Saving hopeless teeth: surgical and conservative protocols

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.

– 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.