Markus Hürzeler
Multidisciplinary treatment approach to stage IV periodontitis | New trends in implant therapy
- D.M.D. degree in 1984 from the University of Zürich.
- Specialist in Periodontics from the Swiss Society of Periodontology in 1989.
- Certificate in Prosthodontics from the German Society of Prosthodontics in 1991.
- Visiting Associate Professor on the Department of Periodontology, at the University of the Houston, Texas, Dental Branch, from 1991 to 1993.
- Docent (PhD) degree from the Department of Prosthodontics at Albert-Ludwigs University in Freiburg, Germany, in 1996.
- Private practice in periodontics and implant therapy together with his partner Dr. Zuhr in Munich, Germany.
- Professor of Dentistry from the Medical Department of Albert-Ludwigs University in Freiburg Germany since 2002.
- In 2008, he founded the Huerzeler/Zuhr Education Center with his partner Dr. Zuhr in which they teach their concepts and philosophy in today’s dentistry.
- Clinical Associate Professor at the University of Texas, in Houston since 1993.
- Associate Professor at Albert-Ludwigs University in Freiburg, Germany, Department of Preventive Dentistry and Periodontology since 1997.
- Active member of the European Academy of Esthetic Dentistry (EAED).
- More than 150 scientific publications within the field of implants, periodontology, and tissue regeneration.
- Lectures and gives courses regularly, both nationally and internationally, on topics related to periodontics and implant therapy.
- In 2012 he published with his partner Dr. Zuhr the worldwide known book: Plastic-Esthetic Periodontal and Implant Surgery – A Microsurgical Approach.
Nationality: Germany
Scientific areas: Periodontology
22 of november, from 11h00 until 12h30
Auditório A
Conference summary
Dental implants are often placed in patients suffering from severe periodontitis. Implant treatment in periodontitis-susceptible individuals is frequently debated. It has been reported that in partially or completely edentulous patients, periodontal pathogens might be transmitted from teeth to implants, implying that periodontal pockets might serve as a reservoir for bacterial colonization.
The microflora similarity of periodontitis and peri-implantitis support the concept that periodontal pathogens might be associated with peri-implantitis and failing implant. The hard and soft tissues of these patients are host-modulated and susceptible to aggravation of disease. There are certain factors which are associated with the susceptibility of these conditions.
Poor oral hygiene and cigarette smoking are the strongest risk indicators. Design of the prosthesis and excess cement may also be associated. The importance of treating existing periodontitis prior to the placement of dental implants has often been emphasized. Afterwards the implant therapy can be done. Here it is important, that the implant therapy is done based on the scientific knowledge in nowadays.
This request implies that the clinician needs to developed the same passion for implants in the functional area as he already has for implants in the esthetic zone. Not only the amount of bone around the implant is important. The quality and the quantity of the mucosa around implants in the functional area becomes a crucial issue. And needs to be addresses in detail. The suprastructure on implants needs to allow access for oral hygiene devices alla round it and the dental hygienist must be able to probe the peri implant mucosa in the maintainance program.
All these requirements make the implant therapy demandable and complicated. These needs will be discussed during this lecture. Implants can be placed in stage IV peridontitis cases but these cases do not forgive any failures.