Online course
Interproximal Attachment Gain: The Challenge of Periodontology
by Prof. Giulio Rasperini
- Prof. Giulio Rasperini
- 14 lectures
- Duration:
11 hours 20 min - Access to the course is not limited in time
Course program
Interproximal Attachment Gain: The Challenge of Periodontology
14 online lectures
Masterclass is for both young and experienced periodontists who are eager to improve their knowledge of the latest mucogingival surgery and periodontal regeneration trends and techniques.
This exclusive video Masterclass is brought to you with the aim to present a modern concept in periodontal attachment loss treatment and guide participants towards the immediate application of the approaches and cutting edge techniques described. At the core of this new concept we find the holistic view of interproximal hard and soft tissues, with the aim of putting the correction of the deep and superficial components of the interdental defect into perspective within an all-comprising treatment strategy. Periodontics has changed dramatically in these last few years. Yet, many periodontists and teachers are still anchored to concepts that were considered the standard of care twenty or even thirty years ago. This program retraces the evolution of periodontal regeneration in terms of approaches and techniques presented and published over these last years, analysing the influence of biomaterials progression and the transformation and expansion of patients’ needs, requests and expectations. Comprising a description of the new classification of periodontal diseases, this Masterclass provides the learner with a deeper understanding of the sinergy between mucogingival surgery approaches and the latest periodontal regeneration techniques, in what can be referred to as a new range of treatment possibilities.
WHAT WILL YOU LEARN FROM THIS COURSE?
● Saving teeth affected by periodontal disease
● Periodontal disease diagnosis and classification
● Interproximal attachment loss diagnosis and papilla evaluation
● Interproximal attachment regeneration techniques, their clinical application, indications and limits
● Phenotype analysis
● Mucogingival surgery techniques: CAF and Tunnelling, either alone or in combination with connective tissue graft or heterologous matrixes
● New techniques combining the mucogingival surgery concepts and the latest trends in periodontal regeneration.
TECHNIQUES COVERED IN THIS MASTERCLASS:
→ Papilla preservation technique [by Takei et al.]
→ Modified Papilla Preservation Technique [Cortellini et al.]
→ Simplified Papilla Preservation Technique [Cortellini et al.]
→ Surgical technique for EMD [Rasperini et al.]
→ MIST - Minimally Invasive Surgical Technique [Cortellini et al.]
→ SFA - Single Flap Approach [Trombelli et al.]
→ M-MIST - Minimally Invasive Surgical Technique [Cortellini et al.]
→ Entire Papilla Preservation Technique [Aslan et al.]
→ Soft Tissue Wall technique [Rasperini et al.]
→ SFA with CTG [Trombelli et al.]
→ the VISTA Technique [Zadeh].
14 online lectures
Masterclass is for both young and experienced periodontists who are eager to improve their knowledge of the latest mucogingival surgery and periodontal regeneration trends and techniques.
This exclusive video Masterclass is brought to you with the aim to present a modern concept in periodontal attachment loss treatment and guide participants towards the immediate application of the approaches and cutting edge techniques described. At the core of this new concept we find the holistic view of interproximal hard and soft tissues, with the aim of putting the correction of the deep and superficial components of the interdental defect into perspective within an all-comprising treatment strategy. Periodontics has changed dramatically in these last few years. Yet, many periodontists and teachers are still anchored to concepts that were considered the standard of care twenty or even thirty years ago. This program retraces the evolution of periodontal regeneration in terms of approaches and techniques presented and published over these last years, analysing the influence of biomaterials progression and the transformation and expansion of patients’ needs, requests and expectations. Comprising a description of the new classification of periodontal diseases, this Masterclass provides the learner with a deeper understanding of the sinergy between mucogingival surgery approaches and the latest periodontal regeneration techniques, in what can be referred to as a new range of treatment possibilities.
WHAT WILL YOU LEARN FROM THIS COURSE?
