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AO 2017 Orlando, FL
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Event ID : AO_SANFRANCISCO
Academy of Osseointegration
2015 Conference Archive
San Francisco, CA
March 12-14, 2015


The 30th Annual Meeting
Science, Collaboration, and Clinical Excellence for 30 Years

The goal of this year’s 2015 Annual Meeting is to provide attendees with the most current information based on what has been learned for obtaining predictable results in implant therapy. The overall objective is to evaluate technological and biological breakthroughs made in implant dentistry. These advances will be explored relative to their influences on clinical practice. AO’s aim is to provide a comprehensive program including addressing current challenges and solutions in both restorative and surgical techniques currently in use today including treatment planning, maintaining implant success, bone grafting and implant removal. Information will be presented on innovative treatment approaches, how innovators treat complications and what the future holds in implant dentistry. The Focus on South Korea Symposium will provide information regarding per implant bone loss, tissue engineering and implant loading. The ultimate goal is to provide the attendee information on the most predictable and proven techniques to integrate into clinical practice to improve patient care.

Highlights of the Academy of Osseointegration's 2015 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: The Power of Collaboration and the Team Approach
Morning with the Masters
Surgical Track: Current Surgical Challenges in Practice
Restorative Track: Current Restorative Challenges in Practice
Focus on South Korea Symposium
Science in Treatment: What’s the Evidence?
Achieving Clinical Excellence in a Challenging Environment
Considerations for Monday Morning’s Patient
TEAM Program
Ethics in Implant Dentistry
Closing Symposium: Putting it All Together – Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment


March 12th, 2015
Corporate Forum
______________________

Biomet 3i – "Immediate Implant Placement and Provisional Restoration: Clinical Guidelines"

Speaker(s) :

  • Francesco Amato, DDS

  • Achieving predictable results in implant dentistry can often be challenging, especially when an immediate implant restoration is required. Clinicians face multiple challenges in achieving immediate, aesthetic implant restorations. These challenges include limitations and defects in socket anatomy immediately post-extraction, the presence or absence of localized infections, the presence or absence of keratinized tissues, quality of the peri-implant soft tissues and bone, occlusal relationships with the opposing dentition, and the location of the smile line. If the above conditions are acceptable for implant placement, provisional restoration of the implant may then be planned.

  • Immediate provisional restoration of implants is critical, relative to the overall success of the implant and patient satisfaction. Clinical concerns relative to immediate provisional restorations include lack of occlusal contacts in centric and eccentric movements, subgingival contours and materials. This interactive discussion will provide insight into options for treating these clinical situations with implant options, and will be evidence-based and feature numerous clinical examples.

______________________

Biomet 3i – "Digital Workflows for Posterior Single-tooth Restorations"

Speaker(s) :

  • Curtis Jansen, DDS

  • It is estimated that 25%1 or more of single-unit, implantsupported restorations are placed on four posterior teeth: the maxillary and mandibular first molars.* Learn how you can become more productive and efficient at creating posterior single-tooth restorations by adding intraoral scanning to your office protocols. Imagine intuitive digital capture of teeth and preparations, followed by seeing what you just scanned magnified by more than ten times on a flat screen monitor. The data captured can then be electronically transferred to the BIOMET 3i Production Center, your own mill, or that of a surgical or laboratory partner. Digital workflows are changing the way we practice dentistry and can increase productivity in the practice. Add CAD/CAM and/or CBCT to IOS to introduce digital workflows to the diagnosis and treatment-planning process. This presentation will review the status of the new digital highway (IOS, CAD/CAM, CBCT, and office software) and show why you may want to jump on.



March 12th, 2015
Opening Symposium: The Power of Collaboration and the Team Approach
______________________

Transplanting Faces. Transforming Lives: The Power of Many Helping One

Speaker(s) :

  • Daniel Alam, MD

  • No matter what the procedure every patient has enormous faith in their health care provider. They all feel they have the best care giver in the world and that’s why they chose you. That level of trust is as inherent in people whether it’s a dental extraction or tonsillectomy as it was something as life altering as it was for our transplant recipient. It’s a trust that can weigh quite heavily. Sometimes the surgical requirements are far beyond the capacity of what any provider can do in isolation and it’s reassuring to know you can rely on the foundation built by a team.

  • Dr. Alam will discuss his personal experience as a part of the multidisciplinary team at Cleveland Clinic to perform the first facial transplant in the United States. He will discuss his role on the team that would reconstruct a physical identity for a woman who had lost the majority of her face to a gunshot wound.

  • Dr. Alam will use his experience to illustrate how health care providers learn, both actively and passively, as part of a team solving complex problems. He’ll also convey elucidating lessons learned about caring for people.

  • Participants will be able to identify the similarities to his experiences in their own professional life. The clinical and social challenges in a complex situation can seem insurmountable from the perspective of a single care giver, and absolutely would’ve been without the complex crossover skills of multiple providers with varied expertise. He will discuss how this surgery was a collection of thought and an evolution of ideas with teamwork and collaboration that proved successful.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the multidisciplinary evolution of face transplant surgery; 2) critically evaluate the ethical aspects of facial transplantation and its potential indications; and 3) discuss the role of teamwork and collaboration in new scientific discovery.

