Info

Zirconia as a material for implants is available in oral implantology since more than 20 years. However, Zirconia implants are considered to be a minority within the dental implants market. Using Zirconia implants in dentistry still awakes emotions either on the patient’s or on the dentist’s side.

The aim of the presentation is to scientifically identify the possible benefits or drawbacks of Zirconia implants on the level of the bone, on the level of the soft tissue and on the level of the prosthetic reconstruction.

Learning objectives

• Understanding the similarities and differences of the Osseointegration of Zirconia implants compared to titanium implants
• Learning the benefits of Zirconia implants related to periimplant health
• Learn to choose the right implant for the best indication

Leucocyte- and platelet-rich fibrin (L-PRF), a second-generation platelet concentrate and completely different from PRP. L-PRF is an autologous blood-derived product, which can be obtained, quickly and in a cost-effective manner. It is produced from peripheral blood, which is immediately centrifuged without any anticoagulant. L-PRF is rich in fibrin, platelets (± 90% of initial blood) and leucocytes (± 70% of initial blood), and can be transformed into strong membranes of about 1 mm in thickness. L-PRF membranes release large amounts of growth factors for a long period (up to 7 days) and they possess an antibacterial capacity. As such L-PRF membranes offer “significant” and “clinically relevant” advantages in several indications including: ridge preservation, sinus augmentation, horizontal/vertical bone augmentation and osseointegration.

Learning objectives
After this presentation delegates will understand the:

• Basic steps in the preparation of L-PRF
• Biological background of L-PRF
• Clinical benefits of L-PRF in dento-alveolar surgery

This clinical based presentation is based on the presenter’s 30 year experience with sinus grafting. It will focus on myths and realities of selection criteria and biology of graft materials, physiology of the sinus membrane, management of large and complete membrane perforations, grafting in the presence of pathology, and management of sinus graft infections along with management of complications of both lateral and crestal sinus grafts.

After this presentation, attendees will

Understand the evidence basis for predictable long term results with lateral wall and crestal sinus grafts.
Understand myths and realities of lateral wall and crestal sinus grafting.
Appreciate management of sinus graft complications including large and complete membrane perforations, along with sinus graft infections and pathology.

Many factors explain the popularity of immediate loading protocols: patients appreciate being able to shorten the overall length of implant treatment and reduce the number of procedures they must undergo in order to obtain fixed implant prostheses.

Despite the broad body of evidence validating the predictability of immediate loading in carefully selected patients, some studies have reported higher failure rates with an immediate-loading approach, as compared to a staged approach for implant placement.

Crucially important to immediate occlusal loading is achieving high primary implant stability. Primary stability must be sufficient to allow implants to resist micromovement until adequate biologic stability has been established.

In light of such research and the author’s 25 years of clinical experience with immediate loading, a protocol for ensuring high primary stability for immediately loaded implants has been developed. The protocol includes:

• identifying the quality and quantity of bone for each patient
• using an implant with optimal macro- and micro-geometry
• paying attention to biology and biomechanics
• undersizing osteotomies and preparing these precisely for placement of tapered implants
• matching the drilling sequence to the bone type
• understanding the surgical instrumentation
• understanding the instruments available for determining primary stability at the time of implant placement

Learning objectives

• the most predictable clinical indications
• the best macrogeometry to achieve an optimal primary stability in different bone qualities
• the correct sequence for undersizing the osteotomy

Der Workshop zeigt individuelle chirurgische und implantat-prothetische Behandlungskonzepte in der Ästhetischen Zone, im teilbezahnten Kiefer sowie im zahnlosen Kiefer, dies auch inklusive digitaler Planungs- und Arbeitsprozesse. Zahlreiche Patientenfälle und Video-Sequenzen verdeutlichen die klinische Vorgehensweise. Praxisnahe Therapiestrategien aus den Bereichen Hart- und Weichgewebemanagement sowie Implantatprothetik werden, auch am Beispiel komplexer Behandlungssituationen, kritisch diskutiert. Besonderes Augenmerk gilt hierbei der patientenbezogenen Entscheidungsfindung und Risikoanalyse.

