INTENSIVE COURSE IN ADVANCED IMPLANTOLOGY TECHNIQUES AND CADAVER DISSECTION. Scientific Coordinators: Christian Monti Davide Farronato

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1 Under the auspices of Scientific Coordinators: Christian Monti Davide Farronato Speakers: Christian Monti Davide Farronato Matteo Invernizzi Claudia Dellavia INTENSIVE COURSE IN ADVANCED IMPLANTOLOGY TECHNIQUES AND CADAVER DISSECTION Arezzo, November 16-19, 2016

FACULTY Dr. Christian Monti Dr. Davide Farronato Dr. Matteo Invernizzi Prof. Claudia Dellavia He graduated in Dentistry at the University of Milan.

Member of AISOD (Italian Association of Dental Anesthetists) and specialist in intravenous sedation in dentistry. He is physician lecturer at the Lake Como Institute.

Member of the scientific commission oral implantology portal for the oral and maxillofacial regenerative medicine Regeneration Focus Geistlich.

He graduated in Dentistry with maximum cum laude at the University of Milan, obtained a PhD in Innovative Techniques in Oral Implantology and Implant Prosthetic Rehabilitation and specialized in Oral

Active member of SICOI (Italian Society of Oral Surgery and Implantology), active member of SIED (Italian Society of Esthetic Dentistry), founding member of the SISCOO (Italian Society of Specialists

2 FACULTY Dr. Christian Monti Dr. Davide Farronato Dr. Matteo Invernizzi Prof. Claudia Dellavia He graduated in Dentistry at the University of Milan. Consultant ANDI (National Association of Italian Dentists). Member of SSO (Swiss Association of Dentistry and Oral Medicine) and STMD (Association of Doctor & Dentists in Ticino). Member of AISOD (Italian Association of Dental Anesthetists) and specialist in intravenous sedation in dentistry. He is physician lecturer at the Lake Como Institute. Acts in collaboration at the practical and theoretical course, Cadaver dissection and advanced techniques University of Paris. Member of the scientific commission oral implantology portal for the oral and maxillofacial regenerative medicine Regeneration Focus Geistlich. He is a freelance practitioner in Como and Ticino, Switzerland with a particular interest in oral and implant surgery. He graduated in Dentistry with maximum cum laude at the University of Milan, obtained a PhD in Innovative Techniques in Oral Implantology and Implant Prosthetic Rehabilitation and specialized in Oral Surgery with laude. Active member of SICOI (Italian Society of Oral Surgery and Implantology), active member of SIED (Italian Society of Esthetic Dentistry), founding member of the SISCOO (Italian Society of Specialists in Oral Surgery), active member MINEC (MegaGen International Network of Education and Clinical Research), Megagen and Voco Fellow. He is Researcher (Assistant Professor) at the University of Insubria, Italy. He is an implant designer for different companies and his scientific work is aimed at understanding the variables that affect the stability of periimplant tissues in the long time. He graduated in Dentistry at the University of Ferrara. Senior lecturer at Lake Como Institute Advanced Implant Training Center. Acts in collaboration at the practical and theorical course, Cadaver dissection and advanced techniques University of Paris. He is an active member of the European Association of Osseointegration (EAO), the Italian Society of Oral Surgery and Implantology (SICOI), the Piezosurgery Academy For Advanced Surgical Studies. Active member of AISOD (Italian Association of Anesthetist Dental Doctors) and certificated as Expert in intravenous sedation in dental practice. Author of numerous papers in Implantology and Periodontology. Lecturer in National and International congresses. His practice is held in Milan mainly focused at Implant Dentistry and Periodontology. She graduated in Dentistry with maximum cum laude and honors at the University of Milan and obtained a PhD in Morphologic Sciences. She is Associate Professor of Human Anatomy at the Medical, Dental and Obstetrics School of Milan University. She is the Director of the Ground Sections Laboratory of the Department of Biomedical, Dental and Surgical Sciences where she focuses her research activity on: gross and functional anatomy of the stomatognatic apparatus, microscopy of dental and periodontal tissues, epidemiologic evaluation of oral diseases. She authored over 70 international publications and she is speaker at national and international scientific symposia. She is active member of the Italian Society of Periodontology (SIDP). She is member of the Editorial Board of the Journal of Dental Research.