______________________

The Team Approach for Success: Implant Aesthetics-New Approaches, Limitations and Challenge

Speaker(s) :

  • Sonia Leziy, DDS and Brahm Miller, DDS

  • The demand for creating esthetic restorations has become a consistent theme in the dental literature and in daily clinical practice. Surgical concepts that are emphasized as important to the esthetic outcome include resective procedures to change bone volume and levels, as well as additive procedures such as tissue grafting, to alter the biotype and volume around teeth and implants. Predominately with implant treatment, today’s surgical and restorative strategies play an important role in post-extractive tissue guidance, mandating precise surgical techniques, and emphasizing cooperation and coordination between the surgical and restorative team members. This presentation will explore some of the complications of treatment, underscoring the responsibility of the surgical and restorative team to critically assess emerging treatment concepts, materials and techniques.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize treatment planning and surgical problems and their impact on the restorative outcome for both teeth and implants; 2) review current procedures and materials used to alter bone levels and soft tissue quality and volume around teeth and implants; 3) discuss the role of immediate implant placement and restoration in guiding tissue form, recognizing the risks while understanding the potential benefits; and 4) explain definitive restoration and how to anticipate the restoring colleague’s requirements.

______________________

The Quest for the Esthetic Implant Reconstruction

Speaker(s) :

  • Adriano Piattelli, MD, DDS and Marco Degidi, MD, DDS

  • Esthetic implant reconstruction has always been an ultimate goal in clinical dentistry. However, way too often, the achievement of the optimal results is related to individual skillness or tricks. On the contrary, what we should identify are the conditions and the biologic, methodologic, and clinical prerequisites to obtain a predictable and repeatable result. Based on the long-term experience of the authors, these and other points will be discussed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the fundamental pillars to achieve a predictable outcome in implant restorations in the esthetic area; 2) identify the biological foundations of immediate restoration and peri-implant tissue health; and 3) describe the principles and the rationale of the conometric concept.

______________________

Managing the Failing Dentition - AUDIO ONLY

Speaker(s) :

  • Dennis Tarnow, DDS and Stephen Chu, DMD, MSD, CDT

  • Implant dentistry is continuously evolving offering new and more predictable forms of therapy with minimally invasive protocols. Innovative concepts and techniques now allow for consistent aesthetic outcomes, decreased treatment times, and greater patient comfort. However, these new techniques and therapies continue to raise questions and concerns regarding the risk and rewards of each. Specifically, controversial issues regarding immediate post-extraction socket therapies will be presented for not only the single anterior tooth but also for consecutive adjacent implants.

  • Clinical research, histologic evidence, and novel innovations in immediate post-extraction socket therapy will be presented.

  • Lastly, concepts associated with the treatment of implants in the aesthetic zone, specifically when to remove ailing implants will be exemplified in regards to timing and sequencing of therapies.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the current concepts, surgical and prosthetic techniques, and evidence-based outcomes associated with the treatment of a failing single anterior tooth with contemporary post-extraction socket therapies; 2) apply novel treatment strategies in the management of such aforementioned case types as well as multiple adjacent teeth in the aesthetic zone; and 3) design a treatment plan when to save or remove an ailing implant in the aesthetic zone in addition to the timing and sequence of treatment.



March 13th, 2015
Morning with the Masters
______________________

M-2 Masters on the Teeth and Implant Esthetics

Speaker(s) :

  • Fereidoun Daftary, DDS

  • Achieving the function and aesthetic outcomes which contemporary patients expect requires an orchestrated approach to periodontal and prosthetic planning, reconstruction and long term maintenance. Although advancement in techniques and technology made it possible for the dentist to deliver ideal restorations over the implants, until most recently the effects of crainiofacial growth in the adult patient and dental implant has been absent from dental literature in part due to the fact that these changes take many years to manifest themselves.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain how to evaluate pink and white esthetic score; 2) discuss the elements affecting the longevity of implant esthetics; and 3) describe the effect of aging and implant esthetics.

______________________

M-3 Current Status of Surgical/Restorative Treatment Options for the Edentulous Maxilla

Speaker(s) :

  • Michael Block, DMD

  • This presentation will demonstrate an algorithm of preoperative findings that lead to specific full arch prosthetic management. The use of physical measures, cone beam scanning, CT planning software, and models for final setup will be used to select an overdenture, hybrid, or zirconia prosthetic design. Multiple cases will be shown.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the use of cone beam scanning and software planning to determine implant placement related to final prosthetic design; 2) explain the prosthetic and surgical techniques to create a full arch provisional with minimal chair time; and 3) discuss the etiology of the most common adverse events associated with maxillary full arch immediate prosthetics.

______________________

M-4 Surgical Management of Peri-implantitis

Speaker(s) :

  • Bradley McCallister, DDS, PhD

  • This presentation will describe surgical approaches to implant repair from periimplantitis destruction. The etiology and outcomes will be detailed along with the current literature to support the approaches utilized.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the available methods for implant detoxification during implant repair surgery; 2) identify bone grafting choices and the rationale for different materials; 3) explain the primary and secondary etiologies of periimplantitis; and 4) discuss what can be accomplished with implant repair and identify indications for implant removal, rather than repair.



