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Recessions. All types of flap & tunnel techniques

4.82
50 voti
Homa Zadeh
Mariano Sanz
Leandro Chambrone
Ion Zabalegui
Robert Carvalho da Silva
Martina Stefanini
Nelson Carranza
Dettagli del corso
Lezioni del corso
Lezioni del corso
Lettori
Archiviato
Cosa è incluso:
8 lezioni (13o 40m)
12.75 CE Credits
Inglese

Descrizione

We present to your attention the most complete course in the recessions treatment! All the key methods of treating this pathology are waiting for you.


Thanks to world-renowned lecturers:


- Homa H. Zadeh

- Leandro Chambrone

- Ion Zabalegui

- Roberto Carvalho da Silva

- Mariano Sanz Alonso

- Nelson Carranza


... you will thoroughly study this topic.


In the online course, doctors will cover the following topics:


– Strategy for the selection of techniques and materials for the treatment of recessions

– Tunnel technique for single and multiple gingival recession

– Treatment of deep (severe) gingival recessions with LAST (Laterally Stretched Flaps)

– Pinhole technique protocol

– VISTA technique protocol

– Soft tissue management during implantation

– Extraction socket management.

Lezione 1.Predictability of root coverage procedures: clinical scenarios and evidence-based treatment options

– Understanding the individual needs of the patient

– Recessions: indications for treatment

– Miller's classification of recessions

– Methods of closing gingival recessions:


- A group with a laterally positioned flap

- A group with a coronally advanced flap

- A group using a free gingival graft

- A group with the use of a subepithelial connective tissue graft.


– Predictability of treatment depending on the treatment plan

– Factors affecting the prognosis of treatment

– Treatment of Class I and II recessions according to Miller: the gold standard procedure

– Tissue healing after the closure of recessions in smokers

– Treatment of recessions of class III and IV according to Miller: the choice of treatment method

– Risk factors for the closure of the exposed root

– The value of the thickness of the keratinized gum for predicting treatment

– Methods of gingival phenotype modification

– Long-term stability of the gingival margin: factors

– Non carious cervical defects: treatment methods

– Treatment of multiple recessions: the use of allogeneic and xenogenic transplants

– Principles of connective tissue graft sampling.


Recommended for: Implantologist, Periodontist, General dentists.

Lezione 2.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.


Recommended for: Implantologist, Periodontist, General dentists.

Lezione 3.Root coverage decision tree revisited: tunnel or flap procedures

– Gingival recessions: definition, causes, consequences

– Classification of recessions

– Algorithm for choosing a method of treating a recession

– Tunnel access techniques: 


- Modifications of the method

- Advantages of technology

- Criteria for successful treatment.


– Connective tissue graft: indications and benefits

– Modified envelope flap: technique

– Treatment protocols for extreme recessions.


Recommended for: Implantologist, Periodontist, General dentists.

Lezione 4.Localised gingival recessions. Definition, classification, aetiology and risk factors

– Localized gingival recession: anatomical background 

– Apical displacement of the gingival margin: norm or pathology? 

– Cervical non-carious defects: when do they appear and should they be treated? 

– Dentin hypersensitivity: tactics 

– Risk factors for the development of localized gingival defects 

– New classification of mucogingival conditions 

– Algorithm for choosing a treatment method 

– Tactics of treatment of localized gingival recessions.


Recommended for: Implantologist, Periodontist, General dentists.

Lezione 5.Treatment of deep (severe) gingival recessions with LAST (Laterally Stretched Flaps)

– Diagnosis and treatment planning of recessions

– The concept of pathological gingival recession

– Factors influencing the progression of recessions

– Surgical methods of correction of gingival recessions:


- Flap offset

- Use of connective tissue grafts.


– Algorithm for choosing a treatment method

– Working with connective tissue graft:


- Harvesting techniques

- Recipient site design

- Flap moving techniques.


– Principles and protocol of tunnel methodology

– Treatment of deep and narrow recessions, deep and wide recessions: step-by-step protocol

– The laterally stretched flap concept: technical variants.


Recommended for: Implantologist, Periodontist, General dentists.

Lezione 6.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.


Recommended for: Implantologist, Periodontist, General dentists.

Time: 1 h 40 min

Lezione 7.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.


Recommended for: Implantologist, Periodontist, General dentists.

Time: 1 h 36 min

Lezione 8.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.

