Programul Evenimentului
WORKSHOPURI
9 IUNIE
Tarifele workshop-urilor nu sunt incluse în taxa de participare a Congresului ImplantoDays. Acestea se achită separat, vezi detalii pe pagina individuală a fiecărui workshop.
Congress Opening
09:00 – 09:10
9:10 - 10:00
Dr Nelson Pinto
Natural Guided Regeneration -Therapy: Challenging the Paradigm of Soft and Hard Tissue Regeneration
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Every step we make to reach harmony with human biology, it follows, should improve the results and long-term predictability of our implants and grafts. Current research clearly supports the proposition that utilization of autologous biomaterials has the potential to improve our overall results.
Every step we make to reach harmony with human biology, it follows, should improve the results and long-term predictability of our implants and grafts. Current research clearly supports the proposition that utilization of autologous biomaterials has the potential to improve our overall results. It follows that the use Bio-activators should improve the process of osseointegration; especially with the precise combination of bio-activators and bio-materials such L-PRF, Dentin Graft and Biomimetics Implantable devices . This has opened the possibility of decreasing the number of procedures, (reducing trauma and expense), encouraging minimally invasive protocols, significantly reducing healing time and providing more reliable and predictable results; even in our most difficult cases, and thus has the prospect of delivering outcomes not previously encountered in implant dentistry.
10:00 - 10:50
Dr Giacomo Fabbri
A BIOLOGICALLY DRIVEN CONCEPT TO DESIGN THE EMERGENCE PROFILE AROUND DENTAL IMPLANTS: Surgical and Prosthetic Considerations to Optimize Hard and Soft Tissues Integration
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The emergence profile is a crucial factor to facilitate favorable esthetic outcomes and maintain peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to materials properties, surface chemistry and clinical approaches; in this way,
The emergence profile is a crucial factor to facilitate favorable esthetic outcomes and maintain peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to materials properties, surface chemistry and clinical approaches; in this way, it is possible to achieve a comprehensive planning of this critical factor that can influence significantly the integration, stability and preservation of bone and soft tissues. Soft tissues integration and adherence onto prosthetic components represent paramount elements to preserve and protect bone from contamination and infection. The lecture is conceived to present a prosthetic concept suggested as an operative strategy to preserve peri-implant hard and soft tissues and achieve predictable prosthetic outcomes optimizing soft tissues integration. A comprehensive evaluation of the emergence profile around dental implants to achieve ideal soft tissues adherence branches out into 3 main topics that can be listed in: 1) material, including biocompatibility, decontamination and surface chemistry and quality; 2) morphology, considering the design in the critical and sub-critical area; and 3) clinical approach that included surgical and prosthetic aspects.
10:50 - 11:20
Coffee break
11:20 - 12:10
Dr Joseph Choukroun
Osteoimmunology. Peri-implantitis is an immune disease. Scientific & clinical rationale
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12:10 – 13:10
Dr Radoslaw Jadach
The use of stem cells in the regeneration of extensive bone defects of the alveolar process
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The emergence profile is a crucial factor to facilitate favorable esthetic outcomes and maintain peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to materials properties, surface chemistry and clinical approaches; in this way,
The emergence profile is a crucial factor to facilitate favorable esthetic outcomes and maintain peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to materials properties, surface chemistry and clinical approaches; in this way, it is possible to achieve a comprehensive planning of this critical factor that can influence significantly the integration, stability and preservation of bone and soft tissues. Soft tissues integration and adherence onto prosthetic components represent paramount elements to preserve and protect bone from contamination and infection. The lecture is conceived to present a prosthetic concept suggested as an operative strategy to preserve peri-implant hard and soft tissues and achieve predictable prosthetic outcomes optimizing soft tissues integration. A comprehensive evaluation of the emergence profile around dental implants to achieve ideal soft tissues adherence branches out into 3 main topics that can be listed in: 1) material, including biocompatibility, decontamination and surface chemistry and quality; 2) morphology, considering the design in the critical and sub-critical area; and 3) clinical approach that included surgical and prosthetic aspects.
13:10 - 14:10
Lunch
14:10 - 15:10
Dr Ricardo Kern
VIP-CT GRAFT
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Treating deficient sites can be a challenge in terms of tissue reconstruction. Most of the cases require not only bone augmentation but also vertical soft tissue grafting techniques.
Treating deficient sites can be a challenge in terms of tissue reconstruction. Most of the cases require not only bone augmentation but also vertical soft tissue grafting techniques.
On this hand, the vascularized interpositional periosteal connective tissue graft (VIP-CT graft) is effective not just as a soft graft technique option, but also a powerful tool for treating compromised sites.
