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Event ID : AO_PHX
Academy of Osseointegration
2012 Conference Archive
Phoenix, AZ
March 1-3, 2012


The 27th Annual Meeting
Technology to Practice

AO invites you to review the 27th AO Annual Meeting held in Phoenix, AZ on March 1-3, 2012. Listed below is a complete list of available educational sessions that have been carefully selected to make this event the most memorable and productive forum for implant dentistry education and networking. Since 1985, the Academy has been the leading advocate in education and professional advancement of dental implant treatment in clinical practice. This March, we continue that tradition to present an impressive line-up of speakers and sessions addressing this year's theme: Technology to Practice. Educational sessions are planned to offer solutions to typical practice questions such as: How do we apply new technologies to the day-to-day treatment of our patients? Which technology is used today, and which technology will be used in the future?

Highlights of the Academy of Osseointegration's 2012 Annual Meeting are also available on a USB Flash Drive. 
Click Here to Order

AVAILABLE FORMATS:

Audio (MP3 Format): Individual MP3 files require a computer or MP3 player.
Video (MP4 Format): MP4 files are synchronized video files that combine all recorded audio with presentation slides. MP4s are playable on a computer or MP4 compatible device.

ULTIMATE PACKAGE PRICE : $100.00


Table of Contents
Corporate Forum
Opening Symposium: Solutions to Common Clinical Dilemmas
Surgical Track
Restorative Track
Limited Attendance Lectures
Implant Treatment Coordinator Program
Digital Technology
Closing Symposium


March 1st, 2012
Corporate Forum
Target Audience : Annual Meeting attendees

Objectives :

This collection of sessions offers a unique and significant opportunity to view the latest research and development in the field of craniofacial implant technology. Proven to be a popular feature at AO Annual Meetings, these sessions are hosted by leading
industry manufacturers and feature the latest in implant technology.

 



______________________

Soft-Tissue Contouring Surrounding Immediate Placement in the Aesthetic Zone
BIOMET 3i Corporate Forum

Speaker(s) : Federico Brugnami, DDS , Alfonso Caiazzo, DDS, DMD

  • Managing extraction sockets in the anterior maxilla is a problem that clinicians face on an everyday basis. Several techniques can be employed to counteract the inevitable resorption of the alveolus. Some of these techniques may require a great deal of clinical skills, while others may over-extend the treatment length. This presentation will introduce a simple procedure that may facilitate the management of these clinical case scenarios, with minimal interference from the natural healing time of a socket.

______________________

21st Century Digital Dentistry
BIOMET 3i Corporate Forum

Speaker(s) : Michael Block , Tony Prestipino, CDT

  • The use of digital imaging to facilitate a definitive restoration is the latest trend in modern day dentistry. The workflow model for this process starts with the scanner in the surgeon's office and includes a detailed description of how the dental laboratory interfaces with the restorative dentist for a complete partnership. The in-depth discussion of accuracy, scanning protocols, images, models, and abutment design ensures efficient communication within the implant team. This presentation highlights options within the digital dentistry workflow.

______________________

Improving Outcomes While Employing Accelerated Treatment Protocols Within the Aesthetic Zone: From Single Tooth to Full Arch Restorations - Part I and II
BIOMET 3i Corporate Forum

Speaker(s) : Harold Baumgarten, DMD , Alan M. Meltzer, DMD, MScD

  • There is an increasing demand for less invasive and more aesthetic outcomes while avoiding the need for a removable transitional prosthesis. Immediate restoration in the aesthetic zone presents a series of unique challenges. These challenges include the management of biomechanical and biological loads leading to an outcome that is functionally and aesthetically maintainable over time. This presentation will address the management of immediate restoration within the aesthetic zone. A series of advanced treatment protocols and evidence-based, unique clinical concepts will be employed.



March 1st, 2012
Opening Symposium: Solutions to Common Clinical Dilemmas
______________________

Anterior Esthetic Restorations in the Non-ideal Patient- Part I

Speaker(s) : Marco Brindis, DDS

  • The patient with thin gingiva, thin labial bone, and a high smile line may require pre-surgical adjunctive procedures to prepare the site for the final esthetic result. It is well documented how difficult and unpredictable planning and restoring implants can be in the esthetic zone. But often it is difficult to recognize our own limitations as well as foresee the big complications that we don't know how to handle. One way to understand and achieve a stable long-term natural result is to analyze our failures and to always be prepared for the worse. This presentation will share a dynamic way to plan and anticipate possible disasters.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) help identify scenarios that would lead to possible complications in implant esthetic dentistry; 2) recognize when an interdisciplinary approach is necessary to achieve the desired outcome; 3) recognize our own limitations in reproducing a natural result; and 4) understand the importance of combining pre-surgical and post-surgical soft tissue management to achieve a highly esthetic restoration.