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Lettori 7

Dr. Zadeh is an Associate Professor at the USC School of Dentistry and a Diplomate of the American Board of Periodontology. He received his doctor of dental surgery degree from USC School of Dentistry in 1987. He has also completed advanced clinical education in Periodontology and earned a PhD degree in immunology from the University of Connecticut, Schools of Dental Medicine and Medicine. Dr. Zadeh directs the Laboratory for Immunoregulation and Tissue Engineering (LITE), funded by the National Institutes of Health. He has extensive publication track record and serves as editorial reviewer for several international scientific journals. He also serves on an advisory panel to the Center for Scientific Review of the National Institutes of Health. Dr. Zadeh is the Director of the USC Periodontal and Implant Symposium, and the USC Comprehensive Surgical and Restorative Implant Training Program. He also maintains a part-time private practice limited to Periodontology in Southern California.
 
Professor of Periodontology in UCM. Past President of the Spanish Society of Periodontology, The European Federation of Periodontology and the European Federation of the International Association for Dental Research.
 
Dr. Leandro Chambrone currently serves as an Adjunct Associate Professor in the Department of Periodontics at Penn Dental Medicine. He holds extensive experience in didactic teaching and clinical training of predoctoral and postgraduate (MSc and PhD) students. His first exposure to teaching was during his postgraduate training (2007-2012), when Dr. Chambrone worked with predoctoral students as a clinical supervisor and lecturer. Upon completion of this training, he joined Guarulhos University as an Assistant Professor, where he was in charge of lecturing didactic classes and providing laboratorial and clinical training to predoctoral and postdoctoral students. He then went on to join the MSc Dentistry Program at Ibirapuera University, where his responsibilities included lecturing the predoctoral and postdoctoral classes and mentoring Master students. Dr. Chambrone serves as an Ad-honorem Associate Professor / Research Consultant at the Unit of Basic Oral Investigations at El Bosque University (Colombia), as well as Visiting Professor at the Department of Periodontology at the University of Iowa. He has developed didactical materials that have been widely used by predoctoral and postdoctoral students worldwide. Along these lines, he has co-authored a chapter in the 12th and 13th eds. of Carranza’s Textbook of Periodontology, four commissioned review papers for the American Academy of Periodontology (one on soft tissue root coverage for the 2014 AAP Workshop on Periodontal Tissue Regeneration and three for the AAP Best-Evidence Consensus on Lasers and CBCT), and for the European Federation of Periodontology (XV Workshop in Periodontology). Furthermore, he has published two textbooks, one on Periodontal Plastic Surgery for undergraduate students published in three languages (English, Portuguese and Chinese) by Springer Verlag Book Co. in 2015, and one on Decision-Making in Dental Implantology published in five languages (English, Portuguese, Chinese, Russian and Turkish). Dr. Chambrone’s scientific papers are often reviewed in local and international Certificate Programs of Periodontology. Beyond his enthusiasm and dedication as a dental clinician and educator, Dr. Chambrone is also heavily involved with clinical research and evidence-based dentistry. His publications have a high impact in current dentistry and are among the most cited articles published in 2012 and 2015 at both Journal of Clinical Periodontology and Journal of Periodontology. Recognition of his work in the field of periodontology is also demonstrated through his work as member of the Cochrane Oral Health Group and editorial board of an international dental journal (i.e. Clinical Oral Implants Research). In addition, Dr. Chambrone currently serves as the Section / Associate Editor of Clinical Research for the International Journal of Oral Implantology. He is currently working on a new book on periodontal and implant-related plastic surgery to be released in 2021 by Quintessence Publishing Group.
 
Dr. Ion Zabalegui, was born in Bilbao, Spain, within a family of dentists (grandfather, uncle). He and his brother Borja, went through medical school (6 years) and the specialization in Stomathology (2 years), that in those times were mandatory in that country in order to be able to practice as Dentist. Ion was accepted at the Graduate Periodontology program at the U. Southern California, and he graduated in 1987 being Dr. Oded Bahat his program director. Once graduated he returned to his home city, Bilbao, in the vasque country in Spain, where he developed his private practice with his brother Borja, M.D; DDS, Grad Endo from USC, and Jaime Gil, M.D; D:D:S, his restorative partner at the “Albia Clínica Dental” which has been ever since a reference in Spain for dental treatment. He joined in Spring 1987 the Staff as a visiting Professor for the Grad Perio department at the University Complutense in Madrid. Later, he has been occasional visiting Professor at different Universities around Spain. From then on, he became a recurrent speaker in Spain and throughout Europe and Latin America, on Regenerative therapy in Periodontology, Mucogingival treatment of multiple gingival recessions, Implant therapy, Hard and soft tissue reconstruction. He has also been involved in Clinical Research in several RCT´s in Multicenter Studies throught out Europe. He was also a member of the AAP´s 2015 Workshop in Regenerative Therapy. He has published multiple articles, text-book chapters and other educational activities. At present, he owns with Dr. Mariano Sanz and Dr. Dino Calzavara the 3-D graphics company “Periopixel”.
 

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