15:10 - 16:00
Dr. Vergoullis Ioannis
The Implant Supra-Crestal Complex. Building the foundation for long term stable results in implant therapy
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Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm.
Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm. The aim of this course is to make the participant familiar with the
concept of the “Implant Supra-crestal Complex” (ISC) and describe the critical elements that define it as a unique anatomic, and functional system of human tissues, mechanical components and oral bacteria / biofilm. The course reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant
bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutmentprosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the
long term.
16:00 - 16:30
Coffee break
16:30- 17:00
Dr Andrei Mostovei
Abordarea minim-invazivă în elevarea planșeului sinusului maxilar prin acces lateral cu instalarea simultană a implanturilor dentare.
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Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm.
Emerging evidence points towards significant interrelations between the condition of the peri-implant tissue and the implant-abutment-prosthesis complex. A new paradigm is essential, where the peri-implant tissues will be analysed in close interrelation with the implant, abutment and prosthesis complex, under the presence of oral biofilm. The aim of this course is to make the participant familiar with the
concept of the “Implant Supra-crestal Complex” (ISC) and describe the critical elements that define it as a unique anatomic, and functional system of human tissues, mechanical components and oral bacteria / biofilm. The course reveals recent evidence to identify the impact of design features on both short-term clinical outcomes, as well as on the long-term health of the peri-implant
bone and soft tissues. Prosthetic-driven implant placement is the prerequisite for the proper design of the ISC, which in turn can indirectly influence the structure and dimensions of the peri-implant soft tissues. Design features of the implant-prosthesis abutment complex such as the Emergence Profile (EP), Emergence Angle (EA) and Cervical Margin (CM), as well as the design of the implant-abutment and abutmentprosthesis junctions and their location in relation to the tissues of the ISC can have significant impact in the maintenance of stable and healthy peri-implant tissues in the
long term.
17:00- 18:30
Dr Luca de Stavola
Computer guided bone harvesting from the mandible for bone reconstruction procedures
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Bone augmentation procedures are becoming more involved in the daily treatment due to high esthetic patient expectation and due to increased post-perimplantitis bone defects. Digital technology involved strongly different dentistry areas bringing more opportunity in terms of treatment analysis and control simplifying the treatment steps.
Bone augmentation procedures are becoming more involved in the daily treatment due to high esthetic patient expectation and due to increased post-perimplantitis bone defects. Digital technology involved strongly different dentistry areas bringing more opportunity in terms of treatment analysis and control simplifying the treatment steps. Also in bone augmentation procedure a computer guided approach for bone harvesting is changing the approach with multiple advantages. Aim of the lecture is to describe the in details the diagnosis phase as well as the surgical aspect related to a digital approach in the use of autogenous bone.
20:00
Friday Night Party
Congress Opening
9:00 – 9:30
09:30 - 10:20
Dr Dong Seok Sohn
Optimizing ridge augmentation technique using StickyBone TM and tenting pole abutment
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Although the reconstruction of edentulous ridge with implants is commonly used, implantation is still a challenge in heavily absorbed alveolar ridge. Various surgical techniques including guided bone regeneration (GBR) using non resorbable barrier membrane or titanium mesh, onlay block grafting using intraosesous or extraosseous bone block, distraction osteogenesis and interpositional bone graft and ramus split bone technique have been utilized to overcome vertical bone deficiency.
Although the reconstruction of edentulous ridge with implants is commonly used, implantation is still a challenge in heavily absorbed alveolar ridge. Various surgical techniques including guided bone regeneration (GBR) using non resorbable barrier membrane or titanium mesh, onlay block grafting using intraosesous or extraosseous bone block, distraction osteogenesis and interpositional bone graft and ramus split bone technique have been utilized to overcome vertical bone deficiency. However, these surgical techniques are known to have many disadvantages including technical difficulty, delayed surgical time, extended edentulous period and increased number of surgery. GBR using barrier membrane is also widely accepted for advanced ridge augmentation because surgical technique is relatively simple. However, collapse of bone graft placed on the defect in GBR procedure is known to cause poor bone regeneration. This presentation presents simplified and innovative 3-dimensional ridge augmentation using tenting pole abutment and bone builder in order to prevent collapse of bone graft during healing period and reduce edentulous healing period, surgical time and number of surgery
10:20 – 11:10
Dr Snjezana Pohl
Local, sustainable, organic, recyclable: intraoral donor sites
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Autologous tissue is not immunogenic; there is no risk of disease transmission, it contains growth factors. Still, „Gold standard” tissue is often neglected because of the donor site morbidity. Morbidity can be dramatically reduced by choosing a donor site adjacent to the recipient area and/or donor site that is known to be associated with minimal postoperative discomfort.
