Remaining Time

Aslan Yaşar Gökbuget

He was born 1957 Adana/Turkey. He qualified as a dentist (DDS)1982. Same year he attanded as an assistant Professor at Istanbul University Dental School department of Periodontology. He received his PhD degree at same University 1989.

Associated Professor year 1993
Full Professor year 1999
Retired from the University April 2013
Since 1993 he is doing implants and giving lectuers.
Meffert implant Institute educator since  2004.
Prof. Gökbuget lectures and leads seminars on Periodontology and conducts courses on practical and advanced Implantology and Dental Lasers.
1995-96 visiting professor at Eastman Dental Institute Oral Med.Department, London 
He has a private Clinic with two partners (Prosthodontis&Orthodontist) named pggdent at Istanbul.
 
Main İnterest;
Periodontology
Implantology
Bone grafts and bone surgery
Mucogingival surgery
Sistemic diseases and dentistry
Dental Lasers
 
Prof. Gökbuget is an active member in numerous International societies such as;
 
AAP(American Academy of Periodontology)
ICOI (International Congress of Oral Implantologyst(Diplomat)
IAP (International Academy of Periodontology)
EFP (Europiean Federation of Periodontology)
CAIA (Computer Aided Implant Academy)(active member)

Immediate Implantations. Where Are We Now?

Today, the objective of dentistry is not only to eliminate the disease but also improve the patients esthetics and function.The success and predictability of dental implants have change the philosophy and practice of dentistry during the last two decade. A lot of new tecnologys and technics have been used in order to improve implant success and predictability ie CT, Computer aided guides, surgical tools immediate loading etc.
The concept of İmmediate implants  and loading is anything but recent. Patients receiving implants today are often unaware of the original loading protocols of 3 to 6 months of load-free healing prior to restorative therapy. Often, when patients require extraction of an anterior tooth, they do not accept even the shortest period of partial edentulism. Traditionally, these situations were addressed with either removable or provisional restorations.
In recent years, the option of immediate placement performed in conjunction with temporization has become popular. Lots of factors are effecting the success and predictability of immediate implantation. These factors will be disscuss with the cases during the presentation.
 
Learning objectives;
  • Scientific backround of Immediate dental implants,
  • Why treatment planning is so important,
  • Understand the advantages and disadvantages of Immediate Implants,
  • Go true the clinical cases and understand how do we apply these factors into the clinical practice.
Peri-implantitis Growing Problems Implant Dentistry
Peri-implantitis is defined as an inflammatory reaction with loss of supporting bone around the implant (Albrektsson & Isidor 1994). The frequency of peri- implantitis has been reported in the range of 5–8% for selected implant systems (Berglundh et al. 2002). Similar figures are reported in a recent long-time follow-up study (Roos-Jansaaker et al. 2006a).More recently  (Marrone et al. 2012) %37 of the subjects and %23 implants.Different regenerative therapies have been tried to resolve peri-implantitis (for a review, see Roos-Jansa ker et al. 2003, Schou et al. 2004)and Schwarz at al. 2012). The concept of submerged healing was earlier reported as a treatment option for periodontally involved teeth. Laser  supported Peri-implantitis therapy became adjunct  therapy for  controlling the disease  activity(Er-Yag and Nd-Yag Lasers).One of the important  thing is in order to use Laser beam effectively, we need to understand  interaction between  Laser beam  and  the Periodontal  tissues. Variable parameters affecting absorption include wavelength/form, power, pulse duration, energy density, angulation, pigmentation, water and mineral content, heat capacity and tissue density.
It seems to be the best treatment option for menaging Peri-implantitis Er-Yag and Nd-Yag combination.It is possible to eradicate granulation tissues and implant suface decontamination with Er-Yag and bacterial decontamination with Nd-Yag laser.This combination enabled regenerative osseous surgery around implants with no complications with high patient and clinician satisfaction and confidence..
There is a need of evidence based studies. Randomized, blinded, controlled and longitudinal, clinical trials are essential to achieve reliable evidence.