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Recessions. All types of flap & tunnel techniques
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Mariano Sanz
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Homa Zadeh
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Giulio Rasperini
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Martina Stefanini
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Robert Carvalho da Silva
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Ion Zabalegui
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Leandro Chambrone
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Sofia Aroca
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Nelson Carranza
Dettagli del corso
Lezioni del corso
Lezioni del corso
Lettori
Recensioni
Dettagli
10 lezioni (15o 17m)
3.25 CE Credits
Inglese
Descrizione
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Lezione 1.Coronally advanced flap: when a connective tissue graft is needed?
– Coronally advanced flap: indications
– Connective tissue graft sampling:
- Trap door
- "L" technique
- Envelope technique.
– Selection of the donor zone for graft collection
– Advantages of de-epithelized graft
– Closing recessions: anatomical and clinical aspects of the choice of treatment method
– Surgical protocol for the treatment of a single recession: a clinical example
– Closing multiple recessions: a technique for creating a forced recession
– Treatment of gingival recessions in the molar region: protocol.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 2.VISTA: Periodontal Plastic Surgery. Part 2
– Peri-implant plastic surgery: indications and risk assessment;
– Gingiva vs peri-implant mucosa;
– Significance of peri-implant mucosa;
– Importance of implant position;
– Soft tissue augmentation techniques:
- Free gingival graft (FGG),
- Allograft/xenograft,
- L-PRF,
- Pedicle flap,
- Vascullarized inter-position (VIP) graft,
- VISTA;
– Material selection:
- Connective tissue graft (CTG),
- Tuberousity,
- Allograft/xenograft,
- Growth factors,
– Extraction socket management;
– Soft tissue management during implantation;
– Flap design;
– Vestibular depth management:
- Fibrin immobilisation vestibular extension (FIVE) technique;
– Esthetic enhancement;
– Clinical cases.
Lezione 3.VISTA: Periodontal Plastic Surgery. Part 1
– Periodontal plastic surgery: indications and risk assesment;
– Periodontal plastic surgery techniques:
- Coronally advanced flap,
- Laterally closed tunnel,
- Pinhole surgical technique,
- Vestibular incision subperiostal tunnel access (VISTA);
– Root prominence classification;
– Odontoplasty;
– Recession outcome predictors:
- Flap tension,
- Gingival margin position,
- Flap thickness;
– Full and partial thickness flap: comparison;
– Material selection:
- Autograft,
- Allograft,
- Growth factors,
– Tuberosity harvest;
– VISTA:
- Advantages,
- Step by step protocols,
- Clinical cases,
- Long-term results.
Lezione 4.Surgical recession coverage with a modified coronal advanced tunnel technique
Information on the lecturer's participation is to be updated.
Lezione 5.Treatment of deep (severe) gingival recessions with LAST (Laterally Stretched Flaps)
– Diagnosis and decision criteria for treatment of gingival recessions;
– Treatment alternatives for deep/narrow and deep/wide recession defects;
– The Laterally Stretched Flap concept: Technical variants;
– Palatal connective tissue harvesting with the Modified Double Blade Harvesting Technique;
– Selection of an adequate grafting technique, and graft customization to the recipient bed
– Management of complex cases: Multiple deep recessions.
Lezione 6.Localised gingival recessions. Definition, classification, aetiology and risk factors
– The lesions amenable for root coverage procedures;
– Classification of these lesions and define the most important factors in their diagnosis;
– The ethology and pathogenesis in the development of LGR;
– The risk and predisposing factors for the development of LGR;
– The consequences of treating and non-treating these lesions;
– The current approaches to their management.
Lezione 7.Soft tissue management in periodontal regeneration: interproximal attachment gain in RT3
– The adequate healing time of the periodontium after non-surgical therapy
– How to make clinical decision based on the site’s phenotype
– The operative sequence according to the defect’s characteristics
– The most advanced plastic regenerative surgical techniques for interdental attachment gain
– Techniques to treat RT3 recessions.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 8.Root coverage decision tree revisited: tunnel or flap procedures
– Decision-making strategies for treating various forms of recession;
– The decision tree;
– Advantages and disadvantages of using tunneling procedures and regular flaps;
– Comparative characteristics of the use of autologous tissue graft vs substitutes and growth factors;
– The etiology of the gingival recessions;
– When applying the connective tissue graft;
– The role of the growth factors;
– The proper indications of the tunneling procedure;
– The technique step by step.
