Eric Van Dooren (Belgium)

New Opportuniies for Enhancement in the Esthetic Zone

The esthetic implant rehabilitation of patients with esthetically and functionally compromised dentition frequently involves a multidisciplinary approach. The achieving of esthetic objectives in multidisciplinary cases represents a considerable clinical challenge. During recent years , treatment modalities and options have changed . From a surgical point of view , less invasive procedures are used in order to preserve soft tissue anatomy and minimize recession. Also the design of implants and prosthetic components has changed in order to minimize bone resorption and soft tissue alterations .This lecture will focus on a new surgical and prosthetic approach in difficult esthetic implant rehabilitations.

Egon Euwe (Netherlands)

Optimizing the pink interface of the implant supported Prosthesis: “the Rootmimetic Approach”

“Invisible Single tooth Replacement” in the Esthetic zone has been considered for decades one of the pinnacles of Implantology. This procedure embraces surgical aspects of both hard and soft tissue preservation, reconstruction versus the volume reducing remodeling processes triggered off by the extraction and/or previous dental pathology . Implant design therefore have been optimized mechanically, biologically and volume wise. The reduced bone volume in an edentulous arch area still allows placement of lingually placed implants which feature a much smaller diameter than the lost roots. Prosthodontic advances in the field CAD CAM technology with materials like Titaninum, Zirconia, Alumina and Lithium Di-Silicate created an Esthetic and Biological breakthrough with 3D Digital shaping connecting the implant platforms with the incisal and occlusal planes of the patient. The prosthetic end results, although stable in time very often look “unnatural” because of bucally inclined emergence profiles and undersized teeth “squeezed” in the smaller arch shape positioned on the atropic ridge lacking the natural root profiles. This problem exposed by the lecturer gave birth to the Rootmimetic approach in which the goal is to use the intact ridge as a Reference for a well proportioned dentition possibly without crowding as a model for the implant supported prostheses creating the illusion of the presence of the roots (convexities).

Soft Tissue management is of key importance in the workflow of both immediate and delayed post extraction implant cases in single or partially edentulous patients to recapture the original ridge volume and optimized tooth inclination and root profiles even in Pontic sites.

The Treatment of the edentulous jaw as introduced by Brånemark has evolved in numerous aspects as well. To the fully edentulous group, also the patients with a downhill dentition have been added and this gave us a clear insight how we are able to actually change the tooth, bone and gum positions with the implant supported prostheses. This can interfere even with the orthognatic jaw relationships: A class II or III relationship showing in the failing dentition can be transformed in a class I jaw relation of the implant supported prosthesis. In the treatment of the high end cases showing malocclusion management of the pink part is extremely important: Do we work with the tissue of the patient or do we shift to a pink prosthetic design? Different cases and different treatment pathways will show us how to obtain an oral and facial optimized end results with pink and white ceramic artwork. Test- drives with diagnostic dentures, fixed provisionals and gingival mock-ups are part of the backward planning process and teamwork in this complex group of patients working towards the class Angle I reference model.

Andrea Agnini (Italy)

The role of Digital Working Tools and Materials in everyday Dentistry

In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. Today, intra-oral mapping technology is one of the most exciting new areas in dentistry since three dimensional scanning of the mouth is required in a large number of procedures such as prosthodontics, implant dentistry and orthodontics. All the existing intra-oral scanners are trying to face the limitations and the disadvantages of the traditional impression procedure maintaining an high accuracy level in order to be used as an efficacious alternative to the conventional impression technique. With this presentation, the authors analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new softwares. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and overlapping times better than traditional one.

Gilberto Sammartino (Italy)

Prevention of periodontal complications related to the impacted third molar extraction

Surgery of impacted third molar is still now a challenge for oral surgeons: this is related first of all to the indications then to a surgical correct planning and then to avoid periodontal complications to second molar. The Author shows a proper planning related to the indications, the safer sugical approach with own proposals and how we can impede the periodontal complictions using different techniques.

Stavros Pelekanos (Greece)

Preserving hard & soft tissues around implants in the aesthetic zone: Biology, Abutment design – selection & Treatment workflow.

