Surgical extrusion and replantation of teeth
Surgical extrusion and replantation of teeth
Course overview
Full immersion in surgical extrusion and replantation of teeth by Stefan Neumeyer, Nicola Grande and Daniele Bordonali!
What 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.
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.