March 13th, 2015
Surgical Track: Current Surgical Challenges in Practice
______________________

Management of Implant Complications

Speaker(s) :

  • Mark Handelsman, DDS

  • This presentation will review the current literature concerning peri-implant mucositis, peri-implantitis and crestal bone loss around dental implants to aid clinicians in their diagnoses and prevention. Prevalence and risk factors contributing to peri-implant disease will be discussed with effective treatment strategies, both non-surgical and surgical, to establish healthy peri-implant soft and hard tissues for long-term maintenance.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the peri-implant mucositis, periimplantitis and crestal bone loss around dental implants and understand the progression of disease and risk factors associated with these peri-implant diseases; 2) establish an early diagnosis and intervention plan, which will contribute to more effective management of peri-implant diseases, and allow for selection of the appropriate treatment; 3) evaluate and avoid complications associated with implants and be able to treat them accordingly; and 4) select the ideal periodontal maintenance protocol to establish healthy tissues around dental implants.

______________________

Guided Surgery: Heaven or Hell?

Speaker(s) :

  • Jaime Lozada, DMD

  • It is believed that in the digital world, guided technology can simplify case planning, precision during surgery and in many cases provide immediate restorations for single tooth, partial and complete arch situations. On the other hand, it is also believed that the true applications of the digital driven dentistry is making routine cases, a more complex situation and in other instances, less precise. This presentation will analyze the true advantages and disadvantages of guided surgery in implant dentistry.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the limitations of guided surgery; 2) describe the available applications of guided surgery for single, partial and completely edentulous patients; 3) discuss the degree of inaccuracies that we can expect from guided surgical procedures; and 4) explain how surgical planning can be misapplied obtaining undesirable outcomes.

______________________

A Novel Approach to Immediate Implant Placement at Multi-rooted Molar Sites

Speaker(s) :

  • Otto Zuhr, DDS

  • Immediate implant placement at multi-rooted molar sites involves a series of site-specific anatomical challenges, including implant bed preparation in the presence of interradicular bone septa. The aim of this lecture is to present a novel approach that gives improved guidance during implant bed preparation for immediate implants at multi-rooted extraction sites.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify situations where immediate implant placement is possible in the posterior area; 2) explain how to achieve more stability during implant bed preparation; and 3) describe better implant positions at multi-rooted extraction sites.

______________________

New Perspectives on Vertical Ridge Augmentation

Speaker(s) :

  • Istvan Urban, DMD

  • Vertical augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications. Patient selection, patient preparation for surgery, precise surgical techniques and postoperative management are the key factors in reducing the rate of bone graft complications. Careful adherence to these factors should result in complications with bone graft healing in less than 3% of the cases.

  • Recent research on vertical ridge augmentation as well as the use of different growth factors in conjunction with bone grafts will be presented. Utilizing these procedures may lessen the need of harvested autogenous bone and may generally lead to decreased morbidity and therefore increased patient comfort and satisfaction associated with these regenerative procedures.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss indications, patient selection and treatment alternatives for vertical augmentation; 2) describe the principles of the surgical procedure; and 3) explain why scientific documentation is superior compared to anecdotal techniques.

______________________

Immediate Implant Placement: What are the Limits?

Speaker(s) :

  • Hugo De Bruyn, DDS, PhD

  • Enhanced implant surfaces and improved macroscopic design features have improved the treatment outcome of dental implants in general. Additionally they have allowed changes in treatment protocols such as immediate loading and also enlarged the indication for risk cases such as smokers, patients with reduced bone volume or reduced bone quality. A critical condition is the immediate placement of dental implants in conjunction with tooth extraction. It becomes even more challenging when this is followed by immediate provisionalization, defined as non-functional immediate loading. Both treatment modalities are a clear advantage compared to the classical approach of delayed loading procedure in either one or two stages. It offers several benefits for the patient and the clinician: only one surgical intervention reduces treatment morbidity, shortens the treatment time with several months and may improve patient satisfaction. Given the fact that implant survival with immediate placement has shown similar treatment outcome with conventionally placed delayed implants, the issue of predictability of immediate placement has shifted towards the predictability from a biologic and aesthetic point of view.

  • This lecture will give: An evidence-based summary of the existing literature as well as an overview of results of several ongoing clinical studies assessing the clinical outcome of immediate implant placement with respect to implant survival and bone healing level; The consequence of immediate implant placement with or without immediate loading on the aesthetical outcome parameters such as papilla height, recession risk and the link with patient satisfaction and changes in quality of life; Clinical guidelines as to when and how this procedure can lead to predictable results as well as the pitfalls and risks related to case selection.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) inform his/her patients of the expected clinical outcome of immediate implant placement (with and without immediate provisionalization) in terms of implant survival and bone healing; 2) discuss the criteria for patient selection leading to a predictable treatment outcome; 3) describe the aesthetic aspects affected by soft tissue healing; biotype and restorative treatment; and 4) explain the clinical guidelines for case selection, surgery and prosthetic restoration.



March 13th, 2015
Restorative Track: Current Restorative Challenges in Practice
______________________

The Digital Restorative Process

Speaker(s) :

  • Frank Higginbottom, DDS

  • Dentists for many years have performed very well in the analog world. Today, however, dentists have the option of incorporating digital technology in treating our patients. From digital radiographs, digital record keeping, to cone beam CT’s, we have so much more information for diagnosis and treatment planning. Dentists can perform digital planning for implants, digital placement, digital impressions and CAD/CAM restorations.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe digital implant planning options, 2) explain how to incorporate new technology into your practice; and 3) discuss digital impressions and CAD/CAM restorations in diagnosis and treatment planning.

