WE WILL TRANSFORM YOUR PRACTICE, FULL IMMERSION TRAINING

PROGRAM

July 1^st and 2^nd
Anatomical and surgical training with workshop on human cadavers

Objective
Lake Como Institute presents a unique and very practical two-day hands on dissection course for all professionals practicing or embarking on oral surgery and implantology where all lectures will focus on what really matters and will be directly applicable during the course. Working on frsh cadavers is really just like performing surgery on a live patient and the surgical skills can be practiced and improved without taking risks. After a concise theory part, the faculty will show the dissection techniques that will be performed by each participant. The most common surgical techniques will be illustrated and performed by attendees as well. Each professional will be assigned one skull. 90% of the course will be hands-on anatomical training and only 10% is theory.

July 1^st 09:00 am – 06:00 pm
Surgical anatomy: cadaver dissection

• Vascular supply and innervation of the maxilla and the mandible
• Greater and lesser palatine foramina
• Greater palatine artery and nerve
• The maxillary sinus
• The buccal fat pad
• The nasal cavity
• Infraorbital foramen and canalis sinuosus
• Naso-lacrimal duct
• Maxillary incisive foramen and canal
• Mandibular ramus
• Lingual nerve
• Sublingual artery
• Facial artery
• Inferior alveolar canal/nerve
• Submandibular and sublingual fossa
• Mental foramen/nerve and its anterior loop
• Mandibular incisive canal
• Accessory lingual foramina of the mandible

July 2^nd 09:00 am – 06:00 pm
Surgical techniques to be carried out

• Standard implant placement
• Alternatives to standard implant placement: short implants, trans-sinus implants, pterygoid implants
• Alveolar socket preservation in post-extraction implant placement using regenerative materials
• Free gingival graft
• Connective tissue graft

Each participant will have the opportunity to study the CBCT of their specimen to better evaluate the anatomic structures dissected during the hands-on part: sinus height/width, antral septa incidence, alveolar antral artery (AAA) incidence, sinus floor antrostomy design, osteo-meatal-complex unit (OMC), trace canalis sinuosus, trace inferior alveolar canal, trace incisive canal, anterior loop of the mental nerve if present.
Surgical procedure on how to release flaps will be covered: superficial split thickness flap periosteal incision, innovative, coronally advanced buccal and lingual flaps.

July 3^th
Perio-implantology for the general practitioner:
How to enhance the esthetic zone

Objective
The esthetic implant rehabilitation of patients with esthetically and functionally compromised teeth frequently involves a multidisciplinary approach and is a clinical challenge. During recent years, treatment methods and options have changed and less
invasive non surgical procedures are used in order to preserve soft tissue anatomy and minimize recession. The design of implants and prosthetic components have changed in order to minimize bone resorption and soft tissue alterations. This course will give practical guidelines that can be easily used in day-to-day clinical practice in order to help maximize peri-implant esthetics. Treatment algorithms will be outlined to help guide the clinician to choose the various procedures and techniques to predictably meet patient expectations.

July 3^rd (Morning session) 09:00 am – 1:00 pm

1. Diagnostic phase regarding:
   A. Patient:
   – face
   – smile: lips and teeth
   B. Site:
   – bone deficiency evaluation
   – soft tissue deficiency evaluation
   – objective evaluation of the soft tissue biotype
   – crown morphology related to future implant restoration
   C. Altered passive eruption
   D. Evaluation of the skeletal growth
2. Difficulty score evaluation (D.S.E.) for esthetic cases
   A. Patient profiling according to the learning curve of the implant team and patient expectation
3. Surgical procedure
   A. Incision in the esthetic zone according to different periodontal biotypes
   B. Different flap design in the esthetic zone for:
   – guided bone regeneration
   – soft tissue management
   – creating keratinized perimplant tissue
   – gaining soft tissue elasticity
   C. Correct 3D position of implant according to novel abutment morphology

July 3^rd (Afternoon session) 2:00 am – 5:00 pm

1. Post-extraction implants in infected and non-infected cases:
   – clinical indications and contraindications
   – proper surgical procedures
2. Laser-Lok technology: a critical revision of the clinically oriented benefits for the patient
3. Video session and interactive discussion with participants

July 4^th and 5^th
Perio-implantology for the general practitioner:
– How to efficiently treat partially edentulous patients in the non-esthetic area
– Comprehensive periodontal surgery: esthetic and functional procedures for the general practitioner
– Non-surgical periodontal therapies
– Implant maintenance protocols

July 4^th  9:00 am – 6:00 pm
How to efficiently treat partially edentulous patients in the non-esthetic area

1. Treatment planning
   A. Diagnostic phase:
   – factors to evaluate clinically
   – factors to evaluate on a CBCT
   B. The use of surgical guides:
   – different types: pros and cons
2. Surgical phase:
   A. Flapless approach
   B. Fundamental surgical techniques:
   – minimally invasive flap design
   – simplified drilling protocol in native bone
   C. Atraumatic extraction for premolars and molars:
   – immediate implant placement
   – indications and limitations
   D. Minimally invasive crestal sinus elevation: the osseodensification protocol
3. Prosthetic techniques:
   A. Traditional impressions:
   B. Digital work-flow and optical impressions
   C. Fabrication of provisional restorations
   D. Definitive restoration cemented vs screw-retained

July 5^{th –} Morning session 09.00 am – 1.00 pm
Comprehensive periodontal surgery: esthetic and functional procedures for the general practitioner

Objective
This course is designed to provide clinicians with the scientific background and surgical techniques to perform periodontal surgery for ultimate esthetics and function. It will address the most predictable procedures to achieve an optimal clinical outcome.

PROGRAM

• Soft tissue grafting to correct gingival recession
• Coronally repositioned flaps for root coverage
• Connective tissue graft
• Donor site management
• Etiology of excessive gingival display
• Treatment options for the “Gummy Smile”
• Step-by-step esthetic crown lengthening
• Restorative considerations relevant to crown lengthening surgery

July 5^th – Afternoon session 2.00 pm – 6.00 pm
First session: Non-surgical periodontal therapies

Objective

With the increasing evidence that many periodontal cases can be treated with a non surgical approach, should the General Practitioner be considered a hybrid DDS/RDH? We as professionals are in charge of assessing the severity of the periodontal disease in order to decide if a non surgical approach is adequate to treat a perio patient. Detailed knowledge of all the aspects of non surgical therapy gives us the opportunity to choose how to treat patients ourselves or to delegate, supervise and re-assess the treatment performed by dental hygienists.

PROGRAM

• Periodontal diagnosis
• Plaque biofilm
• Systemic conditions related to perio-disease
• Manual instrumentation
• Ultrasonic instrumentation
• Use of subgingival air polishing
• Communication and motivation

Second session: Implant maintenance protocols

Objective
Prevention, diagnosis and early treatment of surgical, prosthetic and biological complications are necessary to provide patients with long-term implant success. Let’s learn how to manage these aspects in an effective way without under- or over- estimating an issue which has affected implantology over the past years.

PROGRAM

• Anatomy, physiology and pathology of peri-implant tissues
• Risk factors
• Implant follow-up and maintenance protocols
• Communication and motivation
• Post-op clinical protocols
• Diagnosis of biological complications
• Management of biological complications