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Graduated in 1988 with a degree in dentistry from the University of Bologna, Italy. He was awarded a PhD in medical biotechnology from the same university. Professor of periodontology at the University of Bologna, Italy. Head of the Department of Periodontology and Dental Hygiene at the University of Bologna, Italy. Coordinator of the degree course in Dental Hygiene at the University of Bologna, Italy. Honorary member of the American Academy of Periodontology (AAP). President of the Italian Academy of Osseointegration (IAO). Member of the editorial boards of the International Journal of Periodontics and Restorative Dentistry, the Journal of Periodontology, and the International Journal of Oral Implantology. Associate editor of the International Journal of Esthetic Dentistry. Active member of the European Academy of Esthetic Dentistry (EAED), the Italian Society of Periodontology (SIdP), the Italian Academy of Osseointegration (IAO), and the European Federation of Periodontology (EFP). Author of more than 130 scientific publications in the field of periodontics and implantology. Winner of various awards in Europe and the United States for scientific research in the field of periodontology. Co-author of two illustrated textbooks on periodontal plastic surgery (Ed. Martina) and of the chapter “Mucogingival Therapy—Periodontal Plastic Surgery” in Clinical Periodontology and Implant Dentistry (Lindhe J, Lang NP, Karring T [eds]; Wiley-Blackwell). Author of the book Mucogingival Esthetic Surgery, published by Quintessence Publishing and translated into 12 languages. Speaker at major Italian and international conferences on the topics of periodontics and implantology.
1st Edition 2022 Book Hardcover; Two-volume book with slipcase; 21 x 28 cm, 1100 pages, 6557 illus Language: English Categories: Oral Surgery, Implantology Stock No.: 24311 ISBN 978-88-7492-091-4 QP Italy
1. Auflage 2014 Book, DVD Buch im Hardcover + Video-DVD in Slim-Box, Laufzeit: 30 Min., 832 pages, 4273 illus Language: German Categories: Oral Surgery, Periodontics Stock No.: 22180 QP Deutschland
1. Auflage 2014 Book Hardcover mit Lehrtafeln im Schuber, 832 pages, 4273 illus Language: German Categories: Oral Surgery, Periodontics Stock No.: 19880 ISBN 978-3-86867-190-2 QP Deutschland
Mucogingival approach for the surgery around implant
16.12.2022Le Negresco, Nice, France
Speakers: Giovanni Zucchelli
Le Cercle Dentaire
4th Buser & Sculean International Symposium
Regeneration and Esthetics in Periodontology and Implant Dentistry02.12.2022 — 03.12.2022Congress Center, Kursaal Bern, Bern, Switzerland
Speakers: Sofia Aroca, Daniel Buser, Stephen Chen, Massimo De Sanctis, Nikolaos Donos, Markus B. Hürzeler, Sascha Jovanovic, Ronald E. Jung, Giulio Rasperini, Isabella Rocchietta, Frank Schwarz, Anton Sculean, Shakeel Shahdad, Andreas Stavropoulos, Martina Stefanini, Leonardo Trombelli, Istvan Urban, Giovanni Zucchelli
Buser & Sculean Academy
12th World Congress of Esthetic Dentistry – IFED 2022
27.10.2022 — 29.10.2022Conrad Abu Dhabi Etihad Towers, Abu Dhabi, United Arab Emirates
Speakers: Gil Alcoforado, Andreas Bindl, Renato Cocconi, Luca Cordaro, David De Franco, Didier Dietschi, Vincent Fehmer, Stefano Gracis, Dan Grauer, Sonia Leziy, Feng Liu, Baldwin Marchack, Francesco Mintrone, Robert Relle, Giovanni Zucchelli
International Federation of Esthetic Dentistry
3rd Urban International Hard and Soft Tissue Regeneration Symposium
Predictability in Regeneration21.10.2022 — 22.10.2022Budapest Congress Center, Budapest, Hungary
Speakers: José Carlos da Rosa, Luca De Stavola, Ueli Grunder, Jaime Lozada, Ausra Ramanauskaite, Frank Schwarz, Istvan Urban, Giovanni Zucchelli, Otto Zuhr
Urban Regeneration Institute
EuroPerio10
