09:00 – 10:30
HEALTH AND AESTHETICS IN THE RE-TREATMENT OF FAILURES IN DENTAL MEDICINE
Failures, complications or iatrogenic conditions are dramatically increasing. The retreatment of these "unique cases" requires passion, ethics, and the willpower of helping people who presents with very high expectations and exacting psychological aspects. Variables such as periodontal biotype, biological potential for tissue regeneration and the nature of the underlying osseous architecture surrounding the ailing teeth and implants will influence the clinical decisionmaking to achieve optimal "biomimetic" results. The decision whether a retreatment should be performed is ideally driven by update evidencebased information but also by educational background, periodontist clinical experience, access to technology, patient and site's risk assessment, predictors of disease, economic aspects, probabilities and uncertainties of treatment outcome as well as longterm stability of the results. Esthetic challenges can be even more relevant when tissue reconstruction needs to be performed in areas adjacent to teeth with a reduced periodontium since the impaired blood flow due to the disease can significantly reduce the biological potential for Guided Tissue Regeneration. The key to a successful re-treatment of dental failures is based on clinician's ability to provide and maintain over time adequate bone's volume as well as mucosa's quality.