Gliederung: - Schematische und röntgenologische Demonstration unterschiedlicher Retentionsformen unterer, retinierter Weisheitszähne, Darstellung der Indikation zur Entfernung - Erstellung der Behandlungsunterlagen, Aufklärungsgespräche mit Darstellung der Komplikationen - Demonstration des operativen Vorgehens: Lokalanästhesie, Schnittführung, Schutz des N. lingualis, Osteotomie, Nahttechnik. Die Entfernung unterer, retinierter Weisheitszähne gehört zu den häufigsten dento-alveolär-chirurgischen Eingriffen. Durch die enge anatomische Lagebeziehung zu den benachbarten Zähnen und dem N. alveolaris inferior besteht bei der operativen Entfernung die Gefahr einer Schädigung der umgebenden Strukturen. Die Kenntnis der verschiedenen Retentionsformen und eine geeignete, atraumatische Operationstechnik ist für eine komplikationslose Entfernung von Bedeutung. Nach der Leitungsanästhesie des N. alveolaris inferior und des N. buccalis wird die Schnittführung so gewählt, dass ein vestibulär gestielter Mukoperiostlappen gehoben werden kann. Nach dem lingualen, subperiostalen Einführen eines Raspatoriums zum Schutz des N. lingualis wird durch die bukkale Osteomie mit kugelförmigen Hartmetallfräsen der Weisheitszahn bis zu seiner größten Zirkumferenz freigelegt und durch vorsichtige Luxationsbewegungen entfernt.

Outline - Introduction: Patient history, clinical findings, diagnoses, etiology, prognosis of individual teeth - Treatment planning for phases - Modified papilla preservation technique (MPPT) - Simplified papilla preservation technique (SPPT) -Clinical situation 6 months postoperatively

Outline: - Reflecting a flap - Cleaning. - Fraction 3 - Fraction 2 - Fraction 1 - Wound closure List of materials All materials required for producing PRGF (BTI Germany) Bone replacement materials Geistlich Biomaterials Surgical instruments, Aesculap Suture materials, Ethicon

Outline: - Aesthetic treatment of multiple gingival recessions List of materials Microblade BUSM-6700 (Stoma) and 15C Swan Morton, Periosteum elevator Free, De Wijs, Molt (Stoma), Curettes minifive 11-12, 7-8 (LM), Pinzette stright 17cm 0,6 (stoma), Neddle holder micro Barraquer straight 18cm extra fine (stoma), Micro-scissor Gomel, curve, 16cm extra fine (stoma), Suture Vicryl 6-0 (V384)

Contents: - Blood sampling - Platelet separation activation - Introduction of bone replacement material - Access flap and curettage - Introduction of PRGF and bone replacement material - Plastic suture Materials Checklist: All materials required for producing PRGF (BTI Germany) Bone replacement materials Geistlich Biomaterials Surgical instruments, Aesculap Suture materials, Ethicon

Contents: - Incisions using a microsurgical scalpel - Reflecting a buccal flap - Preparing papillary flaps using a microsurgical scalpel - Lifting off of the papillary flaps using a papillary elevator - Removing the granulation tissue using an ultrasound scaler - Cleaning the dental roots using manual instruments - Trying to dental root - Applying Emdogain - Mixing Bio-Oss and Emdogain - Introducing the Bio-Oss into both bone defects - Microsurgical suturing Materials Checklist: Cheek retractor Microsurgical scalpel blade holder Microsurgical scalpel blade Soniflex tips Bone rest Castroviejo microsurgical needle holder Suturing scissors Dental tweezers Microsurgical tweezers Monofilament suturing material 6/0 Seralene Pref gel Emdogain Bio-Oss

Contents: - Patient presentation and esthetic analysis - Careful extraction of a non-salvageable tooth - Miniplast splint as a surgical template - Harvesting bone from the implant bed - Placing a CONELOG® implant at site 11 - Obtaining a corticospongeous bone cylinder at site 48 - Alveolar augmentation and reconstruction of the buccal bone lamella - Harvesting a connective-tissue graft - Tunneling the vestibular mucosa, various suturing techniques - Insertion of the provisional restorations - 3 months later: Preparing, impression and arbitrary transfer with a bite fork and facebow, temporary restoration - Master cast, new wax-up, determine the emergence profile - Fabricating a hybrid abutment, Scanning the custom abutment, on-screen crown design - Fabricating a zirconia abutment and a feldspathic ceramic veneer - Conditioning and adhesive attachment of the components, final intraoral check - Try in and adhesive cementation

Contents: - Planning and preparing a transfer stent - Introduction to on-screen 3D planning - CAD-designed transfer stent - Integrating the CAMLOG® Guide guiding sleeves - Fabricating a therapeutic restoration - Positioning the lab analogs on the master cast using the transfer stent - Titanium bridge frameworks for the temporary restoration - Surgical procedures: implant placement with the transfer template - Hydrocolloid impression taking and bite registration - Temporary insertion of the therapeutic provisional, demonstrating of a passive fit - Definitive CAMLOG abutments - Scanning the abutments, designing the crowns on-screen, machine driven milling of the zirconia crowns, veneering - Preparation for the delivery of the definitive restoration - Connecting the abutments, checking the torque, cementing the crowns, functional checks - Evaluating the completed restoration and assessing the teamwork of the dentist and dental technician