Lezione 9.Tunnel technique for single and multiple gingival recession
– Mucogingival surgery: principles of biological healing
– Phases of graft healing
– Split and full-layer flap: advantages and disadvantages
– RT сlassification of recessions
– Bilaminar technique for eliminating single and multiple recessions
– Indications and goals for surgical elimination of recession
– Contraindications for conducting tunnel technique
– Сollection of a connective tissue graft from the palate: the significance of the anatomy and phenotype of the donor site
– Tunnel technique: protocol and demonstration of the methodology
– New surgical approach for treating RT3 recession.
Lezione 10.Predictability of root coverage procedures: clinical scenarios and evidence-based treatment options
– The main factors influencing the predictability of root coverage procedures according to the different patient-, procedure- and outcome-related factors;
– The main clinical scenarios depicted in the AAP Regeneration Workshop;
– Evidence-based findings on soft tissue (RC) of recession-type defects to daily clinical practice;
– Evidence-based findings to clinical practice, by presenting treatment approaches to the most common “clinical scenarios” related to gingival recession treatment;
– The influence of the keratinized tissue band on the long-term stability of results achieved by reconstructive soft tissue procedures.
Il corso include le seguenti lezioni:
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Lettori 9
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Professore e Direttore di Parodontologia presso University Complutense of Madrid, Spagna. Adjunct Professor presso University of Oslo, Norvegia. Adjunct Professor presso University of Bern, Svizzera. Ex Presidente della European Federation of Periodontology (EFP, 2014-2016). Direttore del gruppo di ricerca ETEP su Eziologia e Terapia delle Malattie Parodontali e Peri-Implantari.
Oltre 44 anni di esperienza clinica e accademica in parodontologia dalla laurea in medicina nel 1981. Ha ricevuto laurea MD dalla University Complutense of Madrid (1981), laurea in Stomatologia (1983), e Doctor of Medicine (PhD, 1985) con tesi di dottorato sull'invasione batterica dei tessuti gengivali nella parodontite avanzata supervisionata dal Dr. Antonio Bascones Martínez. Specializzazione in Parodontologia dalla University of California Los Angeles (UCLA, 1987). Ex Preside della Faculty of Odontology presso University Complutense of Madrid (2004-2012). Direttore del Postgraduate Program of Specialization in Periodontology presso UCM dal 1989. Co-Direttore del Diploma in Research Methodology and Biostatistics presso UCM.
Autorità internazionale nella ricerca parodontale avendo pubblicato più articoli scientifici rilevanti in odontoiatria durante l'ultimo decennio di qualsiasi altro autore globalmente. Ex Presidente della Spanish Society of Periodontology (SEPA), European Federation of Periodontology (EFP, 2014-2016), e European Association for Osseointegration (EAO). Ex Presidente della European Division of International Association for Dental Research (IADR). Ex Chairman del European Council of Deans of Faculties of Odontology. Ha ricevuto dottorati honoris causa dalla University of San Sebastian, Santiago, Cile; University of Gothenburg, Svezia; e University of Coimbra, Portogallo.
MD (1981), DDS (1983), PhD (1985) dalla University Complutense of Madrid. Certificate in Periodontology da UCLA (1987). Ha pubblicato estensivamente in riviste leader peer-reviewed inclusi Journal of Clinical Periodontology, Journal of Dental Research, Journal of Periodontology, e Journal of Periodontal Research. Focus di ricerca su microbiologia orale, studi clinici in parodontologia e implantologia dentale, eziologia e patogenesi di malattie parodontali e peri-implantari, rigenerazione parodontale e ossea, cellule staminali mesenchimali e interazioni batterio-ospite. Chairman del gruppo di ricerca ETEP dal 2005 guidando ricerca multi-centro su approcci antimicrobici nel trattamento di gengivite e parodontite. Regolarmente invitato come relatore principale a congressi parodontali internazionali maggiori in tutto il mondo.
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Parodontologo e immunologo specializzato in chirurgia plastica parodontale, chirurgia implantare e ingegneria tissutale. Ex Professore Associato di ruolo presso USC Ostrow School of Dentistry. Inventore della tecnica VISTA (Vestibular Incision Subperiosteal Tunnel Access) per trattare la recessione gengivale.
