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Program Announcement

Symposium:

Date: 18-19. October, 2019

Address: Budapest, 5th district, Vigadó tér 2., Vigadó building

Hands-on workshop:

17th and 20th October, 2019

Address: Budapest, 2nd district, Pitypang utca 7., Urban Regeneration Institute
Budapest, 5th district, Vigadó tér 2., Vigadó building

Official language of the programs: English

DETAILED PROGRAM

17. October, 2019 Hands-on Workshop

Addresses:

1. Urban Regeneration Institute

Budapest, 2nd district, Pitypang u. 7.

HANDS-ON WORKSHOP | ISTVAN URBAN D.M.D, M.D, PH.D

  • 08.30 - 9.00

    Check-in

    08.30 - 9.00

  • 9.00 - 12.30

    Istvan Urban, MD, DMD, PhD

    9.00 - 12.30

    Vertical and Horizontal Augmentation Revisited

    Vertical and Horizontal Augmentation Revisited:

    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 postsurgical 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 to achieve a safe, tension free closure will be learned during this practical.

HANDS-ON WORKSHOP II. | ISTVAN URBAN D.M.D, M.D, PH.D

  • 13.30 - 14.00

    Check-in

    13.30 - 14.00

  • 14.00 - 17.30

    Istvan Urban, MD, DMD, PhD

    14.00 - 17.30

    Vertical and Horizontal Augmentation Revisited

    Vertical and Horizontal Augmentation Revisited:

    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 postsurgical 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 to achieve a safe, tension free closure will be learned during this practical.

2. Vigadó building

Budapest, 5th district, Vigadó tér 2

Hands-on Workshop | Joseph Kan, DDS, MS

  • 13.30 - 14.00

    Check-in

    13.30 - 14.00

  • 14.00 - 17.30

    Joseph Kan, DDS, MS

    14.00 - 17.30

    Single Immediate implant placement and provisionalization with Connective Tissue Grafts

    Single Immediate implant placement and provisionalization with Connective Tissue Grafts

    This model based hands-on session will familiarized the participants with single immediate implant placement and provisionalization (IIPP) in the Esthetic zone. In additional, various techniques for harvesting the connective tissue grafts and how to apply for IIPP will be discussed and demonstrated.

18. October, 2019 Urban Symposium

Address:

Vigadó building

Budapest, 5th district, Vigadó tér 2

Please bring your confirmation of registration.

  • 7.30 – 8.30

    Check-in

    7.30 – 8.30

  • 8.30 – 9.00

    Welcome & Introduction

    8.30 – 9.00

  • 9.00 - 10.30

    Istvan Urban, MD, DMD, PhD

    9.00 - 10.30

    Vertical and Horizontal Augmentation Revisited

    Vertical and Horizontal Augmentation Revisited:

    The average size of the vertical defect is growing and the age of the patients are decreasing. These extreme vertical defects were not investigated and documented in clinical studies. Can the old principles be applied to these defects? Is it possible to treat these defects technically and can biology reach up to the expected heights? What will be the outcome after loading? What happens to the Sausage Technique TM cases after 15 years? What has been changed of the technique in the last decade? This presentation will update the clinician about techniques that can treat these types of defects. New research related to these defects will be revealed. Long-term clinical outcomes of vertical and horizontal augmentation will be presented.

  • 10.30 - 11.00

    Coffee Break at Venue

    10.30 - 11.00

  • 11.00 – 12.30

    William V. Giannobile, DDS, MS, D.Med.Sc

    11.00 – 12.30

    Regenerative Medicine for Periodontal and Implant Reconstruction: The Future is Now!

    Regenerative Medicine for Periodontal and Implant Reconstruction:

    The Future is Now!

    Repair of alveolar bone defects caused by periodontal and peri-implant tissue destruction is a major goal of oral reconstructive therapy. The field of regenerative medicine combines advances in materials science and biology to repair tissues and organs.  Bone tissue engineering has been achieved with limited success by the utilization of barrier membranes, space fillers, and block grafting techniques. The use of biologics such as growth factors have entered into the clinical arena to offer another tool to treat periodontal lesions.  This presentation will review emerging therapies in the areas of materials science, 3D printing, growth factor biology and cell therapies.  Results from preclinical and clinical trials will be presented using stem cells, 3D printing and growth factors.  The presentation will conclude with a future perspective on the use of novel biomimetic approaches such biomimetic scaffolding materials with the potential of accelerating dental implant osseointegration and periodontal tissue repair.

