Αναλυτικό Πρόγραμμα

“Implant Treatment in the Esthetic Zone”

The maxillary anterior dental implant is perhaps the most challenging for the clinician. Knowledge of esthetics, bone grafting, gingival grafting and precise implant placement is essential to achieve an implant restoration indistinguishable from the natural dentition. In modern implant dentistry, mere osseointegration is not enough. We tolerate no less than perfection. Thus, the position that creates the most beautiful and functional prosthesis dictates the location of the implant, not the ridge morphology. Today, we simply grow bone where we desire it.
Techniques that are now available to augment hard and soft tissue at the various phases of treatment will be shown. Techniques will include particulate bone grafting, guided bone regeneration with bio-absorbable and non-resorbable membranes and the use of the osteotomes and ridge expanders. Soft tissue procedures to assure optimal esthetic reconstruction before implant placement, at implant placement, at second stage surgery and after second stage surgery will also be demonstrated. These include flap designs to optimize ideal soft tissue profiles, three-dimensional connective tissue grafting, the use of number of second stage surgical flap designs. The requirements and limitation of papilla regeneration between implants, implants and natural teeth, and implants and pontics will be shown.
The sequence and timing of implant placement and regeneration will vary depending on the situation. Implant placement may be immediate or delayed up to nine months depending on the quality and quantity of bone. The advantages and disadvantages of each of the treatment modalities will also be discussed.

Four grafting timing possibilities will be discussed:

1. at the time of extraction (site preservation);
2. post extraction (ridge augmentation);
3. simultaneous with extraction and implant placement (Immediate implantation) and
4. post extraction with simultaneous implantation and ridge augmentation (Peri-implant GBR).

Course Objectives:

• Treatment planning for ideal esthetics
• Gingival augmentation options – grafts and surgical design
• Philosophy of bone regeneration
• When to bone graft and with what
• Treatment sequencing
• Immediate versus delayed placement
• Flap designs
• Sequencing treatment and provisionalization
• Socket preservation techniques
• Second stage surgical techniques
• Reduction of surgical complication

“Vestibular Socket Therapy”

This presentation describes a novel clinical protocol to treat wide verities of fresh extraction sites (thin, or deficient labial plate of bone, severely compromised, actively infected) with immediate implant placement, the protocol is designed to repair socket osseous environment and place an immediate implant at the same surgical setting thus providing immediacy and predictable outcome. The presentation will also feature a modification to Elian’s socket classification to identify the various socket conditions more accurately, and a 6 days protocol to eliminate preexisting active socket infection. This presentation will highlight the available published studies using the VST protocol and focus on the long term (two years) follow up. The VST protocol offered shortened treatment time, reduced the number of surgical interventions to only one, preserve the original socket orifice topography during the steps of the treatment until the treatment completion, and allowed the complete socket rehabilitation if the active infected sockets with immediate implant placement and bone regeneration.

Learning objectives:

• Understand the fate of the traditional immediate implant placement procedures in the esthetic zone.,
• Understand the available methods to treat fresh extraction sites in the esthetic zone.
• Understand the available methods to treat compromised fresh extraction sockets in the esthetic zone.
• Receive the overviews on the Vestibular socket therapy concept.
• Learn how to implement the VST in your daily practices.
• 6-Learn the wide scope of the treatment solutions offered by the VST protocol.
• Learn how the VST protocol positively influences your patient’s acceptance.

Study #1

The Vestibular Socket Therapy: A Novel approach for immediate implant placement in defective fresh extraction sockets with or without active socket infection. (one arm cohort study)

Study #2

The vestibular socket therapy: A novel concept for immediate implant placement in defective fresh extraction sites.

“CASE PRESENTATIONS”

9:00 a.m. – 12:00 noon

“Clinical Management of Aesthetic Complications with Dental Implants”

(1:00p.m. – 4:00 p.m.)

A clinical step by step guide that touches the daily practice of every clinician performing dental implants service especially in the aesthetic zone, a unique detailed clinical overview of related treatment complications with dental implant therapy that includes: poor diagnostic skills, regenerative complications, with emphasis on the potential risk factors that might escalate the failure rate, and the various implant placement errors and the potential treatment complications that occurs along with immediate implant therapy in the aesthetic zone. This course will focus on how to identify, avoid and treat potential treatment complications using various novel methods: using autogenous composite grafts, multidisciplinary treatment intervention, using laminar bovine bone sheets, using the combination treatment protocol for treatment of gingival recession around dental implants, and special emphasis on the author’s philosophy on bone grafting predictability on a long term follow up.

The presentation objectives include:

• Implant related gingival recession, updated treatment protocol.
• How to predict any treatment complication prior to occurrence.
• The most predictable regenerative approach.
• Why do regenerative materials fail?
• Interdisciplinary treatment approach.
• Implant mal-position treatment.

“Guidelines for Achieving Esthetic Outcome with Implants Placed in the Esthetic Zone”

(9:00 a.m. – 12:00 noon)

The Anterior esthetic zone requires following essential surgical and restorative protocols for achieving esthetic natural appearing teeth. Misplacement of the implant will cause esthetic failure. The presentation will focus on the parameters affecting implants placement in the esthetic zone. Hard and soft tissue preservation methods as well as prosthetic solutions will be discussed. Use of autologous growth factors for soft tissue preservation and regeneration will be covered. The lecture will give an overview of the many clinical applications of PRF in oral and maxillofacial surgery, with a specific interest in the management of soft and hard tissues when using immediate loaded implants. PRF is a regenerative biomaterial and is particularly useful and adapted for the regeneration of soft tissues. Combined with immediate loading protocols, this material can allow to optimize the final aesthetic result and to promote a very natural, predictable and durable aesthetic reconstruction in the anterior areas. Complications and ways of repair will be demonstrated.