Single implant restorations in the esthetic zone require often demanding surgical therapeutic procedures in order to achieve long term stable results. However, the role of the prosthetic design in the stability of the soft and hard tissue is usually underestimated. Moreover, the clinical handling, the treatment sequence and workflow are of outmost importance, determining the final outcome of the implant restoration.

Clinical and scientific evidence shows that correct implant positioning in respect with the future clinical crown and the neighboring teeth decreases the need of soft and/or hard tissue enhancement, especially in cases with intact facial bundle bone. This presentation will focus on the timing of implant and abutment placement, the material selection and the type of the prosthetic restoration, factors that significantly affect the final result.

Various implant abutment types and treatment modalities will be analyzed, emphasizing in the implant-abutment- crown connection, the methodology and the treatment sequencing in the esthetic zone. Furthermore, new trends in abutment designing with the help of clinical cases will be presented, giving some clinical guidelines for the single implant restorations in the esthetic zone.

Ilia Roussou (Greece)

Occlusion on Friday the 13th

Although dental occlusion is basic in all fields of dentistry, the study of occlusion and its relationship to the stomatognathic system has proven to be quite complex. Tremendous interest in this area and at the same time lack of complete knowledge has stimulated numerous concepts, theories, school of thoughts and of course treatments. This has led to much confusion in a field already complicated.  The scientific growth in the literature should be acknowledged and studied carefully. Phantom bite syndrome, dual bite, occlusal dysesthisiusa, occlusal maniac, are some of the terminology that arrises in the literature and make this field of dentistry harder to understand and master. Also a slight premature contact can affect the stability of the masticatory system and often adults patients present with acquired malocclusion.  In this lecture the concept occlusion is confusion will be challenged in a logical approach based on the current scientific references.

Henry Salama (U.S.A.)

Optimizing the “Transition Zone” in Esthetic and Implant Therapy: A 3-Dimensional Approach

Creating an esthetic and pleasing result in restorative dentistry requires a thorough understanding of the many interfaces, shapes and tissue types that must come together just right to be successful. The “Transition Zone” is where all these critical factors interact to ensure the desired esthetic goal. This presentation will highlight the 3-dimensional and multi-disciplinary management of the “Transition zone” in the challenging patient.

Livio Yoshinaga (Brazil)

SKYN Concept – The perfect balance between Art & Technology

Learn about SKYN Concept developed by Paulo Kano and Livio Yoshinaga and discover this complete concept that will work as your digital platform. Balancing ART and Technology, SKYN will work as a tool fully customized for your professional profile.  Either if you enjoy manual sculpture or 3D designs in computers you can achieve high level aesthetics once you utilize natural morphology by copying natural dentition.  Impact your patient in the very first hour of their first visit by ending this session with a before x after video, all done immediately with no previous documentation, no manual wax-up, no printed 3D models. This is by far the most efficient way to convince your patient to trust and accept your treatment plan. Once the plan is accepted, learn the different and flexible way SKYN Concept transforms this "project" into final ceramic restorations, quickly, predictable and perfectly copying your SKYN mockup. Utilizing the latest technology in 3D printing and milling machines, SKYN Concept will deliver top quality anterior and posterior restorations without any manual build-up or cut-backs, no wax-up, no analog models and the very top precision in a digital workflow that will match your style.  Learn How to enter the digital world, When and What exactly to invest, also How to blend SKYN Concept into your existing CAD/CAM system as the Concept is flexible and works with almost any platform at some extension.

Galip Gurel (Turkey)

Digital Communication / The Implant- Prostho Connection

Modern techniques and materials can be useless if the final outcome does not live up to the patient esthetic expectations. It has always been a challange to create a smile design that the final result would be precisely predicted from day one.. in some cases the dentists do built this design by themselves directly in the patients mouth, however some leave it to the ceramist that they work with.. however more importantly this smile design should also match with the patient’s functional, biological and emotional needs…

To obtain such results we need an interdisciplinary team work. Every member of the team (including the specialists, lab technicians and the patient) should be aware of the treatment planning and the end result from the beginning . Having all the above done correctly, major component for the success remains “communication”. The key to the aesthetic excellence requires patient communication as well as the communication with the laboratory and the specialists from the beginning of the case till the end.

