Curriculum Periodontology (2023)

Basics, Diagnostics and Diagnosis (Univ.-Prof. Jepsen, Univ.-Prof. Deschner)

• Structural Biology
• Etiology and pathogenesis
• Classification and nomenclature
• Epidemiology
• Diagnostics and analysis of findings
• Treatment planning
• Information sources
• Creation of case documentation and case presentations

Anti-infective periodontal therapy, photo documentation (PD Dr. Jervøe-Storm, DH Engel, Univ.-Prof. Dommisch).

• Cause-oriented, non-surgical periodontal therapy
  • Mechanical biofilm removal
  • Subgingival instrumentation
  • Hand instruments
  • Sound/ultrasound
  • Air-powder water jets
  • The use of lasers in antimicrobial therapy
  • Photodynamic therapy (aPDT)
  • Full-Mouth-Disinfection
• Microbiological diagnostics
• Adjuvant antimicrobial therapy (local and systemic)
• Indication, results, complications
• Scientific evidence

Practical: Exercises

• Photo documentation
• Phantom exercises

Surgical periodontal therapy: resective or regenerative? (Univ.-Prof. Dommisch)Introduction to Periodontal Surgery

• Periodontal wound healing
• Surgical instruments
• Suture, suture techniques, dressings

Lobe design

• Access Flap
• Resective periodontal surgery
• Shifting lobe
• Papilla preservation flap

Furcation therapy

• Hemisection
• Premolarization
• Root amputation

Resective and regenerative periodontal surgery

• Biological basics
• Indications and contraindications
• Vertical defects, furcations
• Membranes (GTR)
• Bone and bone substitutes
• Combined regenerative therapy
• Melt matrix proteins, biologically active factors
• Scientific evidence

Practical exercises:

• on the pork pine

Plastic-aesthetic periodontal therapy (PD Dr. Jepsen, PD Dr. Hägewald)

• Recession coverage
• Grafts, displacement flaps
• Evidence, predictability
• Gingiva widening
• Crown lengthening
• Ridge augmentation

Practical exercises:

• on the pork pine

Peri-implantitis (Prof. Dommisch, PD Dr. Jepsen)
It is well known that both periodontitis and peri-implantitis are caused by bacterial infections, but fundamental differences exist in host-microbe interactions with oral mucosal tissues as well as the variety of local and systemic risk factors.
Peri-implantitis is a challenging condition where the treatment choice should be based on the severity of the disease and the configuration of the peri-implant defect. Resective approaches have been shown to be the treatment choice for horizontal and/or wide vertical bone defects. There are several protocols to improve the predictability of these resective approaches, such as performing implantoplasty, using systemic antibiotics or modifying the quality of peri-implant soft tissues. In addition, the role of supportive therapy plays a role in the long term.
Techniques and goals for preventing peri-implantitis by maintaining a keratinised mucosa around the implant are discussed. We will provide insights into regenerative and resective approaches to the treatment of peri-implant disease. This course will illustrate what to consider when managing implant complications, what surgical approaches are available and how to predictably promote infrabony regeneration of peri-implant defects. Specifically, our own surgical protocol for strategic therapy will be presented.

Contents:

• Differences between the treatment of periodontitis and periimplantitis
• Surface decontamination (surgical/non-surgical)
• Resective therapy of peri-implantitis and the challenges
• Reconstructive/regenerative peri-implantitis therapy

Learning Objectives:

• Recognize that loss of keratinized gingiva may be one of the risk indicators.
• Recognize that maintaining a firm soft tissue cuff around the implant facilitates plaque control by the patient.
• Recognize the correct peri-implant defect for the repair of peri-implantitis defects
• Recognize when resective approaches are indicated
• Evaluate the step-by-step approach to soft and hard tissue management in regenerative or resective peri-implant surgery.

Billing for periodontally performed services (ZMV Parlak)The importance of periodontal therapy in the practiceLegal bases (entitlement bases, restriction of freedom of therapy for SHI-insured patients)Contractual basesContents of the current treatment guidelines: V. 1-8 (Pa treatment)General overview of billable par services according to Bema and GOZThe individual treatment steps and the possibilities of billing according to Bema and GOZ: Phase 0 (preliminary phase), Phase 1 (closed procedure), Phase 2 (open procedure) and Phase 3 (maintenance therapy).

This part of the course will be broadcast online, so that your dental hygienist will also have the opportunity to participate free of charge.

Risk assessment and long-term periodontal care (PD Dr. Jepsen, Univ.-Prof. Jepsen).

• Risk assessment
• Maintenance therapy
• Recall

Case presentations and collegial final discussion (PD Dr. Jepsen, Univ.-Prof. Jepsen)

Handing over of the certificates