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Implantation without peri-implantitis

Mariano Sanz
Dirk Duddeck
Ignacio Sanz Sanchez
Mario Roccuzzo
Joseph Choukroun
Stefan Renvert
Marisa Roncati
Course details
Course lessons
Course lessons
Lecturers

Details

8 lessons (14h 29min)

English

Description

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Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Lesson 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.

Course includes next lessons:

Lesson 1

Peri-implantitis: how to diagnose and treat

Mariano Sanz
Lesson 2

Peri-implant diseases: non-surgical periodontal approach

Marisa Roncati
Lesson 4

Treatment options for peri-implantitis cases

Stefan Renvert

Lecturers 7

Professor and Chair of Periodontology at University Complutense of Madrid, Spain. Adjunct Professor at University of Oslo, Norway. Adjunct Professor at University of Bern, Switzerland. Past President of European Federation of Periodontology (EFP, 2014-2016). Director of ETEP research group on Etiology and Therapy of Periodontal and Peri-Implant Diseases.

 

Over 44 years of clinical and academic experience in periodontology since graduating in medicine in 1981. Received MD degree from University Complutense of Madrid (1981), degree in Stomatology (1983), and Doctor of Medicine (PhD, 1985) with doctoral thesis on bacterial invasion to gingival tissues in advanced periodontitis supervised by Dr. Antonio Bascones Martínez. Specialization in Periodontology from University of California Los Angeles (UCLA, 1987). Former Dean of Faculty of Odontology at University Complutense of Madrid (2004-2012). Director of Postgraduate Program of Specialization in Periodontology at UCM since 1989. Co-Director of Diploma in Research Methodology and Biostatistics at UCM.

 

International authority in periodontal research having published more relevant scientific articles in dentistry during the past decade than any other author globally. Past President of Spanish Society of Periodontology (SEPA), European Federation of Periodontology (EFP, 2014-2016), and European Association for Osseointegration (EAO). Past President of European Division of International Association for Dental Research (IADR). Former Chairman of European Council of Deans of Faculties of Odontology. Received honorary doctorates from University of San Sebastian, Santiago, Chile; University of Gothenburg, Sweden; and University of Coimbra, Portugal.

 

MD (1981), DDS (1983), PhD (1985) from University Complutense of Madrid. Certificate in Periodontology from UCLA (1987). Published extensively in leading peer-reviewed journals including Journal of Clinical Periodontology, Journal of Dental Research, Journal of Periodontology, and Journal of Periodontal Research. Research focus on oral microbiology, clinical trials in periodontology and implant dentistry, etiology and pathogenesis of periodontal and peri-implant diseases, periodontal and bone regeneration, mesenchymal stem cells, and bacterial-host interactions. Chairman of ETEP research group since 2005 leading multi-center research on antimicrobial approaches in treatment of gingivitis and periodontitis. Regularly invited as keynote speaker at major international periodontal congresses worldwide.

 

Managing Director of CleanImplant Foundation, an independent organization dedicated to implant surface cleanliness research and quality assurance. Guest Researcher at Charité – University Medicine Berlin. Project Manager of the BDIZ EDI (German Association of Dental Implantology) Quality and Research Committee. Member of BAIRD (British Academy of Implant & Restorative Dentistry) Implant Council. Member of the Academy of Osseointegration (AO). Pioneer in research on implant surface contamination and its clinical implications.

 

Over 30 years of experience in implant dentistry research and quality assurance. Expert in implant surface cleanliness evaluation, manufacturing quality control in implant production, peri-implantitis prevention related to surface contamination, quality differences between titanium and ceramic implants, and clinical implications of contaminated implants. Founder and leader of research demonstrating that many dental implants have surface contamination "from the factory" (ab Werk) that can contribute to peri-implantitis and implant failure. Known for pioneering work exposing widespread quality deficiencies in implant manufacturing and advocating for higher industry standards.

 

Author of numerous scientific publications on implant surface quality and contamination. International lecturer presenting extensively throughout Europe on topics including "Fifty Shades of Grey and White: Titanium vs. Ceramic - Quality Differences in Implants and Consequences for Dentists," "Defects from the Factory: Extent, Clinical Consequences and Legal Implications of Contaminated Implants," and "Peri-implantitis from the Factory? Why 'Contaminated' Implants Have Consequences." Regular speaker at major implant conferences including ISMI (International Society for Metal-Free Implantology) Annual Meetings, BDIZ EDI congresses, and Digital Dentistry Society events. His research has fundamentally changed understanding of implant surface quality and led to improved manufacturing standards and quality control protocols throughout the dental implant industry. Advocate for independent quality testing and transparency in implant manufacturing.

 

DDS, Dr. med. dent. (German doctoral degree).

 

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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