Clinical Masters Program Hong Kong 2016/2017 with Dr. Marius Steigmann
“Participants will get to learn flap design and soft tissue surgeries developed by Dr. Steigmann”
“All you need for successful implantology”
Module 3, Day 1 (31. Aug. 2017, 09:00 a.m. – 05:00 p.m.): Soft Tissue Management Prosthetic soft tissue development
- Abutment design for ideal soft tissue support
- Pontic design for aesthetic soft tissue development
- Emergence profile design for crown and abutment
- Different Wax-ups modalities
- Aesthetic Try-ins for different therapeutical phases
- Crown margin definition
- Gingiva-management with temps and Mock up
- Hands-On models
The main purpose of this course is to explain, demonstrate and teach soft tissue development around implants in fixed single and multiple implant placement.
- Strategy and procedures on Prosthetic implant planning
- Abutment selection single tooth (chairside & lab side)
- Abutment selection multiple implants
- Special double cast preparation for soft tissue development in the aesthetic zone
- Comprehensive hands-on training
- Video surgical demonstration
Clinicians will learn how to build treatment plans based on individual circumstances. They will learn to utilize modern prosthetic technology for reconstruction of soft tissue for single and multiple implants. The participants will get to plan prosthetically and aesthetically the position of the implant.
Module 3, Day 2 (1. Sep. 2017, 09:00 a.m. – 05:00 p.m.) Prevention and repair of soft tissue complications around implants
- Gingival recession around implants – how to repair
- Papillae development after papillae loss
- Prosthetic soft tisse solutions
- Prosthetic soft tissue correction
- Soft tissue grafting for midfacial recession
- Bone grafting for correction
- Implant removal
Full arch reconstruction
- Soft tissue development for multiple implants in the aesthetic zone
- Fabrication and design of temporaries for soft tissue development
- Therapy planning in full arch reconstruction for high aesthetic demand
Module 3, Day 4 (3. Sep. 2017, 08:00 a.m. – 04:00 p.m.) Zero bone loss concepts – The development and maintenance of bone stability around implants.
With Tomas Linkevicus, DDS, PhD, Vilnius, Lithuania
Part I Development of crestal bone stability. Vertical soft tissue thickness: Its’ Effects on the Crestal Bone Stability.
Mucosal tissue thickness was shown to be the factor having impact on crestal bone stability. Even platform switching of the implant-abutment connection does not reduce crestal bone loss, if soft tissues at the implant placement are thin. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. The proposals put forward depend on the bone height including (1) bone reduction to passively augment soft tissue proportion, (2) subcrestal placement to achieve greater soft tissue contact or (3) a “tent” technique that involves covering the abutment with the flap to provide soft tissue growth. If bone height is not sufficient, vertical augmentation of the soft tissue is recommended with different materials – autograft, a xenograft or a dermis-derived allograft.
Participants will know:
- How to diagnose thin vertical tissues
- Implant placement depth depending on implant/abutment connection type
- Selection of materials for vertical augmentation
- How to increase vertical thickness with allogenic membrane
- Reduce the bone to…save the bone
- “Tent” technique to increase crestal bone stability…and many more
Participants will learn different methods to make thin tissues thicker.
- Incision and flap release for vertical soft tissue augmentation
- Positioning and suturing of the membrane for vertical augmentation
- Bone reduction for passive soft tissue augmentation
- Implant placement according to implant/abutment connection type
Part II Maintenance of crestal bone stability. Prosthetic factors: cement excess, subgingival and supragingival prosthetic materials, impression of deeply placed implants.
Further, it is important to preserve bone levels after prosthetic treatment. Recent research has proven that the deeper the postition of the margin, the greater amount of residual cement is left undetected. The relation between position of cement excess in the peri-implant sulcus, periodontal status of the patient and severity of peri-implant disease is explained. To avoid cement excess, finished implant restoration with occlusal opening is cemented on titanium base in laboratory and restoration is attached to the implant by an abutment screw. Zirconium as a material is considered the best for peri-implant soft tissues. However, it’s evident that it must be treated in special manner and polished.
Participants will know:
- How to select cemented or screw-retained restorations
- The safe cementation without cement excess
- Easy construction of cement-screw retaines restorations, using Ti bases
- Cement excess – new plague of the implants?
- The effect of zirconium on peri-implant soft tissues
- Adherence zone and plaque zone. What is the difference?
- Supragingival prosthetic material – which one to select…and many more
Participants will learn how to take a difficult open tray impression, when tissues are very thick and implant is positioned deep unter the gingiva.
Module 1: HKD 25,000 or USD 3,200
Module 2: HKD 25,000 or USD 3,200
Module 3: HKD 33,000 or USD 4,300