______________________

Orthodontic use of Dental Implants for Optimal Restorative Outcomes

Speaker(s) :

  • Brody Hildebrand, DDS, MS

  • The advancements in dentistry have created the opportunity for practitioners to treat an expanding population of patients with greater success in many specialties in dentistry. With that in mind, the needs of this increasing patient pool have expanded beyond the traditional bill and fill or extract, implant, and restore with crown treatment modalities. This lecture will focus on the importance for the growing implant practice to set up a dedicated treatment planning team that incorporates the orthodontist.

  • Much more than setting up cases to receive restorations for tooth replacement, the use of interdisciplinary planning techniques can actually begin with a complex solution that breaks the plan into small interconnected treatments by independent treatment providers. Ideas as to how to best incorporate an orthodontic colleague and help protect the implant team from medico-legal issues related to true informed consent will be shared. Specific treatment referral recommendations for a smooth transition from team member to team member will enhance the patient experience as well as the final outcomes.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the application of Interdisciplinary Treatment (IDT) planning from the beginning of the treatment planning process; 2) explain the benefits and contra indications for the incorporation of orthodontic treatments into a patient’s implant treatment planning process; and 3) discuss the advantages and mechanisms for optimal utilization of IDT treatment planning techniques.

______________________

Cantilevered Implant Restorations

Speaker(s) :

  • Curtis Becker, DDS

  • The dental literature has been mixed regarding the long-term success of fixed cantilever prostheses supported by dental implants. The disappointing results reported when cantilever fixed partial dentures (FPD’s) are supported with natural teeth are not directly applicable to implant cantilever FPD’s. Early failures with external hex implants are not a valid comparison to the implants currently available. This presentation will explore where and when to use implant-retained cantilever FPD’s and will review a 10+ year retrospective analysis of over 60 cantilever FPD’s retained by dental implants.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe implant-retained fixed cantilever prosthesis as a valid treatment alternative; 2) explain certain clinical conditions where implant-retained cantilever prosthesis is advantageous; and 3) discuss the long-term utilization of implant-retained fixed cantilever restorations.

______________________

Management of Implants in the Esthetic Zone: The Realities after 27 years of Follow-up Care in

Speaker(s) :

  • Gary Solnit, DDS, MS

  • Every program is filled with clinicians demonstrating their skills at providing beautiful and esthetic restorations on implants but how many show what they look like ten, fifteen, or even twenty years down the road? Dr. Solnit has been practicing in the same community for twenty eight years and has been documenting cases for that long. Problems often cannot be avoided but knowledge of what to expect after years of service may help clinicians make treatment decisions that could avoid costly mistakes. Some of the problems to be discussed include incisal edge discrepancies, open proximal contacts, shade changes, occlusal changes, material failures, and ultimately the difficult removal of implant-supported restorations. We know these restorations survive for extended periods of time, but how do they really look many years down the road when followed in real life practice? This lecture will be thought-provoking, presenting some problems that are still poorly understood in literature but seen by many who practice in one place for a long time.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize esthetic situations that may result in either incisal edge discrepancies or open proximal contacts years later; 2) evaluate the occlusion on esthetic restorations and properly adjust them before failure; 3) describe techniques to aid in the removal of permanently placed restorations and methods to locate hidden access holes when materials do fail and replacement is necessary; and 4) provide a decision guide when planning esthetic restorations.

______________________

Controversies in Assessing Implant Stability - Is Tight Right?

Speaker(s) :

  • Michael Norton, BDS, FDS, RCS(Ed)

  • This presentation will consider evidence in relation to the use of high insertion torques to deliver high primary stability and whether this is based on any clinical or biological validation that it guarantees higher success or delivers greater predictability in osseointegration, in particular as it relates to immediate placement and immediate loading.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) define primary stability; 2) discuss the impact of high insertion torque on the bone/implant interface and whether this enhances or prohibits favorable bone healing; 3) provide a proposed protocol for delivering optimal primary stability from both a mechanical and biological perspective; and 4) recognize that the goal in implant dentistry is not primary stability but early onset secondary stability with optimal bone response.

______________________

Restorative Options for Maxillary Overdentures (Full and Partial)

Speaker(s) :

  • Robert Vogel, DDS

  • This fast-moving clinically-based presentation designed for private practice will provide a systematic approach to diagnosis and treatment of the fully and partially edentulous maxilla with removable prosthesis, such as overdentures and implant-retained removable partial dentures. Scientifically-based tips, tricks and techniques will be presented to assure long-term success with precision, productivity and improved quality of life for our patients.

  • Topics include ideal number of implants, attachment selection, prosthesis design, transitioning to fixed prosthesis as well as a formula for fee determination and patient presentation techniques.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the benefits of implant-retained dentures and removable partial dentures; 2) describe current concepts and techniques for treatment of the edentulous maxilla with removable prosthesis; 3) explain the potential for an improved quality of life for partial and fully edentulous patients; and 4) provide tips and techniques to reduce complications and clinical stress.



March 13th, 2015
Focus on South Korea Symposium
______________________

The Management of an Injured Inferior Alveolar Nerve during Dental Implant Placement

Speaker(s) :

  • Jong-Ho Lee, DDS, MSD, PhD

  • Inferior alveolar nerve (IAN) damage may be one of the distressing complications occurring during implant placement. Because of the nature of closed injury, a large portion is approached non-invasively. This presentation includes our experiences of the outcomes of conservative management of the injured nerve during dental implant procedures and introduction of new inferior alveolar nerve (IAN) defect repair method that does not require a nerve graft.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the effectiveness and limitations of the nerve recovery after conservative management of inferior alveolar nerve damage; 2) discuss how to repair the damaged inferior alveolar nerve using newly developed nerve sliding technique; and 3) describe general guidelines for the selection of management- surgical vs. non-surgical.

