The Soft Tissue challenge in Esthetic Implantology

— from Single Tooth Replacement to Orthognathic Implantology —

 

with Dr. Egon Euwe

May 16 – 18, 2018 in Italy

OVERVIEW

Hands-on Course: May 16 – 18, 2018 in Lurago d’Erba, Italy. Course Fee is $3,475. (€ 2,950)

“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 & soft tissue preservation, reconstruction versus the volume reducing remodeling processes triggered off by the extraction and/or previous dental pathology. the Rootmimetic approach, using the intact ridge as a Reference, focusses on buccal and crestal augmentation techniques creating the illusion of the presence of the root. Innovative emergence profiles going from the narrow conical connection to the anatomical perimeter of the coronal part of the replaced tooth in a 3-4mm transmucosal “tunnel” play an important role in preservation of the bone, stability of the soft tissue, ease of maintenance (cleaning) and the creation of a natural looking restoration. Soft Tissue management is of key importance in the workflow of both immediate & delayed post extraction implant cases in single or partially edentulous patients to recapture the original ridge volume and optimized tooth inclination & root profiles even in Pontic sites. In the group of the Fully edentulous patients facial esthetics elements like lip support, but also the Orthognatic inter-arch relationships which can be modified with the implant supported prosthesis, will be among the exiting topics of this course.

Read More

With the explosive penetration of implantology in the dental community, we are more often confronted with complications and failing implants. Corrections and re-treatment are difficult and time consuming. Inadequate soft tissue quality and quantity, wrong case selection, implant type or position, mismanagement of the interfaces in the pink part or surgical trauma lead to compromised esthetics, excessive bone loss and subsequently peri-implantitis and the Biologic failure of the implant. Showing a number of  “real life “cases of this category with their clinical follow up, treatment solutions as well as prevention is the didactical pinnacle of this portion of the course The Treatment of the edentulous jaw as introduced by Brånemark has evolved in numerous aspects as well. To the fully edentulous group 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.

Hands-on Course: May 16 – 18, 2018 in Lurago d’Erba, Italy. Course Fee is $3,475. (€ 2,950)

“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. the Rootmimetic approach, using the intact ridge as a Reference, focusses on buccal and crestal augmentation techniques creating the illusion of the presence of the root. Innovative emergence profiles going from the narrow conical connection to the anatomical perimeter of the coronal part of the replaced tooth in a 3-4mm transmucosal “tunnel” play an important role in preservation of the bone, stability of the soft tissue, ease of maintenance (cleaning) and the creation of a natural looking restoration. 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. In the group of the Fully edentulous patients facial esthetics elements like lip support, but also the Orthognatic inter-arch relationships which can be modified with the implant supported prosthesis, will be among the exiting topics of this course.

Read More

With the explosive penetration of implantology in the dental community, we are more often confronted with complications and failing implants. Corrections and re-treatment are difficult and time consuming. Inadequate soft tissue quality and quantity, wrong case selection, implant type or position, mismanagement of the interfaces in the pink part or surgical trauma lead to compromised esthetics, excessive bone loss and subsequently peri-implantitis and the Biologic failure of the implant. Showing a number of  “real life “cases of this category with their clinical follow up, treatment solutions as well as prevention is the didactical pinnacle of this portion of the course The Treatment of the edentulous jaw as introduced by Brånemark has evolved in numerous aspects as well. To the fully edentulous group 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.

PROGRAM

May 16 – 18, 2017

LECTURE 

  • In depth analysis of the Biologic Width around an implant supported restoration
  • Critical hardware choice: implant neck/connection, 3D positioning, Tissue friendly emergence profiles & material choices within the pink interface.
  • The Soft tissue solutions applied in the course are advanced and. require some knowledge about basic soft tissue management like flap design, grafting & suturing.
  • The patient solutions in the course do not isolate the Soft Tissue part from the rest: The complete recipe will be shown in a logical step by step fashion, showing the important elements like case selection, implant position, bony foundation, soft tissue environment, prostheses, and neighboring teeth.
  • Principles and timing of Soft Tissue Management & Grafting within the clinical workflow.
  • Socket seal surgery, root contour build-up, pontic site development, papilla reconstruction, inlay/onlay grafts, root coverage and crown lengthening step by step
  • Biodynamic Soft Tissue shaping by using the provisionals.

