Pilot: Dr Stavros Pelekanos
- SINGLE IMPLANTS IN THE AESTHETIC ZONE - implant-abutment-crown complex, new perspectives.
Single implant restorations in the esthetic zone require often demanding surgical therapeutic procedures in order to achieve long term stable results. However, the role of the prosthetic design in the stability of the soft and hard tissue is usually underestimated. Moreover, the clinical handling, the treatment sequence and workflow are of outmost importance, determining the final outcome of the implant restoration.
Clinical and scientific evidence shows that correct implant positioning in respect with the future clinical crown and the neighboring teeth decreases the need of soft and/or hard tissue enhancement, especially in cases with intact facial bundle bone. This presentation will focus on the timing of implant and abutment placement, the material selection and the type of the prosthetic restoration, factors that significantly affect the final result.
Various implant abutment types and treatment modalities will be analysed, emphasizing in the implant-abutment-crown connection, the methodology and the treatment sequencing in the esthetic zone. Furthermore, new trends in abutment designing with the help of clinical cases will be presented, giving some clinical guidelines for the single implant restorations in the aesthetic zone.
- HANDS-ON IMPLANT WORKSHOP 1:
- Socket preservation with a combination of free- and sub-epithelial connective tissue graft
- Suturing techniques
In this exercise the participants will have the opportunity to work on special constructed models with a fresh extraction socket.
Surgical guide stents will be provided to facilitate the correct 3d single implant placement.
Subsequently the participants will be able to harvest a combined free- and sub-epithelial connective tissue graft from the palate, which is used in cases where an immediate implant is not an option and suture it in the extraction site with a buccal bone defect.
Different suturing techniques will be discussed.
- IMPLANT TREATMENT PLANNING IN THE EDENTULOUS JAW - Treatment workflow & new perspectives
Treatment planning in full arch reconstruction is always challenging in implant dentistry. Starting with 2 implants and an overdenture in the edentulous mandible to full mouth Zirconia FPD’s on multiple implants are scenarios that the clinician has to handle in order to be able to achieve biological functional and esthetic implant rehabilitations.
This presentation will focus on the methodology, treatment workflow in demanding clinical cases, on today’s knowledge of different materials, on different overdenture designs and kinds of fixed or “retrievable” restorations and give some guidelines to achieve optimum results. Finally, new approaches with the help of clinical case presentations will be discussed.
- Understand the rationale of different treatment modalities (fixed vs removable vs “retrievable”
- Understand the clinical behavior and rationale of different bar reconstructions (retention, support, reciprocation)
- Recognize and select the appropriate attachment and/or bar design
- How many implants are needed for an overdenture or a fixed implant restoration?
- When is pink esthetics needed and what are the limitations?
- Where can immediate loading be applied?
- Prevent and limit complications regarding full mouth implant rehabilitations
- HANDS-ON IMPLANT WORKSHOP 2:
- horizontal guided bone regeneration using allograft and resorbable membrane with tacks
- preparation and placement of connective tissue graft harvested from the palate
- suturing techniques
In this exercise the participants will have the opportunity to work on special constructed models with a single missing tooth and limited buccal-palatal bone width in the esthetic zone. Horizontal guided bone regeneration using allograft will be performed with the use of a resorbable membrane and tacks. Subsequently the participants will be able to harvest a connective tissue graft from the palate and place it in position with 2 different suturing techniques.
Different flap designs and incision techniques will be discussed.