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AO 2017 Orlando, FL
AO 2016 San Diego, CA   
AO 2015 San Francisco, CA
AO 2014 Seattle, WA









AO 2013 Tampa, FL
AO 2012 Phoenix, AZ
AO 2011 Washington DC
AO 2010 Orlando, FL
Event ID : AO_TPA
Academy of Osseointegration
2013 Conference Archive
Tampa, FL
March 7-9, 2013


The 28th Annual Meeting
Moving Forward: Evidence, Experience, Excellence

AO invites you to review the 28th AO Annual Meeting held in Tampa, FL on March 7-9, 2013. 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. This is an all-star lineup that will clearly deliver "Evidence, Experience, Excellence." Make Tampa and our 2013 Annual Meeting a unique experience where you can "Move Forward" through your listening to evidence...learning from other's experience...all for the ultimate goal of providing excellence with your implant therapy.

Highlights of the Academy of Osseointegration's 2013 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
Opening Symposium: Quality Evidence – Quality Treatment – Quality Outcomes
Closing Symposium: Where Are We Today and What Does the Future Hold?
Limited Attendance Lectures
Surgical Track
Restorative Track
Surgical Treatment Approaches: Is Change a Good Thing? Contemporary Regenerative and Surgical Options
Restorative Treatment Approaches: Is Change a Good Thing? Contemporary Planning and Restorative Options
Emerging Surgical Treatment Options
Emerging Restorative Treatment Options
Allied Staff Program


March 7th, 2013
Opening Symposium: Quality Evidence – Quality Treatment – Quality Outcomes
______________________

Predictability: What Evidence Do We Have? What Do We Need?

Speaker(s) : Lyndon Cooper, DDS, PhD

  • Treatment predictability represents one of the hallmarks of osseointegration. This presentation will examine the current status of dental implant therapy and attempt to interrogate the levels of treatment predictability that exists for these different therapies. The scientific, practical, and ethical issues important to clinicians and patients will be enumerated. The extent to which we should and can address these different issues will be examined. Through illustration of the single tooth replacement of a failing tooth, this presentation will highlight the conflicts that exist in our current treatment of patients using available and emerging technologies. Advocating new and ever-improving technologies for clinical therapy requires continual evidence-based discussions regarding potential risks and benefits.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the emerging issues raised by new technologies in dental implant therapy; 2) explain how evidence supporting new technologies is created and assessed; and 3) utilize a broad and inclusive evidence-based approach to selecting when and how to deploy new technologies into clinical treatment.

______________________

Practical and Predictable Surgical Approaches in the Esthetic Zone: Multiple Challenges

Speaker(s) : Daniel Buser, DDS, DMD

  • This lecture will present the surgical approaches in the esthetic zone, which have been developed at the University of Bern in the past 20 years. These approaches offer successful outcomes with high predictability. Aspects such as timing of surgical interventions, selection of biomaterials and required healing periods will be discussed. The current potential and limitations of esthetic implant therapy will also be addressed. Finally, long-term results will be presented for the concept of early implant placement post-extraction and simultaneous contour augmentation.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the influence of timing on esthetic outcomes with implant placement in post-extraction sites; 2) discuss the characteristics of bone filling materials concerning osteogenic potential and volume stability over time; 3) explain the step-by-step procedures of implant placement and simultaneous GBR for contour augmentation in the esthetic zone; and 4) describe the long-term stability of contour augmentation with Cone Beam CT.

______________________

The Dental Implant: What are the "Right" Implants for Today

Speaker(s) : Clark Stanford, DDS, PhD

  • The process of tooth replacement with dental implants is a synergistic outcome of diagnosis, site development, implant design, surgical procedure and prosthetic rehabilitation. The cortical/cancellous bone around the implant undergoes an initial inflammation-based amplification of bone formation, followed over time by a consistent and ongoing elevated remodeling, especially in the 1mm around the implant interface. This biology allows bone to adapt to the oral implant surface and this process can be adapted with evolving surface technologies. Second, the implant/abutment interface is also undergoing evolutionary changes that provide more options for the prosthetic management of our patients while at the same time influencing the abutment/implant junction and places emphasis on the abutment design parameters being chosen. The predictability of this process becomes enhanced though the applications of new technologies, expanding on our longestablished protocols for implant therapy.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the role of implant surfaces and emerging technologies in manipulating healing around an oral implant; 2) discuss the role abutment/implant junctions play in minimalizing inflammation and mucosal tissue architecture; and 3) define how the evolution in implant designs is allowing innovative surgical and prosthetic approaches for enhanced flexibility in patient care.

