3° Parte

Transcript

3° Parte

Accademia Italiana
di Odontoiatria Protesica
Con il Patrocinio del Ministero della Salute
Palazzo della Cultura
e dei Congressi
Congresso Internazionale
Bologna
22-24 Novembre 2012
23-24 Novembre 2012
programma scientifico
Rischio calcolato:
la prognosi del
restauro protesico
22 Novembre 2012
CORSO DI AGGIORNAMENTO
PRECONGRESSUALE
SMILE DESIGN E BRUXISMO.
Estetica e gestione dell’occlusione
nei pazienti ad alto rischio
www.aiop.com
Accademia Italiana di Odontoiatria Protesica
XXXI Congresso Internazionale AIOP
Indice
Solidarietà Aiop ................................................................................................................ 8
Corso Precongressuale ................................................................................................... 10
Precongress Course ......................................................................................................... 68
Planning dei lavori scientifici .. ....................................................................................... 13
Programma scientifico dettagliato ............................................................................... 19
Scientific programme ...................................................................................................... 71
“Mario Martignoni Award” .. ........................................................................................... 33
Informazioni generali e scientifiche ............................................................................. 57
General information . . ....................................................................................................... 85
Planimetrie aree congressuali ....................................................................................... 59
Plans of congress areas
Relatori, Moderatori e Presidenti di seduta ................................................................ 87
Speakears, Moderators and Session Chairmen
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Il XXXI CONGRESSO AIOP:
Rischio Calcolato: la prognosi del restauro protesico
Cari Soci e Amici dell’AIOP,
con il XXXI Congresso Internazionale si conclude un biennio pieno di soddisfazioni e
successo e pensiamo sia doveroso tributare un sentito ringraziamento a chi ha contribuito
a far sì che anche il 2011-2012 possa chiudersi con un bilancio positivo sotto ogni aspetto:
quindi il nostro ringraziamento è per voi Soci, che con la vostra ampia e sentita partecipazione
alle Manifestazioni Culturali AIOP avete confermato e corroborato il nostro lavoro, quello di
chi ci seguirà così come di chi ha negli anni guidato l’Accademia fino a farla diventare un
punto di riferimento internazionale.
È quindi un onore, oltre che un piacere, presentare il programma del XXXI Congresso
Internazionale AIOP e dare a voi tutti il più caldo benvenuto a Bologna.
Come ormai sapete gli eventi formativi AIOP hanno un tema “portante” attorno al quale
si articolano le diverse sessioni, organizzate in modo da avere un filo logico che unisca
assieme i vari relatori e da consentire una disamina quanto più possibile completa
dell’argomento prescelto. Nel 2012 l’argomento sul quale abbiamo puntato i riflettori è
intrigante e drammaticamente attuale, e può costituire una carta vincente per ottenere un
successo duraturo nei trattamenti protesici: l’esame dei fattori di rischio per la prognosi del
trattamento protesico.
L’argomento del “rischio” in protesi sarà trattato già a partire dall’attesissimo Corso
precongressuale tenuto dal Dott. Gerard Chiche, che metterà a fuoco il trattamento di quei
pazienti che più di tutti mettono a repentaglio il nostro operato: i terribili pazienti bruxisti,
tipologia in costante aumento e nota dolente degli studi protesici. Come esaminare i casi
dei pazienti con parafunzioni usuranti dal punto di vista estetico e come eseguire un
trattamento che sia al contempo esteticamente brillante e meccanicamente affidabile? Con
quali materiali? Con quale occlusione? A questi ed altri interrogativi il relatore, tra i primi
al mondo a dedicarsi alla trattazione sistematica dell’estetica in protesi fissa, risponderà
nell’intera giornata di corso dedicata al tema:
SMILE DESIGN E BRUXISMO. Estetica e gestione dell’occlusione nei pazienti ad alto rischio
I lavori del Congresso approfondiranno altri aspetti del rischio protesico; la Manifestazione
come sempre sarà un “contenitore” nell’ambito del quale si svolgeranno molti eventi, con
le sessioni principali dedicate ai fattori di rischio nella prognosi del restauro. Il tema verrà
trattato dai diversi punti di vista, clinico, tecnico e progettuale. Relatori italiani e stranieri,
tra i più famosi e collaudati nel panorama internazionale, esamineranno gli elementi chiave
che se non correttamente valutati sono in grado di compromettere i risultati del trattamento
e la prognosi del restauro protesico.
L’AIOP da sempre ha nei suoi scopi fondamentali quello di portare l’eccellenza all’interno
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della pratica clinica, e i nostri eventi sono rivolti a chi quotidianamente si confronta con
casi semplici e complessi, in clinica o in laboratorio, dovendo conciliare terapie di elevata
qualità, e di prognosi ottimale, alla gestione professionale e personale. Crediamo che
l’etica professionale si esprima anche nella ricerca continua del miglioramento, e questo
atteggiamento è sicuramente percepito dai pazienti come un valore che rinforza la fiducia
e incentiva la qualità del rapporto interpersonale.
Per questo ai relatori è stato, come sempre, chiesto di fornire risposte concrete agli
interrogativi clinici, preparando relazioni che possano divenire efficaci strumenti di lavoro,
in modo che chi ha investito tempo e denaro per partecipare al nostro Congresso ne possa
trarre un frutto immediatamente operativo; sentiamo ancor più necessario, in questo
momento storico, proporre programmi utili ai clinici ed agli odontotecnici per migliorare
qualitativamente e per rendere più efficiente la loro pratica professionale quotidiana, a
beneficio dei pazienti e delle attività professionali nel loro complesso.
La varietà e lo spessore degli eventi collaterali, che fanno del Congresso AIOP l’unica
realtà italiana interamente dedicata alla protesi in ogni suo aspetto: AIOP YOUNG,
DIGITAL DENTISTRY@AIOP, la nutrita e specializzata mostra merceologica, il Corso per
gli igienisti e per gli assistenti di studio… tutto è pensato per fornire il massimo delle
informazioni utili all’intero team protesico.
Un intero giorno di Corso è stato riservato alla protesi totale rimovibile convenzionale o
ancorata ad impianti osteointegrati: verrà tenuto dal team per Prof. Glauco Marino, autorità
indiscussa nel campo.
Come potrete leggere nei dettagli il programma formativo vuole fornire la modularità più
ampia possibile nell’ambito di un Congresso che tratta l’odontoiatria protesica nelle sue
diverse branche e specialità.
Nella CERTEZZA!!!! di avervi presentato un programma formativo valido ed di grande
attualità, vi anticipiamo un caloroso benvenuto a Bologna.
Dott. Maurizio Zilli
Il Presidente
Odt. Stefano Petreni
Il Dirigente Sezione Odontotecnica
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Consiglio Direttivo
2011/2012
Commissioni
2011/2012
Presidente
Collegio dei Probiviri
Dott. Luigi Bracco
Dott. Mario Fonzar
Prof. Giulio Preti
Dirigente Sezione Odontotecnica
Presidente Eletto
Dott. Leonello Biscaro
Dirigente Eletto Sezione Odontotecnica
Odt. Massimo Soattin
Tesoriere
Dott. Paolo Vigolo
Consiglieri
Dott. Fabio Carboncini
Dott. Davide Cortellini
Dott. Carlo Poggio
Dott. Emanuele Risciotti
Commissione per l’attività Scientifica
Dott. Mauro Broseghini (Presidente)
Odt. Roberto Bonfiglioli
Odt. Cristiano Broseghini
Dott. Paolo Francesco Manicone
Dott. Marco Valenti
Commissione Accettazione Soci
Dott. Massimo Fuzzi (Presidente)
Dott. Stefano Gracis
Dott. Gianni Persichetti
Odt. Franco Rossini
Odt. Paolo Smaniotto
Commissione per i rapporti
con le Università ed altre istituzioni
Dott. Gaetano Calesini (Presidente)
Dott. Paolo Vigolo
Commissione Editoriale
Dott.ssa Costanza Micarelli (Presidente)
Dott. Attilio Bedendo
Odt. Roberto Canalis
Dott. Luigi Iannessi
Dott. Gaetano Noè
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SOCI ATTIVI
Soci Fondatori
Past President *
Past Director **
Dott. Alessandro Agnini
Dott. Dario Riccardo Andreoni
Odt. Nicolino Angeloni
Dott. Aldo Anglesio Farina
Dott. Ferruccio Barazzutti
Odt. Giancarlo Barducci**
Odt. Reginaldo Bartolloni
Dott. Attilio Bedendo
Dott. Alexander Beikircher
Dott. Carlo Bianchessi
Dott. Mauro Billi
Dott. Leonello Biscaro
Odt. Valter Bolognesi
Dott. Tiziano Bombardelli
Odt. Roberto Bonfiglioli**
Dott. Federico Boni
Dott. Michele Bovera
Prof. Adriano Bracchetti*
Dott. Fabrizio Bravi
Dott. Mauro Broseghini
Odt. Cristiano Broseghini
Odt. Maurizio Buzzo
Dott. Gaetano Calesini*
Dott. Carlo Carlini
Dott. Dario Castellani*
Odt. Vincenzo Castellano
Dott. Stefano Centini
Dott. Davide Cortellini
Odt. Giancarlo Cozzolino
Dott. Michele D’Amelio
Dott. Sergio De Paoli
Dott. Riccardo Del Lupo
Odt. Umberto Demolli
Dott. Gianfranco Di Febo*
Odt. Luca Dondi**
Odt. Franco Fares
Dott. Edoardo Foce
Dott. Mauro Fradeani*
Dott. Massimo Fuzzi*
Dott. Stefano Gracis*
Dott. Luigi Iannessi
Dott. Pasquale Iudica
Prof. Francesco Lo Bianco*
Dott. Ignazio Loi
Odt. Giuseppe Lucente**
Dott. Paolo Magheri
Dott. Michele Maglione
Dott. Marco Maneschi
Dott. Giovanni Manfrini
Dott. Paolo Francesco Manicone
Odt. Stefano Mariotti
Odt. Claudio Martucci
Dott. Mauro Merli
Dott.ssa Costanza Micarelli
Dott. Gaetano Noè
Dott. Gaetano Palazzoli
Dott. Carlo Poggio
Dott.ssa Paola Maria Poggio
Odt. Franco Rossini**
Dott. Francesco Schiariti*
Odt. Salvatore Sgrò**
Odt. Ivo Sighinolfi
Odt. Paolo Smaniotto**
Odt. Massimo Soattin
Dott. Mauro Solmi
Dott. Marco Valenti
Dott. Piero Venezia
Dott. Paolo Vigolo
Odt. Giuliano Vitale
Dott. Massimiliano Zaccaria
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Solidarietà AIOP
Solidarietà AIOP
Fondazione Alma Mater
Contributo ad ANTONIANO ONLUS
AIOP si è impegnata dal 2007, anno della
scomparsa del Dott. Vittorio Milani figura storica
dell’Accademia, a sostenere la Fondazione
per un periodo di 10 anni. Anche quest’anno
AIOP donerà € 5.000,00 alla Prof.ssa Gabriela
Piana, Responsabile del Servizio di Assistenza
Odontoiatrica per Disabili del Dipartimento di
Scienze Odontostomatologiche dell’Università
di Bologna, come contributo al progresso
scientifico, con l’auspicio di favorire lo sviluppo
della ricerca e dell’attività didattica.
Contributo per i Terremotati dell’Emilia Romagna
AIOP ha elargito un contributo di € 15.000 alla Parrocchia di San Biagio di Cento ricevendo
i più vivi ringraziamenti del Mons. Stefano Guizzardi. Questo importante sostegno è stato
devoluto per il rifacimento dei locali dell’Oratorio danneggiati dal sisma.
Aiop quest’anno sostiene con un contributo di € 5.000,00 il
Centro per l’infanzia e l’adolescenza “Antoniano Insieme”. Il
Centro offre servizi di prevenzione, diagnosi e riabilitazione
ai bambini diversamente abili, in particolare ai bambini affetti
da Sindrome di Down. I servizi sono erogati a tariffe agevolate
per permettere l’accesso alle prestazioni anche agli utenti
che diversamente non sarebbero in grado di sostenerne i costi. L’obiettivo di Antoniano
Insieme è quello di portare ogni bambino ad acquisire quelle piccole e grandi autonomie
che gli permettano di vivere una vita più appagante e serena.
Nella fattispecie il contributo sarà
destinato al trattamento logopedico di
due pazienti con Deglutizione Atipica
e al Trattamento Ortodondico per un
altro bambino.
Presenzierà alla consegna
la Presidente dell’Associazione
Insieme, Raffaella Rangoni.
Palazzo dei Congressi - Bologna, 24
Novembre 2012 - Sala Europa
Dopo il sisma
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La ricostruzione
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Giovedì, 22 Novembre 2012
Giovedì, 22 Novembre 2012
Corso di aggiornamento precongressuale
SMILE DESIGN E BRUXISMO.
Estetica e gestione dell’occlusione nei pazienti ad alto rischio
Relatore: Dott. Gerard Chiche
Presidenti di seduta e Moderatori: Dott. Massimo Fuzzi e Odt. Giancarlo Barducci
Un grande relatore internazionale per un argomento di assoluta attualità; il numero di pazienti
con parafunzioni è in vertiginoso aumento, con un conseguente incremento delle necessità
terapeutiche correlate alle usure ed un grande rischio per i nostri restauri.
L’esperienza clinica e la letteratura internazionale concordano nel riconoscere il paziente bruxista
come quello che maggiormente mette a rischio l’integrità delle ricostruzioni protesiche sia su
denti che su impianti, relativamente ai materiali per rivestimento estetico e alle strutture che li
supportano, nonchè ai pilastri stessi: la prognosi a lungo termine dei restauri può quindi risultare
peggiore in questo tipo di pazienti.
Il Dott. Gerard Chiche, uno dei maggiori esperti al mondo in tema di protesi, estetica e restauri
in ceramica, illustrerà le strategie diagnostiche e terapeutiche per evitare che i casi protesici nei
pazienti bruxisti si trasformino in trappole estremamente pericolose per i clinici, i tecnici e tutto lo
staff protesico.
Durante il corso saranno presentati, grazie ad un approccio step by step, i punti chiave necessari
per risolvere i problemi estetici con risultati predicibili.
Verranno anche esaminati gli aspetti critici delle metodiche che prevedono l’utilizzo di corone
in ceramica integrale, in termini di selezione della sistematica, scelta dei cementi e degli adesivi,
sequenza operativa di bonding.
Grande spazio sarà dato alla gestione occlusale dei casi estetici, specialmente nei pazienti bruxisti,
per minimizzare complicanze e fratture della porcellana.
Programma del Corso
Progetto estetico: sette fattori chiave per il trattamento estetico predicibile e loro applicazione
per grandi e piccole riabilitazioni estetiche e occlusali.
Progetto occlusale: strategia occlusale step by step al fine di ottenere la protezione ottimale e la
massima predicibilità. Identificazione dei campanelli d’allarme occlusali prima del trattamento di
routine e delle riabilitazioni più estese, per il raggiungimento di un risultato restaurativo predicibile.
Gestione del paziente bruxista: precauzioni, selezione dello schema occlusale, strategie per la
guida anteriore, selezione dei materiali, sequenza operativa.
Corone in ceramica integrale e faccette in porcellana: criteri per la selezione della
sistematica protesica, scelta del cemento di fissaggio, tecniche di adesione, qualità estetiche.
Precauzioni necessarie con i pazienti ad alto rischio, specialmente quelli con parafunzioni.
Complicanze: gestione delle complicanze estetico-restaurative relative ai casi trattati con
faccette in porcellana, corone in ceramica integrale, riabilitazioni occlusali.
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Dott. Gerard Chiche
Il Dott. Chiche è Professore Onorario di Odontoiatria Restaurativa e Direttore
del Center for Esthetic & Implant Dentistry al Georgia Health Sciences
University College of Dental Medicine ad Augusta, Georgia.
È membro dell’American College of Dentists, dell’American Academy
of Esthetic Dentistry, dell’American Academy of Fixed Prosthodontics,
dell’American Academy of Restorative Dentistry e dell’Omicron Kappa
Upsilon Dental Honor Society. È un Past-President dell’American Academy
of Esthetic Dentistry e insegnante al Pankey Institute.
Con Alain Pinault e Hitoshi Aoshima è autore di due libri: Esthetics of Anterior
Fixed Restorations, and Smile Design - A guide for Clinician, Ceramist and
Patient, entrambi pubblicati da Quintessence Pub. Co.
Ricopre il ruolo di professore aggiunto presso il Pankey Institute. Nel 2003 ha vinto il Premio
Louisiana State University Alumni e il Premio Educational Community Achievement del Seattle
Study Club come miglior insegnante dell’anno in campo dentale. Nel 2007 ha ricevuto il premio
Distinguished Lecturer dalla Greater New York Academy of Prosthodontics. Nel 2009, per primo,
è stato insignito del titolo di Professore Onorario dalla Thomas P. Hinman Dental Society. Nel 2012
ha ricevuto il titolo di Professore Emerito dalla Louisiana State University.
09.00-11.00 1° Parte
11.00-11.30 Coffee Break
11.30-13.00 2° Parte
13.00-14.30Lunch
14.30-15.30 3° Parte
16.00-17.00 4° Parte
17.30-19.00
17.30-19.00
Distribuzione dei Questionari ECM
Workshop Major Sponsor
Assemblea Soci Attivi
Aiop ha realizzato un quaderno con le slides più significative del Corso, per consentire di seguire
nel modo migliore la lezione del Dott. Gerard Chiche. Il quaderno viene consegnato in sede
congressuale solo agli iscritti al Corso.
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e dei Congressi
Bologna
23-24 Novembre 2012
RISCHIO CALCOLATO:
LA PROGNOSI DEL RESTAURO
PROTESICO
Planning
dei lavori scientifici
Planning dei lavori scientifici
Venerdì 23 Novembre 2012
SALA EUROPA
SALA ITALIA
09.00-09.15 Inaugurazione del Congresso e apertura dei lavori
SESSIONE ODONTOTECNICA
Dott. Maurizio Zilli, Odt. Stefano Petreni
SESSIONE CLINICA
I FATTORI DI RISCHIO SU PILASTRI NATURALI
E SU PILASTRI ARTIFICIALI
1° Parte
RISCHI FUNZIONALI E PARAFUNZIONALI
09.15-10.00 Gestione del restauro e considerazioni interdisciplinari
per il paziente bruxista in protesi su dentatura naturale
10.00-10.45 La ceramica nelle riabilitazioni implantari
11.30-12.15 Il bruxismo come fattore di sovraccarico muscolo-scheletrico
13.00-14.15Lunch
2° Parte
RISCHI BIOLOGICI E AMBIENTALI
E SU PILASTRI ARTIFICIALI: PROGETTAZIONE
E REALIZZAZIONE TECNICA IN FUNZIONE DEI CARICHI
STRUTTURALI E DELLA MANTENIBILITÀ IGIENICA
09.30-11.00 Scelta dello schema occlusale su denti e su impianti
in pazienti bruxisti
11.30-13.00 Disegno e progettazione delle travate in rapporto al tipo di materiale:
quali accorgimenti per i pazienti bruxisti?
13.00-14.15Lunch
14.15-15.45 Come ottimizzare l’estetica implantare con gengiva finta
16.15-18.00 Tavola Rotonda
14.15-15.00 Fattori di rischio biologici: valutazione e gestione
15.00-15.45 Terapia di supporto in riabilitazione protesica:
prevenzione, intercettazione e controllo dei fattori di rischio
3° Parte
RISCHI STRUTTURALI E BIOMECCANICI
16.15-17.00 Fattori di rischio biomeccanico legati ai pilastri naturali
sostegno di protesi fisse
17.00-17.45 Fattori di rischio biomeccanico legati agli impianti: lunghezza,
diametro, numero
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15
Planning dei lavori scientifici Sessioni parallele
Sabato 24 Novembre 2012
Sala Verde
SALA VERDE
08.30-09.00 Assemblea Soci Ordinari
CORSO DIGITAL DENTISTRY @ AIOP
09.00-10.45 Impronte digitali: soci attivi a confronto
SALA EUROPA
SESSIONE COMUNE
IL PROGETTO CLINICO-TECNICO COME FATTORE
DI RISCHIO
09.00-10.00 Progetto clinico-tecnico: connubio fra materiali e diagnosi
11.30-13.00 Conoscere gli scanner: la progettazione tecnica
13.00-14.15Lunch
CORSO AIOP YOUNG
16.15-18.30 Principi parodontali fondamentali per il protesista
10.00-10.45 Riabilitazioni implantari complesse: dal progetto tecnico
alla finalizzazione estetica
12.00-12.15 Assegnazione del premio “Mario Martignoni”
12.15-12.45 Attività dei nas nel settore odontoiatrico.
Una strategia a tutela del cittadino
SALA CIANO
CORSO DI PROTESI TOTALE
LA PROTESI TOTALE E LA SUA EVOLUZIONE
09.00-10.45 1° Parte
12.45-13.30 L’anello mancante: l’importanza del medico per il risultato
nel trattamento del paziente
11.30-13.00 2° Parte
13.30
13.00-14.15Lunch
Chiusura dei lavori congressuali
14.15-15.45 3° Parte
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17
e dei Congressi
Planning dei lavori scientifici Sessioni parallele
SALA ITALIA
CORSO PER ASSISTENTI DENTALI
COMPETENZE E SINERGIE DEL TEAM ODONTOIATRICO.
COME EVITARE I RISCHI DI UNA COMUNICAZIONE INEFFICACE:
RUOLO DELL’ASSISTENTE
Bologna
23-24 Novembre 2012
10.00-11.30 1° Parte
12.00-13.00 2° Parte
SALA VERDE
CORSO PER IGIENISTI
SONNO E ODONTOIATRIA:
RISCHI PROTESICI E RISCHI CARDIOVASCOLARI
RISCHIO CALCOLATO:
LA PROGNOSI DEL RESTAURO
PROTESICO
10.00-11.30 1° Parte
12.00-13.00 2° Parte
Programma Scientifico
dettagliato
18
Sessione Clinica
Sessione Clinica
SALA EUROPA
SALA EUROPA
09.00-09.15 Inaugurazione del Congresso e apertura dei lavori
10.00-10.45 La ceramica nelle riabilitazioni implantari
SESSIONE CLINICA
E SU PILASTRI ARTIFICIALI
Il momento topico nella stesura del piano di trattamento protesico è quello legato alla fase critica di
valutazione dei fattori di rischio, ovvero di quegli elementi in grado di condizionare negativamente
la prognosi a lungo termine del restauro: l’argomento è ancora più spinoso e attuale in un’epoca
nella quale il rispetto per le risorse biologiche ed economiche dei pazienti deve essere massimo e
condiviso con tutto lo staff.
La sessione clinica del venerdì è dedicata a tre aspetti cruciali, che devono essere considerati
con estrema attenzione ogniqualvolta ci si trovi ad approcciare un caso protesico semplice o
complesso.
1° Parte
Rischi funzionali e parafunzionali
Presidente di seduta: Dott. Francesco Schiariti
Moderatore: Prof. Fernando Zarone
09.15-10.00 Gestione del restauro e considerazioni interdisciplinari
per il paziente bruxista in protesi su dentatura naturale
Dott. Gerard Chiche
La predicibilità del risultato estetico è resa possibile dal fatto che l’odontoiatra e il ceramista dentale si avvalgono di principi
estetici la cui validità è stata più volte dimostrata nel tempo. Il conseguimento dei massimi standard estetici non può prescindere
da un approccio metodico al disegno occlusale e alla protezione a lungo termine dei restauri in ceramica. I principi convenzionali
sull’occlusione offrono un ottimo grado di predicibilità, ma talvolta possono risultare inadeguati e inefficaci se vengono applicati
indistintamente a tutte le tipologie di bruxismo.
Nel corso della presentazione si passeranno in rassegna i quattro casi tipici di fallimenti estetici da sovraccarico occlusale
riconducibile a determinati tipi di bruxismo, illustrando le relative soluzioni. Si descriveranno inoltre le strategie interdisciplinari
per la pianificazione e il sequenziamento delle ricostruzioni occlusali, per conseguire la massima predicibilità e protezione a
lungo temine.
20
Prof. Jörg R. Strub
Le ricostruzioni fisse su impianti come le corone singole su impianti e le protesi dentali fisse a più elementi (FDP) sono ben
documentate in letteratura, e rappresentano una soluzione pienamente accettata per la sostituzione di uno o più elementi
dentali mancanti (Pjetursson et al. 2007; Jung et al. 2008 a). Il verificarsi dell’osteointegrazione degli impianti dentali è stato
studiato in modo approfondito, riscontrando che si tratta di un processo altamente predicibile (Esposito et a. 1998, Berglundh
et al. 2002). Le ricostruzioni su impianti hanno tassi di sopravvivenza clinica eccellenti. In una recente revisione sistematica,
le corone su impianti e le protesi fisse hanno tassi di sopravvivenza elevati, simili a quelli delle ricostruzioni su denti, pari al
95% a 5 anni (Pjetursson et al. 2007). Tuttavia, il successo clinico delle ricostruzioni implantari non dipende solo dai tassi di
sopravvivenza, ma anche dall’entità delle complicanze biologiche e tecniche che si verificano durante la funzione clinica. Per
migliorare il successo clinico, ci si continua ad interrogare sui materiali e le tecniche migliori per le ricostruzioni su impianti
(Pjetursson et al. 2007, Jung et al. 2008) e sulla connessione ideale tra l’impianto e la ricostruzione (Michalakis et al. 2003, Chee
and Jivraj 2006). Questa presentazione intende fare il punto delle conoscenze attuali sui materiali disponibili, sulle loro proprietà,
sui risultati che si possono conseguire con le diverse ceramiche e sulla connessione ideale per il restauro. Verranno inoltre
esaminati materiali e tecniche di fabbricazione alternativi, unitamente alle prospettive future.
11.30-12.15 Il bruxismo come fattore di sovraccarico muscolo-scheletrico
Dott. Daniele Manfredini
Il termine bruxismo è un generico indicatore che racchiude almeno due tipi di attività non-funzionali dei muscoli masticatori
(serramento e digrignamento) (Lobbezoo et al., 2012), ed ha una complessa relazione con i disordini temporomandibolari (TMD)
(Manfredini Lobbezoo, 2010). L’approfondimento del ruolo del bruxismo come fattore di sovraccarico muscolo-scheletrico è reso
complicato dalle difficoltà diagnostiche nell’approccio a tale fenomeno; infatti, sebbene negli anni siano state proposte diverse
modalità diagnostiche (es: questionari, interviste, analisi dei segni e sintomi clinici), una piena comprensione del bruxismo si
potrà ottenere solamente standardizzandone la misurazione. Il bruxismo infatti è un fenomeno caratterizzato da un continuum
fisiopatologico, nel quale la comparsa di sintomatologia varia in funzione delle differenti caratteristiche individuali sia a livello
di predisposizione anatomica che psichica. Per questo motivo, viene presentata una accurata rilettura della letteratura sul ruolo
del bruxismo come fattore di sovraccarico muscolo-scheletrico, mediata e supportata da esempi clinici sulle differenti relazioni
tra le varie forme di bruxismo e i diversi sintomi a carico dell’articolazione temporomandibolare e dei muscoli masticatori
(Manfredini, 2010).
13.00-14.15Lunch
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Sessione Clinica
Sessione Clinica
SALA EUROPA
SALA EUROPA
2° Parte
Rischi biologici e ambientali
Presidente di seduta: Dott. Gaetano Calesini
Moderatore: Dott. Gianfranco Carnevale
14.15-15.00 Fattori di rischio biologici: valutazione e gestione
Prof. Maurizio Tonetti
15.00-15.45 Terapia di supporto in riabilitazione protesica:
prevenzione, intercettazione e controllo dei fattori di rischio
Dott.ssa Chiara Camorali
L’osservazione della motivazione del paziente, della capacità di controllo di placca, del livello di coinvolgimento attivo nel
raggiungimento e nel mantenimento di una buona compliance sono tra i criteri di valutazione per la formulazione di un
piano di trattamento di riabilitazione protesico-parodontale allo scopo di individuare l’approccio terapeutico più indicato
per il paziente e valutare i rischi inerenti al percorso terapeutico da intraprendere. Al termine del trattamento protesico è
indispensabile intraprendere insieme al paziente un percorso di terapia di supporto. Obiettivi della terapia di supporto sono
di prevenire l’insorgenza di recidive cariose o parodontali, intercettare le variazioni dello stato di salute dentale, parodontale,
della mucosa orale ed i problemi inerenti la protesi ed eliminare i fattori eziologici responsabili della variazione dello stato
di salute. Un’accurata valutazione del paziente permette di identificare i fattori di rischio di ciascun paziente e, in una fase
libera da malattia, preparare specifici programmi preventivi che permettano di ridurre l’incidenza delle recidive e l’insorgenza
di nuova patologia. La frequenza dei controlli del paziente e dell’eventuale terapia di supporto da eseguire è dettata da fattori
comportamentali, motivazionali, anamnestici, dall’avanzamento dell’età del paziente, dai parametri clinici rilevati e dal tipo di
protesi eseguita.
3° Parte
Rischi strutturali e biomeccanici
Presidente di seduta: Dott. Gaetano Calesini
Moderatore: Dott. Gianfranco Carnevale
16.15-17.00 Fattori di rischio biomeccanico legati ai pilastri naturali
sostegno di protesi fisse
Prof. Jean-Francois Roulet
La natura ha progettato i denti in modo pressoché ideale, alla luce della loro funzione: quella di sviluppare forze che consentano di frantumare
gli alimenti per la masticazione. Da un punto di vista ingegneristico, la forma è ideale (superfici occlusali); inoltre, i materiali utilizzati sono
compositi altamente anisotropici. Lo smalto è ben strutturato, molto duro ma fragile, con una forte adesione alla dentina, che è un composito
tra il collagene e l’idrossiapatite. Inoltre, il dente è sospeso all’osso leggermente elastico grazie al legamento parodontale e dispone di un
meccanismo di sicurezza intrinseco nei confronti dei carichi eccessivi, con il circuito neuromuscolare che controlla lo sviluppo di forze. Quando
si tratta di utilizzare i denti come pilastri protesici, esistono numerosi fattori che giocano a svantaggio del dentista. Innanzi tutto, non era nelle
intenzioni originali della natura che il dente potesse fungere da pilastro. In secondo luogo, per fungere da pilastro nella protesi classica, il
dente viene preparato, e pertanto viene anche indebolito. Quando è stato effettuato un trattamento canalare, ci sono ancora molte scuole che
consigliano l’uso di perni moncone. Dal punto di vista biomeccanico, ciò comporta un ulteriore indebolimento del dente. C’è poca letteratura
sull’indebolimento dei denti a seguito dell’inserimento di corone, e una letteratura pressoché inesistente sull’utilizzo dei denti come pilastri.
Alcune scuole respingono l’ipotesi di utilizzare denti sottoposti a trattamento canalare come pilastri di ponti o protesi parziali. Inoltre, nelle
ricostruzioni protesiche fisse, i denti (pilastri) sono saldamente cementati. Nel settore posteriore dell’osso mandibolare possono insorgere dei
problemi, poiché è noto che l’osso si flette leggermente quando si spalanca la mandibola. La tecnologia adesiva ha schiuso nuovi orizzonti in
campo protesico, poiché, entro certi limiti, consente di ricreare l’originale struttura composita del dente. Inoltre, i restauri intracoronali sono in
grado di ripristinare sostanzialmente la forza originale del dente. Purtroppo, si sa poco su questi effetti sulla longevità di ponti o protesi parziali
rimovibili (RPD). Il buon senso dice che le tecniche minimamente invasive sarebbero vantaggiose sia per i denti che per la funzione. Con le
protesi fisse anteriori cementate con resina (ponti tipo Maryland) provviste di retainer metallici, i professionisti hanno imparato con l’esperienza,
a furia di errori, qual è il design corretto dal punto di vista biomeccanico. Utilizzando la ceramica, abbiamo imparato che con gli anteriori, è
preferibile un sostegno monolaterale rispetto ai ponti ad alette.
Le protesi fisse adesive realizzate alla poltrona in composito e composito fibrorinforzato hanno dimostrato una buona longevità anche nel
segmento posteriore. Ciò indica la direzione da seguire, poiché questi materiali consentono ai denti, in una certa misura, di mantenere i loro
movimenti fisiologici, anche in presenza di una protesi fissa.
17.00-17.45 Fattori di rischio biomeccanico legati agli impianti: lunghezza,
diametro, numero
Prof. Franck Renouard
A più di 40 anni di distanza dal posizionamento dei primi impianti, la biomeccanica delle ricostruzioni implantari resta tuttora una questione
controversa. La lunghezza, il diametro e il numero di impianti continuano ad alimentare le discussioni. Quest’intervento, che attinge a
un’esperienza clinica ventennale, si prefigge di dare alcune indicazioni cliniche semplici ed efficienti nel campo della biomeccanica.
Alcune semplici regole consentiranno all’odontoiatra di ridurre il rischio a lungo termine di complicanze e fallimenti. Durante l’intervento
si esamineranno alcune questioni importanti: qual è il numero di impianti da utilizzare e come vanno posizionati questi impianti? Come
incidono la lunghezza e il diametro degli impianti sul tasso di sopravvivenza implantare? Che ne è del rapporto corona/impianto? Tutti
questi interrogativi verranno trattati alla luce di una vasta esperienza clinica e di un’ampia revisione della letteratura.
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23
Sessione Odontotecnica
Sessione Odontotecnica
SALA ITALIA
SALA ITALIA
SESSIONE ODONTOTECNICA
11.30-13.00 Disegno e progettazione delle travate in rapporto al tipo di materiale:
quali accorgimenti per i pazienti bruxisti?