Autologous tissue is not immunogenic; there is no risk of disease transmission, it contains growth factors. Still, „Gold standard” tissue is often neglected because of the donor site morbidity. Morbidity can be dramatically reduced by choosing a donor site adjacent to the recipient area and/or donor site that is known to be associated with minimal postoperative discomfort.
This lecture will present the utilization of tuberosity bone, translocated ridge segments, extracted and partially extracted teeth.
11:10 – 11:40
Coffee break
11:40 - 12:30
Dr Luis Lapa Bessa
Managing compromised sockets in the aesthetic zone : how far can we go with immediate implants
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Managing aesthetic zone with immediate implants is a very predictable approach in intact sockets.
sockets with bone and soft tissue defects where mainly treated with delayed approach.
The immediate dento alveolar restoration is a technique that allows a flapless and predictable reconstruction using only autogenous bone.Managing aesthetic zone with immediate implants is a very predictable approach in intact sockets.
sockets with bone and soft tissue defects where mainly treated with delayed approach.
The immediate dento alveolar restoration is a technique that allows a flapless and predictable reconstruction using only autogenous bone.
This lecture will focus on the biology and step by step procedure of reconstruction of compromised sockets on the aesthetic zone with a surgical and prosthetic approach utilizing autogenous tissues.
12:30 – 13:20
Dr. Cortasse Benjamin
Immediate loading in the aesthetic sector: the new deal
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The main challenge in modern cosmetic dentistry is to simplify procedures while improving their predictability. Many articles and case reports show excellent aesthetic results, but treatment modalities are often difficult to understand and follow.
The main challenge in modern cosmetic dentistry is to simplify procedures while improving their predictability. Many articles and case reports show excellent aesthetic results, but treatment modalities are often difficult to understand and follow. How could we use the numerical approach to achieve predictable and repeatable results? In the case of immediate implantation extraction, a natural emergence profile is essential to optimize esthetics. Restoring a single anterior tooth with an implant-supported prosthesis can be an aesthetic challenge. Final results are influenced by three main parameters: bone level and thickness, soft tissue contour and stability, and clinical crown appearance. Many articles describe different techniques to develop the ideal emergence profile of the implant restoration, mainly defining the ideal soft tissue contour by the temporary restoration. The concept of “less is more”, combined with the use of new digital tools allow us to improve our results while improving the patient experience.
13:20 - 14:20
Lunch
14:20 - 15:10
Dr Cleopatra Nacopoulos
BONE AUGMENTATION WITH XENOGRAFTS AND PRF
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Platelet-rich fibrin (PRF) is a second-generation blood concentrate, derived from human peripheral blood, capable of stimulating tissue regeneration. A solid and liquid PRF-based matrix can be obtained by centrifugation in accordance with specific centrifugation protocols such as Low Speed Centrifugation Protocol, without the addition of anticoagulants or external chemicals. It contains a greater number of leukocytes, growth factors and stem cells compared with PRP.
Platelet-rich fibrin (PRF) is a second-generation blood concentrate, derived from human peripheral blood, capable of stimulating tissue regeneration. A solid and liquid PRF-based matrix can be obtained by centrifugation in accordance with specific centrifugation protocols such as Low Speed Centrifugation Protocol, without the addition of anticoagulants or external chemicals. It contains a greater number of leukocytes, growth factors and stem cells compared with PRP. In periodontology and oral surgery, PRF-based matrices are used in order to promote soft and hard tissue healing. The wound healing benefits of platelet-rich fibrin preparations together with the low risk profile and disposability of a simple preparation procedure should encourage more clinicians to incorporate PRF as a treatment option in their practice to accelerate healing, reduce adverse events, and improve patient outcomes. Lately many dentists are using PRF liquid combined with xenografts (porcine origin) for sticky bone preparation in multiple bone augmentation techniques. This combination seems to give us the opportunity to insert the implants in a shorter period of time achieving a good quality bone.
15:10 - 16:00
Dr Dima Cosmin
Augmentation of hard and soft tissues around the implants. New innovative techniques!
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Sănătatea țesuturilor periimplantare joacă un rol important în rezultatul pe termen lung al tratamentelor cu ajutorul implanturilor dentare. Absența gingiei keratinizate (KG) poate fi un factor de risc pentru dezvoltarea recesiunii sau a periimplantitei.
Sănătatea țesuturilor periimplantare joacă un rol important în rezultatul pe termen lung al tratamentelor cu ajutorul implanturilor dentare. Absența gingiei keratinizate (KG) poate fi un factor de risc pentru dezvoltarea recesiunii sau a periimplantitei.
