MODERN PROTOCOLS FOR SIMPLIFYING BONE RIGENERATION IN ADVANCED IMPLANT DENTISTRY

Hands-on course on surgical techniques with anatomical dissections

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Location

October 1-32020

Mario Luzzatto Simulation Center

Via Rita Levi Montalcini 4 Pieve Emanuele MI

Prof. Matteo ChiapascoScientific Course Director

Prof. Roberto WeinsteinScientific Coordinator

Humanitas University

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Course Description:

Prof. Matteo Chiapasco

In recent years, there has been a significant increase in requests for the rehabilitation of partial or total edentulism and particularly, on implants, which require high surgical, periodontal and prosthetic skills. Rehabilitation needs are not only functional, but should also address the aesthetic demands. Frequently, clinicians are faced with critical and challenging situations caused by extensive bone defects related to previous periodontal disease, early loss of dental elements due to malpractice or trauma, lack of bone tissue in the posterior maxilla due to expansion of the maxillary sinus, or due to lack or reduction of an adequate quantity of keratinized mucosa. Good knowledge of such surgical techniques is essential to refine the skills in regenerative / reconstructive bone surgery and soft tissue reconstruction, as well as a proper preoperative planning according to the principle of prosthetically guided regeneration (PGR), in order to optimize results from a functional and aesthetic point of view. However, an adequate

Graduated in Medicine and Surgery and special-ized in maxillofacial surgery at the University of Milan. He is currently Associate Professor in Oral Surgery, Department of Biomedical, Surgical and Dental Sciences, AO Santi Paolo and Carlo, of the University of Milan. He is also Associate Professor at Loma Linda University, Los Angeles, California, USA. He is the author of about 300 publications in national and international journals and 12 books on oral and maxillofacial surgery topics, some of which have been published both in Italy and translated abroad. He is a member of the Editorial Board of Clinical Oral Implants Research, International Journal of Oral and maxillo-Facial Surgery and European Journal of Implantology. He is an ITI Fellow and Past President of the Italian ITI section, Past President SICOI (Italian Society of Oral Surgery and Implantology), Past President SIO (Italian Society of Integrated Bone Implantology) and founding member of the IAO (Italian Academy of Osseointegration). He is part of the European Board of Oral and Maxillo-Facial Surgeons. He deals exclusively with oral and maxillofacial surgery, with particular attention to orthognathic surgery and advanced implant dentistry techniques.

knowledge of surgical anatomy of the oral cavity cannot be ignored, to avoid damages of important anatomical structures during regenerative/reconstructive procedures (for example, the elevation of the maxillary sinus, bone harvesting from the oral cavity, epithelial-connective tissue harvesting from the palate, etc.), and not negligible medico-legal consequences.This course offers the unique opportunity to have simultaneously: a) the opportunity to learn the basic principles of regenerative and reconstructive techniques of bone and soft tissue defects and; b) the possibility to carry out practical exercises on the corpse, under the guidance of expert tutors. The course combines theoretical lectures and videos on advanced implant surgeries with a practical part in the anatomy lab. Following the expert led lectures, participants can experience and put immediately in practice various procedures described in the theoretical part, with a specific focus on how to identify and protect the most important anatomical structures "at risk" that can be encountered during surgeries (such as the lower alveolar nerve, the lingual nerve, the mental nerve, the facial artery, the branches of the infra-orbital nerve, etc.). The course is aimed at professionals who have already gained experience in implantology, but who desire to refine their practical and theoretical knowledge in order to deal with advanced / complex clinical situations.