______________________

Implant Dentistry: The Interdisciplinary Advantage

Speaker(s) : Edward Allen, DDS , Richard Roblee, DDS, MS , Robert Winter, DDS

  • Even though dental specialties have been around for over a century, a true interdisciplinary approach to comprehensive patient care has only been practiced for the last couple of decades. In that time frame, major advancements have been made both in the techniques used by each discipline, and in the sophistication of the interdisciplinary collaboration. Certainly, dental implants are one of those major advancements.

  • This presentation will focus on utilizing an interdisciplinary approach to maximize comprehensive results in implant dentistry. Overall philosophies and creative techniques, that successfully integrate proven and new approaches to team treatment with dental implants, will be demonstrated.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the inter-disciplinary approach to implant dentistry; 2) discuss the advantages of inter-disciplinary collaboration; and 3) explain the new approaches to team treatment with dental implants.



March 9th, 2013
Closing Symposium: Where Are We Today and What Does the Future Hold?
______________________

What Was, What Is and What Will Be: The Evolving Role of Team in Implant Dentistry

Speaker(s) : David Garber, DMD , Henry Salama, DMD , Maurice Salama, DMD

  • With the advent of new technologies, techniques and materials, the ability to replace missing teeth with the form, function and beauty of the natural dentition is now possible. Resin bonded bridges, porcelain fused to metal and all ceramic restorations, as well as implants, can be offered as solutions to patients suffering from the loss of teeth in the ”Esthetic Zones.”

  • With any and all of these procedures, in order to attain a successful outcome, the focus must be the framing of the restoration within the confines of the lip and gingiva to provide for ideal proportion and beauty in the final restoration.

  • Therefore, any restorative endeavor in this region must entail the foundation of a beautiful soft tissue frame and the construction of harmony of the gingival scallop between the restorations, the adjacent dentition and the border of the lip perimeter.

  • This presentation will focus on a defined algorithm for the interdisciplinary team of the restorative dentist, periodontist and orthodontist to successfully reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies, as well as the varied treatment options will be discussed in detail including periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the risk factors in anterior implant therapy; 2) identify the four most important diagnostic components leading to a successful treatment design for an esthetic restoration; 3) decide how to successfully incorporate minimally invasive protocols; and 4) assess how macro and micro-geometry of implant designs affect treatment planning.

______________________

Peri-implant Tissues in the Esthetic Zone: What Do We Really Know and What Can We Realistically Achieve? (AUDIO ONLY)

Speaker(s) : Joseph Kan, DDS, MS

  • Achieving anterior implant esthetics is a challenging and demanding procedure. To create implant restorations with harmonious gingival level and contour that emulates nature, is a fusion of science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations.

  • This presentation will focus on current implant treatment philosophies and methodologies for peri-implant tissue management in the esthetic zone. Equal emphasis will be placed on the diagnosis and treatment planning, surgical, and prosthetic management of soft and hard tissue for optimal anterior implant esthetics.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the limitations of peri-implant tissues in the esthetic zone; 2) describe potential treatment methodologies for peri-implant tissue management; and 3) explain surgical and prosthetic treatment options for optimal anterior implant esthetics.

______________________

The Evolving Role of Radiology in Improving Treatment Predictability in Implant Therapy

Speaker(s) : William Scarfe, BDS, MS

  • Radiology has historically been considered an adjunctive diagnostic imaging tool, principally for the pre-operative assessment of potential implant sites in the maxillofacial skeleton. Over the past decade, the increasing availability and subsequent use of cone beam computed tomography (CBCT) has extended the role of this technology from merely a diagnostic modality assisting in site assessment, to commonplace, simulated virtual dental implant planning. CBCT has expanded image guidance applications by facilitating the construction of surgical templates and, in some systems, the implant borne prosthesis itself by the evolving role of radiology and, in particular, CBCT surgical templates, and, in some systems, the implant borne prosthesis itself. The evolving role of radiology and, in particular, CBCT imaging will be to provide the 3D framework for implant therapy totally within the digital domain, improving treatment predictability.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify converging digital technologies within the diagnostic, planning, and treatment phases of patient care in implant therapy; 2) describe implant therapy workflow in the context of the prosthetic value chain; 3) discuss the importance of standards in the prosthetic value chain; and 4) explain the role radiographic imaging will adopt in bridging digital domains and improving the predictability of dental implant therapy.



