IMPLANTOLOGY AND PERIODONTOLOGY CONGRESS

- Non surgical management of mucositis/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
1. Manual instrumentation with titan universal curet.
2. Mechanical instrumentation with plastic or modified ultrasonic inserts
3. Air-flow devices
- Cause-related laser-assisted nonsurgical periodontal therapy
- Step by step: Professional prophylaxis appointment in case of peri-implant tissue health, Nonsurgical protocol in case of mucositis and in case of Peri-implantitis.
- Antimicrobials and Antibiotics
- Peri-implant Maintenance

A particularly emerging topic will be addressed: peri-implant diseases. The non-surgical treatment has proven quite successful in case of mucositis. Vice versa, in case of progressive and irreversible bone loss, the non-surgical solution is not predictable, however, it is recommended as a first therapeutic phase. In some cases, clinically well documented, the non surgical option may have very satisfactory long term outcomes. In other cases can help to prolong significantly the survival rate of severely compromised implants.

It is essential that non-surgical treatment is all the time specific and tailored to the needs of each individual patient. The protocol, particularly composite and differentiated, associated with the use of diode laser, is described and illustrated with clinical images, drawings and videos.

The long-term success of any dental and peri-implant treatment, carried out in a proper manner, depends essentially on the patient’s degree of cooperation, both in adhering to the recommended recall schedule, and in daily proper home care.

About lecturer

Dental Degree, Ferrara University, Italy. Registered Dental Hygienist, Forsyth School, Boston, U.S.A., Bachelor Degree in Classical Literature, Bologna University, Italy.

Assistant Professor: Master of Prosthesis and Implantology, Alma Mater Studiorum, Bologna University; European Master Degree on Oral Laser Applications, Parma University and Rome University, and Master Degree in Oral Surgery and Pathology, Parma University.

3 English published books: "Get sharp" and "non-surgical periodontal therapy, indications, limits and clinical protocols with the additional use of diode laser " and an Atlas text: “Peri-implant diseases: Surgical Treatments, 2019 by Quintessense International ed, “Peri-implant diseases: Non-Surgical Protocols” on press, 2020.

- Different etiology and risk groups of peri-implant pathology
- An individualized treatment plan addressing specific risks for peri-implantitis
- The role and efficacy of surgical approaches to peri-implantitis
- Resective approach
- Regenerative approach
- Advantages and disadvantages of clinical activities in order to avoid peri-implantitis and obtain a long-term stable clinical result.

Within traditional beliefs of peri-implantitis, plaque accumulation is the primary etiologic factor. A more modern approach looking beyond symptomology using stratification of peri-implantitis cases into risk groups has elucidated that, in most of cases, bacterial superinfection seems to be secondary. More important factors for triggering peri-implant disease seem to be deficiencies in implant placement or their prosthetic restoration. Knowledge of these contributing factors will substantially change not only the treatment plan, but also the prognosis of peri-implant disease. The aim of this presentation is to demonstrate the do’s and don’ts of good clinical practice to avoid peri-implant pathology and obtain a longitudinal stable clinical response of the peri-implant tissues.

Following this presentation, participants will be able to:

1) describe different etiology and risk groups of peri-implant pathology,
2) develop an individualized treatment plan addressing specific risks for peri-implantitis
3) understand the role and efficacy of surgical approaches to peri-implantitis.

About lecturer

Dr. Canullo graduated cum laude in Dentistry and Dental Prosthesis at the University of Rome “La Sapienza” in 1994 and holds a PhD form the University of Bonn, Germany. He is a national and international speaker on surgical and prosthetic aspects of implant dentistry. He has authored more than 100 publications in international journals on topics related to implantology. Dr. Canullo is an active member of the Italian Academy for Osseointegration and European Academy of Osseointegration (EAO). He is Visiting Professor at the University of Valencia (Spain). He has been awarded several prestigious academic prizes including: best clinical presentation at the EAO in 2008, the Martignoni prize at the Italian Academy for Prosthetic Dentistry in 2012, the prize for the best scientific article at the American Academy of Osseointegration in 2013, prizes for clinical and basic research at Italian Society for Osseointegration in 2016, and the prize for the best clinical research at Spanish society for surgery and implants in 2017. Dr. Canullo’s professional office is in Rome, with a private practice in surgery and implant supported prosthetic rehabilitation.

- The importance of total rehabilitation
- Evolution & history of the MALO protocol
- MALO protocol diagnosis
- What is All-on-4 ®?
- All-on-4 ® treatment concept
- All-on-4 ® Standard
- All-on-4 ® Hybrid
- All-on-4 ® Double-Zygomatm
- All-on-4 ®Extreme
- The principles, advantages, objectives and biomechanics of the All-on-4®. Treatment Concept;
- Evolution of this Treatment Concept to overcome past and present challenges;
- New implant products developed to overcome extremely complex cases and recognize its clinical applications

This session will briefly review the objectives, as well as the evidence-based principles of the All-on-4® Treatment Concept to restore complete edentulous and failing dentition cases, followed by the discussion of the most recent advancements that this technique has gone through.