E SU PILASTRI ARTIFICIALI:
PROGETTAZIONE E REALIZZAZIONE TECNICA IN FUNZIONE
DEI CARICHI STRUTTURALI E DELLA MANTENIBILITÀ
IGIENICA
Presidente di seduta: Odt. Giancarlo Barducci
Moderatori: Odt. Roberto Bonfiglioli, Odt. Roberto Canalis
La sessione odontotecnica è dedicata all’analisi delle misure grazie alle quali durante la
progettazione e la costruzione del manufatto protesico, a supporto dentale o a supporto implantare,
possono essere gestiti i rischi conseguenti allo scaricarsi sulle strutture dei carichi occlusali
funzionali e parafunzionali ed all’accumulo di placca batterica sulle superfici delle stesse. Il tema
della realizzazione tecnica di protesi dalle più semplici alle più estese e complesse sarà sviluppato
sotto vari aspetti da alcuni fra i più illustri odontotecnici nel panorama nazionale ed internazionale.
09.30-11.00 Scelta dello schema occlusale in pazienti bruxisti
su denti e su impianti
Odt. Stefan Schunke
Il bruxismo può mostrarsi clinicamente con diverse modalità: la dentatura può essere interessata completamente o in maniera
settoriale, e anche un’ATM sana può, a un certo punto, diventare sintomatica come conseguenza di tale patologia. I concetti
occlusali rappresentano per noi dei punti fermi perché ci consentono di sviluppare un’occlusione artificiale; la natura però non
conosce i nostri concetti occlusali e interviene con i fenomeni di adattamento. Durante la relazione verranno analizzati diversi
casi per mostrare come io mi comporto in queste situazioni.
Si può eliminare il bruxismo o si può solo cercare di contrastarne gli effetti?
Cosa ci rivelano realmente le faccette di usura?
Dobbiamo davvero distinguere l’occlusione sui denti da quella sugli impianti?
Esiste una relazione fra la funzione articolare e il disegno delle superfici occlusali?
Fino a che punto gli articolatori possono riprodurre la funzione articolare?
Alla luce dell’ampia gamma di materiali tra cui scegliere, qual è la scelta giusta, al giorno d’oggi?
Odt. Salvatore Sgrò
Le tecniche di realizzazione delle protesi dentarie esigono, oggi, non solo approfondite conoscenze dei materiali d’uso e
competenze di applicazione peculiari, ma anche una vasta esperienza delle problematiche inerenti al bruxismo.
La costruzione della restaurazione provvisoria-definitiva, in quanto realizzata nei particolari costruttivi con la stessa attenzione
di quella definitiva, ci aiuterà a testare, durante tutto il tempo di permanenza nel cavo orale, l’intero piano di trattamento dal
punto di vista biomeccanico, neuro-funzionale e psico-estetico.
Nella costruzione della restaurazione definitiva, dunque, è necessario che il disegno geometrico delle strutture portanti offra un
adeguato supporto alla ceramica di rivestimento e permetta la trasformazione delle sollecitazioni di trazione in sollecitazioni di
compressione a livello delle varie interfacce (metallo-ceramica, ossi-ceramica e fluoroapatite-disilicato di litio). Nel contempo
nelle ceramiche di rivestimento e nelle varie interfacce bisognerà ridurre drasticamente gli stress termico-residuali che si
generano durante le fasi di sinterizzazione..
Ciò comporta che nel disegno della struttura i rompiforza devono essere posti sia in base al volume anatomico ceramo-dentale,
che in rapporto alla distribuzione dei contatti occlusali e, quindi, alla quantità di ceramica da supportare. Pertanto si avrà un
disegno individualizzato per ogni ponte o singolo elemento da ricostruire.
Devono essere utilizzati particolari accorgimenti nella modalità di stratificazione e soprattutto nei diversi processi di
sinterizzazione della ceramica che, di volta in volta, saranno individuali e andranno attuati per ottenere elevate caratteristiche
chimico-fisiche, nonché un elevato risultato estetico in termini di valore, resa cromatica, traslucenza e brillantezza.
Tutti questi elementi determinano una perfetta integrazione delle restaurazioni di lungo periodo nell’ambiente biologico del
cavo orale prevenendo, per quanto è possibile, i danni alle ricostruzioni protesiche che il bruxismo potrà causare sia in pazienti
potenziali sia in quelli che, già affetti sono tenuti sotto controllo.
13.00-14.15Lunch
14.15-15.45 Come ottimizzare l’estetica implantare con gengiva finta
Odt. Jungo Endo
Nei casi di edentulia totale e parziale, la riabilitazione implantare dava tradizionalmente risultati poco estetici a seguito di un uso
eccessivo di ceramiche bianche e, viceversa, di un uso limitato dei colori per i tessuti molli. Utilizzando sia la ceramica bianca
che quella colorata per i tessuti molli, si riesce a conseguire un risultato estetico migliore, riproducendo un’immagine speculare
dei tessuti molli e duri preesistenti. Questo tipo di trattamento tiene conto anche del sostegno labiale e della perdita di tessuti
biologici. Oggi, i pazienti hanno aspettative estetiche così elevate da spingerci a voler desiderare di ricreare i tessuti parodontali
e gli elementi dentali andati perduti, dando ai restauri un aspetto più naturale, grazie ai contorni estetici.
In quest’intervento si spiegherà quali sono i problemi estetici che possono presentarsi nei casi con elevate esigenze estetiche,
illustrando anche come risolverli. Oltre ad esaminare gli elementi essenziali dei casi estetici che verranno presentati, verrà anche
descritto un processo di applicazione della ceramica denominato “TECNICA DI APPOSIZIONE MEDIANTE STRATIFICAZIONE
ORALE”, sviluppato dallo stesso relatore per ottenere un risultato estetico e contemporaneamente naturale.
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25
Sessione Comune
Sessione Comune
Sala Verde
SALA EUROPA
08.30-09.00 Assemblea Soci Ordinari
10.00-10.45 Riabilitazioni implantari complesse:
dal progetto tecnico alla finalizzazione estetica
Odt. Jungo Endo
SALA EUROPA
Nell’ambito complesso dei restauri su impianti, è fondamentale che il paziente, l’odontotecnico e l’odontoiatra collaborino insieme
per conseguire un risultato riabilitativo soddisfacente. Con il va e vieni di fotografie in un senso e nell’altro si rischiano di omettere
molti particolari. È pertanto fondamentale che tutti i membri del team si ritrovino insieme per discutere di eventuali variabili
impreviste prima di procedere al confezionamento del restauro definitivo. Questo processo collettivo dovrebbe essere considerato
un appassionante viaggio insieme, il cui scopo è quello di arrivare alla destinazione voluta. In quest’intervento, il Relatore spiegherà
quali sono i fattori essenziali per conseguire restauri implantari assolutamente perfetti utilizzando la metalloceramica.
SESSIONE COMUNE
Presidente di seduta: Dott. Gianni Persichetti
Moderatori: Prof. Adriano Bracchetti, Odt. Giuseppe Lucente
IL PROGETTO CLINICO-TECNICO COME FATTORE DI RISCHIO
Dopo aver analizzato nella prima giornata in dettaglio i principali singoli fattori di rischio e le tattiche
per una loro adeguata gestione, nel corso della conclusiva sessione comune di sabato mattina
saranno analizzati i rischi complessivi connessi alla realizzazione del trattamento protesico in tutte
le sue fasi e la strategia generale di gestione del trattamento. Un affiatato team mostrerà come
un adeguato rapporto clinico-tecnico nel corso di tutto il trattamento, dalla progettazione alla
realizzazione, consenta una miglior gestione del rischio complessivo. Ulteriori approfondimenti,
relativi alla realizzazione funzionale ed estetica del progetto tecnico, saranno infine seguiti da
un’analisi sul peso di un fattore spesso sottovalutato, ma in grado di fare sempre la differenza… in
negativo o in positivo: il fattore “X” ovvero il fattore umano.
12.00-12.15 Assegnazione del Premio “Mario Martignoni”
12.15-12.45 Attività dei NAS nel settore odontoiatrico.
Una strategia a tutela del cittadino
Ten. Col. Giovanni Capasso
Comandante del Gruppo Carabinieri per la tutela della Salute di Roma
12.45-13.30 L’anello mancante: l’importanza del medico
per il risultato nel trattamento del paziente
Dott. Sergio De Paoli
09.00-10.00 Progetto clinico-tecnico: connubio fra materiali e diagnosi
Il fattore di rischio è una specifica condizione che risulta statisticamente associata ad una malattia e si ritiene possa concorrere
alla sua patogenesi, favorirne lo sviluppo o accelerarne il decorso.
Uno o più fattori di rischio possono alterare l’iter terapeutico e creare i presupposti per l’insuccesso della terapia stessa.
L’alterazione può intervenire a livello diagnostico, di formulazione del piano di trattamento o di esecuzione della fase terapeutica.
Il ruolo del medico è critico e può costituire il fattore determinante il successo oppure l’anello mancante di un corretto iter
terapeutico.
Dott. Mauro Broseghini, Odt. Cristiano Broseghini
Nell’era della “OMOLOGAZIONE DEL SORRISO” ancora invece la ricerca della INDIVIDUALITÀ permette di trovare la vera
risposta che ogni paziente si aspetta e per noi operatori la possibilità di individuare e quindi controllare i rischi.
Il successo biologico, estetico, funzionale avviene attraverso una precisa diagnosi individuale nelle varie situazioni cliniche:
diverse classi scheletriche e dentali.
La conoscenza delle problematiche cliniche e tecniche nella fase diagnostica e progettuale diventa ancora più importante in un
momento in cui le tecniche ricostruttive e i materiali offrono nuove possibilità.
13.30
Chiusura dei lavori
26
Distribuzione dei Questionari ECM
27
Sessioni Parallele
Aggiornamento
per il team protesico
Sessioni parallele
SALA VERDE
Corso DIGITAL DENTISTRY @ AIOP
Presidente di seduta: Dott. Carlo Poggio
09.00-10.45 Impronte digitali: Soci Attivi a confronto
Relatori: Dott. Alessandro Agnini, Dott. Federico Boni, Dott. Piero Venezia
Corso di tecnologie digitaliL
Corso Aiop YoungL
Nelle riabilitazioni protesiche, utilizziamo da molti anni protocolli operativi largamente codificati e descritti in letteratura, con
risultati che soddisfano le nostre aspettative e quelle dei nostri pazienti. È vero che l’avvento delle nuove tecnologie ci ha
permesso l’utilizzo di nuovi materiali e nuove attrezzature che favoriscono un’ adattamento e un’accuratezza predicibile
dei dispositivi protesici che, fino ad oggi, è stato difficile da ottenere. Durante la relazione analizzeremo i benefici e gli attuali
limiti dell’impronta ottica digitale, sottolineando i vari aspetti legati alle differenti linee di preparazione dei monconi dentali e
implantari. Faremo luce sulle differenze tra le tecniche operative utilizzate e sulle modifiche sviluppate nel corso di questi ultimi
anni, attraverso le sempre maggiori conoscenze delle nuove attrezzature e dei nuovi materiali. I vantaggi e gli svantaggi dei
protocolli menzionati saranno valutati e analizzati sulle basi dell’evidenza scientifica e sull’esperienza personale.
Corso di Protesi TotaleL
Corso per assistenti dentaliL
Corso per IgienistiL
11.30-13.00 Conoscere gli scanner: la progettazione tecnica
Relatori: Odt. Valter Bolognesi, Odt. Paolo Smaniotto
Durante il breve corso condivideremo l’esperienza d’uso di alcuni Scanner da noi utilizzati sottolineandone le particolarità nella
pratica quotidiana.
È noto che in odontotecnica la tecnologia CAD-CAM permette, attraverso uno scanner 3D di acquisire ed elaborare dati da
modelli opportunamente trattati .
Effettuata la lettura e la progettazione CAD, i dati ottenuti vengono trasferiti ad una macchina utensile CAM che tramite un
particolare software è in grado di estrarre dal pieno il dispositivo precedentemente elaborato realizzandolo nel materiale scelto
per la ricostruzione protesica.
Allo stato attuale porremmo ai convenuti le seguenti domande:
-dopo un primo periodo “pionieristico” cosa è lecito aspettarci dall’evoluzione di questa mole d’esperienza?
-Quali nuove conoscenze è interessante condividere al fine di poter rendere il nostro lavoro qualitativamente migliore e
produttivo?
-Il sopra citato acronimo CAD-CAM è sempre valido… oppure sarebbe auspicabile coniugarlo in Certi Aspetti Devono
Certamente essere Ampliati e Migliorati?
L’argomento si presta per essere affrontato assieme ai corsisti che potranno liberamente intervenire al fine di rendere
maggiormente produttivo l’incontro.
13.00-14.15Lunch
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29
Sessioni Parallele
Sessioni Parallele
SALA VERDE
SALA ITALIA
Corso AIOP YOUNG
CORSO PER ASSISTENTI DENTALI
Competenze e sinergie del team odontoiatrico.
Come evitare i rischi di una comunicazione inefficace: ruolo dell’assistente
Presidente di seduta: Dott. Fabio Carboncini
Relatore: Dott. Roberto Pontoriero
16.15-18.30 Principi parodontali fondamentali per il protesista
La necessità di recuperare, a fini restaurativi, una quota di struttura dentale perduta per traumatismi, carie o terapie iatrogene implica
frequentemente la necessità di ricorrere ad approcci chirurgici parodontali più o meno invasivi. La scelta del tipo di intervento, la sua esecuzione
tecnica saranno sostanzialmente correlate alla estensione all’interno dei tessuti parodontali della lesione dentale ed implicheranno anche
modalità e tempistiche di finalizzazione restaurativa diverse. Nel corso della presentazione saranno analizzati e discussi:
- i parametri decisionali nella scelta della metodica di trattamento e l’analisi delle possibilità terapeutiche chirurgiche parodontali ed/od
eventuali alternative terapeutiche;
- la razionalizzazione dell’approccio chirurgico, le tecniche ed i meccanismi di guarigione in funzione di eventuali tempi di finalizzazione restaurativa.
SALA CIANO
Corso di Protesi Totale
La Protesi Totale e la sua evoluzione
Presidenti di seduta e Moderatori: Dott. Dario Castellani, Odt. Giancarlo Garotti
Relatori: Prof. Glauco Marino, Dott. Fabio Smorto, Odt. Reginaldo Bartolloni
Si affronterà il tema dell’edentulia totale a partire dalla soluzione protesica più tradizionale cioè la Protesi Totale: essa farà, con dei cenni, da
apripista per la conoscenza di tutte le valutazioni fondamentali diagnostiche per la scelta della terapia implantoprotesica ideale nel paziente
edentulo. Le soluzioni protesiche fisse, ibride e rimovibili ancorate agli impianti offrono ai professionisti dell’odontoiatria un ventaglio di
soluzioni eccezionali che non possono però prescindere dalla conoscenza di procedimenti diagnostici decisivi per il successo a lungo termine
delle nostre terapie. Inoltre l’impiego di nuovi materiali e nuove tecnologie Cad-Cam hanno ulteriormente migliorato le possibilità cliniche.
Questa conferenza si prefigge l’obiettivo di dare ai partecipanti delle importanti direttive cliniche ed odontotecniche nell’ambito del trattamento
dei pazienti edentuli, nell’era della tecnologia Cad-Cam e della Chirurgia Guidata.
Attraverso i fondamentali dogmi della Protesi Totale verranno presi in esame tutti i procedimenti diagnostici che portano alla decisione
terapeutica migliore nei vari casi di edentulia totale. Saranno esaminati, anche con il fondamentale aiuto della letteratura internazionale, tutti i
tipi di protesi implantare tradizionale ed innovativa attuabili nelle edentulie totali.
Concetti utili sull’impronta, il piano occlusale, la dimensione verticale, l’occlusione e l’estetica verranno esposti durante questa relazione.
09.30-10.45 1° Parte
11.30-13.00 2° Parte
Presidente di seduta: Dott. Gaetano Noé
Relatore: Dott. Vittorio Ferri
Comunicare: nel suo significato originale (latino) vuol dire “mettere in comune” ossia condividere con gli altri pensieri, opinioni,
esperienze, emozioni e sentimenti. Condividere tutto ciò viene spesso ritenuto superfluo e non importante, dimenticando che
gli esseri umani vivono di comunicazione.
Tutti possono comunicare, ma non tutti sanno farsi capire. Da ciò deriva che saper comunicare è un’arte.
Un’arte che si può imparare. Per impararla occorrono buona volontà ed esercizio continuo dei metodi che regolano le moderne
tecniche di comunicazione. Scopo di questa relazione è quello di sintetizzare le tecniche di comunicazione personalizzate su
ogni singolo paziente, considerando che i pazienti sono persone con caratteristiche emotive e recettive molto diverse.
Verranno anche valutate quelle sinergie, interne al team odontoiatrico, che ci permettono di creare un ambiente “emotivamente”
positivo.
10.00-11.30 1° Parte
12.00-13.30 2° Parte
SALA VERDE
CORSO PER IGIENISTI
Sonno e odontoiatria: rischi protesici e rischi cardiovascolari
Relatori: Prof. Guido Maria Macaluso, Dott. Edoardo Manfredi
Presidente di seduta: Dott.ssa Costanza Micarelli
Il corso fornisce un aggiornamento sulle malattie del sonno di interesse odontoiatrico: bruxismo e sindrome delle apnee
morfeiche. L’importanza della diagnosi e terapia di queste malattie ricopre un’importanza fondamentale non solo per la gestione
del rischio di fallimenti protesici, ma, per quanto riguarda la sindrome delle apnee morfeiche, anche per la qualità di vita e la
gestione del rischio cardiovascolare nei pazienti affetti da tale malattia. L’igienista dentale, se opportunamente informata e
aggiornata, ricopre un ruolo fondamentale nel porre per prima un sospetto diagnostico di malattie del sonno.
13.00-14.15Lunch
14.15-15.45 3° Parte
10.00-11.30 1° Parte
12.00-13.30 2° Parte
30
31
“Mario Martignoni Award”
AIOP e IFED / AIOP e ICP
AIOP e IFED
AIOP e ICP
La nostra Accademia è associata all’INTERNATIONAL
FEDERATION of ESTHETIC DENTISTRY (IFED),
un’organizzazione nata nel 1994 per iniziativa dell’Accademia
Americana di Odontoiatria Estetica, dell’Accademia Europea
di Odontoiatria Estetica e dell’Accademia Giapponese di
Odontoiatria Estetica. Fanno parte di questa organizzazione
società dentali che si occupano di odontoiatria estetica: l’AIOP
è l’unica Società Scientifica italiana riconosciuta dall’IFED
quale rappresentante dell’estetica in campo dentale. Gli altri
membri dell’IFED, sono:
• Belgian Academy of Esthetic Dentistry (BAED)
• British Academy of Aesthetic Dentistry (BAAD)
• German Association of Esthetic Dentistry (DGÄZ)
• European Academy of Esthetic Dentistry (EAED)
• European Society of Esthetic Dentistry (ESED)
• French Society of Esthetic Dentistry (SFDE)
• Hellenic Academy of Esthetic Dentistry (EAAO)
• National Academy of Esthetic
and Cosmetic Dentistry (NAECD)
• Polish Academy Of Esthetic Dentistry (PASE)
• Society of Esthetic Dentistry of Romania (SEDR)
• Scandinavian Academy of Esthetic Dentistry (SAED)
• Taiwan Academy of Aesthetic Dentistry (TAAD)
• Turkish Academy of Esthetic Dentistry (EDAD)
• Venezuelan Academy of Esthetic Dentistry (VAED)
L’International College of Prosthodontists (ICP) è
un’organizzazione internazionale che è stata fondata nel
1982 per iniziativa dell’American College of Proshodontists e
di un gruppo di protesisti provenienti da diversi paesi: Svezia
(Bo Bergman), Australia (Lloyd Crawford), U.K. (il compianto
Rowland Fereday, William Murphy, Harold Preiskel), Giappone
(Makoto Matsumoto), U.S.A. (Jack Preston), Svizzera (Peter
Scharer), e Canada (George Zarb). L’ICP ha come obiettivo
principale quello di promuovere l’attività protesica e di
diffondere e rafforzare la figura professionale del protesista
come specialista. L’AIOP fa parte dell’ICP quale rappresentante
italiano della specialità. Gli attuali due Co-Presidenti sono il
Dott. Martin Gross ed il Dott. Yoshinobu Maeda.
Le altre Associazione membre dell’ICP sono:
• Academy of Australian and New Zealand Prosthodontists
• Academy of Prosthetic Dentistry, Taiwan China
• Academy of Prosthodontics of South Africa
• American Academy of Maxillofacial Prosthetics
• American Prosthodontic Society
• American College of Prosthodontists
• Association of Prosthodontists of Canada
• Australian Prosthodontic Society
• British Society of Prosthodontics
• Canadian Academy of Restorative Dentistry
and Prosthodontics
• Chinese Society of Prosthodontics
of the Chinese Stomatological Association
• Academy of Prosthetic Dentistry, Chinese Taipei
• Dutch Society for Prosthetic Dentistry and Orofacial Pain
• Florida Prosthodontic Association
• Indian Prosthodontic Society
• International Society for Maxillofacial Rehabilitation
• Iranian Association of Prosthodontics
• Israeli Society of Prosthodontics
• Italian Academy of Prosthetic Dentistry
• Japan Prosthodontic Society
• Korean Academy of Prosthodontics
• Norwegian Association of Oral Prosthodontics
• Prosthodontic Society of Singapore
• Sociedad de Protesis y Rebabilitación Oral de Chile
• Swedish Society for Prosthodontics
Oltre al riconoscimento internazionale e all’accesso ad un
network di alto profilo, tra i vantaggi che questa affiliazione
comporta, c’è la possibilità per i nostri Soci di partecipare a
congressi organizzati dalle diverse Accademie a condizioni
vantaggiose.
È possibile associarsi anche in modo individuale secondo le
modalità esposte nel sito www.icp-org.com.
32
Nell’ambito del proprio Congresso Internazionale, l’Accademia Italiana
di Odontoiatria Protesica istituisce, la sessione di ricerca intitolata
al Prof. Mario Martignoni, riproposta secondo la formula risultata
vincente lo scorso anno.
Lo scopo è quello di dare spazio, sotto forma di poster,
a comunicazioni scientifiche e tecniche che facciano il punto
sullo stato dell’arte della ricerca nel campo della protesi
e delle discipline ad essa correlate.
Il miglior poster verrà selezionato da un’apposita giuria
e al vincitore verrà assegnato un premio di € 5.000,00.
Il premio Martignoni è organizzato in collaborazione con la Società
Italiana di Odontostomatologia Protesica ed Implantoprotesi (SIOPI).
Within its own International Congress, the Italian Academy
of Prosthetic Dentistry sets up a research session named
after Prof. Mario Martignoni. Due to last year success
the same format has been proposed.
The purpose of this session is to give space, by means of posters,
to scientific and technical communications highlighting
the-state-of-the-art of the current research in the field
of Prosthodontics and related disciplines.
The best poster will be selected by a jury and the winner
will be rewarded the prize of € 5.000,00.
The Martignoni award is organized in collaboration
with the Italian Society of Prosthetic Odontostomatology
and Implantoprosthesis (SIOPI).
Removable Prosthesis - Full and Partial Dentures
1 AESTHETICS AND FUNCTION IN TOTAL PROSTHESIS
Pasotti P.*[1]
Dental Materials
3 TEAR STRENGTH OF ELASTOMERIC IMPRESSION MATERIALS: AN IN-VITRO
COMPARISON
[1]Libero Professionista - Lumezzane (BS)
Augusti D.[1], Melotti M.*[1], Augusti G.[1], Re D.[1]
Objectives: Patient O.C., 60 years old male, General Assistant Manager of a Banking Institute, with superior and inferior
total prosthesis since 20 years, third skeletal and dental class case.
Objectives are to achieve an aesthetics in harmony with the features of the face and the age of the patient so that it is
not perceived the patient is total prosthesis carrier, that the prosthesis are stable and don’t cause pain, to let the patient
chewing without problems and having a regular relationship as with natural teeth.
Methods: The tissues are recorded, models developed, maxilla mandible relationship recorded, panthograph paths
recorded, all in ceramics teeth chosen and assembled. After preliminary aesthetical and occlusal tests in the mouth and
once satisfactory result is reached, the teeth are painted to be harmonized with the age of the patient. Directly in mouth
the aesthetics, the phonetics and the occlusal relations are tested again. A markup is performed on the articulator, the
teeth are reassembled in contact and, after prior painting of gingival surfaces, the muffles are realized. The models are
reassembled in articulator and, moving the articulator planned with the patient values, a selective grinding is performed
for recovering the markup and reaching the occlusal vertical dimension established by the dentist. The prosthesis is
gotten off and finished up.
Results: The prosthesis are positioned in the mouth, their own static stability is checked, teeth’s contacts are checked
and verified if the occlusion is bilaterally balanced. The dentist ask the patient to go in protrusive and right and left side
movements to verify teeth’s contacts. This style of occlusion creates simultaneous and continuous bilateral contacts in
all the excursions and stabilizes the prosthesis during the mastication. To check the phonetics and the aesthetics he ask
the patient to read a passage of newspaper. These manoeuvres show if the objectives proposed have been accomplished.
Conclusions: All these tests show that the aesthetics, the phonetics and the function of the prostheses are satisfactory.
Aesthetics is in harmony with the colour of the eyes and the complexion of the patient, phonetics is optimum, the comfort
of the patient is excellent. Once the prostheses are inserted in mouth they are stable, adherent to the tissues and they
don’t move during the phonetic tests. The occlusion is bilaterally balanced so that the prostheses will be fixed during
mastication. The patient confirmed such results.
[1]
Dental Materials
2 SHEAR BOND STRENGTH BETWEEN VENEERING CERAMIC AND DIFFERENT
ZIRCONIA CORES
Fayer G.*[1], Augusti G.[1], Augusti D.[1], Re D.[1]
[1]
Università degli studi di Milano - Milano
Objectives: The aim of this study was to evaluate the bond strength of a veneering ceramic to two different zirconia
frameworks.
Methods: . 10 Lava (3M ESPE) framework Y-TZP cubic specimens (10x10 mm) and 10 Vita (Zahnfabrik) In-Ceram YZ
cubic specimens (10x10mm) were treated with airborne-particle abrasion with 110 µm Al2O3 , covered by a liner (IPS
InLine Ivoclar) and veneered with IPS e.max Ceram (Ivoclar Vivadent). The veneering ceramic was placed using a metal
ring of 2mm in diameter. Three firings were made for each sample. The final temperature of the liner has been increased
by 35 ° C (from 960°C to 995°C); the firings of dentin were increased by 40 ° C (from 750 °C to 790°C). A shear strength
test was applied in all samples with a universal testing machine. The test was performed at a speed of 0.50 mm/min. The
obtained results were analyzed using a one-way analysis of variance test (ANOVA) to determine whether significant
differences existed between the two groups (p < 0.005).
Results: The mean shear strength (± SD) in MPa was 25.13(± 4.95) for Lava group; 23.34 (±6.33) for Vita group. The
ANOVA test showed no significant difference among two groups (p= .4903).
Conclusions: The bond strength of IPS e.max Ceram to Lava and Vita was similar. The veneering ceramic considered can
be used with acceptable performance on different zirconia substrates.
34
Università degli studi di Milano - Milano
Objectives: Aims of this study were to investigate two mechanical properties of elastomeric impression materials:
ultimate tensile strength (TS) and yield strength (YS).
Methods: A new hybrid impression material, a polyether and four polyvinylsiloxanes were tested: Aquasil Dentsply (AD),
Hydrorise Zhermack (HZ), Affinis Coltene (AC), Flexitime Heraeus (FH), Impregum 3M (IM) and Exa’lence GC (EG). For
each material 3 different viscosities were evaluated: heavy body (HB), medium body (MB), light body (LB). A total of 170
samples was divided in 17 groups, each one composed by 10 dumbbell shaped specimen, considering different viscosity
and manufacturer. Samples, realized by automatic mixing technique, were manufactured through an aluminum mold
according to specifications DIM, ISO 37 and ASTM D412. Specimens were allowed to set for complete polymerization.
Tensile strength tests were performed after 1 hour using a Universal Instron machine at crosshead speed of 250mm/min
until failure. Data were processed and analyzed with one way ANOVA. (P ≤ 0.05).
Results: TS: HB: AD 5.1(a), AC 4.93(a), FH 4.91(a), HZ 3.19(b), IM 1.49(c), EG 1.42(c); MB: AD 4.18(a), EG 3.16(b), AC 2.6(bc),
FH 2.11(cd), HZ 1.8(d), LB: AD 4.98(a), EG 4.03(b), FH 3.02(c), HZ 2.3(d), AC 2.03(de), IM 1.47(e). YS: HB: AC 2.85(a), AD
2.35(ab), FH 2.11(abc), HZ 1.59(b), IM 1.11(c), EG 0.95(c); MB: AD 2.7(a), AC 1.77(ab), FH 1.46(b), HZ 1.37(b), EG 1.34(b), LB:
EG 2.69(a) AD 1.97(ab), FH 1.78(abc), HZ 1.35(bc), AC 1.12(bc), IM 0.93(c). All values are expressed in MPa. At the same
letter do not correspond statistically significant different results.
Conclusions: With regard to the mechanical properties (TS and YS) tested, considering all different viscosities, PVS and
hybrid materials showed higher in-vitro results than polyether material. Heavy-Light or Heavy-Medium combinations
returned comparable mechanical performances. Regardless the materials, a permanent deformation occurred from 53%
to 77% of their tensile strength.
Work Simplification and Management in Prosthodontics
4 THE SINGLE-TOOTH GAP: PATIENT PREFERENCES FOR PROSTHETIC TREATMENT
AND WTP INDEX.
Augusti D.*[1], Re D.[1], Augusti G.[1], Favale M.[1], Cattaneo C.[1]
[1]
Istituto Stomatologico Italiano, Reparto Universitario di Riabilitazione Orale - Milano
Objectives: The objective of this study was to evaluate the choice and strength of preference of a population of patients,
according to the expressed index of Willingness to Pay (WTP), against two rehabilitative treatments to restore a single
tooth gap: the osseointegrated implant treatment and the traditional bridge.
Methods: WTP values were recorded on 107 subjects by asking the willingness to pay from a starting bid of 2000
Euro, modifiable through monetary increases or decreases of 100 Euro. Data collected through an individually delivered
questionnaire, preceded by an interview with the explanatory purposes of the two treatment plans, were developed by
statistical analysis. The characteristics of the population and the choices made, the mean values and WTP associations
with socio-demographic parameters (Mann-Whitney U and Kruskal-Wallis test, α = 0.05), the correlations between
variables (Pearson test) and significant parameters for predicting WTP values obtained in a multiple linear regression
model were revealed.
Results: 64% of patients expressed a preference for treatment by implant (T1), while the remaining 36% of the population
chose the traditional bridge (T2). Among patients who preferred T1, only the attention to oral hygiene was a significant
variable (p = 0.0147) associated with the WTP value. A correlation was found: 1) between the current therapeutic choice
and those carried out in the past (> 70% of cases, p = 0.0001) 2) between the anterior and posterior area to the same
method of rehabilitation (101 out of 107 cases, 94.4%). The WTP average values for T1 were of 3192 Euro ± 1164 and of
2942 ± 1077 Euro in the anterior and posterior areas, respectively. The smallest amount of money has been allocated, on
average, for T2 in posterior region: 1839 ± 855 Euro. Multiple linear regression analysis confirmed as the best independent
35
predictors of WTP values the previous treatment (ant: P = 0.0135; posts: P = 0.0030) and the level of education (ant: P =
0.0119; posts: P = 0.0244).
Conclusions: The majority of the population surveyed indicated the single implant-supported crown as a therapeutic
solution for the replacement of a single tooth, showing a higher WTP index in the anterior area.
The previous treatment, if any, and the level of education of the patients appeared to be important variables in choosing
the type of rehabilitation.
the axial wall, the cusp tip and the occlusal fossa measurements locations. Statistical analysis were performed by KruskalWallis, Duncan and Wilcoxon rank sum tests (α=.05)
Results: Significant differences were observed among the experimental groups for the marginal discrepancy (P=.55),
being the differences between MC and the others groups. No differences were shown for the axial wall fit (P=.057).
Gap dimensions for the occusal parameters were different at the cup tip (P=.0062), being the differences between LZ
and MC (P=.011) and between LZ and NZ (P=.00087). The fit for the occlusal fossa also revealed significant differences
(P=.0012), showing the Duncan test differences between NZ and the other groups. No differences were observed between
buccal and lingual measurements for the analyzed parameters. No differences were recorded among the groups in the
undercontoured (P=.19), or overcontoured (P=.21) surfaces.
Conclusions: The mean values at the margins were the smallest in all tested groups. The marginal gap for each
experimental crown met the clinically acceptable criterion. The largest discrepancies were observed at the occlusal fossa.
Preprosthetic Surgery and Implant Surgery
5 THE INCIDENCE OF SCHNEIDERIAN MEMBRANE PERFORATIONS WITH A SONIC
VS CONVENTIONAL HANDPIECE
Ercoli C.*[1], Geminiani A.[1], Weitz D.[1], Caton J.[1], Papadimtiriou D.[1]
[1]
Implant Supported Prosthesis
University of Rochester Eastman Institute for Oral Health - Rochester, NY USA
Objectives: To compare the incidence of Schneiderian membrane perforation during lateral window osteotomy
preparation with an air-driven sonic instrument/diamond insert or a conventional turbine/diamond bur.
Methods: The Ethical Committee (RSRB) of the University of Rochester approved this retrospective chart review
(protocol #35862). 131 sinuses, in patients aged 31-87 years old (mean 57-years old), augmented by residents of
the division of Periodontology at the Eastman Institute for Oral Health, University of Rochester, Rochester, NY
between May 2010 and May 2012 were included in the study. 51 lateral window osteotomy sinus augmentations
were performed with a conventional turbine and diamond bur, while 80 were accomplished with a sonic handpiece
and diamond insert.
Primary outcome of interest was the occurrence of Schneiderian membrane perforations. The incidence of perforations
was divided into Early perforations ie. those observed during the creation of the lateral window and attributable to the
handpiece/insert selection and overall perforations, which included early perforations as defined above and perforations
caused during membrane elevation. Fisher Exact test was used to assess statistical significance (alpha= .05)
Results: A total of 131 lateral window sinus elevation procedures were performed (51 with turbine/diamond bur and 80
with sonic handpiece/diamond insert). Early and overall perforations of the Schneiderian membrane were detected in 14
and 22 cases, respectively (27.5 and 43.1% incidence) done with the turbine/diamond bur. However, when using the sonic
handpiece/diamond insert, Early and overall perforations were detected only in 10 and 20 cases, respectively (12.2 and
25%% incidence). Fisher exact test showed that the number of perforations were statistically different in the two groups
both for Early Perforations (p=.038) and Overall Perforations (p=.036).
