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2nd Japanese Symposium

Freitag, 11.01.2019
Implant (Raum II & III)
09:00-09:45
Dr. Hideaki Katsuyama
Implant site development for compromised situations
09:45-10:30
Number of patients have occlusal problems with or without clinical symptoms. We need to correct mal-occlusion and obtain the harmonized stomatognathic system including temporomandibular joint, perioral muscle, tooth and periodontium to secure favorable oral environment with long-term stability. Recently clinicians tend to consider the occlusal reconstruction is complicated and difficult, because actual patients have multiple etiology such as malalignment, periodontal disease, tooth defect, and with increasing high esthetic demands.
Key points to lead to the successful occlusal reconstruction are to examine and to clearly diagnose the true problems with the stomatognathic system, and to perform effective combination of therapies with the best order. Needless to say, explanation for the patients, selection of therapy and determination of therapy priority are crucial.
I have categorized those etiology into three groups, such as malalignment, periodontal disease, and multiple teeth defect. Then I will explain the characteristics and treatment key points of each category.
10:30-10:45
Discussion
10:45-11:15
Pause
11:15-12:00
In order to achieve esthetic results with anterior implants, it is necessary to three dimensionally augment bone along the dental arch to not only place the implant inside the bone, but to also support the soft tissue in harmony with the projected crown form. In many situations, not only hard tissue, but soft tissues are also significantly diminished, making soft tissue augmentation necessary. In addition, grafting of connective tissue and adjustments to the superstructure are needed to create a stable and attractive soft tissue frame. Using several cases, this presentation will demonstrate hard and soft tissue management techniques to achieve natural and esthetic implant treatment results.
12:00-12:45
Modern implantology is becoming established as a routine treatment in daily practice. Also full ceramic restorations are a matter of course in modern dentistry. There is an allegedly high degree of predictability and patients enter our practices with high expectations. However, despite the progress that has been made in many areas, what is often overlooked is the fact that implantology and high level restorations has not got any easier: the problems now lie elsewhere.
The lecture will show the successful application of structured treatment planning, how to integrate the latest advances in implantology on the one hand and full ceramic restorations on the other hand into daily practice and how to solve even complex challenges by consistent involvement of functional aspects.
12:45-13:00
Discussion
13:00-14:00
Pause
Periodontal Plastic Surgery (Raum II & III)
14:00-14:45
Dr. Hiroyuki Takino
Verification of the effectiveness of growth factors in periodontal plastic surgery
14:45-15:30
The pursuit of aesthetics in implant treatment catches the hearts of many implant logistics and doesn't hand away. The reason is that when many factors correlate with each other, even if one part of them is missing, the result is greatly affected. And there is a difficulty to reach the ideal goal. Particularly in aesthetically important parts, as shown by the concept of "Esthetic Triangle" by Zetu, Wang et al. (2005), we will preserve hard and soft tissues as much as possible and also develop hard tissues and soft tissues at necessary sites . In addition, by applying advanced prosthetic technology, the aesthetics in implant treatment are achieved for the first time. Exactly including functions of soft tissues • Recovery and
acquisition of esthetics are becoming more required. In recent trends, we will examine biomaterials and new surgical procedures used for soft tissue formation for improving the aesthetics of implants.
15:30-15:45
Discussion
15:45-16:45
Pause
16:45-17:15
Soft tissue augmentation around implants prosthesis placed in the esthetic zone is the mandatory requirement. And this represents that both implant positioning and its restoration in the esthetic zone will become very challenging field for dental clinicians.
In reality, one of the major complaints to those cases was related to the change in the appearance of restorations caused by peri-implant gingival recessions. Through the author's clinical experiences of having favorable prognosis in 10 year follow-up to both root coverage and ridge augmentation procedures using connective tissue graft to those natural teeth cases when working under a microscope, adapting the technique likely to exposed implant abutment surfaces may become a valid alternative to recover it in the aesthetic zone.
This lecture will present clinical cases of micro-surgical peri-implant soft tissue reconstruction for both single and multiple implant cases and discuss the technical solutions to each cases.
17:15-17:45
Prof. Dr. Anton Sculean
Recession coverage in challenging clinical situations
17:45-18:00
Samstag, 12.01.2019
Prosthodontics | Esthetics | Complete Denture (Raum II & III)
09:00-09:45
Lately, favorable results are seen in many esthetic & functional rehabilitation cases with minimally invasive techniques.