15.06.2022 — 18.06.2022Bella Center Copenhagen, Copenhagen, Denmark
Speakers: Mario Aimetti, Zvi Artzi, Serhat Aslan, Georgios Belibasakis, Florian Beuer, Juan Blanco Carrión, Michael M. Bornstein, Nagihan Bostanci, Philippe Bouchard, Darko Božić, Francesco Cairo, Olivier Carcuac, Maria Clotilde Carra, Nelson Carranza, Iain L. C. Chapple, Pierpaolo Cortellini, Jan Cosyn, Mike Curtis, Francesco D'Aiuto, Bettina Dannewitz, Massimo De Sanctis, Luca De Stavola, Jan Derks, Nikolaos Donos, Peter Eickholz, Bahar Eren Kuru, Ricardo Faria Almeida, Roberto Farina, Magda Feres, Elena Figuero, Dagmar Fosså Bunæs, Rok Gašperšič, William Giannobile, Cecilie Gjerde Gjengedal, Moshe Goldstein, Marjolaine Gosset, Klaus Gotfredsen, Filippo Graziani, Adrian Guerrero, George Hajishengallis, Hady Haririan, Lisa J. A. Heitz-Mayfield, Palle Holmstrup, Markus B. Hürzeler, Mark Ide, Søren Jepsen, Ronald E. Jung, Sérgio Kahn, Anhgela R. Kamer, Alpdogan Kantarci, Moritz Kebschull, Björn Klinge, Thomas Kocher, Odd Carsten Koldsland, Kenneth Kornman, Purnima Kumar, Marja Laine, Markus Laky, Isabelle Laleman, Evanthia Lalla, France Lambert, Luca Landi, Niklaus P. Lang, Antonio Liñares, Tomas Linkevičius, Bruno Loos, Rodrigo Lopez, Eli Machtei, Aslan Mammadov, Mauro Merli, Andrea Mombelli, Eduardo Montero, Niki Moutsopoulos, Jose Nart, Gustavo G. Nascimento, Ian Needleman, Tiernan O'Brien, William Papaioannou, Panos N. Papapanou, Michael A. Pikos, Pawel Plakwicz, Constanza Pontarolo, Philip M. Preshaw, Marc Quirynen, Mia Rakic, Christoph Andreas Ramseier, Hélène Rangé, Papageorgiou Spyridon, Maurizio S. Tonetti, Leonardo Trombelli, Istvan Urban, Fridus van der Weijden, Fabio Vignoletti, Charalambos Vlachopoulos, Nicola West, Asaf Wilensky, Ion Zabalegui, Egija Zaura, Nicola Zitzmann, Giovanni Zucchelli, Otto Zuhr, Fardal Øystein
European Federation of Periodontology (EFP)
The 14th International Symposium on Periodontics and Restorative Dentistry (ISPRD)
09.06.2022 — 12.06.2022Boston Marriott Copley Place, Boston, MA, United States of America
Speakers: Tara Aghaloo, Edward P. Allen, Evanthia Anadioti, Wael Att, Vinay Bhide, Markus B. Blatz, Scotty Bolding, Lorenzo Breschi, Jeff Brucia, Daniel Buser, Luigi Canullo, Daniele Cardaropoli, Stephen J. Chu, Donald Clem, Christian Coachman, Lyndon F. Cooper, Daniel Cullum, Lee Culp, José Carlos da Rosa, Sergio De Paoli, Marco Degidi, Nicholas Dello Russo, Serge Dibart, Joseph P. Fiorellini, Mauro Fradeani, Stuart J. Froum, David Garber, Maria L. Geisinger, William Giannobile, Luca Gobbato, Ueli Grunder, Galip Gürel, Chad Gwaltney, Christoph Hämmerle, Robert A. Horowitz, Markus B. Hürzeler, David Kim, Greggory Kinzer, John Kois, Christopher Köttgen, Ina Köttgen, Purnima S. Kumar, Burton Langer, Lydia Legg, Pascal Magne, Kenneth A. Malament, Jay Malmquist, George Mandelaris, Pamela K. McClain, Michael K. McGuire, Mauro Merli, Konrad H. Meyenberg, Craig Martin Misch, Julie A. Mitchell, Marc L. Nevins, Myron Nevins, Michael G. Newman, Miguel A. Ortiz, Jacinthe M. Paquette, Stefano Parma-Benfenati, Michael A. Pikos, Giulio Rasperini, Pamela S. Ray, Christopher R. Richardson, Isabella Rocchietta, Marisa Roncati, Marco Ronda, Paul S. Rosen, Maria Emanuel Ryan, Irena Sailer, Maurice Salama, David M. Sarver, Takeshi Sasaki, Todd Scheyer, Massimo Simion, Michael Sonick, Sergio Spinato, Dennis Tarnow, Lorenzo Tavelli, Douglas A. Terry, Tiziano Testori, Carlo Tinti, Istvan Urban, Hom-Lay Wang, Robert Winter, Giovanni Zucchelli
Quintessence Publishing Co., Inc. USA
IRED Lugano Symposium 2022
DON'T PANIC! Complications in dental medicine06.05.2022 — 07.05.2022Palazzo dei Congressi Lugano, Lugano, Switzerland
Speakers: Goran Benic, Eriberto Bressan, Urs Brodbeck, Luca Cordaro, Petra Gierthmühlen, Christoph Hämmerle, Markus B. Hürzeler, Gaetano Paolone, Giulio Rasperini, Fidel Ruggia, Irena Sailer, Giovanni E. Salvi, Matthias Zehnder, Giovanni Zucchelli
