MASTERING SOFT TISSUE SURGERY, 2019

Athens

The keys for a predictable and successful outcome in periodontal and implant surgery.

EDUCATORS

Rino Burkhardt | George Goumenos | Prof. Zucchelli | Giulio Rasperini | Otto Zuhr | Michael Stimmelmayr | Egon Euwe

The aim of the Curriculum is to provide knowledge on the appropriate surgical management of oral soft tissues. The trainees gain a solid foundation of knowledge on the biology of healing and receive comprehensive training in the basic surgical principles and surgical techniques, along with the required equipment and materials used.

The seminars aim to render the application of surgical techniques in everyday dentistry more user-friendly and help dentists achieve more predictable and effective results. Soft tissue surgery is presented in two 2-day modules and two 3-day modules. Each seminar includes lectures, video presentations, hands-on demonstration on the jaw bone of a pig and attendance of live surgery sessions.

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MODULE I

CONTEMPORARY SOFT TISSUE SURGERY IN EVERYDAY DENTISTRY: From flap design to wound closure.

Looks at the basic principles of modern soft tissue surgery and healing, focusing on flap design and suturing techniques using different types of suture and needles, as well as on the use of autologous biological agents and medicinal substances to improve healing and minimize postoperative discomfort.

9.00-10.30
The Structure & Function of the Periodontal Tissues (Theory), Wound Healing & Tissue Induction (Theory)

10:30-11:00
Coffee Break

11:00-12:30
Suturing as a Key Indicator for Manual Skills (Hands-on & Theory)

12:30-13:30
Lunch Break

13:30-15:00
Minimally-Traumatic Mucosal Surgery (Theory)

15:00-15:30
Tea Break

15:30-17:30
Mucosal Flap Preparation & Wound Stabilization (Hands-on)

17:30-18:00
Q and A

Rino Burkhardt

9.00-10.30
Soft tissue responses and healing promoting substances (Theory)

10:30-11:00
Coffee Break

11:00-12:30
Blood concentrates in wound healing (Theory)

12:30-13:30
Lunch Break

13:30-15:00
Basic principles in soft tissue surgery (Theory & Hands-on)

15:00-15:30
Tea Break

15:30-17:30
Different flap designs and suturing techniques (Hands-on)

17:30-18:00
Q and A

George Goumenos

MODULE II

SOFT TISSUE QUANTITY AND QUALITY ENHANCEMENT AROUND TEETH AND IMPLANTS: Surgical techniques to augment the zone of keratinized soft tissue.

Discusses the importance of an increased zone of keratinized tissue to achieve a stable postoperative outcome from both an aesthetic and a functional perspective. The aim of this seminar is to train the participants in the atraumatic handling of periodontal tissues and peri-implant mucosa, analyzing the most popular surgical techniques (e.g. connective tissue graft, free gingival graft and their substitutes) to increase the amount of keratinized soft tissue.

09.00-10.00
Esthetic Mucogingival Surgery around Teeth. Part I. Treatment of Single Tooth Recessions

10.00-11.00
Esthetic Mucogingival Surgery around Teeth. Part II. Treatment of Multiple Teeth Recessions

11:00-11:30
Coffee Break

11:30-13:30
Treatment of Cervical Abrasion Defects Associated with Gingival Recession

13:30-14:30
Lunch Break

14:30-15:30
Autogenous Grafting around Implants

15:30-16:00
Tea Break

16:00-17:00
Soft tissue Thickening vs Hard tissue Overcontouring

17:00-18:00
Dealing with the Partially and Totally Missing Papilla

18:00-18:30
Q and A

Prof. Zucchelli

09.00-12.00
Live Surgery (Use of FIBRO-GIDE)

12:00-13:00
Lunch Break

13:00-14:00
Diagnosing the different Biotypes and their impact on Tissue Characteristics

14:00-15:30
The Biomaterials as Soft Tissue Substitutes. Current status and future trends

15:30-16:00
Tea Break

16:00-17:30
Soft Tissue Management during Regenerative Procedures

17:30-18:00
Q and A

Giulio Rasperini

09.00-10.00
Boosting of the Biotype. A critical factor for long term Tissue Stability

10:00-11:00
The Free Gingival Graft

11:00-11:30
Coffee Break

11:30-13:00
The Free Gingival Graft (Hands on)

13:00-14:00
The Connective Tissue Graft (Hands on)

14:00-15:00
Lunch Break

15:00-16:00
Use of MUCODERM (Hands on)

16:00-16:30
Tea Break

16:30-17:30
Use of MUCOGRAFT (Hands on)

17:30-18:30
Use of FIBRO-GIDE (Hands on)

18:30-19:00
Q&A

George Goumenos

MODULE III

THE DEFECTIVE RIDGE AFTER THE EXTRACTION. PREVENTION AND TREATMENT STRATEGIES FOR PREDICTABLE ESTHETIC RESTORATIONS AROUND TEETH AND IMPLANTS.