The new products developed to overcome the challenges of restoring the atrophic maxillae will also be presented, comprehending a wide range of solutions since zygomatic to short implants, along with other implant design innovations, emphasizing its importance to the success of this treatment and providing clinical examples to its application.

About lecturer

Degree in Dental Medicine at University of Lisbon, Portugal, in 1989 PhD in Oral Biology from Sagrado PhD in Oral Biology from Sagrado Coração University, Bauru, Brazil, in 2009 Coração University, Bauru, Brazil, in 2009.
Exclusive private practice in Oral Surgery and Prosthetic Rehabilitation
Author and co-author of several scientific publications in peer-reviewed journals and book chapters
Frequent guest speaker at about 150 international conferences per year on Healthor Management related subjects
Visiting professor at several prestigious Universities

- The effect of implant composition on the occurrence of peri-implantitis.
- A new standard in implant composition.
- Differences in the quality of implants

The surface of dental implants determines the initial phases of the biological response to the implant and affects its ability to integrate into the surrounding tissue.

In four consecutive studies since 2007 more than 300 different, sterile-packaged dental implants were analysed by scanning electron microscopy and elemental analysis (EDS). Nearly 50% of all analysed implants showed a wide variety of organic and/or inorganic impurities containing iron, copper, tin, chromium, tungsten, antimony and nickel. Additional Time-of-Flight Secondary Ion Mass Spectrometry (ToF-SIMS) analysis revealed polysiloxanes, polyethylene and even hazardous surfactants on sterile dental implants.

About lecturer

Dr. Dirk U. Duddeck received his degree in Dental Medicine in 1992 from Heidelberg University where he subsequently worked as an Assistant Dentist at the Heidelberg University Clinic for Mouth, Jaw and Facial Surgery. In 1999, he founded a leading continuing education and consulting firm in the dental field. From 2007 to 2015, he worked as a Research Assistant at the Polyclinic for Oral Surgery and Implantology and the Polyclinic for Mouth, Jaw, and Facial Plastic Surgery in Cologne. He conducted numerous studies there on the surface analysis of implants and peri-implatitis therapy.

He has been Director of the European Academy of Dental Implantology and Program Director of the independent Medical Materials Research Institute MMRI based in Berlin since 2014. In addition, he leads the Clean Implant Foundation, a worldwide initiative whose focus is investigating the quality of dental implants.

About lecturer

Since 2010 a partner of the International Team for Implantology, since 2017 a member of the ITI.
Course instructor and lecturer at a national and international levels.
Periodontist at the Vilnius Implantology Center.
Certificate Program for the European Association for Osseointegration (EAO) in 2014.
The International Team for Implantology (ITI) 2010, Geneva, Switzerland. Poster presentation prize. “The influence of margin location on the amount of undetected cement excess after delivery of cement-retained implant restorations”. Vindasiute E, Linkevicius T, Maslova N, Puisys A
Academic qualifications: D.D.S. Spec in periodontology, PhD, Specialist in Periodontics, Doctor of Philosophy, PhD.

– Diagnosis and classification of implant recipient sites using CBCT and 3D software.
– Augmentation techniques available at the time of extraction.
– Management of the “deficient” site through horizontal and vertical augmentation techniques.
– Evaluation of new techniques and bioengineering technologies for future applications.

Biologic Modifiers can often be synergistically combined with periodontal plastic surgical techniques, guided bone regeneration and various osseous grafts to effectively establish the optimal foundation for functional and esthetic implant restorations. Vertical soft tissue and interdental papilla enhancement is frequently combined with innovative second-stage periodontal plastic surgery to create an ideal restorative frame.

The three-dimensional reconstruction of the implant receptor site comprises three distinct phases:
- Development of the hard tissues,
– Reconstruction of the soft tissue,
– Shaping of the tissues through the restorative profil.

About lecturer

- Developer of the latest protocols in reconstructive surgery and bioengineering
- Leading Scientific Expert of the DentalXP (Dental Education Site)
- A member of the multidisciplinary Team Atlanta, together with Dr. Goldstein and Dr. Garber, known for clinical research in reconstructive and aesthetic dentistry
- Dental Expert Advisor for Fox Television
- An active member in the American Academy of Orthodontics, the American Academy of Periodontics, the Academy of Osseointegration, American Dental Association
- Works at the Department of Periodontology at the University of Pennsylvania