Minimally Invasive Soft Tissue Augmentation

LOD-067-00

Dr. Homa H. Zadeh

A variety of techniques have been described for augmentation of soft tissue around teeth with varying donor material and access. Recently, tunnel technique has been used for minimally invasive assess to sites being augmented. This presentation will describe a novel access for soft tissue augmentation and root coverage. Moreover, application of autogenous tissue, as well as growth factors will be discussed. Minimally invasive soft tissue augmentation may also be applied for modification of thin biotypes around dental implants. The techniques described will be illustrated with clinical cases.

Tissue Engineering for Hard and Soft Tissue Regeneration - Clinical and Applied Results

LOD-064-00

Dr. E. Todd Scheyer

The promising field of periodontal tissue engineering, barely a decade old, is likely to revolutionize Periodontics. Cell based man-made skin, the first commercial product of tissue engineering, is already on the market and other variations will soon join it. Recombinant technology has provided us the first fully synthetic powerful growth factor available in periodontics with r-PDGF-BB which has been critically evaluated in all areas of periodontal research. This course will provide an overview of biologically based and live cell based tissue substitutes. Results from human and animal studies using biomimetics and tissue engineering to facilitate root coverage and bone formation will be discussed and human histology will be reviewed. Expanded clinical applications of growth factor influenced wound healing in tissue regeneration will also be presented.

Current trends in Aesthetic Periodontology

LOD-063-00

Dr. Andre Saadoun

Nowadays, the goal of periodontal plastic muccogingival procedure is to perform surgery as atraumatically as possible at the recipient and donor site. Recently, as an alternative to autogeneous gingival graft in root coverage procedures, Enamel Matrix Derivative and acellular dermal matrix allograft were utilized to correct this gingival defect, negating the requirement for a second surgical site.

YSGG Laser Precision in Periodontal Plastic Surgery

LOD-059-00

Dr. Bobby Butler

Lasers have been used in dentistry for many years. Mostly they have been used with soft tissue procedures. Recently the Er,Cr:YSGG laser has been shown to be safe and effective in osseous procedures. Many cosmetic dentists have been using lasers for esthetic crown lengthening procedures, but most of these cases are simple gingivectomies and not true crown lengthening procedures. Complications can occur without understanding the biologic width and different periodontal biotypes. This presentation will discuss current and future applications with the Er, Cr: YSGG laser with periodontal surgical procedures. The focus will be its use in closed and open esthetic crown lenghtening procedures. Discussion with case selection and osseous biotypes with be stressed. Other applications involving osseous augmentation procedures, harvesting osseous blocks, ridge splitting and lateral sinus wall procedures, will also be briefly discussed.

Bone Morphogenetic Proteins, A Realistic Alternative to Bone Grafting<br>

LOD-054-00

Dr. Ulf Wikesjo

Surgical placement of oral implants is governed by the prosthetic design and by the morphology and quality of the alveolar bone. Often, implant placement may be difficult, if at all possible, due to alveolar ridge aberrations. In consequence, prostheticly dictated implant positioning commonly entails bone augmentation procedures. One objective of our laboratory is to evaluate the biologic and clinical potential of bone morphogenetic proteins (BMPs) including rhBMP-2, rhOP-1/rhBMP-7, rhGDF-5, other candidate biologics, bone biomaterials, and devices for alveolar ridge augmentation and implant fixation. This presentation will discuss the unique biologic potential, the clinical relevance and perspectives of BMP technologies for alveolar bone augmentation and oral implant fixation, in particular the development of a unique bone-inductive oral implant. This presentation will also address merits and explain short-comings of current treatment protocol including bone biomaterials and guided bone regeneration (GBR). BMPs have an unparalleled potential to augment alveolar bone and support implant osseointegration and long-term functional loading. Inclusion of BMPs for alveolar augmentation and osseointegration will not only enhance predictability of existing clinical protocol but radically change current treatment paradigms. Inclusion of the bone-inductive oral implant in the treatment panorama may make 'grafting' and GBR procedures altogether obsolete.

New Advances In Soft Tissue Esthetics Around Teeth and Implants

LOD-049-00

Dr. Eric van Dooren

New Advances In Soft Tissue Esthetics Around Teeth and Implants

Perio-prosthetic Considerations Around Natural Teeth

LOD-048-00

Dr. Eric van Dooren

Perio-prosthetic Considerations Around Natural Teeth

Perio-prosthetic Considerations Around Dental Implants

LOD-047-00

Dr. Eric van Dooren

Perio-Prosthetic Considerations Around Dental Implants<br>This course will discuss surgical and restorative concepts, procedures and solutions to improve the soft tissue emergence profile of implant and pontic sites in single implant restorations and implant bridges. The restorative choice of implant design and abutment material will be discussed and particularly the evidence of using Zirconia abutments as stable base for soft tissue esthetics and long term implant results.<br><br>The concept of using a concave or flat preplanned abutment via the cad-cam route and via the prefabricated route will be discussed and the steps preventing removal of abutments during the restorative phase.<br><br>This course will teach the restorative dentist the new concepts of zirconia abutment materials, the concave or flat abutment design and the immediate or early placement of the final abutment.

Periodontal Plastic Surgery for Natural Teeth and Implants

LOD-026-00

Dr. Henry Takei

The last decades has witnessed tremendous emphasis on the esthetic aspect of dentistry. The gingival tissues which frames the dentition is an integral part of 'Dental Esthetics'. The clinician must have a good biologic and clinical understanding of both the teeth and gingival tissue in order to attain a healthy and esthetic result. Correcting gingival recession, root exposure, loss of papilla, which leads to poor gingival symmetry, is of major importance in achieving an esthetic outcome. In addition, the emphasis on implants in the esthetic zone requires sound surgical principles to achieve an optimal gingival emergence profile around an implant restoration.

Soft Tissue Behaviour And Integration Around Dental Implants <br>

LOD-021-00

Dr. Peter Schupbach

The scientific evidence on the biomaterial surface TiUniteTM will be given and compared to other implant surfaces. Several studies confirm and support the clinical benefits of the conductive properties of TiUniteTM, allowing bone and soft tissue to adhere along the implant surface and into the pores of the surface. This results in faster osseointegration and higher biological stability, thus minimizing time at risk for effective and safe Immediate FunctionTM. The clinical implications of TiUnite as Immdiate FunctionTM, reduced marginal bone loss, soft tissue integration and predictable esthetics will be discussed. In addition the scientific evidence of micro grooves along the threads and around the implant shoulder will be given. The introduction of the Groovy technology provides yet another step in implant development. With this technology, the speed of osseointegration can be further increased. The biological stability is enhanced by up to 30% allowing the use of groovy implants in soft bone.