#Esthetics 01. Oct 2021

Clinical decision-making in the use of Biomaterials for regenerative and restorative therapies

Straumann® Biomaterials invites you to join our panel of experts to increase the confidence in your decision-making process that applies to some of the most common clinical challenges you are facing daily.

Straumann Biomaterials Global Symposium

Wed. 20 Oct. 2021 4:00 PM CEST (Bern)

Straumann® Biomaterials invites you to join our panel of experts to increase the confidence in your decision-making process that applies to some of the most common clinical challenges you are facing daily.

Moderator: Dr. Martina Stefanini

Speakers: Dr. Caspar Wohlfahrt, Dr. Robert Miller, Dr. Eik Schiegnitz, Dr. Erik Regidor

2 CE points

Free registration here: Straumann Group Campus Live

The use of Biomaterials takes a key role in many regenerative and restorative therapeutical approaches. A crucial understanding of Biomaterials, their properties, biological response, and correct application in the specific indication is pivotal to ensuring overall treatment success. Surgically active clinicians, periodontists, implantologists, and oral surgeons are confronted daily with many decisions related to the correct choice and appropriate use of Biomaterials to augment or preserve hard- and/or soft tissues. These decisions are multifactorial and depend on the overall treatment goal, indications, anatomic considerations, patient risk factors and are ultimately driven by patient expectations.

Martina Stefanini

The Straumann Biomaterials Global Symposium will provide clinicians with a comprehensive understanding of Biomaterials and their use in several current contemporary key indications. Moderated by Dr. Martina Stefanini, a research fellow at the University of Bologna, Italy, four experienced clinicians from around the world will elaborate on clinical decision-making when using Biomaterials in immediate and delayed implant placement, regenerative periodontal therapy, and regenerative peri-implant therapy.

The 4 sessions of the Straumann Biomaterials Global Online Symposium will feature decision-making trees and clinical cases from the speakers' practice, covering all steps from anamnesis to surgical and esthetic considerations.

1. Dr. Caspar Wohlfahrt - Decision-making tree for flapless periodontal treatment

Caspar Wohlfahrt

The treatment of periodontal disease requires a systematic approach and a proper sequence of different treatment phases. Nonsurgical cause-related therapy aims to control the infection and arrest disease progression and can be regarded as the cornerstone of periodontal therapy. Many different techniques, adjuncts, possible follow-up therapies and products to restore and maintain periodontal health are known. Clinicians have to decide between the available therapies that may vary significantly in invasiveness, costs, chair-time, and patient tolerance.

Join the Webinar of Dr. Caspar Wohlfahrt to learn about the most recent developments and treatment options in periodontal regenerative therapy.

Dr. Caspar Wohlfahrt is an experienced periodontist and clinical researcher from Norway. In his lecture, Dr. Wohlfahrt will overview periodontal treatment concepts and illustrate the different approaches through clinical cases. Specifically, the application of regenerative periodontal therapy as a function of the different stages of the treatment, along with decision factors, will be discussed.

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2. Dr. Robert J. Miller - Decision-making tree for extraction socket management

Robert J. Miller

For a patient, an imminent tooth loss in the esthetic area can be a disturbing experience. Immediate implant placement represents a well-accepted approach to address this condition effectively. However, this approach also bears a relative risk for midfacial recessions. Clinicians can mitigate this risk by applying strict case selection criteria and suitable concomitant regenerative procedures. Under such conditions, immediate placement may help preserve the existing osseous and gingival architecture and support an optimal esthetic outcome1.

Join Dr. Miller’s webinar to sharpen your skills in extraction socket management.

Dr. Robert J. Miller is a trained periodontist and highly experienced clinician from Florida, USA. In his presentation, Dr. Robert Miller will elaborate on case selection criteria in decision-making for immediate or delayed implant placement. He will also present possible regenerative approaches involving allografts to support immediate or late implant placement procedures adequately.

3. Dr. Eik Schiegnitz - Decision-making tree for gap management in immediate protocols

Eik Schiegnitz

High mid-facial gingival margins and interproximal bone levels, and a completely intact labial plate represent ideal preconditions for immediate implant placements. Nevertheless, clinicians will be confronted with the physiological resorption of the alveolar bone after tooth extraction, which may affect the esthetic gingival soft tissue contours. These changes need to be correctly accounted for and managed to ensure a successful esthetic outcome.

The immediate placement of implants in fresh extraction sockets can result in a gap between the implant and the alveolar buccal bone wall. Grafting of the resulting gap may support the initial healing and help to preserve the hard- and soft-tissue volume. But how to decide if and what type of regenerative hard- and soft-tissue preservation protocols may be necessary? Which local physiologic factors and biotypes in the context of the applied provisionalization strategy need to be considered?

Join Dr. Schiegnitz’s webinar to refine your decision-taking in gap management of immediate implant placement.

Dr. Eik Schiegnitz (Mainz, Germany) is an academic clinical researcher with profound experience in dental implants and biomaterials. In his lecture, Dr. Schiegnitz presents the factors affecting labial and buccal bone resorption associated with postextraction implant placement. He will also discuss possible grafting modalities and recommendations in the context of treatment modalities, defect types, and physiological, local preconditions of the patient. Further, Dr. Schiegnitz will elaborate on appropriate types of bone grafts and their specific application to ideally assist hard and soft tissue healing around the implant.

4. Dr. Erik Regidor - Decision-making tree for peri-implant therapy

Erik Regidor

Similar to a natural tooth, plaque-forming bacteria can build up on the restoration and the base of dental implants, resulting in an inflammation of the surrounding soft- and hard-tissue. Reversible infections limited to the peri-implant mucosa are called peri-implant mucositis. Generally, peri-implant mucositis is a precursor to peri-implantitis. Peri-implantitis is a chronic inflammatory condition of the peri-implant connective tissue associated with progressive bone loss of supporting bone beyond physiological crestal bone remodeling. Peri-implant diseases can compromise the long-term outcome of dental implants and might lead to implant loss if left untreated.

Routine diagnostic checkups are essential for detecting peri-implant complications as early as possible. Treatment measures require consideration of various factors, including the stage of the disease, the prosthetic configuration, the patient's risk profile, and the patient's expectations. Treatment options may vary between nonsurgical approaches, surgical regenerative strategies, resective approaches up to explanation. The surgical regenerative peri-implant therapy itself also involves many aspects, including bone substitutes, membranes, biologics, and healing modalities.

Join Dr. Regidor to continue learning about peri-implant disease, its classification, and how to manage it.

Dr. Erik Regidor is an experienced periodontist and implantologist from Bilbao, Spain, and has performed his own research in the field of peri-Implantitis. In his lecture, Dr. Regidor will elaborate on clinical decision-making for the treatment of peri-implantitis with a focus on regenerative approaches. Dr. Regidor will explain disease stage classification and the application of biomaterials for regenerative peri-implant therapies based on treatment prognosis. He will also cover the importance of supportive maintenance programs.

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  1. Kan JYK, Rungcharassaeng K, Deflorian M, Weinstein T, Wang H-L, Testori T. Immediate implant placement and provisionalization of maxillary anterior single implants. Periodontol 2000 2018; 77: 197–212.