Ortho-Perio Approach: Treatment of Patients with Dentofacial Anomalies and Periodontal Diseases

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9 lessons (13h 44min)

12.75 CE Credits

12.75 CE Credits

English

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Description

In orthodontic rehabilitation cases, the complexity of clinical decisions requires treatment planning options that involve several specialists and effective soft tissue management throughout the entire orthodontic treatment process, from diagnosis to post-brace support.

 

During the course, which is entirely dedicated to the ortho-perio approach, you will learn:


– Strategies to facilitate orthodontic tooth movement and improve the condition of periodontal tissues
– Mucogingival reconstructive therapy in adult orthodontic patients
– Protocols for orthodontic rehabilitation of patients with various forms of generalized periodontitis
– Soft tissue management protocols in the area of impacted teeth
– Techniques for creating sufficient volume of soft tissue in the area of missing lateral incisors
– Root coverage techniques before, during, and after orthodontic treatment.

Lesson 1.8 signs of periodontitis: diagnosis for orthodontics

– Orthodontics & microbiota

– Periodontal consequences of orthodontic treatments

– Differential diagnosis between gingivitis and periodontitis 

– Understand the periodontitis infectious model

– The 8 signs of periodontitis

– The 6 risk-factors of periodontitis

– Clinical implication in orthodontics.

 

Recommended for: Orthodontists, Periodontists.

Lesson 2.Borderline cases: diagnosis and ortho-perio therapeutic protocols

– Diagnosis and therapeutic assessments

– Treatment plan option and subjective factors

– Borderline cases:

 

- localized

- localized/generalized

- generalized.

 

– Borderline cases: dental ankylosis in the anterior sextant

– Borderline cases: trauma in the anterior segment associated with sagittal and transverse growth deficits

– Muco-gingival reconstructive therapy in an adult borderline case

– Intra-operative Orthodontic-Parodontal Clinical Synergies

– Orthodontic-periodontal assessments before prosthetic finalization.

 

The participant can learn:

 

– The advantages of a combined orthodontic - periodontal diagnosis

– In detail the orthodontic phases and periodontal therapeutic sequences in complete synergy

– Clinical strategies to facilitate orthodontic movement and improve mucogingival problems.

 

Recommended for: Orthodontists, Periodontists.

Lesson 3.Periodontal orthodontic synergies for optimal esthetics

– Orthodontic treatment of adult patients: limitations, risks  and patient`s expectation

– Periodontal-orthodontic sinergy:

 

- to facilitate and accelerate the orthodontic movement

- minimize periodontal risks

- new perspectives capable to enhance the smile aesthetics

- preserve periodontal tissue health.

 

– Periodontal surgical techniques selected based on different orthodontic and periodontal diagnosis and goals

– Periodontal and Orthodontic indications: advantages and / or disadvantages

– Orthodontics with skeletal anchorage and Periodontal Surgical protocols

– Anchorage selection for optimum case management without patient compliance

– Tutorial videos of some surgical procedures and Guided Mini Screws insertion.

 

The participant can learn:

– The advantages of a combined orthodontic - periodontal diagnosis for an optimal aesthetic assessment

– The opportunity to facilitate and accelerate the orthodontic movement

– To minimize the periodontal risk and to enhance the aesthetics  of the smile.

 

Recommended for: Orthodontists, Periodontists.

Lesson 4.Optimizing the periodontal conditions around impacted upper and lower canines

– The palatal canines: risks 

– The prerequisites before the periodontal exposure surgery of an impacted tooth

– Differences and indications of open and closed surgeries

– Surgeries for the upper and lower canine: the surgical decision tree

– Skeletal anchorage for canine traction

– Moving impacted teeth though and with the periodontium

– Mandibular canines: classification of Mupparapu.


Recommended for: Orthodontists, Periodontists.

Lesson 5.Optimizing the periodontal conditions around impacted teeth

– Impacted maxillary central incisor and odontoma: diagnosis and treatment planning

– Low and mid maxillary central incisors: tactics

– High maxillary central incisor: clinical case

– Impacted upper and lower premolars: treatment protocols

– Impacted 2nd lower and upper molar 

– The prerequisites before the periodontal exposure surgery of an impacted tooth

– Differences and indications of open and closed surgeries

– Surgeries and anchorage for tooth movement of the impacted tooth

– Surgical decision trees applied to the different group of impacted teeth.


Recommended for: Orthodontists, Periodontists.

