Advanced periodontology: surgical protocols

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Descrizione

Surgical treatment of periodontal complex cases: from scalpel choosing to suturing!

 

In Dr. Daniel Melker course, you will learn the protocols of:

 

– Flap design: full thickness, split thickness, lingual, in the anterior and posterior area

– Removal of exostoses and bone excesses

– Gingivectomy with and without the use of a digital surgical guides

– Treatment of gummy smile

– Frenectomy

– Soft tissue grafting from the palate, maxillary tuberosity and the lingual area

– Altered active and passive eruption 

– Treatment of root surface irregularities.

 

In numerous clinical cases you will work out all the stages of surgical manipulations and evaluate the advantages and long-term results of using various techniques!

Lezione 1.Free example. A biological approach to periodontal surgery

– Flap reflection posterior

– Proper treatment of a flap

– Anatomy of periodontal ligament

– Incisions and flap design

– Full thickness and split thickness flap

– Blades: types and indications 

– Flap extension

– Trapezoid flap.

 

Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 2.Flap design: step-by-step protocols

– Full thickness flap: step-by-step protocol 

– Soft tissue and provisionals 

– Lingual flap on the mandibular arch

– Split thickness flap: step-by-step protocol 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 3.Biologic concepts in periodontal surgery

– Anterior flap design

– Clinical crown length

– Clinical case of exostosis removal

– Surgical guides for gingivectomy 

– Excess removal

– Trauma to the papilla

– Knife edge margins.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 4.Crown lengthening: clinical protocols

– Crown lengthening 

– Bone sounding 

– Causes of relapse

– Gummy smile treatment protocol

– Atraumatic flap 

– Prosthetics rehabilitation.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 5.Periodontal surgery in aesthetic zone

– Anterior papilla preservation

– Indications for anterior surgery 

– Anterior flap design 

– Blades choosing and Incisions 

– Frenum and Frenectomy

– Planning of Gingivectomy 

– Flap placement after surgery

– Primary closure of the flap.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 6.Suturing: materials, tools, basic techniques

– Importance of suturing

– Suture materials

– Technique of the needle holding

– Tools for suturing

– Mistakes in suturing 

– Interrupted suture technique 

– Sling suture technique 

– Mattress suture technique.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 7.Suturing: techniques and clinical cases

– Continuous suturing 

– Periosteal suturing

– Suturing with soft tissue graft

– Healing and discomfort

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 8.Soft tissue grafting from the palate. Part 1

– Benefits of attached connective tissue

– Protocols of recession treatment

– Tunnel technique

– Video demonstration of suturing 

– Root surface preparation 

– Advantages of connective tissue 

– Graft from the palate: technique 

– Soft tissue grafting in aesthetic zone 

– Step-by-step protocol of grafting from the palate

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 9.Soft tissue grafting from the palate. Part 2

– Mucogingival junction 

– Marginal and submarginal grafts

– Step-by-step surgical procedures protocol 

– Growth factors 

– Cover for palatal graft donor site 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 10.Tuberosity tissue

– Instruments 

– Step-by-step protocol of grafting from tuberosity:


- Diagnosis 

- Incisions 

- Flap forming 

- Grafting 

- Suturing 

- Restoration.


– Connective tissue from inside the lingual flap 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 11.Allograft tissue

– Benefits of perioderm tissue 

– Step-by-step protocols of using allograft

– Periodontal treatment in aesthetic zone 

– Allograft: characteristics 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 12.Biologic width

– Junctional epithelium

– Periodontal treatment of furcation area

– Clinical crown length 

– Biologic width 

– Back action chisel: features of using 

– Instruments and burs

– Altered passive eruption 

– Altered active eruption 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 13.Prosthetic stage: cores and provisionals

– Treatment planning 

– Interdisciplinary Interaction

– Core build-up 

– Materials and Instruments 

– Provisionals 

– Clinical cases 

– Biologic shaping:


- Aspects 

- Indications 

- Technique. 


– Maintenance: patient-hygienist

– BOPT: characteristics, burs and protocol.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 14.Root surface irregularities treatment

– Correction of root surface irregularities 

– Instruments and burs

– Cemento-enamel junction 

– Anatomic crown contour

– Vertical preparation 

– Osseous contouring 

– Richard elevator

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 15.Final margin location in perio-restorative biologic shaping of bicuspids and in general

– Causes of inflammation 

– Supragingival margins

– Materials for prosthetics 

– Impressions

– Bicuspid reshaping 

– Biologic shaping 

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

Lezione 16.Biologic shaping of molars

– Furcation involvement 

– Bicuspidization 

– Location of previous margins of existing crowns

– Crown lengthening in mandibular molars 

– Furcation removed

– Step-by-step protocols of periodontal surgical treatment of molars

– Clinical cases.


Recommended for: Periodontists, Implantologists, Oral and maxillofacial surgeons.

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Lettori 1

Lecturer in the University of Florida Periodontic and Prosthodontic graduate programs on the Periodontic-Restorative relationship and at Baylor University, University of Houston, University of Alabama Birmingham, as well as LSU Graduate Periodontal Program University of Illinois, Nova graduate students and the University of Oklahoma graduate Periodontics and Prosthetic programs. Wrote a chapter in the new textbook Advances in Periodontal surgery on Biologic Shaping in conjunction with Dr. Alan Rosenfeld and Dr. Salvador Nares. The textbook Contemporary Fixed Prosthodontics 6th edition includes Biologic Shaping, as well as the textbook a Guide to Periodontal treatment Solutions for General Dentistry.
 

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