______________________

Tissue Engineering and Regenerative Medicine for Dental Implants: Present and Future

Speaker(s) :

  • Bu-Kyu Lee, DDS, PhD

  • Tissue and organ repair still represents a clinical challenge. Tissue engineering and regenerative medicine (TERM) is an emerging field focused on the development of alternative therapies for tissue/organ repair. This highly multidisciplinary field, in which bioengineering and medicine merge, is based on integrative approaches using scaffolds, cell populations from different sources, growth factors, nanomedicine, gene therapy, and other techniques to overcome the limitations that currently exist in the clinics. Indeed, its overall objective is to induce the formation of new functional tissues, rather than just implanting spare parts.

  • This presentation aims at introducing the audiences to the concepts and techniques of TERM. It begins by explaining how TERM has evolved and merged, followed by a short overview of some of its key aspects such as the combinations of scaffolds with cells and nanomedicine, scaffold processing, and new paradigms of the use of stem cells for tissue repair/regeneration, which ultimately could represent the future of new therapeutic approaches specifically aimed at clinical applications.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe regenerative medicine and tissue engineering as a novel subject of medical and dental science; 2) list three key features of regenerative medicine and tissue engineering; 3) discuss current achievement of regenerative medicine and tissue engineering in medicine and dentistry; and 4) define current challenges of regenerative medicine and tissue engineering.

______________________

Chairside Preparation of Tooth-Osteoplant (TOP) Graft for Bone Regeneration: The Development of an Individual Tooth Bank

Speaker(s) :

  • Eun-Suk Kim, DDS, PhD

  • Autogenous tooth has been considered a type of grafting material that is safe and efficient in bone formation. When teeth have been properly decalcified, reactive amorphous hydroxyapatite is formed and collagen which involves tissue tropism and mineralization and various non-collagenous proteins are exposed.

  • Recently, the vacuum-ultrasonic technique of making bone graft material from extracted tooth within 1-2 hours has been developed. Tooth extraction, preparation of graft material, and bone grafting procedures could all be done chairside on the same day. This new technique makes it possible to prepare graft material from immediately extracted teeth, change the type of graft material to block, chip, or powder quite freely, control resorption time of graft material by determining demineralization time, and even reducing the cost. This presentation will introduce chairside preparation of Tooth-Osteoplant (TOP) graft for immediate implant placement, open membrane technique, socket preservation, and sinus elevation. All of these will be explained through clinical cases.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the features of tooth graft material; 2) prepare tooth osteoplant for graft procedures using vacuumultrasonic processing chairside; and 3) control resorption time of graft material by varying demineralization process.

______________________

Peri-implant Bone Loss

Speaker(s) :

  • Sungtae Kim, DDS, PhD

  • Peri-implant bone loss, according to the position of the implant, can be prevented with a well designed treatment plan and careful consideration of anatomic structure before surgery. In addition, a thorough understanding of bone loss after tooth extraction will also help to prevent periimplant bone loss.

  • Recently, more and more clinical cases of peri-implantitis for which surgical therapy is indicated have been reported. Ideal diagnostic modalities, prevalence, indicated therapy, and prognosis for peri-implantitis are still being investigated. Scientific evidence of surgical therapy for peri-implantitis is not enough for now, and should be obtained from welldesigned, long-term clinical studies in the future. When the surgical approach is applied for peri-implantitis, this undisclosed long-term prognosis of the surgical therapy should be kept in mind and importance of maintenance therapy also has to be emphasized.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss bone loss after tooth extraction in the anterior tooth area; 2) explain how the peri-implant bone loss is related to the position of implant; 3) create an ideal treatment plan for specific clinical situations and peri-implantits; and 4) describe the current knowledge and scientific evidence regarding peri-implantitis.

______________________

Management of Implant Failure Associated with Bisphosphonate-related Osteonecrosis of the Jaw (ONJ)

Speaker(s) :

  • Sun-Jong Kim, DDS, MSD, PhD

  • This presentation will discuss the surgical management of implant failures associated with BRONJ and will include a review of case presentations.

  • Objectives: Upon completion of this presentation, participants should be able to: 1)provide various surgical treatment options for ONJ patients; 2) identify biomarkers for the risk assessment of ONJ patients; and 3) explain a PRF and BMP treatment option to ensure a predictable outcome for ONJ patients.

______________________

Food Impaction and Retention after Dental Implant Restoration

Speaker(s) :

  • Yang-Jin Yi, DDS, MSD, PhD

  • Food impaction and retention are common complications of dental implant restorations and can make very challenging situations in daily clinical practice; however, the reasons for this type of complication are not well studied. This presentation will discuss the cause and solution to food impaction and how to manage this complication given the time frame and other factors.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discriminate the mechanism of food impaction from food retention; 2) explain the different solutions for food impaction and food retention; and 3) estimate a challenging situation at the impression stage before restoration of the implant.

______________________

AnyTime Loading: The Long-Term Clinical Results and Success Points

Speaker(s) :

  • Young-Ku Heo, DDS, MSD, PhD

  • The term AnyTime Loading is defined as the loading on implants whenever necessary at any time after implant placement. By this means, AnyTime Loading includes both immediate loading and early loading. In order to enable AnyTime Loading, an implant should be stable enough for osseointegration even through procedures such as untightening or tightening of healing abutments, impression copings, abutments, and delivery of restorations. This means that the “stability dip” phenomenon should not exist and the initial ISQ value should be maintained or even increased in anytime loaded implants.