3 PROGRAM WEDNESDAY 16 November DAY pm Registration pm Presentation and introduction pm Oral and implant surgery: from the clinic to 3D diagnostics - C. Monti Topographic anatomy of the mandible and maxilla Diagnostic imaging: the role of TC in modern implantology pm Coffee break pm Sinus Lift lateral approach - M. Invernizzi Pre-surgical diagnosis: indications and contraindications Lateral approach technique: surgical procedure and intra-operative complications managing Post-op complication managing: clinical and pharmacological protocols THURSDAY 17 November DAY am Advanced Tissue Managing in Aesthetic Implant Rehabilitations - D. Farronato Biologic width around implants and tissue key factor to avoid recession Soft tissue managing in esthetic area : what s new to know Interaction between biomechanics, biology and implant designs am Coffee break Implant site key factors to prevent recessions How to obtain predictable papilla Socket preservation in fresh socket implants in esthetic area Prosthodontic tips and tricks to contour tissues pm Light Lunch How to manage the emergence profile The prosthetic Tissue Equation Ti-Mesh bone regeneration technique Ti-Mesh complication managing pm Coffee break pm Hands-on - Titanium Mesh regeneration on model - D. Farronato Bone harvesting Implant optimal positioning Bone regeneration by the use of pre-shaped Titanium Mesh FRIDAY 18 November DAY am Anatomical dissection of the mandible: identification of neurovascular bundles and other anatomical structures crucial for the oral surgery C. Dellavia Mandibular foramen with inferior alveolar nerve and vessels, Buccal artery, Lingual nerve, Facial artery, Mental foramen with mental nerve and artery, Floor of the mouth with submental and sublingual arteries, Mimic muscles of the peri-oral region am Autogenous bone harvesting procedures with AutoMax - D. Farronato am Coffee Break Cadaver dissection of the inferior jaw and Autogenous bone harvesting procedures with AutoMax (all participants under tutoring) pm Light lunch pm Anatomical dissection of the maxilla: identification of neurovascular bundles and other anatomical structures crucial for the oral surgery C. Dellavia Infraorbital foramen with infraorbital artery, Architecture and vascularization of the maxillary sinus, Parotid duct, Major palatine foramen with artery and nerve, Incisive foramen pm Sinus lift lateral approach - M. Invernizzi pm Coffee Break pm Cadaver dissection of the superior jaw and Sinus Lift lateral approach (all participants under tutoring) SATURDAY 19 November DAY am Hands on - simulation on cadaver C. Monti, D. Farronato, M. Invernizzi, C. Dellavia Drilling sequence and positioning of Anyridge implants Autogenous bone harvesting procedures with AutoMax Ti-mesh fixation (I-Gen) Flap passivation techniques Connective tissue harvesting Suturing techniques pm Questions and Conclusion pm End of the course ABSTRACT - C. Monti The knowledge of anatomy represent the first step for success and safety in oral surgery. The relation is aimed at understanding, from a clinical and diagnostic point of view, the complex architecture of the oral cavity. Special care will be taken regarding how to evaluate the patients individual anatomy through 2-D and 3-D diagnostic images in order to be able to process and optimal and safe planning of the surgery. The respect of nobile anatomical structures as well as a deep knowledge of the surgical sites help reaching high predictability in the daily practice and a higher patient satisfaction. Objective By the end of the presentation the participants will be able to identify the anatomical planes in the oral cavity in order to carry out surgical operations in complete safety in respect of the principal anatomical structures. They will learn about the specific anatomical, clinical and radiological characteristics and individual modifications of each topographic section of the oral cavity. The participants will be able to recognize the anatomical structures on the TC imaging and assess the bone density in relation to the modern protocol of immediate loading. Abstract - M. Invernizzi Nowadays more and more patients with atrophic lateral posterior maxilla ask for a fixed prosthodontic rehabilitation. When the residual bone height is less than 4 mm sinus lift procedures remain the most common surgical option for implant positioning. Sinus lifting techniques have evolved over the last 25 years and actually this procedure is considered to be one of the most predictable augmentation technique in dental practice, showing high survival rate of implants placed under this concept. Else will be treated in deep detail how to manage intra- and post- operative complications thought evidence based strategies. Participants will have clear ideas on the surgical anatomy of the maxillary sinus, finalized to the prevention of complications and the optimization of results. Will be known the rationale for a correct pre-operative planning as well as the step-by-step surgical technique (rotary vs piezoelectric), how to manage intra operative complication and the correct protocol for the post-operative complications-infections management. Abstract - D. Farronato To achieve a predictable and stable aesthetic outcome in implant therapies the ideal site feature should be known in order to have a reference point on treatment planning. Many researcher are investigating how to manage the main variables that affects tissue maturation around implants during time. In this course will be analyzed the complex interactions between these factors focusing especially on tissue contouring and temporary prostodontic managing. The emergence profile managing, timing and method are described to gain good control of the final result and it s stability upon time. Will be also described how to manage the site when the optimal contour has to be rebuilt through Ti-Mesh bone regeneration with detailed description of technique and complication managing. Objective: At the end of the session participant will have clear ideas on tissue maturation pattern around implants, how to control the main factors affecting aesthetic outcome and more knowledge on the dark side of implant design and biomechanics. Furthermore during the hands-on attenders will learn how to use pre-shaped titanium mesh as a GBR opportunity and will know how to reduce exposures risks as well as how to manage possible complications.