______________________

Clinical Alternatives to Esthetic Soft Tissue Dilemmas

Speaker(s) : Maurice Salama, DMD

  • Clinicians today have access to an astounding array of new technology, tools and materials to utilize in their progressive and esthetically oriented practices. However, none of them can ensure success if the treatment design is inadequate. This presentation puts an emphasis on identifying the risk factors to successful esthetic outcomes as well as on developing appropriate solutions to overcoming them.

  • A clear blueprint will be outlined which will incorporate digital and biomaterial technology synergistically with advanced surgical protocols to overcome esthetic challenges and predictably achieve successful results. In addition, specific guidelines for the utilization of new regenerative products will be outlined as well as new applications for future enhancement.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) diagnose and classify implant recipient sites; 2) apply preservation techniques available at the time of extraction; and 3) manage the "deficient" site through new age horizontal and vertical augmentation techniques.

______________________

Non-Grafting Solutions

Speaker(s) : Takashi Watanabe, DDS

  • The absence or the loss of the labial bone in the maxillary anterior esthetic zone is a major problem encountered in immediate implant placement. Attempts to regenerate this labial bone utilizing guided bone regeneration or substituting connective tissue grafting to compensate for the loss of the labial bone has not always been predictable. This presentation will discuss orthodontic extrusion as another technique to regenerate the labial bone.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe three main objectives of the orthodontic tooth extrusion for the implant site development; 2) discuss the problems associated with the current technique of orthodontic extrusion for the site preparation; and 3) identify the major advantages of the combined procedure and palatal tooth movement.

______________________

Vertical Ridge Augmentation of the Posterior Mandibular Ridge

Speaker(s) : Ole T. Jensen, DDS, MS

  • What to do with the atrophic posterior mandible is problematic because the mandibular nerve can be injured, bone graft healing is relatively poor, occlusal load relatively high and the use of short implants often biomechanically insufficient. This lecture will focus on bone graft augmentation using BMP-2 strategies. The use of the sandwich osteotomy, a relatively closed flap approach, can help establish vertical for delayed implant placement. The use of titanium shells is another option. The use of BMP-2 improves graft performance both interpositionally and by onlay, and helps avoid healing complications such as wound dehisence.

  • The technical use of the sandwich osteotomy should be limited to those familiar with osteotomy surgery lest nerve injury, complete segmental loss or even mandibular fracture result. The use of a titanium shell and BMP-2 may compare favorabley to confined particulate iliac only grafts. The indication for the sandwich graft is vertical bone loss, but with at least a few millimeters of available bone above the nerve in order to perform an osetotomy that requires both piezosurgery and an oscillating saw to ensure safe performance.

  • Sandwich grafts require sufficient alveolar width to perform whereas shell grafts gain both height and width. The complication with shell or titanium mesh grafts is exposure of the titanium which can be less troublesome when BMP-2 is used. The point of decision is approximately 6mm of bone above the nerve, a quantity of bone sometimes sufficient for short implant placement for the adventuresome.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) utilize a shell to form bone; 2) utilize an alveolar split; and 3) understand sinus grafting with BMP-2.

______________________

The Application of Short Implants in Posterior Sites with Vertical Alveolar Ridge Atrophy

Speaker(s) : Homa Zadeh, DDS, PhD

  • There is often some degree of atrophy in sites planned for implant placement. An array of therapeutic options is available for implant placement in sites with vertical atrophy of the alveolar ridge, including ridge augmentation, nerve repositioning in the mandible, sinus augmentation in the maxilla and tilted implants. Short implants have been systematically evaluated as an alternative in sites with vertical alveolar ridge atrophy with favorable clinical outcomes comparable to standard-length implants. Decision making for selection of appropriate therapeutic modality for sites with vertical alveolar ridge atrophy has to consider many theoretical, surgical and prosthetic considerations. Guidelines will be provided for application of short implants for posterior sites with limited vertical height.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize all therapeutic options available for posterior sites with vertical alveolar ridge atrophy; 2) identify appropriate case selection criteria for application of short implants in posterior region; and 3) institute proper surgical and prosthetic protocol for utilization of short implants.



March 2nd, 2012
Surgical Track
______________________

Overview on Tissue Engineering

Speaker(s) : Myron Spector, PhD

  • Teach the principles and practice of tissue engineering, and demonstrate the specific tissue engineering "tools" that can be employed for the treatment of selected clinical problems. Moreover, new readily implementable therapeutic approaches to tissue engineering will be described.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify tissue engineering tools that can be implemented for the treatment of selected disorders; 2) develop their own algorithm for the therapeutic approaches that they can take to treat certain clinical problems; and 3) counsel their patients with a wider range of treatment options.