● Saving teeth affected by periodontal disease
● Periodontal disease diagnosis and classification
● Interproximal attachment loss diagnosis and papilla evaluation
● Interproximal attachment regeneration techniques, their clinical application, indications and limits
● Phenotype analysis
● Mucogingival surgery techniques: CAF and Tunnelling, either alone or in combination with connective tissue graft or heterologous matrixes
● New techniques combining the mucogingival surgery concepts and the latest trends in periodontal regeneration.
TECHNIQUES COVERED IN THIS MASTERCLASS:
→ Papilla preservation technique [by Takei et al.]
→ Modified Papilla Preservation Technique [Cortellini et al.]
→ Simplified Papilla Preservation Technique [Cortellini et al.]
→ Surgical technique for EMD [Rasperini et al.]
→ MIST - Minimally Invasive Surgical Technique [Cortellini et al.]
→ SFA - Single Flap Approach [Trombelli et al.]
→ M-MIST - Minimally Invasive Surgical Technique [Cortellini et al.]
→ Entire Papilla Preservation Technique [Aslan et al.]
→ Soft Tissue Wall technique [Rasperini et al.]
→ SFA with CTG [Trombelli et al.]
→ the VISTA Technique [Zadeh].
Lesson 1: Interproximal attachment gain: the challenge for periodontal regeneration
1 h 10 min 58 sec
Lesson 2: Papilla treatment: cases with horizontal bone loss and soft tissue deficiency
38 min 37 sec
Lesson 3: Papilla Preservation Technique & Modified Papilla Preservation Technique
57 min 41 sec
Lesson 4: Simplified papilla preservation technique
27 min 59 sec
Lesson 5: The Surgical Technique for EMD
50 min 55 sec
Lesson 6: Avoiding papilla elevation: MIST and SFA techniques
41 min 26 sec
Lesson 7: Soft Tissue Wall Technique & new perspectives in periodontal regeneration
1 h 9 min 56 sec
Lesson 8: Phenotype assessment and mucogingival surgery concepts in modern periodontal regeneration
33 min 16 sec
Lesson 9: Combined approaches to interproximal attachment gain
39 min 37 sec
Lesson 10: Papilla improvement and contextual soft tissue optimization on 21 and 22
52 min 56 sec
Lesson 11: Entire papilla preservation technique and tunnelling technique for deep infrabony defect correction, gingival recession coverage and soft tissue enhancement on elements 32 and 33
47 min
Lesson 12: Live Case Discussion
1 h 2 min 53 sec
Lesson 13: First ReLive Case Discussion - 2022 Edition
54 min 9 sec
Lesson 14: ReLIVE Case Discussion 2
32 min 52 sec
- 14lessons
- -96%discount
- $735savings
The full course program
Lesson 1: Interproximal attachment gain: the challenge for periodontal regeneration
Here you can watch a five-minute fragment of the lesson.
This first lecture provides a definition of interproximal attachment, and highlights the importance of this parameter in the correct periodontal disease stage identification and classification. Different types of interproximal attachment loss are shown, and the anatomic features of the papillae are analyzed to predict the healing potential. The evolution of the biomaterials and techniques involved in periodontal regeneration are explained through a simple, schematic approach, paving the way for the description of the first therapy option: the non-surgical or flap-less approach. Instrumentarium and biomaterial election - based on the tissue phenotype - are covered in the latter part of the lecture through the presentation of several case reports.
Duration: 1 h 10 min 58 sec
Duration: 1 h 10 min 58 sec
Lesson 2: Papilla treatment: cases with horizontal bone loss and soft tissue deficiency
Here you can watch a five-minute fragment of the lesson.
The second lecture of the Masterclass focuses on papilla treatment in thise cases that show horizontal bone loss and soft tissue deficiency. The discussion delves into the surgical steps to achieve optimal results, and shows whether it is necessary to plan an additional surgery session within our treatment plan.
Duration: 38 min 37 sec
Duration: 38 min 37 sec
Lesson 3: Papilla Preservation Technique & Modified Papilla Preservation Technique
Here you can watch a five-minute fragment of the lesson.