Institute for Research and Education in Dental Medicine
Quintessence Live Aid
Quintessential Speakers from around the world offer a Day of Education that will help those in need29.04.2022Zoom
Speakers: Wael Att, Maxim Belograd, Victor Clavijo, Christian Coachman, Stefan Fickl, Ronaldo Hirata, Fouad Khoury, Tomas Linkevičius, Pascal Magne, Nazariy Mykhaylyuk, José M. Navarro, Irena Sailer, Anton Sculean, Kyle Stanley, Miguel Stanley, Markus Tröltzsch, Istvan Urban, Débora R. Vilaboa, Giovanni Zucchelli, Otto Zuhr
sold outQuintessenz Verlags-GmbH
The 67th Annual Scientific Session of the GNYAP
03.12.2021 — 04.12.2021Jazz at Lincoln Center, New York, NY, United States of America
Speakers: Avinash S. Bidra, Stephen J. Chu, Jungo Endo, Newton Fahl Jr., Mauro Fradeani, Graziano D. Giglio, Edward Goldin, Brian J. Goodacre, Galip Gürel, Joseph Kan, Carlo E. Poggio, Joshua Polansky, Thomas J. Salinas, Mariano Sanz, Taiseer Sulaiman, Istvan Urban, Hans-Peter Weber, Giovanni Zucchelli
Greater New York Academy of Prosthodontics
This author's journal articles
International Journal of Periodontics & Restorative Dentistry, 4/2022
Common challenges encountered for atrophic maxilla rehabilitation are the inadequate width and height of attached keratinized mucosa (AKM) and shallow vestibular depth. This study presents a buccally displaced palatal (BDP) flap technique to increase the tissue thickness and AKM width at the second-stage surgery and reestablish the correct fornix depth. The peri-implant pocket depths, modified Plaque Index score, modified sulcus Bleeding Index score, and soft tissue recession were evaluated 6 and 12 months after prostheses loading. A total of 52 implants were placed and analyzed, and no implant failures were found. No significant changes in peri-implant parameters were observed between 6 and 12 months, and mean recession was less than 0.2 mm after 12 months. Though this change was statistically significant, it was clinically irrelevant. The results demonstrate that adequately healthy peri-implant soft tissues and substantial dimensional stability of vestibular soft tissues at the 1-year follow-up were achieved with the BDP flap technique. The BDP flap could represent a viable option for increasing the width and the height of AKM and establishing the correct maxillary fornix depth.
Autogenous soft tissue grafting is a commonly performed procedure in periodontal and implant surgery. Reharvesting a connective tissue graft (CTG) from the same palatal donor site is often required, but little is known about the volumetric changes that occur after harvesting a free gingival graft and how long the palatal mucosa takes to regain its original form and thickness. This study evaluated the volumetric changes that occur at the palatal donor site after harvesting a soft tissue graft with a noninvasive digital technology. Nineteen patients needing a CTG for a single site were enrolled. Intraoral digital scans of the palatal donor sites were obtained at baseline and at 1, 3, 6, and 12 months. The digital scans were imported and analyzed with an imaging software to evaluate volumetric changes. Average volume losses of 5.82 ± 2.63 mm3 and 11.03 ± 5.47 mm3 were observed after 1 and 3 months, respectively. Only minor changes were observed at 6 and 12 months. Linear dimensional changes at 5 and 7 mm from the gingival margin were substantially higher than the changes at 3 mm for the 1- and 3-month interval comparisons compared to baseline. Graft dimension was associated with volume loss at 1 and 3 months (P < .01). After palatal harvesting, the donor site undergoes volumetric changes, mostly during the first 3 months, and is attenuated thereafter.
