Saving Hopeless Teeth: Surgical and Conservative Protocols
Saving Hopeless Teeth: Surgical and Conservative Protocols
Course overview
The latest protocols for saving teeth with a poor prognosis, including tooth extrusion protocols from the legendary Stefan Neumeyer!
During the course, you will learn:
The protocols of the Tissue Master Concept by Dr. Stefan Neumeyer
Various methods of surgical crown lengthening
Techniques of intentional tooth replantation
Treatment protocols for invasive cervical resorption.
The lecturers of the course will analyze all the peculiarities of saving hopeless teeth from A to Z. This training is designed for dentists of all specialties. Don't miss out!
What you will learn
- Assess prognosis and indications for conserving severely compromised teeth using evidence-based decision criteria.
- Plan and perform surgical crown lengthening and vertical preparation to establish adequate ferrule and restoration margins.
- Describe and apply intentional replantation and surgical extrusion protocols, including atraumatic extraction and stabilization.
- Diagnose and manage external cervical and invasive resorption with appropriate imaging, classification, and treatment sequencing.
Course lessons
Lesson 1. The Tissue Master Concept (TMC) by Stefan Neumeyer. Introductory lesson
Introduction and biological basis of the Tissue Master Concept
Consequences of losing a tooth. Biological and anatomical considerations
Literature review of the structure and function of periodontal tissues
The main idea behind the Tissue Master Concept
Structural biology:
Structural changes after extraction
The role of the periodontal ligament
Loss of the bundle bone
Surgical intervention techniques
Stabilization of the alveolus.
The success parameters for implementing the Tissue Master Concept
Extrusion of teeth: force calculation and biomechanics
Preservation and regeneration of tissue and structures:
Replantation of teeth. Predictable and reliable method
Tissue modification generated by tooth movement
Orthodontic extrusion
The importance of structural integrity of the fiber apparatus.
The replantation of root segments:
Significance of the supra-alveolar fiber apparatus
Tissue reaction following extrusion
Guided tissue regeneration and improved healing.
Lesson 2. The Tissue Master Concept (TMC) by Stefan Neumeyer
Introduction and biological basis of the Tissue Master Concept
Consequences of losing a tooth. Biological and anatomical considerations
Literature review of the structure and function of periodontal tissues
The main idea behind the Tissue Master Concept
Structural biology:
Structural changes after extraction
The role of the periodontal ligament
Loss of the bundle bone
Surgical intervention techniques
Stabilization of the alveolus.
The success parameters for implementing the Tissue Master Concept
Extrusion of teeth: force calculation and biomechanics
Preservation and regeneration of tissue and structures:
Replantation of teeth. Predictable and reliable method
Tissue modification generated by tooth movement
Orthodontic extrusion
The importance of structural integrity of the fiber apparatus.
The replantation of root segments:
Significance of the supra-alveolar fiber apparatus
Tissue reaction following extrusion
Guided tissue regeneration and improved healing.
Treatment protocols and extrusion of teeth. Regenerating hard and soft tissues
Step-by-step explanation of the Tissue MAster Concept on Clinical Cases.
Lesson 3. The Tissue Master Concept: the replantation of root segments
The extrusion of root segments:
Significance of the periodontal ligament
Decision making
Combination of replantation and extrusion
Stabilization phase and predictable treatment outcome.
The replantation of root segments: atraumatic extraction, preparation and replantation
Bone quality assessment
Step-by-step clinical cases analysis:
Extraction, high resection and replantation of a root segments
Extraction, high resection, replantation and extrusion of root segments
Extraction, high resection, horizontal replantation and extrusion of a root segment.
Success parameters and strategic aspects
Regeneration and preservation of oral structures by extrusion of teeth and replantation of root segments
The Advantages of TMC: new treatment approaches and expectations
Preparation of the replant.
Lesson 4. Surgical extrusion procedures
Key factors in long term survival of endodontically treated teeth
3D ferrule concept
Ferrule classification
Surgical extrusion and intentional replantation:
Definition
Indications
Complications
Clinical protocol.
Retrograde filling protocol
Apical anatomy
Atraumatic extraction of teeth: protocols and clinical procedure
Splinting procedures and timing for final restoration.
Lesson 5. Intentional replantation of teeth. Protocols, clinical application and literature review
Indications for Intentional Replantation
Success rate and biological background
Atraumatic extraction for replantation
Apical treatment and root sealing procedures
Management of extraoral time
Step-by-step protocols of clinical procedures:
Retrograde filling and replantation
Double replantation and surgical extrusion
Replantation and surgical extrusion.
Prognosis and complications.
Lesson 6. Surgical crown lengthening and vertical preparation to recover severely compromised teeth
Tooth related and periodontal related problem
Treatment tactics of hopeless teeth: save or extract?
Key point of treatment
Concept of ferrule effect
VertiPrep technique
Indications for techniques
Perimeter build-up
Retention and resistance: tricks
Timing of the clinical steps after the clinical crown lengthening
Video protocol of crown lengthening
Clinical cases.
Lesson 7. Large periapical lesions. Treatment options
The size of the periapical lesion and its significance in terms of future prognosis
Differential diagnosis of periapical lesions
Radiological analysis. CBCT imaging of periapical lesions
Treatment planning of various clinical cases: extraction, root canal treatment, retreatment, and surgical root canal treatment
Protocols of retrograde root canal treatment
Protocols of intentional replantation
Kratchman technique for tooth intentional replantation
Analysis of clinical cases
Follow-up evaluation.
Lesson 8. Differentiating Cervical Resorption
Common pathogenesis of resorptive diseases
Resorption classification
Histopathogenesis of external cervical resorption (ECR)
Etiology of resorption
Clinical and radiographic signs of ECR
Heithersay classification
Patel's 3D classification
Evidence-based management strategies for ECR:
External repair
Internal repair
Intentional replantation
Extraction.
Interdisciplinary approaches to treatment planning cases of ECR.
Lesson 9. Pathogenesis and Treatment of External Invasive Resorption: A new Frontier
Pathogenesis of external invasive resorption (EIR)
The histological and pathobiological mechanisms of tooth resorption
Different molecules involved in the process of root resorption
Underlying molecular biology
Biological mechanisms of resorption
Orthodontic root resorption
External Inflammatory root resorption
Cytokines in dental diseases
Gingival crevicular fluid
Different treatment modalities and their potential outcome: traditional, conventional, modern
Traditional therapy: repair using the TCA
Conventional therapy
Modern therapy
Treatment possibilities based on the molecular biology of the disease
Cytokine therapy in medicine.
Lesson 10. Interdisciplinary Management of Invasive Cervical Resorption
Resorption: general information
Classifications of resorption
Diagnosis of cervical resorption
Radiographic features of resorption
Differential diagnosis of resorption
Pulpal involvement
Tooth discoloration
Evaluation of possible treatments
Decoronation: indications, contraindications and techniques
External reconstruction of the root defects?
Extraction of resorbed teeth: indications and contraindications
Interdisciplinary approach to the treatment of invasive cervical resorption: clinical protocols
Clinical cases demonstrations.