  • 12.30 - 13.30

    Lunch at Venue

    12.30 - 13.30

  • 13.30 - 15.00

    Tiziano Testori, MD, DDS, FICD

    13.30 - 15.00

    Minimally invasive treatment of the atrophic maxilla: a revisited clinical vision after 30 years or research and clinical experience

    Minimally invasive treatment of the atrophic maxilla: a revisited clinical vision after 30 years or research and clinical experience

    Maxillary sinus elevation surgery  has evolved during the last 25 years to a point where it  is considered the most successful augmentation procedure performed today and the survival rate of implants placed in these grafts is as high or higher than that of implants placed in the non-grafted posterior maxilla. The sinus elevation procedure is still evolving due to the development of new surgical techniques and new biomimetic technologies, however, there is still no unanimous consensus on when to adopt the lateral/crestal approach or alternative treatments like short, transinus and tilted implants. This lecture will address both evidence-based and the latest state-of-the-art techniques.

    Learning objectives

    • Participants will learn:
    • The decision making process in choosing the appropriate approach
    • Step-by-step surgical techniques
    • Step-by-step of prosthetic procedure
  • 15.00 - 15.30

    Coffee Break at Venue

    15.00 - 15.30

  • 15.30 - 17.00

    Pierpaolo Cortellini, MD, DDS

    15.30 - 17.00

    Periodontal Regeneration in teeth Severely Compromised by Intrabony Defects and / or Furcations

    Periodontal Regeneration in teeth Severely Compromised by Intrabony Defects and / or Furcations 

    Compromised teeth, molars in particular, represent a formidable clinical challenge, as they are lost or extracted with high frequency. Advances in regeneration of periodontal intrabony defects and the parallel development of newer biomaterials and novel surgical techniques have significantly changed the prognosis of single rooted teeth with increasingly complex defects. Similar significant clinical improvements can be achieved by applying periodontal regeneration to complex intrabony defects combined with furcation involvement in both maxillary and mandibular molars. Molars are characterized by the presence of deep pockets and by a pattern of periodontal breakdown that involves both apical and inter-radicular spread of attachment and bone loss. Deep pockets at molars are frequently associated with a combination of horizontal furcation defects, craters and intrabony defects at one or more of the roots. Application of periodontal regeneration to furcated molars has been an area of active investigation. The benefits include improvement in vertical clinical attachment levels, decrease in probing pocket depths, and improvements in horizontal and vertical furcation involvement. These surrogate outcomes also translated into excellent tooth retention observed during the follow-up period.

19. October, 2019 Urban Symposium

Address:

Vigadó building

Budapest, 5th district, Vigadó tér 2

Please bring your confirmation of registration.

  • 8.00 – 9.00

    Check-in

    8.00 – 9.00

  • 9.00 - 10.30

    Fouad Khoury, DMD, PhD

    9.00 - 10.30

    Augmentation of Severe Bony Defects with Intra Oral Bone Grafts: Biological Approach and Long Term Results

    Augmentation of Severe Bony Defects with Intra Oral Bone Grafts: Biological Approach and Long Term Results

    Autogenous Bone graft is still the gold standard for the reconstruction of severe atrophy of the maxilla or the mandible. Two & 3 dimensional bony defects need for the reconstruction special surgical procedures with autogenous bone grafts to assure at long term an acceptable functional and esthetical result. Biomaterials have here their limitation and are for such reconstruction until today not an alternative due to their poor regeneration potential.

    Autogenous bone graft harvested from intraoral sites, especially the retromolar area of the mandible, and used following the split bone block (SBB) technique is offering many possibilities for intra operative facilities and stable long term results. Splitting the thick cortical block to 2 or 3 thin blocks is augmenting the number of blocks allowing the reconstruction of larger atrophic crest and giving a better adaptation to the recipient site with individual determination of the width and the volume of the grafted area. Filling the space and gaps between the thin block and the remaining crest with particulate bone chips is reducing the time needed for revascularization of the graft improving its vitality compared to the original thick block. Long term studies are confirming that Implants inserted in this augmented area presented similar osseointegration as implants placed in non grafted bone.

