Periodontitis: surgical and non-surgical treatment methods
Descrizione
This is detailed and evidence based information on surgical and non-surgical treatment methods of periodontitis.
The course will analyze the international protocols for the treatment of periodontitis stages I-III:
– use of Host-modulators (omega-3, low doses of doxycycline, statins, bisphosphonates, probiotics and trace elements)
– surgical methods of treatment
– treatment of an aggressive form of periodontitis.
After this course, you will have ready to use protocols for the treatment of all kinds of periodontitis.
Lezione 1.Introduction. Clinical practice guidelines: non-surgical and surgical treatments for periodontitis
– Treatment of periodontitis of stage I-III by S3-level CPG
– Etiotropic therapy: goals, tools and meaning
– Choice of treatment method: implantation vs surgical periodontology
– Flap surgery: advantages
– Scaling vs root polishing
– Recommendations for the non-surgical periodontitis treatment method
– Indications for non-surgical methods
– Flap surgery vs tool processing
– Flap surgery vs resective therapy
– Postoperative recommendations for the patient and maintenance therapy.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 2.Non-surgical methods for the treatment of periodontitis
– The relationship of systemic diseases and periodontal diseases
– Clinical effect of a diode laser
– Protocol of III stage periodontitis treatment with diode laser
– Indications for non-surgical treatment methods
– Methods of detecting subgingival calculus: tools and techniques
– Root planing: disadvantages
– Advantages of laser therapy in the periodontitis treatment
– Etiotropic non-surgical therapy
– Scientific justification of the use of laser in periodontal treatment
– Square therapy: step-by-step protocol
– Economic justification of laser therapy
– Surgical vs non-surgical methods of periodontitis treatment
– Surgical protocol for the treatment of periodontitis in aesthetic zone
– Indications for implantological periodontitis treatment
– Laser therapy in the treatment of periimplantitis and mucositis
– Oral hygiene in the conditions of Covid-19: Ronca beats.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 3.Host modulators: a paradigm shift in the treatment of periodontitis
– Guidelines for the periodontitis treatment: 4 main stages
– Additional therapy for subgingival instrumental treatment
– Modulator of the host organism: biological justification for use
– Theory of polymicrobial synergy and dysbiosis
– The role of inflammation in the pathogenesis of periodontitis: paradigm shift
– Evidence base for the use of the host body modulator:
- Sub-antimicrobial dose of doxycycline (SSD)
- Local use of statins
- Local application of bisphosphonates
- Local use of metformin
- Non-steroid anti-inflammatory drugs
- Omega-3 polyunsaturated fatty acids
- Use of probiotics
- Micronutrients and vitamins.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 4.S3-level treatment guideline for an evidence-based treatment of periodontal diseases
– The main goals of the 4 stages of therapy
– Stage 1 of therapy:
- Recommendations on the selection of oral hygiene products and methods
- Control of gum inflammation: additional methods of therapy
- Control of risk factors: smoking and diabetes mellitus.
– Stage 2 of therapy:
- Protocol of subgingival instrumental processing
- Protocol of disinfection of the entire oral cavity
- Hand vs ultrasonic instruments
- Justification of the use of systemic antibiotics
- Indications for the use of local antibiotics
- Host-modulators: evidence base.
– Stage 3 of therapy:
- Flap surgery vs tool processing
- Criteria for choosing a flap design
- Resection periodontal surgery vs flap surgery
- Protocol of treatment of intraosseous defects and choice of materials
- Treatment of furcation defects.
– Stage 4 of therapy:
- Prevention of relapses
- Maintenance therapy.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 5.Regeneration of infra bony defects in periodontal patients
– Basic surgical principles of periodontitis treatment
– Three-wall defect: diagnosis, treatment protocol, prognosis
– Rules for making incisors when working in the aproximate zone
– Features of suturing: methodology and recommendations
– Defect of the cortical plate from the vestibular and palatine sides: principles of restoration
– Formation of a bone defect in posterior area
– Flap enlarging gingival papillae: technique
– Flap design when working in the frontal area
– Methods of working with gingival papillae: a minimally invasive approach
– Bone graft in the periodontitis treatment
– Double flap technique
– Single and double wall defects: non-surgical treatment methods
– Criteria for the patient's readiness for surgical treatment of periodontitis.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 6.Surgical approach for infra-bony defects
– Clinical and radiological signs of periodontal diseases
– Classification of periodontal diseases
– 3-wall and 2-wall defects: clinical aspects, diagnosis, prognosis
– The mechanism of wound healing
– Guided tissue regeneration: biological foundations
– Indications for the use of bone graft
– Use of resorbable and non-resorbable biomaterials
– Flap design and suturing techniques
– Treatment of an aggressive form of periodontitis in a young patient: a clinical example
– Protocol of guided bone regeneration with tooth mobility: an example.
Recommended for: Implantologist, Periodontist, General dentists.
Lezione 7.Treatment of the stage IV periodontitis patient
– Classification of periodontal diseases
– Periodontitis of the IV degree of severity: criteria for diagnosis
– Treatment plan for a patient with IV degree periodontitis
– Moving teeth in patients with periodontal tissue diseases
– The effect of intrusive and retrosive orthodontic movements in patients with healthy but reduced periodontitis
– Prosthetics on implants in patients with periodontal diseases
– Protocol of treatment of a patient with pathological migration of teeth.
Recommended for: Implantologist, Periodontist, General dentist.
Il corso include le seguenti lezioni:
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Competenze che imparerò durante il corso
Parodontologia
Treatment methods
Pathologies
Lettori 6
In 1992 received the Master of Science in Dentistry in Periodontology.
Has since cooperated with different research groups at projects related to guided tissue regeneration, guided bone regeneration and implant dentistry.
He is author of more than 30 papers published on peer reviewed magazines, co-author of the book Bone Biomaterials and Beyond where he wrote the chapter on periodontal regeneration.
Active member of the Italian Academy of Esthetic Dentistry, of the European Society of Cosmetic Dentistry, Certified member of the Italian Society of Periodontology, International member of the American Academy of Periodontology.
Funding member and vice president of the Bone Biomaterials and Beyond Academy.
Has been a professor at the Master of second degree in Periodontology at Sapienza University of Rome since 2000, at the master in Implantology and prosthetics of the University of Pisa since 2010.
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.
Organizzatore
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