Conclusions: This retrospective case-control study demonstrated that the elevation of the Schneiderian membrane with
a sonic instrument/diamond insert is a feasible and safe procedure with a statistically lower incidence of perforation of the
Schneiderian membrane when compared with a conventional turbine/diamond bur combination.
6 MARGINAL AND INTERNAL FIT EVALUATION OF ZIRCONIA-BASED AND METALCERAMIC POSTERIOR CROWNS.
Peláez Rico J.* , Ortega R. , Gomez Cogolludo P. , Serrano B. , Salido M.P. , Suarez García M.J.
[1]
[1]
[1]
[1]
[1]
[1]
University Complutense of Madrid - Madrid, Spain
Objectives: The purpose of this study was to analyze the marginal and internal fit of posterior zirconia-based and metalceramic crowns.
Methods: Forty standardized steel specimens were prepared simulating a premolar for a complete coverage restoration.
Specimens were randomly divided into four groups (n=10): Group 1 (MC): metal-ceramic; Group 2 (NZ): NobelProcera
Zirconia; Group 3 (LZ): Lava AllCeramic System; and Group 4 (VZ): Vita In-Ceram YZ 2000. All crowns were luted with
glass-ionomer cement (Ketac Cem EasyMix). Specimens were embedded in epoxy resin and sectioned longitudinally
buccolingually. SEM was used to measure the gap dimensión between the crowns and the dies at the marginal opening,
36
Gonzalo E.*[1], Vizoso B.[1], Castillo-oyagüe R.[1], G. Cogolludo P.[1], Peláez J.[1], Suárez M.J.[1]
[1]
Universidad Complutense - Madrid, Spain
Objectives: The purpose of this study was to measure and compare the vertical misfit at the implant-abutment interface
of titanium and zirconia abutments for implants with internal hex connection.
Methods: Thirty internal-hex implants (Tapered Screw-Vent, Zimmer) were fixed in standardized methacrylate platforms
and were randomly divided into three groups (n=10) according to the abutment type connected: Group 1 (A): Titanium
abutment (Hex-Lock Contour), Group 2 (T): Impression Copping and Group 3 (Z): Zirconia abutment (Contour Zirconia).
Vertical misfit was measured at standardized locations around the margins under a scanning electron microscope (SEM),
at 1000× magnifications.
Results: The vertical discrepancy at the implant-abutment interface was 0 μm in all samples. No differences in misfit
were observed between the buccal and lingual margins. Due to the lack of variance in the misfit data, no inferential
statistical test was applied.
Conclusions: Within the limitations of this experiment, the friction-fit internal hex connection of the system tested is
optimum for the marginal fit of implants to abutments. The marginal accuracy achieved for the three groups analyzed was
0 μm.
Fixed Prosthesis
8 THREE-YEAR CLINICAL EVALUATION OF TWO ZIRCONIA-BASED CERAMIC
SYSTEMS ON FOUR-UNIT FIXED PROSTHESES
Dental Materials
[1]
7 IN VITRO VERTICAL FIT EVALUATION OF TITANIUM AND ZIRCONIA IMPLANT
ABUTMENTS.
Cardenas E.*[1], Suarez M.J.[1], Del Rio F.[1], Serrano B.[1], Salido M.P.[1]
[1]
Objectives: The aim of this study was to evaluate the clinical performance of posterior four-unit fixed dental prostheses
(FPDs) made of two zirconia-based ceramic systems after three years of clinical follow up.
Methods: Twenty posterior 4-unit FPDs were placed in 15 patients .Ten FPDs were made using LavaTM (3M ESPE),
and ten were made using IPS e.max ZirCad (Ivoclar-Vivadent). Abutment preparation guidelines were: oclusal reduction
of 1,5 to 2 mm, axial reduction of 1,5 mm, and 1 mm-wide circumferential chamfer placed at gingival level. Frameworks
were fabricated using CAD/CAM technology. All FPDs were cemented using resin cement. Two calibrated examiners
evaluated the FPDs independently at 1 week (baseline), 1 year, 2 years and 3 years of placement using California Dental
Association (CDA) quality evaluation system. To evaluate the gingival tissue, Plaque Index, Gingival Index, probing depth
at abutment and Margin Index were assessed. Data were analyzed by descriptive statistics, Wilcoxon signed-rank and
Wilcoxon rank-sum tests.
37
Results: Five FPDs were lost. Two LavaTM structures fractured by the distal connector, one abutment tooth was removed
due to a vertical root fracture, one FPD was removed due to loss of retention and one FPD was removed because gingival
inflammation and pain at the pontics. No caries were found. The survival rate was 75%. The remaining FPDs were recorded
satisfactory according to CDA criteria. The gingival parameters showed a slight decrease on gingival health. Significant
differences were found at the gingival margin in the posterior abutment (P=0.01), showing IPS e.max ZirCad group better
performance than Lava group, but having no clinical relevance. Chipping of veneering ceramic was found on 25% of FPDs.
Conclusions: The use of posterior four-unit zirconia-based FPDs showed poor performance. More clinical trials should
be done.
marginal fit, significant differences were detected among the experimental groups (P=.0001). MC resulted in the greatest
discrepancies, while NZ, LZ and VZ attained comparable internal misfit values. No differences were observed between
the buccal and lingual surfaces for the external (P=.34) and internal (P=.55) evaluations. No differences were identified
between both measuring techniques (P=.376).
Conclusions: The accuracy of fit of all tested samples was within the range of clinical acceptance. The lowest
discrepancies corresponded to the Nobel Procera Zirconia CAD/CAM system. As no differences were recorded between
the internal and external misfit evaluation techniques, it may be concluded that destructive methods are not required to
assess the marginal fit of dental prosthetic crowns.
Fixed Prosthesis
9 FRACTURE RESISTANCE FAILURE MODE POSTERIOR FIXED DENTAL PROSTHESES
CONSTRUCTED WITH 2ZIRCONIA CAD/CAM.
11 IMMEDIATE LOADING OF MANDIBULAR OVERDENTURES: 5-YEAR STUDY
Serrano M.*[1], Serrano B.[1], Gonzalo E.[1], Gómez Cogolludo P.[1], López-suárez C.[1], Martínez-gonzález J.M.[1]
López-suárez C.*[1], Rodriguez V.[1], Castillo-oyagüe R.[1], Gonzalo E.[1], L.lozano J.F.[1], Suárez M.J.[1]
[1]
[1]
Objectives: The implant has proven to be an effective and predictable long-term treatment, currently considered a major
therapeutic rehabilitation of edentulous patients. But now the goal is to reduce the processing time by immediate loading
protocols, aesthetic and functional results obtained from the first day of implant placement.
The aim of the present study was to evaluate the clinical performance of peri-implant soft tissues, determine the extent
of peri-implant bone resorption and analyze the stability of Avantblast surface implants and their survival rate after
mandibular implant overdenture submitted to immediate load therapy.
Methods: An observational, retrospective study was conducted, from the selection of 64 patients. All patients underwent
previous surgery placement of 4 interforaminal implants with immediate loading protocol with overdentures. Each patient
followed clinical controls to evaluate complications related to the implant or prostheses, peri-implant probing, plaque
index and calculus, the secondary stability of implants and total bone loss after 5 years of placement. Statistical analysis
was performed by Pearson Correlation test and Greenhouse-Geisser test.
Results: After 5 years of implant loading, peri-implant probing mean was 1,66 mm, accompanied by peri-implant bone
loss in most cases stretched only half of the implant collar. The mean of the implant stability at five years was slightly
higher than the obtained on the day of the implant placement. 59% of the patients had good hygiene, detecting invisible
plaque and supragingival calculus. The success rate of implants at 5 years was 100%.
Conclusions: The survival rate of immediate load implants with overdentures was 100%. No pathological finding values
were observed for any of the variables studied.
Complutense University of Madrid - Madrid, Spain
Objectives: The aim of the present study was to compare the effect of two different CAD/CAM systems on the fracture
strength (FS) and failure mode of 3-unit zirconia posterior fixed dental prostheses (FDPs) with an intermediate pontic.
Methods: Two groups of specimens (n=10 each) were constructed with: Group 1 (L) Lava All-ceramic System and Group
2 (N): Nobel Procera Zirconia. Samples fabricated with each CAD/CAM system were randomly luted in standard fashion
onto two chamfered stainless-steel master dies. All FDPs were subjected to a three-point bending test until fracture using
a universal testing machine at a crosshead speed of 0.5 mm/min. Axial compressive loads were applied at the central fossa
of the pontics. FS data were recorded. The location of the fracture was registered in each case. The Wilcoxon rank sum test
and the Wilcoxon signed-rank test were run for FS (N) comparisons (α=.05).
Results: L and N groups recorded comparable total FS (P=.07). Significant differences in the fracture strength of the
veneering ceramic were recorded between both groups (P=.0023). The resistance of the veneering ceramic and the total
FS were significantly different within each experimental group (P=.002). Regardless of the CAD/CAM system used, the
failure mainly occurred at the cervical area of the connector (90%). Conclusions: The fracture strength of the veneering
ceramic of zirconia structures depended on the CAD/CAM system used. Lava system exhibited the greatest resistance of
the veneering ceramic. However, the CAD/CAM system had no effect on the ultimate strength of zirconia frameworks. All
tested groups demonstrated clinically acceptable fracture load values.
Fixed Prosthesis
10 COMPARISON OF MEASURING TECHNIQUES FOR THE FIT OF ZIRCONIA-BASED
AND METAL-CERAMIC CROWNS.
Castillo-oyagüe R.* , Ortega R. , Gonzalo E. , López-suárez C. , Lozano J.F.L. , Lozano J.F.L. , Suárez M.J.
[1]
[1]
[1]
[1]
[1]
[1]
[1]
[1]
Department of Buccofacial Prostheses. Faculty of Dentistry. Complutense University of Madrid (U.C.M.), - Madrid, Spain.
Objectives: This study aimed to evaluate the marginal fit of posterior zirconia-based and metal-ceramic crowns using
two different measuring techniques.
Methods: Forty machined stainless-steel master dies were prepared and randomly divided into four groups (n=10) to
receive posterior crowns that were fabricated using different technologies: Group 1 (MC): metal-ceramic; Group 2 (NZ):
Nobel Procera Zirconia; Group 3 (LZ): Lava AllCeramic Zirconia System; and Group 4 (VZ): Vita In-Ceram Zirconia YZ
2000. All crowns were luted to the abutments with glass-ionomer cement (Ketac Cem EasyMix) under constant seating
pressure. The cemented crowns were buccolingually-sectioned. The obtained sections were measured at the vestibular
and lingual margins at 1000× magnifications under a SEM. Two measuring techniques (internal and external) were applied
to analyze the vertical discrepancy. Data were subjected to Kruskal-Wallis, Duncan and Wilcoxon rank sum tests (α=0.05).
Results: The external marginal evaluation yielded significant differences between the experimental groups (P=.0027). NZ
recorded the best marginal accuracy, whereas MC, LZ and VZ showed comparable external misfit values. For the internal
38
Fixed Prosthesis
12 INFLUENCE OF VENEERING PORCELAIN ON THE MARGINAL FIT OF POSTERIOR
ZIRCONIA FDPS
Garcia E.*[1], Salido M.P.[1], Del Rio F.[1], Martinez-rus F.[1], Cardenas E.[1], Suarez M.J.[1]
[1]
Faculty of Odontology. University Complutense of Madrid - Madrid, Spain
Objectives: Marginal fit is a very important factor considering the restoration’s long-term success. However, adding
porcelain to frameworks may cause distortion and lead to an inadequate fit. The aim of this in vitro study was to compare
the marginal fit before and after porcelain veneering of 3-unit zirconia-based fixed dental prostheses (FPDs) made from
three different zirconia materials.
Methods: Forty standardized steel specimens were prepared to receive posterior 3-unit FDPs and divided into 4 groups
(n=10): Group 1: Lava (3M ESPE); Group 2: In-Ceram YZ (Vita); Group 3: IPS e.max ZirCAD (Ivoclar Vivadent) and Group
4: Metal-ceramic (control group). The vertical marginal discrepancy of the FDPs was measured before and after porcelain
veneering by using an image analysis system at 240 points along the circumferential margin. Statistical analysis was
performed by Wilcoxon Rank-Sum and Kruskal Wallis Tests (α=.05).
Results: The means and standard deviations of the marginal fit of zirconia FPDs before and after porcelain veneering
39
were 26,4 ±17,3 μm and 66.5 ± 42.3 μm for Lava; 39.5 ± 28.4 μm and 48 ± 15.36 μm for In-Ceram YZ; 74.1 ± 26.5 μm and 33.6
± 20.2 μm for IPS e.max ZirCAD and 75.7 ± 25.1 μm and 66.7 ± 31.4 μm for metal-ceramic group. Significant differences
were found when analyzing the marginal gaps before and after porcelain veneering for IPS e.max ZirCAD FDPs(P=0.002).
Conclusions: Zirconia-based all-ceramic FPDs showed marginal gaps that were within a reported clinically acceptable
range of marginal discrepancy. Porcelain veneering showed to have a positive influence on the marginal fit of the IPS
e.max ZirCAD group.
regions has been verified, and a simplified prosthetical approach has been chosen. A resin simulation of the final result
(mock-up) was built on the model cast and placed directly on the patient’s teeth, to explain treatment and obtain
her agreement. Elements 12-11-21-22 were prosthetically prepared and a first immediate provisional, built with an
individual polyvynilsiloxane impression (Aquasil Ultra, Dentsply, USA) taken just before procedures, has been created
with a high aesthetical direct resin (Unifast III, GC Europe, Belgium), and blocked in position with provisional cement.
After the placement of first provisional, home tooth bleaching has been performed with customized trays (Curasept
White Home 16%, Curaden Healthcare srl, Italy), to improve aesthetic appearance. Once teeth color and soft tissues
have been stabilized, a second indirect provisional prosthesis (made of single resin crowns) has been realized through
laboratory in order to guide soft tissue position, to emulate final teeth shapes and to discuss with patient about her
expectative. Finally, definitive zirconia Procera® structures (Nobel Biocare, Sweden) have been verified and a week
later the final crowns were finalized with ceramic layering. Final cementation of crowns has been performed with selfetching, self-bonding luting cement (G-Cem Automix, GC Europe, Belgium), cured buccally and palatally for 60 seconds
each surface after placement.
Results: As final result, patient obtained complete closure of the open bite she had before treatments. The smile line, teeth
shape and color entirely satisfied patient’s expectative. Functional movements and incisors guide have been recreated.
Conclusions: Even if closure of the majority of open bite malformations in successfully treated with more complexes and/
or multidisciplinary treatments, in some selected cases a simplified prosthetic approach may represent a fully successful,
predictable and time-saving solution.
Dental Materials
13 PREPROSTHETIC RESTORATIONS WITH A HIGH VISCOSITY GLASSIONOMER
CEMENT (HV-GIC). TECHNIQUE PRESENTATION.
Lore’ G.*[1], Basso M.[1], Sicilia M.[1], Austoni C.[1], Gone M.[1], Francetti L.[1]
[1]
IRCCS Istituto Ortopedico Galeazzi - Milano
Objectives: The aim of this case report is to present the advantages and efficacy of high viscosity glassionomer cements
(HV-GIC) for preprosthetic build-ups.
Methods: A female patient, 38 years old, came to our attention complaining of sensitivity in the third oral quadrant.
Intraoral exam showed incongruous restorations on teeth 3.5 (non vital) and 3.7 (vital tooth). The proposed treatment
plan included first the removal of both previous fillings, placement of AutoMatrix (Dentsply, USA) and wooden wedges,
application of polyacrilic acid conditioner (Dentin Conditioner, GC Europe, Belgium) in the cavity, and preprosthetic buildup with a high viscosity glassionomer cement system (Equia Fil, GC Europe, Belgium). No rubber dam was used in this
phase because manufacturer’s instructions advice not to use it in order to prevent material overdrying.
A week later, elements 35 and 37 were prepared for inlays, a polyvynilsiloxane impression was taken and prepared cavities
were filled with temporary material (Telio CS Onlay, Ivoclar Vivadent AG, Liechtenstein). Before cementation, a rubber
dam was placed and selective enamel etching with orthophosphoric acid 37% was performed. Then, a self-etch adhesive
(G-aenial Bond, GC Europe, Belgium) was applied, and final cementation of inlays was performed with a nanofilled, low
contraction flowable composite (G-aenial Universal Flo, GC Europe, Belgium). Excesses were removed with a scalpel
blade n°12D.
Results: As final result, patient obtained functional and aesthetic restorations of compromised teeth, a correct occlusion
and the resolution of sensitivity, stable even at the follow-up after 8 months.
Conclusions: Mechanical properties of the selected glassionomer cement are very similar to those of natural dentin
and it is therefore suitable to be a real dentinal substitute (dentin replacer). Considering this, in our case report the
replacement of the lost hard tissues in tooth 3.5 was performed without a metal or fiber post, even if tooth is non vital,
because the mechanical behaviour of some high viscosity glassionomers is recognised to be an ideal support for any
prosthetical rehabilitation. Moreover, contraction of High Viscosity GICs during the hardening phase is very low, and this
strongly limits the polymerization stresses on the tooth walls.
Modern high viscosity GICs represent easy, fast and valid alternatives for permanent preprosthetic dental restorations.
Dental and Oral Aesthetics
14 PROSTHETICAL CORRECTION OF OPEN BITE WITH METAL-FREE ZIRCONIA
PROSTHESIS. CASE REPORT.
Sicilia M.*[1], Basso M.[1], Lorè G.[1], Austoni C.[1], Gone M.[1], Francetti L.[1]
[1]
Objectives: The aim of this case report is to present the efficacy of metal-free crowns for aesthetic treatment of selected
patients with open bite occlusal disorder.
Methods: A female patient, 39 years old, with a 3 mm open bite on teeth 12-11-21-22, requested an aesthetical solution
for her problem. Due to psychological argumentations, patients absolutely refused orthodontic treatment options.
Through the analysis of model casts and of the occlusion, the preservation of correct occlusal relations in the posterior
40
Implantology Research
15 IMMEDIATE POST-EXTRACTION FULL-ARCH IMPLANT REHABILITATIONS. CASE
REPORT
Austoni C.*[1], Basso M.[1], Sicilia M.[1], Lorè G.[1], Gone M.[1], Romeo D.[1], Francetti L.[1]
[1]
Objectives: The aim of this report is to assess the treatment outcome and patient satisfaction of two immediate postextraction full-arch fixed-bridges supported by two axial implants and two distal tilted implants both in the maxilla and in
the mandible performed during the same day in a single patient.
Methods: A 58 y.o. female patient came to our attention asking for a functional and aesthetic total rehabilitation
without passing through a total edentulism phase. She was healthy and the remaining teeth have lost bone support
and have inadequate prosthetic crowns. Post-extraction and immediate implant rehabilitation has been proposed and
accepted.
After extractions of all teeth, eight implants (Nobel Speedy, Nobel Biocare, Sweden) have been inserted. Anterior
implants were positioned axially in the bone crest, while posterior ones were tilted 35° relative to the occlusal plane,
engaging the anterior sinus wall in the upper jaw and close to the mental foramen in the lower jaw. 24 hours after
surgery two immediate acrylic prostheses have been placed, while the final Procera® restorations have been placed
after 6 months from surgery.
Results: After 48 months of prosthetical loading none of implants was lost. Patient satisfaction for both aesthetics and
function was very high. Regular maintenance recalls were performed every 6 months, and intraoral X-rays were performed
every 12 months. Radiographic bone loss is actually < 1,5 mm for all implants at 48 months.
Conclusions: A systematic review published by Del Fabbro et al (2010) described outcomes of a combination of straight
and tilted implants supporting fixed prosthesis for rehabilitation of edentulous patients. In this review, a total of 462
patients received 470 immediately loaded prostheses (257 in the maxilla, 213 in the mandible), supported by a total of
1,992 implants (1,026 upright and 966 tilted). 25 implants (1.25%) failed in 20 patients within the first year. All failures
except one occurred in the maxilla. No significant difference in failure rate was found between tilted and upright implants,
nor between maxillary and mandibular implants. No prosthesis failure was reported. Limited peri-implant bone loss was
reported with no difference between upright and tilted implants.
The use of tilted implants to support immediately loaded fixed prostheses for the rehabilitation of edentulous jaws can be
considered a predictable technique, with an excellent prognosis also in long-term periods.
41
16 TILTED IMPLANTS IN IMMEDIATE LOADING REHABILITATION OF THE MAXILLA:
SYSTEMATIC REVIEW
Luted Material
Cement
Lava Ultimate
Scotchbond Universal
& RelyX Ultimate
15.7 (7.5)a, A 18.6
(7.8)a, A
RelyX Unicem II
10.7 (5.5)b, B 16.8
(6.8)a, B
Menini M.*[1], Signori A.[1], Gamalero A.[1], Parodi F.[1], Ravera G.[1], Pera P.[1]
[1]
CS
University of Genova - Genova
Objectives: Prosthetic rehabilitation of the atrophic maxilla with implant-supported prostheses frequently represents
a challenge because of inadequate quantity and quality of bone. The use of distal tilted implants has been proposed as
a viable alternative to traditional protocols. The aim of this meta-analysis was to evaluate the survival rate and bone
reabsorption next to upright and tilted implants supporting full-arch fixed dentures for the immediate loading rehabilitation
of edentulous maxillae, after at least 1 year of function.
Methods: This review was conducted in accordance with the guidelines of Transparent Reporting of Systematic Reviews
and Meta-analyses (PRISMA statement).
An electronic search of databases plus a hand search of the most relevant journals in Oral Implantology was performed
up to August 2011.
Papers regarding immediate loading protocols of the edentulous maxilla using full-arch bridge supported by both up-right
and tilted implants were selected.
Results: The literature search initially yielded 1069 articles, from which 26 full-text articles were obtained and assessed for
eligibility. Finally, eleven articles were selected for analysis. One paper was a prospective cohort study, 7 were prospective
single-cohort studies, and 3 had a retrospective design.
A total of 1623 implants (778 tilted, 845 upright) were inserted in the maxilla of 324 patients.
A total of 17 tilted (2.19%) and 16 upright implants (1.89%) failed during the first year. No significant difference in failure rate
was found between tilted and upright implants (Pooled RR = 1.23 [95% CI: 0.66-2.30]; p-value = 0.52) and no heterogeneity
between studies was highlighted (I2 = 0%). No prosthesis failure was reported.
Marginal bone level results were obtained from 6 studies that showed results separated for tilted (n = 536) and upright (n
= 539) implants in the maxilla. A non-significant mean difference between tilted and upright implants (MD = 0.02; 95%
[CI: -0.05-0.09]; p-value = 0.58) was found. Some amount of heterogeneity between studies (I2 = 34.2%) was shown but no
differences between results from fixed or random effects models were found.
Conclusions: The use of tilted implants to support full-arch fixed prostheses for the immediate loading rehabilitation of
edentulous maxillae can be considered a predictable technique, with an excellent prognosis in the short term. Randomized
long-term trials are needed to determine the effectiveness of this surgical approach.
Dental Materials
17 INFLUENCE OF CHEWING SIMULATION ON THE BOND-STRENGTHS OF SELFETCH/SELF-ADHESIVE CEMENTS.
Dental Materials
18 INFLUENCE OF VENEERING IN FRACTURE STRENGTH OF TWO ZIRCONIA CAD/
CAM SYSTEMS.
Rodríguez V.*[1], López-suárez C.[1], Peláez J.[1], Serrano M.[1], Serrano B.[1], Suárez M.J.[1]
[1]
42
Facultad de Odontología - Universidad Complutense de Madrid
Objectives: The aim of the present in vitro study was to investigate the fracture strength of 3-unit zirconia-based
posterior fixed dental prostheses (FDPs) before and after veneering.
Methods: Two groups (n=20 each) of posterior 3-unit FDPs with an intermediate pontic were constructed using the
following zirconia CAD/CAM systems: Group 1 (L): Lava All-ceramic System and Group 2 (I): IPS e.max ZirCAD. Each
group was divided into two subgroups (n=10): Subgroup 1: frameworks without ceramic veneer and Subgroup 2: veneered
frameworks. Samples were randomly luted in standard fashion onto two chamfered stainless-steel master dies. The
specimens were tested before and after veneer placement. Axial compressive loads were applied at the central fossa of
the pontics. The statistical analysis was performed using the Wilcoxon rank sum test (α=.05).
Results: Significant differences in fracture strength were observed between both groups before (P=.0514) and after
ceramic veneering (P=.0443). The L system exhibited significantly higher fracture strength than the I samples before and
after veneering the zirconia cores. Neither significant differences were recorded within the L group (P=.1377) and nor
differences were found within the I group (P=1) before and after veneering the frameworks.
Conclusions: The Lava System may be recommended for restoring posterior areas of the dental arch, as it shows
significantly higher fracture strength than the IPS e.max ZirCAD before and after veneering the zirconia cores. Both
zirconia groups achieved clinically acceptable fracture load values, higher than 1000 N.
Department of Medical Sciences - University of Trieste
Objectives: The purpose of this study was to evaluate the influence of simulated chewing forces on bond strength of
composite disks (Lava Ultimate, 3M ESPE) luted to dentin with a simplified self-etch system (Scotchbond Universal &
RelyX Ultimate, 3M ESPE) or a self-adhesive cement (RelyX Unicem II, 3M ESPE).
Methods: Forty non carious human molars were cut with a low speed diamond saw under water cooling and equally
and randomly assigned to two main groups: CS (Chewing Simulation) and control (Static Condition). Specimens were
then divided in 2 different luting groups (N=10): Group 1: Composite disks and Scotchbond Universal & RelyX Ultimate.
Group 2: Composite disks and RelyX Unicem II. Specimens were then either submitted to chewing simulation or stored
in water and subsequently cut for microtensile bond strength analysis in accordance with the non-trimming technique.
Sticks were stressed until failure with a simplified universal testing machine. Data were statistically analyzed with T Test
(p=0.05).
Results: Table 1: Means and standard deviations (SD) of microtensile bond strength (MPa) obtained at the
Control
Same lower case letter represent no statistical significance difference within each row (p>0.05). Same upper case letter
represent no statistical significance difference within each column (p>0.05).
Conclusions: The simplified self-etch system (Scotchbond Universal & RelyX Ultimate) exhibited higher bond strength
values than the self adhesive cement (RelyX Unicem II) in both conditions (CS and static). After the CS RelyX Unicem II
showed a significant reduction in µTBS compared to the control. Further clinical research is necessary to evaluate the
long-term bond strength of simplified adhesive systems.
Frassetto A.[1], Marchesi G.*[1], Venturini P.[1], Di Lenarda R.[1], Cadenaro M.[1], Breschi L.[1]
[1]
Storage
19 PATIENT SATISFACTION AFTER A FULL-ARCH IMMEDIATE LOADING
REHABILITATION: A PRELIMINAR STUDY
Dellepiane E.*[1], Zunino P.[1], Nicoli P.[1], Evangelisti A.[1], Porcella M.[1], Pera P.[1]
[1]
University of Genoa - Genoa
Objectives: The aim of this study is to evaluate the satisfaction of patients rehabilitated with an immediate loading
full-arch prosthesis (Columbus Bridge Protocol, CBP) and the potential changes made in their quality of life due to this
treatment.
Methods: Between January and September 2012 we studied 7 patients in need of a full-arch immediate loading
rehabilitation of one or both dental arches were selected. Each patient answered a 26-questions questionnaire at
a pre-surgical appointment (T0), 1 week after surgery (T1) and 2 months (T2) after surgery. A single dentist realized
43
all the interviews, which lasted in average 15 minutes. The questionnaires realized were inspired by statement of Oral
Health Impact Profile (OHIP). The questions were related to: pain, chewing ability, phonetics, aesthetics, home hygiene
procedures, patient satisfaction. For categorical variables differences in the scores at the 3 time points were assessed
by Cochran’s test. If a statistically significant difference was found, post-hoc pair wise comparisons were performed by
McNemar test. For multinomial data differences in the scores were evaluated with Marginal Homogeneity test, comparing
each pair individually. A p ≤0.05 was considered statistically significant and a Bonferroni-corrected p-value of 0.017 was
considered statistically significant for paired comparisons.
Results: A total of 7 cases were assessed and only questions common to all questionnaires were considered for statistical
analysis. No statistically significant difference between the 3 time points was noticed for variables regarding pain during
chewing, smoking, phonetic difficulty, tense, avoiding smiling, difficulty in relating to others, instruments used for oral
hygiene and difficulties to use them. A statistically significant difference between t0 and t2 was observed for the variables
regarding satisfaction as regards ability to chew (p=0.023), and between t0 and t1 about satisfaction with the aesthetic
appearance of teeth (p=0.041).
Conclusions: On the base of this prelimininar evaluation, patients treated with CBP reported a better chewing ability
and to be satisfied with the aesthetic results. All the patients were pleased with support and information received by the
clinicians and they felt that CBP was an effective therapy for their oral problems. However further investigation on a larger
number of patients is needed to confirm these results.
20 BRÅNEMARK NOVUM® PROTOCOL IMMEDIATE LOADING REHABILITATION OF
EDENTULOUS MANDIBLES: 11-YEAR RETROSPECTIVE STUDY
Capalbo V.*[1], Bevilacqua M.[1], Tealdo T.[1], Menini M.[1], Ottonello A.[1], Pera P.[1]
[1]
University of Genoa - Genova
Objectives: The results of short-term clinical studies indicated that the surgical and prosthetic Brånemark Novum®
protocol (Nobel Biocare AB, Goteborg, Sweden) allowed successful rehabilitation of mandibular edentulism with immediate
loaded implants. Yet, long-term studies are lacking.
The aim of the present retrospective study was to report the 11-year outcomes of patients treated according to the
Brånemark Novum® protocol.
Methods: Four patients treated according to the Brånemark Novum protocol (total:12 implants) in the Department of
Fixed and Implant Prosthodontics, Genoa University, Italy, were followed-up to evaluate the implant and prosthesis survival
rate, implant stability (RFA), marginal bone level by periapical ragiographics, probing depht and possible complications.
Clinical and radiographic parameters were evaluated immediately after completion of the prosthetic treatment and after
5 and 11 years of functional loading.
Results: The 11-year implant and prosthesis cumulative survival rates were 100%. There was an increment of implant
stability from 1 to 5 years, and a small remission of it from 5 to 11 years. A small reduction of the marginal bone level
was found next to the distal implants (mean 1.12 mm) after 11 years, while the central implants showed a greater bone
reabsorption (mean 4.25 mm), this was encountered when implant volume overwhelmed that of the host sites’ bone
dimensions, due to the use of the drilling template, and the engaged buccal bone plate became cause of dramatic and
regrettably predictable marginal and vertical bone loss. The parodontal probing depth (PD) grew together with the
marginal bone loss (mean 3.75 mm) at 11 years. There were 2 implant complications (crater-form bone destruction, and
clinical sign of periimplantitis) on the same central implant and 10 prosthetic complications (fractures of the resin and of
the teeth), the 80% of fractures were registered on the same parafunctional patient.
Conclusions: The 11-year results demonstrated that the Brånemark Novum protocol is a predictable technique with
favourable long term outcomes. This was a rigid protocol which could be applied only in patients with specific anatomical
characteristics, but it had the merit of indicating the key principles for full-arch immediate loading rehabilitations.
44
21 IMMEDIATE VS DELAYED LOADING WITH FIXED IMPLANT-SUPPORTED
MAXILLARY DENTURES: 5-YEARS PROSPECTIVE STUDY
Musante B.*[1], Baldi D.[1], Pesce P.[1], Tealdo T.[1], Canepa P.[1], Pera P.[1]
[1]
University of Genoa - Genoa
Objectives: The aim of this study was to compare clinical outcomes of immediate and delayed implant loading in
edentulous maxillae with a medium-term follow-up (5 years). The null hypothesis was that there would be no significant
differences in cumulative survival rates and bone resorption of implants undergoing immediate loading versus those
placed according to a standard two-stage protocol.
Methods: 49 patients with edentulous maxillae were treated with fixed screw-retained prostheses supported by implants
(n=260) following either the Columbus Bridge Protocol with 4 to 6 implants loaded within 24 hours (test group: 34 patients;
163 implants) or following the ad modum Brånemark protocol with 6 to 9 implants loaded a mean 8.75 months after
surgery (control group: 15 patients; 97 implants). The parameters evaluated were: implant cumulative survival rate (CSR),
prosthesis CSR, and periimplant bone resorption, by means of peri-apical radiographs with individualized film-holders, at
time 0 (provisional prosthesis insertion for the test group; implant placement for the control group), and at the 12, 24, 36,
60-months follow-up visits.
Results: 5-year follow-up 3 patients had dropped-out (2 in test group, 1 in control group). All the other patients were all
followed for at least 60 months. The difference in CSR between groups was not statistically significant. Ten implants (6.1%)
failed in the test group (93.9% CSR); four implants (4.1%) failed in the control group (95.9% CSR). At the 70-months followup appointments, the prosthesis CSRs were 100% for both groups. Statistical analysis of the radiographic measurements
showed significant differences in bone loss between the two groups. Average bone level at baseline was 0.5 mm from the
implant-abutment connection both in the test and control groups. At 12-month, 1.3 in the test group and 1.9 in the control
group. At 24-month, 1.5 in the test group and 2.2 in the control group. At 36-month, 1.6 in the test group and 2.3 in the
control group. Finally at 70-month, 1.62 mm in the test group and 2.37 mm in the control group.
Conclusions: On the base of the present study, the immediate functional loading protocol applied demonstrated good
outcomes at the medium-term follow-up (5-years) without statistically significant differences in implant and prosthesis
cumulative survival rate with respect to the traditional ad modum Brånemark delayed loading protocol. The immediate
loading protocol also showed a reduced crestal bone resorption at the 5-years follow-up.
