Leading Dentists

Evolution: The course. New Soft Tissue Grafting and Prosthetic Protocols For the Aesthetic Zone

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Course Description


The objective of this comprehensive course is to provide participants with an in-depth theoretical and clinically practical understanding of soft tissue management around implant restorations. Peri-implant soft tissue is a critical element for achieving gingival integration and aesthetic success and can be extremely challenging in compromised sites.
In his critically acclaimed book, Evolution, co-written with Prof Markus Blatz, Dr Gamborena has introduced a number of techniques and components that greatly facilitate the achievement of predictable, stable soft tissue for implant rehabilitation. The relatively simple techniques can be incorporated into everyday practice to dramatically improve results.
The 2 day hands on workshop has been specifically designed to simulate real clinical situations, by following the actual cases treated by Dr Gamborena using the patients own models, together with videos of the procedures performed. Long term follow-up of all cases is discussed. Immediate and delayed implant placement techniques will be thoroughly taught, together with connective tissue harvesting techniques on pig jaws and the various suturing techniques required.
The workshop also includes prosthetic design with particular attention to emergence profile in the fabrication of provisional and customised zirconia final abutments together with fabrication of surgical guides to replicate the position of the prosthetically directed implant.
This course aims to provide participants with  real world solutions for real cases, from simple to the most complex, from the planning stages, to surgery, to laboratory and to prosthetics, in order to obtain a deeper level of knowledge in the intricacies and fine tuning required, to achieve an optimal aesthetic outcome. 
This course will change the way you practise implant rehabilitation! 

Day 1: August 1st 2016

09:00 -10:30 Lecture I: New trends & concepts treating single tooth implants

  • Immediate implant placement criteria & concept.
  • Tooth extraction / Alternatives.
  • Ideal implant placement & 3D bone packing.

10:30 -11:00 Coffee break
11:00 -13:30  Lecture I: New trends & concepts treating single tooth implants

  • Abutment selection & prosthetic protocol.
  • Soft tissue grafting techniques.

13:30 -15:00 Lunch
15:00 -17:00 Hands-on I: Decisions process for the prosthetic protocol on immediate implant .placement abutment & provisional crown silicone indexes and implant placement on real epoxy resin.
17:00 -17:15 Coffee break.
17:15 -19:00 Hands-on I: Decisions process for the prosthetic protocol on emergence profile configuration and abutment fabrication.

Day 2: August 2nd 2016

09:00 -10:30 Video surgery: Immediate single tooth implant placement in the esthetic zone on the same patient than the workshop exercise
10:30 -11:00 Coffee break
11:00 -13:30 Hands-on I: Surgical stent fabrication from the same patient
13:30 -15:00 Lunch
15:00 -17:30 Lecture II: New trends & concepts treating single tooth implants

  • Delayed implant placement criteria & concept.
  • Ideal implant placement.
  • Soft tissue concept from basics to advance.
  • Soft tissue management surgically.
  • Prosthetic concept and management.

17:30 -17:45 Coffee break.
17:45 -19:00 Lecture II: New trends & concepts treating single tooth implants

  • Delayed implant placement criteria & concept
  • Timing frames from surgery to final product
  • Abutment selection criteria & concept
  • Final cementation protocols

Day 3: August 3rd 2016

09:00-10:30 Video surgery : Delayed single tooth implant placement in the aesthetic zone on a patient –wrapping the concept
10:30-11:00 Coffee break
11:00-13:30 Hands-on II: Grafting harvesting techniques and management (on pigs)
13:30-15:00 Lunch
15:00-17:30 Hands-on II: Grafting harvesting techniques and management
17:30-17:45 Coffee break
17:45-19:00 Hands-on II: Grafting harvesting techniques and management


“Iñaki‘s course changed the way I approach implant aesthetics. Relatively simple soft tissue grafting techniques, combined with intelligent use of components from implant placement to definitive restoration, has made achieving excellent gingival aesthetics far more predictable. His presentations are full of passion and artistry yet demonstrate exactly how he achieves his superlative results in a well structured, organised manner, that is easily integrated into daily practice.“
- Glen Liddelow, Prosthodontist Brånemark Centre

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