AGENDA

FRIDAY – PRE-CONGRESS DAY (optional)

2 sessions in parallel

SATURDAY – LECTURE DAY

ABSTRACTS

PRE-CONGRESS DAY

LECTURE & WORKSHOP
Dr. Larissa Steigmann & Dr. Marius Steigmann: Site-specific soft tissue management for guided bone regeneration
Successful membrane coverage is determined by tension free flap closure and is significant for desirable clinical outcomes. Hence, proper tension release on the overlying flap to achieve passive tension flap closure remains to be the most important factor for achieving predictable bone augmentation outcomes. Flap openings have been associated with postsurgical complications including infections and graft failure. Therefore, gaining flap flexibility for the coverage of small to high volume augmentation is an important component for predictable outcomes. Several techniques have been described in the literature for flap advancement. Vertical releasing incision and periosteal scoring are common techniques to obtain flap flexibility and are commonly applied. Also, it is known that the incision into submucosa and even some muscularly incision will provide major flap advancement. Furthermore, the application of these advancement methods is often limited to the presence of sufficient gingival tissue thickness. The determination of periodontal phenotype is relevant to determine mucogingival surgical management. For thin gingival tissue it has been advocated to perform a full thickness flap (periosteum within the flap) rather than a partial-thickness flap (leaving the periosteum over the bone as tissue thickness decreases wound dehiscence occurs. This is leading to flap tearing and subsequent graft exposure. Similar to flap advancement, split thickness flaps are surgical demanding to be performed in thin tissue as perforation may occur. So far, no specific surgical technique has been proposed for major flap advancement in the thin tissue phenotype (≤1.5mm). Therefore, this lecture introduces a surgical technique – The Mucosal Detachment Technique – that is separating the mucosal insertion from the periosteum which is aimed at achieving adequate dimensions of flap flexibility to cover high volume augmentation.

LECTURE & WORKSHOP
Dr. Giorgio Tabanella: The NOVAMag^® product line: a breakthrough in bone reconstruction surgical procedures
The NOVAMag^® product line is a synthetic and mechanically strong, but fully bioresorbable biomaterial that is replaced by natural bone over time. It thus, offers dentists completely new treatment options. The NOVAMag^® product line consists of the NOVAMag^® membrane and the NOVAMag^® fixation screw and was developed for augmentation procedures in the alveolar ridge. The NOVAMag^® membrane is a magnesium membrane and the NOVAMag^® fixation screw is a set of magnesium fixation screws in different sizes that can be used for both barrier membrane and bone block fixation. Due to its unique features, the NOVAMag^® product line offers a minimally invasive approach for patients, as the implants do not need to be removed in a second procedure. Therefore, it is also a very safe technique in comparison to non-resorbable membranes. In addition, this also reduces chair time for the dentist, presenting a win-win situation for everyday clinical practice.

CONGRESS DAY

Dr. Larissa Steigmann

LECTURE
Alveolar ridge preservation: lveolar ridge preservation: decisions based on bone morphology
Implant dentistry has revolutionized the field of dentistry, offering a predictable and aesthetic solution for the replacement of missing teeth. The preservation of the alveolar ridge during tooth extraction becomes a critical factor in achieving ideal implant placement and optimizing esthetic results. Alveolar ridge preservation encompasses a range of procedures that aim to minimize the resorption of the extraction socket and maintain the volume and contour of the alveolar ridge. Successful treatment requires careful case selection, meticulous surgical techniques, and appropriate material selection. Additionally, a thorough understanding of the biological principles underlying bone and soft tissue healing is crucial for achieving predictable results. Furthermore, challenges arise when considering implant placement in the aesthetic zone, where both functional and cosmetic outcomes are of utmost importance. Preservation of the ridge contour helps to maintain the natural emergence profile, supporting soft tissue stability and achieving harmonious integration between the implant and the surrounding gingiva. Additionally, different concepts of creating the stable foundation for accurate implant placement are contrasted.
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Prof. Dr. Christian Dinu

