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Challenging the MastersNovember 29, 2024 — November 30, 2024Imperial Riding School, Wien, Austria Languages: English
Scientific chair: Dr. Istvan Urban DMD, MD, PhD, Dr. Rino Burkhardt, Prof. Dr. Juraj Brozović DMD, PhD Target audience: Dentist Register Here Download Flyer
A Boutique Oral Bone and Soft Tissue Grafting Symposium
Join us on 29 - 30th November in Vienna for cutting-edge facts on grafting surgery in an individualized setting. Experience a unique hands-on course on Friday and a personalised clinical symposium on Saturday.
State of the Art Graft Closure: The Six-Zero Standard
Prof. Dr. Juraj Brozović
"Leaving the Comfort Zone to Step-Up Your Suturing Game" In the first part the wound healing biology is discussed, with a thorough insight into suturing materials followed by step-by-step guidance through microsurgical suturing techniques and collagen materials applicable in grafting surgery. Its objective is learning to maximize the advantages of monofilament micro-sutures for the benefit of your surgery. This section challenges you with two take-home skills: Safe-Knot-Locking Technique, Direction Management with Monofilament Microsutures
13:0014:00
Lunch Break
14:0016:00
Periosteal Release Done Right: Extreme Flap Advancement
Prof. Dr. Juraj Brozović
"The Point of No-Return for Flap Management in Bone Grafting". The second part deals with grafting flap structure in detail and teaches you state-of-the-art flap advancement and closure. Tips and tricks are provided to avoid common procedural mistakes leading to failures. This section challenges you with another two take-home skills: The Five-Step Tissue Elongation: Extreme Flap Advancement, Tension-Less Graft Flap Closure
“Technical Expertise, Experience and Skilled Execution”
Tino Bonaccorsi
Individualizing the Symposium to participants
09:0010:30
My Perspectives on Vertical And Horizontal Augmentation
Dr. Istvan Urban
Vertical and horizontal augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications. However, it has been demonstrated that successful clinical outcomes can be predictably achievable when strict protocols are followed. The detailed understanding of clinical anatomy should guide the clinician when managing the soft tissue flaps in an attempt to securely close the flaps to achieve optimal healing environment of the graft. Graft immobilizations, the optimal use of graft materials are essential in achieving bone formation even in a distance from the bony walls. This presentation will summarize the essential steps of ridge augmentation and gives an insight how a clinician can learn these demanding procedures.
10:3010:45
Questions and Answers - Open Discussion with Istvan Urban
Dr. Istvan Urban
10:4511:15
Coffee Break
11:1512:45
How to Enhance Performance in Periodontal and Peri-implant Mucosal Surgery?
Dr. Rino Burkhardt
There is no doubt that knowledge is an indispensable factors for expert performance in periodontal and implant surgery. It is broadly understood as justified propositons most typically made available through lectures, books and journals, particularly those involving a review process which bestows the status of “acceptance”. But there is another kind of knowledge that emerges from longstanding clinical practice. Some of this knowledge may be explicit - means available to consciousness – while another part remains implicit or tacit, very hard to teach. It is the goal of the first part of my presentation, to make the tacit knowledge that accumulated during decades of occupation as a periodontal surgeon explicit. It is worth to be discussed as it is most essential for younger collagues on their way to proficiency. The focus will be on the interfaces between the human hand and the instrument handle (ergonomics) and the working end of the instruments and the mucosal tissues (bioengineering). After the discussion of the technical skills, the second part will shed light on the nontechnical ones such as intraoperative decision-making, situation awareness, communciation and others. These factors are difficult to capture, but, according to scientific data, contribute with more than 75% to surgical proficiency. Most of the complications and errors in periodontal and implant surgery can be atributed to a deficiency of one or more of the nontechnical skills. The third part will focus on the development of occupational expertise through everyday clinical work activities. A critical anaylsis will help to manifest the weak points of surgeons’ lifelong learning strategies. The entire presentation will be based on scientific data and personal experiences and supported by clinical examples and videos, documenting the different procedures.