HANDS-ON TRAINING

The workshop will address some of the most frequently applied procedures to boost the Biotype enhancing volume & kertanized tissue

  • Micro-surgical techniques with 5 and 6-O monofilament sutures
  • Full and partial thickness flaps
  • Free gingival graft
  • Root coverage on multiple recessions with a tunneling technique
  • Uncovering of an implant with an apically positioned flap combined with a pouch
  • Detailed step by step high definition instruction video filming

Of all the procedures trained in the workshop clinical applications on patients will be shown in a special video session!

Only a limited number of places are available!

Bring your own loupes or magnification glasses!

DAY 1

Single tooth replacement 360°

  • Registration of the Participants.
  • Welcome & Introduction.
  • The treatment Strategy- Backward planning concept. Volumetric changes of the ridge after tooth loss, Gingival Biotype & Post extraction implant placement options. Pink interface/ Biologic width.
  • Coffee Break
  • Single tooth replacement with immediate implant placement
  • Lunch
  • Single tooth Replacement with early placement: the staged approach.
  • Coffee break & Live surgery
  • Soft Tissue Techniques to enhance implant Esthetics, Optimize the Adjacent teeth.

DAY 2

The partially edentulous patient

  • The pink interface in the partially edentulous patient
  • Coffee break
  • Rootmimetics and the papillae dilemma
  • Lunch
  • Case presentation & live surgery or pig jaws hands-on demo of instruments & materials
  • Discussions about management of borderline cases, failures & complications
  • Italian cooking class in a typical local Trattoria – wine tasting

DAY 3

High end solutions for the fully edentulous patient

  • The pink interface in the fully edentulous patient / the full arch
  • Coffee Break
  • Live surgery and/or clinical videos
  • Lunch
  • The fully Edentulous patient.   Introduction of the different types of patients in this group, the failing dentition, Bone Resorption patterns & jaw relationships, the pink part, (Anti-) Aging process.   Diagnostic landmarks.
  • Orthognatic Implantology: high-end solutions for patients with a failing dentition & malocclusion  part 1
  • Treatment planning session: Oral and facial Diagnostics with interactive case analysis.
  • Orthognatic Implantology: high-end solutions for patients with a failing dentition & malocclusion part 2
  • Q&A, Closure of the course
  • Group dinner at the “Navedano” restaurant (George Clooney’s favorite)  or another one – optional

Dr. Egon Euwe

Milan, Italy | General & Implant Dentist

Dr. Euwe obtained his degree at the University of Utrecht (Holland). He studied under Dr. Sascha Jovanovic at UCLA from 1992 to 1996 and conducted clinical research on resorption of newly formed bone at the University of Milan. Dr. Euwe maintains a private practice focusing on periodontics and oral implantology. He lectures extensively in Italy and abroad on advanced implantology.

TESTIMONIALS

REGISTER

MASTERING THE PINK INTERFACE

The Soft Tissue Challenge in Esthetic  Implantology

$ 3,475 USD (€ 2,950)

Includes 3 day Curriculum and 24 CE Credits

COURSE INFORMATION

May 16 – 18, 2018 

Registration includes 24 CE, (gIDE Certificate, meals & breaks)

Cancellation Policy: Registration includes admission to the course, lunch and break refreshments. Cancellation fee is $500 up to forty five (45) days prior to each program. After that date, there will be no refunds. gIDE may cancel scheduled courses up to thirty (30) days prior to the scheduled start of the course if certain attendance minimums are not met. Customer Travel Costs: gIDE is not responsible for reimbursing prepaid (including non-refundable) customer travel costs. It is recommended that customers who elect to incur travel costs for a training course, schedule and purchase airfare and hotel accommodations with this in mind.

LOCATION

Dr. Egon Euwe Dental Clinic & Training Center

Via Roma, 92
22040 LURAGO D’ERBA 
ITALY

Dr. Egon Euwe Dental Clinic & Training Center

CONTACT