This becomes even more challenging if the team ( dentist, specialists and the ceramist) do not physicaly work together in the same place.

The protocol that is presented will improve the esthetic diagnosis, the interdisciplinary communication and the predictability of anterior aesthetic implant restorations.

Today, it souldn’t be a problem wether the lab, the specialist ect. that you work with is close to your clinic or it is in another country, the digital communication makes everyone work as a synergistic team .

Henry Ho (Singapore)

An Asian Perspective on the Challenges of Tissue Management and Long Term Asthetics for Dental Implants

The importance of bone and soft tissue stability to provide long-term health and esthetics for dental implants has been discussed extensively. The factors that allow this effect to occur will be discussed. The need for proper diagnosis, right execution with good technology is necessary. Therefore, it is the purpose of this presentation to show the conditions to create an acceptable long-term esthetics in our Asian population and thin gingival biotype cases.

Georgios Goumenos (Greece)

Current trends in esthetic periodontal surgery

—

Konstantinos D. Valavanis (Greece)

—

—

Alain Simonpieri (France)

Modern Approach of full arch immediate loading

In immediate loading, the survival rate is often based on the follow-up of osseointergeration, but without aesthetic appreciation… The main goal is to achieve osseointergeration and aesthetics with long stability. For this success we need to obtain both, bone formation and gum thickness, an any failure in one of the 2 factors, requirements must to be met in order to obtain and to maintain them together for avery long time:

• Biological requirements are linked to the early vascularization (appreciation of the biologic level, growth factors, collagen environment)
• Anatomical & surgical requirements will help to the best implant placement and positioning (Fast guide, sub-crestal insertion, platform switching etc…)
• Prosthetic requirements are essential for aesthetics as a guidance for soft tissue design (rigid and screwed provisional prosthesis)

This presentation will show my statistics about more than 1100 full arch loaded immediately since 14 years (>7700 implants)

Alessandro – Andrea Agnini (Italy)

The role of Digital Working Tools and Materials in everyday Dentistry

In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. Today, intra-oral mapping technology is one of the most exciting new areas in dentistry since three dimensional scanning of the mouth is required in a large number of procedures such as prosthodontics, implant dentistry and orthodontics. All the existing intra-oral scanners are trying to face the limitations and the disadvantages of the traditional impression procedure maintaining an high accuracy level in order to be used as an efficacious alternative to the conventional impression technique. With this presentation, the authors analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new softwares. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and overlapping times better than traditional one.

Fabio Gorni (Italy)

Implants VS natural teeth, the eternal dilemma: the role of the endo-resto recovering in a modern treatment plan

—

Fabrizia Luongo (Italy)

• Rome, 2007-2011: Degree in dentistry at the Catholic University “Sacro Cuore”.
• Los Angeles 2011-2012: Post-graduate Program in Periodontics at UCLA.
• Rome, 2013-2014: Post-graduate Master in Periodontics at the University of Rome “Sapienza”
• Private practice focused on Periodontics treatment and Implant rehabilitations.
• Focused skill in Digital Planning and Communication.
• Peer reviewed publications mainly on treatment planning, Implantology and Digital solution for 3D Bone reconstruction.
• Author of the chapter on digital planning of the book “Digital Implantology”edited by Quintessence.

Aesthetic outcome in implant therapy: a 3D digital evaluation

The aesthetic outcome of implant therapy is an important part of the success of the entire treatment. Many authors have proposed different solutions for the evaluation of this aspect but all of them are based on subjective observations The new digital  technologies, which are introducing in dentistry, like intraoral scanners are probably able to evaluate soft tissue stability around  implants in a more objective way. An aesthetic evaluation using an innovative 3D method of a series of single implants inserted in the anterior maxillary region is presented. The technique basically consists in a superimposition of the of 3D surface models of the dentogingival structures, obtained from intraoral scans of the same patients taken at the delivery of the final crown and 2 years later. The overall results from 20 patients divided in two groups will be analysed and discussed.