  • This lecture will highlight how the total “stability dip” can be eliminated, as well as how the ideal initial stability can be obtained and maintained during the healing period, by introducing the modified implant placement protocol, implant designs and surface designs optimized for AnyTime Loading. Furthermore, long-term clinical results and success points of the AnyTime Loading protocol will be shown.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the difference between immediate loading and AnyTime Loading; 2) describe how to minimize or eliminate the total decrease in stability and maintain the stability for AnyTime Loading; and 3) explain the modified placement protocol, implant designs, and surface designs for AnyTime Loading.



March 13th, 2015
Science in Treatment: What’s the Evidence?
______________________

Implant Surfaces: Short Term Hype or Long Term Gain?

Speaker(s) :

  • Ghadeer Thalji, DDS, PhD

  • The dental implant surface represents one of the key factors affecting osseointegration. Despite the high success rates achieved in systemically healthy patients, implant failures in riskier patient populations still occur. Recent reviews display a wide range of current activities that seek to improve osseo - integration, as well as integration of the transmucosal components with the surrounding soft tissues. This presentation will assess the knowledge that has been gained to date about implant surfaces as cues for enhanced biological response.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the molecular and cellular activities underlying the process of ossoeointegration; 2) identify current methods used to alter implant surfaces; and 3) describe the current evidence present from in-vitro as well as in vivo-data about the effects of implant surface modification on the biological integration of implant surface components to surrounding host tissues.

______________________

A Decision Tree for Selection of Implant Diameter and Height: Augmentation vs. utilization of Existing Native Bone

Speaker(s) :

  • Homayoun 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 horizontal or vertical atrophy of the alveolar ridge, including ridge augmentation, sinus augmentation in the maxilla, nerve repositioning in the mandible and tilted implants. Short or narrow implants have been systematically evaluated as alternatives in sites with vertical or horizontal alveolar ridge atrophy with favorable clinical outcomes. Decision making for selection of appropriate therapeutic modality for sites with alveolar ridge atrophy has to consider biomechanical, surgical and prosthetic considerations. Biomechanical, surgical and prosthetic guidelines will be provided for application of reduced dimension implants for sites with limited bone volume.

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

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Particulate Bone Grafts: Is There a Difference?

Speaker(s) :

  • Mark Reynolds, DDS, PhD

  • Advances in tissue engineering and regeneration continue to expand the scope of implant dentistry. This course provides an evidence-based review and comparison of particulate bone grafts, including cellular grafts. Emphasis is placed on the clinical application of particulate grafts for bone regeneration, including clinical parameters important in guiding the selection of regenerative material.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the clinical rationale for available particulate bone grafts; 2) describe expectations of clinical success based on recent evidence-based reviews; 3) recognize clinical parameters important in the selection of regenerative material; and 4) list strategies for avoiding common complications.

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Loading Time

Speaker(s) :

  • Jeffrey Ganeles, DMD

  • By convention, implant loading protocols are classified into immediate, early and conventional. This presentation will briefly assess the biological basis of these intervals as well as the evidence behind them. Clinically, knowledge about the cellular and molecular events associated with osseo integration allows the dentist to make decisions about selecting the appropriate healing interval, having the potential to increase patient benefit and optimize outcomes.

  • Evaluation, planning and assessment tools will be suggested. Interdisciplinary coordination, complication avoidance and contra-indications to treatment will also be discussed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the biologic rationale for various loading protocols and how they may or may not effect osseointegration2) recognize appropriate and inappropriate case types where specific loading protocols should be considered; and 3) discuss various surgical and restorative techniques and implications on loading and healing.

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Splinting vs. Individual Units

Speaker(s) :

  • Paolo Vigolo, DMD, MScD

  • The management of occlusal forces upon implant restorations may influence the longterm success of implant-supported prostheses. Splinting adjacent implants could help to distribute functional loads and therefore reduce marginal bone loss. However, the success of single-tooth implant restorations has resulted in an increased use of non-splinted implants to replace adjacent missing teeth. The purpose of this presentation will be to evaluate biological and mechanical aspects when splinted or individual units are provided.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the properties of splinted and individual unit implant restorations; 2) determine when to use splinted or individual unit implant restorations; and 3) discuss the biological and mechanical outcomes when splinted or individual units are provided.

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Management Strategies for the Edentulous Maxilla - Outcomes of the 2014 AO Summit

Speaker(s) :

  • Clark Stanford, DDS, PhD

  • This presentation will review the outcomes of the AO 2014 Summit on Management of the Edentulous Maxilla including objectives, process and outcomes reports.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) cite the process of development of Clinical Practice Guidelines (CPG) along with the process of Systematic Review outcomes; 2) explain the advantages and limitations of CPGs; and 3) discuss the application of the outcomes of the 2014 AO Summit.



March 14th, 2015
Achieving Clinical Excellence in a Challenging Environment
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Maxillofacial Implants in Facial Reconstruction

Speaker(s) :

  • Joseph Helman, DMD & Brent Ward, DDS

  • This presentation will cover methods of maxillofacial reconstruction with bone grafts and free tissue transfer for rehabilitation of cancer patients with emphasis on the incorporation of osseointegrated implants in the setting of postoperative management of the patient with head and neck cancer.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify techniques for reconstruction of head and neck oncology patients; 2) design placements of implants in head and neck oncology patients; and 3) evaluate the risk of osteoradionecrosis and bisphosphonate related osteonecrosis in the implant patients.