12:4513:00
Questions and Answers - Open Discussion with Rino Burkhardt
Dr. Rino Burkhardt
13:0014:00
Lunch Break
14:0015:30
The Invisible Things in Defect Repairs and Aesthetic Grafts
Prof. Dr. Juraj Brozović
Tissue loss presents a common obstacle in attaining resilient and aesthetically pleasing implant and tooth-borne restorations, often indicating additional grafting procedures. In order to achieve predictable outcomes, advancing surgical techniques and individualised prosthetic solutions are used to optimise the ridge profile. A biologically-driven approach, carried out in a minimally invasive manner may challenge the conventional wound closure and flap management in grafting procedures and result with more predictable outcomes, and less sequelae for the patient. This lecture brings into focus soft and hard tissue grafting considerations with regards to the level of aesthetic challenge, invasiveness, and implant superstructure, proposing a new predictable approach to the aesthetic zone.
15:3015:45
Questions and Answers - Open Discussion with Juraj Brozović
Prof. Dr. Juraj Brozović
15:4517:00
Osseointegration: Clinical Relevance of Biological Principles
Prof. Dr. nat. techn. Reinhard Gruber
Osseointegration of dental implants follows the biological principles of bone regeneration. It is the bone-resorbing osteoclasts that prepare the peri-implant bone for the work of the bone-forming osteoblasts. This cellular interaction is regulated by the osteocytes distributed in the bone, which act as sensors and regulate the osteoclasts and osteoblasts by releasing RANKL and SOST. Clinically, it appears important to maintain the vitality of osteocytes as dying cells initiate bone resorption. In addition, antibodies that neutralize RANKL and SOST are not only important as osteoporosis therapy, but are also associated with the occurrence of osteonecrosis and periodontal regeneration.
Dr. Rino Burkhardt runs a private clinic in Zurich, Switzerland, limited to Periodontology and Implantology. Additionally, he holds an associate professorship at the University of Zurich and honorary professorship at the University of Hong Kong. In the early 90ies, he was one of the first clinicians who introduced microsurgical techniques in periodontics. Today, he is a leading expert in this field with a clinical experience of more than two decades. Beyond his clinical activities, he actively participates in clinical research related to wound healing, periodontal regeneration and skills evaluation. He has authored several refereed articles and book chapters about the aforementioned topics. Currently, he is the president of the Swiss Society of Oral Implantology, the vice president of the Clinical Research Foundation for the Promotion of Oral Health and Board Member of the Research Group of Oral Soft Tissue Biology and Wound Healing.
Prof Reinhard Gruber holds a PhD in Biotechnology and has worked at the University Clinic of Dentistry at the Medical University of Vienna since 1999. He was Vice Director of the Curriculum for Dentistry and founded the PhD program “Bone and Joint Regeneration.” Prof Gruber was active as a visiting scientist at the Bone Tissue Engineering Center of Carnegie Mellon University in Pittsburgh and at the Dental School of the University of Michigan. From 2012 to 2014, he headed the Oral Cell Biology Laboratory at the Dental Clinics of the University of Bern, to which he is still affiliated. In October 2014, Prof Gruber was appointed Professor of Oral Biology at the Medical University of Vienna. He is a trustee of the Osteology Foundation, a member of the ITI Research Committee, and a scientific advisor to the Austrian Society for Bone and Mineral Metabolism. From 2008 to 2015, Prof Gruber was Editor-in-Chief of the International Journal of Stomatology & Occlusion Medicine and the Journal of Stomatology of the Austrian Society of Dental, Oral and Maxillofacial Medicine. He is currently Associate Editor of Clinical Oral Implants Research and the International Journal of Oral & Maxillofacial Implants, and serves on several editorial boards, including the Journal of Dental Research, Periodontology 2000, and Clinical Oral Investigations. Prof Gruber and his team have published over 250 original articles and reviews in international journals and numerous book chapters in the field of regenerative dentistry.
Istvan Urban, DMD, MD, PhD, teaches implant dentistry in the graduate program at Loma Linda University in California and is also an adjunct clinical associate professor in the Department of Periodontology and Oral Medicine at the University of Michigan. He has published widely on bone regeneration and soft tissue reconstructive surgery around dental implants and is the author of the textbooks Vertical and Horizontal Ridge Augmentation: New Perspectives (Quintessence, 2017) and Vertical 2: The Next Level of Hard and Soft Tissue Augmentation (2022). Dr Urban is licensed in the state of California and maintains a private practice in Budapest, Hungary.
