Dissection Procedures & Implant Dentistry Training on Cadavers
What is it, aim
The need to offer our patients more comfortable, more aesthetic, and long-lasting implant-supported prostheses also in compromised edentulous sites requires peculiar clinical skills. To allow implant placement in sites affected by moderate or severe atrophy, several augmentation techniques have been proposed over the years, such as bone splitting, guided bone regeneration, sinus lift, and reconstruction with autogenous bone grafts.
The reconstruction of atrophic sites requires technical competence and knowledge not only of the surgical procedures but also, and most important, of local anatomy to avoid relevant damages to important anatomical structures of the oral cavity, such as nerves and vessels. Such an experience cannot be acquired only with theoretical preparation, but it requires practice and training. For these purposes, we think that hands-on on cadavers offer a unique opportunity to learn or improve such surgical competence and significantly reduce the risk of surgical complications and iatrogenic damages.
The aim of this hands-on course on cadavers held in the prestigious University of Vienna is therefore to offer the participants a complete program including:
a) a rational theoretical background to optimize the choice among different reconstructive techniques and different grafting materials
b) the dissection and identification of the most relevant anatomical structures which can be involved during reconstructive pre-implant procedures and bone harvesting from intraoral sites (performed by the participants)
c) the possibility for participants to personally perform the main basic techniques of pre-implant reconstruction such as bone harvesting from intraoral sites, modeling and fixation of onlay bone grafts, sinus floor elevation, management of soft tissues to allow water-tight closure of grafted sites.
The continuously growing demand for these hands-on courses on cadavers which began four years ago with four to five courses per year, and initially dedicated to italian surgeons only, has led me to organise an international course in english opened to colleagues from all countries which are interested in improving their competence in this fascinating field of oral implantology.
Course Director & Main Teacher: Matteo Chiapasco
Other Teachers:
Paolo Casentini, Norbert Fock, Alessandro Rossi, Hannes Traxler
Course Programme
1st day: theoretical part
Saturday, 8.30 am - 1.00 pm 2.00 pm - 7.00 pm
Venue: Hotel Regina
Bone defects classification and rationalisation of restorative surgical protocols
Role of prosthetically-guided planning for optimisation of results and aesthetics
Bone harvesting techniques
¦ Surgical anatomy review for prevention of intra- and post-operatory complications
¦ Harvesting from the chin
¦ Harvesting from the ramus
¦ Harvesting from the tuber maxillae
¦ Extraoral harvesting (outline) Graft modelling and fixation techniques
Guided bone regeneration techniques
¦ Trans-alveolar sinus lift (Summer technique)
¦ Lateral approach sinus lift
Rationalization of biomaterials choice according to type of defect and reconstruction
Soft tissue management for tension-free coverage of restored tissues (periosteal releasing incisions)
Post-operatory management after augmentation techniques
¦ Pharmacological protocols
¦ Handling of provisionals
Post-extractive implants
Role of innovative implant surfaces in the quality of osseointegration and loading times
PROGRAM
2nd day and 3rd day: hands-on training
Sunday 9.00 am - 1.00 pm 2.00 pm - 6.00 pm;
Monday 9.00 am - 1.00 pm
Venue: Institute of Anatomy, University of Vienna
Dissection of anatomical structures at risk
¦ Palatine artery
¦ Facial artery
¦ Submental artery
¦ Inferior alveolar nerve
¦ Mental nerve
¦ Lingual nerve
Alveolar-antral artery
Vessels and nerves of the floor of the mouth
Bone harvesting techniques from the chin, the ramus and the tuberosity
Graft and biomaterial modelling and fixation techniques
Maxillary sinus elevation techniques and handling of possible complications
Thin ridge expansion techniques (split crest techniques)
Post-extractive implants
Epithelial-connective graft harvesting techniques from the palate and guided regeneration for the optimisation of aesthetic sites.
For more information please contact Kathy Jack on 01293 651 276 or email kathy.jack@straumann.com
