De restauratie van de functie en esthetiek, zijn implantaten steeds een meerwaarde

 

Najaarscursus

15 en 16 november 2019 in Hotel “La Reserve” te Knokke

Spreker:

Alberto Fonzar

Afgestudeerd in geneeskunde en chirurgie in Triëst. Gespecialiseerd in Odontostomatology in Pisa, freelancer in Udine. Actief lid van SidP, waarvan hij secretaris, penningmeester en voorzitter was voor de periode van twee jaar 2012-2013. Auteur van internationale wetenschappelijke publicaties, spreker in cursussen en conferenties in Italië en in het buitenland.

Abstract

“Restoration of Function and Aesthetics: Implants are they always an added value ? “

In the last twenty years, implant therapy has changed the patient’s treatment plan, at times in a radical manner. Clinical evidence has positioned implants as one of the first choices of treatment for partially or fully edentulous patients and has influenced the decision to extract periodontitis-affected teeth, which in a number of cases may be treatable. The concept of early extraction of periodontally involved teeth and their replacement with dental implants is based on a perceived advantage of implants over teeth in terms of  unpredictability of tooth survival following treatment of periodontal disease, better long-term prognosis of implant- supported restorations in comparison to teeth or tooth-supported restorations, lack of complications in comparison with teeth, better function than teeth, better long-term cost–benefit,  better esthetics, and better patient satisfaction. However, it is questionable to which extent these postulations are supported by the current evidence. Is it possible a rational choice between teeth and implants in the decision-making process? If yes, how to choose? 

And what is the impact of implants in periodontal prosthesis procedures? The aim of the course is to try to answer this still opened questions and to give some clinical guidelines regarding the functional and aesthetic rehabilitation of patients affected by severe periodontal disease based on the available scientific data and my personal 30-year clinical experience.

Attendee will learn: 

  1. The benefit but also the limits of periodontal prosthetics and implant therapy in the rehabilitation of patients affected by severe periodontal disease.
  2. To carefully evaluate the cost/benefit ratio in both economical and biological point of view.
  3. To differentiate between dogmas and what is really fundamental for a long-term successful treatment.
  4. To consider the patient as the protagonist of treatment plan.

Friday 15 november

08.00 – 09.00: registration

09.00 – 10.30: Teeth or implants: where are we now? From euphoria to depression? Diagnosis and treatment of patients affected by  periodontal disease: what has changed, why has changed in our knowledge. From disease to patient-related periodontal therapy: the new EFP-AAP periodontal disease classification. 

10.30 – 11.00: coffee break

11.00 – 12.30: Non-surgical and surgical treatment of periodontal disease. Treatment options and expected results.  Open flap debridement: a compromised choice or valid treatment option? Current trends and limits of resection therapy in intrabony defect treatment plan: modern approach to resective surgery. Regenerative surgical procedures in periodontal therapy. Minimally invasive flaps: biological rationale, indications and limitations

12.30 – 14.00: lunch

14.00 – 15.30:.  Periodontal Prostesis: does it still make sense? The prosthesis in a periodontal patient: indications, limitations and current trends. Root resection and root amputation: when and how. Long-term clinical evaluation of treated patients. Teeth or implants as prosthetic abutments:how to make the right choice.  Rational of a patient-based treatment plan.

15.30 – 16.00: coffee break

16.00 – 17.50: Biology and biomechanics in implant placement. Number, length and diameter of implants: moving from a mechanical to a biological perspective. Timing of implant placement: immediate, early and late post-extraction implants. Ridge preservation: advantages and limits. Three-dimensional implant site preparation: traditional and piezoelectric techniques .The GBR in implantology: indications, limitations and alternative treatment options. Tilted implants, short implants: indications and limitations.

 

Saturday 16 november

08.00 – 09.00: registration

09.00 – 10.30: Periodontal and implant soft tissue management. The new EFP-AAP mucogingival deformities and conditions classification. Significance of keratinized tissue around teeth and implants. Classification of recessions and expected results. Techniques for covering root and peri-implant exposed surfaces.

10.30 – 11.00: coffee break

11.00 – 12.30: Soft-tissue volume defects mucogingival treatment. Periodontal and peri-implant ridge and papilla volume defects management. Connective tissue grafting: how to perform. Biomaterial replacement of autologous connective tissue. Periodontal treatment of “gummy” smile. Final conclusions and take-home messages. 

Accreditering:

DG: 6    AE: 50
DG: 7    AE: 10

Deze activiteit heeft een beperking op aantal deelnemers. Gelieve steeds het bewijs van inschrijving mee te brengen.