PROF. TIZIANO TESTORI

MD, DDS, FICD, Italy; Adjunct Clinical Associate Professor – Department of Periodontics & Oral Medicine, University of Michigan, School of Dentistry Ann Arbor, Michigan

Contemporary Treatment of the Atrophic Posterior Maxilla: Maxillary Sinus Elevation and Alternatives in Treatment

Sinus elevation surgery has become an indispensable part of implant surgery, periodontics and oral surgery. Procedures have evolved during the last 25 years to a point where sinus grafting surgery 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 today due to the development of new surgical techniques and new biomimetic technologies. This two–day course will host leading sinus elevation experts from two continents involved in clinical practice, teaching and research activities. The course will present sinus elevation surgery and possible alternatives to sinus elevation therapy from pre-surgical planning to prosthetic restoration. Multiple video presentations will give participants the opportunity to experience a comprehensive sinus elevation surgery.

Lecture objectives:

  • Surgical anatomy aimed at prevention of complications and optimization of results
  • Rationale for a correct pre-operative planning
  • Step-by-step surgical techniques
  • Selection of grafting materials
  • Step-by-step prosthetic techniques
  • Alternatives in treatment

Critical bone grafting techniques and soft tissue management in esthetics & implant dentistry

Bone and soft tissue augmentation is frequently required for esthetic and functional reconstruction. In order to achieve predictable outcomes of the regeneration, the methods have to be rooted in biologic principles supported by scientific evidence. Thickness of the gingiva, zone of attached tissue and tissue color all play important roles in developing the long-term health and esthetics in dental treatment of any kind. The exact determination of the location of the underlying bone acts as a prognostic indicator of future soft t issue levels. Soft tissue grafting techniques with soft tissue substitute will be highlighted. The ability of combined protocols to alter the soft tissue profile around natural teeth, implants, edentulous ridges, as well as to support facial soft tissue structures will be reviewed as to its critical role in “Complete Esthetics”. This course will highlight the most utilized soft tissue procedures in clinical practice, ridge augmentation for pontic sites and 2nd stage implant procedures. lt will teach in detail and simplify the process of site evaluation, critical anatomy, flap design, harvest techniques and suturing. Once the volume of the bone deficiency has been properly diagnosed, the appropriate bone grafting technique can then be selected. The aim is to utilize the least invasive and most conservative techniques needed to get the required results.Extraction socket grafting, GBR will be featured. The utilization and importance of bioactive modifiers such as PRF will also be highlighted. The purpose of this course is to take the theoretical background taught to the reality of the clinical procedure.

Lecture objectives

  • Learn basic surgical anatomy and incision techniques in hard tissue surgery
  • Manage the “deficient” site through various and innovative augmentation techniques
  • Comprehend and perform the common surgical techniques in implant dentistry
  • Comprehend and utilize advanced surgical instrumentation in regenerative dentistry
  • Apply common incision designs and suturing techniques in regenerative dentistry
  • Learn suturing methods to secure flaps and grafts.