1985 Doctor in dental surgical medicine 1000 characters)
1991 Post-graduate of dental biomaterials. University Paris VII, France
1992 Certificate of Periodontology. University Paris VII, France
1996 Post-graduate in Periodontology and Oral Implantology. University Paris VII,France
1998–2001 Assistant Professor University Paris VII, France
Since 2001 Visiting Professor on Post-graduate in Periodontology and Oral
Implantology. University Paris VII, France
2008 Visiting Professor at the University of Szeged Faculty of Dentistry
2009 Visiting Professor at the Bern University, Department of Periodontology.
2010 PhD University of Szeged Faculty of Dentistry, Hungary
2012 Honorary Professor. Szeged Faculty of Dentistry, Hungary
Member of European Osseointegration Academy.
1998–2000 – Editorial office: Journal of periodontology and implantology.
2009 – Editorial office: Quintessence International. Research: My current interest in clinical research is focused on how to improve and increase the predictability of
periodontal plastic surgery techniques
The clinician in a daily practice faces mucosal soft tissue defects around teeth and/or at implants sites. In order to treat them, the practitioner has at his/her disposal several surgical treatment modalities which can make the right choice, to achieve the best result, difficult. The main purpose of this presentation is to discuss different surgical protocols based on the available scientific literature and clinical experience to manage the soft tissue defects around teeth and implants.
The techniques to treat surgically the recession type defects are mainly derived from the coronally advanced flap, the supraperiosteal envelope technique in combination with a subepithelial connective tissue graft, or its evolution as a tunnel technique, have been developed to achieve a complete root coverage with improved aesthetic outcome , but few of them can provide complete root coverage in a class III Miller recession as these type of defects present loss of interproximal bone and soft tissues.
I will focus, on a deep description of the modified tunnel technique and on all of those parameters which must be evaluated, what I am sure, will make the decision making process less complex and the results more predictable.
The importance of how to prevent and/or how to treat soft tissue defects around implants has received increasing attention by the clinicians and researchers. The main reason is because so far there is no a defined surgical protocol to treat them.
The practitioner has to keep in mind the anatomical/histological differences between teeth and implants in order to better understand and manage the step by step procedures.
From a histological stand point the primary function of the CT (connective tissue) at implants sites is to maintain the epithelium in a tight adhesion to the implant neck (abutment). The epithelium in turn protects the CT establishing an epithelial barrier forming a functional unit between the oral cavity and the inserted implants.
The adhesion of the implant junctional epithelium and the supracrestal connective tissue depends on the density of the connective tissue.
From a clinical standpoint the presence of a stabile band tightly holding the soft tissue composed by keratinized and connective tissue appears to facilitate plaque control, improving patient aesthetic, comfort and prevent mucosal dehiscence
Not only the width of the keratinized tissue is discussed in the literature, but also its thickness. This seems to be an important factor in maintaining health as well as aesthetic.
Therefore the goal of this presentation is to share different surgical protocols to manage successfully the soft tissue defects around teeth or implants and to provide a deep knowledge to the clinicians in order them apply in their daily clinical practice..