______________________

Tissue Engineering Opportunities for Bone Emphasizing Recombinant Human Platelet-derived Growth Factor BB: The Good, Bad and Ugly

Speaker(s) : Jeff Hollinger, DDS, PhD

  • Bone has a remarkable ability to regenerate. Regeneration is a dynamic process that occurs post-injury and may be defined as the restoration of biological and biomechanical form and function indistinguishable from the condition existing prior to injury. The seminar will discuss bone biology, the regenerative pathway and will emphasize that this knowledge may be used to guide strategies for patient tissue-engineered treatments. Moreover, the seminar will focus on tissue regeneration using recombinant human platelet-derived growth-BB (rhPDGF-BB).

  • Objectives: Upon completion of this presentation, participants should be able to answer the following questions: 1) why does bone have the ability to regenerate and what is the biological definition of regeneration? 2) what is the role of the naturally occurring protein PDGF-BB in the process of bone regeneration? 3) are there safety concerns with the therapeutic use of recombinant human PDGF-B?

______________________

Innovation for Esthetic Implant Surgery with Growth Factors

Speaker(s) : Marc Nevins, DMD, MMSc, PC

  • This presentation will provide a clinical update on Esthetic Implant Site Development. The utilization of recombinantly engineered platelet-derived growth factor-BB (rhPDGF-BB) has accelerated the trend toward minimally invasive surgical procedures to preserve and enhance the esthetic foundation for dental implant restorations.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the use of growth factor technology in reducing the need for autogenous bone grafting and allowing for minimally invasive procedures; 2) understand how to apply tissue engineering to clinical decision-making achieves optimal biologic and esthetic results for challenging dental implant cases; and 3) utilize techniques using rhPDGF-BB for combined hard and soft tissue grafting.

______________________

The Potential of Enamel Matrix Derivative and its Fractions on Angiogenesis: What is the Impact for the Clinicians?

Speaker(s) : Daniel Thoma, DMD

  • Enamel matrix derivative (EMD) is currently used as a potent therapeutic agent for periodontal regeneration and soft tissue healing. A variety of studies have analyzed the basic biological processes (proliferation, chemotaxis, angiogenesis, osteopromotion, cementogenesis, dentinogenesis) initiated by EMD. EMD consists of a heterogeneous complex of polypeptides extracted from porcine enamel matrix. It is speculated that amelogenin is the primary protein responsible for the effects of EMD, as this is the most abundant protein in EMD. Accordingly, recent research has focused on the identification of bioactive pools of EMD proteins with the intent of developing a more effective material to stimulate tissue regeneration. Recent studies demonstrated that the use of EMD and protein pools derived from the parent EMD result in an angiogenic response to various extents. It was also suggested that the angiogenic activity of EMD may be attributed to one protein and its fragments, or to multiple proteins, and that both inhibitors and inducers of angiogenesis may be present in the parent EMD mixture of proteins.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the various biologic activities of enamel matrix derivatives (EMD); 2) understand the role of EMD and its fractions on angiogenesis; and 3) identify potential applications in periodontal regeneration.

______________________

Clinical Application of rhBMP-2

Speaker(s) : Daniel B. Spagnoli, DDS, MS, PhD

  • This lecture will discuss the clinical application of BMP-2 mediated bone grafts for alveolar ridge reconstruction. A variety of graft methods, including those for sockets, as well as major and minor alveolar ridge defects, will be presented. Complimentary techniques including flap development, osteotomes, ridge splitting and mesh will be included as part of this presentation.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand socket grafting and the preservation of socket gingival and papilla architecture; 2) review the principles of flap development, osteotomies, ridge splitting and mesh for space maintenance; and 3) discuss methods of partial and total alveolar ridge reconstruction.

______________________

Periosteum or Membrane over Growth Factor Grafts

Speaker(s) : Isabella Rocchietta, DDS

  • This presentation will focus on the novel techniques of bone regeneration with the use of tissue engineering.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the needs for the future techniques in bone regeneration; 2) be able to design an appropriate pre-clinical model; and 3) understand the biological priniciples of tissue engineering applied to bone regeneration.

______________________

Use of Stem Cells to Generate Hard and Soft Tissue

Speaker(s) : Rocky Tuan, PhD

  • Tissue engineering and regeneration is increasingly being considered a powerful and potential therapeutic approach to address clinical issues that arise from the loss of cell and tissue function as a result of injury, trauma, or degeneration. A cricital component of regenerative medicine is the application of cell-based approaches, particularly using stem or progenitor cells, driven by the postulate that the introduced cells will either develop into the relevant tissue types or act to facilitate endogenous tissue regeneration by inducing host cells. In this presentation, an overview will be provided on: 1) source and characteristics of candidate cell types potentially applicable for tissue engineering and regeneration; 2) experimental approaches for cell-based regenerative therapies; and 3) challenges and promises of cell-based therapies.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) gain scientific knowledge of the current sourcing and characterization of stem cell types that represent potential candidates for tissue engineering and regeneration; 2) be familiar with experimental cell-based therapeutic approaches, using biomaterial scaffolds, growth factors, and physical influences in in-vitro and in vivo platforms; 3) be aware of technical, scientific, and clinical challenges in cell-based tissue regeneration; and 4) envision the potential, paradigm-shifting promises of cell-based regeneration as a therapeutic means to tissue function restoration.



