Saving hopeless teeth: surgical and conservative protocols
Course details
Course lessons
Course lessons
Lecturers
ADA CERP
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48 $ per lesson
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9 premium lessons of that course
Details
9 lessons + 1 free (11h 5min)
9.75 CE Credits
English
Access to the record for 180 days or without limits with Premium
Description
The latest protocols for saving teeth with a poor prognosis, including tooth extrusion protocols from the legendary Stefan Neumeyer!
During the course, you will learn:
– The protocols of the Tissue Master Concept by Dr. Stefan Neumeyer
– Various methods of surgical crown lengthening
– Techniques of intentional tooth replantation
– Treatment protocols for invasive cervical resorption.
The lecturers of the course will analyze all the peculiarities of saving hopeless teeth from A to Z. This training is designed for dentists of all specialties. Don't miss out!
Lesson 1.The Tissue Master Concept (TMC) by Stefan Neumeyer. Introductory lesson
– Introduction and biological basis of the Tissue Master Concept
– Consequences of losing a tooth. Biological and anatomical considerations
– Literature review of the structure and function of periodontal tissues
– The main idea behind the Tissue Master Concept
– Structural biology:
- Structural changes after extraction
- The role of the periodontal ligament
- Loss of the bundle bone
- Surgical intervention techniques
- Stabilization of the alveolus.
– The success parameters for implementing the Tissue Master Concept
– Extrusion of teeth: force calculation and biomechanics
– Preservation and regeneration of tissue and structures:
- Replantation of teeth. Predictable and reliable method
- Tissue modification generated by tooth movement
- Orthodontic extrusion
- The importance of structural integrity of the fiber apparatus.
– The replantation of root segments:
- Significance of the supra-alveolar fiber apparatus
- Tissue reaction following extrusion
- Guided tissue regeneration and improved healing.
Lesson 2.The Tissue Master Concept (TMC) by Stefan Neumeyer
– Introduction and biological basis of the Tissue Master Concept
– Consequences of losing a tooth. Biological and anatomical considerations
– Literature review of the structure and function of periodontal tissues
– The main idea behind the Tissue Master Concept
– Structural biology:
- Structural changes after extraction
- The role of the periodontal ligament
- Loss of the bundle bone
- Surgical intervention techniques
- Stabilization of the alveolus.
– The success parameters for implementing the Tissue Master Concept
– Extrusion of teeth: force calculation and biomechanics
– Preservation and regeneration of tissue and structures:
- Replantation of teeth. Predictable and reliable method
- Tissue modification generated by tooth movement
- Orthodontic extrusion
- The importance of structural integrity of the fiber apparatus.
– The replantation of root segments:
- Significance of the supra-alveolar fiber apparatus
- Tissue reaction following extrusion
- Guided tissue regeneration and improved healing.
– Treatment protocols and extrusion of teeth. Regenerating hard and soft tissues
– Step-by-step explanation of the Tissue MAster Concept on Clinical Cases.
Lesson 3.The Tissue Master Concept: the replantation of root segments
– The extrusion of root segments:
- Significance of the periodontal ligament
- Decision making
- Combination of replantation and extrusion
- Stabilization phase and predictable treatment outcome.
– The replantation of root segments: atraumatic extraction, preparation and replantation
– Bone quality assessment
– Step-by-step clinical cases analysis:
- Extraction, high resection and replantation of a root segments
- Extraction, high resection, replantation and extrusion of root segments
- Extraction, high resection, horizontal replantation and extrusion of a root segment.
– Success parameters and strategic aspects
– Regeneration and preservation of oral structures by extrusion of teeth and replantation of root segments
– The Advantages of TMC: new treatment approaches and expectations
– Preparation of the replant.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 4.Surgical extrusion procedures
– Key factors in long term survival of endodontically treated teeth
– 3D ferrule concept
– Ferrule classification
– Surgical extrusion and intentional replantation:
- Definition
- Indications
- Complications
- Clinical protocol.
– Retrograde filling protocol
– Apical anatomy
– Atraumatic extraction of teeth: protocols and clinical procedure
Splinting procedures and timing for final restoration.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 5.Intentional replantation of teeth. Protocols, clinical application and literature review
– Indications for Intentional Replantation
– Success rate and biological background
– Atraumatic extraction for replantation
– Apical treatment and root sealing procedures
– Management of extraoral time
– Step-by-step protocols of clinical procedures:
- Retrograde filling and replantation
- Double replantation and surgical extrusion
- Replantation and surgical extrusion.
