The aim of this course is to provide the general practitioner and the specialist with a comprehensive, evidence based concept aiming to successfully manage periodontally compromised patients. During the 2 days, a treatment concept based on the scientific evidence from the last 3 decades will be provided. The concept will address the most important aspects related to the treatment of periodontal and peri-implant diseases including diagnosis, nonsurgical, antibiotic/antiseptic, surgical, regenerative and plastic-esthetic surgery. Treatment concepts for peri-implantitis and recession coverage at implants will round up the course content. Case presentations and case discussions will illustrate on when and how the scientific evidence can be included in the overall treatment philosophy helping the clinician to immediately implement the acquired knowledge in the daily practice.

A theory visit only is possible. Cost until August 14 - 234 €, from August 15 - 244 €.

THEORETICAL PART

Nonsurgical, antimicrobial, surgical and regenerative periodontal therapy. Treatment planning in periodontal compromised patients.

Plastic aesthetic periodontal and peri-implant surgery.

1. Diagnosis and treatment planning
2. Non-surgical periodontal therapy

- Use of hand and ultrasonic/sonic instruments
- Use of lasers and antimicrobial photodynamic therapy (aPDT)
- Use of air polishing

3. Use of systemic and local antibiotics and antiseptics
4. Resective periodontal surgery

- Indications and contraindications

- Access Flap
- Modified Widman flap
- Apically positioned flap
- Distal wedge procedure
- Crown lengthening to improve function and aesthetics

5. Reconstructive / regenerative periodontal surgery

- Biology of periodontal wound healing and regeneration
- Regenerative materials in periodontology:

- Bone grafts/bone substitute materials
- Guided Tissue Regeneration (GTR)
- Enamel Matrix Proteins (Emdogain)
- Platelet Rich Plasma/Platelet Rich Fibrin (PRP/PRF)
- Growth factors (rhPDGF, BMPs, GDF-5)
- Combination approaches

- Treatment concepts for intrabony defects
- Treatment concepts for furcations
- Long-term results following regenerative periodontal therapy

6. Implant therapy in periodontitis patients
7. Treatment concepts for peri-implant mucositis and peri-implantitis
8. Etiology of recession defects around natural teeth and dental implants
9. Classification of recession defects
10. Clinical concept for treatment of single and multiple gingival recessions

- The Modified Coronally Advanced Tunnel (MCAT)
- The Laterally Closed Tunnel (LCT)

11. Soft tissue grafting to obtain attached mucosa around dental implants
12. Soft tissue grafting and recession coverage at dental implants: possibilities and limits
13. Use of soft tissue replacement grafts
14. Post-operative protocol following reconstructive periodontal surgery

PRACTICAL PART

1. Access Flap
2. Modified Widman flap
3. Distal Wedge
4. Apically positioned flap for resective surgery and pre-prosthetic crown lengthening
5. Flap designs:

- Papilla Preservation Technique (Takei)
- Modified Papilla Preservation Technique
- Simplified Papilla Preservation Technique

6. Regenerative surgery of an intrabony defect with regenerative materials including biologics, grafting material and membrane
7. Suturing techniques to achieve primary closure and optimize wound stability:

- Vertical and horizontal mattress sutures
- Modified mattress sutures
- Double sling suture
- Periosteal suture for apical flap repositioning

8. Surgical technique for placement of free gingival graft or collagen based soft tissue replacement grafts to increase keratinized tissue width around teeth and dental implants.
9. Harvesting technique for palatal connective tissue graft
10. Suturing techniques for closure of palatal donor site
11. Modified Coronally Advanced Tunnel (MCAT) with use of connective tissue graft and soft tissue replacement grafts
12. Suturing technique for graft fixation
13. Suturing technique for coronal flap displacement.

Intensive Course in Periodontology by Anton Sculean: Plastic Aesthetic Periodontal and Peri-implant Surgery. Treatment of Peri-implantitis