March 2nd, 2012
Restorative Track
______________________

Choice of Materials for Esthetic Anterior Restorations when Combining Implants Adjacent to Natural Teeth

Speaker(s) : Daniel Nathanson

______________________

Use of New Materials for Esthetic Anterior Restorations

Speaker(s) : Paulo Coelho, DDS, MS, MSMtE, PhD

  • Paulo Coelho, DDS, MS, PhD This presentation will include novel trends in restorative materials in attempting to increase their reliability in clinical practice. Materials, design and modifications will be discussed in light of experimental data.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) determine/evaluate esthetic materials selection for different treatments; 2) understand differences and rationale for materials performance; and 3) relate laboratory and clinical failure mechanisms to prosthesis materials and design.

______________________

Which Ceramic to Use for Posterior or Anterior Implant Restorations: A Clinical Perspective

Speaker(s) : Steve Goldstein, DDS

  • This presentation will review the current available ceramic materials and discuss the clinical parameters used to choose a ceramic material for anterior or posterior implant supported restorations.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the differences between the currently available materials; 2) evaluate and identify the clinical parameters that influence the material selection; and 3) understand the laboratory fabrication process for a particular ceramic material.

______________________

Aesthetic vs. Strength: A Dilemma Specifically in Posterior Implant Restorations

Speaker(s) : Christian Stappert, MS, DDS, PhD

  • Due to their preferred optical and biological properties, all-ceramic materials assessed to be the ideal prosthetic component to fulfill the esthetic requirements of implant-supported restorations. New monolithic and high-strength bi-layer structured ceramic materials were introduced to minimize fatigue under mastication and guarantee better long-term fracture resistance. Zirconium oxide became the preferred all-ceramic material for the fabrication of abutments and implant-supported fixed dental restorations. Yet, the question remains if present ceramic restorations are strong enough to survive the high-loading forces of the posterior dentition. An understanding of the clinical limitations and application for each ceramic system can reduce the individual failure rate dramatically.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the limitations and opportunities of zirconium-oxide on implants (are they are good as metal?): 2) describe alternative monolithic and bi-layer high strength ceramics; 3) understand how to avoid chipping and early failure; and 4) discuss the clinical survival rates of ceramic implant restorations and where to use which ceramic.

______________________

CAD/CAM Ceramics and Problems with Solutions

Speaker(s) : Joerg R. Strub, DMD, Drhc, PhD

  • Production of all-ceramic dental restorations has evolved to include CAD/CAM of dense core materials followed by a post-sintering process to apply veneering material. Today, most manufacturers prefer core milling from pre-sintered blocks with subsequent firing to reduce machining time and to avoid fabrication damage related to milling from densely sintered blands. To overcome thermal residual stresses inherent in bilayer all-ceramic systems, CAD/CAM fabricated monolithic full anatomic lithium disilicate and zirconia restorations as well as graded glass-zirconia-glass structures were developed.

  • CAD/CAM capabilities creating separate and subsequently joined high-strength core and veneer layers and additive, robocasting technology generating custom-made layered materials recenty evolved for the fabrication of dental restorations. Development of ceramic composite compound materials presents a current trend in CAD/CAM material science with the attempt to reduce the risk of ceramic brittle fracture.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize the different fabrication technologies for CAD/CAM restorations; 2) demonstrate the state of the art of CAD/CAM ceramics; and 3) describe the problems with solutions.



March 2nd, 2012
Limited Attendance Lectures
______________________

LA 1 - Mechanical Considerations for Implant Assisted and Supported Prostheses in the Edentulous Patient

Speaker(s) : Steve LoCascio, DDS

  • The high success rates and predictability of endosseous implants have been well documented through evidence-based research over the past three decades. Patients are now becoming more educated and informed as to the various treatment options available to them and the potential benefits provided by dental implants. It is for these reasons that dental implant therapy has become the first-line option for treatment of partial and complete edentulism.

  • Treatment of the completely edentulous patient has always proven to be one of the most challenging aspects of clinical dentistry. When treating the edentulous patient, dental clinicians are faced with many questions: What prosthetic design is most appropriate for my patient? How many implants should be placed and where should the implants be positioned? What attachment systems should I use? When and why should implants be splinted with a primary bar? Are more implants better for my patient? Are fixed restorations better than overdentures? Many factors will influence the answer to these and many more questions.

