Complications in Periodontology: Modern Protocols for Tooth Preservation and Complication Management

Modern protocols of periodontal surgery and tissue regeneration — from minimally invasive techniques to comprehensive approaches for tooth preservation.

The course focuses on clinical solutions that help prolong tooth survival even in severe forms of periodontitis and minimize risks after implant placement.

During the course, you will learn about:

— Preparing patients with intrabony defects and furcation involvement for surgical treatment
— Minimally invasive surgical techniques (PPT, M-VISTA, NIPSA, and AICAST) and their modifications
— Tissue regeneration technologies: the use of Emdogain, hyaluronic acid, membranes, scaffolds, and regenerative conductors and inductors
— Surgical management of inflammatory processes in peri-implantitis
— Mucogingival surgery: gingival recession coverage, harvesting and shaping soft tissue flaps, suturing principles, and tunnel techniques with VISTA access
— Postoperative management strategies and prevention of undesirable outcomes

Lesson 1. Periodontal Surgery: Intrabony Defects and Furcation Defects

— Preparation of patients with severe periodontitis for periodontal surgery
— Capabilities of conservative periodontology
— Prognostic factors related to defect morphology and tooth condition
— Patient selection criteria for successful surgical outcomes
— One-, two-, and three-wall defects: selection of materials and management techniques
— Use of regenerative materials:

• Emdogain

• Hyaluronic acid

• Membranes

• Regenerative conductors and inductors

— Management of intrabony defects and furcation defects
— Suturing techniques and considerations
— Postoperative care

Lesson 2. Peri-implantitis: Surgical Management of Complications. Demonstration and Clinical Implementation

— Relevance of peri-implantitis:

• Classification of peri-implantitis

• Diagnostic criteria: radiographic and clinical

• Main etiological factors of peri-implantitis

— Surgical treatment methods for peri-implantitis

— Regenerative approaches in peri-implantitis treatment:

• Implant surface decontamination

• Bone augmentation: selection of regenerative materials (xenografts vs autogenous bone grafts)

— Resective treatment methods for peri-implantitis:

• Treatment selection: implantoplasty while preserving osseointegration

• Soft tissue management considerations

— Radical implant removal:

• Indications for explantation

• Strategy for re-implant placement

— Clinical case analysis

Lesson 3. Modern Surgical Approaches in Periodontal Therapy: Errors and Complications

— Overview of contemporary surgical techniques for specific clinical indications
— Errors and complications related to:

• Treatment planning

• Surgical protocols

• Postoperative management

— Minimally invasive periodontal surgery (M-MIST)
— Modified and simplified papilla preservation techniques (Modified PPT, Simplified PPT)
— Single Flap Approach techniques (Single Flap Approach, M-MIST)
— Detailed analysis of papilla preservation techniques (PPT and M-VISTA)
— Protocols for NIPSA and AICAST techniques

Lesson 4. Complication-Free Periodontal Surgery

— Introduction to mucogingival surgery:

• Anatomical features of the periodontium

— Gingival recession:

• Definition

• Etiology

• Classification

• Management strategies and practical recommendations

— Harvesting of soft tissue grafts
— Flap design, elevation, and splitting: fundamental principles and techniques
— Suturing techniques: methods and clinical recommendations

— Tunnel technique with VISTA access:

• Core principles

• Technique modifications

— Possible complications and strategies for their prevention

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4 lessons (5h 38min)