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Implants in the Aging Population

Speaker(s) :

  • Laureen Langer, DDS

  • There are two distinct groups of patients who seek dental treatment as seniors; those who are losing teeth due to recurrent periodontitis and those patients with aggressive dental caries. This presentation will explore the dilemmas that the clinician faces when administering care in these situations. Special emphasis will be directed to the patients who already have some implants and whose dentitions have been further compromised due to advancing age or disease related factors.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the survival rates of implants placed in the senior population; 2) devise attenuated treatment plans for patients in their 80’s and 90’s; and 3) discuss the answer to their patient’s question “Is it worth it for me to get implants at my age?”

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Solutions to Cemented vs. Screw Retained Restorations: Back to the Future?

Speaker(s) :

  • Curtis Jansen, DDS

  • Practitioners are constantly faced with how to retain their implant restorations. This lecture will review the status quo on when one should consider cementing or screwing down a restoration to an implant.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the importance or retrievability with implant restorations; 2) triage placing cemented or screw retained restorations with single vs. multiple implants; and 3) describe the use of abutments with screw retained and cement retained restorations.

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The Relation Between Orofacial Esthetics and Craniofacial Growth in Implant Placement

Speaker(s) :

  • Oded Bahat, BDS, MSD

  • Craniofacial growth in adult patients has not been considered in the course of implant placement, oral reconstruction, or plastic surgery. Until recently, these observations were not prominent in the implant literature. This is in part because these changes take variable periods of time to manifest and because there are great variations among individuals. The observation periods were short, allowing little time for changes, or if any craniofacial growth was noted, the effects were overlooked or dismissed as artifacts. However, with decades of post-treatment observation of single-tooth and multiple-tooth implant restorations, it is becoming apparent that for some patients, there are indeed esthetic, functional, restorative, and periodontal ramifications of continued growth. This lecture describes the facial changes associated with aging. A modified pre-treatment analysis, as well as surgical changes in order to reduce the possible ill effects of continuous growth, will be presented.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the extra-oral facial changes associated with aging; 2) address a pre-treatment analysis that can reduce the consequence of continuous cranio-facial growth; and 3) present surgical modifications for implant placement in light of these changes along with retrieval options.

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Oral and Intravenous Bisphosphonates and Implant Success

Speaker(s) :

  • Salvatore Ruggiero, DMD, MD

  • This presentation will provide a brief review of antiresorptive medications and in particular, the risk associated with implant surgery in patients exposed to these agents.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the risks associated with antiresorptive agents and dental surgery; 2) identify the mechanisms by which antiresorptive medications can influence implant integration; and 3) develop strategies on how to manage patients who have been exposed to antiresorptives and require implant reconstruction.



March 14th, 2015
Considerations for Monday Morning’s Patient
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Clinical Decision Making: What Do We Need to Know?

Speaker(s) :

  • Harold Baumgarten, DMD

  • On a daily basis, clinicians are faced with a variety of treatment modalities for any given clinical situation. This lecture will review the treatment options available for a compromised dentition and discuss what the clinician needs to know in order to make sound evidence based treatment decisions.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the biomechanical factors affecting the prognosis of an individual tooth; 2) discuss the factors affecting the true prognosis of endodontically treated or periodontally involved teeth; and 3) determine when an implant supported restoration may not be the best solution for a compromised tooth.

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The Challenge of the Congenitally Missing Maxillary Lateral Incisor

Speaker(s) :

  • Roger Wise, DDS

  • This presentation will feature restorative, orthodontic and implant solutions. Long-term follow up with cone beam CT scan will bring attention to the importance of the alveolar bone surrounding the implant. Adjunctive mucogingival surgery and/or guided bone regeneration may be necessary. The limitation of utilizing orthodontics to enhance the buccal-lingual dimension via canine distilization will be demonstrated.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) list the range of lateral incisor mesial distal width possibilities in the restorative vs. implant solution; 2) discuss the use of cone beam CT to evaluate proper implant placement; and 3) describe an ideal esthetic finish.

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Enhancement of Soft Tissue around Implants in the Aesthetic Zone Ueli Grunder

Speaker(s) :

  • Ueli Grunder, DMD

  • Soft tissue quality and quantity around implants are the key factor for an aesthetically pleasant result in implant cases. Therefore augmentation procedures are very often needed to improve the soft tissue situation. Clinicians have to choose between different techniques. The goal of the surgical procedure is to end with an excess in soft tissue volume in order to allow ideal soft tissue management in the prosthetic phase of the treatment.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) select the best techniques for soft tissue augmentation in each case; 2) decide whether bone augmentation is also needed; and 3) describe how to avoid soft tissue problems in the aesthetic zone.

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Bone Regeneration via Ti Mesh

Speaker(s) :

  • Robert Levine, DDS

  • Our goal in the treatment of the severely resorbed ridge is to predictably reconstruct the alveolus with minimal risk to our patients. Dr. Levine will review his technique and recommend materials in a step-by-step approach based on an ongoing four year practice clinical study of single to full arch cases using biologic modifiers with titanium mesh which will be submitted for publication in 2014.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize the benefits of titanium mesh for “ideal” space maintenance and predictable reconstruction utilizing a step-by-step technique; 2) discuss review data of an on-going private practice clinical study of 70 consecutive cases; and 3) summarize treatment planning in high esthetic risk cases.

