June, 26th, 2022

08:30AM-15:50PM (KST Time)

Why You should watch The PurgoRegen Global Symposium

The diversity of surgeons leads to different clinical perspectives.
In the Global Symposium, your experienced colleagues will explain their vision &
the best practices in terms of GBR, how they lead a treatment plan for a horizontal defect, an extraction socket & also, the soft & hard tissue management.

Which treatment will provide the patient's better health?
What would be your choice in the same situation for the patient?
Join us, do not hesitate to ask & learn with them,
Together, lead the Next GBR generation!

Schedule

Speakers Time Lectures
Dr. Joseph Choukroun
08:30AM - 09:30AM
"Updates in PRF and Bone Grafts: New Trends in Bone Management with Osteoimmunology"
Dr. Jerome Surmenian
09:40AM - 10:20AM
"Strategies and Surgical Techniques for Ridge Augmentation"
Prof. Lee Jung Seok
10:20AM - 11:10AM
"Simple & Easy Protocol for Successful GBR "
Dr. Pablo Bustillo
11:20AM - 12:00PM
"Discovering New Limits of Vertical GBR"
Dr. Yong Seok Cho
13:00PM - 14:00PM
"GBR in Esthetic Zone Using Different Methods and Materials " [LIVE Surgery]
Dr. Alain Simonpieri
14:20PM - 15:00PM
"Stable, Functional & Aesthetic: How Immediate Loading Should be Managed"
Dr. Alex Soon Xae Hong
15:00PM - 15:50PM
"Materials and Techniques for GBR: How to Improve Clinical Outcomes "

Speakers

Dr. Joseph Choukroun

"Updates in PRF and Bone Grafts: New Trends in Bone Management with Osteoimmunology"

Osteoimmunology is the modern science that takes into account the influence of the immune system on bone metabolism but also on all tissue healing phenomena. Indeed, bone healing starts with an immune reaction: inflammation triggered by the release of inflammatory cytokines. These cytokines are responsible for angiogenesis, which activates the formation of bone callus.

The behavior of bone cells is dependent on the functioning of the immune system: a high level of oxidants, also called oxidative stress, will lead to a failure of the immune system with collateral effects such as infection, bone resorption by stopping remodeling or fibro-integration. This is the case, for example, in diabetics, smokers, patients allergic to penicillin or in chronic inflammatory diseases.

A favorable bone metabolism will necessarily require a reduction of oxidative stress by means of various solutions such as adequate vitamin D supplementation, reduction of LDL cholesterol levels or other adequate immune stimulants. Antibiotic prophylaxis must also be revisited in order to use antibiotics with significant immune-stimulating properties. It will be easy to demonstrate that peri-implantitis is an immune disease that causes bone loss around the implant, triggered by oxidative bone stress.

Lecture in English

"Strategies and surgical techniques for
ridge augmentation "

Focus on surgical and biological strategies to increase the predictability and decrease the invasiveness of bone regeneration.

Understand how Osteo-Immunology is changing the game regarding biomaterial selection and handling.

It’s all about details :

.Precisely position titanium mesh and screws
.Easily manage the soft tissues: buccal and lingual flaps
.Appropriate suturing technique: fast and effective

Lecture in English

Dr. Jerome Surmenian
Prof. Jung-Seok Lee

"Simple & Easy Protocol for Successful GBR "

GBR is a reliable technique for the alveolar ridge augmentation at all alveolar ridge defects including horizontal, vertical, and combined types of defects. Since the introduction of GBR technique based on the preliminary study on the animal model (Schenk et al. 1994), non-resorbable membranes have been considered the standard reference for GBR because of their space-making capacity and controlled barrier function.

However, they are often associated with soft-tissue complications after exposure and require additional surgery for their removal. Consequently, resorbable membranes were proposed for GBR (even at the vertical defect), despite their inherent lack of a space-making capability. To circumvent this lack of mechanical stability, resorbable membranes have been used alongside stabilizing devises (e.g., pins, tenting screws, titanium mesh, or stabilizing sutures). However, these supportive devices can be difficult to install, and must be removed in an additional surgery.

Moreover, there is little evidence to support their use. Many clinicians recommend the additional use of these devices for stabilizing the augmented materials. On the other hand, other clinicians report successful results of GBR without the stabilizing devices. The speaker also demonstrated successful vertical augmentation (4-8mm) with this simple and easy protocol of GBR using the deproteinized xenogenic bone mineral and collagen membrane. In this presentation, step-by-step GBR protocols and the considerations in each step will be discussed.

Lecture in Korean, English subtitles available

"Buscando nuevos limites en GBR vertical"
"Discovering the new limits of vertical GBR"

Today we find daily bone atrophies derived from different types of pathologies, whether dental losses by inflammatory processes or the much-feared periimplantitis.

These and other possible pathologies make it necessary for the clinician to learn different techniques for the reconstruction of the atrophic maxillary ridge.

In this case, we will focus on large maxillary defects or completely atrophic jaws, and how to approach their reconstruction using d-PTFE membranes, thus exploring new limits in the reconstruction with this type of materials.

Lecture in Spanish, English subtitles available

Dr.Pablo Bustillo
Dr. Yong Seok Cho

"GBR in Esthetic Zone Using Different Methods and Materials"

LIVE Surgery

Treatment Plan:

#13 - GBR with non-submerged implant
1. Implant installation
2. Connect 505 or 507 healing abutment
3. GBR using THE Graft Collagen & THE Cover
4. Suture with Biotex®

#21 - GBR with submerge implant
1. Implant installation
2. Connect 404 healing abutment
3. GBR using THE Graft & OpenTex®-TR
4. Suture with Biotex®

Lecture in Korean, English subtitles available

"Stable, Functional & Aesthetic.. How should be Manage Immediate Loading"

For immediate loading, the survival rate is often based on the follow-up of the osseointegration but without aesthetic appreciation.

The main goal is to achieve osseointegration and aesthetics with long-term stability. To achieve this success, we need to obtain both bone formation and gum thickness, as any failure in one of these two factors will induce the loss of the second factor.

Several requirements must be met in order to obtain and maintain them together for the long term:

- Biological requirements are linked to early vascularization (appreciation of the biologic level, growth factors, collagen environment).
- Anatomical & surgical requirements will be helpful for the best implant placement and positioning (FAST Guide system, sub-crestal insertion, platform switching, etc.).
- Prosthetic requirements are essential for aesthetics as guidance for soft tissue design (rigid and screwed provisional prosthesis).

Lecture in English

Dr. Alain Simonpieri
Dr. Alex Soon Xae Hong

"Materials and Techniques for GBR: How to Improve Clinical Outcomes"

Reconstruction of lost alveolar bone is a very critical part of implant therapy from the clinical point view. For predictable alveolar bone regeneration, all of the following four factors should be considered in depth during the diagnosis and treatment planning: host (patient), local region (defect), biomaterial, and operator (surgeon).

In particular, the selection of bone graft material and barrier membrane has a significant impact on the treatment outcomes, and how the surgeon applies and uses them also greatly affects not only functional and esthetic results but also long-term prognosis of implant therapy.

Therefore, it can be said that the relationship between the two is inextricably linked. In this presentation, the selection of biomaterials for obtaining optimal results in alveolar bone regeneration and the various aspects of their application will be discussed through clinical cases and literature reviews.

Lecture in Korean, English subtitles available

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