  • This presentation will take you through the steps necessary in diagnosing, treatment planning and predictably treating the edentulous patient with endosseous dental implants. Mechanical strategies, case design, attachment mechanisms and CAD/CAM bars will be discussed in detail.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand an algorithm that will help diagnosis and treatment plan the edentulous patient; 2) recognize the critical differences between implant assisted and supported designs; 3) understand how case design can significantly influence attachment retention; and 4) understand how to predictably manage the edentulous patient with simple mechanics.

______________________

LA 2 - Enhancement of the Peri-implant Facial Gingival Margin: A Key Factor for Achieving Long Lasting Esthetics
***AUDIO ONLY***

Speaker(s) : Anthony G. Sclar, DMD

  • Dr. Sclar's presentation will focus on diagnostic, procedural and technological factors known to influence the development of a harmonious peri-implant facial gingival margin that is inconspicuous in its position, scallop, color and surface texture with that of the adjacent dentition. Key diagnostic factors to be reviewed as part of a comprehensive pre-treatment esthetic risk assessment are: facial soft tissue and bone thickness, status of the periodontal attachment on adjacent teeth and presence, or absence of, soft or hard tissue ridge defects, chronic or acute infection, fibrotic soft tissue scarring and space discrepancy at the edentulous site(s).

  • Next, biologically acceptable evidence-based surgical and prosthetic treatment protocols for optimizing esthetics will be introduced. Case studies will be used to underscore the scientific support for the relationship between enhancement of the peri-implant facial gingival margin and long-lasting esthetics.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the key diagnostic factors known to influence the development of a harmonious peri-implant facial gingival margin that is inconspicuous in its position, scallop, color and surface texture with that of the adjacent dentition; 2) describe biologically acceptable, evidenced-based surgical and prosthetic protocols for achieving optimal implant esthetics; and 3) discuss the scientific support for the relationship between enhancement of the peri-implant facial gingival margin and long-lasting implant esthetics.

______________________

LA-3 Treatment of the Endentulous Maxilla

Speaker(s) : Stuart Graves, DDS, MS

  • This presentation will consist of identifying the problems associated with the edentulous maxilla. We will then discuss the rational for treatment with the "all-on-four" technique. Some recent articles have shown that tilted implants are more efficient than straight implants. Fewer are needed and grafting is usually avoided. The surgical procedure will be discussed in detail. Special cases requiring deviation from the standard protocol will be shown. Data will be presented from over 3,000 cases. The advantages of the "all-on-four" will be discussed and compared to conventional implant treatment of the maxilla.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the challenges of the edentulous maxilla; 2) be able to determine which type of implant restoration will give predictable results; 3) understand the surgical techniques involved in the "all-on-four" treatment; and 4) analyze and diagnose which patients would be candidates for the "all-on-four" or more conventional implant treatment possibly involving grafting.

______________________

LA 5 - Orthodontic Extrusion for Esthetic Cases

Speaker(s) : Marco Brindis, DDS

  • With so much attention and devotion to esthetics, it is often painful that our esthetic outcomes in implant dentistry are not consistent. It is well documented how difficult and unpredictable planning and restoring implants can be in the esthetic zone. Many techniques have been described to prevent these documented problems. One simple technique is the manipulation of an existing hopeless tooth to take advantage of the bone's capacity to remodel.

  • Orthodontic extrusion is a viable way to improve the periodontal environment around the hopeless tooth, prior to extraction and subsequent placement of an implant fixture. The technique and indications for orthodontic extrusion in the esthetic zone will be addressed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify when it is indicated and contraindicated to perform orthodontic extrusion of a hopeless tooth prior to implant placement; 2) describe step-by-step performance of the orthodontic extrusion; and 3) understand and discuss probable complications with the respective solutions.

______________________

LA 6 - The Slant on Tilted Implants

Speaker(s) : John B. Brunski, PhD, MS

  • This lecture will answer three questions: 1) What are the biomechanical concepts underlying the use of tilted implants? 2) How are these biomechanical concepts applied in clinical practice? 3) What are the possible problems that can be encountered with tilted implants?

  • Objectives: Upon completion of this presentation, participants should be able to: 1) define these terms: force, moment, stress, strain and material failure; 2) explain how these aforementioned terms relate to the biomechanical behavior of tilted versus upright implants in bone; 3) answer these two questions correctly and explain your answers: (a) True or False: If an upright and a tilted implant (having identical size, shape and material) in bone are subjected to the same downward vertical force, the bone in the crestal region around the tilted implant will typically experience larger strains, (b) True or False: Higher strains in bone are not necessarily contraindicated - it depends on how large the strains are in relation to the failure limits of bone; 4) in a simplified case of two implants supporting a prosthesis having a cantilever, explain how shortening of the cantilever by tilting one (or both) of the implants can lead to smaller forces on the implants. Extend the answer to the previous question to a four-implant case; and in so doing, explain the benefit of tilting the distal-most implants in a four-implant distribution in an arch.

