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Implantation without peri-implantitis
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Mariano Sanz
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Dirk Duddeck
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Ignacio Sanz Sanchez
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Mario Roccuzzo
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Joseph Choukroun
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Stefan Renvert
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Marisa Roncati
Kursdetails
Kurslektionen
Kurslektionen
Dozenten
Details
8 Lektionen (14S 29M)
Englisch
Beschreibung
-
Lektion 1.Peri-implantitis: how to diagnose and treat
– Evolution of the definition of "peri-implantitis"
– Mucositis and peri-implantitis: the main differences
– Diagnostic criteria of peri-implantitis
– Epidemiology of peri-implantitis
– Etiology and risk factors for the development of peri-implantitis:
- Biofilm
- Genetic predisposition
- Prosthetic restoration design.
– Parodontitis and peri-implantitis: the main differences
– Diagnosis of peri-implantitis:
- Probing
- Periapical X-ray.
– Criteria for evaluating the success of treatment of peri-implantitis
– Treatment of peri-implantitis: goals and objectives
– Tools for cleaning the implant surface
– Antibiotic therapy: indications
– Non-surgical treatment of peri-implantitis
– 3 approaches of surgical treatment of peri-implantitis
– Implantoplasty: protocol.
Lektion 2.Peri-implant diseases: non-surgical periodontal approach
– The main differences between periodontitis and peri-implantitis;
– Non-surgical management of mucositis and peri-implantitis;
– Peri-implant subgingival calculus detection;
– Effective teaching of oral hygiene skills and professional maintenance care in case of implant supported prosthesis;
– Professional Comprehensive Subgingival Debridement:
- Manual instrumentation with titan universal curet,
- Mechanical instrumentation with plastic or modified ultrasonic inserts,
- Air-flow devices.
– How to avoid instrumentation errors.
– Diode laser in the treatment of peri-implantitis
– Professional prophylaxis appointment in case of peri-implant tissue health, non-surgical protocol in case of mucositis and in case of peri-implantitis;
– Antimicrobials and antibiotics;
– Peri-implant maintenance.
– Improving "doctor-patient" communication skills. Patient motivation.
Lektion 3.Peri-implantitis as consequence of factory-related implant contamination? Research results of SEM analysis
– The big misunderstanding: "Sterile" is not necessarily the same as "clean";
– A five-step approach for cleaner dental implants;
– The "Precautionary Principle" as dentists' guideline;
– Concerning results of one of the worlds largest quality assessment studies on dental implants;
– Clinical effects of implant contaminants and their role in peri-implantitis;
– Legal implications and the thread of patients' damage claims;
– Why we need a new standard for implant cleanliness.
Lektion 4.Treatment options for peri-implantitis cases
– Diagnostics of peri-implant tissues: probing technique
– Peri-implantitis and peri-implant mucositis: criteria for diagnosis
– Remove the implant or save it: the decision-making algorithm
– Protocol of surgical treatment of peri-implantitis
– Method of implant removal
– Tasks of non-surgical treatment of mucositis and peri-implantitis
– Oral hygiene as a key factor of treatment
– Methods and tools for the treatment of peri-implantitis
– Laser therapy: effectiveness in the treatment of peri-implantitis
– Antibiotic therapy: the validity of local and general use
– Implant surface: significance for the effectiveness of treatment
– Cleaning the implant surface: methods and tools
– Criteria for the selection of suture material and the method of suturing
– Use of materials for bone grafting
– Evaluation of the effectiveness of treatment
– The value of maintenance care.
Lektion 5.Peri-implant soft tissue integration to reduce the risk of peri-implantitis
– The importance of keratinized mucosa for the stability of implants
– Free gingival graft: when and how much is needed
– Peri-implantitis: factors and causes of development
– The technique of taking and fixing a free gingival graft
– Planning of implantological treatment: clinical tips
– Guided bone regeneration: indications and method
– The recession around the implant: a method for closing defects.
Lektion 6.Bone & Soft Tissue Oxidative Stress following bone grafts and implants. Biologic solutions
– Fracture healing: conditions
– The concept of osteology and osteoimmunology
– Etiology of oxidative stress
– Causes of persistent contamination
– Antibiotic therapy: selection criteria and application scheme
– Selection of biomaterial
– Scientific justification for the use of PRF
– Cholesterol and vitamin D: types and effects on healing
– Apical mattress sutures: advantages
– Excessive implant pressure: prevention methods
– The concept of osteoimmunology
– Indications for the collagen membrane.