The latest views on the surgical modeling of pontics and the ideal timing for implant placement” focuses on soft tissue handling in post-extraction sockets in conventional prosthetics and implant therapy, during both immediate and early implant placement. It analyzes the significance of preserving the dimensions of post-extraction sockets and explains the reasoning behind using a xenograft and sealing the post-extraction socket orifice for this purpose (socket seal). The following surgical techniques for socket sealing are presented to the participants: soft tissue xenograft, free gingival graft (punch) and palatal pedicle flap.

09.00-10.00
Harvesting CTG with the Single incision Technique / The Modified Tunneling Technique

10.00-11.00
Soft Tissue Management in the Immediate placement procedure /

11:00-11:30
Coffee Break

11:30-13:30
Comprehensive Treatment Planning in the esthetic zone

13:30-14:30
Lunch Break

14:30-15:30
Soft Tissue Reconstruction in different cases

15:30-16:00
Tea Break

16:00-17:00
Flap Management in GBR procedures

17:00-18:00
Application of Digital Dentistry to evaluate post op results and future trends in Soft Tissue research

18:00-18:30
Q and A

Otto Zuhr

09.00-10.00
Ridge alterations after tooth extraction

10:00-11:00
Socket Sealing with Autogenous soft tissue grafts

11:00-11:30
Coffee Break

11:30-13:00
The Palatal Pedicle Flap

13:00-14:00
Lunch Break

14:00-15:00
The Single incision Technique for CTG harvesting (Hands on)

15:00-16:00
Socket Sealing with FGG (Hands on)

16:00-16:30
Tea Break

16:30-17:30
Socket Sealing with Mucograft Seal (Hands on)

17:30-18:30
The Palatal Pedicle Flap (Hands on)

18:30-19:00
Q&A

George Goumenos

09.00-12.00
Live Surgery (Use of Palatal Pedicle Flap)

12.00-13.00
Lunch Break

13:00-14:00
The epithelialized-SCTG for Socket Sealing and Root Coverage

14:00-15:00
Pontic Site development

15:00-15:30
Tea Break

15:30-16:30
Anatomical landmarks in Soft tissue surgery

16:30-17:30
Complications in the donor sites of Autogenous soft tissue grafting (Prevention and Treatment)

17:30-18:00
Q and A

Michael Stimmelmayr

MODULE IV

MANAGEMENT OF DENTAL IMPLANT FAILURES AND COMPLICATIONS IN THE AESTHETIC ZONE.

Is taking into consideration the particularity of treatment planning of implants in the aesthetic zone and the risks resulting from improper application and insufficient assessment of predisposing factors. More specifically, the seminar outlines the main aesthetic issues and their causes, proposes ways of avoiding them and analyzes the methodology for assessing problematic implants and deciding whether to treat or extract them. Moreover, it describes how they can be removed and how to manage the area of defect using a bone graft, membrane, and applying an epithelialized connective tissue graft.

MORNING SESSION
(09.00-12.00 am)
LIVE SURGERY (use of CTG)

AFTERNOON SESSION
(14.00-18.00 pm)
(LECTURES + VIDEO)
- Etiology of esthetic failures in Implantology
- The “ideal” implant placement
- Treatment planning of the “highly” esthetic demanding cases

Egon Euwe

MORNING SESSION
(09.00-12.00 am)
(LECTURES + VIDEO)
- Differentiating the failure from complication
- Osseointegrated implant with esthetic failure: restore, submerge or extract?

AFTERNOON SESSION
(14.00-18.00 pm)
- Hands on (pig jaw model)
- Use of CTG to improve the color and the thickness of the peri-implant mucosa using the tunneling technique
- Removal of an osseointegrated implant and management of the site

George Goumenos

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George S. Goumenos BScPharm, DDS, MS, DrOdont

Diplomate, American Board of Periodontology

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