______________________

LA-7 Influence of Growth Factors on Implant Reconstruction

Speaker(s) : Isabella Rocchietta, DDS

  • This presentation will focus on the novel techniques of bone regeneration with the use of tissue engineering.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the needs for the future techniques in bone regeneration; 2) be able to design an appropriate pre-clinical model; and 3) understand the biological principles of tissue engineering applied to bone regeneration.

______________________

LA 10 - Zirconia in Implant Dentistry

Speaker(s) : Petra Guess, DDS, Dr Med Dent, PHD

  • All-ceramic materials and CAD/CAM technologies are increasingly used in implant dentistry. Latest applications include implant abutments, multiple unit and full-arch frameworks as well as custom-made bars to support fixed and removable prostheses. This presentation will summarize advantages of the CAD/CAM technology, and will provide clinical data and the present scientific knowledge on bi-layer and monolithic all-ceramic systems such as zirconia and lithium disilicate ceramics. The material properties and how they influence their indications in clinical application will be highlighted. An analysis of strength characteristics after fatigue and the in-vitro longevity of various all-ceramic systems will be presented to developed a rationale for material selection. The advantages of monolithic all-ceramic materials compared to core-veneer bi-layer systems such as zirconia-based restorations will be addressed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand in vivo and in-vitro longevity of various all-ceramic systems in implant dentistry; 2) evaluate advantages and disadvantages of monolithic and bi-layer implant supported restorations; and 3) implement clinical recommendations for material selection and application.

______________________

LA 11 - Coordinating Prosthodontic Planning with Resection/Alveoplasty for Immediate Extraction/Implant Placement and Restoration Protocols

Speaker(s) : Thomas McGarry, DDS

  • This lecture will address the necessity of alveolar resection to create an ideal environment for prosthodontic reconstruction. Measurement and evaluation techniques will be demonstrated based on both biologic parameters and prosthodontic requirements.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the biologic and mechanical necessity for post-extraction alveolectomy in preparation for implant placement; 2) understand how changes in bony anatomy, both natural and acquired, affects the angulation and axial alignment of dental implant placement; 3) understand measurement and evaluation techniques to determine the required amount of alveolar resection for predictable prosthodontic restoration; and 4) incorporate prosthodontic principles and measurements into a surgical treatment plan.

______________________

LA 12- Evidence Based Review of Bone Augmentation Procedures and Current Patient Therapies
*This session is AUDIO ONLY per the request of the presenter.*

Speaker(s) : Bach Le, MD, DDS

  • Numerous techniques, protocols, and materials in hard tissue grafting have been described to manage compromised sites of varying severity. The protocols and techniques employed should be predictable, minimally invasive, esthetic and lasting.

  • This evidence-based discussion will include the latest techniques in esthetic site development of the compromised implant site. Topics to be covered include patient evaluation and selection, from management of socket defects to strategies for dealing with the horizontally and vertically deficient ridge. This course will also focus on the most current strategies in minimally-invasive bone grafting and tissue management to improve long-term clinical success with dental implants, specifically in the esthetic zone.

  • Objectives: At the conclusion of this presentation, participants should be able to: 1) describe the anatomic basis and principles of hard tissue grafting for implant site development; 2) know guidelines and indications for various graft techniques; and 3) apply practical methods of handling the horizontally and vertically deficient ridge.

  • *This session is AUDIO ONLY per the request of the presenter.*

______________________

LA 13 - CAD/CAM Techniques: Reduction in Error

Speaker(s) : Marus Abboud, DMD

  • CAD/CAM systems allow dentists and dental technicians more flexibility in delivering implant prosthetics, both milled custom abutments and milled crowns and frameworks. The digital work flow for prosthetic treatment offers new approaches to the way dentists can practice dentistry and improves the predictability of outcomes. Based on CBCT data and matched with optical scan data, a temporary restoration can even be made prior to implant surgery. The advantages and accuracy of these restorations, in combination with immediate loading, will be discussed.

  • The challenges of a digital approach and the impact on treatment will be discussed as well. The indications for CAD/CAM restorations will be shown and case presentations will illuminate the different possibilities. The science behind different systems will be explained together with practice tips, tricks and problem solving.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) gain a better understanding of CAD/CAM based prosthetic treatment and their impact for future treatment therapy; 2) describe the advantages and limits of CAD/CAM solutions; 3) describe the advantage of the connection between CAD/CAM and CBCT/Guided Surgery; and 4) have knowledge of new digital workflows that can improve accuracy, productivity, and patient outcomes.



