Saving Hopeless Teeth: Surgical and Conservative Protocols

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

By Stefan Neumeyer

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

By Nicola Grande

Lesson program:
– Key factors in long term survival of endodontically treated teeth
– 3D 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

By Nicola Grande

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

By Daniele Bordonali

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

By Nelly Steinbock

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

By Brooke Blicher

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

By Matthew Malek

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

By Paolo Generali

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

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