Implantology Congress

Dr. Andres Pascual La Rocca

Tissue regenerative approach using porcine acellular dermal matrix. Current concepts and indications for use.

Despite prevention and awareness of society, diseases of the oral cavity, caries and periodontal diseases, are still very common. The consequences include various complications that can lead to tooth loss.
Advances in dentistry and the application of new technologies have enabled better results in the treatment of these pathologies.
Thus, the area of soft and hard tissue regeneration has been and continues to be a challenge for professionals when it comes to reconstruction.
In the past, autografts were used as a standard treatment, but the source and donor sites are associated with limitations. For this reason, the development of biocompatible materials with properties and outcomes comparable to those of the patient has continued to advance.
Dermal matrices of various origins, e.g., human or animal, have shown excellent results. Recently, modifications have been made to dermal matrices of porcine origin that have resulted in improved properties and allow optimal results comparable to the use of the patien’s own tissue.
In the lecture, the main indications of this novel membrane will be explained and several clinical situations will be presented in which excellent results have been obtained by its use.

Dr. Matteo Basso

Microbiome, the Role of Dysbiosis and the Way Antiseptics Can Protect Implant Healing and Maintenance.

The role of oral biofilm in recent times has been greatly discussed and its management is actually considered the key for a successful implant healing process and long term peri implant health maintenance. The preservation of the equilibrium in the adhesion, development and metabolisms of the oral microorganisms of dental plaque represents an effective approach against mucosal inflammations, instead of a aspecific, more destructive action of strong antiseptics, which remain ideal for active surgical therapies but they can be too aggressive and not selective for the oral maintenance programs. Even considering chlorhexidine, which is still considered the gold standard antiseptic by all recent international protocols, many aspects must be evaluated on the way different chemical solutions can act on microbiota and patient’s cells during the healing phase.
The aim of the presentation is to show and discuss the most recent concepts and researches on the new role of oral microbiota in the development of peri implant diseases, considering a) the specific pathological “signatures” related to different stages of implant pathologies, from fixture placement to long term maintenance and b) the way new antiseptic formulations can effectively promote clinical success.

Dr. Yoav Leiser

Advanced Protocol for Immediate Loading in All Bone Types and Hights

The presented lecture will focus on a protocol for implant restoration in all possible bone volumes from above 10mm till 1mm. We will also review immediate implantation and loading in several options of residual bone volumes.
Our focus will be on the different surgical techniques that are needed to establish a surgeon capable of immediate loading and rehabilitation of a total jaw.

Dr. Michaela von Geijer

Pathways to Implant Success

Patients may believe that implants are an easy solution for missing teeth, but the occurrence of peri-implant diseases are increasing and becoming a significant problem around the world. As clinicians we have a responsibility to contribute to the patients´ knowledge related to dental implants to improve and contribute to healthier implants. The lectures will provide you with tips and actions on how to enhance oral health in patients with dental implants.

Learning Objectives:
• Be aware of the prevalence and development and risk factors of peri-implant diseases
• Be able to recognize and differentiate between peri-mucositis and peri-implantitis
• Be able to plan and implement effective maintenance visits
• Be able to adapt the patients home care routine to improve plaque control around their
implants
• Help patients to select and use oral hygiene products that are effective for their specific
implant design

Dr. Francesco Amato

Single Tooth Implant Replacement in the Anterior Zone In Healthy or Compromised Sites: Minimally Invasive Surgical Approach and Innovative Prosthetic Protocols

The topic of the lecture is the Implant replacement of single tooth in the anterior maxillary area both in healthy or severely compromised sites: What is the correct treatment protocol to apply in order to obtain an ideal esthetic result with a minimally invasive approach?
Three different clinical scenarios will be described:
Type 1. Clinical cases were the soft tissue and the hard tissue of the recipient site are intact.
Type 2. Clinical cases were the soft tissue is present but the hard tissue of the recipient site is compromised.
Type 3. Clinical cases were both the soft tissue and the hard tissue of the recipient site are compromised.
Diagnosis, treatment plan, timing and treatment options will be discuss for each category focusing on:immediate vs delayed implant placement, implant selection, hard and soft tissue management both surgical and prosthetic, different augmentation procedures, type of graft, and innovative techniques to fabricate the ideal provisional restoration for tissue support and conditioning to achieve optimal esthetic result even in compromised implant sites.
Pros and cons of each therapeutic line will be analyzed.
Clinical experience and evidence based decision with the support of the literature will be combined in order to give the clinician practical guidelines to accomplish predictable results.

Dr. Jerome Surmenian

How Osteo-Immunology Makes Predictable and Reproducible Success in GBR?

Achieving success in regenerative surgery implies improving the patient’s potential for healing and an appropriate surgical approach with the most compatible biomaterial. Making a predictable and reproducible success means using protocols.
The clinical application of the osteoimmunology protocol, as well as the surgical protocol will be presented in details, and the participants shall be ready to implement it immediately in their daily practice.

Dr. Alain Simonpieri

Bone Management Is the Key Factor in Immediate Loading

Major challenges:
– Ensure vertical bone level: Determining factors to achieve vertical dimension
– Get adoquate soft tissue: Thickness and papillae
   Biotype improvement: Soft tissue Vascular overflow
   Overgrafting with sticky bone
– How to help the patient immune system with Osteo-immunology protocols
Soft tissue management: Flap management, soft brushing, sutures (apical mattress)
Implant placement: Preparation, axis (fast guide), depth, symmetry of the collars (collar line up), diameter, number.., sub-crestal placement, collar line-up
Biological rules
– Patient biological evaluation
– How to improve patient immune system
– Use of non imflammatory biomaterials
– Prf and sticky bone preparation

Determining factors to achieve aesthetics outcomes
Impression and role of the temporary restoration