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Leonardo Trombelli: Periodontal regeneration with the Single Flap Approach (Straumann® Emdogain)

  Periodontitis is the most common chronic inflammatory disease seen in humans. 5 – 15% of the worldwide population suffers from severe periodontitis that may lead to tooth loss [1]. Subjects with periodontitis have a 25% increased risk for coronary heart disease when compared to periodontitis-free individuals [2].  Over the years, many treatment strategies have been devised to treat this condition by regenerating the hard and soft tissues lost due to periodontal disease or trauma. Various surgical techniques and biomaterials have been explored. With the Single Flap Approach (SFA), Prof. Leonardo Trombelli has developed a simplified but effective procedure. Prof. Leonardo Trombelli “Simplified Surgical Procedures for Periodontal Regeneration” – Live surgery and hands-on course September 7-8 2017 at the Ferrara Regeneration Campus in Ferrara, Italy PROGRAM FLYER AND REGISTRATION FORM Technique matters: Flap design and suture techniques are of paramount importance for maximizing the reconstructive potential of a biomaterial [3]. Watch Prof. Leonardo Trombelli’s surgical movies on the Straumann website. Key: the adequate surgical procedure While an adequate biomaterial contributes to the success of a regenerative treatment, an adequate surgical procedure is key. In recent years, it has been understood that the stability of the root surface-adhering blood clot is of paramount importance to ensure adequate early healing which allows for the cascade of biologic events leading to periodontal regeneration to take place. A dehiscence of the wound margin which may occur as a result of a compromised vascular supply due to surgical manipulation and/or tensile forces could jeopardize regeneration. [4]  A simplified and effective procedure A flap design and suturing technique which allow for stabilization of the blood clot and its protection from mechanical and microbiologic challenges is then the solution. The Single Flap Approach (SFA) is one of the techniques which fulfills such requirements. It represents a simplified procedure that allows to surgically access intrabony periodontal defects by raising a single full thickness flap (either buccal or lingual, depending on the defect extension). [5] The Single Flap Approach (SFA) leads to considerable clinical improvement [6]. It is similarly effective to the double flap (i.e., buccal and palatal) approach [7]. SFA leads to limited postsurgical recession making it a suitable option to surgically treat defects in areas with high esthetic demands [8]. Case report by Prof. Leonardo Trombelli illustrating the Single Flap Approach Fig. 1 trombelli1 Fig. 2 trombelli2 Fig. 3 trombelli3 Fig. 4 trombelli4 Fig. 5 trombelli5 Fig. 6 trombelli6 At the diagnosis stage, periodontal probing indicates a deep periodontal pocket (Fig. 1). A regenera¬tive treatment based on the single flap approach technique in combination with Straumann® Emdogain® is performed (Figs. 2 and 3). Two weeks after the treatment, the soft tissue at the surgical site is in good condition (Fig.4). Probing at one year post-op indicates healthy periodontal conditions (Figs. 5 and 6, right). Courtesy of Prof. Leonardo Trombelli. Straumann® Emdogain® Emdogain® in numbers Straumann® Emdogain® Straumann® Emdogain® (used alone or in combination with bone graft) is arguably the material of choice to treat periodontal defects. Adding Emdogain® to an open flap debridement surgical procedure has demonstrated to yield significantly better clinical results than the procedure alone . Adding Emdogain® to the procedure has also been shown to significantly reduce post-surgical pain and swelling, as well as improve wound healing . Emdogain® in numbers 20 years on the market 2 million patients treated* Over 1000 scientific publications*** Over 600 clinical publications Extremely well tolerated** *based on number of syringes sold globally **based on a global post-surgical complication rate of less than 0.002% *** based on pubmed search for Emdogain or “enamel matrix derivative” Leonardo Trombelli DDS, PhD Full Professor and Chair, Periodontology and Implantology, School of Dentistry, University of Ferrara. Director of Research Center for the Study of Periodontal and Periimplant Diseases, University of Ferrara. Director, Dental Clinic, University Hospital, Ferrara. Dean, Dental School, University of Ferrara. Private pratice focused on Periodontology and Implantology. Scientific references 1 AAP: Position Paper: Epidemiology of Periodontal diseases. J Periodontol 76, 2005;1406 – 1419 2 DeStefano et al., Dental disease and risk of coronary heart disease and mortality. BMJ. 1993 Mar 13;306(6879):688-91. 