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bone & tissue days Yerevan 2017
June 9 @ 13:00 - June 10 @ 18:00
Speaker: Prof. Dr. Dr. h.c. Adrian Kasaj, M.Sc., OA, Prof. Dr. Péter Windisch, Dr. Viktor Kalenchuk & Dr. Sc. Stjepan Siber
9th June 2017 – Workshops at Hall Parigi
11:30 p.m. – 14:30 a.m.:
Dr. Viktor Kalenchuk: Implantation in the atrophied alveolar ridge
14:30 a.m. – 15:00 a.m.:
15:00 a.m. – 18:00 a.m.:
Prof. Dr. Dr. h.c. Adrian Kasaj, M.Sc., OA: Periodontal plastic surgery – Do we still need autologous transplants?
Please arrive 20-30 minutes prior to the workshop you have booked in order to register for it.
10th June 2017 – Lectures at Hall Milano
08:30 p.m. – 09:00 p.m.:
Welcome & Registration
09:00 p.m. – 09:15 p.m.:
Zoltan Kasap (Director International Sales & Marketing at botiss biomaterials): Introduction
09:15 p.m. – 10:00 p.m.:
Dr. Sc. Stjepan Siber: 360° – The botiss Regeneration System
10:00 p.m. – 11:00 p.m.:
Prof. Dr. Dr. h.c. Adrian Kasaj, M.Sc., OA: Periodontal plastic surgery – Do we still need autologous transplants? (part 1)
11:00 p.m. – 11:30 p.m.:
11:30 p.m. – 12:30 a.m.:
Prof. Dr. Dr. h.c. Adrian Kasaj, M.Sc., OA: Periodontal plastic surgery – Do we still need autologous transplants? (part 2)
12:30 a.m. – 13:30 a.m.:
13:30 a.m. – 15:30 a.m.:
Prof. Dr. Péter Windisch: Hard- and soft tissue corrections around teeth and implants – do we need bone and keratinized tissues for long-term stability?
15:30 a.m. – 16:00 a.m.:
16:00 a.m. – 18:00 a.m.:
Dr. Viktor Kalenchuk: Biomimetic implant restorations in scenarios of bone deficiency
Dr. Viktor Kalenchuk: WORKSHOP: Implantation in the atrophied alveolar ridge
Despite the great achievements in bone and tissue regeneration, bone deficiency still remains a serious dental implantology treatment issue for both patients and doctors. However, various methods and clinical solutions have been developed in order to solve such problems. More specifically, the proper methodological approach and criteria for selection of therapeutic solutions when implanting with insufficient bone volume depends on several factors. The synergy of all the different factors is necessary in order to achieve reliable results.
During the theoretical part of the workshop the following topics will be discussed:
– Potential risks faced when implanting in the atrophied alveolar ridge
– Methods of implantation with reduced bone volume
– Relevant useful methods for ridge augmentation
– Treatment planning and patient motivation
– One-stage augmentation and implantation in the atrophied ridge
– Immediate loading after ridge augmentation and reconstruction
– Soft tissue management during implantation in the augmented ridge
– Faults and complications: prevention and therapy
– Effective methodology of implant rehabilitation with tissue deficiency
During the hands-on, the participants will practice the following skills on pig jaws:
– Implant placement in a narrow alveolar ridge
– One-stage implantation and lateral ridge augmentation
– Handling of bone regeneration materials and collagen membranes
– Soft tissue management during implantation in a narrow ridge
Dr. Viktor Kalenchuk: LECTURE: Biomimetic implant restorations in scenarios of bone deficiency
Recent advances in dentistry have created aesthetic and biomimetic restoration possibilities that finally meet the patient‘s high expectations despite having complicated initial clinical situations. However, soft and hard tissue deficiencies still remain serious challenges that can significantly limit the ability to create restorations that adequately resemble natural teeth. The importance and effect of various augmentation procedures on implant restoration aesthetics will be presented during this lecture. In addition, details and criteria for the selection of appropriate therapeutic solutions for implantation in cases with insufficient bone volume will be discussed.
