Periodontal regeneration and GTR

Modern regenerative and periodontal defects have provided excellent possibilities to save teeth and elongate the lifespan of teeth. In addition, such techniques can provide good aesthetic outcomes in periodontal treatment. In this 7 part series Dr. Rossi provides a history of regeneration, an overview of the technique he uses for guided tissue regeneration and a demonstration of clinical techniques to gain predictable outcomes for GTR procedures. Soft tissue management for anterior aesthetic cases are also shown.

Part 1. The history of regeneration in periodontology, classification of defects and the principles of wound healing - Dr. Roberto Rossi

Aims and objectives:

• Understand regeneration vs repair
• Understand the principles of wound healing
• Defect classification and morphology
• Bone grafting – classification, various types and outcomes

Part 2. Provides an overview of flap design, and the options for regeneration - including regenerative materials and membranes - Dr. Roberto Rossi

Aims and objectives:

• Gain an overview of all regenerative procedures with clinical case examples
• Understand the benefits and limitations of various regeneration procedures
• Understand membranes in regeneration - non resorbable membranes, resorbable membranes, membranes with bone grafts
• Comparison of various regeneration materials
• How we can change the prognosis of periodontally involved teeth using regeneration
• Gain an understanding of factors affecting wound healing
• The importance of flap design and tips on flap design leading to the success of regeneration
• A clinical demonstration of the regeneration of a narrow vertical defect on an anterior incisor using the Gore-Tex membrane

Part 3. Minimally invasive surgical techniques, and prognostic factors, that provide successful outcomes in periodontal regeneration - Dr. Roberto Rossi

Aims and objectives:

• Understand minimally invasive surgical techniques
• Clinical demonstration of the papillae preservation flap and regeneration with emdogain
• Demonstration of the Minimally Invasive Surgical technique
• Gain an understanding of the prognostic factors that can lead to successful outcomes

Part 4. GBR and GTR techniques in implant cases (delayed and immediate), factors leading to success and complications of such procedures - Dr. Roberto Rossi

Aims and objectives:

• Gain a knowledge of GTR and GBR in advanced cases
• An insight of a case of immediate implant placement with GBR
• The definition of success and some studies indicating success rates for GTR
• Gain an understanding of the importance of post operative maintenance
• An algorithm guide on what material to use based on defect morphology
• Complications of GTR

Part 5. Practical demonstration of a GTR procedure using Genoss and Cortica Lamina - Dr. Roberto Rossi