Advanced Periodontology: Surgical Protocols
Advanced Periodontology: Surgical Protocols
Course overview
Surgical treatment of periodontal complex cases: from scalpel choosing to suturing!
In Dr. Daniel Melker course, you will learn the protocols of:
Flap design: full thickness, split thickness, lingual, in the anterior and posterior area
Removal of exostoses and bone excesses
Gingivectomy with and without the use of a digital surgical guides
Treatment of gummy smile
Frenectomy
Soft tissue grafting from the palate, maxillary tuberosity and the lingual area
Altered active and passive eruption
Treatment of root surface irregularities.
In numerous clinical cases you will work out all the stages of surgical manipulations and evaluate the advantages and long-term results of using various techniques!
What you will learn
- Design and execute full‑thickness and split‑thickness flaps tailored to anterior and posterior periodontal surgery.
- Perform soft tissue graft harvesting and tunnel graft techniques from palate and tuberosity for recession coverage.
- Apply evidence‑based suturing techniques and material selection to optimize primary closure and healing.
- Plan and perform crown lengthening and biologic shaping procedures considering prosthetic and periodontal relationships.
Course lessons
Lesson 1. Free example. A biological approach to periodontal surgery
Flap reflection posterior
Proper treatment of a flap
Anatomy of periodontal ligament
Incisions and flap design
Full thickness and split thickness flap
Blades: types and indications
Flap extension
Trapezoid flap.
Lesson 2. Flap design: step-by-step protocols
Full thickness flap: step-by-step protocol
Soft tissue and provisionals
Lingual flap on the mandibular arch
Split thickness flap: step-by-step protocol
Clinical cases.
Lesson 3. Biologic concepts in periodontal surgery
Anterior flap design
Clinical crown length
Clinical case of exostosis removal
Surgical guides for gingivectomy
Excess removal
Trauma to the papilla
Knife edge margins.
Lesson 4. Crown lengthening: clinical protocols
Crown lengthening
Bone sounding
Causes of relapse
Gummy smile treatment protocol
Atraumatic flap
Prosthetics rehabilitation.
Lesson 5. Periodontal surgery in aesthetic zone
Anterior papilla preservation
Indications for anterior surgery
Anterior flap design
Blades choosing and Incisions
Frenum and Frenectomy
Planning of Gingivectomy
Flap placement after surgery
Primary closure of the flap.
Lesson 6. Suturing: materials, tools, basic techniques
Importance of suturing
Suture materials
Technique of the needle holding
Tools for suturing
Mistakes in suturing
Interrupted suture technique
Sling suture technique
Mattress suture technique.
Lesson 7. Suturing: techniques and clinical cases
Continuous suturing
Periosteal suturing
Suturing with soft tissue graft
Healing and discomfort
Clinical cases.
Lesson 8. Soft tissue grafting from the palate. Part 1
Benefits of attached connective tissue
Protocols of recession treatment
Tunnel technique
Video demonstration of suturing
Root surface preparation
Advantages of connective tissue
Graft from the palate: technique
Soft tissue grafting in aesthetic zone
Step-by-step protocol of grafting from the palate
Clinical cases.
Lesson 9. Soft tissue grafting from the palate. Part 2
Mucogingival junction
Marginal and submarginal grafts
Step-by-step surgical procedures protocol
Growth factors
Cover for palatal graft donor site
Clinical cases.
Lesson 10. Tuberosity tissue
Instruments
Step-by-step protocol of grafting from tuberosity:
Diagnosis
Incisions
Flap forming
Grafting
Suturing
Restoration.
Connective tissue from inside the lingual flap
Clinical cases.
Lesson 11. Allograft tissue
Benefits of perioderm tissue
Step-by-step protocols of using allograft
Periodontal treatment in aesthetic zone
Allograft: characteristics
Clinical cases.
Lesson 12. Biologic width
Junctional epithelium
Periodontal treatment of furcation area
Clinical crown length
Biologic width
Back action chisel: features of using
Instruments and burs
Altered passive eruption
Altered active eruption
Clinical cases.
Lesson 13. Prosthetic stage: cores and provisionals
Treatment planning
Interdisciplinary Interaction
Core build-up
Materials and Instruments
Provisionals
Clinical cases
Biologic shaping:
Aspects
Indications
Technique.
Maintenance: patient-hygienist
BOPT: characteristics, burs and protocol.
Lesson 14. Root surface irregularities treatment
Correction of root surface irregularities
Instruments and burs
Cemento-enamel junction
Anatomic crown contour
Vertical preparation
Osseous contouring
Richard elevator
Clinical cases.
Lesson 15. Final margin location in perio-restorative biologic shaping of bicuspids and in general
Causes of inflammation
Supragingival margins
Materials for prosthetics
Impressions
Bicuspid reshaping
Biologic shaping
Clinical cases.
Lesson 16. Biologic shaping of molars
Furcation involvement
Bicuspidization
Location of previous margins of existing crowns
Crown lengthening in mandibular molars
Furcation removed
Step-by-step protocols of periodontal surgical treatment of molars
Clinical cases.