Die Erweiterung des therapeutischen Behandlungsspektrums durch ein neuartiges Implantatdesign wird hierbei verdeutlicht. Es besteht im Rahmen des Kurses außerdem die Möglichkeit, haptische Eindrücke beim manuellen Eindrehen von Implantaten mit progressivem Gewindedesign in „Saw-Bone-Blöcke“ zu gewinnen.

Kursziele

• Chirurgische und implantatprothetische Konzepte in der Ästhetischen Zone, im teilbezahnten Kiefer sowie im zahnlosen Kiefer
• Individuelle Entscheidungsfindung und Risikoeinschätzung, insbesondere bei Sofortimplantation und Sofortversorgung
• Klinische Vorteile eines progressiven Implantatdesigns
• Indikation und Vorteile digitaler Planungs- und Arbeitsprozesse

Time	8:00am-12:00pm	Tuition	$195
Language	German	Credits	4 CE Credits
Hands-on possibility during coffee break	Limited to 50 attendees

Soft-tissue augmentation is essential for both the prevention and management of peri-implant disease. The establishment of an adequate width of keratinized tissue and soft tissue volume to compensate for possible mucosal recessions following surgical treatment of peri-implantitis is fundamental. The focus of this workshop is extensive hands-on. Topics will include flap designs for soft tissue augmentation, the use of pouch techniques for augmentation of keratinized tissue, harvesting and handling of connective tissue and free gingival grafts, and clinical application and management of scaffolds for soft tissue grafting and mucosal recessions.

Time	8:00am-12:00pm	Tuition	$295
Language	English	Credits	4 CE Credits
Hands-on	Limited to 25 attendees

Today’s technology enables clinicians to provide less invasive procedures with less chair time and faster recovery. This lecture will focus on ways in which digital workflow can enhance communication between the specialist, restorative doctor and lab, thereby improving safety, accuracy, and efficiency. The presentation will demonstrate how digital impressions, guided surgery, and immediate temporization techniques enable final prosthesis predictability by connecting all parties through a digital workflow.

Time	8:00am-12:00pm	Tuition	$195
Language	English	Credits	4 CE Credits
Lecture Only	No limit on attendees

This course is designed for doctors who are interested in enhancing their bone grafting techniques with Leukocyte- and Platelet-Rich Fibrin (L-PRF). L-PRF is derived from the patient’s blood and taken and processed at the point of care. The resulting membrane is rich in platelets, growth factors, and cytokines necessary to produce rapid healing.

This biomaterial is easy to manipulate and is an ideal carrier for bone graft material. It can be placed in extractions sites, immediate implant sites, and can also be used as a barrier membrane. Research clearly indicates that L-PRF significantly enhances wound healing in both hard and soft tissue.

In this course, you will learn the science behind L-PRF and how to incorporate it in your practice. A demonstration of the blood draw and creation of the L-PRF membrane will be included.

Time	8:00am-12:00pm	Tuition	$295
Language	English	Credits	4 CE Credits
Demonstration	Limited to 30 attendees

The recent digital technology offers numerous new and efficient options for restorative dentistry. Within digital dentistry the optical impressioning is the first step towards a digitalization of the patient’s intraoral situation. The resulting digital file is then used for the virtual planification and the virtual design of reconstructions, which thereafter can be milled out of prefabricated blanks of different materials with aid of CAD/CAM systems. Even more, these CAD/CAM reconstructions can either be made in a centralized production facility or chair-side in the dental office.

The digital systems available today offer numerous advantages, like e.g. the precision of the reconstructions.

The lecture will present a full digital workflow starting with the digital planning of the three-dimensional implant position towards the surgical approach to the final reconstruction created by means of a optical impression system and a monolithic single implant crown.

Learning objectives

• Understand the benefits of this extended digital workflow in terms of efficiency, quality control and reduced chair time
• Learn how to efficiency transfer the digital diagnostics into a final reconstruction
• Learn how to ideally pretreat the Ti-Bases and prepare them for a long term stable adhesively cementation to a monolithic crown
• Lern and unterstand the patient oriented reconstructive material selection