March 3rd, 2012
Implant Treatment Coordinator Program
______________________

Linking with the Restorative Office: The Vital Alignment of Relationships

Speaker(s) : Kathi Carlson, CDA , Susan Wingrove

  • Please join Kathi Carlson and Susan Wingrove for a day of learning and team building! Our day will cover suggestions for guidance and communication between the specialist and the referring offices. It will entail the importance of relationship building between the specialist and their team, the restorative office and team, the laboratory, the representative from the implant company and the patient. Learn how to structure and coordinate educational opportunities to increase referrals and how the clarity of communication plays an active and vital role in the patient experience.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) determine who would be best suited in the role of an implant coordinator; how much time to devote and to define the responsibilities of this vital position for your team; 2) define the key relationships that the implant coordinator revolves around and how far reaching to concentrate your marketing dollars with the laboratory specialists, implant manufacturer, referring offices, and the community; 3) know and be able to translate with clarity to the patient the risks, benefits, and alternatives to replacing missing teeth with dental implants for higher case acceptance; and 4) learn how to structure an implant coordinator study club to support referring teams, increase referrals, and communicate to all those involved in the treatment of the patient.



March 3rd, 2012
Digital Technology
______________________

The Virtual Environment: Total Digital Solutions

Speaker(s) : David Gratton, DDS, MS

  • David Gratton, DDS, MS It is the age of digital dentistry, and the landscape of implant dentistry is changing rapidly, thanks to the ever-increasing variety of digital technologies that are replacing the analog techniques with which we are so comfortable. At each phase of implant treatment, processes can be digitized, resulting in the virtualization of the patient from diagnosis through prosthesis delivery. These digital technologies will be explored to generate familiarity with their capabilities, advantages, and disadvantages. The question remains however ‒ does the scientific evidence support the routine clinical use of these emerging technologies for the evolving virtual implant patient?

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify current and emerging technologies for each phase in the treatment of dental implant patients; 2) discuss the role of the virtual implant patient in view of the crisis facing dental technology; and 3) trace the integration of the data workflow among the various technologies to create the virtual patient.

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From Bits to Atoms: The Digital Technology behind the Esthetic, Function and Efficacy

Speaker(s) : Ping Fu

  • This is a general purpose talk that covers a broad spectrum of applications using digital technology for better efficacy. From NASA's space shuttle to Jay Leno's garage, and from fitting human morphology with artificial limbs to creating perfect smiles for missing teeth, the advancement in imaging, modeling, material science and 3D printing will forever change how medical devices are designed and made. We envision the day when individuals can participate in the creation of products that have meaning to them on a fundamental level and a day when our bodies are directly meshed with the creation of products that enhance and complement us.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify places where digital technology exists; 2) explain how implant dentistry is in the forefront and is blessed by the new technology advancement; and 3) discuss how educating the new generation of Prosthodontists in digital technology is not just the right thing to do, it is the smart thing to do.

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Digital Technology: Intra-oral Digital Scanning

Speaker(s) : Curtis Jansen, DDS

  • This lecture will provide an understanding of how intraoral digital impression procedures offer a new philosophy for restoring single or multiple teeth, fabrication of surgical templates, implant abutments and frameworks.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) realize the potential of intraoral digital impressions; 2) identify advantages and disadvantages of intra-oral impressions; 3) incorporate intraoral digital impression into a work-flow of a restorative and surgical practice.

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Digital Technology for Private Practice: Abutments, Ceramics and Occlusion

Speaker(s) : Dean Vafiadis, DDS, BS

  • Digital technology has changed the way restorative dentistry is delivered. The computer software programs that are available are accurate, precise and can deliver restorations in one-time patient visits. The new ceramic materials are more real-life and produce beautiful esthetic results for teeth and implants. Using digital format for abutments and CAD/CAM restorations can make the fabrication easier and more timely, with fewer patient visits. In addition, using digital occlusal analysis can provide for more long-term results.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify one-visit patient treatments for anterior and posterior CAD/CAM restorations; 2) explain how CAD/CAM abutments can control emergence profile using CAD/CAM designs; and 3) discuss how to choose correct ceramics for anterior restorations for teeth and implants.

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Extraoral Scanning and CAD/CAM Milling

Speaker(s) : Lyndon F. Cooper, DDS, PhD

  • This presentation will identify the common prosthetic complications with dental implant prostheses and describe the role of CAD/CAM manufacture in reducing some of these complications. The importance of comprehensive planning will be illustrated, beginning with diagnostic scanning and waxing, continuing through implant placement and culminating in abutment selection and prosthesis fabrication. Different approaches to extra-oral scanning and CAD/CAM manufacture (using titanium and its alloys, cobalt chrome and zirconia frameworks) will be compared and contrasted. The integration of digital planning, extraoral scanning of implant and abutment location, and digital manufacture of complex prosthesis enhances the prosthodontic management of the dental implant patient.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the requisite steps to realize the digital manufacture of a dental implant prosthesis; 2) distinguish between various digital manufacture techniques for creating prosthetic substructures for the restoration of dental implants; and 3) appreciate the current limitations presented by extraoral scanning techniques and digital manufacture of dental implant prostheses.

