Hands-on Workshops

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Soft tissue plastic approaches to increase the height of the keratinized mucosa and/or the thickness of the peri-implant soft tissues can be performed at three different stages: before implant placement, simultaneously with implant placement and after implant placement.

After implant insertion, especially in the mandible, it is common to face clinical scenarios in which there is complete absence or a minimal quantity of keratinized tissue, as many times this is associated with a reduced depth of the vestibular fornix and a coronal muscle insertion. In these cases where there are no esthetic demands, the main objective is to reconstruct/increase the quantity of keratinized mucosa and deepen the vestibule so as to facilitate the performance of oral hygiene by the patient and at the same time reduce the risk of soft tissue dehiscence . The most appropriate surgical technique to obtain those results is the free gingival graft.

Most of the time, soft tissue deficiencies at the buccal aspect of implant-supported crowns are a matter of thickness rather than height. The lack of adequate thickness of the buccal soft tissues can lead to incorrect emergence profiles of the prosthetic crown, which are difficult to maintain from a hygienic point of view. In these cases, the main goal of plastic surgery is not to increase the height of the keratinized tissues but to augment the thickness of the connective tissue at the level of the peri-implant transmucosal portion. This is achieved with a surgical technique that involves the use of a connective tissue graft covered by a coronally advanced flap.

The soft tissue part of this hands-on course is designed to help dentists conduct their soft tissue grafting surgery with higher predictability, less donor site morbidity and therefore increase both dentists’ confidence and patients’ acceptance when dealing with peri-implant phenotype modifications.

This workshop is designed to help dentists manage peri-implantitis with higher predictability, less trauma and therefore increase both the dentist’s confidence and patient’s acceptance when dealing with peri-implantitis. Participants will learn the principles and techniques to provide more predictability and less trauma for their patients in the management of peri-implantitis.

Time tested experience has shown that the best dental implant outcomes are the result of combined surgical and restorative planning. This course will take you step by step through the use of computer guided planning using implant planning software, guided surgery modalities, and intraoral scanner use. You’ll further learn about CBCT scanning and how to merge these with intraoral scans to make an ideal ‘model’ for implant planning. You will then explore how to place dental implants in their ideal positions and how to achieve excellent restorations on these implants. The session will be devoted to hands-on experience of every facet of the implant experience from the planning to the surgery to the restorative aspects to help you solidify the concepts for use in your daily practice.

Vertical and horizontal augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications.

These complications include post-surgical swelling, bruising, and potential neurosensory disturbances. Minimally invasive flap management that can minimize the chances of these complications will be revealed during this hands-on course. Graft harvesting, membrane fixation for vertical augmentation as well as for the Sausage Technique TM will be practiced. A step-by-step approach how to protect the neurovascular bundles such as the mental nerve and how  to achieve a safe, tension-free closure will be discussed during this practical course.

For natural appearance of implant-supported prostheses placed in aesthetic areas, the preservation and/or reconstruction of the tissue volume is crucial in many instances. Soft tissue, bone, or combined augmentation may be attempted to reduce alveolar ridge defects and enhance the alveolar contour at the edentulous segment. However, while adequate tissue volume around anterior implants is a key to aesthetic success, proper management of the provisional and definitive restoration are of paramount importance to obtain optimal esthetic results.

In this hands-on session, fundamental concepts for subgingival abutment design and the role of the critical and subcritical contour to sculpt the peri-implant soft tissues, including the mucosal margin level, architecture and color, will be described step-by-step.