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ePaper created 2018-05-16, 11:45:19 | version 1.38.0
“My aim is outstanding esthetics and predictable function for the patient” Q: Together with Dr. Goran Benic, you are teaching the Clinical Masters Program in Digital Workflow and Esthetics at Lake Como, Italy. What is your aim with the course? A: The aim of the course is to give partici- pants a concrete set of instruments and the technology by which to conduct an accurate diagnosis, treatment plan, sur- gery and prosthetic restoration using state-of-the-art methods. The entire workflow can gain from using the appro- priate technology in implant treatment. My aim is outstanding esthetics and pre- dictable function for the patient. Through the course, we aim to give participants a different point of view on prosthetically driven implantology. Q: You also work and teach at the implantol- ogy department of the San Paolo University Hospital in Milan. What are your inspirations as a teacher of your fellow dentists and stu- dents? A: I try to convey my passion not only for finding the best option for simple resto- ration of an edentulous site, but also for taking up the challenge, together with the patient, for the restoration of the patient’s smile. The interplay of hard and soft tissue is important in order to provide a prosthet- ically driven outcome. Q: How important are hands-on models for learning in implantology, especially for su- turing and bone grafting? A: It is an important starting point for the participant in order to break the initial—and normal—hesitation in performing 3-D implant placement or a guided bone re- generation procedure correctly. The clini- cian gains confidence in conducting the surgical and restorative procedures before treating actual patients. Q: Which biomaterials do you use for implan- tology and why? A: For horizontal augmentation and sinus floor augmentation, bovine demineralized particles and collagen membranes, stabi- lized by specific pins where required. These biomaterials provide a safe and stable scaf- fold that promotes the fixture’s stability after an adequate healing period. Titanium mesh as a barrier for vertical and horizon- tal augmentation. Such devices may guar- antee the stability of the coagulum also if bone walls are missing. I also use collagen (not particles) and collagen membranes for socket preservation procedures. These biomaterials also provide a safe and stable scaffold for fixture stability after healing. Q: What is necessary for a minimally invasive approach in implantology? A: It is important to correctly plan the clin- ical case, to minimize the releasing incisions if possible in order to achieve minimal sur- gical re-entries (minimal crestal incisions without touching interproximal papillae) and to reduce the number of visits required for the prosthetic restoration. Interview Digital Workflow in Esthetics issue 2018 — 25