Community Prosthetic Dentistry and Epidemiology
22 DENTAL STATUS AND ORAL HEALTH IN AGING POPULATION: A PRELIMINARY
EPIDEMIOLOGICAL STUDY
Coccia E.*[1], Santarelli A.[1], Quaranta A.[1], Piemontese M.[1], Rappelli G.[1]
[1]
Università Politecnica delle Marche - Dipartimento di Scienze Cliniche Specialistiche ed Odontostomatologiche - Ancona
Objectives: The aim of this preliminary study is to analyze the dental status and oral health in elderly patients of the
Ancona university dental school.
Methods: A specific medical record was made to facilitate the statistical analysis of the data. Sixty-three individuals,
older than 65 years, have so far been visited. For each patient the following information were collected: personal data,
general medical history, dental history and oral dental status. In particular, the present of xerostomia and obstructive sleep
apnea was investigated. The clinical examination, evaluated by a single examiner, assessed oral hygiene, periodontal
status, missing teeth, decayed teeth, fixed partial dentures and removable dentures.
Results: The preliminary results of this study show that there are no statistically significant differences between the
number of men and that of women. The age range is 65-89 years but the majority of the examined population is aged
between 70 and 80 years. Regarding general medical history, 25.8% of the patients has heart diseases, 64.5% has blood
pressure problems, 16.1% has diabetes and 3.22% suffer from osteoporosis. It is important to highlight that 74.2% of
the examined population takes more than 3 drugs per day and 9.6% takes more than 6 drugs per day. Regarding dental
history, 70.9% of the patients no present dental xerostomia and only 3 patients report episodes of sleep apnea. Regarding
45
oral status, 66.7% of the patients has a poor oral hygiene and 74.1% suffering from periodontitis. 45.1% of the patients has
decayed teeth and has a number of missing teeth less than 8, 32.3% has a number of missing teeth comprised between
9 and 15, and 22.6% has more that 16 missing teeth in the mouth. Moreover, 38.7% of the patients present fixed partial
dentures and 43% present removable dentures.
Conclusions: Further investigations are necessary to carry out an effective epidemiological study in Ancona region.
Methods: 380 restorations belonging to Black’s classes I, II or V were performed in 232 patients. All dental restorations
were performed only by 5 expert and trained operators, following the same operative protocol. The selected restorative
product was a system named Equia Fil (GC, Japan), consisting in a high-viscosity glassionomer cement coated with a
light-curable coating agent. Integrity of restorations and margins has been evaluated through visual observation with 4x
magnification loupes and status of all restorations has been classified using Frencken’s and Zanata’s evaluation criteria.
Follow-ups were planned at 3, 6, 12, 18, 24, 36, 48 months, and the end of the study was placed at 60 months.
Results: In September 2012, the mean follow-up of restorations is 40,5 months. Of the 380 restorations, 319 are actually
included in the trial (83 Class I, 164 Class II, 72 Class V). 61 of 380 initial restorations missed the follow-up sessions and
they were classified as drop-out.
During the study, 22 restorations reported chipping of margins, solvable through a fast polishing procedure (Criteria 1 or
2, successful); 14 restorations were lost or seriously damaged, without possibility of keeping them in the mouth (Criteria
> 3, failures). This is equal to an overall general success rate, at 48 months, of 95,61 % and a general integrity rate (only
criteria=0) of 88,71%. In September 2012, all 319 restorations reached 24 months, and considering only data at 2 years a
general success rate of 96,55% and a general integrity rate 90,91% have been recorded. Highest number of failures has
been reported in class II (8, no difference between number of surfaces) in respect to Class I (no failures) and Class V (6).
Failures didn’t seem to be influenced by the use or not of the rubber dam and by the vitality of the restored tooth.
Conclusions: These results suggest that the restorative system used in this trial seems to be a reliable choice for
permanent dental restorations, even in load bearing tooth surfaces of molars and premolars. Moreover, due to the
demonstrated dentin-like mechanical properties of high-viscosity glassionomer cements, restorations made with these
materials seem to be a quick, easy and suitable alternative for any pre-prosthetic restorations.
23 EFFECT OF PLASMA CLEANING ON PERI-IMPLANT BONE LEVEL CHANGES: RCT,
PRELIMINARY RESULTS
Canullo L.*[1], Clementini M.[2], Cicchese P.[1], Micarelli C.[1]
[1]
Indipendent researcher - Rome / [2]Tor Vergata University, - Rome
Objectives: Plasma of Argon cleaning treatment was demonstrated to have a double effect on titanium abutments:
removal of pollutions following customization and increase of cell adhesion.
This prospective, match-paired, triple-blinded randomized controlled trial was aimed to test if plasma treatment of
customized abutments can longitudinally affect radiographical peri-implant marginal bone level changes.
Methods: 20 consecutive patients requiring single implant-supported restorations in the anterior maxilla were selected.
All procedures in the present study were approved by the local Ethical Committee.
At the time of abutment connection, 2 months after implant insertion, customized abutments were divided into control
(subjected only to usually adopted steam cleaning, CG) and test (subjected to plasma treatment, TG) group. Patients
included in the study were randomly assigned to one of the two treatments.
After customization and cleaning procedures and before connection, abutment were subjected to SEM and EDAX analysis
in order to count and characterize pollution micro-particles on the abutment surface and implant-abutment connection.
Additionally, microbiologic analysis was performed to detect bacterial contamination on the abutment surface.
18 months after abutment connection and final restoration, periapical standardized digital radiographs using a customized
digital film holder were taken.
To assess micro-particles on the abutments and marginal bone level alterations, SEM images and radiographs were
processed using an image software by two independent analyzers.
Comparisons between groups were performed by independent samples t-Test (p≤0.05).
Results: In the CG, micro-particles on average were 117.5 and 14.1 respectively on the abutment surface and connection.
In the TG, no pollution was revealed (mean of 1.09 and 1.41 spots respectively on the abutment and connection).
EDAX microanalysis identified pollutant as residual of lubricant mixed with traces of Titanium and other metals.
Microbiologic analysis demonstrated presence of bacterial growth on the abutment surface in the CG (111.5 ± 11.43 CFU/
mL/abutment as mean value). The TG showed no bacterial growth.
After 18 months, X-ray analysis revealed a mean interproximal bone loss of 0.53mm and 0.08mm (±0.12) (±0.69), in the
CG and TG.
Comparisons between CG and TG were statistically significant at all levels.
Conclusions: Pollution and bacteria removal from titanium abutments using Plasma of Argon allows for better bone level
maintenance.
Dental Materials
24 PERMANENT DENTAL RESTORATIONS WITH HIGH-VISCOSITY GLASSIONOMER
CEMENTS. EVALUATION ON 319 RESTORATIONS.
Gone Benites J.M.*[1], Basso M.[1], Lore’ G.[1], Sicilia M.[1], Austoni C.[1], Francetti L.[1]
[1]
I.R.C.C.S Istituto Ortopedico Galeazzi - Milano
Objectives: The aim of this clinical trial is to evaluate clinical efficiency and mechanical resistance of a restorative system
based on a high-viscosity, coated glassionomer cement, for possible use for both permanent or pre-prosthetic restorations.
46
25 CHEWING EFFICIENCY AND GASTRIC EMPTYING RATE IN IMMEDIATE LOADING
REHABILITATED PATIENTS
Pesce P.*[1], Gavoglio P.[1], Tubino J.[1], Pera F.[1], Calimodio I.[1], Pera P.[1]
[1]
Università degli Studi - Genova
Objectives: The goal of this study was to evaluate if patients with a compromised dentition, rehabilitated with a full-arch
implant-supported immediate loading prosthesis present an improvement of chewing ability and gastric emptying rate.
Methods: This is a preliminary report. Four patients (3 men, 1 woman - mean age 58 year) referred to the Department of
Implant Prosthesis of the University of Genoa presenting a compromised dentition were enrolled in this study.
The dental arch to be treated had no more than 6 remaining teeth, patients were not affected by gastric disorders, had a
proper body index, and did not assume any prokinetic or anticholinergic drugs.
Before enrollment, patients underwent an urea breath test (AB analitica srl) to evaluate the presence of Helicobacter pylori
(Hp). In fact, Hp could be a confounding agent in the execution of the gastric emptying breath test.
Hp affected patients were treated with the association of Esomeprazole, Clarithromycin, Amoxicillin and probiotic for ten
days. After 3 weeks a new breath test was done to evaluate the bacterium eradication.
Before and 2 months after surgery, chewing ability and gastric emptying rate of patients were evaluated.
Chewing ability was evaluated according to the Holthoff-Slagter protocol. Patients were invited to chew 8 Optosil cubes
(heraeus kulzer). Test food was collected after 40 chewing strokes and dried. The obtained particles were sieved on a stack
of 5 sieves, with apertures of 4.75, 4, 2, 1, 0.5 and a bottom plate. The amount of test food on each sieve and on the bottom
plate was weighed.
Trituration performance was expressed as the percentage of particles below 4.75 mm recovered after subjects chewed.
Gastric emptying was measured by means of the 13C-octanoic acid breath test. 100 mg of Octanoic acid were added in a
test meal of 250 kcal. This consisted of one egg cooked with butter (10 g), ham (21 g), 2 slices of bread and 250 ml of water.
The 13CO2 samples (collected every 15 min for 4 hours) were measured by means of an isotope radio mass spectometer.
The time required for half of the gastric contents to transit through the pylorus (T1/2) was evaluated.
Results: After the full-arch immediate loading rehabilitation, the improvement of trituration ability was of 242% (median
value) and T1/2 improved of 51%.
47
Conclusions: The results of this preliminary study indicate that full-arch implant-supported immediate loading
prostheses improved patients’ masticatory efficiency and gastric emptying rate.
(2007) found no differences in the microbiota between subjects with mucositis or periimplantitis, nor between patients
affected by peri-implantitis and healthy subjects.
Animal studies revealed a difference between the dog and the monkey model. In the dog model overload associated with
dental hygiene did not cause bone loss, on the other hand in the monkey model it was found that overloading can cause
bone loss.
Conclusions: Human studies revealed that bacterial colonization next to an implant could lead to soft tissue inflammation,
but no clinical evidence is available of a cause-effect relationship between bacterial accumulation or overload and periimplantitis. Even the animal literature is not unanimous about peri-implantitis etiology.
On the basis of current scientific evidence, it is not possible to define which are peri-implantitis main etiological factors.
Few clinical studies are available at the moment. Further RCTs or cohort studies are needed to give a proper answer to
the question.
26 ZIRCONIA AND TITANIUM IMPLANT ABUTMENTS IN POSTERIOR REGIONS.
Lops D.*[1], Romeo E.[1]
[1]
Department of Prosthodontics, Dental Clinic, School of Dentistry, University of Milan, Italy - Milan
Objectives: Purpose: The aim of the present 5-years prospective was to verify, in a medium-term follow-up, whether or
not zirconia abutments show similar survival outcome as titanium abutments in posterior areas.
Methods: Material and methods: Eighty-five patients with a single gap posterior edentulism were treated with 85 implants
supporting 47 titanium and 38 zirconia abutments, respectively. Each patient showed a single-unit edentulism and a healthy
contra-lateral natural tooth as control. A two-stages surgical protocol was used. All-ceramic (38) and metal-ceramic (47)
single crowns were fabricated. Each patient was followed for 5 years after the definitive prosthesis installation. Clinical and
radiographical parameters were assessed at the yearly follow-up visit. Moreover, prosthetic complications were recorded.
Statistical analysis was used to compare any difference in biological and radiographical parameters between implant sites
and the natural contra-lateral teeth (Wilcoxon signed ranked test). Descriptive statistics were used to analyze the changes
over time of clinical and radiographical parameters from baseline to the last follow-up. Depending on the clinical situation,
either zirconia or titanium were used as abutment material. Randomization was performed for the abutment selection.
Results: Four patients were classified as “drop-out”. Eighty-one implants supporting 44 titanium and 37 zirconia
abutments completed the 5-years follow-up examination. No implant, reconstruction, and abutment failure were recorded:
therefore, the prosthetic survival after 5 years of function was 100% for all the abutments and restorations. No significant
differences in biological and radiographical indexes were found between Ti and Zr abutments when compared each other
and with the natural teeth after 5 years. No significant marginal bone loss (MBL) was found between the baseline and the
last follow-up, both for Zr and Ti abutments.
Conclusions: The medium-term survival of Zirconia abutments in posterior regions was comparable with that of titanium
abutments. Long-term evaluations are needed to confirm this finding.
27 PERI-IMPLANTITIS: WHICH IS THE ETIOLOGY? A SYSTEMATIC REVIEW
Patrone E.*[1], Tealdo T.[1], Pesce P.[1], Menini M.[1], D’Agostino E.[1], Pera P.[1]
[1]
Department of Implant and Prosthetic Dentistry, University of Genoa - Genova
Objectives: The aim of the present systematic review was to define “peri-implantitis” etiology.
Methods: This review was conducted in accordance with the guidelines of Transparent Reporting of Systematic Reviews
and Meta-analyses (PRISMA statement).
An electronic search was performed on Medline (via Pub Med), Cochrane Central Register of Controlled Trials (CENTRAL)
and Excerpta Medica Database (EMBASE) up to March 2012. Results were integrated with a hand search of the most
relevant journals from January 2005 up to March 2012.
The search strategy applied was: (((Periimplantitis OR peri-implantitis OR peri implantitis) OR (periimplant or peri-implant
OR peri implant)) AND (“bone loss” OR “crest loss” OR disease)) AND etiology.
Results: the electronic search revealed 634 titles and the manual search yielded 14 titles. From the independent doublecheck of titles and abstracts 21 full texts were obtained (15 clinical studies and 6 animal studies). After full-text reading, 2
human studies and 6 animal studies met our inclusion criteria.
The 2 clinical studies included in the present review reported contrasting results about plaque composition and quantity
at the level of healthy and diseased peri-implant sites.
Leonhardt et al. (1999) reported that 60% of the examined patients with peri-implantitis harbored periodontal pathogens.
None of the healthy edentulous patients had pathogens that were present in affected edentulous patients. Renvert et al.
48
28 PLASMA TREATMENTS ENHANCE FIBROBLAST ADHESION TO TITANIUM
SURFACE: IN VITRO DOUBLE-BLINDED STUDY.
Clementini M.*[1], Canullo L.[2], Micarelli C.[2]
[1]
Università Tor Vergata - Roma, [2]Indipent Researcher- Roma
Objectives: Osseointegration is a concept already acquired, and research efforts are shifting on the soft tissue adhesion
to the titanium abutment, as the key for aesthetic success. An important role in such soft tissue healing process is due
to the initial interactions between cellular components and the state of the material’s surface. Plasma treatment has the
effect to change the chemical composition of the surface of polymeric materials, promoting the absorption of protein and
favoring cellular adherence. Since a lack of knowledge is present regarding the interaction between cells and plasma
treated metals over time, the aim of the present in vitro study is to verify the effects of plasma treatment on the interaction
between sterile titanium disks and fibroblasts at different early time-points.
Methods: Forty-five (test group) sterile titanium discs underwent plasma treatment, while the remaining 45 were left
untreated (control group). Samples were inserted in polystyrene multiwells sterile plates and fibroblastic cells were put in
culture on both treated (test) and non-treated (control) discs. At each experimental time (2, 8 and 48 hours), 30 (15 controls
and 15 test) samples were observed by a blinded examiner at fluorescence microscopy. Images were obtained at 200X
magnification and the number of cells on every sub-group was counted using an image analysis software- Means and
standard deviations were performed by a blinded statistician to describe cell adhesion. Eventual differences between
groups were analyzed using the Wilcoxon Matched-Pairs Signed-ranks Test.
Results: In the test group, fluorescence microscopy presented fibroblast adhesion mean values of 181 (±37), 233 (±51), 369
(±84) cells/field respectively at 2, 8 and 48h. The control group presented fibroblast adhesion mean values of 135 (±26), 184
(±64), 372 (±67) cells/field respectively at 2, 8 and 48h. Statistical analysis showed difference between groups significant
at 2 hours (p<0,01), significant at 8 hours (p<0,05) non-significant at 48 hours.
Conclusions: Fibroblast adhesion on plasma treated discs is significantly superior in the early stage of colonization (2-8
h) while this effect disappears in the long run due to the space saturation. From a clinical point of view, reported data may
lead to suppose that plasma cleaning treatment of titanium abutments could be favorable in terms of soft tissue healing.
29 IMPACT OF PROSTHESIS MATERIAL ON IMMEDIATE LOADED PROVISIONAL
BRIDGES: FINITE ELEMENT ANALYSIS
Pera F.*[1], Bevilacqua M.[1], Tealdo T.[1], Menini M.[1], Pera P.[1]
Università degli Studi di Genova - Genova
[1]
Objectives: This study aims to show through a Finite Element Analysis how the prosthesis material can influence the
stress distribution on four implants supporting a full arch immediately loaded fixed bridge.
49
Methods: After the surgical placement of four implants in a complete edentulous jaw, wishing to perform an immediate
functional loading, there is the needing to realize a full arch implant supported fixed bridge with some key features.
The COLUMBUS BRIDGE PROTOCOL rehabilitation has to be supported by a rigid metal framework in order to splint the
four implants and to spread the stress at the bone-implant interfaces, due to the occlusal loading applied few hours after
the implant placement, and to ensure complete implant osteointegration.
The presence of a casted metal framework to support the esthetic occlusal material and to splint together the four implants
is one of the major differences between the Columbus Bridge protocol and other techniques of full-arch immediate loading.
This study reproduced in a virtual model two identical clinical situation: a full-arch maxillary rehabilitation supported by
four implants 15 mm length, with twelve masticatory units; the implant emergency has been placed in the canine and the
molar area, prosthetic cantilevers were avoided in the simulation, the distal implants have been tilted with a 45 degrees
inclination simulating the insertion parallel to the mesial wall of the maxillary sinus in an atrophic upper jaw. An occlusal
loading of 500 N has been applied on the most distal portion of the two bridges. The only difference between the two
simulations resulted to be the presence of a metal framework supporting the acrylic resin material of the first bridge, while
the second rehabilitation has been fabricated completely with acrylic resin.
Results: finite element analysis registered an high level of stresses both on the distal implant and on the peri-implant
bone around the fixture of the model where the bridge was fabricated fully in acrylic resin material; while the value of
stresses registered in the model with the metal framework supporting the occlusal material highly decreased.
Conclusions: finite element analysis data regarding treatment of edentulous maxillae revealed that fixed full dentures
endowed with a metal framework decreased stresses on implants and on the peri-implant bone. In immediate loading
protocols, this treatment modality seems to be a valid therapeutic alternative to conventional all-acrylic bridges to reduce
implant overloading.
Dental Technology and Technical Procedures
30 COMBINED TREATMENTS OF DENTAL SURFACES TO IMPROVE ADHESIVE
EFFICACY OF BONDED RESTORATIONS.
Sinjari B.*[1], Murmura G.[1], Caputi S.[1], Traini T.[1]
University “G.d’Annunzio” Chieti-Pescara, Department of Medical, Oral and Biotechnological Sciences - Chieti
[1]
Objectives: Dental adhesive technology had a great impact in prosthetic procedures opening the way to minimally
invasive free metal restorations. This study aims to evaluate the impact of water-air sandblasting (WAS) procedure after
tooth preparation and prior the etching procedure, to bond strength of an adhesive resin to tooth.
Methods: The occlusal surfaces of fifteen extracted third molars were cut and flattened to expose both dentin and enamel
surfaces by a means of a water-cooled diamond saw. The prepared teeth were cleansed in an ultrasound bath of physiologic
solution for 10 min at 40°C. . The WAS procedure was carried out at chair-side using a prophy-unit-teeth-polisher hand
piece with 25µm aluminium dioxide particles at 0.25 MPa of air/water pressure. Working distance of 1.5 cm and time of
action of 5 sec were both standardized and controlled. A 3-step etch-rinse adhesive system was used as following: 15
sec of etching with 37.5% phosphoric acid, rinsing with water spray, air drying for 5 sec, application of primer with a light
brushing motion for 10 sec, air drying for 5 sec application of adhesive resin with a light brushing motion for 10 sec and
air thinning for 3 sec. The bonding resin was light cured for 30 sec at 800 mW/cm2 with 3 mm tip-to-specimen distance.
To test the micro-tensile bond strength (µTBS) the crowns of the teeth were restored using a restorative material. Since
the tooth surface was divided into 2 sectors, each receiving a different treatment, every tooth was used as its own control
overcoming any statistical problem on power and number of individuals. Two specimens for each area of treatment were
prepared following the technique developed by Sano et al 1994. A total of 60 specimens with a bond area of about 1mm2
were used (30 for WAS and 30 for control). The µTBS was measured using a testing machine at 0.5 mm/min crosshead
speed. The data were inferred statistically using unpaired t-test with α = .05. The microstructure morphology of the tooth
surface was evaluated under a SEM equipped with LaB6.
Results: The µTBS was in mean (± SD) 63.9 (7.7) MPa for the WAS group and 51.7 (10.8) MPa for the control group. The
difference was statistically significant (p < .001; power 0.999 with α = .05).
Conclusions: A tooth preparation cleansing protocol using WAS provided a high significant improvement in bond
strength to dental substrate.
50
Occlusion - Neuroscience - TMJ
31 SEVERE SLEEP APNEA THERAPY WITH ORAL APPLIANCES: A PRELIMINARY
STUDY
Manfredi E.*[1], Simone L.[1], Bonanini M.[1], Macaluso G.[1]
Università degli Studi di Parma - Parma
[1]
Objectives: Obstructive Sleep Apnea (OSA) is a sleep-related breathing disorder characterized by repetitive obstructions
of the upper airways during sleep and disrupted snoring. In clinical practice oral appliances are primarily used for
obstructive sleep apnea patients who do not respond to CPAP therapy or when the apnea-hypopnea index (AHI) is lower
than 25. In this study we investigated the efficacy and the compliance of an oral appliance in patients with severe sleep
apnea who didn’t toletate CPAP therapy.
Methods: In our study we included seventeen patients with severe sleep apnea (AHI>25) as determined by
polysomnography(PSG) performed in a sleep laborathory. All patients received the same therapy with custom made oral
appliances and underwent a second PSG at the end of the titration period. The therapeutic position obtained in all patients
after the titration was between 70% and 80% of their maximum protrusion.
Results: No patients dropped the study. Mean baseline AHI was 40.2 (SD 14.4, range 74-25.6). The mean AHI after
treatment was 9.9 (SD 5.2, range 0.1-19). Patients had a mean decrease of respiratory events of 74%. At Wilcoxon test, p
value of AHI between baseline and after therapy resulted <0.0001 with a high statistical significancy.
Conclusions: It can be concluded that mandibular advancement devices are a viable treatment option even in cases of
severe OSA.
32 DEFORMATION OF THE IMPLANT CONNECTION PART AFTER REPEATED
IMPRESSION PROCEDURES: A PRELIMINARY REPORT
Micarelli C.* [1], Calesini G. [1], Clementini M. [2], Canullo L. [1]
Indipendent researcher - Rome / [2]Tor Vergata University - Rome
[1]
Objectives: one of the risk factors which could jeopardize implant-prosthetic stability , for mechanical and biological
reasons, is micro-mobility of the implant-abutment joint. Great efforts have been made in implant design and materials
research; perhaps less attention has been paid to ascertain in what extent clinical maneuvers could affect prognosis of
the implants and components nowadays available. The surfaces of titanium and of all commercial titanium alloys have
relatively poor wear resistance. In particular, titanium surfaces in contact with each other or with other metals readily
gall under conditions of sliding contact . This situation is caused by adhesive wear in which microscopic asperities
on the metal surfaces come into contact as a result of relative sliding and tend to weld together, forming a bond at the
junction which can have a rupture strength greater than the strength of the underlying metal. Fracture then takes place
at one of the asperities causing metal to be transferred from one surface to the other. The debris so formed gives rise to
the accelerated wear that occurs with titanium. This preliminary research tried to ascertain, on the occasion of a wider
study on implant impression techniques, if multiple assembling and disassembling of implant components could induce a
micro-warping in the implant connection portion, which could raise micro-mobility at the implant-abutment level.
Methods: in two experimental models, holding each 4 implants with internal hexagon, 80 impression copings and 80
titanium abutments were consecutively inserted and tightened at 20 Ncm, scoring 20 cycles each implant. Distortion
measurements were performed by an innovative two-step method:
a) Models were scanned in a structured-light 3D scanner (Sweden & Martina, Padova, Italy)
b) Digital “stl” files from the scanning step were aligned using three reference tag holes previously made on the master
model as landmarks.
Results: the ideal value of the variables measured is zero, that is absence of distortion. The statistical analysis evaluated
the significance of differences among measurement after 10 and 20 insertion cycles. To determine significant differences,
confidence intervals were calculated together with the mean (alpha = 0.05).
Conclusions: In this preliminary report the reference abutments showed a slight rotation, higher after 20 cycles than
after 10, suggesting a progressive distortion of the connection part of the implants.
51
Removable Prosthesis
33 Functional evaluation of removable partial dentures before and after implant
anchorage: part one.
Audenino G. [1], Notaro V[1], Bellia E. [1], Bassi F. [1]
[1]
Università degli Studi di Torino, Department of Surgery, Section of Oral and Maxillofacial Rehabilitation, and Dental Implants, Via Nizza
230, 10126, Torino
Objectives: Removable partial denture (RPD) is still a remarkably used rehabilitation because of its widely economic
accessibility and because of the potential contraindications of a fixed prosthodontic.
73% of all rehabilitations concerns distal crest edentulism, where unfavourable biomechanical behaviours are predictable,
allowed, but not prevented.
In this situation, patients’ retention, function, and self-confidence may be improved by one or few implants, but standard
length ones cannot be always used in distal edentulous ridges because of the widespread lack of bone.
The aim of this study is the functional and psychological evaluation of patients wearing RPD and after implant anchorage
by short implants.
In this first part, starting data have been recorded.
Methods: All patients rehabilitated by a RPD at Prosthodontic Department of Dental School of Turin have been contacted.
50 of 140 patients reached have been willing to attend a preliminary visit. Among these, have been selected patients
who met the following inclusion criteria: I or II class of Kennedy’s partial edentulism classification, wide intercalated
edentulous spaces, lack of systemic pathologies unfitting surgery, lack of signs or symptoms of TMJ disorders, interest
towards implant rehabilitation.
Medical history, oral and denture inspection, and patients’ grade of satisfaction have been collected. Free of charge
denture modification has been proposed to patients who met the above listed criteria. By this way have been selected 14
patients.
To these 14s, Rosenberg Self-Esteem Scale (RSES), Beck Depression Inventory (BDI) and Temperament and Character
Inventory (TCI) have been performed for the psychological evaluation. Then, masticatory cycle has been assessed by
K7 Myotronics kinesiograph while chewing specific jellies obtained modifying Gunne’s protocol. Chewed jellies have
afterwards been analyzed to determine a masticatory efficiency’s score.
Results: Analysing collected data, seems not to be a correlation among the type of prosthodontic rehabilitation or
patient’s Kennedy’s class and the results of his psychological evaluation. Reviewing masticatory cycles and masticatory
efficiency’s tests, it has been observable how patients with a larger and more symmetric masticatory cycle have also got
the best results in order of medium chewed volume at the masticatory efficiency’s assessment.
Conclusions: Psychological evaluation, kynesiographic analysis and masticatory efficiency’s test seem to be reliable
checks for initial measurements of possible changes induced by implant anchorage.
34 An automated histological approach using digital virtual microscopy:
transglutaminase 2 expression in peri-implant soft tissues.
Ceruti P[1], Mussano F[1], Pera F[1], Sabbione C[1], Schierano G[1], Carossa S. [1]
[1]
230, 10126, Torino
Objectives: Angiogenesis is an important feature in inflammation and healing. Indeed, vessel density and vascular related
growth factors play a bivalent role i.e. either sustaining the healing processes or participating in the inflammation-related
tissue damage. So far no studies have described the vascular changes occurring over time within peri-implant tissues by
an analysis of sequential histological biopsies. Recent advances in the understating of the physiological function of tissue
transglutaminase 2 (TG2), a multi functional protein cross-linking enzyme that stabilizes tissues, have demonstrated
that TG2 plays a central role in the control of fibroblast activity and matrix engineering through different functions. We
hypothesized that the number of the small size (probably immature) vessel structures, along with the distribution of TG2
52
in peri-implant tissue, might play a key role in the development of an abnormal wound healing in the peri-implant soft
tissue possibly leading to gingival overgrowth.
The aim of this study was to determine if there was any correlation between neo-angiogenesis and peri-implant soft
tissues maturation processes.
Methods: Edentulous patients undergoing mandibular implant retained rehabilitation were included in the study.
Biopsies of the peri-implant mucosa were performed at the first surgical stage and at 4, 8, 12 months after prosthetic
load. An evaluation of the vessels density was carried out by digital virtual microscopy and by an immunohistochemistry
approach (antibodies antiCD31, antiTG2). A multiple regression model has been performed for statistical analysis.
Results: In one third of the patients an increased blood vessel density, gingival overgrowth and an augmented TG2
expression within the extracellular matrix (ECM) were observed. The multiple regression model presents a significant
positive association between probing depth at baseline and TG2 at visit 3 (beta= 32.2, p=0.01).
Conclusions: Number and type of neo-vessels as well as distribution of TG2 in peri-implant tissue may vary. The
association of an increased TG2 expression in the ECM with a small size (probably immature) vessel structures, might
have a significant impact in the development of gingival overgrowth around loaded implant.
35 Oxidic composites for dental implant application: an in-vitro study
Mussano F [1], Faga MG[2], Tolosano E[3], Ceruti P[1], Altruda F[3], Carossa S[1]
[1]
230, 10126, Torino / [2] Consiglio Nazionale delle Ricerche, IMAMOTER, Torino. / [3] Università degli Studi di Torino, Molecular Biotechnology
Center, Torino.
Objectives: Composite materials made of alumina and zirconia have been widely studied and successfully proposed for
orthopedic application, due to their volumetric stability, the increased material toughness and a bioactivity allowing the
osseointegration, if proper surface treatment are performed. Also, oxidic composites are very suitable to aesthetic oral
rehabilitations, especially in the anterior part of the mouth.
As dental implants interface with bone and oral mucosa, their survival depends not merely on the bone healing, but even
on a proper gingival epithelium attachment. This study is focused on the adsorption of laminin 1, which is very important
for epithelial cell adhesion, onto Zirconia Toughened Alumina (ZTA) and Alumina Toughened Zirconia (ATZ).
Methods: Samples were prepared as described elsewhere. Microstructure was studied via a Scanning Electron
Microscope with Energy Dispersion Spectroscopy analyzer for elemental composition detection. The biological effects of
laminin 1 functionalization were assessed in-vitro recurring to HeLa epithelial cells. Cells were seeded onto the ATZ and
ZTA samples, which were treated with different concentration of Laminin 1 or left uncoated, at a concentration of 5 105/
well in a 24-well plate (BD, Milan Italy). To visualize the cellular adhesion, HeLa cells were fixed and stained with DAPI
and phalloidyn fitch. Cell viability was assessed by colorimetric MTT assay (Chemicon International, Billerica, MA, USA)
according to the manufacturer’s protocol.
Results: Based on the MTT assay, ATZ and ZTA specimens were both able to properly sustain cell growth and proliferation,
independently from the laminin adsorption. Also, the cell spreading after four hours since seeding was not statistically
significant among the experimental conditions tested according to the Student’s t-test.
Conclusions: Laminin adsorption was successful on both ATZ and ZTA. The functionalized materials allowed cell growth
and proliferation. Further experiments are urged to better elucidate some major biological aspects of laminin adsorption
onto oxidic materials. Furthermore, comparing the reactivity of the two surfaces towards laminin 5 may be advisable, since
this kind of laminin plays a key role in the formation of cell adhesion structures.
53
36 Oxidic composites for dental implant application: an in-vivo study
Mussano F[1], Faga MG[2], Manzella C[1], Menicucci G[1], Schierano GM[1], Carossa S[1]
[1]
230, 10126, Torino / [2] Consiglio Nazionale delle Ricerche, ISTEC, Torino.
Objectives: Composite materials made of alumina and zirconia have been widely studied and successfully proposed for
orthopedic application, due to their volumetric stability, the increased material toughness and a bioactivity allowing the
osseointegration, when proper surface treatments are performed. Also, oxidic composites are very suitable to aesthetic
oral rehabilitations, especially in the anterior part of the mouth.
This study aimed to compare the Bone to Implant Contact (BIC) of clinical use titanium dental implants (Nobel Active) to
that of implants made of Alumina Toughened Zirconia (ATZ).
Methods: ATZ dental implants were made by CAD/CAM techniques and treated with a patented hydro-thermal cycle to
activate their surface for the osseointegration process.
ATZ and titanium (Nobel Active) dental implants were placed in the tibiae of 16 mini-pigs. Animals were euthanized
at 28 and 56 days and the peri-implant bone was harvested for histomorphometric analysis. The vascularization and
the histological structure of the peri-implant bone were assessed by traditional histologic stainings (E&E). Specimens
were examined and images acquired with an Olympus BX51 equipped with a DotSlide 2.1 software. Two indipendent
pathologists determined the BIC, by working in single blind, following an established protocol.
Results: The BIC values differed in a statistically significant way between the ATZ and the titanium samples at day 56
(ATZ= 53.3% ± 6.5, Ti=35.3% ± 1.9). At 28 days no significant difference could be found (ATZ= 35.4% ± 3.5, Ti=32.1% ± 6.4).
Conclusions: ATZ based composite materials may be a promising candidate for dental implant fabrication. However,
further mechanical studies are urged to assess their suitability for clinical purposes. The ATZ based dental implant
prototype described is patented (UNITO-CNR patent).
Removable Prosthesis
37 Kinesiographic evaluation of the motor performance of the mandible based on
“reaching” tasks in patients with hemi-mandibulectomy: preliminary results.
Notaro V[1], Gassino G[1], Roatta S[2], Carossa S[1], Bellia E[1], Bassi F. [1]
[1]
230, 10126, Torino / [2] Università degli Studi di Torino, Neuroscience Department, Section of Physiology, Torino.
