Master Class 3: Periodontitis II

Part 1: Modern Resective Periodontal Surgery

This section supplements the access and regenerative surgeries from Master Class 2 by focusing on resective periodontal procedures.

• It addresses the misconception of resective surgery as "old-fashioned" or "aggressive."
• It demonstrates that apically repositioned flaps are still relevant in non-esthetic areas when regeneration or access flap surgery cannot be applied predictably
• It highlights that teeth considered seemingly hopeless can, in many cases, be preserved by the application of resective procedures

Part 2: Gingivitis Treatment and Prevention

This section highlights the critical role of treating gingivitis to prevent periodontitis.

• It covers the theoretical and practical application of minimal-invasive apically repositioned flaps to eliminate problematic subgingival restoration margins.
• It includes using soft tissue autografts from the hard palate to re-establish healthy, stable gingival conditions in non-esthetic areas.

Part 3: Tooth preservation at the limits

Based on the principle that by maintaining teeth for as long as possible, the length of time implants must remain in the mouths of our patients without complications over a lifetime is reduced, this part focuses on maximal tooth preservation, especially for younger patients.

• The goal is to teach surgical techniques to save even severely compromised ("hopeless") teeth.
• Training covers advanced regenerative and resective interventions at the limits of tooth preservation, including:
• Tunneling procedures
• Root amputations, separations, and resections
• Surgical techniques for managing teeth affected by external root resorptions are also discussed.

Contents

• Pocket elimination with minimal-invasive resective periodontal surgery
• The “fiber retention”-technique
• Apically repositioned flaps to eliminate subgingival restoration margins
• Epithelialized connective tissue grafts to re-establish healthy and stable gingival conditions
• Resective periodontal surgery to treat furcation-involved molars
• Regenerative periodontal surgery to treat alleged hopeless teeth
• Surgical techniques to treat teeth affected by external root resorptions