Dr. Sc. Stjepan Siber: LECTURE: 360° – The botiss Regeneration System
Lateral and vertical bone defects are amongst the most challenging procedures in implantology in order to achieve a satisfactory and safe regeneration. In addition to autogenous bone, which is still considered to be the gold standard for jaw augmentation procedures, various bone substitutes and membranes have shown promising results especially in lateral grafting applications. In contrast to grafts derived from patient’s own bone, the use of such biomaterials is not accompanied with donor site morbidity which leads to high patient acceptance. Bone substitute materials of different origin (bovine, synthetic or allogenic) have distinct biochemical properties, which are useful for indication oriented grafting procedures. However, soft tissue ingrowth and incomplete graft regeneration can be risky when using bone substitutes. Therefore, the use of barrier membranes in the context of guided tissue and bone regeneration (GTR, GBR) is required. Of particular advantage are pericardium-based collagen membranes that can provide a naturally long barrier function. Moreover, their native collagen structure, biocompatibility, tissue integration and nutrition transfer can significantly contribute to the graft stabilization and integration. The reliablity of the final regeneration outcome is also dependent on the defect morphology, the quality of the recipient site, general health aspects of the patient and the selected healing time. Here, an overview of the botiss hard- and soft tissue regeneration materials is given.
Prof. Dr. Péter Windisch: LECTURE: Hard- and soft tissue corrections around teeth and implants – do we need bone and keratinized tissues for long-term stability?
There is an increasing need from patients for aesthetic fixed dental restorations with, or without implant placement. The alveolar jaw is a tooth dependent structure – any tooth extraction results in alveolar ridge resorption. Surgical techniques used today to preserve or augment deficient ridges follow biologic principles to achieve the same goal: a maintained or enlarged alveolar ridge with harmonious soft tissue contours. While the extent and pattern of resorption varies among individuals, there is an obvious loss of ridge contour as a result of physiological bone remodeling. The tendency for advanced resoption is even more increased around deep periodontal defects, especially when the buccal alveolar plate has been destroyed. The reconstruction of sufficient periimplant hard- and soft tissue is crucial to achieve long-term tissue stability and aesthetics. The efficacy of the applied surgical protocols to eliminate periodontal defects at adjacent teeth is also of high importance to achieve favourable soft- and hard tissue conditions and to level off periimplant hard tissues to the proximal crestal bone of adjacent teeth. The lecture will present surgical approaches to reconstruct lost alveolar hard- and soft tissues applying 3D planning (maxgraft® bonebuilder, botiss), socket preservation-, guided bone regeneration- and vestibuloplasty techniques utilising resorbable (Jason® membrane, botiss) and non-resorbable membranes in combination with connective tissue grafts or xenograft matrices (mucoderm®, botiss).
Prof. Dr. Dr. h.c. Adrian Kasaj, M.Sc., OA: WORKSHOP & LECTURE: Periodontal plastic surgery – Do we still need autologous transplants?
For many patients periodontal recessions are nowadays an aesthetical problem that could also lead to hypersensitivity and root caries. Harvesting of autologous connective tissue from the palatine and its transplantation in connection with the advanced flap technique is still considered the gold standard for the surgical treatment of periodontal recessions. Disadvantages of connective tissue grafting are not only the need for a second surgical site associated with donor site morbidity due to tissue grafting from the palatine, but also the limited availability of donor material. Today, a possible alternative to the autologous connective tissue transplant is the use of an acellular dermal collagen matrix (mucoderm®) of porcine origin. In this talk, the application of mucoderm® and its possible combination with enamel matrix proteins (Emdogain®) in the treatment of gingival recession will be presented on the basis of clinical cases. Moreover, additional indications for mucoderm® as an alternative to autologous soft tissue grafts will be discussed.
Hands-on using animal models: In the practical course the participants will be trained in different surgical techniques to treat single and multiple recessions with mucoderm® and Emdogain®.