LECTURE
Hard and soft tissue augmentation in alveolar ridge deficiencies
Modern implantology presents a permanent challenge to obtain an excellent aesthetic-outcome together with the restoration of the lost function and the good prognosis of the obtained result. One of the multiple treatment stepsin obtaining this goal is to surgically restore the alveolar ridge deficiencies. Multiple methods have been described in literature for alveolar ridge augmentation, according to the morphology of the defect and the type of prosthetic reconstruction. A scientific and clinical evidence based wide range of augmentation procedures according to the type of defect, the reconstruction material and the treatment concept will be presented. All kind of defects will be approached, from dehiscence defects, fenestrations, thin ridge with horizontal bone deficiency, vertical ridge deficiencies to combined horizontal and vertical alveolar ridge defects. The reconstruction methods vary from GBR techniques with autologous bone and biomaterials including resorbable membranes or titanium nonresorbable membranes to different bone block techniques. The latter method includes variations as onlay, shell, horizontal or vertical augmentation with intraoral or extraoral source of bone, combined vertical and horizontal techniques with autologous bone blocks and GBR, inferior alveolar nerve repositioning. Soft tissue management with FGG, CTG, and corrective techniques for implant exposure in the aesthetic area will be outlined.

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Dr. Ahmed Daood

LECTURE
Tissue transformation: the art & science of soft & hard tissue grafting to achieve an ideal peri-implant phenotype
Achieving an ideal peri-implant phenotype is pivotal for the long-term success and aesthetics of dental implants. This lecture explores the synergistic approach of surgical techniques and biomaterial integration in managing peri-implant tissues.Focusing on both soft and hard tissue grafting, the session will delve into evidence-based strategies to enhance tissue volume & quality, optimizing functional, and aesthetic outcomes. By addressing the challenges posed by varying clinical scenarios, we will highlight the art of case selection, procedural sequencing, and material choice to ensure predictable results. Attendees will gain insight into cutting-edge grafting techniques and their role in mitigating complications while achieving harmonious peri-implant integration. This comprehensive discussion aims to equip clinicians with practical tools to refine their approach and elevate the standard of implant dentistry through meticulous tissue transformation.

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Prof. Dr. Sunil Kumar Nettemu

LECTURE
The “S Technique” – An innovative surgical protocol in implant dentistry to achieve optimal aesthetics, function, and superior keratinized tissue preservation
Dental implant practitioners across the globe will unanimously agree to and understand the importance of harmonization of soft and hard tissues around dental implants for a successful long-term treatment outcome. A healthy and aesthetically pleasing gingival collar and emergence profile with complete preservation of keratinized mucosa around dental implants can be achieved through an innovative, new surgical technique in a minimally invasive approach. The S technique has been developed to offer multiple advantages to both the implantologists and patients with its superior aesthetic outcomes, safeguarding of the existing keratinized mucosa, reduced patient treatment time, enhanced patient post-operative comfort, reduced fatigue to surgeon, minimally invasive approach, maintenance of adequate blood supply to the mucosal flap, uneventful healing of tissues among others. This presentation will detail the S technique step-by-step procedure, pre-operative planning and treatment designing, as well as provide extremely useful insights into the advantages of this technique through discussion of an array of patient case reports.

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Dr. Marius Steigmann

LECTURE
Predictable flap design in the aesthetic zone
Achieving optimal aesthetic outcomes in implant dentistry involves not only the successful integration of the implant with the surrounding bone but also the harmonious integration of the peri-implant soft tissues. Soft tissue management in the aesthetic zone plays a crucial role in creating natural-looking restored implants and satisfying patient expectations.
Successful soft tissue management requires meticulous planning, precise surgical techniques, and attention to detail. It also necessitates an understanding of the biological principles governing soft tissue healing and the interplay between the soft tissue and the underlying bone, creating an aesthetically pleasing emergence profile that mimics natural teeth.Incision, flap design and suturing techniques are indication specific. E.g., oral surgery, periodontal surgery and endodontic surgery require different soft tissue manipulation dependent on the goal of the surgery. Hence, clear rules are to be respected, according to the objective of the surgery, phenotype of the patient, location in the oral cavity, size of the surgical site – hence, different approaches are to be chosen.
Every surgery when performed can have several complications including flap opening, recession, papilla loss, tissue necrosis (etc.). These are the consequences if the focus is single sided with the only goal to reach primary closure without paying attention to the collateral damage of the surgical intervention. The lecture will focus on decision factors prior to the surgery to avoid aesthetic complications.