The future prospective of minimally invasive full-mouth rehabilitation adapting digital approach would require the following clinical discussions:
1) What would be key points in the clinical work-flow to maintain high predictability when the digital technology replaces the traditional restoration work?
2) What will be the appropriate material selection guidance to all relevant materials between the traditional and Digital restorative works?
3) What would be key for the provisional restoration of In-direct Bonded Restorations which does not suppose retention and resistance factors?

The speaker wishes to explain all of the above through his clinical cases.
09:45-10:30
Adhäsivbrücken, sogenannte Marylandbrücken, mit zwei metallischen Adhäsivflügeln wurden vor über 30 Jahren als minimal invasiver Zahnersatz eingeführt. Allerdings werden von den meisten Zahnärzten metallkeramische Adhäsivbrücken immer noch nicht als gleichwertige Therapieoption zu Implantaten angesehen.
Einflügelige vollkeramische Frontzahn-Adhäsivbrücken wurden vor über 20 Jahren eingeführt. Sie bieten ästhetische Vorteile und sind noch weniger invasiv als zweiflügelige Adhäsivbrücken. Inzwischen liegen hervorragende Langzeitergebnisse mit dieser minimal invasiven Behandlungsoption vor. Ähnliche Konzepte werden inzwischen auch für den Ersatz von Seitenzähnen angewandt und zeigen auch hier mittelfristig vergleichbar gute Ergebnisse wie Einzelzahnimplantate.
Dieser Vortrag stellt dar, in welchen Fällen Adhäsivbrücken aus Zirkonoxidkeramik eine vorteilhafte, minimal invasive und kostengünstige Behandungsalternative zu Einzelzahnimplantaten darstellen.
10:30-10:45
Discussion
10:45-11:15
Pause
11:15-12:00
The prosthetic management of the edentulous patient has long been a major challenge for dentistry. The main problem is the mandibular complete denture that lifts up easily with the mouth opening. Most clinicians know that patients report significantly more problems adapting to their mandibular denture. When using our current techniques, most lower dentures exhibit a lack of retention, this can contribute to patient dissatisfaction and acceptance of their new dentures. Normally, in clinical experience, conventional dentures don't create mandibular suction effectiveness.
In 1999, in order to overcome this problem, I established a successful concept and mechanism to fabricate the mandibular suction denture and have been expanding this technique around the world. My presentation will take clinician on a new journey to discover and implement my suction effective mandibular denture techniques.
12:00-12:45
Die ästhetische Zahnmedizin hat sich in den letzten Jahren in vielen Bereichen weiterentwickelt.
Im Vortrag sollen die Entwicklungen bei den Materialien, bei der digitalen Planung und Umsetzung anhand klinischer Beispiele erläutert werden.
12:45-13:00
Discussion
13:00-14:00
Pause
Immediate Loading (Raum II & III)
14:00-14:45
After losing teeth and using ill-fitting denture for a long period of time, it is not only hard to masticate but also the movement of the masticatory muscles, facial expression muscles and tongue usually degenerate. Occlusal force cannot be fully demonstrated due to the loss of teeth and shortening the occlusal vertical dimension. Occlusal force exerts by contracting muscles under the presence of teeth. It is necessary to smoothly move the tongue and early recover the chewing and swallowing motions through the superstructure of the immediate loaded implants with an established certain occlusal vertical dimension with myo-functional therapy.
14:45-15:30
Japan is involved with Super aging society now. Immediate loading procedure is very critical for us because of life expectancy. life expectancy of a 90-year-old man is 4 years. If you treat it over two years, half of patient life will be used. Normally BIC is 55%, but after Photofunctionalization BIC increase to 98%. using this is very effective. Ultimate goal is to improve body composition. Prof. Iijima conducted tracking survey for 2044 in Kashiwa for 3 years it indicated when the posterior teeth run out, the body becomes weak. Protein is deficient, became sarcopenia, and became a locomotive syndrome and it turned out to be necessary nursing care. I would like to introduce various things that we can extend the healthy life expectancy and improve quality of life by implant treatment.
15:30-15:45
Discussion
15:45-16:45
Pause
16:45-18:00
N.N.
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