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
Successful management of complex periodontal surgery requires a variety of treatment approaches. In this session, we welcome leading clinicians in the field to review the evolution of periodontal surgery from past to present, while sharing and discussing the concepts and techniques that lead to better treatment outcomes.
Lecturer
Flap Design in Minimally Invasive Periodontal Surgery: An Evidence-Based Approach
- The importance of flap design beyond surgical access: Its impact on wound healing, blood clot stability, and soft tissue preservation, supported by current evidence
- Key principles of flap design common to minimally invasive periodontal surgery and how they differ from conventional techniques
- Clinical evidence on the effectiveness and limitations of minimally invasive flap designs, and their appropriate application according to the clinical situation
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
- Although periodontal regenerative therapy is a well-established and evidence-based treatment modality, its predictability varies according to defect characteristics, and certain clinical situations remain challenging.
- Tunnel technique–based periodontal regenerative therapy has emerged as a valuable surgical approach and can provide highly predictable outcomes when appropriate case selection is applied.
- A thorough understanding of the indications, advantages, and limitations of the tunnel technique is essential for achieving optimal clinical outcomes.
- The lecture will also introduce the recently described Flexible Tunnel Technique and discuss its clinical applications and potential benefits.
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
In recent years, periodontal regenerative therapy has increasingly emphasized the importance of soft tissue management in addition to the management of bone defects. Particularly in the posterior region, anatomical constraints can be significant, making primary wound closure and blood clot stability important factors that influence treatment outcomes.
This lecture will discuss strategies for periodontal regenerative therapy in the posterior region with a focus on soft tissue management. First, the CTG Wall Technique for the treatment of furcation defects will be introduced. This technique uses a connective tissue graft to create a soft tissue wall, aiming to improve the predictability of regenerative therapy by maintaining the regenerative space and stabilizing the blood clot.
Furthermore, the Last Molar Entire Pad Preservation Technique (L-EPPT), developed by the author, will be introduced for sites with significant anatomical constraints, particularly the terminal molar region. This technique avoids incisions in the retromolar pad area and preserves the blood supply, thereby promoting wound healing and achieving primary closure.
Through clinical cases, this presentation will demonstrate the indications and key points of incision design for each technique and discuss the role of soft tissue management in improving the predictability of periodontal regenerative therapy in the posterior region.
This lecture will discuss strategies for periodontal regenerative therapy in the posterior region with a focus on soft tissue management. First, the CTG Wall Technique for the treatment of furcation defects will be introduced. This technique uses a connective tissue graft to create a soft tissue wall, aiming to improve the predictability of regenerative therapy by maintaining the regenerative space and stabilizing the blood clot.
Furthermore, the Last Molar Entire Pad Preservation Technique (L-EPPT), developed by the author, will be introduced for sites with significant anatomical constraints, particularly the terminal molar region. This technique avoids incisions in the retromolar pad area and preserves the blood supply, thereby promoting wound healing and achieving primary closure.
Through clinical cases, this presentation will demonstrate the indications and key points of incision design for each technique and discuss the role of soft tissue management in improving the predictability of periodontal regenerative therapy in the posterior region.
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.
