Module VII

Implant therapy in the esthetic zone and advanced reconstructive procedures

Summary:

The positioning of dental implants in the esthetic zone is still a major challenge in clinical practice. The clinician must consider a wide range of different surgical concepts and techniques to make the right choice and plan treatment accordingly. The decision to implant immediately while preserving as much peri-implant tissue as possible or to implant in a deferred procedure with reconstruction of missing hard and soft tissue requires a great deal of surgical awareness. In this light, it is also necessary to know the available biomaterials for preserving healthy tissue around the implants.

In Module VII, in addition to the principles of implant positioning in the esthetic zone using subepithelial connective tissue grafts (SCTG), we will define indications for delayed implantation and multidimensional soft tissue reconstruction in edentulous ridges, including peri-implant papillae. We will present the requirements for predictable bone regeneration and realistic expectations regarding available surgical procedures for specific indications. The principles of working with short implants will also be discussed, which may serve as an alternative to extensive reconstructive procedures in some patients. The practical training will allow participants to practice the necessary steps for implant placement with simultaneous reconstruction of hard and soft tissue in various clinical scenarios, in line with current recommendations.

Contents:

Immediate implant placement: the biological and anatomical background and considerations
The mucogingival approach to immediate implant placement in the esthetic zone
Immediate implant placement in the esthetic zone in case of hard and soft tissue deficits
The mucogingival approach to delayed implant placement after tooth extraction for periodontal reasons
Immediate temporization to preserve soft tissue architecture
The connective tissue platform (CTP) technique for three-dimensional soft tissue reconstruction of an edentulous site
Peri-implant soft tissue dehiscences: etiology, diagnostics, treatment protocols, and factors limiting the effectiveness of surgical treatment
The use of short implants
Bone regeneration: the biological principles, surgical techniques, and biomaterials.
Bone regeneration within the bone envelope and outside the envelope
Soft tissue management for successful bone reconstruction

Hands-on training::

Treatment planning using tissue-level implants
Placement of tissue-level implants on models, selecting the healing abutment, selecting the cover screw
Harvesting a subepithelial connective tissue graft (SCTG) using the de-epithelialization technique
Placement of a tissue-level implant with SCTG to augment peri-implant soft tissue volume
Three-dimensional soft tissue reconstruction in a single edentulous site using the connective tissue platform (CTP) technique