Saving Hopeless Teeth: Surgical and Conservative Protocols

The Tissue Master Concept (TMC) by Stefan Neumeyer

Lesson program:

• 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.

Duration: 1 h 26 min · Presented by: Stefan Neumeyer

The Tissue Master Concept: the replantation of root segments

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h 33 min · Presented by: Stefan Neumeyer

Surgical extrusion procedures

Lesson program:

• Key factors in long term survival of endodontically treated teeth3D 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h · Presented by: Nicola Grande

Intentional replantation of teeth. Protocols, clinical application and literature review

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h 4 min · Presented by: Nicola Grande

Surgical crown lengthening and vertical preparation to recover severely compromised teeth

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h · Presented by: Daniele Bordonali

Large periapical lesions. Treatment options

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 51 min · Presented by: Nelly Steinbock

Differentiating Cervical Resorption

Lesson program:

• 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.
• Recommended for:
• Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h 22 min · Presented by: Brooke Blicher

Pathogenesis and Treatment of External Invasive Resorption: A new Frontier

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h 9 min · Presented by: Matthew Malek

Interdisciplinary Management of Invasive Cervical Resorption

Lesson program:

• 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.
• Recommended for: Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 1 h 14 min · Presented by: Paolo Generali

Retreatments

Additional lecture by Ahmed Shawky on unique way to save NATURAL teeth.

Recommended for:

• Prosthodontists, Periodontists, Endodontists, Implantologists, Oral and maxillofacial surgeons, General dentists.

Duration: 2 h 5 min · Presented by: Ahmed Shawky