Lektion 7.Decontamination protocols in the treatment of peri-implant diseases and efficacy of non-surgical approaches
– Etiology of mucositis and peri-implantitis
– Treatment protocol for severe periodontitis
– Prevention of the development of peri-implantitis
– Risk factors for the development of peri-implantitis
– Informing the patient as a guarantee of successful treatment
– Diagnostic wax up
– Errors when installing implants
– Supportive therapy: techniques
– Decontamination protocols:
- tools and methods
- chemical solutions
- antibiotic therapy.
– Principles of laser application
– Protocol for the treatment of mucositis
– Protocol of non-surgical treatment of peri-implantitis.
Lektion 8.Efficacy of the surgical treatment of peri-implantitis
– Dental plaque control and decontamination methods
– Classification of peri-implant defects
– Planning of treatment of peri-implant defects: 2D or 3D images
– Indications for surgical treatment
– Algorithm for choosing the type of surgical treatment
– Treatment of peri-implantitis in an aesthetically significant area
– Resection approach to the treatment of peri-implantitis
– Success factors of peri-implantitis treatment
– Advantages of implantoplasty
– The role of antibiotic therapy in complex treatment
– Possibilities of repeated osseointegration
– Polishing the implant surface: a clinical example
– Technical factors of peri-implantitis development.
Der Kurs beinhaltet die nächsten Lektionen:

Lektion 1
Peri-implantitis: how to diagnose and treat
Mariano SanzLektionsprogramm zeigen
0:01
Introduction and Lecture Outline
1:25
Definition and Classification
12:03
Pathology and Histology of Lesions
12:59
Epidemiology
19:58
Etiology and Pathogenesis

Lektion 2
Peri-implant diseases: non-surgical periodontal approach
Marisa RoncatiLektionsprogramm zeigen
0:01
Introduction & Lecture Objectives
3:20
Oral‑Systemic Links and Infection Risk
7:27
Reduction New Contagious Aerosol (R.E.D.U.C.E.) Protocol
15:07
Biofilm Control and Mucositis Management
25:05
Patient Stratification and Maintenance Intervals

Lektion 4
Treatment options for peri-implantitis cases
Stefan RenvertLektionsprogramm zeigen
0:01
Introduction and lecture outline
1:46
Overload, remodeling, and biological complications
5:12
Peri-implant tissue anatomy and biofilm
12:44
Probing techniques and measurement accuracy
16:16
Radiographic assessment and prevalence of peri-implantitis
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Dozenten 7
Professor und Lehrstuhlinhaber für Parodontologie an der University Complutense of Madrid, Spanien. Adjunct Professor an der University of Oslo, Norwegen. Adjunct Professor an der University of Bern, Schweiz. Ehemaliger Präsident der European Federation of Periodontology (EFP, 2014-2016). Direktor der ETEP-Forschungsgruppe zu Ätiologie und Therapie parodontaler und periimplantärer Erkrankungen.
Über 44 Jahre klinische und akademische Erfahrung in Parodontologie seit Medizinabschluss 1981. Erhielt MD-Abschluss von der University Complutense of Madrid (1981), Abschluss in Stomatologie (1983), und Doctor of Medicine (PhD, 1985) mit Doktorarbeit über bakterielle Invasion in Gingivagewebe bei fortgeschrittener Parodontitis unter Betreuung von Dr. Antonio Bascones Martínez. Spezialisierung in Parodontologie von der University of California Los Angeles (UCLA, 1987). Ehemaliger Dekan der Faculty of Odontology an der University Complutense of Madrid (2004-2012). Direktor des Postgraduate Program of Specialization in Periodontology an der UCM seit 1989. Co-Direktor des Diploma in Research Methodology and Biostatistics an der UCM.
Internationale Autorität in parodontaler Forschung, hat im letzten Jahrzehnt mehr relevante wissenschaftliche Artikel in Zahnmedizin veröffentlicht als jeder andere Autor weltweit. Ehemaliger Präsident der Spanish Society of Periodontology (SEPA), European Federation of Periodontology (EFP, 2014-2016), und European Association for Osseointegration (EAO). Ehemaliger Präsident der European Division of International Association for Dental Research (IADR). Ehemaliger Chairman des European Council of Deans of Faculties of Odontology. Erhielt Ehrendoktortitel von der University of San Sebastian, Santiago, Chile; University of Gothenburg, Schweden; und University of Coimbra, Portugal.
