WARSAW 20182018-11-08T09:09:30+00:00

bone & tissue days 2018
World Congress
WARSAW – program

Friday 9th November 2018

13:30-14:00 Registration

14:00-17:00 Workshops Session 1

+126 € incl VAT. Booking of congress is obligatory.
The workshops run parallel.

Leonardo Trombelli: Treatment of intrabony defects: Optimizing the treatment outcome

The workshop will be focused on the surgical regenerative approach to the intrabony defect. Single and double flap designs will be thoroughly described in combination with specific regenerative devices aimed at optimizing the treatment outcomes while minimizing post-surgery adverse effects.

Orcan Yüksel: Update on the Bone Ring Technique: Results after 5 years with allografts in 3-dimensional augmentation

The Bone Ring Technique can be performed using prefabricated bone rings of processed allogenic donor bone. The ‘allograft Bone Ring Technique’ allows bone augmentation and implantation in a one-stage procedure like the classical bone ring technique but eliminates the need for bone harvesting. As a result, allogenic bone rings reduce pain, risk of infection, morbidity, and surgical time significantly. After five years of clinical experience the Bone Ring Technique with allografts shows good results for both, vertical and horizontal augmentation and excellent new bone formation. Results of biopsies taken after six months as well as clinical outcomes will be discussed in the presentation. The workshop will show a step-by-step protocol and tips for the surgical procedure in different clinical indications. Important factors for treatment outcomes such as suture techniques, flap mobilization and tension-free wound closure will be demonstrated. The simplification of the surgical treatment of three-dimensional bone defects is now possible with this recommended technique. The lecture focuses on recent clinical and animal studies with autologous and allogenic bone rings and long-term clinical outcomes.

17:00-18:00 Break

18:00-20:00 Workshops Session 2

+126 € incl VAT. Booking of congress is obligatory.

Kris Chmielewski: Optimal treatment options based on allografts (theoretical workshop)

The goal of the workshop is to demonstrate an alternative treatment method for volume control and stability of the biomaterial for horizontal and vertical augmentations with simultaneous implant placement. By selecting the proper type of membrane one can cover simple horizontal defects but also treat advanced and extended clinical situations. The workshop will give you valuable practical hints and tips to successfully employ this alternative treatment method.

Saturday 10th November 2018

08:15-09:00 Registration & welcome coffee

09:00-09:10 Opening 4th bone & tissue days World Congress

09:10-10:30 Kris Chmielewski:
Prosthetic solutions for optimized soft tissue aesthetics

10:30-10:45 Coffee break

10:45-11:00 LIVE FROM BERLIN Welcome and introduction

11:00-12:00 Leonardo Trombelli
Socket preservation: Matching techniques and technology

12:00-13:00 Marius Steigmann:
Soft tissue development around dental implants

13:00-14:00 Lunch break

14:00-15:00 LIVE FROM BARCELONA Giovanni Zucchelli
Treatment of gingival recessions with acellular dermal matrices

15:00-16:00 Orcan Yüksel:
The Bone Ring Technique: 3D Bone augmentation and implantation in a single step procedure

16:00-16:30 Coffee break

16:30-17:30 LIVE FROM BERLIN Arndt Happe
The use of a dermal matrix buccally of immediate implants in the aesthetic zone

17:30-18:00 Final Discussion and Outlook

18:00 Champagne reception

Location
Airport Hotel Okęcie | Ul. Komitetu Obrony Robotników 24 | 02-148 Warsaw

Abstracts LECTURES

The concept of aesthetics can be understood and interpreted in different ways and depends on the individual situation of the patient. Planning prosthetic treatment allows us to determine optimum positions for implants and the shape of the teeth but at the same time allows predicting the limitations associated with pink aesthetics. On the basis of proper planning, communication with the patient is essential. It enables us to make prosthetic restorations that meet the patient’s expectations, taking into account the limitations of a particular case. This is true for both single tooth reconstruction and complex cases. During the lecture Dr. Chmielewski will present the planning techniques and treatment with prosthetic restorations to achieve optimal soft tissue aesthetics.
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.
Clinically, it is a big challenge to create natural gingival aesthetics following immediate or delayed implant placement. Stability of the soft tissue during implant surgery is of major importance for the implant site and adjacent teeth. A flapless surgery can be performed in cases where only the tooth is compromised and not the soft tissue or osseous form. In cases of a localized horizontal/vertical deficiency, dehiscence, or fenestration another approach is necessary.
From a prosthetic prospect, the soft tissue architecture around implants must be similar or close to that of the natural tooth. The dental lab can deliver the best functional and aesthetic work, it will be harmonious only if the soft tissue dimensions are maintained or developed surgically or with the help of the prosthetic reconstruction. Single implant placement has proven to be more predictable than multiple implant placements. In multiple implants and late loading it is possible to develop a soft tissue outcome with provisionals or proceeding directly to the final reconstruction. This is done with the help of a wax-up on the final metal frame controlling the pressure of the soft tissue intraorally.
The lecture will show the difference between surgical and prosthetic soft tissue outcomes. The role of a wax up before surgery and during the prosthetic phase of implant treatment will be discussed.
Objectives:
  • Diagnosis and treatment of soft tissue deficiencies
  • Soft tissue manipulation with prosthetic provisionals for definitive fix restoration
  • Diagnosis and treatment plan both for single and multiple implants in the aesthetic zone from a gingival point of view
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.
3-dimensional bone defects can be treated in a one-step protocol using the Bone Ring Technique. If the recommended treatment protocol is followed and risky anatomical regions are respected, bone grafting and implant placement using the Bone Ring Technique can be performed safely. Possible donor sites for the Bone Ring Technique include, in addition to the chin, the palatal bone and the retromolar region. Crucial elements of successful soft tissue management following extensive bone augmentation are a correct flap design and a tension-free closure of the flap. Participants will have the chance to see the long-term clinical outcomes of prefabricated allogenic and autogenous bone rings.
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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