Session
Dr.
10/ 3(Sat)
13:30 - 15:00
4F〜6F ホール C
Session 32
Periodontal Surgery Aiming for Tissue and Esthetic Reconstruction
組織・審美の再建を目指す歯周外科
Lecturer
低侵襲歯周外科治療におけるフラップデザインとエビデンス
低侵襲歯周外科治療におけるフラップデザインとエビデンス
- フラップデザインは視野の確保だけでなく，創傷治癒や血餅安定性，軟組織の維持に影響を与える点で重要であり，その実践とエビデンスを概説する。
- 低侵襲歯周外科治療の術式に共通するフラップデザインと従来法との違いを整理する。
- 低侵襲フラップデザインの有効性と限界を臨床研究の結果から考察し，症例に応じた適切な選択方法を考える。
- フラップデザインは視野の確保だけでなく，創傷治癒や血餅安定性，軟組織の維持に影響を与える点で重要であり，その実践とエビデンスを概説する。
- 低侵襲歯周外科治療の術式に共通するフラップデザインと従来法との違いを整理する。
- 低侵襲フラップデザインの有効性と限界を臨床研究の結果から考察し，症例に応じた適切な選択方法を考える。
The success of periodontal regenerative therapy depends not only on patient plaque control and the selection of regenerative materials, but also on appropriate flap design. In recent years, minimally invasive periodontal surgical approaches, including the Minimally Invasive Surgical Technique (MIST), have gained increasing attention. These techniques aim to optimize wound healing, enhance blood clot stability, preserve soft tissue architecture, and minimize surgical trauma.
Various flap designs have been proposed based on these biological principles, each with distinct advantages and limitations. Understanding the rationale behind flap design is therefore essential for achieving predictable clinical outcomes.
This lecture will review the fundamental concepts shared by minimally invasive periodontal surgical procedures and highlight their differences from conventional flap approaches. Furthermore, evidence from both clinical and basic studies will be presented to evaluate the effectiveness and limitations of minimally invasive flap designs. Finally, practical considerations for selecting appropriate flap designs according to defect characteristics and clinical situations will be discussed.
Various flap designs have been proposed based on these biological principles, each with distinct advantages and limitations. Understanding the rationale behind flap design is therefore essential for achieving predictable clinical outcomes.
This lecture will review the fundamental concepts shared by minimally invasive periodontal surgical procedures and highlight their differences from conventional flap approaches. Furthermore, evidence from both clinical and basic studies will be presented to evaluate the effectiveness and limitations of minimally invasive flap designs. Finally, practical considerations for selecting appropriate flap designs according to defect characteristics and clinical situations will be discussed.
Lecturer
Periodontal Reconstruction Using Tunnel-like Approaches in Challenging Clinical Scenarios
Periodontal Reconstruction Using Tunnel-like Approaches in Challenging Clinical Scenarios
- 歯周組織再生療法は十分に検証されてきた治療法ではあるが，効果的な症例と，未だチャレンジングな症例が存在する。
- トンネルテクニックを応用した歯周組織再生療法が近年臨床応用されているが適応症を選べば非常に有効である。
- トンネルテクニックには利点と欠点があるため，十分理解した上で取り組むことが大切である。
- 近年報告されたFlexible Tunnel Techniqueについても言及したい。
- 歯周組織再生療法は十分に検証されてきた治療法ではあるが，効果的な症例と，未だチャレンジングな症例が存在する。
- トンネルテクニックを応用した歯周組織再生療法が近年臨床応用されているが適応症を選べば非常に有効である。
- トンネルテクニックには利点と欠点があるため，十分理解した上で取り組むことが大切である。
- 近年報告されたFlexible Tunnel Techniqueについても言及したい。
Primary closure following periodontal regenerative therapy is considered one of the key factors for achieving favorable clinical outcomes. Periodontal regenerative approaches utilizing tunnel techniques are thought to provide advantages in terms of early wound closure and maintenance of the regenerative space, and several surgical procedures based on this concept have been proposed. In this presentation, the advantages and limitations of these techniques will be discussed. In addition, I would like to introduce a new tunnel-like approach that I have recently developed.
Lecturer
Strategic Approaches to Molar Periodontal Regeneration Considering Soft Tissue
Strategic Approaches to Molar Periodontal Regeneration Considering Soft Tissue
- Periodontal Regeneration for Furcation Defects Associated with Gingival Recession
- A Novel Technique for Connective Tissue Graft Harvesting
- Periodontal Regeneration in Last Molar Sites with Limited Keratinized Tissue: L-EPPT
- Periodontal Regeneration for Furcation Defects Associated with Gingival Recession
- A Novel Technique for Connective Tissue Graft Harvesting
- Periodontal Regeneration in Last Molar Sites with Limited Keratinized Tissue: L-EPPT
Lecturer
Application of Periodontal Surgery for Interdisciplinary Treatment Planning
歯周外科の包括的歯科治療への最適応用
- How to apply periodontal plastic surgery in the field of aesthetics
- Knowledge and methods for making the most of the difference between clinical and anatomical crown length
- Proposal for a new functional crown lengthening procedure
- 歯周形成外科の審美領域への活かし方
- 臨床的歯冠長と解剖的歯冠長の差を最大に生かす知識と方法
- 新しい機能的歯冠延長術の提案
This lecture will outline how periodontal surgery could be optimally applied in clinical practice within the context of comprehensive dental treatment. It will explain the diagnostic criteria and treatment planning required to utilize periodontal plastic surgery effectively in the aesthetic field, as well as the principles and specific techniques for making the most of the difference between clinical and anatomical crown length. Furthermore, I will present a new concept of functional crown lengthening that prioritizes the function and stability of periodontal tissues, and share clinical perspectives on how minor adjustments can yield significant improvements.