4 Abstract - morning - C. Dellavia The deep knowledge of the regional anatomy of the inferior jaw allows the oral surgeon to plan the best surgical technique in accordance with the noble anatomical structures thus obtaining an optimal procedure without injuries. In particular, the crucial neurovascular bundles to be detected in the most common procedures will be showed by dividing the mandible in posterior and anterior areas. In the posterior mandibular segment, the buccal artery and the regional sensory and motor nerves are not at risk of lesion during routine surgeries due to their deep course within the tissues. On the lingual aspect, the surgeon should pay attention to the course of the lingual nerve which may be very variable and possibly injured in the third molar area. Also, the facial artery should be localized and protected at the level of the antegonial incisure of the mandible. In the anterior mandibular segment a careful management of the area around the mental foramen should be performed in every surgical local procedure needing a previous radiographic identification of the foramen and in some cases the isolation of the neurovascular bundle by detaching the fibers of mimic muscles. At the end of the dissection sessions, participants will be able to identify the emergency and course of the principal nerves and vessels localized in the area of the most common oral surgeries in order to avoid risks of complications in terms of quality and safety of the procedures for the patient. Abstract - afternoon - C. Dellavia The deep knowledge of the regional anatomy of the inferior jaw allows the oral surgeon to plan the best surgical technique in accordance with the noble anatomical structures thus obtaining an optimal procedure without injuries. In particular, the crucial neurovascular bundles to be detected in the most common procedures will be showed by dividing the mandible in posterior and anterior areas. In the posterior mandibular segment, the buccal artery and the regional sensory and motor nerves are not at risk of lesion during routine surgeries due to their deep course within the tissues. On the lingual aspect, the surgeon should pay attention to the course of the lingual nerve which may be very variable and possibly injured in the third molar area. Also, the facial artery should be localized and protected at the level of the antegonial incisure of the mandible. In the anterior mandibular segment a careful management of the area around the mental foramen should be performed in every surgical local procedure needing a previous radiographic identification of the foramen and in some cases the isolation of the neurovascular bundle by detaching the fibers of mimic muscles. At the end of the dissection sessions, participants will be able to identify the emergency and course of the principal nerves and vessels localized in the area of the most common oral surgeries in order to avoid risks of complications in terms of quality and safety of the procedures for the patient. INTENSIVE COURSE IN ADVANCED IMPLANTOLOGY TECHNIQUES AND CADAVER DISSECTION Arezzo, November 16-19, 2016 Registration Fee Fee: 4.500,00 Deposit 1.000,00 Final Payment of 3.500,00 within 31 july 2016 (maximum 18 attendees) Fee Includes Hotel 4* for 3 nights (including breakfast) Educational material Lunch and coffee-breaks Dinners Attendance certificate Official Language: English For all information contact: Dott. Alessandro Vismara MegaGen CH info@megagen.ch

Iclo Srl Organizing Segretariat is available for advice and booking sightseeing tours in Arezzo, Firenze, Siena. Contact us: info@iclo.

Francis de Sales, housed within the Nicola s Foundation in Arezzo (via A. Einstein, 12).

After about 5 km, turn right onto Via Luigi Galvani and continue for approx. 500 mt then turn left onto Via Lebole.

5 Iclo Srl Organizing Segretariat is available for advice and booking sightseeing tours in Arezzo, Firenze, Siena. Contact us: How to reach the ICLO Teaching and Research Center The course will be held at the ICLO Teaching and Research Center - St. Francis de Sales, housed within the Nicola s Foundation in Arezzo (via A. Einstein, 12). By car: take the Autostrada del Sole A1 highway, turn off at the Arezzo exit and follow the signs for Arezzo-BibbienaSansepolcro. After about 5 km, turn right onto Via Luigi Galvani and continue for approx. 500 mt then turn left onto Via Lebole. Take the underpass and turn left onto Via Fratelli Lumiere. You will see the Hotel AC Arezzo sign; the Congress venue is the pink building behind the AC Hotel Arezzo. COURSE VENUE ICLO Teaching and Research Center San Francesco di Sales Via A. Einstein Arezzo ORGANIZING SECRETARIAT Iclo srl Tel Fax info@iclo.eu -

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