3 Sculean et al. Ten-year results following treatment of intra-bony defects with enamel matrix proteins and guided tissue regeneration. J Clin Periodontol. 2008 Sep;35(9):817-24 4 Ozcelik et al. Immediate post-operative effects of different periodontal treatment modalities on oral health-related quality of life: a randomized clinical trial. J Clin Periodontol. 2007 Sep;34(9):788-96. 5 Polimeni G, et al. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000, 2006; 41:30–47 6 Farina et al. Single-flap approach in combination with enamel matrix derivative in the treatment of periodontal intraosseous defects. Int J Periodontics Restorative Dent. 2014 Jul-Aug;34(4):497-506. 7 Trombelli et al. Single-flap approach for surgical debridement of deep intraosseous defects: a randomized controlled trial. J Periodontol. 2012 Jan;83(1):27-35. 8 Trombelli et al. Single-flap approach with buccal access in periodontal reconstructive procedures.J Periodontol. 2009 Feb;80(2):353-60. The post Leonardo Trombelli: Periodontal regeneration with the Single Flap Approach (Straumann® Emdogain) appeared first on STARGET COM.

Giovanni Zucchelli: Mucogingival surgery around teeth and implants in the anterior zone – why the goal is complete coverage (Straumann® Emdogain/botiss mucoderm®)

  Gingival recession around teeth and soft tissue dehiscence around metallic implants are common grounds for dissatisfaction among patients. Exposure during smiling or function of portions of the root or implant surface are the main indications for surgical coverage procedures. Generally only the most coronal millimeter(s) of the recession is/are exposed during smiling or function, therefore the presence and/or the persistence of a shallow recession after therapy may be a problem for the patient. Thus, the goal is complete root (or implant) coverage when patients are dissatisfied with the esthetic appearance of their teeth or implant(s). Enhance your skills in periodontal plastic surgery with Prof. Zucchelli In 2017 we are again delighted to sponsor two international courses in June and October on Reconstructive periodontal plastic surgery around teeth and implants in the esthetic zone with one of the leading plastic surgeons Prof. Giovanni Zucchelli. In this course, you will learn about Prof. Zucchelli’s techniques [6,7] to help you achieve complete root and implant coverage. Cannot make it to the course? Watch the recording of Prof. Zucchelli’s one-hour webinar free of charge at www.botissacademy.com How to achieve complete coverage – insights from the literature Recent systematic reviews and consensus reports on root coverage procedures [1,2] concluded that the addition of autologous connective tissue graft (CTG) or Emdogain® (EMD) under a Coronally Advanced Flap (CAF) are the procedures of choice to achieve complete root coverage as they both have extensive evidence showing that they significantly improve root coverage compared with CAF alone. . A split mouth, randomized clinical trial [3], has shown that treatment of gingival recession defects with either CAF+CTG or CAF+ EMD appears stable, clinically effective, and similar to each other on all measured parameters, even after 10 years. Because the CAF+EMD procedure avoids the need for a CTG harvesting procedure, it is the preferred treatment of most patients. A randomized clinical study [4] has shown that the addition of EMD to CAF procedures not only enhances root coverage but also increases the formation of keratinized gingiva, which together may contribute to improved esthetics of the clinical results. **** A split mouth, randomized clinical trial [5] which compared the treatment of gingival recession defects with either CAF+CTG or CAF + a xenogenic collagen matrix (CAF + CMX) after 6 months and 5 years concludes that CMX+CAF appears to present a viable and long-term alternative to traditional CTG+CAF therapy. Prof. Zucchelli’s technique for the treatment of single and multiple recession defects affecting adjacent teeth in patients with esthetic demands has been shown to achieve complete root coverage in most patients, irrespective of the number of recessions treated in each intervention.  