The third lecture of the Masterclass provides a contextualisation of the biological rationale behind GTR, and describes two key techniques:
● the Papilla preservation Technique by Takei et al;
● the Modified Papilla Preservation Technique by Cortellini et al., with non-resorbable and resorbable membranes. These techniques, their advantages and disadvantages, are thoroughly explained through a series of clinical cases.
Duration: 57 min 41 sec
● the Papilla preservation Technique by Takei et al;
● the Modified Papilla Preservation Technique by Cortellini et al., with non-resorbable and resorbable membranes. These techniques, their advantages and disadvantages, are thoroughly explained through a series of clinical cases.
Duration: 57 min 41 sec
Lesson 4: Simplified papilla preservation technique
Here you can watch a five-minute fragment of the lesson.
The fourth lecture of the Masterclass focuses on the simplified papilla preservation technique by Cortellini et al. This technique was designed to ensure the right positioning and the correct proximity between a membrane and the flap that covers it. The diagonal incision of the papilla allows to increase the connective tissue interface of the two flaps, a key feature useful both in narrow interproximal spaces, as well as in the molar area where the papillae are too long to guarantee the correct blood supply.
Duration: 27 min 59 sec
Duration: 27 min 59 sec
Lesson 5: The Surgical Technique for EMD
Here you can watch a five-minute fragment of the lesson.
This fifth lecture focuses on EMD. Introduced on the market in 1996, EMD is an extract of enamel matrix and contains amelogenins of various molecular weights. Amelogenins are involved in the formation of enamel and periodontal attachment formation during tooth development. The Surgical Technique for EMD - published in 1999 by Rasperini et al. - is described thoroughly.
Duration: 50 min 55 sec
Duration: 50 min 55 sec
Lesson 6: Avoiding papilla elevation: MIST and SFA techniques
Here you can watch a five-minute fragment of the lesson.
The sixth lecture of the Masterclass focuses on minimally invasive techniques in periodontal regeneration. The possibility to use a gel rather than a membrane to achieve periodontal tissue regeneration allowed a marked evolution in surgical technique, reducing flap dimension and invasiveness. The Minimally invasive approach by Wachtel et al, and the MIST by Cortellini et al. represent the first examples of this new evolutionary path. The procedure simplification trend did not stop there; with the aim of avoiding papilla elevation, the Single Flap Approach by Trombelli et al. and the evolution of the MIST by Cortellini et al. saw the light; Aslan et al. introduced the Entire Papilla Preservation where the papilla is moved laterally. All these techniques are addressed and described in this lecture.
Duration: 41 min 26 sec
Duration: 41 min 26 sec
Lesson 7: Soft Tissue Wall Technique & new perspectives in periodontal regeneration
Here you can watch a five-minute fragment of the lesson.
The seventh lecture describes the Soft Tissue Wall Technique by Rasperini et al., and presents a study on 3D Printed graft (Rasperini et al.) as a future perspective for coronal shift of the interproximal attachment. While some cases require to improve the height of the papilla and contextually reduce pocked depth, all the techniques described so far aim at maintaining the papilla level. This consideration paves the way for a new era in periodontal regeneration technique evolution.
Duration: 1 h 9 min 56 sec
Duration: 1 h 9 min 56 sec
Lesson 8: Phenotype assessment and mucogingival surgery concepts in modern periodontal regeneration
Here you can watch a five-minute fragment of the lesson.
The eighth lecture describes the importance of the diagnosis of the tissue phenotype. This aspect is mandatory not only in mucogingival surgery, but also in periodontal regeneration. The description provided covers soft tissue management in mucogingival surgery - comprising coronally advanced flap and tunnel technique - and offers a set of indications concerning the use of a connective tissue graft and/or a heterologous matrix. The concept behind this presentation is to transfer the same rationale observed for mucogingival surgery to periodontal regeneration.