Objectives: Mandibular motor control may be impaired in the presence of temporo-mandibular disorders and jaw-oral
dysfunctions. There still is a lack of tools for assessing the quality of fine motor control of the mandible.
Aim of this project is: to evaluate the motor performance of the mandible based on “reaching” tasks in hemi-mandibulectomy
patients to define and to evaluate clinically a protocol useful for improving their functional rehabilitation.
Methods: Adapting and adjusting a technique for reliable evaluation of the motor performance of the mandible based on
a kinesiography-monitored reach-and-hold task, a method to evaluate objectively the motor activity of the mandible in
pathological patients (hemimandibulectomy) was performed. All the patients treated at the Prosthodontic Department of
Turin University have been included. The subjects were first asked to perform the maximal jaw movements on the frontal
plane, in order to delineate their “range of movement”: maximum opening and laterality movements. A motor task was
then realized in which the subject was asked to control the cursor position so as to match the position of a sequence of
displayed targets (after 5 minute of training). Targets were randomly generated within the range of movement, according
to a uniform probability density function (15 targets, everyone remaining displayed for 5 seconds with 5 seconds rest).
The task was repeated three times, separated by 10-min rest, and the whole sequence was repeated after one week. The
individual performance was assessed by means of the two following parameters: the mean cursor-target distance (MD)
and the distance between the mean cursor position and the target (Offset error, OE). Repeatability analysis was based on
ANOVA for repeated measures.
Results: These preliminary results (9 patients) show that the presented technique allows to detect different motor ability
54
in the different subjects and shows a good repeatability. In the analyzed pathological subjects a significant improvement
was observed between trial 1 and trial 2, but not between trial 2 and 3.
Conclusions: The ease and the good repeatability of this procedure allow to evaluate the motor control performance in
different clinical situations. It can provide an important tool for monitoring and support of the maxillofacial rehabilitation
giving an objective assessment of the therapeutical improvements.
This study has been financed by grants from Regione Piemonte. The described technique is under a patent by the
University of Torino.
38 CHEWING PATTERNS IN COMPLETE DENTURE WEARERS BEFORE AND AFTER
SINGLE IMPLANT ANCHORAGE: A PRELIMINARY REPORT
Piancino MG[1], Notaro V[1], Gallarato I[1], Vallelonga T[1], Carossa S. [1]
[1]
230, 10126, Torino
Objectives: One of the main complaint of complete dentures wearers is the lack of retention and stability of the
mandibular denture. Being the social cost of the rehabilitation with implant-supported overdentures very high, a single
implant denture anchorage has been used in the last years. The aim of this research was a within-subject comparison of
chewing patterns kinematics in complete denture wearers with and without a single implant anchorage.
Methods: Eight patients (4 males and 4 females) were selected for the study. All patients underwent the recording of the
chewing cycles with a kinesiograph K7, using a gelatinous semi-solid (20 x 20 x 20 mm) bolus. The kinematic signals were
analyzed using custom-made software (Department of Orthodontics and Gnathology, Dental School, Turin University,
Italy). The protocol was:
- time To = upper and lower dentures not anchored to the lower implant
- time T1 = immediately after anchorage to the single-tooth implant of the lower denture
- time T2 = one month after the anchorage
- time T3 = three months after the anchorage
Results: The width of the pattern showed a significant decrease from T0 to T1, continuing from T1 to T3, both from the
right and the left side.
The Maximum Lateral displacement decreased significantly from T0 to T1 and continued from T1 to T3 both on the right
and the left side.
Conclusions: Even though the anchored mandibular denture is more stable, the preliminary objective results of the
masticatory recording showed a worsening reduction of the movement ability after the anchorage on a single implant.
55
Informazioni generali
e scientifiche
Informazioni generali e scientifiche
Date
Da giovedì 22 Novembre 2012 a sabato 24 Novembre
2012
Sede Congressuale
Palazzo della Cultura e dei Congressi
Piazza della Costituzione, 4 - Bologna
Lingue ufficiali
Per il Corso Precongressuale e per il Congresso, le
lingue ufficiali sono l’italiano e l’inglese. È prevista
la traduzione simultanea dall’italiano all’inglese per
il Corso Precongressuale e la traduzione dall’inglese
all’italiano e viceversa per le relazioni del Congresso
La quota di iscrizione al Corso
Precongressuale include:
-
-
-
-
-
-
-
Accesso alla Sala Plenaria
Accesso all’area espositiva
Kit congressuale
Coffee Break
Lunch di Giovedì 22 Novembre
Attestato di partecipazione
Sillabo del Dott. Gerard Chiche
La quota di iscrizione
al Congresso include:
Sarà possibile ritirare le cuffie al primo piano (lato
destro e sinistro entrata Sala Europa e davanti alla
Sala Italia), previo rilascio di un documento d’identità.
-
-
-
-
-
-
Segreteria in sede congressuale
Accreditamento ECM
Cuffie per traduzione
- Giovedì, 22 Novembre 08.00-19.00
- Venerdì, 23 Novembre 08.00-19.00
- Sabato, 24 Novembre 08.00-14.30
Area espositiva
- Giovedì, 22 Novembre 08.00-19.00
L’accesso all’area espositiva è aperto esclusivamente
ai congressisti ed agli espositori autorizzati
Sessione Poster
È prevista un’area al primo piano (di fronte alla Sala
Verde) dove i poster rimarranno affissi con il seguente
orario:
La Segreteria Organizzativa non si riterrà responsabile
per gli eventuali poster non ritirati. Lo staff sarà
a disposizione degli autori e fornirà il materiale
necessario per l’affissione. Sabato 24 Novembre dalle
ore 12.00 alle ore 12.15 sarà premiato in Sala Europa
il miglior poster ed i primi 5 classificati tra i giovani
sotto i 30 anni riceveranno l’iscrizione ad Aiop 2013.
58
Accesso alle sessioni scientifiche
Accesso all’area espositiva
Kit congressuale
Coffee Break
Lunch di Venerdì 23 Novembre
Attestato di partecipazione
Il Corso Precongressuale ed il Congresso hanno visto
riconosciuti i seguenti crediti formativi attraverso
la formulazione della “Formazione Continua” dal
Ministero della Salute, con il Provider CIC:
Corso di aggiornamento Precongressuale: n° 3 crediti
-
- Congresso Internazionale: n° 5 crediti
I questionari ECM saranno consegnati al termine del
Corso Precongressuale e del Congresso.
TAXI
Un posteggio taxi si trova davanti all’ingresso del
Palazzo dei Congressi.
Radio taxi: 051 372727-051 534141
DIVIETI:
Non sono ammesse riprese audiovisive ed è
assolutamente vietato tenere in funzione il telefono
cellulare all’interno delle sale congressuali durante lo
svolgimento delle sessioni scientifiche.
Planimetrie
aree congressuali
Planimetrie aree congressuali
Area segreteria (Piano terra)
Area Foyer Europa (piano terra)
COFFEE BREAK
SITO
AIOP
GUARDAROBA
60
GUARDAROBA
COFFEE BREAK
LUNCH
SITO
AIOP
KIT
CONGRESSUALE
INGRESSO
KIT CONGRESSUALE
DESK SEGRETERIA
VARCHI
BAR
KIT
CONGRESSUALE
INGRESSO
KIT CONGRESSUALE
DESK SEGRETERIA
VARCHI
COFFEE BREAK
FOYER EUROPA
COFFEE BREAK
LUNCH
61
Planimetria Sessioni Scientifiche (primo piano)
Area Corso di Protesi Totale - GAM (piano terra)
SALA ITALIA 300 POSTI
SALA ITALIA
SALA CIANO
Corso Digital Dentistry
Corso AIOP YOUNG
Corso per Igienisti
600
Corso
200 POSTITotale
di Protesi
1
2
3
1
2
3
4
CU
FF
IE
INGRESSO
WC DONNE
PORTA A VENTOLA
AREA POSTER
PIANO A RIBALTA
Sessione Clinica
Sessione Comune
MOBILE REGIA
WC UOMINI
DESK SEGRETERIA
TERMOSIFONE
EUROPA AUDITORIUM
GUARDAROBA
SALA VERDE
80 POSTI
SALA VERDE
EUROPA AUDITORIUM 1348 POSTI
Area
Riservata
SALA ROSSA
50 POSTI
BAGNI
SALA ROSSA
50 POSTI
GIARDINO
GUARDAROBA
CUFFIE
CUFFIE
Sessione Odontotecnici
Corso per Assistenti Dentali
COFFEE BREAK
LUNCH
BIGLIETTERIA
5
6
7
8
9
10
11
12
13
14
62
63
Italian Academy
of Prosthetic Dentistry
31st
e dei Congressi
International Congress
Bologna
November, 22-24, 2012
November, 23-24, 2012
Scientific program
Calculated risk:
the prognosis
of prosthetic
restoration
November, 22, 2012
Pre-Congress Course
SMILE DESIGN AND BRUXISM.
Esthetic and occlusal techniques
with high risk patients
www.aiop.com
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
XXXI International AIOP Congress
Calculated Risk: the prognosis of prosthetic restoration
Dear Members and Friends of AIOP,
with the XXXI International Congress ends two-years full of satisfaction and success, and
we would like to pay a heartfelt thanks to those who contributed to that in 2011-2012 will
close with a positive balance in every respect: so our thanks go to you, AIOP Members, your
broad and deep interest to the AIOP Cultural Events have confirmed and corroborated our
work, to those who will follow us as well as those who have over the years led the Academy
until it became an international point of reference.
For that reason, it is an honor and a pleasure to present the program of the XXXI International
AIOP Congress and give you all the warmest welcome in Bologna.
As you know AIOP training events have a “central” theme around which the sessions are
structured, organized so as to have a logical link that joins the various speakers and to allow
an examination as complete as possible of the chosen topic; in 2012 the topic on which we
put the spotlight is intriguing and a very current subject that can be an asset to achieve
sustained success in prosthetic treatment: an examination of risk factors for the prognosis
of the prosthetic treatment.
The topic on “risk” in prosthesis will be treated as early as on the highly anticipated precongress course taught by Dr. Gerard Chiche, which focuses on the treatment of those
patients most threatening of all our work: the terrible bruxer patients. How to examine from
an aesthetic point of view patients with heavy parafunctions and how to perform a treatment
that is both aesthetically brilliant and mechanically reliable? With what materials? Which
occlusion? In these and other questions, the Speaker who is among the first in the world to
devote himself to systematic treatment of aesthetics in Fixed Prosthodontics, will spend an
entire day during the course dedicated to the topic:
SMILE DESIGN AND BRUXISM. Aesthetic and management of occlusion in high risk
patients.
The Congress will expand on other aspects of prosthetic risk. As always, the meeting will
be a “starting point” in which will turn many events, with sessions dedicated to major risk
factors in the prognosis of the restoration. The topic will be discussed from different points
of view, clinical, technical and planning. Italian and foreign Speakers, among the most
famous and recognized on the international scene, will examine the key elements that if
not properly evaluated are able to jeopardize treatment results and prognosis of prosthetic
restoration.
AIOP always had in its mission to bring excellence in clinical practice, and our events are
aimed at those who daily face patients in clinic or in the laboratory, having to reconcile high
quality therapies, optimal prognosis and professional as well as personal management. We
66
believe that professional ethics is also expressed in the continuous search for improvement,
and this attitude is certainly perceived by patients as a value that reinforces confidence and
promotes the quality of interpersonal relationships.
For this reason, the Speakers were, as always, asked to provide concrete answers to the
clinical questions, preparing reports that may become effective working tools, so that
those who have invested time and money to participate in our conference would obtain
immediately some operational knowledge. In this historical moment, we feel even more
necessary to propose useful programs to clinicians and dental technicians to improve the
quality and to make more efficient use of their daily professional practice, for the benefit of
patients and professional activities as a whole.
The variety and depth of collateral events that make the AIOP Congress the only
Italian realty dedicated to the prosthesis in all its aspects: AIOP YOUNG, DIGITAL
DENTISTRY@AIOP, the extensive and specialized product exhibition, the Course for
hygienists and for dental assistants... everything is designed to provide maximum of
information to the entire prosthetic team.
A one day course is reserved for conventional or implant supported dentures: will be taken
by the team of Prof. Glauco Marino, a leading authority in the field.
As you can read in the details of the training program that aims to provide the widest
possible modularity in a Congress that is the prosthetic dentistry in its various branches
and specialties.
We are sure of having presented a valid and very timely training program, we bring you a
warm welcome to Bologna.
President
Director the Dental Technician Section
Dr. Maurizio ZilliStefano Petreni, CDT.
67
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
Thursday, 22nd November 2012
XXXIInternational
31st
Congress AIOP
AIOP
Thursday, 22nd November 2012
Pre-congress refresher course
SMILE DESIGN AND BRUXISM.
Aesthetic appearance and the management of occlusion in high risk patients
Speaker: Dr. Gerard Chiche
Chairman and moderator: Dr. Massimo Fuzzi and Giancarlo Barducci, CDT.
A great international speaker dealing with. The numbers of patients with parafunctional habits is
very much on the increase, with a resulting increase in the need for treatment relating to wear and
this major risk factor for restoration work.
Clinical experience and the international literature confirm that patients with bruxism are those
that most put at risk the integrity of prosthetic restoration both on teeth and on implants, and both
as regards aesthetic veneers and the structures that support them, not to mention the abutments
themselves. The long term prognosis for restoration work may thus be less good for this patient
type.
Dr. Gerard Chiche, a world expert on prosthodontics, dental aesthetics and ceramic restorations
will speak about diagnostic and therapeutic strategies to avoid bruxism patients becoming booby
traps for clinicians, technicians and for the prosthodontics team as a whole.
A step-by-step approach will be taken to illustrate the key points for the solving of aesthetic issues
with predictable results.
Critical aspects of methods involving the use of all ceramic crowns will also be considered, in
terms of system selection, cement and adhesives, and the operational bonding sequence.
Much attention will be given to occlusal management of aesthetic cases, especially in the case of
bruxers, in such a way that the risks of complications and porcelain fractures are minimised.
Course Programme
Aesthetic project: seven key factors for predictable aesthetic treatment and their application to
large and small aesthetic and occlusal rehabilitations.
Occlusal project: step-by-step occlusal design with the aim of achieving optimal protection and
maximum predictability. The identification of occlusal alarm bells before routine treatment and
more extensive rehabilitation work for a predictable restoration result.
Bruxism patient management: precautions, occlusal scheme selection, anterior guide
strategy, materials selection and operative sequence.
All ceramic crowns and porcelain veneers: systematic prosthodontic selection criteria,
bonding cement choice, adhesion methods and aesthetic qualities. Precautions necessary in the
cases of high risk patients, especially those with oral parafunctions.
Complications: dealing with aesthetic and restorative complications where porcelain veneers,
all ceramic crowns and occlusal rehabilitation have been employed.
68
DR. GERARD CHICHE
Dr. Chiche is the Thomas P. Hinman Endowed Chair in Restorative Dentistry,
and the Director of the Center for Esthetic Implant Dentistry at GHSU School
of Dentistry in Augusta, GA. He has given numerous programs nationally and
internationally and holds membership in the American College of Dentists,
the American Academy of Esthetic Dentistry, the American Academy of
Fixed Prosthodontics, the American Academy of Restorative Dentistry and
the Omicron Kappa Upsilon Dental Honor Society. He is a Past President of
the American Academy of Esthetic Dentistry and is also, respectively with
Alain Pinault and Hitoshi Aoshima the author of two textbooks: Esthetics
of Anterior Fixed Restorations, and Smile Design - A guide for Clinician,
Ceramist and Patient both published by Quintessence Pub. Co.
He serves as adjunct faculty at the Pankey Institute, he is the recipient of the 2003 LSU Alumni
Award, the 2003 Educational Community Achievement Award of the Seattle Study Club for
best dental educator of the year and the 2007 Distinguished Lecturer Award of the Greater New
York Academy of Prosthodontics. He became in 2009 the first receipient of the Endowed Chair
sponsored by the Thomas P. Hinman Dental Society and he received in 2012 the title of Professor
Emeritus from Louisiana State University.
9.00-11.00 A.M.
11.00-11.30 A.M.
11.30-1.00 P.M.
1.00-2.30 P.M.
2.30-3.30 P.M.
3.30-4.00 P.M.
4.00-5.00 P.M.
Part 1
Coffee Break
Part 2
Lunch
Part 3
Coffee Break
Part 4
69
31st
e dei Congressi
International Congress
Bologna
November, 22-24, 2012
Calculated risk:
the prognosis
of prosthetic
restoration
Scientific programme
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Clinical Session
Clinical Session
Friday 23rd November 2012
EUROPA HALL
EUROPA HALL
9.00-9.15 a.m.
10.00-10.45 A.M. Ceramic options to restore oral implants
Congress inauguration and start of work
Dr. Maurizio Zilli, Stefano Petreni, CDT.
CLINICAL SESSION
NATURAL AND ARTIFICIAL ABUTMENT RISK FACTORS
The decisive moment in the drawing up of a prosthodontic treatment plan is risk factor
assessment, when studying all of the factors that could have a negative effect on the long term
prognosis for the restoration. The question is all the more thorny and current at a time when
considerations of the biological and financial resources of the patient must be fully taken into
account by all of the staff working together for a common cause.
Friday’s clinical session will address three crucial aspects that must be very carefully evaluated
each time a simple or a complex prosthodontic case is approached.
Part 1
Functional and parafunctional risks
Session Chairman: Dr. Francesco Schiariti
Moderator: Prof. Fernando Zarone
9.15-10.00 A.M.
Restorative management and interdisciplinary considerations
for bruxism in the natural dentition
Dr. Gerard Chiche
Esthetic predictability is based on a comprehensive use by the clinician and the dental ceramist of many time-tested esthetic
principles. Achieving the highest esthetic standards must be combined with a methodical approach in respect to the occlusal
design and the long-term protection of ceramic restorations. Conventional principles of occlusion offer a very good degree of
predictability, but they may be greatly challenged, and at times prove ineffective if applied uniformly for all bruxing patterns.
This presentation will identify the four typical types of esthetic-occlusal failures caused by specific bruxism patterns, and it will
present their respective management solutions. It will also describe interdisciplinary strategies for planning and sequencing
occlusal reconstructions, in order to achieve maximum predictability and long-term protection.
72
Prof. Jörg R. Strub
Fixed implant reconstructions like single implant supported crowns and multiple unit fixed dental prostheses (FDPs) are well
documented in the literature and nowadays fully accepted as a treatment option for the replacement of single or multiple missing
teeth (Pjetursson et al. 2007; Jung et al. 2008 a). The establishment of osseointegration of dental implants has been thoroughly
investigated and found to be highly predictable (Esposito et a. 1998, Berglundh et al. 2002). Implant-borne reconstructions
exhibit excellent clinical survival rates. In recent systematic review, implant supported crowns and FDPs exhibited high
survival rates resembling the ones of tooth-borne reconstructions, amounting to 95% at 5 years (Pjetursson et al. 2007). But
the clinical success of implant reconstructions depends not only on the survival rates but also on the extent of biological and
technical complications occurring during clinical function. To improve the clinical success, debates as to the best materials and
techniques for implant supported reconstructions are constantly raised (Pjetursson et al. 2007, Jung et al. 2008) and what is the
ideal connection between the implant and the reconstruction (Michalakis et al. 2003, Chee and Jivraj 2006). The purpose of this
presentation is to address the current knowledge regarding the available materials, properties, the outcome of ceramic materials
and the ideal connection to restore implants. In addition, alternative materials and fabrication techniques are presented and
future perspectives are discussed.
10.45-11.30 A.M.
11.30-12.15 P.M.
Coffee Break
Bruxism as musculoskeletal overload factor
Dr. Daniele Manfredini
Bruxism is a general term used for at least two types of non-functional masticatory muscle activity (clenching and grinding)
(Lobbezoo et al., 2012) and has a complex relationship to temporomandibular disorders (TMD) (Manfredini Lobbezoo, 2010). The
study of bruxism as musculoskeletal overload factor is complicated by diagnostic difficulties when approaching the subject.
Even though several diagnostic methods have been put forward over the years (e.g. questionnaires, interviews and analysis of
clinical signs and symptoms), it is only possible to fully understand bruxism through a standardisation of how it is measured.
Bruxism is a physio-pathological continuum in which the appearance of symptoms varies according to different individual
characteristics in terms both of anatomical and psychological predisposition. A careful review of the literature is therefore
presented on the role of bruxism as a musculoskeletal overload factor, mediated and supported by clinical examples on the
different relationships between the various forms of bruxism and the diverse symptoms affecting the temporomandibular joint
and the masticatory muscles (Manfredini, 2010).
12.15-1.00 P.M.
Round table
1.00-2.15 P.M.
Lunch
73
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Clinical Session
Clinical Session
EUROPA HALL
EUROPA HALL
Part 2
Biological and environmental risks
Part 3
Structural and biomechanical risks
Session Chairman: Dr. Gaetano Calesini
Moderator: Dr. Gianfranco Carnevale
2.15-3.00 P.M. Biological risk factors: their evaluation and management
Session Chairman: Dr. Gaetano Calesini
Moderator: Dr. Gianfranco Carnevale
4.15-5.00 P.M.
Prof. Maurizio Tonetti
3.00-3.45 P.M. Support therapy in prosthetic rehabilitation: prevention,
interception and risk factor control
Dr. Chiara Camorali
Observation of patient motivation, plaque control ability, the level of active involvement in achieving and maintaining good
compliance are all factors that have to be considered when planning prosthetic-periodontal rehabilitation therapy so as to use
the approach best suited to the patient and for an evaluation of risks factors for the outcome of the treatment. It is essential at the
end of the prosthodontics treatment to put a support system in place with the collaboration of the patient. The aim of support
therapy is to prevent recurrence of caries or of periodontal problems, to intercept changes in dental and periodontal health and in
the oral mucosa, as well as problems regarding the prostheses themselves and to eliminate the aetiological factors behind such
health changes. Careful patient assessment identifies risk factors and when disease is in progress, specific preventive programmes
should be prepared to reduce relapse risk and prevent new pathology from arising. Follow-up frequency and any necessary
support therapy depends on patient conduct, motivations, clinical history, age, clinical factors and the type of prosthesis used.
3.45-4.15 P.M.
Coffee Break
Biomechanical risk factors connected with natural teeth
as abutments for fixed prosthetic reconstructions
Prof. Jean-Francois Roulet
Nature has made teeth almost in an ideal way to fulfil their function: developing crushing forces for mastication. From an engineering
standpoint not only the form is ideal (occlusal surfaces), but also the materials being used are highly anisotropic composites. Enamel is well
structured, very hard and brittle and it is strongly bonded to dentin, which is a composite between collagen and hydroxyapatite. Furthermore,
the tooth is suspended to the slightly elastic bone by the periodontal ligament, with an inherent security mechanism against overload with the
neuromuscular loop controlling the force development.
When it comes to the use of teeth as prosthodontic abutments, many factors work to the disadvantage of the dentist.
First of all, the tooth was never intended by nature to function as an abutment. Second, to become an abutment in classical prosthodontics, the
tooth is prepared and thus weakened. If root canal treatment has been done, still many schools recommend the use of post and cores. From
biomechanical standpoint this results in further weakening the tooth. There is little literature about the effect of weakening teeth by inserting
crowns, but virtually none for the effects of using them as abutments. Some schools reject using root canal treated teeth as abutments for
bridges or partial dentures. Furthermore, in fixed prosthodontics reconstructions teeth (abutments) are strongly bonded together. This may
create problems, in the posterior area of the mandibular, since it is known that the bone slightly flexes when the mandibula is opened wide.
Adhesive technology has opened a new field in prosthodontics, because it allows within certain limits to recreate the original tooth’s composite
structure. Furthermore, bonded intracoronal restorations are able to mainly restore the tooth’s original strength.
Unfortunately, little is known about these effects on the longevity of bridges or RPDs.
Common sense tells that minimally invasive techniques would be beneficial for teeth and function quite well. With the resin bonded anterior
FDPs, (Maryland Bridges) with metal retainers the profession has learned by trial and error to come up with the biomechanical correct designs.
Using ceramics we have learned that with anterior teeth, one sided support is superior to two winged bridges.
Adhesive FDPs made chairside out of composite and fibre reinforced composite have proven a good longevity even in the posterior segment.
This points into the right direction, since these materials allow some physiological movements of the teeth, even in a FDP configuration.
5.00-5.45 P.M.
Implant related biomechanical risk factors: length, width
and number
Prof. Franck Renouard
More than 40 years after the first implants placement, there are still controversies concerning the biomechanical aspect of the implants
restoration. Length, diameter and number of implants are still subject for discussions. Based on 20 years of clinical experience, the goal of the
lecture is to give simple and efficient clinical advice in the field of biomechanics. Some simple rules will allow the practitioner to reduce the
long-term risk of complications and failures. During this lecture some important questions will be discussed: What is the adequate number and
position of implants? What is the influence of the implant length and diameter on the survival rate? What about the implant/crown ratio? All
these questions will be raised using both huge clinical experience and large literature review.
5.45-6.30 P.M. 74
Round table
75
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Prosthodontics Session
Prosthodontics Session
ITALIA HALL
ITALIA HALL
PROSTHODONTICS SESSION
11.30-1.00 p.m. NATURAL AND ARTIFICIAL ABUTMENT RISK FACTORS:
DESIGN AND TECHNICAL CONSTRUCTION ACCORDING
TO STRUCTURAL LOAD AND HYGIENIC MAINTENANCE
Session Chairman: Giancarlo Barducci, CDT.
Moderators: Roberto Bonfiglioli, CDT. and Roberto Canalis, CDT.
The dental technology session will examine the measures employed so that the design and
construction of dental and implant supported prostheses can manage the functional and
parafunctional load risk, as well as that of the accumulation of bacterial plaque on their surfaces.
The technical of prosthetic elements from the most simple to the most extensive and complex will
be approached from various standpoints by some of the most illustrious people working nationally
and internationally in this field.
9.30-11.00 a.m. Choice of occlusal approach to teeth and implants in patients
with bruxism
Stefan Schunke, CDT.
Bruxism effects can be observed on complete or partial dentition, and a symptomless TMJ can become symptomatic as a
consequence of bruxism. We consider occlusal concepts as reference points from which we can start to design our artificial
occlusion. Nature doesn’t recognize these occlusal concepts, actually, and it intervenes by physiological or pathological
adaptation. I’ll show some cases to let you see how I behave in those situations.
Can we heal bruxism or can we only try to fight its effects?
What do facets really tell us?
Do we really need a different kind of occlusion on teeth or implants?
Can we rely on some kind of relation between the joint function and the occlusal surfaces?
Is an articulator able to reproduce the correct joint function?
Which choice of material is in today’s variety the right one?
11.00-11.30 a.m. Coffee Break
76
Span design and planning according to material types:
special considerations when dealing with patients suffering
from bruxism
Salvatore Sgrò, CDT.
The making of dental prostheses nowadays involves detailed knowledge of the materials used and their suitability for application in particular
cases, as well as much experience in the problems of bruxism.
The construction of a temporary-permanent restoration, made with the same care reserved for permanent solutions, helps us to test the whole
treatment plan from the biomechanical, neuro-functional and psychological and aesthetic standpoints while it is in place.
When carrying out permanent restoration work it is therefore necessary that the geometry of the supporting structure design takes account of
the need to provide sufficient support for the ceramic layer and allow the traction stresses to be turned into compression stresses at the various
interfaces (metal to ceramic, bone to ceramic and fluoroapatite to lithium disilicate). In the meantime the thermal residual stresses generated in
the sintering stages must be greatly reduced in the ceramic layers and in the various interfaces.
This means that: when designing the restoration structure, the force-dissipating elements must take due account of the ceramic-dental volume
anatomy in relation to the location of the occlusion contacts and hence the quantity of ceramic material to support. The design will therefore be
customised for each bridge or each individual tooth restoration.
Much thought must be given to the layering and above all to the sintering processes for the ceramic coating which will be carried out on a
case by case basis in order to obtain highest chemical and physical resistance as well as good results in terms of appearance, with regard to the
particular value, colour, translucence and brilliance. All these factors must come together to ensure correct integration of the restoration over
the long term in the biological environment of the mouth while as far as possible preventing any damage to the prosthetic restoration from the
effects of bruxism in potential sufferers as well as those that are already affected and controlled.
1.00-2.15 p.m. Lunch
2.15-3.45 p.m. How to achieve life-like implant restoration with gingival
porcelain
Jungo Endo, RDT.
Traditionally an unesthetic outcome for partially and edentulous patients with implant rehabilitations was created due to the excessive use
of tooth colored ceramics and a limited utilization of soft-tissue colors. Using both tooth and soft tissue colored ceramics allows for a more
desirable esthetic outcome by creating a mirror of pre-existing soft and hard tissue that was previously there. This type of treatment takes into
account lip support and loss of biological tissues as well. Today, patients’ high esthetic demands require us to push the envelope of desire to
recreate periodontal tissues and teeth once lost, in turn, giving restorations a more natural look with proper esthetic contours.
In this lecture, Jungo Endo RDT will explain to you what possible problems may present in highly esthetic demanding cases and how to solve
them. In conjunction to the principles of esthetic cases discussed, a ceramic application process entitled “ORAL STRATIFIED BUILD-UP
TECHNIQUE” by Jungo Endo RDT will be described for a naturally esthetic outcome.
3.45-4.15 p.m. Coffee Break
4.15-5.15 p.m. Round table
77
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Joint Session
Joint Session
Saturday 24th November 2012
EUROPE HALL
EUROPE HALL
JOINT SESSION
10.00-10.45 a.m. Complex implant restorations, from technical project to final
esthetic details
Session Chairman: Dr. Gianni Persichetti
Moderators: Prof. Adriano Brachetti and Giuseppe Lucente, CDT.
CLINICAL AND TECHNICAL PROJECT AS A RISK FACTOR
After examining in detail on the first day the most relevant single risk factors and ways of managing
them, the concluding joint session on the Saturday morning will analyse overall risks associated
with prosthetic therapy in each of its stages, together with a general management strategy to
apply to treatment management. A close-knit team will show how suitable liaising of clinical and
technical aspects during treatment, from design through to the finished product, permits best
management of global risk factors.
There will be further examination of the functional and aesthetic realisation of the technical design,
followed finally by consideration of the weight that must be given to the potentially decisive “X”
factor, or human factor, which both in its negative and its positive valence is frequently glossed
over or undervalued.
8.30-9.00 a.m. General Assembly of ordinary members - Verde Hall
9.00-10.00 a.m. The clinical and technical project: the alliance between materials
and diagnosis
Jungo Endo, RDT.
In the realm of complex implant restorations, it is vital that the patient, lab technologist, and practitioner all work together to
achieve ultimate satisfaction in oral rehabilitations. When sending photographs back and forth, many details may be omitted,
and so it is essential that everyone on the team be together at the same time which allows for unforeseen variables to be
discussed prior to definitive restoration fabrication. This team process should be considered an exciting journey together which
will allow for arrival at the appropriate destination. In this lecture, Jungo Endo RDT will explain what is essential in achieving
ultimate successful implant restorations utilizing metal ceramics.
10.45-11.30 a.m. Round table
11.30-12.00 a.m.
Coffee Break
12.00-12.15 p.m. Prize awarding cerimony “Mario Martignoni”
12.15-12.45 p.m. The activities of the NAS health inspectorate in the dental field.
Working to protect the public
Lieutenant Colonel Giovanni Capasso
Carabinieri group commander for health inspection in Rome
12.45-1.30 p.m. Dr. Mauro Broseghini, Cristiano Broseghini, CDT.
In the era of “homologation OF SMILE” yet rather the search for “INDIVIDUALITY” allows to find the right answer that
every patient is waiting for and for us operators the possibility to identify and then control the risks.
The biological, aesthetic and functional success is made through a specific individual diagnosis in the various clinical situations:
different skeletal and dental classes.
The knowledge of the clinical and technical problems in the diagnostic and planning phase becomes even more important at a
time when the reconstructive techniques and materials offer new possibilities.
The missing link: the importance of the clinician
to the results of patient treatment
Dr. Sergio De Paoli
The risk factor is a specific condition that is statistically associated with a disease and is thought to contribute to its pathogenesis,
facilitate the development or accelerate the course.
One or more risk factors may alter the therapeutic approach and create the conditions for the failure of the therapy.
The alteration may be made in the diagnostic level, treatment plan formulation or execution of the therapeutic phase.
The physician’s role is critical and can be the determining factor in the success or the missing link of a correct therapeutic
procedure.
1.30 p.m. Congress adjourns
Dr. Maurizio Zilli and Stefano Petreni, CDT.
78
79
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Parallel Sessions
AIOP UPDATES
FOR THE PROSTHETICS TEAM
Parallel Sessions
VERDE HALL
DIGITAL DENTISTRY @ AIOP course
Session Chairman: Dr. Carlo Poggio
9.00-10.45 A.M. Digital impressions: active members’ views
Speakers: Dr. Alessandro Agnini, Dr. Federico Boni, Dr. Piero Venezia
Digital dentistryL
technologies courseL
Aiop YoungL
In prosthodontics rehabilitation we have for many years been using protocols that have been to a large extent codified and
described in the literature, with results that satisfy both our own and our patients’ expectations. It is true that the advent of
new technologies has meant we can use new materials and new equipment that favour the flexibility and predictability of
prosthetic devices that had up to the present time been difficult to obtain. In this paper we will examine the current benefits
and limitations of optical digital impressions, emphasising considerations relating to the different methods of preparing dental
stumps and implants. We will illustrate the differences between the methods used and the changes that have been developed
in recent years as a result of the greater understanding obtained through the increase use of new equipment and new materials.
The advantages and disadvantages of the protocols mentioned will be examined and assessed on the basis of the scientific
evidence and personal experience.
10.45-11.30 A.M. Coffee Break
11.30-1.00 P.M. Full denture courseL
Dental assistants courseL
Dental hygienists courseL
80
All about scanners: technical planning
Speakers: Valter Bolognesi, CDT. and Paolo Smaniotto, CDT.
During the short course we will share our experience of the use of certain scanners we have used, concentrating on the
particular needs of everyday practice.
It is well-known that the use of 3D scanning with CAD-CAM technology enables modern dentistry to acquire and process the
data from suitably treated models.