“Implant Complications and Failures – Ways to Avoid and How to Treat”

(1:00 p.m. – 4:00 p.m.)

Implant complications have become a major subject with the growth of Implantology. In this presentation factors affecting implant failures and complications which are patient, operator and manufacturer related will be described. Perimplantitis- the disease of the present and future will be addressed with ways how to avoid and treat. Part of the presentation will be dedicated to problem solving and how to learn from your own mistakes.

“CASE PRESENTATIONS”

9:00 a.m. – 12:00 noon

“Managing the Atrophic Ridge: From Planning Through Regeneration to Final Prosthesis”

(1:00 p.m. – 4:00 p.m.)

Dental Implants had become an optimal solution for replacing missing teeth both in single as well as complete edentulous patients. Bone resorption sometimes makes implant placement a difficult task both in anterior as well as posterior regions demanding advanced surgical regenerative procedures. In some situations, it requires long term treatment with an unpredictable prognosis. Implant treatment planning has developed immensely over the last decade. Implants are no longer placed where the bone is but where the ideal prosthetics should be. Using CBCT with three-dimensional planning software enables the clinician to accurately plan the surgical treatment taking into consideration the anatomical obstacles, this enables the operator to design surgical guides according to the digital data. This treatment protocol reduces chair operating time, minimizing patient’s discomfort and operator’s anxiety. The presentation will focus on the concept of using new innovative treatment approaches as well as unconventional surgical manipulations, application of blood derived growth factors concentrate allowing the clinician to reach the ultimate goal- bringing the patient the function and esthetics with his teeth in a shorter time period. The presentation will feature “outside the box” thinking and executing, using “osseodensification” for bone expansion and preservation.

“Dental Implant Therapy – To Place or Not to Place……That is Not the Only Question!”

One of the most common chief complaints with our patients is one or more missing teeth. This annoyance not only effects mastication, it can erode the patient’s self-confidence and in some cases negatively impacts their social interactions professionally and personally. Implants have been a treatment modality starting in the 60’s and a widely accepted treatment choice in today’s world.

Learning Objectives:

• Treatment plan considerations: combining the patient’s chief complaint with the reality of the dental findings.
• Indications in placement and restoring dental implants.
• Failing to anticipate is anticipating to fail.
• Meeting patient expectations and esthetic demands.
• Different dental implants, expectations-limitations.
• Screw-retained vs. cement-retained prostheses.
• Maintaining implant success initially.
• Team approach in restoring partial and full edentulism.
• Interim prostheses.
• Failures: “what would I have done differently, if anything?”
• Presentation-discussion of certain patient cases stage by stage (clinical and lab)

“Maxillary Sinus Elevation and Alternative Therapies”

Evidence-based reviews of the sinus augmentation procedures over the past decade have shown that implants placed in grafted in maxillary sinuses experience survival rates similar to or better than implants placed in the non-grafted posterior maxilla. The evidence from these reviews, along with evidence from recent clinical studies has shown that the major factors required for success involve proper surgical technique, the utilization of rough-surfaced, tapered implants and the use of an osteoconductive, space-maintaining graft material. This presentation will focus on the use of that information in the formulation of treatment plans that lead to the most favorable outcomes in clinical practice. Further research from a data base of over 1,000 sinus augmentation surgeries performed at the NYU Department of Implant Dentistry will be presented examined in a step-by-step manner that will allow the clinician to achieve maximum results with minimum complications. Handling of intraoperative and postoperative complications will be discussed.

Topics will include:

• Implant options in the posterior maxilla
• Evolution of lateral window sinus elevation techniques (rotary handpieece, Piezosurgery, DASK technique, S.A.D. technique, low window technique)
• Evolution of transcrestal sinus elevation techniques (DENSAH, DASK, etc.)
• Complications (membrane perforation, graft infections, sinusitis)
• Re-evaluation of the lateral window technique in 2021

“The Digital Path for Perfect Aesthetics on Implants”

Today’s dentistry and oral surgery is symbiosis of art, medicine, science and technologies. 2D and 3Dvisualization of the ideal proportions of the smile are the beginning point for the backward planning. The virtual reconstruction, manufacturing and surgery of the bone, soft tissue and teeth are done with a higher predictability and accuracy. In all phases and technologies, – SCAN, PLAN, MAKE, DONE – artificial intelligence (AI) plays an important role increasing the precision and trueness of the outcomes. Newest studies of digital science and clinical applications will be presented to support the above.

Course Objectives:

To learn the complete digital workflow in complex implant reconstruction cases and the role of AI in all phases.

SCAN:

1. Digital data acquiring (Photo, Video, CBCT, IOS, Face scan)

PLAN:

2. 3 D Smile design
3. Digital Implant Planning and esthetic parameters.
4. Planning of Bone and Soft tissue grafting with minimally invasive procedures.
5. Planning of guides, provisional prosthetic reconstruction

MAKE:

6. Surgical Guides
7. Provisional restoration manufacturing.

DONE:

8. Surgical strategy
9. Minimally invasive bone and soft tissue strategies

FINAL RESTORATION:

10. Final data acquisition
11. Final Reconstruction, Prosthetic Design, Materials and Technologies
12. Digital occlusal adjustment for long-term maintenance.

FUTURE TECHNOLOGIES: THE FUTURE IS NOW

PROGRAM CERTIFICATES

(1:00 p.m. – 1:30 p.m)