Lesson 6.Maxillary lateral incisor agenesis & implant

– Lateral incisor ideal width determination: Bolton index

– 3D implant position

– Osseointegration and aging: clinical cases

– Orthodontics and 3D implantology: diagnosis and treatment planning

– Risks of the single implant in the anterior maxilla

– Bonded bridges: advantages and indications

– The optimal conditions for implant in the anterior maxilla

– Zirconia cantilever bonded bridge: advantages.


Recommended for: Orthodontists, Periodontists.

Lesson 7.Critical aspects in the solution of complex cases. The point of view of the periodontist

– To know the critical point from the periodontal point of view of complex ortho-perio treatments

– Understand how to manage treat and maintein complex ortho-perio cases

– Critical aspects in the resolution and maintenance of complex clinical cases.

 

Recommended for: Orthodontists, Periodontists.

Lesson 8.Periodontal therapy in the interdisciplinary Complex Case. Goals, techniques and therapeutic sequence

– The appropriate diagnostic sequence

– The value and importance of saving the natural tooth

– The potential of the periodontal regenerative procedure

– The periodontal surgical techniques

– The operative sequence in complex cases

– Planning of ortho-perio treatment

– Protocols will be shown with the demonstration of resolution of several clinical cases of patients severely compromised by Periodontal Desease and Malocclusion, saving the natural dentition.

 

Recommended for: Orthodontists, Periodontists.

Lesson 9.Gum recession and surgical root coverage. Before, during or after orthodontics?

– Etiologies of gum recession: initiating factors

– Miller's classification

– Root coverage and clinical based decisions

– The decision tree for root coverage techniques:


- Coronally advanced flap (CAF) 

- Laterally sliding flap (LSF)

- Free gingival graft (FGG)

- Connective tissue graft (CTG).


– One incision technique: video demonstration

– The conditions for successful root coverage

– Determining the timing of surgery: before, during or after orthodontic treatment.


Recommended for: Orthodontists, Periodontists.

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Lecturers 4

Associate Professor of Dentistry and Periodontology at the Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

Adjunct Clinical Associate Professor at the Department of Periodontics and Oral Medicine at the School of Dentistry, University of Michigan MI USA.

Dr.Rasperini received his D.D.S. from the University of Pavia in 1990, his certificate of specialist in Orthodontics from the University of Milan in 1997, his certificate as Active Member of the Italian Society of Periodontology and Implantology (SIdP) in 1997. He later received his certificate as Active Member of the European Academy of Esthetic Dentistry (EAED) in 2009 and he became Full Member of the British Academy of Aesthetic Dentistry in 2016

Dr. Rasperini is member of the Editorial Board of the International Journal of Periodontics & Restorative Dentistry and is ad hoc reviewer in the editorial boards of multiple journals.

He has published and lectured extensively in the fields of Periodontology and Implantology, Regenerative Medicine, Surgical techniques for periodontal and peri-implant reconstruction.

Winner of Awards for research with his co-workes: International Quintessence Publishing Award (Boston 2000 - 2004), Goldman Prize (SIdP 1996 - 2010 - 2017), Clinical Research Award (EAO 2010), Earl Robinson Periodontal Regeneration Award (AAP 2012), Align Research Award (2013).

In 2017, he founded the iPerio Education Center in Piacenza, Italy, with Dr. Giorgio Pagni and Dr. Raffaele Acunzo, were they teach their philosophy of treatment and concepts of the modern dentistry.

About me

He received his medical degree at Ferrara University (Italy) in 1978 and specialized in Dentistry at Genova University (Italy) in 1981. `Master of Science in Periodontology` at Boston University in 1984.

Active member of the Italian Society of Periodontology since 1987. Co-author in many articles and books.

Professor for the Periodontology Course at  Ferrara University from 1986 to 2000.

Teaching Professor on European Master Degree in Periodontology at Dental School University of Torino. Teaching Professor on  Master Degree in Oral Surgery and Patology in Parma University, focusing on GBR topics.

Director of  International Master program in Periodontology at Istituto Stomatologico Toscano (Unicamillus University Roma)

Private practice  limited to  Periodontology and Implantology in Ferrara (Italy).

About me
DDS, MSc, PhD Past-President of the French Society of Periodontology and Oral Implantology (SFPIO) International Member of the American Academy of Periodontology (AAP) Associated Member of the National Academy of Dental Surgery (ANCD) Dental Expert at the Appeal Court of Paris 60 articles in journals in French and English, one quoted on the website Evidence-based Dentistry of the ADA in the orthodontic chapter.
About me
Academic researcher from University of Ferrara
About me

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