Bone, Tissue and Sinus Augmentation Techniques & Technologies 2018

Collaboration of

Regeneration Days Israel

January 7-8, 2018Daniel Hotel Herzliya, Israel

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Sunday, January 7, 2018

08:00-08:30 Reception and Registration

08:30-08:40 Opening Ceremony

08:40-10:10 Surgical & prosthetic development for delayed implant placement in the aesthetic zone Dr. Marius Steigmann

10:10-10:40 Coffee Break – Visit at the Exhibition

10:40-11:50 Bone & Biologics Management Dr. Maurice Salama

11:50-13:10 Lateral vs. crestal approach in sinus elevation surgery: a revisited clinical vision Prof. Tiziano Testori

13:10-14:10 Lunch Break – Visit at the Exhibition

14:10-14:25 Main sponsor podium time

14:25-15:10 Maxillary sinus surgery complications: prevention, diagnosis and treatment Prof. Tiziano Testori

15:10-15:40 Coffee Break – Visit at the Exhibition

15:40-17:25 Managing Implant Complications in the Esthetic Zone Dr. Marius Steigmann & Dr. Maurice Salama

17:25-18:00 Open Discussion and Q & A

Monday, January 8, 2018

08:00-17:00 Hands-On Dr. Marius Steigmann & Dr. Maurice Salama

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Surgical & Prosthetic Development for Delayed Implant Placement in The Aesthetic Zone

Dr. Marius Steigmann

Soft tissue management in cases of late implant placement is different than in cases of immediate implant placement where the soft tissue can be supported immediately after surgery with a temporary crown. After extraction or staged GBR the soft tissues collapsing and has to be constructed with the help of Mucogingival surgery and prosthetic soft tissue development.

The lecture will demonstrate in a structured manner the decision which lead to delate instead of immediate implant with the associated consequences and the following steps in the development of emergency profile abutment and crown to achieve an ideal soft tissue architecture. These cases need a team approach for ideal aesthetic /prosthetic implant placement and emergence profile development.

"There is no optimum aesthetics without soft tissue perfection".

This program will cover:• Ideal implant placement according soft tissue quality-Biotype.• Emergence profile development for late loading.• Correlation between implant position/prosthetics &soft tissue outcome.

Step by Step demonstration of the Algorithm for soft tissue development (abutment and crown design) for late restoration will be demonstrated.

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Bone & Biologics ManagementDr. Maurice Salama

To be a viable treatment choice in the edentulous patient, the implant-supported restoration requires bone in adequate position, quality and quantity. This requires development of the edentulous ridge or potential implant restorative site. The importance in developing this underlying bone support is twofold, to act as an anchor for the implant but also as a framework for the support of the gingival tissue and esthetics.

The three-dimensional reconstruction of the implant receptor site comprises two distinct phases: • Development of the hard tissues requires an understanding and specific skill sets

which include;• Extraction Site Management• Autogenous or Allograft Onlay Bone Blocks• Allograft Bone Particulate Grafts and GBR• Utilization and Fixation of Collagen Membranes• Ridge Splitting or Expansion Techniques

This program will cover site preparation techniques prior to and at the time of implant placement.Educational Objectives: 1. Diagnosis and classification of implant recipient sites 2. Preservation techniques available for implant replacement 3. Management of the “deficient” site through augmentation techniques

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Lateral vs. crestal approach in sinus elevation surgery: A revisited clinical vision

Tiziano Testori MD, DDS, FICD

Maxillary sinus elevation surgery has evolved during the last 25 years to a point where it is considered the most successful augmentation procedure performed today and the survival rate of implants placed in these grafts is as high or higher than that of implants placed in the non-grafted posterior maxilla. The sinus elevation procedure is still evolving due to the development of new surgical techniques and new biomimetic technologies, however, there is still no unanimous consensus on when to adopt the lateral or crestal approach. This lecture will address both evidence-based and the latest state-of-the-art techniques.

Learning objectivesParticipants will learn:• The decision making process in choosing the appropriate approach• Step-by-step surgical techniques• Selection of grafting materials

Maxillary sinus surgery complications: prevention, diagnosis and treatmentTiziano Testori MD, DDS, FICD

Sinus elevation surgery is nowadays a predictable therapeutic technique to restore the atrophic maxilla, however each surgical step may give rise to complications.Anatomical limitations such as thickness of the lateral bony wall, the thickness of the Schneiderian membrane, the presence of septa and of unusual large vessels can influence the intraoperative complication rate.

Membrane perforations can be predictably resolved without jeopardizing the overall success rate.

Sinus complications may occur intra-operatively, in the early postoperative period, or in the late postoperative period, late complications may occur months or years after surgery and are due to improperly treated maxillary sinusitis.

The aim of the lecture is to give clinical recommendations on how to prevent, diagnose, and treat intra and post-operative infections.

Learning objectivePrevent, diagnose and treat intra-op and post-op complications

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Managing Implant Complications in the Esthetic ZoneDr. Marius Steigmann & Dr. Maurice Salama

Esthetic implant failures can be multifactorial and patient management issues. Once esthetic implant failures occur, many cannot be fully corrected. Some complications must be addressed by an interdisciplinary dental team. In this summary of individual case reports, surgical considerations are provided, including cases of asymmetry/recession due to facial implant placement or bone loss resulting from technique/treatment failures, as well as papilla deficiencies. Restorative considerations for correcting failures will also be discussed.

When Esthetic complications occur it is difficult to decide which technique/rationale to use fort soft tissue correction.The aim is to help the clinician to decide which is the most adequate treatment option for every type of soft tissue complication around implants.