Tooth malposition negatively affects the outcome of root coverage procedures, limiting chances for complete root coverage (CRC). This case series introduces a combined orthodontic-mucogingival approach for the treatment of deep (> 4 mm) isolated gingival recession defects affecting mandibular incisors with a buccally displaced root. Twenty patients were treated with a novel orthodontic device (FZ Root Torque Controller) for selective correction of tooth malposition at the affected site, turning all isolated recessions into Miller Classes I and II. Subsequent surgical treatment of the gingival recession with a vertically-coronally advanced flap plus a connective tissue graft achieved 90% CRC at the 1-year follow-up, with a recession reduction of 5.6 ± 1.5 mm, a 1.24 ± 0.24 mm increase in gingival thickness, and improved esthetic outcomes.
The gingival thickness (GT) and keratinized tissue width (KTW) constitute the gingival phenotype, a concept that has received a great deal of appreciation in recent years. Gingival phenotype modification has been achieved via different surgical techniques and grafting materials. Despite the superiority of autogenous grafts, their increased patient morbidity and limited recourse has led to the development of graft substitutes. The human dermal matrix is a notable example that, depending on its processing method, can become freeze-dried or solvent-dehydrated acellular dermal matrix (FDADM and SDADM, respectively). This article reports the 9-year outcomes of a randomized clinical trial regarding gingival phenotype modification following root coverage with FDADM and SDADM. Twelve of the original 20 patients were available at the 9-year follow-up. Overall, the outcomes of gingival phenotype modification were maintained in both groups and at all sites after 9 years. For KTW, an incremental increase was observed over time in both groups, and minimal or no changes were noted in GT from the 1-year recall to the 9-year recall. However, the gingival margin level showed an apical shift for both groups.
International Journal of Oral Implantology, 4/2021
PubMed ID (PMID): 34726846Pages 351-365, Language: EnglishZucchelli, Giovanni / Tavelli, Lorenzo / Stefanini, Martina / Barootchi, Shayan / Wang, Hom-Lay
The coronally advanced flap technique is one of the most commonly used approaches for treating gingival recession. Several modifications of the technique have been proposed over the years, making it a highly predictable treatment option for gingival recession; however, as dental implants are structurally and biologically different from natural teeth, a further modification of the conventional coronally advanced flap technique has been suggested to overcome the challenges posed by the treatment of peri-implant soft tissue dehiscences. The present article aims to describe the state of the art of the technique at implant sites presenting with peri-implant soft tissue dehiscences, and highlight the main differences between this and the coronally advanced flap approach in natural teeth. The timing of crown removal and abutment modification/replacement are discussed, along with the different methods for management of the flap and connective tissue graft that are recommended at implant sites. The outcomes of this approach compared to the conventional coronally advanced flap technique, and other approaches are also presented.
Keywords: connective tissue graft, dental implants, gingival recession, soft tissue augmentation, surgical flap
Conflict-of-interest statement: The authors do not have any financial interests, either directly or indirectly, in the products or information listed in the paper.
Purpose: The purpose of this cone beam computed tomography (CBCT) study was to investigate the probability of using straight screw-channel screw-retained restorations following an immediate implant placement and provisionalization protocol in maxillary anterior teeth utilizing implant planning software.
Materials and methods: A retrospective review of CBCT images was done. The midsagittal images of maxillary anterior teeth (right canine to left canine) were created in implant planning software, screen-captured, and transferred to a presentation program. The digital implant templates were created for 3.5-mm-diameter (used for central and lateral incisors) and 4.5-mm-diameter (used for central incisors and canines) tapered implants with lengths of 13, 15, and 18 mm. The frequency percentages of immediate implant placement and provisionalization and immediate implant placement and provisionalization with straight screw-channel screw-retained restorations were recorded and compared among all maxillary anterior teeth.
Results: CBCT images from 1,200 teeth were evaluated. The overall frequency percentages of immediate implant placement and provisionalization and immediate implant placement and provisionalization with straight screw-channel screw-retained restoration were 84% (range = 74% to 92%) and 14% (range = 10% to 24%), respectively.
Conclusion: Although the probability of being able to employ immediate implant placement and provisionalization with a straight screw-channel screw-retained restoration in the esthetic zone is low, the use of smaller-diameter implants can substantially increase the probability.
