Synergy Of Biologics In Treatment Of Peri-Implantitis

Who will benefit from this course? Restorative dentists and specialists along with their clinical staff members will take home new skill sets from this unique course.

This innovative course is the first full-day U.S. course focused on peri-implantitis diagnosis, prevention and treatment. Wallace Periodontics and Implants Learning Center developed this specific surgical protocol in response to the increasing incidence of peri-implantitis infection and loss of implants.

Our purpose is to empower clinicians with the surgical skills and knowledge to diagnose and effectively treat peri-implantitis at early stages, preventing implant loss. You will learn how to utilize surgical techniques to achieve effective biofilm removal, gain significant vertical bone regeneration, while stopping infection and stabilizing affected implants. You will acquire the knowledge and skills to identify, prevent and treat healing complications easily. Attending doctors will learn our effective consultation and case presentations that patients readily accept, allowing their treatment to progress promptly leading to increased patient satisfaction

In this course you will:

• Recognize the increasing incidence of peri-implantitis infections.
• Learn to diagnose early signs and symptoms of peri-implantitis infection.
• Understand why peri-implantitis infections exhibit a rapid and “non-linear” progression.
• Understand the surgical sequence in implant surface preparation using Komet instruments to effectively remove contaminated surfaces.
• Learn the surgical techniques and principles for successful flap design to allow complete flap closure, implant surface preparation/detoxification, sequencing of effective biologics, and membrane coverage.
• See the value of CBCT scan planning to ensure adequate bone thickness around implants, preventing post-restorative complications from dehiscence due to blood supply loss.
• Become aware of the multifactorial etiology of peri-implantitis related to adverse effects of rough implant surfaces, retained cement, overhanging restorations, open margins, close proximity of implants to each other and adjacent teeth, foreign body reaction to titanium debris and inaccessibility of implants supporting prostheses.
• Appreciate the positive effects of GEM21S, Emdogain and rhBMP-2 on maximizing bone regeneration around implants.

Course Content:

• Our new protocol uses Multi-Layered Growth FactorsTM to produce predictable vertical bone regeneration and keratinized gingiva around implant sites, maximizing long term stability.
• Specific surface preparation completely removes microbial contamination and prevents recurrence of peri-implantitis infections.
• Live, narrated surgery videos show details of every surgical step.
• Post-course videos are available to course alumni.
• Detailed instruction in the preparation, use and synergy of multiple biologics is provided: Emdogain, Gem21S, new alpha-Platelet Rich Fibrin and rhBMP-2
• Specialized membranes prevent soft tissue ingrowth and maximize new bone regeneration by maximizing the effect of biologic stimulation in bone regeneration.
• Case planning and diagnostic details are reviewed to illustrate the steps needed to prevent development of peri-implantitis.
• Rationale for choosing implants with specific surface treatment documented to resist periimplantitis
• Surgical perioplastic techniques prevent and treat peri-implantitis: these are described in detail utilizing: cancellous block grafts, particulate cortico-cancellous allografts, connective tissue graft augmentation, acellular dermis grafts for generation of keratinized gingiva surrounding implants, guided bone regeneration, split thickness flap techniques preserving blood supply from periosteum, platelet-rich fibrin membranes for particulate bone graft isolation and “sticky bone” generation.
• Komet surgically designed burs and diamonds are indispensable instruments for effective and efficient surface preparation of implants.
• Versah© Osseodensification technique is shown to achieve widening of narrow ridges allowing safe implant placement and preventing post-implant surgery dehiscence complications.
• The application of a new Metronidazole 1% antibiotic gel is used to prevent and treat infection complications in surgical sites.
• This new course is evidence-based and shows clinical results from 5 years of successful treatment of peri-implantitis cases. Our new protocol uses the synergy of Multi-Layer BiologicsTM to stop peri-implantitis, regain vertical bone support and prevent implant loss with a success rate of 99.5% over 5 years.