After CAD reading and design, the data obtained are transferred to a CAM machine tool that uses software that makes it
possible to obtain forced extrusion of the previously designed device, employing selected materials for the prosthetic restoration.
In view of how things currently stand we shall put the following questions to the assembled meeting:
• after an initial pioneering period, what can now be reasonably expected from the development of this accumulated body of
experience?
• What new knowledge would it be worth sharing with a view to improving the quality and productivity of our work?
• Is the CAD-CAM acronym still applicable or should be rather consider it standing for in Certain Aspects Do Certainly need
to be Amplified and Made better?
The subject is suitable for discussion with those attending the course whose contributions will be appreciated to add to the
value of the meeting.
81
Italian Academy
Accademia
Italiana
of Prosthetic
di Odontoiatria
Dentistry
Protesica
XXXIInternational
31st
Congress AIOP
AIOP
Parallel Sessions
Parallel Sessions
VERDE HALL
ITALIA HALL
AIOP YOUNG Course
COURSE FOR DENTAL ASSISTANTS
The dental team’s areas of competence and synergies
How to avoid risks arising from ineffective communication: the role of the assistant
Session Chairman: Dr. Fabio Carboncini
Speaker: Dr. Roberto Pontoriero
4.15-6.30 p.m. Essential periodontic principles for the prosthodontist
The need to recover, for the purposes of restoration, a part of the dental structure lost as a result of trauma, caries or iatrogenic treatment
frequently means it is necessary to resort to periodontal surgery that is to a greater or lesser extent invasive.
The choice of the intervention and its technical performance will depend to a large extent on the extension of the dental lesion into the
periodontal tissue and will involve different restoration methods and times. The presentation will examine and discuss the following:
• treatment method decision criteria and an analysis of the possibility of periodontal surgery and/or other treatment options.
• rationalisation of the surgical approach, the techniques and healing mechanisms according to restoration finalisation times.
Session Chairman: Dr. Gaetano Noé
Speaker: Dr. Vittorio Ferri
The Latin root of the word communicate is to “make common” i.e. to share thoughts, opinions, experience, emotions and feelings
with others. Such broad sharing is often deemed superfluous, forgetting that human beings live and thrive on communication.
Everyone can communicate, but not everyone is able to make him or herself properly understood.
This is because there is an art to communicating.
It is an art that can be learnt.
Learning requires good intentions and continuous practice of the methods that govern modern communication techniques.
The aim of this paper is to summarise communication techniques that can be customised to each individual patient,
considering that patients are individuals with their own quiet different emotional and receptive characteristics. There will also
be an evaluation of synergies within the dental team that are capable of establishing an “emotionally” positive environment.
CIANO HALL
FULL DENTURE COURSE
Implant prosthetics and the edentulous patient: tradition and innovation compared
Session Chairman and Moderator: Dr. Dario Castellani, Giancarlo Garotti, CDT.
Speakers: Prof. Glauco Marino, Dr. Fabio Smorto, Reginaldo Bartolloni, CDT.
The question of complete edentulism is addressed starting from the most traditional prosthodontic therapies, i.e. full denture, with opening
comments on the fundamental diagnostics required for the choice of best implant prosthetic therapy in the edentulous patient. Fixed
prosthetics, hybrid and removal dentures anchored to implants offer dentists a package of exception responses that presuppose knowledgeable
and decisive diagnostics for the long term success of therapy selected. The use of new materials and new CAD-CAM technologies have further
improved clinical opportunities.
This conference sets itself the objective of giving those attending useful clinical and prosthodontics directs in the area of the treatment of the
edentulous patient in an era of CAC-CAM technology and Guided Surgery. By way of the fundamentals of full arch prosthetics there will be an
examination of all the diagnostic procedures in various complete edentulism cases. There will also be an examination of all types of traditional and
new implant technology applicable to completely edentulous cases, with the essential assistance also of the international literature.
The talk will consider useful ideas in relation to impressions, the occlusal plane, the vertical dimension, occlusion and good aesthetic results.
9.30-10.45 a.m. Part 1
10.00-11.30 a.m. Part 1
12.00-1.30 p.m. Part 2
VERDE HALL
COURSE FOR DENTAL HYGIENISTS
Sleep and dentistry: prosthetic risks and cardiovascular risks
Speakers: Prof. Guido Maria Macaluso, Dr. Edoardo Manfredi
Session Chairman: Dr. Costanza Micarelli
A refresher course on sleep disorders of interest to the dentist: bruxism and morpheic apnoea syndrome. The importance of
correct diagnosis and treatment of such disorders is essentially important not only for risk management of prosthetic failure, but
also, as regards morpheic apnoea syndrome, for the quality of life of the patient and the management of cardiovascular risks for
those suffering from the disorder. The dental hygienist, if suitably informed and kept up to date, has a fundamental role to play
in being the first to spot the diagnostic signs of sleep disorders.
11.30-1.00 p.m.
Part 2
1.00-2.15 p.m. Lunch
2.15-3.45 p.m. Part 3
10.00-11.30 a.m. Part 1
3.45-4.15 p.m. Coffee Break
11.30-12.00 a.m.
Coffee Break
4.15-5.30 p.m. Round Table
12.00-1.30 p.m. Part 2
82
83
Italian Academy of Prosthetic Dentistry
AIOP and IFED / AIOP and ICP
AIOP and IFED
AIOP and ICP
The Italian Academy of Prosthetic Dentistry is associated
with the INTERNATIONAL FEDERATION ESTHETIC
DENTISTRY (IFED), an organization born in 1994 on initiative
of the American, European and Japanese Academies of
Esthetic Dentistry. Its purpose is to contribute to the progress
and development of worldwide esthetic and oral health and
to enhance communication between member Academies.
Twenty-three dental societies from around the world
which focus on esthetic dentistry are now members of this
organization, and AIOP is the only Italian Academy to be
recognized by IFED as representative of Esthetic Dentistry.
Among the other societies, you can find:
• Belgian Academy of Esthetic Dentistry (BAED)
• British Academy of Aesthetic Dentistry (BAAD)
• German Association of Esthetic Dentistry (DGÄZ)
• European Academy of Esthetic Dentistry (EAED)
• European Society of Esthetic Dentistry (ESED)
• French Society of Esthetic Dentistry (SFDE)
• Hellenic Academy of Esthetic Dentistry (EAAO)
• National Academy of Esthetic and Cosmetic Dentistry
(NAECD)
• Polish Academy of Esthetic Dentistry (PASE)
• Society of Esthetic Dentistry of Romania (SEDR)
• Scandinavian Academy of Esthetic Dentistry (SAED)
• Taiwan Academy of Aesthetic Dentistry (TAAD)
• Turkish Academy of Esthetic Dentistry (EDAD)
• Venezuelan Academy of Esthetic Dentistry (VAED)
The International College of Prosthodontists (ICP) is an
international organization founded by the American College
of Prosthodontists and by a group of prosthodontists from
different countries: Sweden (Bo Bergman), Australia (Lloyd
Crawford), the U.K. (the late Rowland Fereday, William Murphy,
Harold Preiskel), Japan (Makoto Matsumoto), the U.S.A. (Jack
Preston), Switzerland (Peter Scharer), and Canada (George
Zarb). The ICP main purpose is to promote the prosthetic
activity and to spread and reinforce the professional status of
the prosthodontist as a specialist. Current two Co-Presidents
are Dr. Martin Gross and Dr. Yoshinobu Maeda.
The other Organization members are:
• Academy of Australian and New Zealand Prosthodontists
• Academy of Prosthetic Dentistry, Taiwan China
• Academy of Prosthodontics of South Africa
• American Academy of Maxillofacial Prosthetics
• American Prosthodontic Society
• American College of Prosthodontists
• Association of Prosthodontists of Canada
• Australian Prosthodontic Society
• British Society of Prosthodontics
• Canadian Academy of Restorative Dentistry
and Prosthodontics
• Chinese Society of Prosthodontics
of the Chinese Stomatological Association
• Academy of Prosthetic Dentistry, Chinese Taipei
• Dutch Society for Prosthetic Dentistry and Orofacial Pain
• Florida Prosthodontic Association
• Indian Prosthodontic Society
• International Society for Maxillofacial Rehabilitation
• Iranian Association of Prosthodontics
• Israeli Society of Prosthodontics
• Italian Academy of Prosthetic Dentistry
• Japan Prosthodontic Society
• Korean Academy of Prosthodontics
• Norwegian Association of Oral Prosthodontics
• Prosthodontic Society of Singapore
• Sociedad de Protesis y Rebabilitación Oral de Chile
• Swedish Society for Prosthodontics
With this affiliation, AIOP has entered an international network
of highly qualified dental organizations that can give several
opportunities for a stimulating and useful “confrontation” with
other approaches to continuing dental education. Furthermore,
our members have the chance to attend a number of meetings
around the globe at advantageous conditions.
It is possible to join the ICP as individual member in accordance
to the modalities stated in the Website: www.icp-org.com.
84
General Information
Italian Academy of Prosthetic Dentistry
General Informations
DATES
From Thursday, November 22, 2012 to Saturday,
November 24, 2012
CONGRESS VENUE
Palazzo della Cultura e dei Congressi
Piazza della Costituzione, 4 - Bologna
OFFICIAL LANGUAGES
For the Pre-Congress course and for the Congress,
the official languages are Italian and English. It will
be available the simultaneous translation from Italian
to English for the Pre-Congress course and from
English to Italian and vice-versa during the Congress.
HEADPHONES FOR SIMULTANEOUS
TRANSLATION
The headphones will be available on the first floor (left
and right side entrance Hall Europa and in the front
of Hall Italia), you must leave an identity document
as a security.
REGISTRATION DESK
Thursday, 22nd November, 08:00 a.m. - 07:00 p.m.
08:00 a.m. - 07:00 p.m.
Friday, 23rd November,
Saturday, 24th November, 08:00 a.m. - 02:30 p.m.
EXHIBITION AREA
Thursday, 22nd November, 08:00 a.m. - 07:00 p.m.
08:00 a.m. - 07:00 p.m.
Access to the exhibition area is open exclusively to
conference participants and authorized exhibitors.
POSTER SESSION
Poster area will be located on the first floor, in front of
the Verde Hall (corridor), where posters will be affixed
with the following schedule:
10:00 a.m. - 06:00 p.m.
The Organizing Secretariat will not be responsible
for any poster not removed. The staff will be at the
disposal of the authors and will provide the necessary
material for the posting. Saturday, November 24, from
12 noon to 12:15 p.m. will be awarded in Europa Hall
the best poster and top 5 among young under 30 years
old who will receive the registration to AIOP 2013.
86
THE REGISTRATION FEE FOR
PRE-CONGRESS COURSE INCLUDES:
-
-
-
-
-
-
-
Access to Plenary
Access to exhibition area
Congress Kit
Coffee Break
Lunch on Thursday, November 22nd
Certificate of Attendance
Dr. Gerard Chiche Syllabus
THE CONGRESS REGISTRATION FEE
INCLUDES:
- Access to the Scientific session
- Access to exhibition area
- Congress Kit
- Coffee Break
- Lunch on Friday, November 23rd
- Certificate of Attendance
TAXI
A Taxi rank is located at the entrance of Palazzo dei
Congressi.
Radio taxi: +39 051 372727 - +39 051 534141
PROHIBITIONS
Not permitted audiovisual coverage and it is
absolutely forbidden to use the phone inside the
Congress halls during the Scientific Sessions.
Relatori, Moderatori
e Presidenti di seduta
Speakers, Moderators
and Session Chairmen
CURRICULA
RELATORI, MODERATORI E PRESIDENTI DI SEDUTA
Speakers, Moderators and Session Chairmen
DOTT. ALESSANDRO AGNINI
Giancarlo Barducci, cdt.
Laureato con lode in odontoiatria e protesi dentale all’Università degli Studi di
Modena nel 1989. Libero professionista
dal 1989 a Sassuolo e dal 1992 a Modena. Dal 1991 al 1996 ha frequentato i corsi biennali del Dott. Gianfranco Carnevale, Dott. Gianfranco Di Febo e Dott.
Mauro Merli. Dal 2005 tiene corsi di perfezionamento annuali di parodonto-implanto protesi a
Modena.
Dal 2006 è Socio Attivo dell’AIOP. Autore di pubblicazioni
su riviste nazionali ed internazionali e relatore a corsi e congressi nazionali.
He started his career as a laboratory owner in 1974. He is
an A.N.T.L.O. member and speaker and an active member
of the Italian Academy of Prosthetic Dentistry (A.I.O.P.) and
was president of its Prosthodontics division from 1999 to
2000. Speaker at courses and congresses both in Italy and
abroad. He has published many articles in national and
international journals. He is the co-author along with Dr.
Mauro Fradeani of chapter 5 in the book “La riabilitazione
estetica in protesi fissa” Volume 1 of “Analisi-Estetica” and
the book titled “La riabilitazione estetica in protesi fissa”
volume 2 “Trattamento- Protesico” published by Quintessence International. He has gained a vast experience in
prosthetic rehabilitation on natural teeth and on implants
and in the field of metal-free ceramic crowns. He has a private practice in Ancona.
full arch prostheses and dentures anchored on implants.
He is an active member of the AIOP (Italian Academy of
Prosthetic Dentistry) and a speaker at many congresses
both in Italy and abroad (AIOP-SIO - Friends of Brugg).
He has published numerous articles in national and in international journals.
In the academic year 2001-2002 he had teaching duties in
the “Prosthetics and laboratory technologies“course at the
Tor Vergata University of Rome.
In the academic years 2008-2009 and 2009-2010 he taught
the “Prosthetics laboratory techniques“ course at the D’Annunzio University. He is Co-author of the book “LINEE GUIDA IMPLANTOPROTESICHE” [implant prosthetics guide
lines] published by BIOMAX 2004.
Curricula
DR. ALESSANDRO AGNINI
Graduated cum laude in dentistry and prosthodontics at
the University of Modena in 1989. In private practice in Sassuolo in 1989 and then in Modena since 1992. From 1991
to 1996 he attended the two-year courses held by Dr. Gianfranco Carnevale, Dr. Gianfranco Di Febo and Dr. Mauro
Merli. Since 2005 he teaches training courses in periodontic
implant prosthodontics in Modena. His is an active member
of the AIOP since 2006. His articles have been published in
national and international journals. He is a speaker at national congresses.
Odt. Giancarlo Barducci
Ha iniziato la sua attività come titolare
di laboratorio nel 1974. È Socio e Relatore A.N.T.L.O. e Socio Attivo dell’Accademia Italiana di Odontoiatria Protesica
(A.I.O.P.) dove per il biennio 1999/2000 è
stato Presidente della sezione Odontotecnica. Relatore in numerosi corsi e
congressi sia in Italia che all’estero. Ha
pubblicato numerosi articoli su riviste nazionali ed internazionali. Co-autore con il dott. Mauro Fradeani del capitolo
5 del libro “La riabilitazione estetica in protesi fissa” 1°
volume “Analisi-Estetica”. Co-autore con il dott. Mauro Fradeani del libro “La riabilitazione estetica in protesi fissa” 2°
volume “Trattamento-Protesico” edizione Quintessence International. Ha maturato una notevole esperienza nelle riabilitazioni protesiche su denti naturali e su impianti. Ha
approfondito le sue conoscenze nel campo delle ceramiche
prive di metallo. Svolge la sua attività ad Ancona.
88
Curricula
ODT. VALTER BOLOGNESI
Odt. Reginaldo Bartolloni
È nato Roma nel 1965. Collabora in protesi totale rimovibile con il Prof. Glauco
Marino ed in passato ha avuto l’opportunità di collaborare anche con il Prof.
Mario Martignoni.
Si è specializzato nella progettazione e
costruzione di protesi totali tradizionali
e su impianti.
Socio attivo AIOP, ha partecipato in qualità di relatore a
diversi congressi sia a livello nazionale che internazionale
(AIOP - SIO - Amici di Brugg).
Ha pubblicato diversi articoli su riviste nazionali ed internazionali.
Nel A.A. 2001-2002 ha svolto attività didattica in “Tecnologie protesiche e di laboratorio” presso l’Università degli
Studi di Roma Tor Vergata.
Nel A.A. 2008-2009 e nel 2009-2010 ha svolto attività didattica in “Tecnologie Protesiche di laboratorio” presso l’Università degli Studi “G. D’Annunzio”.
Co-autore del libro “Linee guida implantoprotesiche” (Biomax Ed. 2004).
Reginaldo Bartolloni, cdt.
He was born in Rome in 1965. He is currently working with
Prof. Glauco Marino on full arch removable prostheses
and also had the opportunity to work with Prof. Mario Martignoni.
He specialised in the design and construction of traditional
Inizia la sua attività professionale a Bologna, nel 1981 fonda il laboratorio che porta il suo nome. L’esperienza acquisita si è
sviluppata al pari passo con la crescita
culturale e professionale maturata con
corsi specialistici con maestri di fama
nazionale ed internazionale. Ha frequentato dal 1991 al 1995 i corsi del Dott. G. Di
Febo e l’Odt. R. Bonfiglioli. Tra i primi in Italia (1998) ad utilizzare i sistemi CAD-CAM in implantoprotesi e su denti
naturali, nel 2004 Valter Bolognesi fonda la società “Dental
Point” mirata specificatamente alle progettazioni, scansioni
e fresaggio dei nuovi materiali con sistemi CAD-CAM.
La sua crescita culturale è proseguita in corsi che si sono
poi concretizzati in sezioni specialistiche del laboratorio
così articolate: protesi implantare con riabilitazione di casi
complessi, particolare specializzazione sul carico immediato con l’ausilio dei sistemi computerizzati. Protesi estetica
Cad-Cam integrale.
Docente all’Università di Ancona, Istituto di Scienze Odontostomatologiche, nel corso di perfezionamento in implantologia anno 2000. Docente nel corso di Laurea in Odontoiatria presso l’Università degli Studi di Verona per l’anno 2012.
È Socio Attivo della Accademia Italiana di Odontoiatria Protesica (AIOP) dal 1995.
È stato relatore in diversi corsi e convegni a livello nazionale, autore e co-autore di articoli pubblicati su riviste specializzate nazionali e internazionali. Collabora con il Dott.
R. Calandriello, Dott. M. Tomatis, nei protocolli di ricerca per
il carico immediato.
VALTER BOLOGNESI, cdt.
Valter Bolognesi began his professional life in Bologna in
1981 where he founded the laboratory that bears his name.
His cultural and professional experience has largely grown
and developed also through training courses with nationally and internationally well-recognized teachers.
From 1995 to 1999 he took Dr. G. Di Febo and Cdt. R. Bonfigliolitraining courses. He was one of the first in Italy (in
1998) to use CAD-CAM systems in implants and natural
teeth.
In 2004 Valter Bolognesi founded the “Dental Point Society”specifically focusedon planning, scanning and milling
new materials with Cad Cam systems.
His education has grown through courses that have been
put to good effect into the following laboratory specialistic
divisions:
implants for complex case rehabilitations, computer assisted specialisation on the immediate loading, and aesthetic
prosthetics with integral Cad-Cam.
In the year 2000 he taught a specialization course in Implantology at the University of Ancona’s Insitute of Odontostomatology. He currently teaches at the Dentistry University of Verona.
He is an AIOP active member since 1995.
He has given lectures at many different national courses
and conventions and is author and co-author of articles
published in specialist national and international journals.
He works with Dr. R. Calandriello and Dr. M. Tomatis on
study protocols for the immediate loading.
Odt. Roberto Bonfiglioli
Inizia la professione come allievo di Luciano Trebbi. Ha frequentato vari corsi di
Gnatologia con il Prof. Lundeen ed in
particolare con il Prof. Celenza.
Socio Attivo dell’AIOP (Accademia Italiana di Odontoiatria Protesica) è stato
responsabile della redazione scientifica
del “Nuovo Laboratorio Odontotecnico”
e ne fa tuttora parte.
Da diversi anni collabora con il Centro Odontostomatologico Porta Mascarella srl, in particolar modo con il Dott.
Di Febo, il Dott. Fuzzi ed il Dott. Carnevale, dedicandosi
principalmente alla realizzazione di protesi fissa in metallo
ceramica su casi parodontali e su impianti, ma anche alla
costruzione di intarsi e faccette in porcellana.
89
Curricula
Roberto Bonfiglioli, cdt.
ODT. CRISTIANO BROSEGHINI
He began his career as a student of Luciano Trebbi.
He attended numerous Gnathology courses given by Prof.
Lundeen and by Prof. Celenza in particular as well.
He is an active member of the AIOP (Italian Academy of Prosthetic Dentistry) and has been a scientific editor of the “Nuovo Laboratorio Odontotecnico”, and is still a member of the
editorial staff. He has been working for several years with he
Centro Odontostomatologico Porta Mascarella srl, with Dr. Di
Febo, Dr. Fuzzi and Dr. Carnevale in particular, focusing on
the making of ceramic-metal fixes prostheses on implants,
and on the making of porcelain inlays and veneers as well.
Diplomato nel 1985, lavora per un periodo di 4 anni presso il laboratorio del Prof.
Wichai Kolsrichai DDS della Boston University USA. Nel 1989 apre il suo laboratorio ed avvia un’intensa collaborazione
con lo Studio Odontoiatrico Broseghini
- Dell’Acqua.
Pubblica articoli su “Il Nuovo Laboratorio Odontotecnico”, “Dental Labor”, Quintessenza e TeamWork. Dal 1998 tiene corsi in Italia e all’estero e partecipa
in qualità di relatore a congressi internazionali.
Fa parte del Comitato Scientifico della rivista specializzata
“Dental Dialogue” e del Comitato Scientifico della rivista
multidisciplinare TeamWork, della quale è stato direttore scientifico per 4 anni. Socio Attivo AIOP e “Laboratory
Expert” dell’European Dental Association. Fa parte del Dental Excellence International Laboratory Group.
Co-autore del libro tradotto in 5 lingue “Oral Harmony”.
DOTT. FEDERICO BONI
Nato a Bologna nel 1966, si diploma
come Odontotecnico presso l’istituto
Dehon di Bologna nel 1985 e si laurea in
Odontoiatria e Protesi Dentaria presso
l’Università Alma Mater Studiorum di
Bologna nel 1990. Socio Attivo dell’Accademia Italiana di Endodonzia e
dell’Accademia Italiana di Odontoiatria
Protesica (AIOP). Relatore a corsi e congressi per l’Accademia Italiana di Endodonzia. Svolge la libera professione
esclusivamente nel proprio studio di Bologna.
DR. FEDERICO BONI
He was born in Bologna in 1966, earned his dental technician’s diploma at Istituto Dehon in Bologna in 1985 and
graduated in Dentistry and Dental prosthetics at the University Alma Mater Studiorum in Bologna in 1990. He is an
active member of the Italian Academy of Endodontics and
the Italian Academy of Prosthetic Dentistry (AIOP). He is
speaker at training courses and congresses for the Italian
Academy of Endodontics. He practices his profession solely
in his office in Bologna.
Prof. Adriano Bracchetti
Socio Fondatore AIOP (Accademia Italiana di Odontoiatria Protesica) e Presidente AIOP nel biennio 1997-1998.
Prof. Adriano Bracchetti
Founder Member of AIOP (Italian Academy
of Prosthetic Dentistry) and AIOP President
from 1997 to 1998.
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CRISTIANO BROSEGHINI, cdt.
He earned his high school diploma in 1985 and worked for
four years at the Prof. Wichai Kolsrichai DDS laboratory at
the Boston University, USA. In 1989 he opened his own lab
and began to work closely with the Dental Office Broseghini
- Dell’Acqua.
He has published articles in “Il Nuovo Laboratorio Odontotecnico”, “Dental Labor”, Quintessenza and TeamWork and
teaches since 1998both in Italy and abroad and is a speaker
at international congresses. He is a member of the Scientific
Committee of the specialised journal “Dental Dialogue” and
of the multidisciplinary journal “TeamWork”. He was the
scientific director of the latter for 4 years. He is an Active
member of AIOP and a“Laboratory Expert” of the European
Dental Association. Member of the Dental Excellence International Laboratory Group and Co-author of “Oral Harmony”, a book that has been translated into 5 languages.
DOTT. MAURO BROSEGHINI
Laureato in Medicina e Chirurgia presso
l’Università degli Studi di Padova nel
1977. Inizia la sua attività in ambito odontoiatrico in Equipe con il Dott. Dell’Acqua, realizzando nel tempo una esperienza di lavoro in Team nel trattamento
“globale” del paziente odontoiatrico.
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Dopo un’importante esperienza di studio e lavoro in ambito ortodontico il suo campo di specializzazione diventa la
protesi e la gnatologia. Frequenta per 3 anni i corsi del Prof.
Wichai Kolsrichai (DDS Boston University). Corso Master
con il Prof. Slavicek di Vienna.
Socio ordinario della SIDO e Socio Attivo AIOP, “Expert in
Reconstructive Dentistry, Esthetics and Function” della European Dental Association.
Membro del Comitato Scientifico della rivista internazionale
TeamWork, autore di pubblicazioni internazionali e relatore
in congressi internazionali. Co-autore del libro tradotto in 5
lingue “Oral Harmony”.
DR. MAURO BROSEGHINI
He graduated in Medicine from the University of Padovaa
in 1977.
He started his dental practice within the Team of Dr.
Dell’Acqua, gaining over time much experience in team
working for the “global” treatment of the dental patients.
After having gained a considerable experience studying
and working in Orthodontics, he has then specialised in
the field of prosthesis and gnathology. He studied for three
years with Prof. Wichai Kolsrichai (DDS Boston University)
and earned a Master degree with Prof. Slavicek of Vienna.
He is a member of SIDO, an Active member of AIOP, and
an “Expert in Reconstructive Dentistry, Esthetics and Function” with the European Dental Association. He is also a
member of the Scientific Committee of the international
journal TeamWork. He has published articles in international journals and speaks at international congresses. He
is a Co-author of Oral Harmony”, a book translated into five
languages.
DOTT. GAETANO CALESINI
Diplomato in Odontotecnica presso
l’Istituto “George Eastman” di Roma
(1973). Laureato in Medicina e Chirurgia
presso l’Università degli Studi di Roma
“La Sapienza” (1979). Specializzato in
Odontoiatria e Protesi dentale presso
l’Università degli Studi di Roma “La Sapienza” (1989). Dal 1979 ad oggi libero
professionista in Roma con attività dedicata all’Odontoiatria Protesica. Dal 2008 è Titolare dell’insegnamento di Clinica implanto-protesica presso l’ateneo “Vita-Salute San
Raffaele” di Milano. Presidente del biennio 2009-2010 di
Aiop. Dal 2010 Consigliere C.I.C., Socio Attivo dal 1979
dell’“Accademia Americana di Osteointegrazione”, della
“Società Italiana di Osteointegrazione”, dell’Accademia
“Pierre Fauchard” e della “Accademia Italiana di Odontoiatria Protesica”. Dal 1980 al 2011 ha svolto didattica presso le
maggiori Università italiane. Dal 1980 ad oggi è stato Relatore in numerosi congressi in Europa, USA e Asia. Ha esposto in oltre 800 conferenze e condotto oltre 150 Corsi privati.
Co-autore dei libri: “Implantologia Orale” e Ed. Martina, Bologna, “Implantoprotesi. Il ripristino dell’omeostasi tramite
restaurazioni singole” Ed. Martina, Bologna e “Implant site
development” edito da Jhon Wiley & Sons Inc.
Esercita la sua professione a Roma.
DR. GAETANO CALESINI
He earned his diploma as a dental technician at the “George
Eastman” Institute in 1973.He graduated in Medicine the
University “La Sapienza” in Rome in 1979 and specialised
in Dentistry and Prosthetics at the same University in 1989.
He has his own private practice in Rome since 1979. Since
2008 he is a tenured professor at the University “ Vita-Salute,
San Raffaele” in Milan.
He was the AIOP president from2009 to 2010. C.I.C advisor
since 2010, an Acitive member of the “American Academy
of Osseointegration”since 1979, the “ Italian Osseointegration Society, the “Pierre Fauchard” Academy and the “Italian
Academy of Prosthetic Dentistry”.
He has given presentations in over 800 conferences and
taught more than 150 private courses.
He is the Co-author of the books “Implantologia Orale” and
“Implantoprotesi. Il ripristino dell’omeostasi orale tramite
restaurazioni singole” published by Martina Bologna. He is
also a member of the Scientific Committee of the journals
TeamWork”, “Implantologia Dentale & Parodontologia” and
“Implantologia Orale” (UTET). Has taught at the Universities of Rome, Chieti, Naples and Milan and has numerous
articles published in international journals. He has frequently lectured at congresses in Europe, USA and China.
Dr. Calesini practices his profession in Rome in the field of
prosthodontics.
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DOTT.SSA CHIARA CAMORALI
Igienista dentale, ha conseguito il Certificate in Dental Hygiene presso il Forsyth School for Dental Hygienists, Boston. Laurea in Igiene Dentale presso
l’Università degli Studi di Genova, Master di livello in Prevenzione Odontostomatologica, presso l’Università degli
Studi di Roma “La Sapienza”.
Dal 1998 al 2001 è Professore a contratto in Metodiche tecnico-pratiche di Igiene Dentale nel Corso di diploma in Igiene Dentale, Università degli Studi di Bologna e dal 2001 al
2010 Professore a contratto Med50 Scienze e Tecniche di
Igiene Dentale Corso di Laurea in Igiene Dentale, Università
degli Studi di Bologna. Attualmente è Tutor di tirocinio in
“Tecniche di strumentazione parodontale non chirurgica”,
Corso di Laurea in Odontoiatria e protesi Dentale, Università
degli Studi di Parma.
Relatrice in corsi e congressi in Italia e all’estero, è autrice
di pubblicazioni su riviste italiane ed estere e co-autrice di
diversi capitoli nella collana di testi “Prevenzione ed Igiene
Dentale” ed. Masson.
Socio AIDI, riveste la carica di Presidente Regionale AIDI
Emilia Romagna. Socio igienista SIdP è attualmente rappresentante degli Igienisti Dentali nella commissione Culturale
SIdP. Svolge attività clinica dal 1983.
DR. CHIARA CAMORALI
A Dental hygenist who earned her Certificate in Dental Hygiene at the Forsyth School for Dental Hygienists in Boston
and a Dental Hygiene degree from the University of Genova.
She has a level I Master’s in Preventive Odontostomatology
from the University “La Sapienza” in Rome.
From 1998 to 2001 she was an adjunct lecturer in Method and
Practice in dental hygiene, within the Dental Hygiene course
at the University of Bologna. From 2001 to 2010 she was an
adjunct lecturer in Med/ 50 (applied medicine) Science and
Methods of Dental Hygiene at the University of Bologna.
She is currently an intern Tutor in “The use of non-surgical
periodontal instruments” course, within the Dentistry and
Dental prostheses degree at the University of Parma.
She is a speaker in national and international courses and
conferences and has published many articles in Italian and
foreign journals. She is a Co-author of several chapters in
the series of texts “Prevenzione ed Igiene Dentale”, published by Masson.
Member of the AIDI, she is currently the Regional Chair for
Emilia Romagna.
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Hygienist member of the SidP, she is currently the representative of Dental Hygienists in the SidP cultural commission.
She has been in clinical practice since 1983.
Diploma di maturità professionale per
Odontotecnico presso l’Istituto Professionale Statale per l’Industria e l’Artigianato “E. De Amicis” (1983).
Dal 1989 è titolare di Laboratorio.
Dal 1999 dirige un team di tecnici collaborando a tempo pieno con lo Studio
di Odontoiatria Restaurativa del Dott.
Gaetano Calesini. Socio Attivo dell’Accademia Italiana di
Odontoiatria Protesica. Socio fondatore del Gymnasium Internazionale CAD-CAM.
ROBERTO CANALIS, CDT.
He was born in Rome on October 6th, 1965. He earned his
diploma as a Dental Technician from the “De Amicis Insitute” in Roma in 1983 and has had his own laboratory since
1989. An active member of the Italian Academy of Prosthetic Dentistry and also a founder member of the Gymnasium
Internazionale CAD-CAM.
He is a lecturer at national and international congresses and
co-author of numerous articles published in international
journals. He has since 1999 led a team of technicians cooperating full time with Dr. Gaetano Calesini. His work is
mainly in the area of complex restoration.
Ten. Colonnello CC Giovanni CAPASSO
Nato a Napoli il 01.11.1960, coniugato,
tre figli. Ha compiuto i suoi studi presso
la Scuola Militare Nunziatella, Maturità
Scientifica, Accademia Militare Modena,
Scuola Ufficiali CC, Laureato in Giurisprudenza, Laureato in Scienze Politiche, European senior detectives course,
Corso di aggiornamento sulla normativa
di contrasto al traffico degli stupefacenti e delle sostanze
psicotrope per Funzionari e Ufficiali delle Forze di Polizia.
Laureato in Scienze della Sicurezza Interna ed Esterna. Patente Informatica ECDL. Operatore SDI (Sistema di Indagine). Master in “Comunicazione interpersonale sui luoghi di
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lavoro, gestione dei conflitti, negoziazione, mediazione”,
“Gestione dei procedimenti tipici delle forze armate”.
Esperienze professionali: Comandante Plotone presso 8°
Btg CC Lazio; Ufficiale Addetto Nucleo Scorte Roma; Capo
Sezione Tecnica Elinucleo CC, Olbia; Comandante Nucleo
Efficienza Linea Elicotteri CC, Pratica di Mare (RM); Comandante Compagnia CC, Castelfranco Veneto (TV); Comandante Compagnia CC, Udine; Comandante Reparto
Operativo Provincia di Cagliari; Comandante Provinciale
CC, Macerata; Comandante Reparto Comando Regione CC
“Lazio”; Comandante Gruppo CC per la Tutela della Salute.
Ten. Colonello CC Giovanni Capasso
Born in Naples on November 1st,.1960, married with three
children.