– Prognosis and complications.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 6.Surgical crown lengthening and vertical preparation to recover severely compromised teeth
– Tooth related and periodontal related problem
– Treatment tactics of hopeless teeth: save or extract?
– Key point of treatment
– Concept of ferrule effect
– VertiPrep technique
– Indications for techniques
– Perimeter build-up
– Retention and resistance: tricks
– Timing of the clinical steps after the clinical crown lengthening
– Video protocol of crown lengthening
- Clinical cases.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 7.Large periapical lesions. Treatment options
– The size of the periapical lesion and its significance in terms of future prognosis
– Differential diagnosis of periapical lesions
– Radiological analysis. CBCT imaging of periapical lesions
– Treatment planning of various clinical cases: extraction, root canal treatment, retreatment, and surgical root canal treatment
– Protocols of retrograde root canal treatment
– Protocols of intentional replantation
– Kratchman technique for tooth intentional replantation
– Analysis of clinical cases
– Follow-up evaluation.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 8.Differentiating Cervical Resorption
– Common pathogenesis of resorptive diseases
– Resorption classification
– Histopathogenesis of external cervical resorption (ECR)
– Etiology of resorption
– Clinical and radiographic signs of ECR
– Heithersay classification
– Patel's 3D classification
– Evidence-based management strategies for ECR:
- External repair
- Internal repair
- Intentional replantation
- Extraction.
– Interdisciplinary approaches to treatment planning cases of ECR.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 9.Pathogenesis and Treatment of External Invasive Resorption: A new Frontier
– Pathogenesis of external invasive resorption (EIR)
– The histological and pathobiological mechanisms of tooth resorption
– Different molecules involved in the process of root resorption
– Underlying molecular biology
– Biological mechanisms of resorption
– Orthodontic root resorption
– External Inflammatory root resorption
– Cytokines in dental diseases
– Gingival crevicular fluid
– Different treatment modalities and their potential outcome: traditional, conventional, modern
– Traditional therapy: repair using the TCA
– Conventional therapy
– Modern therapy
– Treatment possibilities based on the molecular biology of the disease
– Cytokine therapy in medicine.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Lesson 10.Interdisciplinary Management of Invasive Cervical Resorption
– Resorption: general information
– Classifications of resorption
– Diagnosis of cervical resorption
– Radiographic features of resorption
– Differential diagnosis of resorption
– Pulpal involvement
– Tooth discoloration
– Evaluation of possible treatments
– Decoronation: indications, contraindications and techniques
– External reconstruction of the root defects?
– Extraction of resorbed teeth: indications and contraindications
– Interdisciplinary approach to the treatment of invasive cervical resorption: clinical protocols
– Clinical cases demonstrations.
Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.
Course includes next lessons:
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Lecturers 7
MD, DDS.
Graduated with honors in Medicine and Surgery in 1983 at the University of Pavia. Graduated as a Specialist in Odontostomatology at the University of PARMA.
Effective Member of the Amici di Brugg. Active Member of the Italian Society of Endodontics. ITI Member. ANDI member. Gold Member StyleItaliano Endodontics.
Former President of the Board of Dentists and Dentist Advisor of the Provincial Order of Surgeons and Dentists of Piacenza.
Contract professor of Conservative Dentistry and Pediatric Dentistry of CLSOPD. Professor at the Postgraduate Course in Conservative Dentistry, and at the Postgraduate Course in Clinical and Surgical Endodontics at the University of Modena and Reggio Emilia. Teacher of an Advanced Training Course “New dental technology in the aesthetic era”, University of Bologna. Professor of the Master in Endodontics and Restorative Dentistry - Department of Medical Biotechnology, University of Siena and a supervisor of the Postgraduate Course ”Evolution in Pediatric Dentistry".
Member of the European Society of Endodontology (ESE), the American Association of Endodontics (AAE), the Italian Society of Conservative Dentistry (SIDOC) and the Italian Academy of Endodontics (AIE).
Doctor works in private practice limited to endodontic and microsurgery in Rome – Italy.
Degree in dentistry and dental prosthesis at the University of Catania.
Developed together with other members the “Tomorrow Tooth” vertical approach in prosthodontic.
Attendant of numerous annual training courses in surgery and implantology. Speaker at conferences on topics related to implant and prosthetic surgery in Italy and abroad.
Author of the Tissue Master Concept.
Member of the ICED team (International Centre of Excellence in Dentistry), Eastman Institute London.
Awarded the medal of the Bavarian Association of Dentists.
Member of the International College of Dentists (ICD).
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