logo 50 | the Camlog Partner Magazine logo 50 | the Camlog Partner Magazine 42 | Events Events | 43 Prof. Sönke Harder moderated the session Mastering Hard- and Soft Tissue Outcomes with speakers Prof. Michael Stimmelmayr, Dr. Jan Klenke and Andreas van Orten, M.Sc., M.Sc. (from the left) The eighth session was anticipated eagerly. Experts presented their complex cases for discussion in front of the broad audience. Moderators of this session: PD. Dr. Gerhard Iglhaut and Prof. Mariano Sanz The event location at the Nockherberg was the scene of a lively party on Friday evening. PRF with great potential Scientific evidence is available for autologous blood-derived platelet rich fibrin (PRF), primarily for alveolar ridge preservation [18,19]. Hamburg dentist Dr. Jan Klenke additionally recommends PRF for the preparation of "sticky bone", for example in combination with porcine bone substitute material (MinerOss® XP). According to Prof. Juan Blanco Carrión (University of Santiago de Compostela, Spain), the blood product has also proven effective for defects with a significant bone deficit when used in conjunction with allogeneic bone blocks. Other indications for PRF presented in Munich include the promotion of wound healing and guided tissue regeneration (GBR), for example in combination with a porcine bone substitute material and an acellular dermal matrix (NovoMatrix®). Other minimally invasive and thus biologically oriented techniques such as punching prior to implant exposure in the presence of sufficient soft tissue (Dr. Peter Randelzhofer, Munich), flapless implantations (PD Dr. Markus Schlee, Forchheim), and the socket shield technique with buccally remaining tooth shards in the anterior of the upper jaw (Andreas van Orten, M.Sc., M.Sc., Waltrop) were demonstrated using clinical examples. According to Prof. Stimmelmayr, the more difficult the case is, the more important autologous material becomes. Immediate implantation without alternatives? Expedient and minimally invasive protocols require fewer surgical procedures, reduce treatment costs, and thereby promote patient satisfaction. According to the literature review by oral surgeon Dr. Ilaria Franchini (Milan and Stuttgart), the success rates are good, however only if the indication is correct and if there is sufficient clinical experience [20-22]. Franchini recommends delayed protocols when patient cooperation is poor, the esthetic prognosis is uncertain, or when acute inflammation or unfavorable defect configurations are present [23]. Each one of these factors would suffice as a contraindication. A number of the patient cases presented in Munich were solved with PROGRESSIVE-LINE implants optimized for immediate implantation. For lecturer Dr. Markus Schlee, immediate protocols in the anterior region of the upper jaw [15-25] are without alternative if indicated. As the implant axis and emergence profile have a decisive influence on the resulting soft tissue thickness [24], these factors are more important than the phenotype. Here, too, CAD/CAM abutments offer decisive advantages, according to Schlee. Dr. S. Marcus Beschnidt (Baden-Baden), too, regards immediate protocols as being more than a trendy topic as well as being of great benefit for patients. The prosthodontic specialist in private practice presented a restoration with 3D-guided implantation and immediate definitive abutment fixation to be followed by at least three months of soft tissue maturation [25]. Edentulous patients and case presentations In a special session, Dr. Malin Strasding and Dr. Sabrina Maniewicz presented the University of Geneva's concept for elderly and edentulous patients. A study sponsored by the OR Foundation shows that patients should be involved in the decision-making process for successful restorations [26]. For example, digital esthetic analyses proved suitable as a means of communication. Patients are satisfied with both fixed and removable solutions when their expectations are managed appropriately, with removable prostheses performing significantly better in terms of function, phonetics, and esthetics [27]. According to Dr. Mario Beretta (University of Milan), trends in full restorations involve fewer implants, more screw fixation and more frequent immediate loading. He recommends the production of bars without models with subsequent intraoral verification; models should only then be printed for fabricating the denture [28]. Three outstandingly solved complex case presentations with subsequent discussion provided a worthy conclusion to the congress. Here, too, minimally invasive concepts were the focus, including a fixed implant restoration with a high smile line (Dr. Duygu Karasan, University of Geneva), extensive bone gain through magnetic extrusion [29] (Dr. Frederic Hermann, Zug, Switzerland), and flapless immediate implantation simultaneously with a combined tuber graft (Dr. Ramón Gómez-Meda, Ponferrada, Spain). Conclusion The motto of the Munich ORIS Congress was "Dreams & Reality – Treatment Concepts and Trends". Experts from academia and dental practice impressively demonstrated which methods improve the regenerative and prosthetic outcome and make implant restorations successful, also long-term. In addition to clinical expertise, meticulously developed and documented products play an essential role here. For those who could not join us in Munich or wish to learn even more about the latest developments, then attend the Oral Reconstruction Global Symposium in Rome from May 18-20, 2023.
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