cosmetic dentistry_ beauty & science

meetings _ Osteology Symposium I odontally compromised tooth. This might then give rise to peri-implant complications in some cases. At the symposium, we will concern ourselves with the problem of these infections in relation to the oral cavity as a whole and consequently the need for holistic treatment. Simion: Apart from bacteria, the manner in which an implant is placed and the implant surface appear to play a role, although it has not yet been possible to demonstrate the latter conclusively. There are also patient factors that have an impact, such as smoking or specific diseases. It is key for dentists and oral surgeons to be aware of all these factors and learn how to diagnose and treat peri- implantitisearly.Theanswerstomanyquestionsare already close at hand. That is why we have devoted so much space to the topic at the congress. _And bone regeneration? Can we now assume that everyone knows all there is to know about thissubject? Simion: We perform guided bone regeneration (GBR) procedures on an almost daily basis—to enhance aesthetics, to treat angular bone defects andsoon.ButhowcanGBRbemadeeasierandless invasive? When, for instance, is it possible to dis- pense with autologous bone or a non-absorbable membrane that is difficult to handle? Or how can you prevent bone resorption directly after a tooth has been extracted and so facilitate subsequent implant placement? Current questions for daily practice, like these, will be discussed at the con- gress. _One session will address patient-reported out- comemeasures.Whatdoesthatinvolve? Lang: To assess therapy success, we often only gauge objective parameters such as implant sur- vival rate or bone level, but it is also important to establish whether the patient is satisfied with the function and the aesthetics or whether the patient experienced a lot of pain or swelling post-opera- tively. For a long time, such subjective parameters were neglected in implantology. _Issofttissueasignificantfactorinaesthetics? Simion:Thequalityandquantityofsofttissueis vital for aesthetics, but for function too. For exam- ple, the amount of keratinised gingiva around an implantseemstohaveaneffectonrecessiondevel- opment and the risk of peri-implantitis. Dentists may be hesitant to harvest a graft from the palate because the procedure is invasive and painful. Soft-tissue substitute products are such an interesting alternative for this reason. At the con- gress,wewillbetakingacloselookatwhentheycan be used. They are very well suited to some indica- tions but not to others. _Can you list three key reasons your coll- eagues should attend the Osteology Symposium inMonaco? Lang: At this time of the year, Monaco is beauti- ful and the programme speaks for itself. It is well balanced, featuring both young and established colleagues. Some focus on empirical practice, oth- ers on the science. This mix is essential for us, for they go hand in hand. And last but not least, the Osteology Foundation will be celebrating its tenth anniversary in Monaco. Nobody should miss this. _Thankyouverymuchforthisinterview. Furtherinformation:www.osteology-monaco.org Prof. Massimo Simion (left) and Prof. Niklaus P. Lang (right). I 47cosmeticdentistry 1_2013 Prof.Massimo Simion is Professor for Periodontology and Co-Chairman of the Department of Periodontics and Dental Implant Rehabilitation of the Dental Clinic of the University of Milan.His chief interest lies in Guided Bone Regeneration and Osseo-integration. He is a member of the Osteology Foundation Board. Prof.Niklaus P.Lang is Professor of Perodiontology and the holder of numerous prizes. At over 500 publications,he is one of the most prominent international periodontists. He is Editor-in-Chief of various international journals,such as Clinical Oral Implants Research and a member of the Osteology Foundation Board. _info cosmeticdentistry