MD (1981), DDS (1983), PhD (1985) von der University Complutense of Madrid. Certificate in Periodontology von UCLA (1987). Veröffentlichte umfangreich in führenden begutachteten Zeitschriften einschließlich Journal of Clinical Periodontology, Journal of Dental Research, Journal of Periodontology, und Journal of Periodontal Research. Forschungsschwerpunkt auf oraler Mikrobiologie, klinischen Studien in Parodontologie und Implantatzahnmedizin, Ätiologie und Pathogenese parodontaler und periimplantärer Erkrankungen, parodontaler und Knochenregeneration, mesenchymalen Stammzellen und Bakterien-Wirt-Interaktionen. Chairman der ETEP-Forschungsgruppe seit 2005, leitet multizentrische Forschung zu antimikrobiellen Ansätzen in der Behandlung von Gingivitis und Parodontitis. Regelmäßig als Hauptredner bei großen internationalen parodontalen Kongressen weltweit eingeladen.
Geschäftsführer der CleanImplant Foundation, einer unabhängigen Organisation gewidmet Implantatsauberkeitsforschung und Qualitätssicherung. Gastforscher an der Charité – Universitätsmedizin Berlin. Projektmanager des BDIZ EDI (Bundesverband der implantologisch tätigen Zahnärzte in Europa) Qualitäts- und Forschungsausschusses. Mitglied des BAIRD (British Academy of Implant & Restorative Dentistry) Implant Council. Mitglied der Academy of Osseointegration (AO). Pionier in der Forschung über Implantatsoberflächenkontamination und ihre klinischen Auswirkungen.
Über 30 Jahre Erfahrung in Implantatzahnmedizinforschung und Qualitätssicherung. Experte für Implantatsoberflächensauberkeits-Bewertung, Herstellungsqualitätskontrolle in Implantatproduktion, Peri-Implantitis-Prävention bezogen auf Oberflächenkontamination, Qualitätsunterschiede zwischen Titan- und Keramikimplantaten, und klinische Auswirkungen kontaminierter Implantate. Gründer und Leiter der Forschung demonstrierend, dass viele Dentalimplantate Oberflächenkontamination "ab Werk" haben, die zu Peri-Implantitis und Implantatversagen beitragen kann. Bekannt für Pionierarbeit aufdeckend weitverbreitete Qualitätsmängel in Implantatfertigung und Eintreten für höhere Industriestandards.
Autor zahlreicher wissenschaftlicher Publikationen über Implantatsoberflächenqualität und Kontamination. Internationaler Dozent präsentierend ausgedehnt in ganz Europa über Themen einschließlich "Fifty Shades of Grey and White: Titan vs. Keramik - Qualitätsunterschiede bei Implantaten und Konsequenzen für Zahnärzte," "Mängel ab Werk: Ausmaß, Klinische Konsequenzen und Rechtliche Implikationen Kontaminierter Implantate," und "Peri-Implantitis ab Werk? Warum 'Kontaminierte' Implantate Konsequenzen Haben." Regelmäßiger Sprecher bei großen Implantatkonferenzen einschließlich ISMI (International Society for Metal-Free Implantology) Jahrestreffen, BDIZ EDI Kongressen, und Digital Dentistry Society Veranstaltungen. Seine Forschung hat grundlegend Verständnis von Implantatsoberflächenqualität verändert und zu verbesserten Fertigungsstandards und Qualitätskontrollprotokollen in der gesamten Dentalimplantatindustrie geführt. Befürworter unabhängiger Qualitätsprüfung und Transparenz in Implantatfertigung.
DDS, Dr. med. dent. (deutscher Doktorgrad).
Associate Professor in Periodontology. Private practice in periodontics, endodontics and dental implants. Collaborating professor of the master in periodontics and dental implants of the UCM since 2010. Coordinator of the third year course (dental implantology). Coordinator of continuing education courses sin the Spanish Society of Periodontology (SEPA) and the UCM.
Adjunct Clinical Assistant Professor in the Department of Periodontics at University of Michigan.
Co-author of the recent book “Peri-implant Soft-Tissue Integration and Management”.
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