You will have the opportunity to practice this technique on pig jaws, watch two live surgeries and are invited to bring your own cases for an open discussion with the expert. In this course, Prof. Zucchelli will also present his approach for soft tissue dehiscence coverage around single implants which has proven successful in fully correcting severe vertical and horizontal peri-implant soft tissue defects and achieving high patient satisfaction [8,9]. (Click on the picture for a larger resolution) Stages of treatment with Straumann® Emdogain® under a Coronally Advanced Flap (CAF): Before treatment (5 mm recession defect) – 8 months after treatment – 7 years after treatment: root is completely covered. With courtesy of Prof. Zucchelli. Straumann® Emdogain® is a unique gel containing enamel matrix derivative of porcine origin. The main component is amelogenin, which has demonstrated the ability to stimulate certain cells types involved in the healing process of soft and hard tissues towards a regenerative pattern, thus leading to true periodontal regeneration and accelerated oral wound healing. botiss mucoderm® provides a true alternative in certain indications to the patient’s own connective tissue. This stable 3-dimensional collagen soft tissue replacement, made of porcine dermis, supports fast revascularization and soft tissue integration, including color and texture. mucoderm® can help you increase patient acceptance. Giovanni Zucchelli DDS Giovanni Zucchelli DDS Professor in Periodontology at the University of Bologna/Italy. PhD in Medical Biotechnology applied to Dentistry. Active member of the European Academy of Esthetic Dentistry, Italian Society of Periodontology, Italian Society of Osseointegration, the European Federation of Periodontology and the American Academy of Periodontology. Associate editor and member of the editorial board of the International Journal of Esthetic Dentistry and member of the Editorial Board of the International Journal of Periodontics and Restorative Dentistry. Winner of scientific prizes for research in periodontology in Italy, USA and Europe. Author of more than 100 scientific publications in the field of periodontology. Co-author of two illustrated textbooks on periodontal plastic surgery (Ed. Martina) and of the chapter “Mucogingival Therapy-Periodontal Plastic Surgery”  in Jan Lindhe’s textbook on “Clinical Periodontology and Implant Dentistry” (Ed. Wiley-Blackwell). Author of the book “Mucogingival esthetic surgery” (Ed. Quintessence) References 1 Tonetti MS, Jepsen S; Working Group 2 of the European Workshop on Periodontology. Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014 Apr;41 Suppl 15:S36-43 2 Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol. 2014 Apr;41 Suppl 15:S44-62. 3 McGuire MK, Scheyer ET, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue: comparison of clinical parameters at 10 years. J Periodontol. 2012 Nov;83(11):1353-62 4 Pilloni A, Paolantonio M, Camargo PM. Root coverage with a coronally positioned flap used in combination with enamel matrix derivative: 18-month clinical evaluation. J Periodontol. 2006 Dec;77(12):2031-9. 5 McGuire MK, Scheyer ET. Long-Term Results Comparing Xenogeneic Collagen Matrix and Autogenous Connective Tissue Grafts With Coronally Advanced Flaps for Treatment of Dehiscence-Type Recession Defects. J Periodontol. 2015 Oct 15:1-12. 6 Zucchelli G, De Sanctis M. Treatment of multiple recession-type defects in patients with esthetic demands.J Periodontol. 2000 Sep;71(9):1506-14. 7 Zucchelli G, De Sanctis M. Long-term outcome following treatment of multiple Miller class I and II recession defects in esthetic areas of the mouth. J Periodontol. 2005 Dec;76(12):2286-92. 8 Zucchelli G, Mazzotti C, Mounssif I, Marzadori M, Stefanini M. Esthetic treatment of peri-implant soft tissue defects: a case report of a modified surgical-prosthetic approach. Int J Periodontics Restorative Dent. 2013 May-Jun;33(3):327-35. 9 Zucchelli G, Mazzotti C, Mounssif I, Mele M, Stefanini M, Montebugnoli L. A novel surgical-prosthetic approach for soft tissue dehiscence coverage around single implant. Clin Oral Implants Res. 2013 Sep;24(9):957-62. The post Giovanni Zucchelli: Mucogingival surgery around teeth and implants in the anterior zone – why the goal is complete coverage (Straumann® Emdogain/botiss mucoderm®) appeared first on STARGET COM.

