Our Presenters

Every year we bring together a panel of internationally renowned experts from around the globe.

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Dr. Isabella Rocchietta, DDS MSc, Specialist in Periodontics

Dr. Rocchietta is the Honorary Senior Research Associate to the department of Periodontology of the UCL Eastman Dental Institute, London. Lecturer for the Diploma in Implant Dentistry at The Eastman Dental Institute, UCL, London and affiliated with the Department of Biomaterials, Institute for Clinical Sciences, The Sahlgrenska Academy at the University of Gothenburg, Sweden, where she conducts clinical research in the field of implantology and bone regeneration.

Currently elected Board Member of the EAO (European Academy for Osseointegration). Chairman
of the EAO Junior Committee from 2007 to 2011 and member of the Experts Council of the
Osteology Foundation.

Author of several international peer reviewed publications and book chapters and International
speaker on bone regeneration, bone grafting with growth factors, tissue engineering, soft and hard
tissue neo-formation with autogenous living cells, osseointegration and implant protocols.

Dr. Rocchietta currently performs clinical work limited to periodontics and Implant
dentistry in London, U.K.

Presentation Title: Vertical ridge augmentation

Synopsis:
Dental implants have been successfully implemented as a routine therapeutic approach in partially and fully edentulous patients. Alveolar defects compromise the “prosthetically-driven” dental implant positioning, unless a detailed planning is performed prior to the surgical phase. Many techniques have been described to augment alveolar bone, including autogenous block grafts, titanium mesh, distraction osteogenesis, guided bone regeneration, just to name a few.

The use of Guided Bone Regeneration associated to non-autogenous scaffolds constitutes the standard of care of bone augmentation in all alveolar defects with or without implants, including the most severe vertical deficiencies. Choosing the correct therapeutic approach with the appropriate biomaterials is a fundamental player to achieve success in advanced GBR procedures.

Learning objectives:

  • To understand the biological principle of GBR in its clinical applicability
  • Learn tips and tricks on how to perform Vertical GBR in severe defects
  • Learn how to avoid and manage complications in GBR

Hands-On Cadaver Workshop: Vertical ridge augmentation

Synopsis:

It is undeniable that implant treatment has modified treatment plans and patients’ outcomes dramatically. Implant treatment has been modified over the years from surgical techniques to material modifications, all of which aim at a theoretical perfection of treatment. However, one of the major endeavours in implant dentistry is still the esthetic result of the final prosthetic restoration. Implant positioning is now driven by the prosthetic demands and requirements rather than the quality, quantity and morphology of the available bone. A correct diagnosis based on a multidisciplinary approach, including periodontal, prosthetic and surgical parameters is crucial. The assessment of the anatomical site where implants will be positioned is paramount. Indeed we are faced with a multitude of alternatives when it comes to treatment plan. Often we find ourselves confronted with the dilemma on wether, after a meticulous diagnosis, the treatment plan should contemplate bone regeneration or not and if yes with which technique and with what material. This is applicable to “border line” cases, where the final aim may be well achieved via a more pragmatic approach other than bone regeneration. On the other hand, there are clinical conditions or anatomical sites where an adequate volume of bone is mandatory to allow implant treatment. Such areas include the maxillary molar and premolar region, where only a reduced alveolar process may separate the maxillary sinus from the oral cavity, and the corresponding mandibular region, with its mandibular nerve canal. Moreover, a large inter-arch space alters coronal length and form and produces an unfavorable crown-to-root ratio in the final prosthetic reconstruction. The latter may result in an esthetically unacceptable final prosthetic restoration, and/or lead to difficulties in performing adequate oral hygiene regimes, hence potentially jeopardizing the long-term prognosis.

In the past decade, many predictable techniques have been proposed in the literature to augment deficient alveolar ridges both horizontally and vertically and/or to enhance bone deformities in conjunction or prior to implant placement. Bone regeneration has been further improved through the introduction of more effective barrier membranes and osteoconductive/osteoinductive biomaterials and the development of new surgical procedures. However, predicable bone regeneration in severe cases still remains challenging. This hands-on course will focus on the Vertical Ridge Augmentation technique using the GBR biologic principles.

 

Learning objectives:

  • The participants will learn how to fully assess the patient for a correct diagnosis and case selection following specific guidelines. 
  • The participants will experience with their own hands the challenge of a vertical bone augmentation surgery, with particular emphasis on the precise steps of the surgical procedures

  • The participant will be able to learn all the tips and tricks that make GBR successful and learn how to avoid surgical pitfalls.

  • The participant will learn how to handle the soft tissues during GBR which are crucial to achieve success.

     

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