Roberta Gasparro (Italy)

From September 2008 to July 2013 Student at the University of Naples Federico II, faculty of Dentistry (five-years degree).

In 2013 graduated in Dentistry from the University of Naples Federico II with Honors (110/110 magna cum laude) with special mention to career and recommendation for publication of the work of Thesis: “Comparison between traditional surgical techniques and piezosurgery in dental implant site preparation, a clinical experimental study: concept of ultra-osseointegration”, with the supervision of Prof. G. Sammartino. From March 2014 to May 2017 PhD Student in “Experimental and Clinical Medicine” at the University Federico II of Naples.

Active Member of SENAME implantology Association and SIDCO (Società Italiana di Chiurgia Orale) Co-Author of scientific articles published on National and International Journals. Lecturer at National and International Conferences. Participant, as a teacher, in Oral Surgery and Implantology pre and postgraduate programmes.

Bichat’s buccal fat pad: an easily accessible source of mesenchimal stem cells for tissue engineering?

Mesenchimal stem cells (MSCs) represent important suitable candidates in regenerative medicine and tissue engineering for the treatment of tissues damaged by trauma or pathological diseases. Although bone marrow is still the elected source of MSCs, in the last decade, adipose tissue has emerged as an alterantive source of MSC thanks to its facility of harvesting and reduced patient morbidity. Now we consider the buccal fat pad (BFP) as a new source of MSCs which could be of great interest for oral and maxillofacial surgeons who consider the tissue enginnerring approach to be a possible future goal. The Author shows the pattern of differentiation of MSCs from BFP and their interaction with an autologous scaffold, the PRP (platelet rich plasma), in different glucose levels.

Dr. Simon Ng (Singapore)

Dr. Simon Ng received his dental degree in 2005, and prosthodontics postgraduate degree in 2012, from the National University of Singapore. He is a member of the Royal College of Surgeons of Edinburgh, United Kingdom, as well as a Fellow of the Academy of Medicine, Singapore.

Dr. Ng is currently working in a group practice, and also teaches part-time in the National University of Singapore. He specializes in all aspects of restorative care including aesthetic dentistry, full mouth rehabilitation, and implant dentistry.

Soft tissue aesthetics: Complementing biology with technology

Creating implant restorations with harmonious soft tissue architecture requires the understanding of the biological principles of soft tissue healing. With the advancement of technology, techniques for soft tissue management have evolved. This presentation will discuss the treatment of an immediate implant, and how digital technology is utilized to complement soft tissue management.

Michael Diomataris (Greece)

Michalis Diomataris received his DDS in 2009 from the University of Athens Dental School, Greece. In 2017 he received his master specialty from the postgraduate program of Operative Dentistry of the University of Athens. Since 2011, he is supervisor in the education of the undergraduate dental students, in the contemporary principles of esthetic and restorative dentistry.

In 2013 he receives the first award of a national competition between the postgraduate students of Operative Dentistry of the national Dental Schools, presenting a case with the topic of “class IV restoration of a maxillary central incisor”.

Since 2014, he is a member of the team of Stavros Pelekanos’ Dental Clinic in Athens, Greece, practicing in esthetic and restorative dentistry and prosthodontics.

Ceramic veneers on single lithium disilicate implant abutment and adjacent natural tooth. A novel approach for improving interproximal esthetics.

Konstantinos Sergis (Greece)

Dr. Konstantinos Sergis received his undergraduate degree in Dentistry (D.D.S) in 2006 from the National and Kapodistrian University of Athens, Greece. In 2010 he completed his master of science in Prosthodontics (MClinDent Prosthodontics) from the University of Edinburgh (Prof. Richard Ibbetson), United Kingdom. Following his professional training,

Dr Sergis established a private practice in Athens, oriented in clinical prosthodontics, implantology and digital dentistry. In 2011, he became a Clinical Instructor of the Dental School of Athens. Ever since, he has been contributing to the clinical training of undergraduate and postgraduate students in the fields of prosthodontics and digital dentistry.