Jorge M. Galante: A combined procedure for post extraction implants with simultaneous bone and gingival regeneration and immediate temporary restoration

  The purpose of this case report is to describe a multidisciplinary approach to tooth replacement in the aesthetic area. The challenge of this procedure is to perform, in a single session, the extraction of the tooth, the preparation of the osteotomy for implant insertion, and meticulous planning of the incision approach for the proper relocation and repositioning of the gingival tissues. The course of the incision should facilitate the correction of gingival recessions and also proper bone regeneration and prevention of alveolar collapse. A temporary prosthetic restoration is placed immediately after surgery. PRODUCT INFORMATION BY THE MANUFACTURER Products used in this case report: the Straumann® Bone Level Implant line was designed for a natural look and feel, providing flexibility and a balanced prosthetic portfolio for every indication. Straumann® Emdogain® is a unique protein mix which influences a number of different cells and processes – the gold standard when it comes to inducing the regeneration of lost periodontal tissues in a safe, easy and predictable way. The Straumann® Variobase abutment family offers extended restorative options with maximum design freedom. botiss cerabone® is a natural bovine bone grafting material which provides dependable stability and strength, predictably integrating into newly formed bone and ensuring volume maintenance and a strong, long-lasting matrix to support the successful placement of dental implants. The botiss Jason® membrane is a native collagen membrane obtained from porcine pericardium, whose advantageous biomechanical and biologic properties are preserved during the production process, resulting in beneficial properties like distinct tear resistance (despite its low thickness of only 0.1 to 0.25 mm) and easy adaptation to the bone surface. PICTURE DOCUMENTATION Fig. 1 galante01 Fig. 2 galante02 Fig. 3 galante03 Fig. 4 galante04 Fig. 5 galante05 Fig. 6 galante06 Fig. 7 galante07 Fig. 8 galante08 Fig. 9 galante09 Fig. 10 galante10 Fig. 11 galante11 Fig. 12 galante12 Fig. 13 galante13 Fig. 14 galante14 Fig. 15 galante15 Fig. 16 galante16 Fig. 17 galante17 Fig. 18 galante18 Fig. 19 galante19 Fig. 20 galante20 Fig. 21 galante21 Fig. 22 galante22 Fig. 23 galante23 Fig. 24 galante24 Fig. 25 galante25 Fig. 26 galante26 Fig. 27 galante27 INITIAL SITUATION The patient was a 40-year-old woman who presented at our clinic with type 3 mobility in tooth 21. We started with the admission diagnostic sequence (ADS), which consisted of clinical evaluation, radiological examination, photographic analysis and study models mounted on a semi-adjustable articulator. In the clinical analysis a fracture was noted at the cervical level of tooth 21, while marked gingival recession was also observed in the six upper anterior teeth (Fig. 1). Oral hygiene was poor, with the presence of plaque and moderate gingival inflammation. The patient stated that she had suffered dental trauma long ago, and that the consequence of that trauma had been the need for endodontic treatment for tooth 11. Numerous teeth had been treated with plastic restorations, including some with recurrent caries, while teeth 36, 37 and 46 had been replaced with osseointegrated implants/crowns. We requested a cone beam three-dimensional CT scan with interactive software (Fig. 2). TREATMENT PLANNING Impressions were made for study models to prepare a diagnostic wax-up for a temporary crown, which in turn serves as a surgical guide for implant insertion (Fig. 3). The lab technician was asked to make a temporary crown that was exactly the same size as the ideal clinical crown. The laboratory was also requested to make a resin key for positioning of the crown (Fig. 4). Basic periodontal therapy, prophylactic manual and ultrasonic scaling, and plaque control were performed. The surgery was planned, the patient was given antibiotic therapy consisting of 2 g of amoxicillin with clavulanate one hour before surgery, followed by 1 g every 12 hours for a week. SURGICAL PROCEDURE The course of the incisions provides access for simultaneous extraction, treatment