bone & tissue days 2018
BARCELONA – program
Friday 9th November 2018
Prof. Dr. Giovanni Zucchelli & Dr. Martina Stefanini: Mucogingival surgery for aesthetic excellence
Saturday 10th November 2018
09:30-09:45 Daniel Díez: Presentación y Bienvenida bone & tissue days World Congress en Barcelona
09:45-10:45 Drazen Tadic: The mind behind botiss biomaterials: From chemistry to aesthetic outcome
10:45-11:00 LIVE FROM BERLIN Welcome and introduction
11:00-12:00 LIVE FROM WARSAW
Socket preservation: Matching techniques and technology
12:00-12:30 Juan Manual Vadillo: El papel de la transición implante-prótesis en la preservación, creación y manenimiento del tejido periimplantario
12:30-14:00 Lunch break
14:00-15:00 Giovanni Zucchelli
Treatment of gingival recessions with acellular dermal matrices
15:00-15:30 Federico Herrero: Klockner® Vega®:
Experiencia y comportamiento clínico en sus primeros tres años en el mercado
15:30-16:00 Matteo Albertini: Técnica de reconstrucción alveolar tridimensional con fines implantológicos
16:00-16:30 Coffee break
16:30-17:30 LIVE FROM BERLIN
The use of a dermal matrix buccally of immediate implants in the aesthetic zone
17:30-18:00 Mesa redonda
From 21:45 Evening Event
NH Collection Barcelona Tower
Gran Via, 144, Hospitalet de Llobregat
Special room rate for congress participants at the congress hotel:
Superior double room / single use: 99€ + 10% VAT
Superior double room / double use: 119€ +10% VAT
In order to book, please using the following link:
The co-founder of botiss biomaterials will share his personal experience as a scientist that led him to design some of the most successful biomaterials worldwide. The accounts of the great innovations needed to move forward the science of biomaterials will demonstrate from a unique perspective the relevance, reliability and efficacy of the botiss collagen and bone products.
Changes in horizontal and vertical dimensions of post extraction sockets require surgical strategies to counter bone remodeling in order to facilitate implant positioning at a later stage. During the presentation an evidence-based decision-making process aimed at combining the surgical approach with proper regenerative devices in different clinical conditions will be illustrated.
It is well known nowadays that a correct periimplant tissue management has a crucial role in the prognosis of implant-assisted restorations. In this field, a correct surgical management, from planning to execution, is a challenge in plastic mucogingival surgery. However, we should not forget the role of the connection between implant and prosthesis, as well as the morphology of the emergency profile, for the maintenance and recuperation of the periimplant morphology. Hence, it is very important to discuss the behavior of the periimplant tissues relating to prosthetic abutments, starting from implant insertion, on to the mid-long-term stabilization phase and maintenance.
The treatment of gingival recessions has become an important therapeutic issue due to the increasing number of cosmetic requests from patients.
The goal of mucogingival procedures is to obtain complete root coverage, up to the cementoenamel junction, along with an increase of soft tissue thickness to maintain the result in the long-term, reducing the risk of recession recurrence. The use of a coronally advanced flap in conjunction with a collagen matrix avoids the need for autograft harvesting, thus reducing patient morbidity and discomfort. The collagen matrix will support blood clot stabilization by serving as a scaffold for ingrowing blood vessels and fibroblasts; within a few months, the matrix will be completely degraded and the blood clot will be gradually transformed into new connective tissue, which will be responsible for the increase in soft tissue thickness. This represents a key aspect of the long-term success of root coverage.
The use of a promising porcine acellular dermal matrix for recession coverage as well as its long-term clinical outcome will also be described.
The Klockner® Vega® implant was presented in May 2015. It was the last incorporation to the Klockner® implant family, as a result of a continuous activity in research + development + market. At that time, some advantages of this product were presented: a) its bone-level implant design, b) its manufacture using an improved titanium (Optimun®) with better resistance and c) its internal conical connection. The original Vega® implant had a rough, blasted surface. Months later, Klockner® introduced their new rough bioactive surface Contac-Ti® to the Vega® implant, reducing significantly the osteointegration time. With the addition of the Vega implant, Klockner completed, at the time, a treatment offer that includes tissue-level implants (mechanized neck) with internal connection, external connection implants, and finally, bone-level implants. In this lecture, we will revise the clinical application of this implant and its new surface, by the presentation of different treatment indications and their result, as well as a revision of its characteristics.
The objective of the implant treatment in aesthetic areas is to maintain or give back the aesthetics and function of the teeth and periodontal tissues. The handling of bone atrophy and soft tissues requires the use of different techniques of periodontal plastic surgery that complement the implant therapy. These techniques include guided bone regeneration (GBR), ridge preservation, and mucogingival techniques with soft tissue grafts. The treatment of bone defects in the post-extraction socket can be done with the classical GBR, that requires a flap raise, or with bone preservation techniques, that avoid the flap raise and are less invasive. The tridimensional socket reconstruction is a technique proposed for the treatment of sockets with big dehiscences that do not allow the correct implant placement and that classically require bone regeneration surgeries with a big tissue mobilization and more morbidity.
The use of soft-tissue grafts buccally of immediate implants leads to a thicker peri-implant mucosa that is located more coronally and to a better aesthetic outcome. Subepithelial connective tissue grafts have been used for many years in plastic periodontal surgery in the aesthetic zone, but the additional surgical site at the palate (donor site) leads to a higher post-operative morbidity for the patient. For this reason, biomaterials such as acellular dermal matrices have been introduced to replace autogenous soft tissue grafts. Acellular dermal matrices show good biocompatibility. In addition, they have shown the potential to thicken oral mucosa buccally from teeth in an animal study and also at implants in various clinical studies. The lecture will show results of a clinical study comparing an acellular dermal matrix versus connective tissue grafts in conjunction with immediate implants in the aesthetic zone.
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