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PROGRAM

THURSDAY AFTERNOON

Theoretical Activity I Session: the treatment plan and the basic techniques 14.00 - 18.30- The modern treatment plan: from prostheti-cally guided implantology to prosthetically guided bone augmentation techniques

- Rationalization of the use of biomaterials and / or autogenous bone in the reconstructive / regenerative techniques of hard and soft tissues

- Use of guided bone regeneration techniques for peri-implant dehiscences and fenestra-tions, techniques for removing soft tissues from the palate and the use of collagen matri-ces

- Flap management and periosteum releasing techniques to achieve a tension-free wound

Theoretical Activity 09.00-11.00- Autogenous bone harvesting techniques and complex reconstructive techniques

- Simplified bone harvesting techniques with scraper

- Techniques for harvesting bone blocks from the mandibular body and ramus

- Guided bone regeneration and reconstructure with bone blocks in the treatment of complex defects

- Post-operative management after augmenta-tion techniques

11.00-11.30 Coffee-break

PRACTICAL PART ON CORPSE11.30-13.30- Simplified bone harvesting techniques with bone scrapers

- Periosteal releasing techniques in the mandible (both on the lingual and buccal side)- Anatomical dissection of the mental nerve, the lingual nerve and the lower alveolar nerve

13.30-14.30 lunch break

14.30-17.00- GBR techniques with membranes and fixation with tacks

- Modeling and fixation techniques of autoge-nous bone blocks with osteosynthesis screws

- Soft tissue suturing techniques in reconstruct-ed areas

17.00-17.30Learning assessment and course closure

FRIDAY MORNING

PRACTICAL PART ON THE CORPSE09.00-11.00- Treatment of peri-implant dehiscences and fenestrations by guided bone regeneration techniques with biomaterials and resorbable membranes

- The techniques of releasing the periosteum and the muscular plane to obtain tension-free sutures

11.00-11.30 Coffee-break

11.30-13.00- Techniques for harvesting epithelial-connec-tive grafts from the palate

- Suture techniques for fixing soft tissue grafts- Dissection of the palatine artery and nerve

13.00-14.00 Lunch break THEORETICAL SESSION14.00-16.00Lifting techniques of the maxillary sinus floor

PRACTICAL PART ON CORPSE16.00-18.00Sinus lift with lateral approach and dissection of the upper jaw with identification of the infra-orbital nerve and buccal fat pad

THEORETICAL SESSION18.00-19.00The management of the most common compli-cations related to maxillary sinus lift

SATURDAY

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ORGANIZING SECRETARIAT

Humanitas UniversityMario Luzzatto Simulation CenterHumanitas University02.8224.2249luzzattosimcenter@hunimed.eu

REGISTRATIONSOnline registration at www.humanitasedu.it Registration will be accepted in order of arrival for a maximum of 20 participants.

Partecipation fees:Early bird until May 15th: 2.500 € + vat 22%From May 16th: 3.000 € + vat 22%

Participation fee includes: o Active participation to surgery in Anatomy Labo Didactic material o Attendance Certificate o Coffee breaks and lunch as stated in the programo CME certificate (n. CME credits TBC)o 2 nights in 4* hotel with breakfasto 1 social dinner

What will you learn Course?

How to plan a case according to the Prosthetically Guided Regeneration (PGR) principle - How to apply the concepts of prosthetically

guided implantology to sites that present bone deficits of varying degrees

- How to choose the most suitable surgical recon-structive technique

- How cosmetic defects are managed with the use of biomaterials and soft tissue augmentation techniques

- How to correctly perform guided bone regenera-tion techniques for the treatment of small peri-im-plant defects (fenestrations and dehiscences)

- How to perform bone harvesting from intra-oral donor sites respecting the anatomical structures at risk

- How to perform horizontal and vertical guided bone regeneration techniques

- How to perform reconstruction techniques using autogenous bone blocks

- How to identify and protect dangerous anatomi-cal structures

- How to manage soft tissues for the hermetic closure of the flaps above the reconstructed areas (periosteal releases)

- How to correctly plan and perform maxillary sinus elevation techniques

The strengths of this course

- Limited number of participants

- Hands-on participation in multiple surgeries, with anatomical dissections aimed at bone and soft tissue regenerative surgery in different areas of the oral cavity

- Direct contact with faculty and the possibility of discussion of cases and comparison of ideas