of bone regeneration and treatment of gingival recessions of teeth 12, 11, 21, 22. The recession heights were measured from the cemento enamel junction (CEJ) to the gingival margin, and this measure was transferred from the tip of the papilla to mark the boundary of the incision. These incisions were directed obliquely medially in line with the “frontal approach” of Zucchelli (Fig. 5). Vertical discharge incisions were made distal to teeth12 and 22. The surgical papillae were elevated as a partial thickness flap up to the height of the gingival margins of the neighboring teeth, from where the flap became full thickness to a level 3 mm apical to the bone margin. From this limit it again became a partial thickness flap in two planes. A deep plane involved cutting the muscle attachments of the periosteum to bone, while a second superficial plane was designed to release the muscle attachments from the mucosa. This superficial incision allows complete freedom in repositioning the flap into the coronal level. The papilla between the two central incisors was not incised, since it detaches and communicates by tunneling. The flap at the level of tooth 21 was raised in its full thickness throughout. After the total mobilization of the flap was verified, the fractured tooth was gently extracted, and the remains of the periodontal attachment were completely removed, followed by preparation of the osteotomy for implant placement. A Straumann Bone Level implant 4.1×12 was used in this case, taking into account the three-dimensional positioning for adequate prosthetic restoration. A healing cap on the implant was placed to allow proper suturing of the tissue (Figs. 6-8). Straumann® Emdogain was placed at the recessions according to the manufacturer’s protocol to promote periodontal regeneration and improve healing (Fig. 12). The de-epithelialization of the anatomical papillae was completed. Dense connective tissue was harvested from the palatal area (Figs. 9, 10), a strip approximately 12 mm long by 5mm wide including connective and epithelial tissue. The incision depth was approximately 1.2 to 1.5 millimeters thick. On a tongue separator the epithelium was removed in full, while attempting to keep the thickness as uniform as possible. The thickness of the dense connective tissue after removal of the epithelium was approximately 1 mm. The graft was sutured with 6-0 nylon to the inside of the flap at the height of tooth 21, while trying to keep the graft 1 mm apical to the gingival margin (Fig. 11). The flap was made full thickness in order to expose bone and facilitate the regeneration of cortical bone by guided bone regeneration with bone substitutes (botiss® cerabone) and with resorbable pericardium membrane (botiss Jason membrane, Fig.11). The pericardium membrane was trimmed to match the shape of the cortical plate and no tacks were needed for its fixation. The membrane extended mesio-distally to the neighboring teeth, and apico-coronally from the base of the flap just to the bony crest. The bone substitute cerabone was placed inside the gap between the implant and the alveolus, and over the buccal cortical plate below the membrane, to prevent collapse. Next, the surgical papillae on the most distal anatomical sites were sutured with a suspensory suture, and the surgical papillae between 11-12 and 21-22 were then sutured. Finally, the vertical incisions were sutured. A transparent template was placed at the palatal donor site as a surgical dressing. Once the surgical phase was completed, the prosthetic procedures were initiated. A prosthetic component made of PEEK (Straumann) was used to support the temporary crown. This was trimmed and attached to the temporary acrylic crown for mechanical retention. With the help of the keys to reposition the crown it was placed at the preset ideal position and fixed with self-cured acrylic (Figs. 13-14). Afterwards the cylinder was unscrewed, the anatomy of the transmucosal portion was completed in the laboratory taking care to leave a well-defined CEJ, and, from this boundary to the implant abutment interface, a concave surface was left to allow for the housing of the soft tissues (Fig. 15). All occlusal contacts in centric and excentric movements were eliminated. The