Dr. Sergis is an active member of European Prosthodontic Association (EPA), ITI academy, and Greek Prosthodontic Association. In 2015, he completed his advanced training in digital dentistry in Copenhagen, Denmark and he became a Key Opinion Leader (KOL) of 3Shape in Greece. His clinic became the first demo- clinic of Trios3 intraoral scanner, introducing digitally guided proshodontics and dental implants applications. Dr. Sergis has published several articles in greek and international journals and lectures nationally and internationally.

Full digital step by step protocols in complex cases: planning, treatment and success

Digital technologies are rapidly advancing over the recent years, covering several aspects of modern dentistry, from computer-navigated implant surgery to computer-aided design and manufacture of complex restorations. Digital tools enabling practitioners to achieve a prosthetically driven treatment planning which is based on optimal esthetics, intended final restoration, available bone and the overall clinical situation. Utilization of these contemporary technologies is shown to have a positive effect on patients’ satisfaction, reduction of chairside and laboratory working time, and increased predictability of an intuitive step-by- step workflow while demonstrating high accuracy, esthetics outcomes and long-term success.

George Dimitrakopoulos (Greece)

Giorgos Dimitrakopoulos graduated Dental School of Athens in 2006. He keeps his private office in Chalkida , Evia island , Greece since 2008 and has a special interest in biomimetic , minimally invasive bonded restorative dentistry and dental photography . He is giving presentations and seminars about techniques in the application of rubber dam isolation as well as direct and indirect bonded restorations.

Treating amelogenesis imperfecta;a multi bonding option

Treating an amelogenesis imperfecta case, can be done with an ultraconservative way, a non conservative way and a realistic patient_centered way. Always according to the techniques that make the clinician feel safe, that make the patient feel comfortable or the budget seem adequate. In this lecture, there will be presented a treatment option including most of the possible bonding ways of an individualised therapy

Stefania Grous (Greece)

Dr. Stefania A. Grous received on 2011, her DMD degree from the English program of Semmelweis University, School of Dental Medicine, Budapest, Hungary. On 2013 she graduated from the two-year postgraduate program of Advanced Education in Aesthetic Dentistry, Tufts University School of Dental Medicine, Boston, USA. On 2015 she obtained her MSc degree in Conservative Dentistry, from the University College of London (UCL), Eastman Dental Institute, London, UK. The study of her project was on the subject of 3D printing and the relevant updated technologies.

She presented in various international congresses. Currently she practices at the Grous Dental Clinic, limited to Esthetic and Restorative Dentistry, Prosthodontics and Implant Dentistry.

Integration of bleaching procedures into the prosthetic treatment. When and How.

One of the main challenges a clinician has to overcome in the esthetic area is the presence of discolored teeth. The aim in such cases is to use methods that are as minimally invasive as possible and materials that allow the preservation of dental tissues. Bleaching procedures and various ceramic materials can improve the masking of the discolored teeth present and help us achieve excellent cosmetic results. This presentation will explain how to integrate bleaching into the prosthetic treatment, in terms of time, in the various cases of discoloration and what factors to consider when choosing the timing.

Dimitris Chatziemmanouil (Greece)

He graduated from the School of Dentistry of the Aristotelian University of Thessaloniki and the Military School of Combat Support Officers in 2003 and sworn in as Second Lieutenant of the Medical Service Corps. During his studies, he received scholarships and awards of the State Scholarships Foundation (IKY).

In 2004 he was trained in the Maxillosurgery clinic of 401 Military Hospital of Athens in the field of oral surgery. Since 2005, he has a private practice in the town of Mytilene, performing general dentistry with emphasis on microscopic dentistry, implantology, in specific computer guided implant surgery.

In 2015 he retired from the army and has been a private practitioner since then. He constantly attends further training on aesthetic dentistry and implantology at conferences and seminars both in Greece and abroad. He has published papers in Greek and foreign periodicals and he is member of the editorial board of dental publications for the oral surgery sector.

Clinical Guided surgery utilizing open systems and softwares

The advance of technology and 3D printing offers now the possibility to design and print within the practice with high accuracy and at a much lower cost compared to the past. We will discuss how we can design and print templates for computer guided placement of implants using open softwares and systems, increasing predictability and safety in the execution of implant treatment planning.