He studied at the Military School Nunziatella, has a Scientific
High School diploma, attended the Modena Military Academy and the Carabinieri Officers’ School. He has University
degrees in Law and Political Science, attended the European senior detectives course and a refresher course on law
enforcement against drug and psychotropic substances trafficking for police functionaries and officers. He graduated in
interior and foreign affairs security. ECDL information technology license, SDI (investigation system) operator. Master’s
in “Interpersonal communication in the workplace, conflict
management, negotiation, mediation and “Master‘s in “Military procedures management”. Work experience: Platoon
commander of 8th Brigade of the Carabinieri in Lazio; Escort
Unit Officer in Rome; Head of Caribinieri helicopter division
in Olbia; Carabinieri Sea helicopter efficiency unit commander in Pratica di Mare (RM); Carabinieri company commander
Castelfranco Veneto (TV); Carabinieri company commander
Udine; commander of province of Cagliari operations department; Carabinieri Provincial commander for Macerata;
“Lazio” Carabinieri regional command department head; Carabinieri group commander for health protection.
Laureato in Odontoiatria presso l’Università degli Studi di Siena nel 1985,
svolge attività libero professionale in Toscana dedicandosi alla Protesi e alla Chirurgia.
Relatore in corsi e congressi a carattere nazionale, è statò docente del Corso
Master Universitario di II livello in Pa-
rodontologia dell’Università di Siena dal 2004 al 2011. Già
Socio Attivo AIE, Socio Attivo AIOP dal 2003, membro del
Consiglio Direttivo AIOP dal 2009 e del Consiglio Direttivo
CIC dal 2012.
Dr. Fabio Carboncini
Dr. Carboncini graduated in Dentistry from the University
of Siena in 1985, and practices Prosthodontics and Dental
Surgery in Tuscany.
He is a speaker in national courses and conferences and
was was a Lecturer of the Master’s Degree Course in Periodontology at the University of Siena from 2004 to 2011. An
active member of the IEA and AIOP since 2003, he is also
a member of the AIOP Board of Directors since 2009 and
Member of the CIC Board of Directors since 2012.
Dott. Gianfranco Carnevale
l’Università degli Studi di Roma, si è specializzato in Odontoiatria e Protesi dentaria presso la stessa Università.
Nel 1976 ha conseguito il “Master of
Science in Dentistry in Periodontology”
ed il “Certificate of Advanced Graduate
Studies in Periodontology” presso la Boston University School of Graduate Dentistry.
Ha avuto l’incarico dell’insegnamento di Parodontologia alla
Seconda Scuola di Specializzazione in Odontoiatria e Protesi
dentaria dell’Università degli Studi di Roma dal 1980 al 1983.
Dal 1983 al 1986 è stato Professore a contratto di tecniche
chirurgiche parodontali presso il Corso di Laurea in Odontostomatologia dell’Università degli Studi di Bologna.
È Socio Fondatore della Società Italiana di Parodontologia.
In questa Società ha ricoperto le seguenti cariche: vice-Presidente dal 1981 al 1983; Coordinatore della Commissione
Accettazione Soci dal 1983 al 1989; Presidente eletto dal
1989 al 1991; Presidente dal 1991 al 1993; Coordinatore della
Commissione per l’attività scientifica dal 1993 al 1997, Coordinatore della Commissione Accettazione Soci dal 1997 al
2000. È Proboviro dal 2005 al 2007.
È stato Consigliere e Membro della Commissione per l’Albo
degli Odontoiatri dell’Ordine dei Medici Chirurghi e degli
Odontoiatri della provincia di Bologna dal 1994 al 2000.
È Past-President della European Federation of Periodontology. È vice-Presidente del Comitato Intersocietario di Coordinamento delle Associazioni Odontostomatologiche Italiane. È coautore del libro di testo “Parodontologia” e del libro
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di testo “Clinical Periodontology and Implant Dentistry”,
editori J. Lindhe, T. Karring, N.P. Lang; è autore di numerosi
articoli pubblicati su riviste scientifiche internazionali.
Svolge attività libero professionale limitata alla Parodontologia a Roma.
Dr. Gianfranco Carnevale
He graduated in Medicine and Surgery from the University
of Rome and specialized in Dentistry and Prosthodontics
at the same University. In 1976 he completed his“Master
of Science in Dentistry in Periodontology” and earned his
“Certificate of Advanced Graduate Studies in Periodontology” at the Boston University School of Graduate Dentistry.
He taught Periodontology at the Second School of Specialization in Dentistry and Prosthodontics at the University
of Rome from 1980 to 1983. From 1983 to 1986 he was an
adjunct professor of Periodontal surgical techniques within
the course in Dentistry at the University of Bologna.
He is a Founding member of the Italian Society of Periodontology where he covered the following positions: Vice- President from 1981 to 1983; Commission Coordinator for the
Member Acceptance from 1983 to 1989; elected President
from 1989 to 1991; President from 1991 to 1993; Commission Coordinator for the scientific activities from 1993 to
1997; Commission Coordinator for the Member Acceptance
from1997 to 2000. Arbitrator from 2005 to 2007.
He was an Advisor and a Member of the Dentist Register
Commission for the Medical Doctors and Dentists Association of the Province of Bologna from 1994 to 2000.
Past-President of the European Federation of Periodontology.
Vice-President of the Coordinating Committee of Italian
Dentist Associations.He is a Co-author of the textbook “Periodontology” and the textbook “Clinical Periodontology and
Implant Dentistry”, published by J. Lindhe, T. Karring, N.P.
Lang. He is also the author of the numerous articles published in international scientific journals.
He practices Periodontology in Rome.
Dott. Dario Castellani
Laurea in Medicina e Chirurgia nel 1978,
specializzazione in Odontoiatria e Protesi Dentaria col massimo dei voti e lode.
Specialista in Protesi nel 1986 presso la
TUFTS University di Boston.
Socio Attivo di diverse Accademie quali
The American Academy of Crown and
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Bridge Prosthodontics, The European Academy of Esthetic
Dentistry, The International College of Dentists, è stato Presidente dell’Accademia Italiana di Odontoiatria Protesica
negli anni 2001-2002.
Ha pubblicato su riviste nazionali ed internazionali ed è
autore dei testi “Considerazioni di estetica in odontoiatria”,
“La preparazione dei pilastri per corone in metal-ceramica”, “Principio telescopico nella riabilitazione protesica” ed
“Elementi di occlusione”.
Ha svolto numerose relazioni e corsi sia in Italia che all’estero.
Già Professore a contratto di Protesi presso l’Università di
Firenze, visiting Assistant Professor alla TUFTS University
di Boston, attualmente è titolare dell’insegnamento delle Preparazioni Dentali presso il corso Master in Protesi
dell’Università degli Studi di Bologna.
Svolge attività libero professionale limitatamente alla riabilitazione orale in Firenze.
Dr. Dario Castellani
He earned his degree in Medicine in 1978, specializing cum
laude in Dentistry. In 1986 he specialised in Prosthetics at
the TUFTS University in Boston.
An Active Member of several academies such as The American Academy of Crown and Bridge Prosthodontics, The
European Academy of Esthetic Dentistry, The International
College of Dentists, he was President of the Italian Academy
of Prosthetic Dentistry in 2001-2002.
His articles have been published in national and international journals and is the author of the texts “Considerations
of aesthetic dentistry”, “The preparation of the pillars for
metal-ceramic crowns”, “Principle in telescopic prosthetic
rehabilitation” and “Elements of occlusion.”
He has held numerous lectures and courses in Italy and
abroad.
An Adjunct Professor of Prosthodontics at the University of
Florence and a Visiting Assistant Professor at TUFTS University in Boston, he is currently teaching Dental Preparations at the Master course in Prosthetics at the University
of Bologna.
He practices oral rehabilitation in Florence.
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Dott. Gerard Chiche
Il Dott. Chiche è Professore Onorario di
Odontoiatria Restaurativa e Direttore del
Center for Esthetic & Implant Dentistry
al Georgia Health Sciences University
College of Dental Medicine ad Augusta,
Georgia.
È membro dell’American College of
Dentists, dell’American Academy of
Esthetic Dentistry, dell’American Academy of Fixed Prosthodontics, dell’American Academy of Restorative Dentistry e dell’Omicron Kappa Upsilon Dental Honor Society. È
un Past-President dell’American Academy of Esthetic Dentistry e insegnante al Pankey Institute.
Con Alain Pinault e Hitoshi Aoshima è autore di due libri:
Esthetics of Anterior Fixed Restorations, and Smile Design
- A guide for Clinician, Ceramist and Patient, entrambi pubblicati da Quintessence Pub. Co.
Ricopre il ruolo di professore aggiunto presso il Pankey
Institute. Nel 2003 ha vinto il Premio Louisiana State University Alumni e il Premio Educational Community Achievement del Seattle Study Club come miglior insegnante
dell’anno in campo dentale. Nel 2007 ha ricevuto il premio
Distinguished Lecturer dalla Greater New York Academy of
Prosthodontics. Nel 2009, per primo, è stato insignito del titolo di Professore Onorario dalla Thomas P. Hinman Dental
Society. Nel 2012 ha ricevuto il titolo di Professore Emerito
dalla Louisiana State University.
2007 Distinguished Lecturer Award of the Greater New York
Academy of Prosthodontics. He became in 2009 the first receipient of the Endowed Chair sponsored by the Thomas P.
Hinman Dental Society and he received in 2012 the title of
Professor Emeritus from Louisiana State University.
DOTT. SERGIO DE PAOLI
Laureato in odontoiatria, specializzato in
odontostomatologia presso l’Università
degli Studi di Bologna. Laurea in Medicina Dentale dell’Università di Ginevra.
Idoneità di Primario di Odontoiatria e
Stomatologia. Specializzato in Parodontologia della Boston University.
Redattore dell’International Journal of
Periodontics and Restorative Dentistry e Co-direttore europeo dell’Institute for Advanced Dental Studies di Boston.
DR. SERGIO DE PAOLI
He graduated in Dentistry and specialised in stomatology
at the University of Bologna. He also graduated in Dental
medicine at the University of Geneva.
Qualified top clinicianin in dentistry and stomatology, he
specialised in periodontics at the Boston University.
He is an editor at the International Journal of Periodontics
and Restorative Dentistry and the European co-director of
the Institute for Advanced Dental Studies in Boston
DR. GERARD CHICHE
Dr. Chiche is the Thomas P. Hinman Endowed Chair in
Restorative Dentistry, and the Director of the Center for
Esthetic Implant Dentistry at GHSU School of Dentistry in
Augusta, GA. He has given numerous programs nationally
and internationally and holds membership in the American
College of Dentists, the American Academy of Esthetic
Dentistry, the American Academy of Fixed Prosthodontics,
the American Academy of Restorative Dentistry and the
Omicron Kappa Upsilon Dental Honor Society. He is a Past
President of the American Academy of Esthetic Dentistry and is also, respectively with Alain Pinault and Hitoshi
Aoshima the author of two textbooks: Esthetics of Anterior
Fixed Restorations, and Smile Design - A guide for Clinician,
Ceramist and Patient both published by Quintessence Pub.
Co. He serves as adjunct faculty at the Pankey Institute,and
is the recipient of the 2003 LSU Alumni Award, the 2003
Educational Community Achievement Award of the Seattle Study Club for best dental educator of the year and the
ODT, Jungo Endo
Nato e cresciuto in Giappone, nel 1995, si
è laureato presso la Scuola odontotecnica
di Yamagata. Una volta terminati gli studi
ha integrato la sua formazione con un
corso master post-laurea sui materiali ceramici presso il Centro di formazione sulla
ceramica di Osaka, dal 1998 al 1999.
Nell’ambito di questo corso ha studiato
con Shigeo Kataoka, uno dei celebri autori di Nature’s Morphology (Quintessence). Alla fine degli studi, nel 1999, ha ricevuto il prestigioso premio Shigeo Kataoka. Una volta conclusi gli studi in Giappone, ha lavorato in un laboratorio
privato di Los Angeles per 6 anni, dove ha attirato l’attenzione
del Dott. John Beumer, III, chirurgo dentale, MS. Nel 2005 è
entrato nell’Università della California di Los Angeles (UCLA)
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come maestro ceramista e co-formatore presso il Programma
di formazione avanzato di odontotecnica dell’UCLA.
Il suo campo di specializzazione è la ceramica nei restauri
implantari ad elevata valenza estetica.
È un apprezzato relatore sia a livello nazionale che mondiale. I temi che tratta riguardano l’estetica dei restauri implantari complessi.
JUNGO ENDO, RDT
Jungo Endo, R.D.T. is a dental technician born and raised in
Japan. He graduated from the Yamagata Dental Technician
School in 1995. Upon completing his studies at Yamagata Dental Technician School, he went on to complete a
post-graduate master ceramics course at the Osaka Ceramic Training Center from 1998 to 1999. There, he studied
under Mr. Shigeo Kataoka, a renowned author of Nature’s
Morphology (Quintessence). Mr. Endo received the prestigious Shigeo Kataoka Award upon his matriculation in 1999.
At the culmination of his studies in Japan, Mr. Endo worked
in a private lab in Los Angeles for 6 years where he caught
the eyes of Dr. John Beumer, III, DDS, MS. He joined the University of California Los Angeles (UCLA) in 2005 as a master
ceramist and co-instructor of UCLA Advanced Prosthodontics Laboratory Training Program.
He specializes in ceramics on highly esthetic implant supported restorations.
Mr. Endo is a renowned lecturer both nationally and globally on esthetics of complex implant-supported restorations.
Dott. Vittorio Ferri
Laureato in medicina e chirurgia presso
l’Università degli Studi di Bologna nel 1980.
Socio attivo AIE (Accademia Italiana di
Endodonzia).
È stato allievo del Dr. N. Perrini (Endodonzia), del Dr. G. Carnevale (Parodontologia), del Dr. G. Di Febo (Protesi) e dei
Dott.ri G.B. Bruschi e A. Scipioni (Tecnica
E.R.E.). Dal 2000 al 2008 Docente e organizzatore del Corso di
Perfezionamento in implantologia Post-Graduate dell’Università degli Studi di Modena, Corso di laurea in Odontoiatria e
Protesi Dentaria. Dal 2010 Collaboratore esterno con rapporto
libero professionale presso il reparto di Parodontologia ed Implantologia diretta dal Prof. Luigi Checchi, Alma Mater Studiorum, Università degli Studi di Bologna. Dal 2011 Docente
e Tutor nel Master di Parodontologia ed Implantologia diretto
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dal Prof. Luigi Checchi, Direttore del reparto di Parodontologia della Clinica Odontoiatrica di Bologna.
Ha partecipato a studi multicentrici sul carico immediato
in implantologia.
Tiene corsi e conferenze in implantologia. Si occupa con
particolare interesse di chirurgia impiantare in mascellari atrofici con tecniche di rigenerazione guidata dell’osso
(GBR), Split-Crest e rialzo di seno mascellare (grande rialzo
e mini rialzo) e applica da anni tecniche di preservazione alveolare con posizionamento immediato o dilazionato degli
impianti nei siti post-estrattivi.
Svolge la libera professione a Modena occupandosi prevalentemente di implantoprotesi e chirurgia implantare.
Dr. Vittorio Ferri
Graduated in medicine at the University of Bologna in 1980.
Active member of the AIE (Italian Endodontics Academy).
Studied with Dr. N. Perrini (Endodontics) and Dr. G. Carnevale
(Periodontics) Dr. G. Di Febo (Prosthetics) and Drs. G.B.
Bruschi and A. Scipioni (E.R.E. Techniques).
From 2000 to 2008 lecturer and organiser of post-graduate
training courses in implantology at the University of Modena-degree course in dentistry and prosthodontics. From 2010
outside collaborating private professional with the department of Periodontology and Implantology headed by Prof.
Luigi Checchi, Alma Mater Studiorum, University of Bologna.
Since 2011 Lecturer and Tutor for the Master’s course in Periodontology and Implantology under Prof. Luigi Checchi head of
Bologna’s department of Periodontology in Clinical Dentistry.
He has taken part in a number of multicentre studies on
immediate loading in implantology.
Holds courses and conferences in implantology. His particular area of interest is in implant surgery in atrophic
maxillary bone using guided bone regeneration (GBR),
split-crest and maxillary sinus lifting (large lift and mini lift)
and has for many years been applying alveolar preservation
methods with immediate or delayed implant placement in
post-extraction sites.
Practicing dentist in Modena, principally carrying out implants and implant surgery.
Curricula
Dott. Massimo Fuzzi
Nato a Cattolica il 18 Gennaio 1953.
l’Università degli Studi di Bologna (1978).
Titolo di “Licence en Medecine Dentaire” Università di Ginevra (1981).
Titolo di specialista in Odontoiatria e
Protesi Dentaria presso l’Università degli
Studi di Bologna (1985).
Professore a contratto di Protesi Fissa presso il Corso di
Laurea in Odontoiatria dell’Università degli Studi di Bologna dal 1986 al 1994 e di Odontoiatria Ricostruttiva presso
l’Università degli Studi di Siena dal 2000 al 2008.
È Socio Attivo ed è stato Presidente dell’AIC e dell’AIOP, è
Socio Attivo dell’Accademia Europea di Estetica; è Membro
del Comitato di Lettura di “Realités Cliniques” e “Journal of
Adhesive Dentistry”.
È autore di articoli scientifici pubblicati su Riviste internazionali, audiovisivi e cd-rom, di un capitolo pubblicato in un
libro di Endodonzia, e co-autore di un libro sull’Adesione e
dei volumi “Advances in Operative Dentistry: Contemporary
clinical Practice” e “Advances in Operative Dentistry: Challenges of the Future”.
Medaglia d’oro presso l’Università di Ginevra nel 2008.
Svolge attività di libero professionista limitatamente all’Odontoiatria restaurativa a Bologna.
Dr. Massimo Fuzzi
Born in Cattolica on January 18, 1953.
Graduated in Medicine and Surgery at the University of Bologna (1978).
Title of “Licence en Medecine Dentaire” University of Geneve (1981).
Specialized in Dentistry and Prosthodontics at the University of Bologna (1985).
Adjunct Professor of Fixed Prosthodontics at the University
of Bologna from 1986 to 1994 and Restorative Dentistry at
the University of Siena from 2000 to 2008.
An active member and former President of AIC and AIOP, an
active member of the European Academy of Aesthetics; is a
member of the Reading Committee of “Réalités Cliniques”
and “Journal of Adhesive Dentistry”.
He is the author of scientific articles published in international magazines, audio and CD-ROM, a chapter published
in a book of Endodontics, and co-author of a book on the
accession and volumes “Advances in Operative Dentistry:
Contemporary Clinical Practice” and “Advances in Operative Dentistry: Challenges of the Future.”
Gold Medal from the University of Geneva in 2008.
Practicing restorative dentistry in Bologna.
Odt. Giancarlo Garotti
Inizia l’attività a 17 anni, si diploma
odontotecnico presso l‘Ist. “Arti Sanitarie e Ausiliarie” di Bologna nel 1960.
Dopo varie esperienze tecnico commerciali dal 1971 si dedica con particolare
attenzione all’analisi della composizione
delle leghe dentali. Da questi studi elabora metodiche d‘autore nel settore della metallurgia. È titolare di laboratorio a Lugo di Ravenna.
Partecipa come relatore a convegni, corsi e seminari del settore. Viene particolarmente apprezzato per la conoscenza
merceologica inerente ai materiali dentali.
Nell’anno 2006 ha ricevuto il Premio “A.Biaggi” dagli “Amici
di Brugg”.
Tratta argomenti di protesi fissa, rimovibile parziale e totale.
Con l‘introduzione delle Direttive Europee ha perfezionato
una metodologia d‘autore atta a definire il livello di qualità
protesica ed opera, come “C.T.P.” del campo dentale, in controversie legali inerenti a prodotti difettosi o non conformi
alle aspettative.
Svolge programmi d‘aggiornamento sia a livello clinico che
tecnico sulle procedure di controllo atte alla definizione della qualità prodotto.
Ha pubblicato su riviste del settore diversi articoli e trattati:
“Rischi di corrosione e galvanismo delle leghe dentali”, “La
trasformazione aurea dei tavolati occlusali in protesi totale”,
“La tecnica di lucidatura programmata come prevenzione
alla corrosione delle leghe dentali”, “Le masse refrattarie da
rivestimento utilizzate nel campo dentale”, “Limiti e funzioni
nelle tecniche di saldobrasatura pre- e post-ceramizzazione.“
Giancarlo Garotti, cdt.
Started working at age 17, he graduated at the Dental Institute “Arts and Health Auxiliary” of Bologna in 1960. After
several technical and commercial experience, since 1971
dedicates his particular attention to the analysis of the composition of dental alloys. From these studies he developed
methods of author in the field of metallurgy. He holds the
Laboratory in Lugo di Ravenna.
Participates as a Lecturer in conferences, courses and
seminars in the field. He is particularly appreciated for the
knowledge in the commodity dental materials.
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Curricula
In 2006 he was awarded with “A.Biaggi” by “Amici di
Brugg”. He works on these topics: fixed prosthesis, partial
removable and total.
With the introduction of European Directives he has perfected a method able to define the level of quality of prosthetic
such as “CTP” in the dental field, legal controversies relating
to defective products or failing to meet expectations.
Works on both clinical and technical update programs for
control procedures in defining product quality.
He has published several articles in specialized magazines:
“Risk of corrosion and galvanism of dental alloys”, “The
transformation of the golden boards occlusal total hip replacement”, “The technique of polishing programmed as
corrosion prevention of dental alloys”, “The masses refractory coating used in dentistry”. “Limits and functions in the
techniques of pre-and post-brazing ceramic process”.
Odt. Giuseppe Lucente
Titolare de “Il Laboratorio Dentale” dal
1982, si occupa prevalentemente di riabilitazioni su impianti progettazione
Cad, e collabora dal 1985 con il Dott. C.
Bianchessi.
Socio ANTLO dal 1985 e Socio Attivo
AIOP dal 1993.
Ha frequentato numerosi corsi di formazione tra cui il corso biennale di protesi del Dott. Di Febo e
del Odt. Bonfiglioli, ha partecipato come relatore ad alcuni
incontri AIOP, COC, ANTLO, Cenacolo e ANDI.
Ha partecipato alla stesura delle “Linee Guida in implantoprotesi” Biomax.
Ha ricoperto la carica di dirigente sezione odontotecnica
AIOP nel biennio 2007-2008.
Giuseppe Lucente, cdt.
He is the owner of “The Dental Laboratory” since 1982. His
focus is on the rehabilitation of CAD implants design, and
since 1985 he has been working with Dr. C. Bianchessi.
An ANTLO member since 1985 and an active AIOP member
since 1993.
He has attended numerous training courses including a
two-year dental prosthesis course taught by Dr. Di Febo and
Mr. Bonfiglioli, ODT, and has been a speaker at a number of
AIOP, COC, ANTLO, Cenacolo and ANDI meetings.
He participated in the drafting of the “Guidelines for implant prosthetics” published by Biomax.
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He has served as an executive in the AIOP prosthodontics
division from 2007 to 2008.
Dott. GUIDO maria MACALUSO
Laurea in Medicina e Chirurgia, specializzazioni in Odontostomatologia e in
Neurologia, ottenute presso l’Università
degli Studi di Parma. Master of Dental
Sciences presso l’Università Cattolica di
Lovanio (Belgio).
Presso l’Università degli Studi di Parma
ricopre il ruolo di Professore Ordinario di
Malattie Odontostomatologiche (SSD MED28). Presidente
del “Master in Implantologia” e del “Master in Dolore orofacciale, malattie temporomandibolari, malattie del sonno”
(entrambi biennali).
Conduce attività specialistica e di ricerca nel campo delle
riabilitazioni implantoprotesiche, in particolare le terapie
chirurgiche rigenerative e ricostruttive, del dolore orofacciale e delle malattie temporomandibolari, delle patologie
del sonno di interesse odontoiatrico, dei biomateriali e della
bioingegneria. In questi settori ha pubblicato oltre 250 articoli, di cui oltre 50 su riviste internazionali.
Presso FNOMCeO/Ministero della Salute è il coordinatore
della sottocommissione per le Raccomandazioni Cliniche
Odontoiatriche per la Gnatologia.
È referente nazionale per la materia Gnatologia nel Collegio
dei Docenti di Odontoiatria.
Revisore dei Conti della European Academy of Craniomandibular Disorders, di cui è stato segretario dal 1999 al 2003
e presidente nel 2005 (board 2003-2006). Socio anche della International Association of Dental Research, American
Academy of Periodontology, Society of Oral Physiology.
Vicepresidente e fondatore della SIMSO (Società di Medicina del Sonno Odontoiatrica).
Journal of Dental Research, Journal of Orofacial Pain, Archives of Oral Biology, European Journal of Oral Sciences,
Journal of Oral Rehabilitation, Sleep, Sleep Disorders, Sleep
Medicine, Journal of Sleep Research, Transactions on Biomedical Engineering. Referee anche per MIUR, Regione Piemonte, Provincia Auntonoma di Trento. Membro di giuria di
tesi di dottorato per ACTA (Amsterdam).
Dr. Guido maria Macaluso
He graduated in Medicine and specialised in Odontostomatology and Neurology at the University of Parma. He earned
Curricula
his Master’s degree in Dental Sciences at the Catholic University of Lovanio (Belgium).
Professor at the University of Parma in Odontostomatological
Diseases (SSD MED28) and Chairman of the “Master’s in Implantology” and the “Master’s orofacial pain, temporomandibular disorders and sleep disorders” (two-year courses).
Specialist practitioner and researcher in the field of implant-prosthodontic rehabilitation-regenerative and restoration surgery in particular-, orofacial pain and temporomandibular diseases, sleep disorders related to Dentistry
and biomaterials and bioengineering. He has published over
250 articles in these fields, more than 50 in international
journals.
At the FNOMCeO (National Federation of Doctors and Dentists)/Health Ministry, Dr. Macaluso is the coordinator in the
sub-committee for The Clinical Dental Recommendations
for Gnathology.
He is the national representative for Gnathology on the
Dental Professors Board.
Auditor of the European Academy of Craniomandibular Disorders, he was its secretary from 1999 to 2003 and Chairman
in 2005 (board member 2003-2006). He is also a member of
the International Association of Dental Research, the American Academy of Periodontology and the Society of Oral
Physiology.
He is the Vice-chairman and founder of SIMSO (Dental society for sleep disorders).
Journal of Dental Research, Journal of Orofacial Pain, Archives of Oral Biology, European Journal of Oral Sciences,
Journal of Oral Rehabilitation, Sleep, Sleep Disorders, Sleep
Medicine, Journal of Sleep Research, Transactions on Biomedical Engineering. Also Referee for MIUR, the Piedmont
Region, the Autonomous Province of Trento. Member of the
doctoral theses jury for ACTA (Amsterdam).
Dott. Edoardo Manfredi
Dottore in odontoiatria e protesi dentaria, Dottore di ricerca, titolare di contratto libero-professionale presso Azienda
Ospedaliero Universitaria di Parma, U.O.
di odontoiatria, programma parodontologia, implantologia e gnatologia. Libero
professionista in Cremona e Sabbioneta.
Membro dell’European Academy of Craniomandibular Disorders, Socio ordinario AIOP.
Nutre particolare interesse nel campo del dolore orofacciale,
delle apnee notturne, delle riabilitazioni protesiche nei pazienti affetti da neoplasie del cavo orale.
Dr. Edoardo Manfredi
Graduate in Dentistry and Prosthodontics, PhD., and a consultant with the Parma University Hospital, dental unit, periodontics programme, implantology and gnathology. He has
a private practice in Cremona and in Sabbioneta. Member of
the European Academy of Craniomandibular Disorders and
Member of AIOP [Italian Academy of Prosthetic Dentistry].
He is particularly interested in the orofacial pain field, sleep
apnea, prosthodontics rehabilitation in patients with oral
cavity cancer.
DOTT. DANIELE MANFREDINI
Laurea in Odontoiatria e Protesi Dentaria presso l’Università degli Studi di Pisa
nel 1999.
Perfeziomento in Occlusodonzia e Disordini Temporomandibolari presso l’Università degli Studi di Pisa durante l’anno accademico 2000-2001. Dottorato di
ricerca in odontoiatria (PhD per produzione scientifica, promoter Prof. F. Lobbezoo) presso l’Università di Amsterdam nell’anno 2011. Professore a contratto,
insegnamento di Malattie Odontostomatologiche: Disordini Craniomandibolari, presso la Scuola di Specializzazione
in Chirurgia Maxillo-Facciale dell’Università degli Studi
di Padova (Dir. Prof. G. Ferronato) dall’anno accademico
2006/2007. Professore a contratto, insegnamento di Gnatologia Clinica, presso il CLSOPD dell’Università degli Studi di
Padova dall’anno accademico 2010/2011.
Autore di oltre 90 pubblicazioni su riviste indicizzate PubMed. Autore di circa 200 lavori in svariati formati (articoli
completi, atti di congressi, abstracts) su periodici nazionali.
Relatore su invito (lecturer) a oltre 50 importanti congressi
nazionali ed esteri. Autore del libro “Current concepts on
temporomandibular disorders” (Quintessence Publishing,
2010). Reviewer per numerose riviste medline nelle varie
branche di Odontoiatria, chirurgia-maxillo-facciale, medicina del dolore.
Libero professionista in Marina di Carrara (MS) limitatamente al campo di odontoiatria implantoprotesica, disordini
temporomandibolari e odontoiatria legale.
DR. DANIELE MANFREDINI
He Graduated in Dentistry and Prosthodontics at the University of Pisa in 1999 and specialized in dental occlusion
99
and temporomandibular disorders at the University of Pisa
in the academic year 2000-2001. PhD in Dentistry (supervised by Prof. F. Lobbezoo) at the University of Amsterdam
in 2011. An adjunct faculty teacher in Odontostomatological
Disease and Craniomandibular Disorders, at the Post-Graduate School of Maxillofacial Surgery at the University of
Padova (Prof. G. Ferronato, Dean of the Faculty), during the
academic year 2006-2007. An adjunct lecturer of Clinical
Gnathology at the Dentistry and Prosthodontics School,
University of Padova, during the academic year 2010-2011.
He has published more than 90 articles in PubMed indexed
journals. Author of more than200 works of various format
(complete articles, congress papers and abstracts) in national journals. Invited lecturer at over 50 major national and
foreign congresses. Author of the book “Current concepts
on temporomandibular disorders” (Quintessence Publishing, 2010). Reviewer for numerous Medline journals in the
various branches of dentistry, maxillofacial surgery and pain
medicine.
He practices in Marina di Carrara (MS) in the field of prosthodontics, temporomandibular disorders and forensic dentistry.
dal 1992, dedicandosi prevalentemente alla protesi parodontale e alla protesi su impianti.
Curricula
Prof. Glauco Marino
Professore ordinario di Protesi Dentaria.
Relatore in numerosi convegni, congressi, meeting e corsi di aggiornamento
professionale.
È autore di tre testi sulla Protesi Mobile
Completa, di un testo sulla Protesi Parziale Rimovibile e di numerose pubblicazioni scientifiche su riviste nazionali e
internazionali. Svolge attività libero-professionale in Roma.
Prof. Glauco Marino
Professor of Prosthodontics. Speaker at numerous conferences, meetings and training courses.
He is the author of three textbooks on Complete Denture,
one on Removable Partial Denture and numerous scientific
publications in national and international journals.
His private practice is in Rome.
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Dott.ssa Costanza Micarelli
Nata a Roma, laureata con lode in Odontoiatria e Protesi Dentaria presso l’Università degli Studi di Roma “La Sapienza”.
Nel 1989 entra a far parte del gruppo di
lavoro del Dottor Gaetano Calesini di
Roma, occupandosi dei pazienti affetti
da disordini cranio-mandibolari e del
pretrattamento dei pazienti protesici, e
della attività didattica relativa.
Socio attivo dell’Accademia Italiana di Odontoiatria Protesica, responsabile della Commissione Editoriale e curatrice
del sito web della stessa Accademia, Socio fondatore del
“Gymnasium Interdisciplinare CAD-CAM”, Socio attivo e
membro della “Web Committee” della European Academy
of Craniomandibular Disorders.
Affianca alla attività clinica una attività di studio e ricerca in
temi protesici ed implantoprotesici, con la pubblicazione di
articoli su riviste internazionali.
Dr. Costanza Micarelli
Born in Rome, Dr. Micarelli graduated cum laude in Dentistry and Prosthodontics at the University of Rome “La Sapienza”.
In 1989 she joined the team of Dr. Gaetano Calesini in Rome,
taking care of patients with craniomandibular disorders and
pre-treatment of prosthetic patients, and the related educational activities.
Active member of the Italian Academy of Prosthetic Dentistry, Head of the Editorial Board and editor of the Academy
website, Founding member of the “Gymnasium Interdisciplinary CAD-CAM”, Active member of the “Web Committee” of
the European Academy of Craniomandibular Disorders.
Along with her clinical activities, she also carries out study
and research works on prosthetics and implant prosthetics,
and has published articles in international journals.
Dott. Gaetano Noè
Laureato in Odontoiatria e Protesi Dentaria il 21 luglio1989 presso l’Università
degli Studi di Pavia.
Relatore su argomenti di Protesi Parodontale e Protesi su impianti.
Socio Attivo dell’Accademia Italiana di
Odontoiatria Protesica (AIOP)
Esercita la libera professione a Piacenza
Curricula
Dr. Gaetano Noè
Graduated in Dentistry and Prosthodontics on July 21st,
1989, at the University of Pavia.
Lecturer in Periodontal prosthetics and implant prosthetics
subjects.
An active member of the Italian Academy of Prosthetic
Dentistry (AIOP).
Dr. Noe’has been practicing his profession in Piacenza
since 1992, working mainly on periodontal and implant
prosthetics.
From 1991 to 1996 he regularly visited the Gnatology department in the Italian Stomatology Institute in Milan (Dr.
Mario Molina, Medical Director).
He is Co-author of the following textbooks: Disturbi dell’articolazione Temporo-Mandibolare (Temporomandibular articulation disorders), Disturbi del Sistema Muscolo Scheletrico Masticatorio (Musculoskeletal masticatory system
disorders) (Dott. Mario Molina).
Active Member of AIOM (Past President) and AIOP.
Professor of Prosthetics in the Master’s Program at the University of Tor Vergata (Rome) - G. D’Annunzio (Chieti) - G.
Messina (Palermo).
