Two different approaches
Three days of high quality learning
Speaker: Dr. Marius Steigmann and Prof. Giovanni Zucchelli
Take your personal experience and clinical skills
to the next level
08:30 – 09:00 – Registration
09:00 – 10:30 – Dr. Steigmann Prevention of flap opening in the aesthetic zone
Over time bone augmentation has moved from highly specialized clinics into the dental office. With the help of modern grafting materials the gain in bone volume that can be achieved in the dental office by augmentative procedures has increased year after year. However, the main issue remains soft tissue closure for high volume augmentations. We have developed special flap designs and suturing techniques specific to location and biotype to solve soft tissue management problems. The participants will learn and practice how to achieve successful primary wound closure according to the location.
Different tissue biotypes react differently to surgical trauma. For this reason we have adjusted the surgical approach to the biotype (tissue thickness) specific to each patient and location in the oral cavity. Participants will learn different flap designs and soft tissue surgeries.
10:30 – 11:00 – Coffee break11:00 – 12:30 – Prof. Dr. Zucchelli Advantages of flap opening in the aesthetic zone
The advantages of opening the buccal flap in the aesthetic zone will be discussed in the case of delayed and immediate implant installation. In particular the following will be discussed in detail: easier root extraction (with less trauma to soft tissue), better visibility, easier distinction between bone and soft tissue augmentation, less risk for incorrect implant positioning (altered passive eruption of adjacent teeth) and coronal advancement of the buccal flap.
The main advantages of coronally advancing the buccal flap are: treatment of adjacent gingival recessions, compensation for soft tissue shrinkage, accomplishing complete coverage of the soft tissue graft and compensation for unfavorable baseline position of the soft tissue margin.
Aesthetics in implant dentistry is the primary focus today. In the past, a general tendency to mimic/copy teeth with implants was observed – functionally and aesthetically. Surgical techniques from oral surgery
or periodontology were applied in implant surgery, however, aesthetically unsuccessful. Hence, new incision designs with regard to position, depth and angulation according to the interproximal bone and soft tissue biotype are necessary. New incision flap designs and suturing techniques have been developed or adjusted to address the aesthetic needs around implants and avoid or correct failures in the aesthetic zone. The achievement of optimal aesthetics around anterior dental implants has been a major challenge for many clinicians. The key to an aesthetically pleasing appearance lies in the clinician‘s ability to manage properly the soft tissue profile around dental implants.
The step by step surgical technique for the flap design and coronal advancement of the buccal flap will be shown by means of videos. The harvesting technique for free gingival grafts as well as the advantages of the deepithelized free gingival graft with respect to the connective tissue graft will be discussed.
The surgical procedures for simultaneous implant installation and soft tissue augmentation will be shown in details by means of high quality videos.
09:00 – 12:30 – Workshops Session 112:30 – 13:30 – Lunch break 13:30 – 17:00 – Workshops Session 2 19:00 – 23:30 – Evening event SOLAR SKY LOUNGE
The workshops run parallel and in the afternoon, the workshop groups will switch to the other speaker.
Soft tissue preservation and correction of soft tissue failure in the aesthetic zone
In the hands-on part participants will practice ways to increase soft tissue quantity and quality with conservative soft tissue surgery, during or after implant placement in the aesthetic zone. Participants will exercise the adequate techniques for each soft tissue biotype. The techniques will be trained on pig jaws and suturing techniques necessary to correct or maintain soft tissue will be taught.
- Surgical and prosthetic corrections of the soft tissue quantity
- Different flap designs such as roll flap
- Surgical correction of the soft tissue quality around implants
- Apically positioned flap, free gingival grafts
Prof. Dr. Zucchelli
Mucogingival aesthetic surgery
The hands-on course is planned and designed to develop mucogingival surgical skills. Each procedure is trained step by step in detail with live demonstrations on pig jaws, and each participant also performs procedures on pig jaws. The course is instructed directly by Prof. Dr. Zucchelli and his assistant (Dr. Martina Stefanini).
The workshop will teach participant to perform:
- Flap design for the treatment of single and multiple recession defects
- Split-full-split flap elevation
- Coronally advancement of flap
- Connective tissue graft harvesting technique
- Handle and use of connective tissue graft substitute
- Suturing techniquest
09:00 – 10:30 – Dr. Steigmann Treatment of soft tissue complications in the aesthetic zone – papilla loss and mid-facial recessions
With the increasing number of implants placed in the aesthetic zone, immediate or delayed, we face soft tissue complications like recessions and papilla loss. This lecture will show individualized approaches to correct papilla loss in the aesthetic zone with the help of modern flap design techniques and correction of the midfacial recessions according to the specific etiology of each complication. To determine the cause of failure the development of an algorithm was necessary. Hence, different soft tissue complications around implants can be solved with specific treatments like implant removal, bone- and soft tissue grafting as well as prosthetic correction. The lecture will help the participants to determine, which of these treatments are applicable in each individual situation.
11:00 – 12:30 – Prof. Dr. Zucchelli Treatment of soft tissue complications in the aesthetic zone: buccal soft tissue dehiscence and papilla loss
The recession of the buccal soft tissue margin is a frequent complication of well integrated dental implants. The appearance of the metallic structure or even their transparency through the thin buccal soft tissues are common reasons for aesthetic complains of patients. Moreover, bad implant installation frequently results in excessive apical dislocation of the buccal soft tissue margin of the implant supported crown. Soft tissue plastic surgical procedures and bilaminar techniques in particular, can be successfully used in combination with pre- and post-surgical prosthetic approaches to increase the volume of the interdental soft tissue, to treat buccal soft tissue dehiscences around dental implants and to provide the new implant supported crown with an aesthetic transmucosal emergence profile.
13:30 – 17:00 – Dr. Steigmann & Prof. Dr. Zucchelli Conflict and dialog with Q&A
Dr. Steigmann & Prof. Dr. Zucchelli will discuss their view on the pros and cons of the various treatment methods for soft tissue management and corrections.
Be part of this exclusive & unique education event!
All fees include:
- Three-day course with lectures, workshops and interactive panel discussion
- Catering during the whole event
- Dinner on Thursday evening
- Evening event on Friday in the SOLAR SKY Lounge
(Transfer from hotel to the venue is included.)
Regular course fee (valid from 01.01.2018):
Course fee without accommodation: 2.899 €
Course fee incl. accommodation*: 3.299 €
Hotels: TITANIC Gendarmenmarkt Berlin and Westin Grand Berlin (Accommodation from Wednesday, 14th March until Saturday, 17th March 2018)
PLUS ONE: 260 €
Includes stay in participant’s double room with breakfast, dinner on Thursday
evening and evening event on Friday.
(Please indicate if you would like to book the course with or without accommodation in “Your message” during the registration!)
All prices plus 19% VAT.
*Valid until 4 weeks before the event.
Course language is English.
Course is limited to 80 participants.