patient was instructed to avoid making excessive use of this area, avoid brushing during the first three days and keep the area clean with chlorhexidine mouthwash and gel. The patient was monitored weekly and the sutures were removed at three weeks (Fig. 16). PROSTHETIC PROCEDURE The patient was followed up at regular intervals, and the crown was removed at four months for a clinical and radiographic. evaluation (Figs. 17-18). The osseointegration was checked. An impression of the implant was taken and transferred to the laboratory for the manufacture of the definitive restoration (Figs. 19-20). In the lab the model was scanned with a 3D scanner (Amman Girrbach) and the mirror image of the corresponding tooth was reproduced with the help of CAD/CAM software and then machined in resin. This procedure was for diagnostic purposes, in order to evaluate the anatomy and adaptation to the tissues. The restoration was placed in the mouth and left for 4 weeks to allow the soft tissue to adapt to the anatomy of the crown, while the laboratory completed the final restoration, replicating the temporary crown on a Straumann® VarioBase abutment with porcelain-injected Empress (Ivoclar, Lab ZirLab) (Figs. 21–27). FINAL RESULT We consider that the procedure presented in this report requires extensive training of a multidisciplinary team comprised of a surgeon, prosthodontist and prosthetic lab technician for a combined approach with simultaneous working. However, this produces excellent results. At the surgical level, when bone regeneration is required, communication of the wound with the oral environment should be avoided at all costs. This is why the healing of soft tissue is usually expected (6/8 weeks) to result in proper surgical closure after tooth extraction in the delayed approach. This requires a first surgical session for implant installation and simultaneous bone regeneration, followed by a waiting period of 4/6 months for the completion of osseointegration and a second surgical session for implant connection. Once the soft tissues have healed, after approximately 4/6 weeks, the prosthetic gingival modeling stage is started, which takes about 6/8 weeks or more. Later, this gingival modeling is transferred to the laboratory through a customization of the transfer coping to produce the final restoration. Also, the restoration approach involves the exact opposite approach. We aim to produce an immediate temporary restoration based on the anatomical features of the final restoration. Thus, on completion of the surgical procedures, the hard and soft tissues heal around the final crown anatomy. The challenge is to achieve, in a single combined procedure, implant placement immediately after extraction, bone and gingival regeneration, and sealing of the tissues around the restoration in a very tight and precise manner so as to maintain and protect the underlying blood clot, isolated from the oral environment, which is the main factor responsible for the regeneration. CONCLUSION This protocol is the result of a learning curve that we have been developing over time, based on scientific evidence for the individual procedures (see supporting evidence) together with the evidence from our own research center. What we have developed is a combination of a series of isolated and individualized procedures in a single complex procedure. While it is necessary to continue to deepen and analyze this procedure in the long term, the results obtained to date are equivalent to, or more favorable than, those achieved when procedures are performed in stages. These results have been very motivating to continue to deepen this therapeutic line. The procedure offers the main advantages of exposing the patient to fewer surgical procedures, a reduction in maneuvers and prosthetic sessions, with the consequent decrease in clinical time and total treatment time. SUPPORTING EVIDENCE Systematic reviews Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement. Int J Oral Maxillofac Implants 2007;22:49–70. Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: A Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2006;21:696 –710. Esposito M, Grusovin M, Worthington H, Coulthard P. Interventions for replacing missing teeth: Bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev 2006:CD003607. Animal Studies Marco Caneva, Daniele Botticelli, Fabrizio Morelli, Gianfranco Cesaretti, Marco Beolchini, Niklaus P. Lang. Alveolar process preservation at implants installed immediately into extraction sockets using deproteinized bovine bone mineral – an experimental study in dogs. Clin. Oral Impl. Res. 23, 2012; 789–796. doi: 10.1111/j.1600-0501.2011.02332. Caneva M, Botticelli D, Rossi F, Cardoso LC, Pantani F, Lang. Influence of implants with different sizes and configurations installed immediately into extraction sockets on peri-implant hard and soft tissues: an experimental study in dogs. Clin. Oral Impl. Res. 23, 2012, 396–401 doi: 10.1111/j.1600-0501.2011.02310. de Sanctis M, Vignoletti F, Discepoli N, Zucchelli G, Sanz M. Immediate implants at fresh extraction sockets: bone healing in four different implant systems. J Clin Periodontol 2009; 36: 705–711. doi: 10.1111/j.1600-051X.2009.01427. Tomasi C, Sanz M, Cecchinato D, Pjetursson B, Ferrus J, Lang NP, Lindhe J. Bone dimensional variations at implants placed in fresh extraction sockets: a multilevel multivariate analysis. Clin. Oral Impl. Res. 21, 2010; 30–36. doi: 10.1111/j.1600-0501.2009.01848. Fickl S, Zuhr O, Wachtel H, Stappert CFJ, Stein JM, Hürzeler MB. Dimensional changes of the alveolar ridge contour after different socket preservation techniques. J Clin Periodontol 2008; 35: 906–913. doi: 10.1111/j.1600-051X.2008.01305.x. (Correction added on 27 August 2008, after first online publication. Author’s name Stein JM was corrected.) Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol 2010; 37: 855–862. doi: 10.1111/j.1600-051X.2010.01595. Fickl S, Kebschull M, Schupbach P, Zuhr O, Schlagenhauf U, Hürzeler MB. Bone loss after full-thickness and partial-thickness flap elevation. J Clin Periodontol 2011; 38: 157–162. doi: 10.1111/j.1600-051X.2010.01658. Clinical studies Istvan A. Urban, DMD, MD1/Heiner Nagursky, PhD2/Jaime L. Lozada, DDS3 Ridge Augmentation with a Resorbable Membrane and Particulated Autogenous Bone With or Without Anorganic Bovine Bone–Derived Mineral: A Prospective Case Series in 22 Patients Int J of Oral & Maxillofac Implants. Volume 26, Number 2, 2011. Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, Belser UC. Long-term stability of osseointegrated implants in augment- ed bone: A 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent 2002; 22:109–117. Sanz M, Cecchinato D, Ferrus J, Pjetursson EB, Lang NP, Jan L. A prospective, randomized-controlled clinical trial to evaluate bone preservation using implants with different geometry placed into extraction sockets in the maxilla. Clin. Oral Impl. Res. 21, 2010; 13–21. doi: 10.1111/j.1600-0501.2009.01824. Cairo F, Cortellini P, Tonetti M, Nieri M, Mervelt J, Cincinelli S, Pini-Prato G. Coronally advanced flap with and without connective tissue graft for the treatment of single maxillary gingival recession with loss of inter-dental attachment. A randomized controlled clinical trial. J Clin Periodontol 2012; 39: 760–768. doi: 10.1111/j.1600-051 Stephen T. Chen, BDS, MDSc, PhD, FRACDS1/Daniel Buser, DMD, Prof Dr Med Dent2 Esthetic Outcomes Following Immediate and Early Implant Placement in the Anterior Maxilla—A Systematic Review. Int J Oral Maxillofac Implants 2014;29(suppl):186–215. doi: 10.11607/jomi.2014suppl. Case reports Dr. Jorge M. Galante. Predictable GBR procedures in sites with high esthetic compromise. Starget|July 3rd, 2015 Clinical Cases, Dental Biomaterials, Dental Implants, Dental Prosthetic. Dr. Jorge M. Galante Prof. Dr. Jorge M. Galante Specialized in bucco-dento-maxillary prosthetics and implant surgery. Director at the Galante Institute, Mar del Plata, Argentina. Professor at the Dental School of the University of Buenos Aires, Argentina (F.O.U.B.A). Director of the Advanced Course on Complex Surgery in Implantology by the Argentinian Association of Odontology, A.O.A. at the University of Salvador (U.S.A.L.), Buenos Aires, Argentina. jorgegalante@yahoo.com.ar www.jorgegalante.com.ar The post Jorge M. Galante: A combined procedure for post extraction implants with simultaneous bone and gingival regeneration and immediate temporary restoration appeared first on STARGET COM.