He is a lecturer and a speaker at numerous courses and
conferences on fixes prosthodontics precision, function and
aesthetics.
Nato a Roma il 28/05/1947, diploma di
odontotecnico nel 1966, svolge tale professione fino al giorno della sua Laurea
in Medicina e Chirurgia 1982.
Tanti anni di lavoro e di esperienza
odontotecnica contribuiscono alla scelta
di dedicarsi come clinico esclusivamente alla protesi, pratica questa che svolge
nel suo studio di Roma.
Dal 1991 al 1996 frequenta con regolarità l’Istituto Stomatologico Italiano a Milano nel reparto di Gnatologia (Primario
Dott. Mario Molina).
È co-autore nei testi: Disturbi dell’articolazione Temporo-Mandibolare, Disturbi del Sistema Muscolo Scheletrico
Masticatorio (Dott. Mario Molina).
È Socio Attivo di AIOM (Past President) e AIOP.
Docente nei Master di protesi presso le Università degli Studi Roma “Tor Vergata” - Chieti “G. D’Annunzio” - Palermo
“G. Messina”.
Tiene conferenze ed è relatore in numerosi corsi sulla precisione, funzione ed estetica in protesi fissa.
Dr. Gianni Persichetti
Born in Rome on May 28, 1947, Dr. Persichetti earned his
dental technician diploma in 1966. He practiced his profession until the day of his University degree in Medicine in
1982.
His many years of work as a prosthodontist have contributed to his choice to devote his clinical work exclusively
toward the prosthesis. He practices his profession in his
office in Rome.
DOTT. CARLO POGGIO
Figlio d’arte, gestisce lo Studio Associato Poggio, studio con una tradizione di
terapie interdisciplinari da più di 50 anni
nel cuore di Milano. Ha conseguito la
laurea con lode in Odontoiatria nel 1992,
il Dottorato di Ricerca in Anatomia nel
1996 e la Specializzazione in Ortodonzia
nel 1999. È stato allievo di Gianfranco Di
Febo in protesi, Gianfranco Carnevale in parodontologia e
Renato Cocconi in ortodonzia. Dal 2009 è Adjunct Assistant
Professor presso il Dipartimento di Protesi dell’Università di
Rochester, nello stato di New York (USA) e dal 2000 al 2012
è Professore a contratto di Terapie Interdisciplinari presso la
Scuola di Specializzazione in Ortognatodonzia dell’Università degli Studi di Milano. È membro dell’Oral Health Group
della Cochrane Collaboration di Manchester (UK), del Consiglio Direttivo dell’Accademia Italiana di Odontoiatria Protesica e dell’International Relation Commitee dell’American
Prosthodontic Society. Ha fatto parte del Comitato nazionale per la stesura delle Raccomandazioni Cliniche in Protesi e
in Gnatologia. Ha tenuto conferenze in Italia e all’estero su
temi relativi alla gestione clinica dell’occlusione e ai trattamenti interdisciplinari complessi e ha pubblicato oltre 30
articoli su riviste peer reviewed.
DR. CARLO POGGIO
DDS, MSD, PhD is the owner of the Studio Associato Poggio,
an interdisciplinary dental practice with more than 50 years
of history, located in the heart of Milan historical center. He
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is also a Visiting Professor for Interdisciplinary Treatments at
the Postgraduate Program in Orthodontics at the University
of Milan and an Adjunct Assistant Professor at the Department of Prosthodontics, University of Rochester (NY). He is
a member of the Cochrane Oral Health group (Manchester,
UK), as well as a fellow of several national and international dental associations. He is a member of the Executive
Board of the Italian Academy of Prosthetic Dentistry (AIOP),
one of the largest Italian dental societies and a member of
the International Relationship Commitee of the American
Prosthodontic Society. He has published several articles in
peer-reviewed journals and has lectured extensively in Italy
and abroad on topics related to the interdisciplinary treatment planning in dentistry, occlusion and management of
TMD patients, metal free prosthodontic materials and use of
dental implants in complex interdisciplinary rehabilitations.
versità di Zurigo /1989 Visiting Professor, Università della
Florida /1994 Preside della Scuola di odontoiatria Libera
Università di Berlino /1994-2008. Trasferimento del Dipartimento all’Università Humboldt: Presidente del Dip. di Odontoiatria Operativa, Odontoiatria Preventiva ed Endodonzia
/1991-1994 Specialista in odontoiatria pubblica (Zahnarzt
für öffentliches Gesundheitswesen) /2002 Visiting Professor
presso l’Università degli Studi di Siena, Facoltà di Medicina
e Chirurgia /2003 -2010 Direttore della ricerca e dello sviluppo clinico. Ivoclar Vivadent, Schaan /2011 Esperto senior in
servizi professionali. Ivoclar Vivadent Schaan, Liechtenstein
/2011 Professore, Università della Florida, Dipartimento di
scienze odontoiatriche ricostruttive, Gainesville, Florida.
È stato relatore di oltre 150 tesi, ha pubblicato più di 180
articoli di ricerca e molte rassegne, capitoli di libri e libri.
Si interessa principalmente a: Odontoiatria minimamente
invasiva, materiali dentali, in particolare compositi e ceramiche, Odontoiatria adesiva, Odontoiatria estetica, Odontoiatria preventiva (concetti applicativi).
Inoltre, dal 1972, ha tenuto più di 800 interventi nell’ambito
di corsi o congressi nazionali o internazionali. Fa parte di
varie associazioni nazionali e internazionali.
È inoltre direttore di The Journal of Adhesive Dentistry, Oral
Health & Preventive Dentistry, nonché di Prophylaxe Impuls.
Curricula
Dott. Roberto Pontoriero
Laureato in Medicina e Chirurgia e specializzato in Odontostomatologia presso
l’Università degli Studi di Siena.
Specialista e Master in Parodontologia,
Ph.D.in Biology presso University of
Pennsylvania.
Specialista e P.h.D. in Parodontologia
presso University of Göteborg.
Dr. Roberto Pontoriero
Graduated in Dentistry and specialised in Odontostomatology at the University of Siena.
Specialist and Master’s in Periodontics, Ph.D. in Biology at
the University of Pennsylvania.
Specialist and Ph.D. in Periodontics at the University of
Göteborg.
PROF. FRANCK RENOUARD
Si è laureato a Parigi nel 1982, presso la
Facoltà di Odontoiatria di Paris V. Tra il
1983 e il 1988, a Parigi, è stato assistente
di Jean-François Tulasne, nel team craniomaxillofacciale di Paul Tessier. Ha
pubblicato diversi articoli su riviste nazionali ed internazionali, ed è l’autore di
3 libri di testo, insieme a Bo Rangert. Il
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primo di questi libri, “Fattori di rischio e trattamenti implantari. Valutazione clinica e approccio razionale” è stato pubblicato in 10 lingue. Il suo ultimo libro riguarda i fattori umani e gli errori medici. È un apprezzato relatore; tra i temi
ricorrenti dei suoi interventi: la semplificazione in implantologia, le complicanze, la biomeccanica e l’innesto osseo. È
entrato a far parte del Consiglio esecutivo dell’Associazione
Europea di Osteointegrazione ad Amsterdam nel 2000, ed è
Past President della medesima organizzazione (2006-2008).
Esercita privatamente a Parigi, limitatamente alla chirurgia
orale ed implantologica. È visiting professor presso la facoltà di medicina di Liegi (Belgio).
PROF. FRANCK RENOUARD
He graduated at the Dentistry University of Paris V in 1982.
He was an assistant of Jean-François Tulasne in the Cranio-Maxillo-Facial Team of Paul Tessier from 1983 to 1988
in Paris.
He has published several national and international articles
and is the author of 3 TextBooks together with Bo Rangert.
The first one, “Risk Factors in Implant Dentistry: Simplified
Clinical Analysis for predictable Treatment” was published
in 10 languages. His last book is about the human factors
and medical mistakes. A much appreciated lecturer, he
speaks frequently on the simplification in implantology,
complications, biomechanics and bone grafting procedures. He became a member of the Executive Board of the
European Association for Osseointegration in Amsterdam
in 2000, and is a Past President of the same organization
(2006-2008).
His private practice in Paris is limited to the Oral and Implant Surgery. He is a visiting Professor at the University of
Medicine of Lieges, in Belgium.
PROF. JEAN-FRANÇOIS ROULET
Nato il 16 novembre 1947 ad Aarau
(Svizzera).
Studi ed incarichi: 1974 D.D.S., Università di Berna, Scuola di odontoiatria /1977,
Dr. med. dent., Università di Berna,
Scuola di medicina /1984-1994, Prof. Dr.
med. dent., Libera Università di Berlino.
Presidente del Dip. di Odontoiatria Operativa, Odontoiatria Preventiva ed Endodonzia /1985 - 1991.
Responsabile accademico, Scuola di odontoiatria
Libera Università di Berlino /1986 Abilitazione (PhD), Uni-
Curricula
PROF. JEAN-FRANÇOIS ROULET
Born on November 16, 1947 in Aarau, Switzerland.
Studies and Positions:1974 D.D.S., University of Bern, School
of Dentistry /1977 Dr. med. dent., University of Bern, Medical School /1984 /1994 Prof. Dr. med. dent., Free University
of Berlin. Chairman of the Dept. of Operative Dentistry, Preventive Dentistry and Endodontics /1985-1991 Associate
Dean, School of Dentistry Free University of Berlin /1986
Habilitation (PhD) University of Zürich /1989. Visiting Professor, University of Florida /1991-1994 Dean of the School
of Dentistry Free University of Berlin /1994-2008 Transfer
of the Department to the Humboldt-University: Chairman
of the Dept. of Operative Dentistry, Preventive Dentistry
and Endodontics /1994 Specialist for Community Dentistry
(Zahnarzt für öffentliches Gesundheitswesen) /2002 Visiting
Professor Università degli Studi di Siena, Facoltà di Medicina e Chirurgia /2003 -2010 Director Research and Development clinical. Ivoclar Vivadent, Schaan /2011Senior Expert
Professional Services.
Ivoclar Vivadent Schaan, Liechtenstein /2011 Professor
and Chair, University of Florida, Dept. of Restorative Dental
Sciences, Gainesville, Florida. Prof. Roulet has supervised
more than 150 theseses, published more than 180 research
papers and many reviewes, book chapters and books. His
main subjects of interest are: Minimally Invasive Dentistry,
Dental Materials especially Composites and Ceramics, Adhesive Dentistry, Aesthetic Dentistry, Preventive Dentistry
(application concepts). Furthermore since 1972 more than
800 lectures or courses were given at national and international congresses.
Prof. Roulet is a member of multiple national and international professional associations.
Prof Roulet is Editor of The Journal of Adhesive Dentistry,
Orhal Health & Preventive Dentistry, and Prophylaxe Impuls..
Dott. Francesco Schiariti
Laurea in Medicina e Chirurgia e Specialista in Odontoiatria e Protesi Dentaria a
Firenze. È stato docente di Clinica Protesica alla Scuola di Specializzazione dell’Università degli Studi di Siena ed esperto del
Ministero della Salute per il programma
ECM. Socio Attivo dell’Accademia Italiana di Conservativa (AIC) dal 1986, anno
della sua fondazione, Past President dell’Accademia Italiana di
Odontoiatria Protesica (AIOP), Presidente del Comitato Intersocietario di Coordinamento delle Associazioni Odontostomatologiche Italiane (CIC). È membro del Comitato Esecutivo
della Società Medica Toscana (SMT) in rappresentanza delle
Società Scientifiche Odontoiatriche. Esercita la libera professione dal 1980 dedicandosi prevalentemente alla Conservativa
ed alla Protesi, sulle quali discipline ha tenuto conferenze e
corsi e pubblicato lavori clinici. Già Presidente provinciale
ANDI di Firenze e Presidente Regionale ANDI della Toscana.
Dr. Francesco Schiariti
Degree in Medicine and Specialization in Dentistry and
Prosthodontics in Florence. He was a professor of Prosthetic
Clinics at the School of Specialization of the University of
Siena and a Ministry of Health expert for the CME program.
An Active member of the Italian Academy of Conservation
(AIC) since 1986, the year of its foundation. APast President of the Italian Academy of Prosthetic Dentistry (AIOP).
Chairman of the Committee for the Coordination of Italian
Dentistry Associations (CIC). He is a member of the Executive Committee of the Societa’ Medica Toscana(SMT) representing the Scientific Dental Societies. In private practice
since 1980, he has been working mainly on the Conserva-
103
tion and the Prosthesis and has given lectures and courses
on these topics and published clinical papersHe was the.
Provincial President of ANDI in Florence and the ANDI Regional President in Tuscany.
bro della Commissione Accettazione Soci Attivi dell’AIOP
(2005/2010) - Presidente della Commissione per gli E.C.M.
interni del dental excellence - ILG (2005/2006) - Membro del
General Dental Council del Regno Unito (dal 2008) - Membro del Comitato Scientifico della rivista Odontotecnica di
Eccellenza (dal 2008) - Membro del Comitato Scientifico
della rivista Lab Tribune (dal 2012) - Relatore e Membro del
Comitato di Lettura di Antlo Formazione (dal 2012) - Ideatore di tecniche di lavorazione, macchinari e materiali utilizzati per ottenere risultati predicibili di precisione, funzione e
naturalezza. - Collabora con odontoiatri di rilievo internazionale. - Autore di lavori scientifici pubblicati su riviste nazionali e internazionali di odontotecnica e odontoiatria protesica, tradotti in diverse lingue.
Curricula
Odt. Stefan Schunke
Nato nel 1958 a Leverkusen (Germania),
nel 1976 ha iniziato il suo apprendistato
nel campo dell’odontotecnica. Una volta
terminati gli studi, nel 1980, ha frequentato un corso su ceratura e gnatologia. Da
allora, ha sempre nutrito un vivo interesse per le superfici occlusali di denti sani,
estetici e perfettamente funzionali, con il
desiderio di acquisire i fondamentali. Questo il motivo per cui
ha iniziato la collaborazione con l’Odt. Bölte a Düsseldorf
(Germania) dove ha lavorato tre anni, conseguendo esternamente il titolo di supervisore. Ha successivamente frequentato vari corsi che hanno sviluppato le sue conoscenze e che lo
hanno fatto render conto dell’importanza della ceratura biomeccanica di M. H. Polz. Nel 1988, ha iniziato la collaborazione con il laboratorio odontotecnico “Zahntechnisches Laboratorium M.H. Polz”, di cui è diventato socio. Dal 1991,
insieme a M. Polz jr., è socio e proprietario del laboratorio.
Ha inoltre frequentato altri corsi, seminari, conferenze e lezioni, con docenti del calibro di M.H. Polz, P.K. Thomas, A. Lauritzen, V. Bauer, A. Gutowski, D. Kubein-Meesenburg, C. Lex,
W. Schöttl, R. Schöttl, A. Bumann, C. Lauer, D. Schulz, H. Pfannenstiel, E. Hegenbarth, J. Stuck, A. Schönenberger, L. Rinn,
A. Wohlwendt, R. Fadal, R. Tucker, R. Klett, P. Ottl, E. Körber,
C. Sieber, W. Geller, A. Motsch, U. Schoberer, R. Janousch, W.
Gebhardt, A. Nolte, S. Hein, Chr. Coachman. Dal 1987 in poi,
ha scritto diverse pubblicazioni sulla tecnica di ceratura e di
fresaggio, tenendo conto degli aspetti funzionali.
Espone inoltre in conferenze sia livello nazionale che internazionale (Svizzera, Austria, Ungheria, Norvegia, Russia,
Giappone, Iugoslavia, Slovenia, Stati Uniti, Italia, Corea,
Cina, Inghilterra, Lituania, Serbia).
Stefan Schunke, cdt.
Born in 1958 in Leverkusen, Germany.
In 1976, started an apprenticeship as a Dental Technician
in Leverkusen, Germany. After graduation in 1980, he attended a course in waxing up and Gnathology. Since then
he has been highly interested in the occlusal surfaces of
the fully operational, esthetical and healthy set of teeth
104
and wanted to learn about the fundamental. This is why
he started to work for Mdt. Bölte in Düsseldorf, Germany,
worked for them for three years and got his degree as an
externally supervisor.
Followed several important courses through which he recognized the value of the biomechanical waxing up from M.
H. Polz. In 1988, he started working for the “Zahntechnisches Laboratorium M.H. Polz” and became partner.
Since 1991, M. Polz jr. and he have became partners and
owners of this laboratory.
Other courses, seminars, conferences and classes followed,
given by teachers such as: M.H. Polz, P.K. Thomas, A. Lauritzen, V. Bauer, A. Gutowski, D. Kubein-Meesenburg, C. Lex,
W. Schöttl, R. Schöttl, A. Bumann, C. Lauer, D. Schulz, H.
Pfannenstiel, E. Hegenbarth, J. Stuck, A. Schönenberger,
L. Rinn, A. Wohlwendt, R. Fadal, R. Tucker, R. Klett, P. Ottl,
E. Körber, C. Sieber, W. Geller, A. Motsch, U. Schoberer, R.
Janousch. W. Gebhardt, A. Nolte, S. Hein, Chr. Coachman.
Since 1987, he has been writing several publications on the
waxing up technique and milling technique with functional
aspects.
Furthermore, he is working as a presenter and lecturer nationally and internationally (Switzerland, Austria, Hungary,
Norway, Russia, Japan, Jugoslavia, Slovenia, USA, Italy, Korea, China, England, Lithuania, Serbia)
ODT. SALVATORE SGRÒ
Diploma di odontotecnico (1978) - Maturità professionale odontotecnica (1979) Titolare di laboratorio in Roma (dal 1980)
- Socio dell’ANTLO (dal 1980) - Relatore
in convegni nazionali e internazionali
(dal 1984) - Docente in corsi di formazione Universitari e di Specializzazione (dal
1986) - Membro della Consulta Nazionale dei Relatori (dal 1986) - Consulente scientifico di importanti aziende del settore dentale (dal 1986) - Socio Attivo
dell’AIOP (dal 1994) - Membro del Comitato Scientifico Internazionale della rivista Dental Dialogue (dal 2000) - Socio
fondatore del dental excellence - ILG (2002) - Relatore
dell’Assemblea dei Relatori per la Cultura Odontotecnica
(dal 2003) - Docente del “Corso di perfezionamento in tecnologie protesiche di laboratorio” (Università degli Studi “G.
d’Annunzio” di Chieti Pescara - a.a. 2003/2004) - Dirigente
della Sezione Odontotecnica dell’AIOP (2003/2004) - Socio
della SICED (dal 2005) - Docente del “Corso di perfezionamento in tecnologie protesiche di laboratorio” (Università
degli Studi “Federico II” di Napoli - a.a. 2005/2006) - Mem-
Curricula
SALVATORE SGRÒ, cdt.
Dental technician degree in 1978; Dental technician High
School diploma in 1979; Owner of laboratory “Eccellenza
Odontotecnica”in Rome(since 1980);Member of ANTLO
(since 1980); Speaker at national and international conventions since 1984; Lecturer at universities and post-graduate
courses since 1986; Member of the National Council Speakers (since 1986) - Scientific advisor at leading companies
in the dental industry (since 1986); Active member of AIOP
since 1994; Member of the International Scientific Committee of the journal Dental Dialogue since 2000; Founder
member of the “Dental Excellence” International Laboratory
Group (2002); Speaker of the Assembly of Dental Speakers
for Culture (since 2003) - Professor of the “Specialization
course in Laboratory Prosthetic Technology ” (University “G.
d’Annunzio” of Chieti Pescara (academic year 2003/2004);
Member of SICED (since 2005) - Professor of the “Specialization Course in Laboratory Prosthetic Technology” (University “Federico II” of Naples –academic year 2005/2006).
Member of the “Active Members Approval Board” of AIOP
(2005-2006, 2007-2008, 2009-2010); President of the Commission for internal E.C.M. of dental excellence - ILG
(2005/2006); GDC Member in UK since 2008; Member of
the Scientific Committee of the journal Dental Excellence
(since 2008) - Member of the Scientific Committee of the
journal Lab Tribune (from 2012) - Speaker and Member of
the Board members of ANTLO Education (since 2012); Creator of working techniques, machines and materials used
to achieve predictable results in accuracy, functionality and
natural look; He works with professionals of international
standing; His articles are published in national and international journals of the dental sector and have been translated
in different languages.
Odt. Paolo Smaniotto
Odontotecnico diplomato nel 1977, nel
1978 consegue la maturità professionale
a pieni voti presso l’Istituto Superiore
Arti Sanitarie “E. Bernardi” di Padova.
Titolare di Laboratorio dal 1981 a Bassano del Grappa. Dal 1983 al 1992 si specializza attraverso stages presso i migliori Maestri dell’odontotecnica europea. Nel biennio 1994-1996 frequenta la Scuola di Porta Mascarella - Bologna, Socio Attivo AIOP, nel biennio 2009-2010
è Dirigente della sezione odontotecnica dell’Accademia Italiana di Odontoiatria Protesica, nel biennio 2010-2012 è
membro della Commissione Accettazione Soci Attivi AIOP.
Membro Dental Excellence (International Laboratory Group
- Zurich - CH).
L’EDA (European Dental Association) nel 2007 gli conferisce il titolo di Odontotecnico Specialista in Protesi Fissa e
su Impianti. È membro del comitato scientifico di importanti riviste internazionali specializzate. Titolare di n° 3 brevetti
internazionali relativi a dispositivi implantari e protesici.
Invited Speakers alla N.Y.U New. York University College of
Dentistry C.D.E Graduates biennio 2007-2008. Dal 2008 è
docente al Post-Graduate in implantoprotesi dell’Università
degli Studi di Modena e Reggio Emilia. Dal 2012 è tutor in
Materiali Dentali e Tecnologie Protesiche al corso di Laurea
di Odontoiatria e Protesi Dentaria dell Università degli Studi
di Modena e Reggio Emilia (Prof. U. Consolo).
Autore di 57 pubblicazioni scientifiche, è co-autore di 6 testi
in ambito protesico e impianto-protesico. È autore del testo
Estetica e Tecnica dei nuovi materiali. Ed. TeamWork Media,
Brescia - 2008. Testo tradotto anche in lingua inglese e tedesco. Tiene Corsi e Relazioni congressuali in Italia e all’estero.
Paolo Smaniotto, cdt.
Dental technician who earned his diploma in 1977.
He earned in 1978 his professional qualification degree with
the highest grades at the Bernardi Istituto Superiore Arti
Sanitarie (Higher Health Institute) in Padova. He is the owner of a laboratory since 1981 in Bassano del Grappa.
From 1983 to 1992 he was an intern with leading European
dental technicians.
From 1994 to 1996 Mr. Smaniotto studied at the Porta Mascarella School in Bologna.
An active member of the AIOP, in the two year period 20092010 he was an executive of the Italian Prosthodontics
Academy; and from 2010 to 2012 has been member of the
AIOP Active Members Approvals Committee.
105
“Dental Excellence” member (International Laboratory
Group - Zurich - CH).
In 2007 the EDA (European Dental Association) conferred
upon him the title of Specialist Dental Technician for Fixed
Prostheses and on Implants.
He is a member of the scientific committee of leading international journals; and he is the holder of 3 international
patents for implant devices.
Invited speaker at N.Y.U, New York University College of
Dentistry C.D.E Graduates (2007-2008).
Since 2008 he is a Post- Graduate professor of implant prosthetics at the University of Modena and Reggio Emilia.
Since 2012 he is the tutor in Dental Materials and Prosthodontic Technologies in the Dentistry and Prosthodontics degree at the University of Modena and Reggio Emilia
(Prof.U. Consolo).
Author of 57 scientific publications and co-author of 6 textbooks on prosthetics and implant-prosthetics. Author of the
textbook Estetica e Tecnica dei nuovi materiali [new materials Aesthetics and Technique] publhised by TeamWork
Media, Brescia – 2008, translated into English and German
as well. He hold courses and is a speaker at congresses in
Italy and abroad.
Uniti. Dal 2010, Università Sun Yatsen, Guanghua, Scuola di
Stomatologia, Guangzhou, Cina e Università Re Saud, Scuola di Odontoiatria, Riyadh, Arabia Saudita.
Dal 2005 riveste il ruolo di Responsabile accademico per gli
Affari Clinici presso l’Università Albert-Ludwig di Friburgo,
Germania.
È sposato, con un figlio.
Curricula
Si occupa prevalentemente di Implantologia e Protesi dal
1988.
Dr. Fabio Smorto
Graduated cum laude in 1987 at La Sapienza University in
Rome.
Adjunct faculty in the Prosthetics Department,at L’Aquila
University from 1992 to 2000.
Professor of the specialisation courses in Implantology at
the Universities of Chieti (1999), Napoli(2000), Milano (2001),
Verona (2002), Firenze (2003), Pavia 2008 and Chieti (2011).
Professor of Implant Prosthetics in the Master’s Program
in Aesthetics at La Sapienza University, Rome (2008/20092009/2010).
Post-graduate degree from the New York University School
of Dentistry. Active member of the American Academy of
Osseointegration, of SICOI (the Italian Society of Oral Surgery and Implantology) and of the AIOM (the Italian Academy of Microscopic Dentistry).
Dr.Smorto has published over 30 articles including a volume
in collaboration with Prof. Glauco Marino.
He has spoken at more than a hundred congresses and conferences in Italy (Aiop, Sicoi, Sio, Professoriate Board).
Since 1988 he has been mainly involved in Implantology
and Prosthodontics.
Dott. Fabio Smorto
Laureato con lode presso l’Università
degli Studi di Roma “La Sapienza” nel
1987.
Professore a contratto presso l’Università degli Studi de L’Aquila cattedra di
Protesi dal 1992 al 2000.
Docente presso i corsi di perfezionamento in implantologia delle Università
degli Studi di Chieti (1999), Napoli (2000), Milano (2001), Verona (2002), Firenze (2003), Pavia (2008), Chieti (2011).
Docente presso il Master di Estetica in implantoprotesi presso l’Università degli Studi di Roma “La Sapienza”
(2008/2009-2009/2010). Post-Graduate alla New York University School Of Dentistry. È socio Attivo dell’American
Academy of Osseointegration, della Società Italiana di Chirurgia Orale ed Implantologia (SICOI) e dell’Accademia Italiana di Odontoiatria Microscopica (AIOM).
È autore di oltre 30 pubblicazioni tra cui un volume in collaborazione con il Prof. Glauco Marino.
Ha partecipato in qualità di relatore ad oltre 100 congressi
e conferenze in Italia (Aiop, Sicoi, Sio, Collegio dei Docenti).
106
Prof. JÖRG R. STRUB
Nato nel 1948, ha conseguito i titoli di
D.D.S., Dr. Med. Dent. e Dr. Med. Dent.
(l’equivalente del dottorato) presso l’Università di Zurigo (Svizzera) nel 1975/1985,
e successivamente il dottorato Honoris
Causa dell’Università Nazionale e Capodistriana di Atene (Grecia) nel 2008.
È stato visiting professor assistente di
biomateriali alla Tulane University e alla Louisiana State
University, New Orleans, USA, dal 1982 al 1983. Negli stessi anni è stato Professore associato e co-direttore del Programma universitario di protesi parodontale dell’Università
di Zurigo.
Dal 1988 è Professore e Direttore del Dipartimento di Protesi
dell’Università Albert-Ludwig di Friburgo, Germania.
Nel 1996 è stato Visiting professor clinico di protesi fissa
all’Università di Osaka ad Osaka, Giappone. Dal 2009 è Visiting professor all’Università della Pennsylvania (Dipartimento di Scienze Preventive e Ricostruttive), Filadelfia, Stati
Curricula
Prof. JÖRG R. STRUB
Prof. J. R. Strub, was born in 1948, and received his D.D.S., Dr.
Med. Dent. and Dr. Med. Dent. Habil. (Ph.D equiv) degrees
from the University of Zurich, Switzerland in 1975/1985 and
the Dr. h.c. from the National and Kapodistrian University,
Athens, Greece, in 2008.
He was a Visiting Assistant Professor of Biomaterials at
Tulane University and Louisiana State University, New
Orleans, USA, 1982-1983. From 1982 -1983 he was Associate Professor and co-director of the Graduate Programme in
Periodontal Prosthetics at the University of Zurich.
Since 1988 Dr. Strub has been Professor and Chair of the
Department of Prosthodontics at the Albert-Ludwigs University in Freiburg, Germany.
He was a Visiting Clinical Professor of Fixed Prosthodontics
at the Osaka University in Osaka, Japan in 1996. Since 2009
he is Visiting Professor at the University of Pennsylvania
(Dept. Preventive and Restorative SCiences), Philadelphia,
USA. Since 2010 Sun Yatsen University, Guanghua, School
of Stomatology, Guangzhou, China and King Saud University, School of Dentistry, Riyadh, Saudi Arabien. Since 2005 he
is Associate Dean for Clinical Affairs at the Albert-Ludwigs
University in Freiburg, Germany.
Dr. Strub is married and has one child.
PROF. MAURIZIO TONETTI
Laureato in Odontoiatria e Protesi Dentale a Genova, ha ottenuto il Master in
Parodontologia presso la Harvard University (Boston, USA). È Direttore del
Dipartimento di Parodontologia presso
la School of Dental Medicine, University
of Connecticut Health Center.
È Socio Attivo della Società Italiana di
Parodontologia. È membro della AAP, dell’IADR, dell’EFPE
di altre associazioni internazionali.
È Editore del Journal of Clinical Periodontology.
Svolge attività clinica limitata alla parodontologia e all’im-
plantologia. È uno dei più apprezzati ricercatori mondiali nel
campo della parodontologia; svolge intensa attività di ricerca
clinica in parodontologia, spaziando dalla diagnosi alla terapia. È relatore nei principali convegni nazionali ed internazionali. Ha pubblicato oltre 100 articoli scientifici originali.
PROF. MAURIZIO TONETTI
He graduated in Dentistry and Prosthodontics in Genoa and
earned a Master’s Degree in Periodontology from Harvard
University (Boston, U.S.A.). He is Director of the Division of
Periodontology at the School of Dental Medicine, University of Connecticut Health Center. He is an Active Member
of the Italian Society of Periodontology. He is a Member of
AAP, IADR and EFP as well as of other international associations.
He is Editor of the Journal of Clinical Periodontology.
His clinical activities are limited to the spheres of Periodontology and Implantology. He is one of the world’s most
highly respected authorities in the field of Periodontology,
in which he carries out intensive clinical research, ranging from diagnosis to therapy. He is a guest speaker at all
the principal national and international conferences on his
subject, on which he has also published over 100 original
scientific articles.
Dott. Piero Venezia
Si è laureato con lode in Odontoiatria
presso l’Università degli Studi di Bari nel
1989.
È stato Socio Fondatore del Cenacolo
Odontoiatrico Barese nel 1994.
Dal 2006 ha partecipato al programma di
educazione continua presso l’Institute
for advanced Dental Studies di Boston
(U.S.A.) diretto dal dr. Myron Nevins.
Nel 2003 si è perfezionato in Protesi Estetica Adesiva presso
l’Università degli Studi di Siena.
È Socio Attivo dell’Accademia Italiana di Odontoiatria Protesica (A.I.O.P.).
Nel 2007 ha frequentato l’Oral Health Center della University of Southern California diretta dal Prof. Pascal Magne.
Nel 2009 si è perfezionato in protesi presso l’Università degli
Studi di Bari, presso la quale, nello stesso anno, ha espletato
attività didattica.
Dallo stesso anno è Socio Attivo SIO (Società Italiana di Implantologia Osteointegrata).
107
Curricula
Note
È relatore in corsi e congressi in Italia e svolge la sua attività libero professionale, limitatamente al campo protesico, a
Bari ed Altamura (BA).
Dr. Piero Venezia
Graduated cum laude in Dentistry at the University of Bari
in 1989.
Founder member of the“Cenacolo Odontoiatrico Barese”
-Bari’s Interdisciplinary Association - in 1994.
Took part in 2006 in the continuing education programme
at the Institute for Advanced Dental Studies in Boston
(U.S.A.), headed by Dr. Myron Nevins.
Specialised in 2003 in Adhesive Aesthetic Prosthodontics at
the University of Siena.
Active member of the Italian prosthodontics Academy
(A.I.O.P.).
Studied in 2007 at the Oral Health Center of the University
of Southern California under Prof. Pascal Magne.
Attended the specialist Prosthodontics course at the University of Bari in 2009, graduating cum laude, and also
teaching there that same year.
That year he became an active member of the SIO (the Italian Osseointegrated Implant Society).
Currently a lecturer in courses and at congresses in Italy
and has his own practice limited to the Prosthodontics field,
in Bari and Altamura (BA).
Note
Prof. Fernando Zarone
He is a full-professor in Fixed Prosthodontics at the School
of Dentistry and Prosthetics, Director of the Dental Hygiene
Degree program and Head of the Dept. of Fixed prosthodontics at the University of Naples “Federico II”. He has
been invited as a speaker at many prestigeous international
meetings and courses and is the author of scientific publications in the most important international journals.
He teaches at Universities, Master’s and Ph.D programmes,
Post-Graduate and Specialization Schools.
His research activity in the last decade has been focusing
mainly on Esthetics, Implant prosthodontics, restorative
Biomechanics, CAD CAM procedures and dental materials
and manufacturing techniques.
Prof. Fernando Zarone
È professore straordinario di Protesi
Dentaria presso il Corso di Laurea in
Odontoiatria e Protesi Dentaria e Presidente del Corso di Laurea per Igienista
Dentale dell’Università degli Studi di
Napoli “Federico II”, presso il cui Dipartimento assistenziale è Primario dell’Area Funzionale di Protesi e Riabilitazione
Orale. Relatore a numerosi congressi nazionali ed internazionali ed ha al suo attivo un ampio curriculum di pubblicazioni su riviste italiane ed internazionali. La sua attività didattica si svolge, oltre che nei corsi accademici ufficiali,
anche presso vari corsi Master, Scuole di Dottorato di Ricerca, Scuole di Specializzazione, corsi di Perfezionamento.
L’attività di ricerca negli ultimi dieci anni è stata prevalentemente incentrata su argomenti correlati all’estetica, alla
biomeccanica implanto-protesica ed ai nuovi materiali e
metodologie produttive in protesi.
108
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