Sinus lift and Bone block augmentation

vertical and horizontal bone augmentation (Biological concept)

&

Soft Tissue Management

Soft Tissue Techniques In Oral Implantology

2023 | November 07-08

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Dr. Ariel Savion

Master of science in oral implantology (MOI) and Lasers in Dentistry (AALZ)

Dr. Puria Parvini

Master of Science in Periodontology and Implantology from German association of Periodontology ( DGParo)

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ABOUT THE COURSES

Soft Tissue Management - Day 1

Microscope in dental surgery

  • Magnifications – key benefits
  • Magnification & light source

Microscope in implantology

  • Flap designs
  • Incisions
  • Anatomical structures

Microscopic soft tissue management

  • Identifying a suitable donor site
  • Harvesting technique- autograft
  • Preparation of recipient site
  • Treatment of gingival recession
  • Altered passive eruptions
  • Esthetic crown lengthening
  • Use of Lasers in soft tissue management – advantages and concept.

Microsurgical technique

  • Suturing techniques
  • Microscopic instrumentation
  • Surgical instrumentation

Hands on on sheep head under Zeiss extra 300 microscope.
Each participant will perform different technique in microsurgical technique.

Soft Tissue Management - Day 2​

Microscopic soft tissue augmentation

  • Tunnel technique
  • Coronally advanced flap with releasing incisions
  • Primary healing, how to handle the tissue to get always primary healing
  • Management of extraction socket vs immediate implantation
  • Patient management
  • Indications, advantages and disadvantages
  • Pinhole technique
  • Gum drop technique
  • Zucchelli technique
  • Vista technique

Complications and complication management

  • Intraoperative bleeding
  • Flap perforations
  • Wound dehiscence
  • Necrosis of the flap / free gingival graft / connective tissue graft
  • Discussion of participants cases

Hand on – Each participant will perform on sheep head different type of soft tissue augmentation
soft tissue management with diode 940nm under microscope.

Sinus lift & Bone block augmentation - day 1

bone block augmentation – biological concept

  • Anatomical structures Oral anatomy for implant dentistry.
  • preoperative analysis 3D with CBCT and Conventional
  • Surgical Instrumentation
  • Indications, advantages and disadvantages
  • Patient Management
  • Split bone block (SBB) for vertical and horizontal augmentation
  • Microsaw protocol (khoury)
  • Piezo surgery protocol (Parvini)
  • simultaneous or a staged approach Ridge augmentation with autogenous grafts and GBR
  • Intraoral bone harvesting: instruments, bone grafts from the retromolar area, chin grafts
  • Augmentation techniques with limitations: bone spreading, bone splitting, bone expanding,
  • Surgical procedure and flap design
  • Treatment of donor side
  • Type of sutures and SUTURE TECHNIQUE.
  • Coronally advanced Flap with releasing incisions
  • Complications and complications management
  • Intraoperative Bleeding
  • Flap Perforations

Hands- On

bone harvesting and augmentation on Fresh sheep head.

Sinus lift & Bone block augmentation - day 2

Theoretical part

  • Anatomy of the sinus and surrounding structures
  • Patient education & documentation
  • Cone Beam Computer tomography for preoperative analysis in implant patients
  • Treatment options for sinus floor elevation procedures and bone grating strategies
  • Microsurgical approach and Flap design
  • Crestal sinus lift and bone splitting
  • Sinus floor elevation with the lateral window technique
  • Sinus floor elevation from the palatal side
  • Different instruments for the preparation of the lateral window
  • Hydrodynamic Piezosurgery sinus elevation
  • The schneiderian membrane – practical tips how to elevate it
  • Augmentation materials and techniques with special consideration of sinus floor augmentation
  • Preparation techniques of the implant site with low residual bone height
  • Combination with lateral augmentation
  • Sinus floor augmentation without bone grafting
  • Complex techniques for posterior maxillary reconstruction
  • Intra operative and post-operative complications
  • Management of complications (rare anatomical features, Bleeding risks due to arterial blood Vessels in the lateral bony wall of the sinus, Handling of membrane perforations, dealing with polyps, mucoceles, Procedure for transversal and sagittal septa, external floor elevation after previous ENT- Treatment, medical interventions, endoscopically monitored sinus lift
  • Contraindications for sinus lift

Hands- On

On Egg and Models and Sheep preparations are used to train minimally invasive surgical techniques for GBR & Sinus Lift.

SINUS LIFT & SHELL BONE BLOCK TECHNIQUE COURSE - MAY 2023, TEL AVIV

Day 1

Part 1

Microscope in dental surgery

  • Magnifications – key benefits
  • Magnification & light source

Microscope in implantology

  • Flap designs
  • Incisions
  • Anatomical structures

Microscopic soft tissue management

  • Identifying a suitable donor site
  • Harvesting technique- autograft
  • Preparation of recipient site
  • Treatment of gingival recession
  • Altered passive eruptions
  • Esthetic crown lengthening
  • Use of Lasers in soft tissue management – advantages and concept.

Part 2

Microsurgical technique

  • Suturing techniques
  • Microscopic instrumentation
  • Surgical instrumentation

Hands on on sheep head under Zeiss extra 300 microscope.
Each participant will perform different technique in microsurgical technique.

Day 2

Part 1

Microscopic soft tissue augmentation

  • Tunnel technique
  • Coronally advanced flap with releasing incisions
  • Primary healing, how to handle the tissue to get always primary healing
  • Management of extraction socket vs immediate implantation
  • Patient management
  • Indications, advantages and disadvantages
  • Pinhole technique
  • Gum drop technique
  • Zucchelli technique
  • Vista technique

Part 2

Complications and complication management

  • Intraoperative bleeding
  • Flap perforations
  • Wound dehiscence
  • Necrosis of the flap / free gingival graft / connective tissue graft
  • Discussion of participants cases

Hand on – Each participant will perform on sheep head different type of soft tissue augmentation
soft tissue management with diode 940nm under microscope.

5-6
April

Master Implant

Course duration: two days clinical case presentation and hands on under microscope

Master Implant

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Clinical cases

Clinical cases

Clinical cases

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