Printre diferitele tehnici de augmentare a țesuturilor moi grefele gingivale libere (FGG) și grefele de țesut conjunctiv (CTG) sunt documentate ca fiind metodele cele mai previzibile pentru creșterea lățimii KG. Grefele autogene cresc grosimea țesuturilor moi și îmbunătățesc estetica în comparație cu siturile care nu sunt augmentate. Dar toate aceste tehnici implică recoltarea grefei deschizând o altă zona operatorie. Snake technique, descrisă de Dr. Cosmin Dima , este singura tehnică care are avantajele unei singure plagi operatorii, dar în același timp oferă cele mai bune rezultate în timp, precum celelalte tehnici cunoscute menționate mai sus.
Modul în care trebuie utilizată tehnica, detaliile care fac ca intervenția chirurgicală să fie un succes, dar și posibilele complicații și rezolvarea lor, vor fi detaliate în timpul prezentării.
A doua parte a prezentării se va concentra pe creșterea țesuturilor dure.
Noua tehnica PMT (Periosteal Membrane Technique) descrisă de Dr. Cosmin Dima ne aduce marele avantaj de a acoperi materialul de augmentare cu cea mai bună membrană din lume – periostul pacientului nostru.
De ce cea mai bună membrană?
-100% naturala
-foarte puternic și ușor de suturat
-deja natural și perfect fixat în partea de jos
-vascularizat
-GRATUIT !
Toate detaliile vor fi descrise și în special „sfaturile și trucurile” care ne ajută să transformăm o mare provocare într-un succes sigur și previzibil.
16:00 - 16:30
Coffee break
16:30 – 17:20
Dr Alberto Miselli
Umbrella Concept
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The preservation of the marginal bone around an implant is due by the vascularity provided by the perimplant connective tissue. The volume of that tissue can be increased by decreasing the volume of the Abutment and the subcritical area of the crown.
The preservation of the marginal bone around an implant is due by the vascularity provided by the perimplant connective tissue. The volume of that tissue can be increased by decreasing the volume of the Abutment and the subcritical area of the crown. Increase the gap from the crown termination and the implant platform, we can achieve better tissue organization: curcumferential collagen fibers near the implant platform and more vessel and epithelium cell.
The paradigms of perimplant bone lost of the 70s and 80s can no longer be sustained.
Bone loss is due to poor blood supply to the bone.
Increasing volumes of connective tissue, with mucosal grafting and more gap between the implant and the crown allow better vascularization.
The maintenance of the perimplantar marginal bone crest depends on several factors:
1. the height of the biological space
2. the arrangement of the collagen fibers
3. the enlargement of the blood vessels
4. the smaller diameter of the abutment
5. the distance between the platform Of the implant and zenith of the crown (by buccal) and the point of contact and the platform (by proximal).
The UMBRELLA Concept is the conjunction of concepts on the management of soft tissues around implants, three-dimensional, to achieve the aesthetics of the soft tissues with the preservation of the marginal crestal bone through time.
17:20 – 18:20
Dr Ziv Mazor
Manging the Atrophic Ridge- To Graft or Not to Graft?
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Ridge Atrophy is a common result of untreated extraction sites,Implants failure,untreated periodontal disease and long lasting use of removable prosthesis. The end result is inadequate ridge volume for placing implants.The new concept of “osseodensification” will be presented enabelling the clinician to preserve existing bone and enhance the outcome through a minimal invasive approach.
Ridge Atrophy is a common result of untreated extraction sites,Implants failure,untreated periodontal disease and long lasting use of removable prosthesis. The end result is inadequate ridge volume for placing implants.The new concept of “osseodensification” will be presented enabelling the clinician to preserve existing bone and enhance the outcome through a minimal invasive approach. Osseodensification is a novel, bio-mechanical, non-excavation osteotomy preparation method. Unlike traditional bone drilling technologies, osseodensification does not excavate bone tissue. Rather, it preserves bone bulk, so bone tissue is simultaneously compacted and autografted in an outwardly expanding direction to form the osteotomy. It is accomplished by using proprietary densifying burs. When the densifying bur is rotated at high speed in a reversed, non-cutting direction with steady external irrigation (Densifying Mode), a dense compacted layer of bone tissue is formed along the walls and base of the osteotomy
The presentation will show step by step procedure of this minimal invasive innovative technique for ridge expansion as well as sub crestal sinus augmentation with long term follow ups of both clinical and CBCT radiographs. It will highlight the benefits of this treatment modality compared to the existing techniques.
Closing
18:20