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.

Mr. Fredrik Engman

Enhancing Soft Tissue Healing – A Digital Approach

In the realm of implant dentistry, achieving esthetic outcomes while ensuring precision and efficiency in the treatment process is paramount. This enlightening lecture will spotlight an enhanced digital approach in elevating the soft tissue healing to improve esthetic and restorative results. This approach is based on providing undisturbed healing from implant placement to the delivery of the final restoration.

Dr. Stefan Röhling

Front Tooth Implants: The Aesthetic Rehabilitation With Two-Piece Ceramic Implants

In this lecture, ceramic implant specialist Dr. Stefan Röhling will not only present the professional treatment of ceramic implants with relevant clinical cases, but also the current scientific facts about the latest generation of ceramic implants.

Dr. Fomina Antonina

Biomaterials From A to Z: From Science to Daily Practice

In the aesthetic field, it is important that the soft and hard tissues around the implant are as stable as possible. A lack of volume around the implant can compromise not only the aesthetic result but also the stability and success of the implant. The lecture will guide the participants through the process from bone regeneration to implant placement, while also presenting Geistlich’s complete regeneration portfolio.

Dr. Joseph Choukroun

Osteo-Immunology: A New Paradigm Shift in Implantology and Bone Grafting

Osteoimmunology is the modern science that shows the influence of the immune system on bone metabolism but also on all tissue healing phenomena. Indeed, bone healing starts with an immune reaction: inflammation triggered by the release of inflammatory cytokines. These cytokines are responsible for angiogenesis, which activates the formation of bone callus.

The behavior of bone cells is dependent on the functioning of the immune system which depends on the oxidants level. High level production of oxidants is named oxidative stress, will lead to a failure of the immune system with collateral effects such as infection, bone resorption by stopping remodeling, or fibro-integration. This is the case, for example, in diabetics, smokers, patients allergic to penicillin or in chronic inflammatory diseases.

A favorable bone metabolism will necessarily require a reduction of oxidative stress by means of various solutions such as adequate vitamin D supplementation, reduction of LDL cholesterol levels or other adequate immune stimulants. Antibiotic prophylaxis must also be revisited in order to use antibiotics with significant immune-stimulating properties.

PRF has also an immune function: decreases the inflammatory level and increases the local anti-oxidants. It will be easy to demonstrate that peri-implantitis is an immune disease that causes bone loss around the implant, triggered by oxidative bone stress.

Dr. Andy Boiangiu

A New, Minimally Invasive Technique for Sinus Augmentation

Sinus lift procedures, either open or closed have been the standard for augmenting the sinus to create adequate bone for implant placement. In many cases the sinus lift procedure involves considerable morbidity to the patient. In some cases, the graft gets infected which requires a surgical intervention to clear the sinus. Caldwell Luc procedure used to be the procedure of choice in that case, lately the Fess procedure, performed by ENT doctors, is taking its place. In either case that brings great discomfort to the patient and potential of becoming a legal case. Medicine goes towards minimally invasive procedures to decrease morbidity and risk to the patient. A new procedure that offers a minimally invasive procedure for sinus lift will be presented.

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.

Prof. Dr. Mihai Juncar

The Right Time To Place an Implant

One of the fundamental components of dental medicine today is represented by the implant prosthetic rehabilitation. This has many advantages over dental supported prosthetic rehabilitation but the major advantage is over rehabilitation with removable dentures.
However, one disadvantage of this method of rehabilitation was the time the patient had to wait from the moment he learned that a tooth had to be extracted until he was presented withthe implant-supported dental crown. To compensate for this shortcoming, various surgical techniques have emerged that allow dental implants to be inserted immediately post-extraction, and dental implant manufacturers have striven to develop implant systems that can be inserted immediately after tooth extraction, and ideally, that can also be loaded by prosthetic means.
However, we must remember that any treatment option has certain limitations and clear indications for use, and failure to comply with these will result in treatment failure that will cost us time, effort and financial resources.
In this course we will discuss the main options for inserting dental implants according to the time elapsed from tooth extraction to insertion of the dental implant. We will also look at the indications that each dental implant insertion time has and what happens if these indications are not followed. The aim is to learn from mistakes and understand what may be causing the failure so that we can knowingly make a decision and control the failure as much as possible.

Dr. Mike Ainsworth

Revolutionising Bone Grafting: What The Body Needs To Heal

Dr Ainsworth will discuss the use of modern alloplastic materials and how they are revolutionising the dental market, looking at working with the body to optimise host healing. The aim is to give dentist the best tools to restore the form and function of the lost bone, so that we can give back to our patients exactly the same tissue, a healthy bone tissue which can remodel and adapt to the transmitting occlusal forces.

These concepts have originated from the medical field where there is extensive research on the importance of returning host tissue back to its original state. This is what patients prefer. (no animal, human donor material, no remnant material left in the site long term) as well as being optimal for their physiology as bone is living tissue.
Along with a variation of cases Participants will also look at the latest research on suture tenting technique and how it works well with Alloplastic materials to help with stability in the bone. Looking at the clinical challenges and potential solutions when implementing the suture tenting technique.

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. Joseph Choukroun

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