Day 3 – Saturday, 20 May
Session 5 – Young OR Foundation Researchers
OR Foundation Research Award
Session 6 – Can we influence bone and soft tissue healing around implants?
This lecture aims to examine the current concept of using soft tissue graft to manage implant-related dehiscence defects. The significance of keratinized mucosa and tissue thickness on peri-implant health will be examined, as well as various methods regenerating attached keratinized tissue and increasing thickness of peri-implant mucosa. Additionally, the durability of these procedures will be thoroughly discussed.
- Understand the concept of peri-implant phenotype and its relevance to both health and esthetic outcome with dental implants
- Learn how to perform various soft tissue grafting procedures around dental implants
- Understanding the durability of these grafting procedures
For an ideal implant-supported restoration, the surgical phase should be planned in advance and the implant should be placed according to well/known recommended three-dimensional parameters. This should leave enough space from the head of the implant, to the cervical part of the tooth’s anatomy, to be able to sculpt the provisional restoration according to the anatomy, height and soft tissue volume of the patient’s adjacent teeth. Soft tissue aesthetics should be modelled during the provisional phase of the treatment, bearing in mind that critical or subcritical contour changes have important clinical implications. During this lecture, concepts for ideal emergence profile during the provisional phase will be discussed and reviewed in order to optimice the esthetic result.
- How to plan and execute an ideal emergence profile in an immediate implant placement procedure.
- Review concepts of critical and subcritical contour for sculpting periimplant soft tissues.
- Define the value of immediate provisionalization after osseointragration and soft tissue maturation.
Today the demand from dental implants include osseotintegration, prosthetic stability and aesthetic Different implant design has shown to influence osseointegration to bone by primary stability and secondary bone growth ,The height of soft tissue adhesion ,maintenance of bone is also influenced by implant design. The lecture will provide the rational on the dependence of implant success and osseointegration by implant design ,Newly formed bone and soft tissue can be also influenced by different implant manufacturing aspects Also after osteointegration how implant are designed or used can help to maintain bone or promote periimplantitis. Implant success does not depend upon just one factor; it is an accumulation of implant design characteristics which are important in load transfer and maintaining implant success.
Implant selection depends upon case to case, but it should be understood that one sole factor will not account for success and different factors might have an effect on the outcome of implant therapy.
Session 7 – Do digital technologies really help the implant surgeon?
Implant dentistry continues to evolve and one of the most efficient and modern treatment strategies is immediate loading. This lecture will illustrate novel full digital approaches like the Simplified Digital Protocol (SDP) and the Minimally Invasive Full Arch Protocol (MIFA). These innovative protocols will allow the clinicians to deliver the final prosthesis in a very cost-effective and efficient way.
- Identify the step-by-step surgical /prosthetic procedures in treating fully edentulous and partially edentulous patients
- Apply the Simplified Digital Protocol (SDP) or MIFA Protocol in your clinical practice as a routine
- Understand how to improve the practice by means of efficient procedures
Controlling errors in guided surgery
Computer-assisted bone augmentation techniques
Session 8 – Hard tissue augmentation with the conventional approach
The long-term success of bone reconstruction depends of a precise diagnostic, atraumatic surgery, the amount of vascularisation and vitality of the grafted area, correct implant position as well as a systematic soft tissue augmentation. Autogenous bone grafts harvested from the mandible, and used following the split bone block (SBB) technique are offering many possibilities for intra operative facilities leading to a high vascular support of the grafted area which is important for stable long-term results. Splitting the thick cortical block to 2 or 3 thin blocks is augmenting the number of blocks allowing the reconstruction of larger atrophic crest and giving a better adaptation to the recipient site. Filling the space and gaps between the thin block and the remaining crest with particulate bone chips is reducing the time needed for revascularization of the graft improving its vitality compared to the original thick block.
- Minimal invasive bone augmentation: the “carrot technique”
- Split bone block technique and biological concept
- Vertical 3D bone augmentation: the “Box technique”
- Technique of pedicle connective tissue flap.
Dental implants are a successful and predictable treatment option for missing teeth, where most patients and clinicians seek this treatment to replace missing teeth. Favorable implant outcomes depend greatly on adequate bone and soft tissue for restoratively-driven implant placement, long-term function, and optimal esthetics. For the practicing clinician, predictability of grafting techniques and materials is extremely important where they must understand indications, advantages, disadvantages, risks, and complications. For many years, autogenous bone grafts have been the “gold standard” for bone grafting procedures. Is this still the case in 2023? When are block bone grafts indicated, and should all clinicians be able to offer these techniques to their patients? What is the role of allogenic, xenogenic, or synthetic block grafts? Or, have particulate grafts replaced block grafts entirely? This presentation will update the practicing clinician on advances in block bone grafting techniques and technologies, as well as their advantages, complications, and limitations.
- This presentation will discuss indications, advantages, and complications of block bone grafting to facilitate implant placement.
- This presentation will familiarize the participant with the various types of block bone grafting materials.
Dental implants are the treatment of choice in the majority of the edentulism. A significant lack of bone volume, in the alveolar ridge, compromises the final prosthetic restorations from an aesthetic as well as functional point of view. Therefore, ridge bone augmentation is one of the critical surgical approaches to obtain a successful result. Currently there are several possibilities to deal with this technique, being guided bone regeneration (GBR) one of the most scientifically approved to be used in daily practice. This procedure can be managed simultaneously or in a staged approach in relation to the implant installation. Both options can be effective for repairing bone defects and improving the chances of a successful dental implant procedure. The decision on which approach to use will depend on the specific needs and circumstances of the local anatomy of the defect.
In this conference we will update the scientific evidence of this “conventional” technique, showing several cases in different clinical scenarios with a long-term follow-up.
- The attendees will be able to differentiate the diverse bony defects to select the simultaneous or staged approach.
- The attendees will be familiarized with the different flaps (soft tissue management) to obtain an optimal bone regeneration.
- The attendees will have knowledge of the different biomaterials (grafts and membranes)
End of Congress
Oral Reconstruction Foundation
Phone: +41 61 565 41 51
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