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Immediate Provisionalization from the Surgical Perspective

Speaker(s) : Alan M. Meltzer, DMD, MScD

  • Immediate implant placement combined with immediate provisionalization presents a unique set of biomechanical and esthetic challenges. The lecture will begin with a detailed discussion of biomechanical solutions to ensure implant success. Attention will then turn toward the management of the mid-facial hard and soft tissue profile. Various approaches will be reviewed in order to maximize esthetic outcomes based on periodontal biotype.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain and define case selection for immediate placement and immediate temporization; 2) define the role of primary and transitional staging in achieving accepted outcomes involving immediate placement; 3) explain various approaches in order to produce acceptable esthetic outcomes with respect to the mid-facial soft tissue profile; and 4) explain the advantages and disadvantages of grafting the residual socket, both internal to the facial plate and external to the facial plate.

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Immediate Provisionalization from the Restorative Perspective

Speaker(s) : Ernesto A. Lee, DMD, PC

  • Predictable esthetic outcomes in implant dentistry require the presence of harmonious gingival architecture. Although prosthetic contour modifications can be utlized to optimize the peri-implant tissues, customized emergence profiles may not be consistently reproduced with digital technology. This lecture will discuss the clinical circumstances necessary to predictably achieve peri-implant tissue esthetics, including the merits of immediate provisionalization for soft tissue preservation through the surgical and restorative phases of implant therapy.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify what types of cases favor the achievement of peri-implant tissue esthetics, and those at risk of sub-optimal outcomes; 2) gain familiarity with techniques for the management and of the alveolus and marginal periodontium prior to implant placement; 3) preserve the peri-implant soft tissues through the implementation of various immediate provisionalization techniques; and 4) recognize the indications and limitations of CAD/CAM technology in reproducing customized emergence profiles.



March 3rd, 2012
Closing Symposium
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Update on the Use of Nanostructures to Enhance Tissue Engineering

Speaker(s) : Antoni Tomsia, DDS

  • This presentation will review the field of nano-technology and put this into perspective concerning the current use of this technology and future applications. Nano-level structures can be manufactured according to the intended need of the device which can be used for drug delivery, probes, and as an enhancement of the healing process.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the different surface applications of nano-technology to enhance wound healing; 2) to understand the fabrication of a nano-structure; and 3) to understand the future applications of nano-technology for our implant patients.

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The Art of Patient Rehabilitation Part I

Speaker(s) : Ueli Grunder, DMD

  • One of the most challenging fields in implant dentistry is still the esthetic zone, especially if we treat very demanding patients. Patient management is one of the key factors to be successful. Therefore, the understanding of the limiting factors before the treatment is important in order not to promise unrealistic outcomes to the patient.

  • We need a concept that allows us to get optimal results with a very high predictability. Appropriate bone and soft tissue engineering are the key factors for success, but unfortunately, these treatments are time consuming, and that is also a challenge regarding patient management. It is easier to offer a reduced treatment time by placing implants immediately after tooth extraction but this is not for the benefit of the esthetic outcome in many cases since bone resorption will be seen in these cases after tooth extraction. If we have to retreat implant cases because of an implant failure, it might be even more challenging.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand limiting factors regarding an optimal esthetic result; 2) select the ideal treatment option for different indications; and 3) manage cases with implant failures.

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The Art of Patient Rehabilitation Part II

Speaker(s) : Peter Wohrle, DMD, MS

  • Today's patients have high esthetic demands requiring precise execution of an established treatment approach in order to meet their expectations. For those patients, quality of survival of the implant-supported restoration has become as important as implant survival per se. Applying risk to benefit analysis in each individual patient is a fundamental cornerstone of developing a treatment plan. Clinically relevant factors that dictate patient selection for various treatment approaches will be discussed.

  • Emphasis will be placed on the selection of proper implant placement in relationship to the final restoration and on strategies, both surgical and prosthetic, to maximize long-term predictable esthetic outcome. Variables that will have significant effects on outcome will be discussed in detail, including abutment and framework materials and design, selection of adequate components, and sequencing of treatment. The importance of accurate diagnosis in relationship to outcome will be highlighted.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand risk/benefit anaysis for various treatment approaches; 2) strategies to maximize predictalbe esthetic outcome; and 3) understand variables that affect esthetic outcome.


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