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Dr. Giorgio Tabanella

LECTURE
New frontiers in guided bone regeneration: a sophisticated and minimally invasive approach for bone reconstruction
Predictable and safe regeneration of bone defects is no longer a major obstacle in implantology. A proper selection of different grafting biomaterials is based on the volume stability, osteogenicity, origin, porosity, and ease of clinical application that they provide. Especially the new generation of sticky bone not only supports better handling, but also provides faster cells proliferation, vascularization, and better clinical outcomes. Also, the guided bone regeneration is supported by the appropriate choice of barrier membranes. The balance between timed barrier function and space maintenance properties seems to be of crucial importance. The pericardium collagen membranes are already a gold standard for long-term barrier function, but do we enjoy the removal of titanium meshes?
Luckily a new generation of biodegradable metal is already available that doesn’t need removal. Also, their barrier function is comparable to pericardium collagen membranes. Among different applications, a new technique, the “magnesium shield technique” will be presented, which allows any clinician to get the maximum out of a socket preservation in case of missing buccal bone: this approach will reduce the need of invasive surgical procedures thus increasing patient comfort during implant treatment.

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Dr. Adam Pioro

LECTURE
Long term stability after mucosal detachment and periosteal pocket flap with soft tissue improvement – FGG in depth analysis

WORKSHOP DAY

Prof. Dr. Christian Dinu

WORKSHOP
Horizontal bone augmentation
During this workshop the first part will consist in theoretical presentation of the procedure including etiology, clinical, and diagnostic imaging, surgical treatment, and some clinical case discussion.
On a pig mandible the participants will perform a horizontal bone reconstruction using GBR-technique with xenograft and resorbable membrane fixated with pins or periosteal sutures. Flap management for passive closure, and suturing techniques

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Dr. Giorgio Tabanella

WORKSHOP
The NOVAMag^® SHIELD technique
The NOVAMag^® membrane is the most innovative biomaterial available for dental regeneration that is replaced by natural bone over time. It thus offers dentists completely new treatment options. Among different applications, a new technique, the magnesium shield technique is presented, which allows any clinician to get the maximum out of a socket preservation in case of missing buccal bone. Due to its unique features, the NOVAMag^® SHIELD offers a minimally invasive approach for patients. Therefore, it is also a very safe technique in comparison to non-resorbable membranes.The aim of this workshop is to learn about this unique dental biomaterial. Clinical experiences as well as tips and tricks for handling of magnesium shield will be discussed

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Dr. Larissa Steigmann

WORKSHOP
Alveolar ridge preservation: lveolar ridge preservation: decisions based on bone morphology
Preservation of the alveolar ridge is nowadays a routine procedure to achieve ideal implant positioning with an optimized aesthetic outcome. Different techniques aim to minimize the resorption of the extraction socket by maintaining volume and contour of the alveolar ridge. This workshop will guide on different alveolar ridge preservation options

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Dr. Marius Steigmann

WORKSHOP
Sutures for GBR in the aesthetic zone
Successful Guided bone regeneration (GBR) is much dependent on the art of suturing. Flap adaptation and resistance against tension is a determinant factor in GBR not only in the aesthetic but the non-aesthetic zone as well. Particularly, in the aesthetic zone, avoidance of scar formation, papilla loss, or recessions is of importance for an ideal soft tissue outcome. Wrong suturing or a bad choice of suturing material can lead to complications, such as dehiscence, flap opening, edema, and swelling. This workshop will teach in detail the way to knot, precise suturing technique for every incision in the aesthetic zone and the adequate sequence in the suturing process.