Keywords: cone beam computed tomography, dental implantation, dental implants, esthetics, immediate placement, prosthodontics
Treatment of gingival recessions affecting mandibular incisors is scarcely documented. Despite a shallow vestibule depth being considered a poor anatomical condition, it has never been measured nor deemed a clinical parameter affecting the outcome of root coverage procedures. This study describes a vertically and coronally advanced flap (V-CAF) + connective tissue graft (CTG) technique to obtain root coverage and increased vestibule depth in the treatment of gingival recessions affecting mandibular incisors. Twenty patients with single gingival recessions were treated. The results showed that V-CAF+CTG is effective in increasing residual vestibule depth and in reducing recession depth. Immediately after surgery, a vestibule-depth increase of 5.9 ± 1.2 mm was reported, which was statistically significant compared to baseline, and it remained stable after 12 months (4.8 ± 1.1 mm). The mean percentage of root coverage was 98.3% ± 5.2% for all treated recessions, and complete root coverage (CRC) was achieved in 90% of cases (18 of 20). V-CAF+CTG could be considered a successful technique in terms of vestibule depth increase and CRC for the treatment of single gingival recessions in the mandibular incisors.
In everyday practice, surgeons have to deal with bone atrophy. These rehabilitations are even more complex in the posterior mandible, and it is still unclear in the literature which fixed rehabilitation option is best. The purpose of this article was to help oral surgeons to choose the proper and updated treatment for their atrophic patients. Posterior mandible bone atrophies were divided into four main groups depending on the bone height measured above the inferior alveolar nerve: (1) ≤ 4 mm; (2) > 4 mm ≤ 5 mm; (3) > 5 mm ≤ 6 mm; (4) > 6 mm < 7 mm. Different approaches were proposed for each group, considering patient expectations. If ≤ 4 mm of bone height was available, guided bone regeneration was used as the adequate approach. For bone heights > 4 mm and ≤ 6 mm, the “sandwich” technique and/or short implants were used, depending on esthetics. In cases with > 6 mm and < 7 mm above the mandibular canal, short implants might be the proper option. The authors’ clinical experience and the literature were considered in order to suggest a possible correct treatment decision based on the residual bone height in the posterior mandible.
When it comes to complete root coverage of exposed root surfaces, several limiting factors have been suggested. Although tooth malposition and papillae dimension are capable of influencing root coverage, they have not received sufficient emphasis in the literature. Therefore, the aim of the present commentary is to discuss the impact of tooth malposition and papillae dimension on rootcoverage outcomes. This commentary combines evidence from the literature with the authors' experience. Limited evidence is available in the literature regarding the influence of tooth malposition on root-coverage outcomes. Severe buccal displacement and tooth extrusion and/or rotation may limit the amount of achievable root coverage, and the cementoenamel junction should no longer be considered the landmark for root coverage in these cases. The relationship between papillae dimension and root coverage has been tested in different clinical conditions and by applying different root-coverage approaches, thereby resulting in contradictory outcomes. The clinical experience of the authors suggests that having wider papillae is advantageous for coronally advanced flap and tunnel flap preparations and connective tissue graft stabilization. Although scientific evidence and the authors' clinical experience suggest that papillae dimension can play a major role in determining the surgical management of soft tissues and the amount of achievable root coverage, further studies are necessary to evaluate to which extent papillae dimensions contribute to treatment outcomes.
International Journal of Periodontics & Restorative Dentistry, 6/2020
Online OnlyDOI: 10.11607/prd.4957, PubMed ID (PMID): 33151196Pages e235-e240, Language: EnglishPistilli, Roberto / Zucchelli, Giovanni / Barausse, Carlo / Bonifazi, Lorenzo / Karaban, Maryia / Gasparro, Roberta / Felice, Pietro
This case report describes the rehabilitation of an extremely atrophic posterior mandible using 4-mm ultrashort implants and reports clinical and radiographic outcomes 7 years after loading. The patient refused to undergo any other treatment, from the removable prosthesis to the reconstructive surgery, and asked for a fixed, minimally invasive solution in the shortest possible time. The residual bone height above the alveolar nerve was an average of about 5 mm, so it was decided to treat the patient with four 4-mm ultrashort implants. Within the limitations of this case report, this procedure appears successful at 7 years after loading in this specific case and could reduce invasiveness, rehabilitative times, and costs. However, longer follow-ups on a large number of patients coming from randomized controlled clinical trials are necessary before making more reliable recommendations.