateral to the root surface may be lost completely and the soft tissue apical to the root exposure may become probeable). As a result of these poor mucogingival conditions and root malpositioning, root-coverage surgical techniques become very challenging and complete root coverage is unpredictable . The orthodontic repositioning of root(s) within the limits of the alveolar bone may alter the prognosis of root-coverage procedures as the surgical procedure becomes easier to perform as a result of the improved quality and quantity of the keratinized tissue apical and lateral to the exposed root.

15. Vertical and Horizontal Bone Regeneration and then, Soft Tissue Management

• An indepth/detailed presentation is covering soft-tissue management in order to avoid the known consequences caused from early exposure of membranes. Management of the soft-tissue in implants placed in regenerated bone will be the second interesting topic that will be discussed. In association with the theoretical part several surgical treatments will be performed during the live surgeries so that the theoretical and scientific concepts can be clinically applied.