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Maintenance: The Key to Successful Implant Therapy

Speaker(s) :

  • Pamela McClain, DDS

  • Studies have shown that effective and consistent periodontal maintenance therapy is key to long-term retention of teeth and implants. Today more than ever we have multiple options available for both tooth retention and implant therapy. However without implementing an effective maintenance program, these treatment modalities may fail. This program will outline the key components of an effective maintenance visit for both teeth and implants.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the components of periodontal and implant maintenance therapy; 2) discuss factors that impact the appropriate intervals for maintenance; and 3) explain the importance of systemic factors for periodontal and implant health and maintenance.

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Management of Mechanical Complications

Speaker(s) :

  • William Martin, DMD, MS

  • Prosthetic complications associated with implant-based prostheses are not unusual, which forces today’s clinician to be well versed in the prevention and management of them. Many of these complications are either mechanical (associated with the prefabricated components) or technical (associated with the fabrication or service of the prosthesis) and will require immediate attention when they occur. This presentation will highlight several of the most common mechanical and technical complications that can occur and offer evidencebased approaches to prevent or manage them.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the difference between mechanical and technical complications; 2) explain current techniques to manage fractured abutments and screws; 3) discuss the mechanical limitations to various dental materials; and 4) troubleshoot material wear and fracture.



March 14th, 2015
TEAM Program
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Differentiate your Practice: An Interdisciplinary TEAM Approach to Periodontal, Regenerative and Implant Therapies

Speaker(s) :

  • Tracy Butler, RDH, MFT and Jennifer Doobrow, DMD

  • This exciting and interactive course emphasizes the interdisciplinary TEAM approach to ultimate patient care. Defining your practice and developing effective strategies for patient communication to enhance case presentation and case acceptance is the key to differentiating your practice in our challenging economic environment. Emphasis is placed on elevating the entire dental team in promoting periodontal, regenerative and implant therapies, and will define the significant impact these therapies have on comprehensive care dentistry. Collaboration among YOUR dental team is vital to creating a positive and lasting patient experience. Today is the day to go from good to great!

  • Objectives: Upon completion of this presentation, participants should be able to: 1) define periodontal health goals that will greatly impact effective case presentation and treatment acceptance; 2) establish baseline protocols for periodontal, regenerative, implant and implant-maintenance therapies; 3) develop an action plan and decision tree to promote comprehensive patient care; and 4) explain the impact interdisciplinary care plays in a positive customer experience.

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What's Trending for the Implant Treatment Coordinator: The TEAM Approach to the Business of Implant Dentistry

Speaker(s) :

  • Kathi Carlson CDA and Rose Nierman, RDH

  • Implant Treatment Coordinators have proven to be a vital component of the surgical practice. Join Rose and Kathi as they navigate through what is trending in the field today. They will discuss the outreach goal of the surgical practice and ways to capitalize on dental benefits by understanding how best to use the codes and cross-coding systems available to us. Lunch and Learn programs and marketing opportunities for the Implant Treatment Coordinator will be discussed and workshops will be facilitated to mastermind and open the doors of new and different possibilities. Gain substantial knowledge on the importance of this particular position in the practice and how it will generate happy, satisfied referring doctors, their teams and their patients.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify their role as ambassador for the TEAM approach to implant dentistry; 2) discuss how to maximize the insurance benefits for patients; 3) explain the current trends in dentistry that are affecting your referrals; and 4) organize successful Lunch and Learns for referring offices.



April 29th, 2015
Ethics in Implant Dentistry
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Ethics in Implant Dentistry

Speaker(s) :

  • Arthur Curley, JD

  • This presentation will review the code of ethics for practitioners counseling patients and placing dental implants, and associated legal implications.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the use and application of the code of ethics for dental implants; 2) recognize treatment decisions based on the best, most current evidence as to oral health vs. ideal aesthetics; 3) identify that practitioners are ethically bound to inform patients of all reasonable treatment options; and 4) discuss how the standard of care applies equally to all practitioners, generalists and specialists alike.



March 14th, 2015
Closing Symposium: Putting it All Together – Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment
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Interactive Session: Putting it All Together - Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Paul Rosen, DMD, MS

  • Clinicians are frequently judged by the results of their decisions. This interactive session will feature a distinguished panel of speakers to share their collaborative expertise on how to resurrect a patient whose anterior esthetics are about to be adversely impacted as adjacent maxillary central and lateral incisors may be lost. Will one or two dental implants be placed? Will saving any of the existing dentition be most ideal? The panelists will share their expertise in diagnostics, surgical techniques and restorative analysis to solve the problem at hand. You the audience will be both the judge and jury over which approach is best.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) list the advantages of placing one versus two implants to replace adjacent anterior teeth; 2) explain the advantages/disadvantages to maintaining ailing natural teeth versus placing dental implants; and 3) discuss the role that growth and development plays in decision making for placing anterior implants.

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Craig Misch, DDS

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Maurizo Tonetti, DMD, PhD

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Robert Levine, DDS

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Kenneth Hinds, DDS

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Oded Bahat, BDS, MSD

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Bobby Butler, DDS

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Interactive Session: Putting it All Together –Two Missing Adjacent Teeth in the Esthetic Zone: Options for Treatment

Speaker(s) :

  • Feredioun Daftary, DDS, MScD

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Interactive Session: Putting it All Together –Speaker Discussion

Speaker(s) :


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