Implantation without peri-implantitis
Descrizione
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Lezione 1.Peri-implantitis: how to diagnose and treat
– Evolution of the definition of "peri-implantitis"
– Mucositis and peri-implantitis: the main differences
– Diagnostic criteria of peri-implantitis
– Epidemiology of peri-implantitis
– Etiology and risk factors for the development of peri-implantitis:
- Biofilm
- Genetic predisposition
- Prosthetic restoration design.
– Parodontitis and peri-implantitis: the main differences
– Diagnosis of peri-implantitis:
- Probing
- Periapical X-ray.
– Criteria for evaluating the success of treatment of peri-implantitis
– Treatment of peri-implantitis: goals and objectives
– Tools for cleaning the implant surface
– Antibiotic therapy: indications
– Non-surgical treatment of peri-implantitis
– 3 approaches of surgical treatment of peri-implantitis
– Implantoplasty: protocol.
Lezione 2.Peri-implant diseases: non-surgical periodontal approach
– The main differences between periodontitis and peri-implantitis;
– Non-surgical management of mucositis and peri-implantitis;
– Peri-implant subgingival calculus detection;
– Effective teaching of oral hygiene skills and professional maintenance care in case of implant supported prosthesis;
– Professional Comprehensive Subgingival Debridement:
- Manual instrumentation with titan universal curet,
- Mechanical instrumentation with plastic or modified ultrasonic inserts,
- Air-flow devices.
– How to avoid instrumentation errors.
– Diode laser in the treatment of peri-implantitis
– Professional prophylaxis appointment in case of peri-implant tissue health, non-surgical protocol in case of mucositis and in case of peri-implantitis;
– Antimicrobials and antibiotics;
– Peri-implant maintenance.
– Improving "doctor-patient" communication skills. Patient motivation.
Lezione 3.Peri-implantitis as consequence of factory-related implant contamination? Research results of SEM analysis
– The big misunderstanding: "Sterile" is not necessarily the same as "clean";
– A five-step approach for cleaner dental implants;
– The "Precautionary Principle" as dentists' guideline;
– Concerning results of one of the worlds largest quality assessment studies on dental implants;
– Clinical effects of implant contaminants and their role in peri-implantitis;
– Legal implications and the thread of patients' damage claims;
– Why we need a new standard for implant cleanliness.
Lezione 4.Treatment options for peri-implantitis cases
– Diagnostics of peri-implant tissues: probing technique
– Peri-implantitis and peri-implant mucositis: criteria for diagnosis
– Remove the implant or save it: the decision-making algorithm
– Protocol of surgical treatment of peri-implantitis
– Method of implant removal
– Tasks of non-surgical treatment of mucositis and peri-implantitis
– Oral hygiene as a key factor of treatment
– Methods and tools for the treatment of peri-implantitis
– Laser therapy: effectiveness in the treatment of peri-implantitis
– Antibiotic therapy: the validity of local and general use
– Implant surface: significance for the effectiveness of treatment
– Cleaning the implant surface: methods and tools
– Criteria for the selection of suture material and the method of suturing
– Use of materials for bone grafting
– Evaluation of the effectiveness of treatment
– The value of maintenance care.
Lezione 5.Peri-implant soft tissue integration to reduce the risk of peri-implantitis
– The importance of keratinized mucosa for the stability of implants
– Free gingival graft: when and how much is needed
– Peri-implantitis: factors and causes of development
– The technique of taking and fixing a free gingival graft
– Planning of implantological treatment: clinical tips
– Guided bone regeneration: indications and method
– The recession around the implant: a method for closing defects.
Lezione 6.Bone & Soft Tissue Oxidative Stress following bone grafts and implants. Biologic solutions
– Fracture healing: conditions
– The concept of osteology and osteoimmunology
– Etiology of oxidative stress
– Causes of persistent contamination
– Antibiotic therapy: selection criteria and application scheme
– Selection of biomaterial
– Scientific justification for the use of PRF
– Cholesterol and vitamin D: types and effects on healing
– Apical mattress sutures: advantages
– Excessive implant pressure: prevention methods
– The concept of osteoimmunology
– Indications for the collagen membrane.
Lezione 7.Decontamination protocols in the treatment of peri-implant diseases and efficacy of non-surgical approaches
– Etiology of mucositis and peri-implantitis
– Treatment protocol for severe periodontitis
– Prevention of the development of peri-implantitis
– Risk factors for the development of peri-implantitis
– Informing the patient as a guarantee of successful treatment
– Diagnostic wax up
– Errors when installing implants
– Supportive therapy: techniques
– Decontamination protocols:
- tools and methods
- chemical solutions
- antibiotic therapy.
– Principles of laser application
– Protocol for the treatment of mucositis
– Protocol of non-surgical treatment of peri-implantitis.
Lezione 8.Efficacy of the surgical treatment of peri-implantitis
– Dental plaque control and decontamination methods
– Classification of peri-implant defects
– Planning of treatment of peri-implant defects: 2D or 3D images
– Indications for surgical treatment
– Algorithm for choosing the type of surgical treatment
– Treatment of peri-implantitis in an aesthetically significant area
– Resection approach to the treatment of peri-implantitis
– Success factors of peri-implantitis treatment
– Advantages of implantoplasty
– The role of antibiotic therapy in complex treatment
– Possibilities of repeated osseointegration
– Polishing the implant surface: a clinical example
– Technical factors of peri-implantitis development.
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Lettori 7
Dental Degree, Ferrara University, Italy. Registered Dental Hygienist, Forsyth School, Boston, U.S.A., Bachelor Degree in Classical Literature, Bologna University, Italy.
Assistant Professor: Master of Prosthesis and Implantology, Alma Mater Studiorum, Bologna University; European Master Degree on Oral Laser Applications, Parma University and Rome University, and Master Degree in Oral Surgery and Pathology, Parma University.
3 English published books: "Get sharp" and "non-surgical periodontal therapy, indications, limits and clinical protocols with the additional use of diode laser " and an Atlas text: “Peri-implant diseases: Surgical Treatments, 2019 by Quintessense International ed, “Peri-implant diseases: Non-Surgical Protocols” on press, 2020. It has also released a DVD, in Italian and English, on the use of diode laser, associated with nonsurgical periodontal instrumentation.
Dr. Dirk U. Duddeck received his degree in Dental Medicine in 1992 from Heidelberg University where he subsequently worked as an Assistant Dentist at the Heidelberg University Clinic for Mouth, Jaw and Facial Surgery. In 1999, he founded a leading continuing education and consulting firm in the dental field. From 2007 to 2015, he worked as a Research Assistant at the Polyclinic for Oral Surgery and Implantology and the Polyclinic for Mouth, Jaw, and Facial Plastic Surgery in Cologne. He conducted numerous studies there on the surface analysis of implants and peri-implatitis therapy.
He has been Director of the European Academy of Dental Implantology and Program Director of the independent Medical Materials Research Institute MMRI based in Berlin since 2014. In addition, he leads the Clean Implant Foundation, a worldwide initiative whose focus is investigating the quality of dental implants.
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