The lecture will demonstrate the attempt to correct/improve soft tissue complications like• Papilla loss• Midfacial recession• Lack of keratinized gingiva and the limitation of each treatment modality

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Aesthetic Soft Tissue Management - Hands-OnDental esthetics is dependent on specifically defined relationships between the soft tissue, the teeth or implants, and the underlying osseous scaffold. A critical soft tissue dimension is required for long-term predictable support of the gingival margin, crestal bone and restorative esthetics.

Part and parcel of a thorough dental evaluation today is to determine that gingival phenotype of the individual. Thickness of the gingiva, zone of attached tissue and tissue color all play important roles in developing the long-term health and esthetics in dental treatment of any kind. The exact determination of the location of the underlying bone acts as a prognostic indicator of future soft tissue levels.

Soft tissue grafting techniques, new regenerative materials and bioactivators will be highlighted. The expanding role of allograft materials (Alloderm, Dermis, Pericardium) and when to utilize them will be suggested. The ability of these combined protocols to alter the soft tissue profile around natural teeth, implants, edentulous ridges, as well as to support facial soft tissue structures will be reviewed as to its critical role in “Complete Esthetics”.

This hands-on course will highlight the 3 most utilized soft tissue procedures in clinical practice, the socket graft, ridge augmentation and root coverage procedures. It will teach in detail and simplify the process of site evaluation, critical anatomy, flap design, harvest techniques and suturing.

All necessary materials will be made available to each attendee; soft tissue models, surgical instruments, graft and suture materials.

Learning Objectives:To learn basic surgical anatomy and incision techniques in soft tissue surgeryTo apply three commonly used soft tissue grafting techniques in clinical practiceTo learn modified suturing methods to secure flaps and grafts

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Hands-on Techniques to be covered in detail

Socket preservationProducts for filling the socketProducts for covering the socketRidge Augmentation for pontic and implant sitesRoll techniquesInlay pouch techniqueOnlay techniqueRoot coverage proceduresConnective tissue grafts - CTGSemi-lunar graftsTunnel techniquesIncisions & Flap DesignSecularSemi lunarVerticalSplit thicknessTunnel approachSuturing TechniquesHorizontal mattressVertical mattressContinuous slingSimple Cross

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Dr. Marius Steigmann

Dr. Marius Steigmann graduated the school of Dental Medicine in Neumarkt in 1987. In 2005 Dr. Steigmann received his PHD Summa cum laude from University of Neumarkt.

Dr. Steigmann is Adjunct Clinical Associate Professor at the University of Michigan Dpt. of Periodontics, Adjunct Assistant Professor of Oral and Maxillofacial surgery at Boston University, Adjunct Assistant Professor at University of Pennsylvania Dpt.

of Endodontics and Honorary Professor of the “Carol Davila” University Bucharest. He is a Diplomate of the ICOI and a member of the board of the DGOI. He also received the medal of “Semmelweiss” Budapest University Dental School Dept. of Oral and Maxillofacial surgery.

He is the founder and Scientific chairman of “Update Implantologie Heidelberg” 2002-2011 and the founder and director of the “Steigmann Institute”. Dr. Steigmann maintains a private practice in Neckargemünd, Germany.

Dr. Maurice A. Salama

Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama received his DMD from the University of Pennsylvania School of Dental Medicine, where he later received his dual specialty certification in Orthodontics and Periodontics, as well as his implant training at the Branemark Center at Penn.

Dr. Salama is currently on the faculty of the Medical College of Georgia as Clinical Assistant Professor of Periodontics. Dr. Salama is a permanent member of the Scientific Committee of the world’s leading online Dental Education Website DENTALXP.com

He is also a member of the Team Atlanta Dental Practice which is a multidisciplinary practice world renowned for their clinical research in reconstructive and esthetic dentistry.

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Dr. Tiziano Testori

Received his MD degree (1981), DDS degree (1984). Speciality in Orthodontics (1986) from University of Milan, Italy. Fellowship at the Division of Oral Maxillo-Facial Surgery (Head: Robert E. Marx, DDS), School of Medicine, University of Miami, Miami FL (2000).

Currently Head of the Section of Implant Dentistry and Oral Rehabilitation Department of Biomedical, Surgical and Dental

Science (Chairman: prof. R.L. Weinstein), IRCCS, Galeazzi Institute, University of Milan, Milan, Italy. Assistant clinical professor School of Dentistry, University of Milan, Milan, Italy. Adjunct Clinical Associate Professor, Department of Periodontics and Oral Medicine, The University of Michigan, School of Dentistry, Ann Arbor, Michigan 48109-1078 USA. President (2017-2018) of the Italian Academy of Osseointegration (IAO). Member of the Editorial Board of IJOMI, EJOI, IJPRD, Quintessence Publishing and WJCC, Baishideng Publishing Group. Author of 105 peer-reviewed publications indexed in Pub Med, and 4 books in Implantology.

Head of the Section of Implant Dentistry and Oral Rehabilitation, IRCCS, Galeazzi Institute, Milan, Italy. Assistant clinical professor, Department of Biomedical, Surgical and Dental Science (Chairman: prof. R.L. Weinstein), University of Milan, Milan, Italy. Adjunct Clinical Associate Professor, Department of Periodontics and Oral Medicine, The University of Michigan, School of Dentistry, Ann Arbor, Michigan 48109-1078.

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Ofakim Travel and Congresses Ltd.Tel: 972-3-7610897

Email: chen@ofakim.co.il

Registration:

http://bit.ly/2f4xHyx