CoDent - Controversies in Dentistry

Scientific Society

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Implantology

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  • 75 Rue de Lyon
    1203 Geneva
    Switzerland
  • Tel : +972 73 706 6950
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Spain
  • <p></p><p></p> <p><br><b>The benefits of various implant surfaces:<em>Are the differences really clinically significant?</em></b></p><p>The biological integration between the dental implant surfaces and jaw bones should be considered a prerequisite for the long-term success of implant-supported prostheses. Predictably, implant surfaces have gained an important and decisive place in implant research over the last years. Today, a large number of implant types with a great variety of surface properties and other features are commercially available but some may have to be treated with caution.</p><p>Immediate versus delayed loading:<em>Is it measurably better for the patient or just convenient?</em></p><p>Traditionally the implants have been left to heal for several months before being loaded with the implant crown, bridge or denture. Nowadays some have proposed the use of immediate loading, where the implants and temporary teeth are placed within 48 hours of implant surgery and are left in position for the healing period. The advantages and disadvantages will be discussed, including the immediate post-extraction implant option.</p><p>Cemented versus screw retained solutions:<em>Can we consider both as equal and valued options?</em></p><p>Discussion will center on the different characteristics of screw and cement-retained implant restorations, and how they may influence the esthetics, retrievability, retention, passivity, occlusion, accessibility, cost, and provisional restorations, as well as oral hygiene maintenance along the years.  An understanding of their properties will help the clinician in selecting the ideal prosthesis for each clinical case while promoting final esthetic outcomes.</p><p>Bone reconstruction versus tilted implants:<em>Has the time come to accept the off-angled implant option?</em></p><p>The clinical success and longevity of endosteal dental implants as load bearing abutments are controlled largely by the mechanical setting in which they function. The treatment plan is responsible for the design, number and position of the implants. The discussion will center on the whether it is better to regenerate, reconstruct with onlays or manage with tilted implants with less waiting time and less morbidity.</p><p>Short versus long implant:<em>Or is the questions just where and when?</em></p><p>The placement and restoration of endosseous dental implants have become routine dental procedures offer high success rates when suitable planning and protocols are followed. Anatomical considerations may exist, in the posterior region of both mandible and maxilla that pose limitations, such as the position of the inferior alveolar nerve and the sinus cavity. Methods to increase vertical height of the posterior mandible or maxilla, such as autogenous bone augmentation, inferior alveolar nerve repositioning and sinus lifting, have shown predicable results but also a quite high levels of morbidity. For patients with inadequate vertical height of the posterior maxilla and mandible, the efficacy of short-length dental implants will be discussed.</p><p>Proper maintenance of dental implants and treatment for periimplantitis: <em>Is the currently applied maintenance protocol leading to implant infections and failures?</em></p><p>Proper monitoring and maintenance is essential to ensure the longevity of the dental implant and its associated restoration through a combination of appropriate professional care, evaluation, and effective patient oral hygiene. The value of conventional periodontal parameters to assess peri-implant health has not been completely defined. The best methods of insuring well maintained implants and the treatment of implant infections seems varied and often empirical. We will also consider how the new “aggressive” surfaces have affected the increase of cases of periimplantitis.</p><p>Prosthetic options/alternatives:<em>Can we make this phase more simple?</em></p><p>It is all on four a true reliable solution suitable for every patient? How big is the risk of none on 3? We will evaluate the existing prosthetic options trying to minimize the number of steps, reducing risk of mistakes and getting a better cost/benefit ratio.</p><p>Surgical stent and guided surgery:<em>Is it always necessary and always reliable?</em></p><p>Implant complications are inadvertent sequelae of improper diagnosis, treatment planning, surgical method, and placement. It has been suggested that this may be overcome by using surgical guides for implant positioning. It appears however that often, the clinical outcome is not unpredictable, and even if the implants are well placed, the location and deviation of the implants may not meet the optimal prosthodontic requirements. High accuracy in planning and execution of surgical procedures is important in securing a high success rate without causing iatrogenic damage. The true precision and reliability of surgical stent and of the guided surgery will be analyzed.</p> <p></p> <br><p></p> <br><p></p>
    • Barcelona, Spain
    • Spain
    Nov
    03

    2016

    1st World Congress on Controversies in Dentistry (CoDent)

    Barcelona, Spain
    CoDent - Controversies in Dentistry