Webinar by legendary OTTO ZUHR

This lecture provides an overview of the principles of successful soft tissue management that are relevant to postoperative wound healing in order to equip dentists with the tools needed for the correct, indication-specific selection and performance of plastic surgical techniques in the oral cavity in daily practice.
- uneventful wound healing is the key to a successful treatment outcome in contemporary reconstructive periodontal and implant surgery
- healing by primary intention
- two factors that can deeply be influenced by the surgeon:

• The blood supply to the surgical site
• The postoperative wound stability

- precise preparation of exactly dimensioned surgical flaps and the choice of an adequate suturing technique as a superior microsurgical treatment concept
- understanding biological interactions and their targeted practical implementation
- fundamental notion of a contemporary soft tissue management and shortened healing time

With more than 25 years of clinical experience and teaching practice, Dr. Zuhr has become a proven expert in his field well beyond the European borders.

From 2007 to 2014 he was board member of the German Society of Periodontology (DGParo) and he`s presently holding an associate professorship position at the Department of Periodontology of the JohannWolfgang-Goethe University in Frankfurt/Main, Germany (Director: Prof. Peter Eickholz).

Otto Zuhr has written several refereed scientific articles in the field of periodontology and implant dentistry.

His book “Plastic Esthetic Periodontal and Implant Surgery” was published by Quintessence in 2012.

His research activities are focused on oral soft tissue wound healing and oral soft tissue reconstruction

The implant treatment on the esthetic zone aims healthy, functional and also esthetic results. In order to obtain an esthetic result is mandatory that the implants are placed in optimal 3D position and completely surrounded by healthy bone.

A harmonious and healthy status of the soft tissues is also a pre-requisite of an esthetic result. Due to the alveolar ridge destruction caused by trauma and dental or implant infections, bone availability often is not ideal to obtain a good esthetic result. In order to treat predictably such cases there are surgical techniques that allow a complete 3D reconstruction of the alveolar ridge. However, if an optimal esthetic result is searched periodontal plastic techniques have to be also performed.

When an implant is malpositioned on the Esthetic Zone, it is more susceptible to develop biological (periimplantitis) and esthetic failures. If a malpositioned implant is infected, that implant should not be treated, since although bone can be regenerated, the new bone is highly susceptible to new bone resorption because an important part of the ethiology of the problem is the wrong implant position (specially to labial and too deep) which avoids the bone maintenance. In such cases, extraction of the implant and 3D bone regeneration of the resulting defect is desirable in order to place a new implant in optimal 3D position so a highly esthetic restoration may be placed.

All these topics will be addressed on this 3-hours presentation. Objectives:

Propose a rationale and a protocol to have predictability on 3D Bone Regeneration.
Teach indications and Step-by-Step description of 3D Bone Regeneration Techniques: GBR using PTFE and Ti reinforced membranes and Khoury´s Technique.
Explain the rational and regenerative techniques to treat esthetic and biological implant failure on the Esthetic Zone.

Dr. David Gonzalez is a Specialist Member of the Spanish Society of Periodontology and Osseointegration since 2000 and European Federation of Periodontology

Dr. David González received the Prize for Best Course of the Year 2010 by the Dental Council of Aragon, Spain. He also won the Prize for Best Communication in the Annual meeting of the Spanish Society of Periodontology and Osseointegration in 2.007.

Dr. Gonzalez is a visiting profesor of the postgraduate program of Periodontology in the University of Barcelona (2003-currently).

He has more than 40 publications in Spanish language and 8 as 1º author in the Journal of the Spanish Society of Periodontology and Osseointegration, which is the journal with the highest impact factor in the Spanish language world.

Dr. David González is the director of the monographic courses on Periodontal and Implant Regenerative and Plastic Surgery, which take place at Clinica OrtoPerio.

Director of the 1-year “Course of Periodontal and Implant Surgery” which takes place at Clinica OrtoPerio.

Since 2005 Dr. David González runs a private practice dedicated exclusively to Periodontology and Implantology (Clinica OrtoPerio in Murcia (Spain)).

1. Stretching, extrusion, local tissue plastics with regional hemodynamics preservation.

2. Key features.

3. Materials and methods.

4. Implementation protocols.

5. Clinical recommendations.

Member of the Moscow regional association of dentists and maxillofacial surgeons

Speaker of numerous international congresses

Developer of patient rehabilitation protocols with solid implants

Developer of standards and author methods of free connective tissue transplant pickning; prosthetic protocols in single-stage implantation

Author of publications in International Quintessence Publishing Group

Modern view of dental implantation from the point of soft tissues.

Biological principles of the surgical phase of implantation.

Features of creating optimal soft tissue conditions in an esthetically significant zone.

Soft tissue augmentation in implantation in masticatory system.

Completed a soft tissue reconstruction course in the USA at the Dr. Michael Pikos Institute.

Participant of lecture-practical courses conducted by world dentistry experts Dr. Cortellini, Dr. Tonetti, Dr. Zucchelli, Dr. O.Zuhr, Dr. M.Degidi, Dr. A.Friedberg, Dr. Masana Suzuki, Dr. I.Gamborena, Dr. S.Renvert.

Author of several educational projects oriented towards hard and soft tissue reconstruction protocols.

Guided bone regeneration principles and osteogenesis mechanism

Materials and their properties

Membranes and nets

Clinical examples of different GBR techniques

Dentist-surgeon.

Graduated from the Pavlov First Saint Petersburg State Medical University in 2002, completed residency in St. Petersburg Medical Academy of Postgraduate Studies, have become the leading implantologist in many clinics of the city

Completed a master's degree of prof. Urban in Budapest

Currently is the co-owner of the PerfectSmile clinical training center in St Petersburg

His area of professional interest is soft and bone tissue plastics.

Possibilites of the "ALL-ON-4" concept. Standard protocol

Trans-sinusal approach

V-II-V method

Combined techniques with application of the "ALL-ON-4" concept

Orthopedic planning as the basis of a successful rehabilitation.

Where is the limit of digital planning?

Orthopedic decisions in a "ALL-ON-4" concept as a long-term success.

Candidate of Medical Sciences,

Dentist-orthopedist, surgeon, implantologist

25 years of experience

"ReSto" Clinic Director