Oltre 37 anni di esperienza clinica e accademica in parodontologia. Ha servito come docente a tempo pieno presso University of Southern California per 28 anni (1991-2019), raggiungendo lo status di tenure. Direttore del Programma di Parodontologia Postdottorale presso USC (2012-2019). Presidente della Sezione di Parodontologia presso USC (2003-2006). Direttore del prestigioso Annual International USC Periodontal & Implant Symposium. Ex Direttore del Laboratory for Immunoregulation and Tissue Engineering (LITE), finanziato dal National Institutes of Health. Focus di ricerca sulla regolazione immunitaria, ingegneria tissutale, fattori di crescita e terapia parodontale rigenerativa.
Autorità riconosciuta internazionalmente avendo tenuto conferenze in oltre 40 paesi a conferenze prestigiose su chirurgia parodontale estetica, tecniche minimamente invasive, chirurgia implantare e applicazioni di ingegneria tissutale. Sviluppatrice della tecnica VISTA, un approccio rivoluzionario minimamente invasivo per copertura di recessioni multiple raggiungendo risultati estetici superiori con minimo disagio del paziente. Fa parte del panel consultivo del Center for Scientific Review of National Institutes of Health. Revisore editoriale per molteplici riviste parodontali internazionali. Membro del consiglio di Oral Reconstruction Foundation.
DDS dalla University of Southern California Ostrow School of Dentistry (1987). Certificato in Parodontologia dalla University of Connecticut School of Dental Medicine (1991). PhD in Immunologia dalla University of Connecticut School of Medicine (1991). Diplomato dell'American Board of Periodontology and Implant Surgery. Ha pubblicato quasi 100 articoli scientifici in riviste peer-reviewed e capitoli di libri su rigenerazione parodontale, chirurgia implantare, ingegneria tissutale e meccanismi immunitari nella malattia parodontale. Direttore del Comprehensive Surgical and Restorative Implant Training Program presso USC. Pratica privata limitata a parodontologia e chirurgia implantare nel sud della California. Attualmente affiliata con BioHorizons sviluppando sistemi implantari innovativi e protocolli chirurgici.
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Professore Associato di Odontoiatria e Parodontologia presso il Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Italia. Professore Clinico Associato Aggiunto presso il Dipartimento di Parodontologia e Medicina Orale, School of Dentistry, University of Michigan, USA.
Oltre 35 anni di esperienza clinica e accademica in parodontologia, medicina rigenerativa e implantologia dentale. Membro fondatore di iPerio Education Center a Piacenza, Italia (2017), fondato con il Dr. Giorgio Pagni e il Dr. Raffaele Acunzo per insegnare filosofia di odontoiatria moderna e concetti di trattamento. Focus di ricerca su rigenerazione tissutale guidata, ricostruzione parodontale e peri-implantare, scaffold bioriassorbibili stampati in 3D per riparazione parodontale e applicazioni di ingegneria tissutale.
Autorità internazionale sulla rigenerazione parodontale avendo pubblicato estensivamente e tenuto conferenze globalmente su tecniche chirurgiche per ricostruzione parodontale, derivati della matrice dello smalto e approcci biologici alla rigenerazione tissutale. Vincitore di molteplici premi di ricerca: International Quintessence Publishing Award (Boston 2000, 2004), Goldman Prize dalla Italian Society of Periodontology (1996, 2010, 2017), Clinical Research Award dalla European Association for Osseointegration (EAO 2010), Earl Robinson Periodontal Regeneration Award dall'American Academy of Periodontology (AAP 2012) e Align Research Award (2013).
DDS dall'Università di Pavia, Italia (1990). Certificato come Specialista in Ortodonzia dall'Università di Milano (1997). Certificato come Membro Attivo della Italian Society of Periodontology and Implantology (SIdP, 1997). Membro Attivo della European Academy of Esthetic Dentistry (EAED, 2009). Membro a Pieno Titolo della British Academy of Aesthetic Dentistry (2016). Membro del Comitato Editoriale dell'International Journal of Periodontics & Restorative Dentistry e revisore ad hoc per molteplici riviste internazionali. Oltre 10.900 citazioni su Google Scholar (H-index 36). Ha pubblicato articoli di riferimento su aumento verticale della cresta, platform switching, innesti di tessuto molle, scaffold stampati in 3D e interazioni parodontale-ortodontiche.
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Co-Author of a Chapter within the book “Implant Therapy” edited by M.Nevins and H.L.Wang.
Speaker at national and international conferences on periodontology.
Dental surgeon in private practice as expert in periodontology.
Active member of the Italian Society of Periodontology (SIDP).
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