ITI World Symposium 2017: Meet the next generation of implant dentistry

  The International Team for Implantology (ITI) is holding the next edition of its flagship event – the ITI World Symposium – in 2017 from May 4 to 6 in Basel, Switzerland. The scientific program along with the faculty list have been published on the ITI World Symposium 2017 website at www.iti.org/worldsymposium2017. The main theme of the meeting is “Key factors for long-term success”. Find inspiration for your future at the ITI World Symposium 2017. Meet not only the field’s leading international speakers, but also a select group of talented young specialists from around the world, representing the next generation of implant dentistry. Yeliz Cavusoglu and Luiz Gonzaga tell you why the ITI WS 2017 is also the right event for young professionals at the start of their career. Find out why Prof. Irena Sailer and Prof. Urs Belser think you need to be in Basel, Switzerland for the ITI WS 2017. Scientific program chair Prof. Daniel Wismeijer on how new ideas help us to look at things in different ways: Why we from Straumann think you have to be in Basel at the ITI WS 2017! REGISTER NOW For more information and to register for the most important implant dentistry meeting in 2017, go to the official ITI World Symposium website: WEBSITE Keys to the entire treatment cycle from diagnosis through treatment to aftercare More than 80 speakers from all over the world will be sharing their expertise in a series of plenary and parallel breakout sessions over three days. They will be providing keys to the entire treatment cycle from diagnosis through treatment to aftercare, offering sustainable long-term solutions. In addition to the field’s leading international speakers, the faculty also includes a broad cross-section of young and talented specialists from around the world, representing a diversity of evidence-based approaches and the next generation of implant dentistry. The Scientific Program Committee led by Prof. Dr. Daniel Wismeijer has designed a practically oriented program of information and approaches that participants can immediately implement in daily practice. To ensure that the take home messages are directly accessible to as broad an audience as possible, all plenary sessions will be simultaneously translated from English into nine languages. What will be important tomorrow?  “With the theme ‘key factors for long-term success’, the aim is not only to highlight what is state of the art today but also what will be important tomorrow – looking at the technology and approaches that are set to direct practice in the near future,” explained Daniel Wismeijer, Chair of the Scientific Program Committee. “Our speakers are providing keys to various areas within implant dentistry and are also showing how they can be used to open doors to best practice.” The role of technology in our lives is the theme of keynote speaker Dr. Kevin Warwick, a leading cybernetics researcher at the University of Coventry whose area of study is artificial intelligence, robots and cyborgs. Kevin Warwick will be taking a look at how healthcare is developing in the light of technological advances. By contrast, the groundbreaking work of the ITI in the field of implant dentistry during its 37-year history forms the subject of a presentation by Dr. h.c. Thomas Straumann and Prof. Dr. Daniel Buser. Pre-Symposium Corporate Forum The World Symposium scientific program is complemented by a half-day Pre-Symposium Corporate Forum presented by Straumann, Morita and botiss, where opinion leaders talk about their experience with the latest products and technologies. The extensive industry exhibition provides participants with a perfect opportunity to visit key companies, see what’s new and find out how they can apply it in daily practice. THE LOCATION The ITI World Symposium is being held at the Messe Basel within the halls designed by renowned Basel architects Herzog & de Meuron. The unique facade of twisted aluminum bands encloses the ITI World Symposium 2017 setting that is inspired by the dynamic world of modern airports. Bustling departure gates, quiet lounges and a lively exhibition zone provide ample opportunity for the event’s more than 4,200 anticipated visitors to meet and network while taking part in an exciting scientific journey. This is further facilitated by an innovative technology service that allows participants to exchange and gather information using a small interactive device. Any information gathered continues to be accessible and up to date in the “cloud”, which eliminates the need to produce and carry around large amounts of paper during the event. By choosing Basel as the event location, the ITI is returning to its roots and home base. The city itself provides a beautiful backdrop to the event, with a charming old town that is easily accessible from all the hotels and the congress venue. basel.com ABOUT THE ITI The International Team for Implantology (ITI) is an academic association that unites professionals around the world from every field of implant dentistry and related disciplines. It actively promotes networking and exchange among its membership of currently more than 15,000. ITI Fellows and Members regularly share their knowledge and expertise from research and clinical practice at meetings, courses and congresses with the objective of continuously improving treatment methods and outcomes to the benefit of their patients. In 36 years, the ITI has built a reputation for scientific rigor combined with concern for the welfare of patients. The organization focuses on the development of well-documented treatment guidelines backed by extensive clinical testing and the compilation of long-term results. The ITI funds research as well as Scholarships for young clinicians, organizes congresses and continuing education events, and runs more than 600 Study Clubs around the globe. The organization also publishes reference books such as the ITI Treatment Guide series and operates the ITI Online Academy, a peer-reviewed, evidence-based e-learning platform with a unique user-centric approach. www.iti.org The post ITI World Symposium 2017: Meet the next generation of implant dentistry appeared first on STARGET COM.

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