    Learning objectives:

    This presentation describes practical aspects and results of those techniques that make possible long-term esthetic and functional implant restorations:  

    • Diagnostic, alternatives and decision
    • Technique of safe harvesting of intra oral bone blocks
    • Technique of block grafting following biological principles (SBB technique)
    • 3D reconstructions
    • Soft tissue management for graft protection and soft tissue augmentation

  • 10.30 - 11.00

    Coffee Break at Venue

    10.30 - 11.00

  • 11.00 – 12.30

    Joseph Kan, DDS, MS

    11.00 – 12.30

    Management of Partially Edentulous Vertical Defects in the Esthetic Zone: Science, Art & Limitations

    Management of Partially Edentulous Vertical Defects in the Esthetic Zone: Science, Art & Limitations

    This model based hands-on session will familiarized the participants with single immediate implant placement and provisionalization (IIPP) in the Esthetic zone. In additional, various techniques for harvesting the connective tissue grafts and how to apply for IIPP will be discussed and demonstrated.

    Dr. Kan completed restorative and surgical training from Loma Linda University School of Dentistry. He is a Professor and maintains a private practice. He is on the Editorial board for several journals and has published over 100 reference articles and chapters.

  • 12.30 - 13.30

    Lunch at Venue

    12.30 - 13.30

  • 13.30 - 15.00

    Rino Burkhardt, DMD

    13.30 - 15.00

    Passive wound closure in mucosal surgery - revisited

    Passive wound closure in mucosal surgery - revisited

    Since decades, the tenet of passive wound closure is described as a key factor for uneventful healing. New insights into structural anatomy of the oral mucosa and the biological processes support the hypothesis that tension is needed for optimal healing.

    It is the goal of the presentation to shed light on the mechanosensing of connective tissue cells and the mechanisms how minimally-invasive approaches can regulate healing patterns. Additionally, the critical factors that should be controlled by the surgeons are discussed and presented by clinical cases.

  • 15.00 - 15.30

    Coffee Break at Venue

    15.00 - 15.30

  • 15.30 - 17.00

    Giovanni Zucchelli, DDS, PhD

    15.30 - 17.00

    Single tooth replacement: the crucial role of soft tissues

    Single tooth replacement: the crucial role of soft tissues

    Do the loss of buccal bone after tooth extraction represent an esthetic or functional limitation to implant installation? Do we really need bone  to prevent bone resorption or regenerate buccal bone in order to achieve the best esthetic outcome? Can we functionally and esthetically compensate for the loss of buccal bone with soft tissue augmentation procedure only?

20. October, 2019 Hands-on Workshop

Address:

URBAN REGENERATION INSTITUTE

Budapest, 2th district, Pitypang u. 7.

HANDS-ON WORKSHOP | Giovanni Zucchelli, DDS, PhD

  • 8.15 – 9.00

    Check-in

    8.15 – 9.00

  • 9.00 – 12.30

    Giovanni Zucchelli, DDS, PhD

    9.00 – 12.30

    Soft tissues management around implants

    Soft tissues management around implants

    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, specially in the mandible, it is frequent to face clinical scenarios in which there is complete absence or a minimal quantity of keratinized tissue, many of the times 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 times 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 the 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.

    Learning objectives

    1. Describe step by step the free gingival graft procedure to increase keratinised mucosa height before or after implant placement

    2. Describe the surgical procedure combining transmucosal implant placement and simoultaneous submarginal connective tissue graft or collagen matrix

    3. Describe step by step harvesting technique

HANDS-ON WORKSHOP II. | Giovanni Zucchelli, DDS, PhD

  • 13.00 - 13.30

    Check-in

    13.00 - 13.30

  • 13.30 - 17.00

    Giovanni Zucchelli, DDS, PhD

    13.30 - 17.00

    Soft tissues management around implants

    Soft tissues management around implants

    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, specially in the mandible, it is frequent to face clinical scenarios in which there is complete absence or a minimal quantity of keratinized tissue, many of the times 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 times 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 the 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.

    Learning objectives

    1. Describe step by step the free gingival graft procedure to increase keratinised mucosa height before or after implant placement

    2. Describe the surgical procedure combining transmucosal implant placement and simoultaneous submarginal connective tissue graft or collagen matrix

    3. Describe step by step harvesting technique