09:00 – 11:00
Immediate implant placement
Simultaneous horizontal bone regeneration
11:00 – 11:30 (Coffee Break)
11:30 -14:00
Techniques for 3D Bone Regeneration: Fundamentals and principles of 3D (Vertical and Horizontal) Bone Regeneration
- GBR (PTFE, Ti-reinforced membranes) + Bone graft
- SBB (Split Bone Block) Khoury´s technique
- Treatment of implant failures (esthetic and biologic) on the Esthetic Zone
Summary
The implant treatment on the esthetic zone aims healthy, functional and also esthetic results. In order to obtain an esthetic result it is mandatory that the implants are placed in the optimal 3D position and completely surrounded by healthy bone.
A harmonious and healthy status of the soft tissues is also a pre-requisite of an esthetic result.
Due to the alveolar ridge destruction caused by trauma and dental or implant infections, bone availability often is not ideal to obtain a good esthetic result. In order to treat predictably such cases there are surgical techniques that allow a complete 3D reconstruction of the alveolar ridge.
When an implant is malpositioned on the Esthetic Zone, it is more susceptible to develop biological (periimplantitis) and esthetic failures. If a malpositioned implant is infected, that implant should not be treated, since although bone can be regenerated, the new bone is highly susceptible to new bone resorption because an important part of the etiology of the problem is the wrong implant position (specially too labial and too deep). In such cases, extraction of the implant and 3D bone regeneration of the resulting defect is desirable in order to place a new implant in the optimal 3D position so a highly esthetic restoration may be achieved. If an optimal esthetic result is pursued then there is a need for periodontal plastic techniques to be also performed.
Learning Objectives:
How to handle immediate implants on the Esthetic Zone.
Indications, limits and step-by-step description of simultaneous bone regeneration on the Esthetic zone.
Indications and Step-by-Step description of 3D Bone Regeneration Techniques: GBR using PTFE and Ti reinforced membranes and Khoury´s Technique.
Explain the rationale and regenerative techniques to treat esthetic and biological implant failure on the Esthetic Zone.
14:00 – 15:00 (Lunch Break)
15:00 – 17:00
Summary
This presentation will focus on immediate protocols and how they can benefit your practice, both from a clinical as well as from a patient acceptance point of view. Today we have solid evidence and consensus that immediate protocols offer equal and sometimes higher predictability than conventional therapy. In today’s environment it’s a necessity to make these protocols part of how we plan treatment to our patients. This presentation will show the concepts and clinical options of making immediate protocols simple and predictable to be implemented in any dental practice— starting Monday morning.
09:00 – 10:30 & 11:00 – 12:30
10:30 – 11:00 (Coffee Break)
Summary
The biological principles of the resorbed surgical bed will be reviewed during the session. By understanding this biology, decide the correct choice of the surgical technique associated with choosing the correct biomaterial. Aspects of the upper and lower jaws will be discussed, understanding each jaw’s anatomical and biological differences.
Learning Objectives
- Get to know the classification of the alveolar ridge atrophy.
- Get to know the processes involved in the manufacture of the selected biomaterials.
- Understand the biology associated with the biomaterial that explains their choice.
- Understand the reason for the selection of the selected surgical techniques.
- Understand the prosthetic concept associated with the reconstruction technique.
- Get to know the techniques that are most frequently indicated for the reconstruction of the resorbed alveolar ridge
- Get to know the reconstruction techniques with greater predictability and less morbidity for the management of the highly resorbed ridge.
- Get to know the most frequent complications in the maxillary sinus lift and its intraoperative management.
12:30 – 13:30 (Lunch Break)
13:30 – 15:30
Anatomic considerations and Radiographic assessment
Sinus floor elevation
Summary
Sinus floor elevation is a predictable procedure when placing implants in the atrophic posterior maxilla. Several techniques were described in order to access the maxillary antrum and safely elevate the sinus mucosa. Piezoelectric bone surgery is currently considered as a state of the art tool when performing sinus floor elevations. Because of their accurate micrometric and selective action, piezoelectric inserts perform precise and safe bone cutting of the buccal sinus bone and prevent sinus mucosa perforations.
During this course, we will review surgical anatomy and present radiographic assessment advantages in order to detect anatomic risk factors and rule out pathologic conditions that may jeopardize the final surgical outcome. Latest advances in both lateral and crestal sinus floor elevation surgical techniques will be presented and the importance of new advances and technologies, such as the use of piezosurgery, will be exposed. Management and prevention of complications will be lastly developed and long-term clinical and radiographic follow-up will be explained.
Learning objectives
- Choose proper indication for sinus lift technique when placing implants in atrophic posterior maxilla
- Manipulate piezosurgery units and Assess the efficiency of different piezosurgery inserts.
Lateral sinus floor elevation
- Surgical technique
- Prevention and complications’ management
- Choice of Biomaterials
- Clinical and radiographic follow up
15:30 – 16:00 (Coffee Break)
16:00 – 17:00
Crestal sinus floor elevation
- Indications and limitations
- Surgical technique and new improvements