Duration: 33 min 16 sec
Duration: 33 min 16 sec
Lesson 9: Combined approaches to interproximal attachment gain
Here you can watch a five-minute fragment of the lesson.
The ninth lecture of the Masterclass portrays a series of cases where the interproximal attachment was gained and the tissue phenotype improved simultaneously. It is also shown the application of the VISTA technique, by Homa Zadeh, for the simultaneous treatment of the infrabony component of the defect and of the sorrounding soft tissue, erasing any risk of papilla dehiscence. A case of interdental attachment regeneration, phenotype improvement and furcation involvement resolution completes the lecture.
Duration: 39 min 37 sec
Duration: 39 min 37 sec
Lesson 10: Papilla improvement and contextual soft tissue optimization on 21 and 22
Here you can watch a five-minute fragment of the lesson.
The video shows the clinical application of an innovative surgical protocol to create interdental papilla published by Prof. Takanori Suzuki (NYUDC). The recipient site was prepared with a buccal incision apical to the mucogingival junction and to the defective papilla, and a palatal incision, followed by buccolingual tunneling performed with a translingual curette. The missing interproximal papilla received a subepithelial connective tissue graft.
Duration: 52 min 56 sec
Duration: 52 min 56 sec
Lesson 11: Entire papilla preservation technique and tunnelling technique for deep infrabony defect correction, gingival recession coverage and soft tissue enhancement on elements 32 and 33
Here you can watch a five-minute fragment of the lesson.
The video shows the clinical application of 2 techniques used in combination to contextually reach 3 goals: deep inrabony defect resolution, gingival recession root coverage and overall soft tissue thickness improvement.
The patient suffers from a severe case of periodontitis and shows thin phenotype characteristics; she has already been treated with non-surgical approaches.
The surgical plan identified allows to minimize the trauma on the tissues, while taking advantage of the sinergic features of the techniques chosen.
Duration: 47 min
The patient suffers from a severe case of periodontitis and shows thin phenotype characteristics; she has already been treated with non-surgical approaches.
The surgical plan identified allows to minimize the trauma on the tissues, while taking advantage of the sinergic features of the techniques chosen.
Duration: 47 min
Lesson 12: Live Case Discussion
Here you can watch a five-minute fragment of the lesson.
Interactive meeting with Dr. Rasperini to deepen the topics addressed during the Masterclass.
Duration: 1 h 2 min 53 sec
Duration: 1 h 2 min 53 sec
Lesson 13: First ReLive Case Discussion - 2022 Edition
Here you can watch a five-minute fragment of the lesson.
Interactive meeting with Prof. Rasperini to deepen the topics addressed during the Masterclass.
Duration: 54 min 9 sec
Duration: 54 min 9 sec
Lesson 14: ReLIVE Case Discussion 2
Here you can watch a five-minute fragment of the lesson.
Recorded meeting with Prof. Rasperini to deepen the topics addressed during the Masterclass.
Duration: 32 min 52 sec
Duration: 32 min 52 sec
Special offer
Prof. Giulio Rasperini
Interproximal Attachment Gain: The Challenge of Periodontology
14 lessons • 11 h 20 min
Access to the course is unlimited in time!
Interproximal Attachment Gain: The Challenge of Periodontology
14 lessons • 11 h 20 min
Access to the course is unlimited in time!
Giulio Rasperini
Prof.
Prof.
Prof. Giulio Rasperini received his degree in dentistry and specialized in Orthodontics. He is an active member of the Italian Society of Periodontology, the European Academy of Esthetic Dentistry, and is an ITI fellow. He serves on the Editorial Boards for several publications, including the International Journal of Periodontics and Restorative Dentistry and the Journal of Implant and Advanced Clinical Dentistry. Dr. Rasperini has written several publications focused on Periodontology and Implantology, and has won awards for his research — most recently, the Earl Robinson Periodontal Regeneration Award from the American Academy of Periodontology. He is a professor in Milan, Italy and Michigan, United States, and maintains a private practice specialized in periodontics and implant therapy.