March 8th, 2013
Limited Attendance Lectures
______________________

LA-1 Restoring Adjacent Missing Teeth in the Esthetic Zone (AUDIO ONLY)

Speaker(s) : Peter Wöhrle, DMD, MMSc

  • Replacing adjacent teeth in the esthetic zone with implant-supported restorations often leads to disappointment for both the patient and provider. Two central incisors can be replaced predictably when fundamental anatomic structures are intact. Missing central and lateral incisors or lateral incisors and canines, however, often result in discrepancies of smile symmetry due to underlying changes of bone morphology and subsequential soft tissue deficiencies. Over the years, different treatment options and implant designs have evolved, trying to address these issues. This program outlines the various treatment approaches in diagnosis and treatment planning, and offers prosthetic options to solve some of the obvious problems.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify pre-operative variables that will dictate esthetic outcomes; 2) select a treatment approach most likely to deliver best possible esthetic outcomes; 3) evaluate alternative treatment options; and 4) explain prosthetic decisions that will influence esthetic outcomes.

  • ****AUDIO ONLY****

______________________

LA-2 Contemporary Esthetic Restorations for Dental Implants and the Relationship Between Dentist and Technician

Speaker(s) : Robert Winter, DDS

  • An interdisciplinary approach to treat patients requiring implant dentistry is the key to a successful outcome. A member of this team is the dental technician. There is an ever increasing need for the technician to understand the clinical implication of the design of the implant abutment and materials used, for both the abutment and the definitive restoration. In addition, the clinician must have knowledge of the technical procedures in order to prescribe the appropriate design for the abutment and to request the appropriate restorative material for each clinical scenario.

  • A systematic approach to achieve esthetic, functional, and enduring outcomes will be presented.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss a common knowledge for the implant surgeon, restorative dentist and technologist; 2) describe implant abutment design and material selection; and 3) select restoration design and materials.

______________________

LA-3 Demystifying Implant Overdentures

Speaker(s) : Robert Vogel, DDS

  • This fast-moving clinical-based presentation, designed for private practice, will provide a systematic approach to diagnosis and treatment of the fully and partially edentulous patient with removable prosthesis including 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 an improved quality of life for our patients. Discussions will include the ideal number of implants, attachment selection, prosthesis design, as well as a foolproof formula for fee determination and patient presentation techniques all aimed at simplification and predictability of implant retained prosthesis.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss state-of-the-art-overdenture techniques; 2) acquire predictable and consistent results with implant overdentures; and 3) describe tips and tricks to improve patient care and avoid complications.

______________________

LA-4 Coordinated Care and Occlusal Development for the Complex Periodontal / Prosthetic / Dental Implant Reconstruction

Speaker(s) : Kenneth Malament, DDS, MScD

  • This presentation will present a collaborative approach to patient care including the management of cases compromised by prosthetic challenges with loss of vertical dimension, periodontal treatment planning decisions regarding when to save the tooth versus place an implant, and the challenge of bone reconstruction in preparation for dental implant therapy. Treating patients requiring simple or complex prosthodontics has changed remarkably over the last 10 years. The treatment goals have remained similar, the first is to eliminate disease and to restore function and esthetics.

  • Patients presenting with advanced periodontal disease, multiple missing teeth, or occlusal deficiencies require comprehensive diagnosis and treatment planning utilizing traditional periodontal and prosthetic guidelines.

  • A comprehensive diagnosis and step-by-step treatment plan, established prior to beginning therapy, is a key factor in treatment success. With sophisticated hard and soft tissue grafting procedures and placement of dental implants, prosthodontic care has changed. Treatment today is designed to decrease long-term risk and diminish the use of long-span fixed and removable prosthodontics with the use of implant supported restorations. Periodontal and dental implant foundational health is a critical criterion for long-term survival. This often involves correcting vertical dimension and occlusal deficiencies.

  • With healthy tooth and implant abutments or with complete implant retained prosthodontics, treatment today relies on dental materials that have a proven long-term survival that allows the clinician to develop the most esthetic care.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify explicit methods of treatment planning and coordination between team members; 2) select and design prostheses for complex treatment scenarios; and 3) institute methods of communication and involvement with the dental laboratory.

______________________

LA-5 The Role of Orthodontics in Interdisciplinary Diagnosis and Therapy

Speaker(s) : Richard Roblee, DDS, MS

  • Some of the most challenging restorative dilemmas are those that fall into a gray zone between traditional therapies. The complexities of diagnosing these problems, coupled with the lack of optimal treatment options, often lead to inappropriate treatment and disappointing compromises. This presentation will focus on an interdisciplinary approach to diagnosing the fundamental components of these complex problems and managing them by combining traditional orthodontic therapies with new treatment options to ideally address the underlying issues and more predictably achieve success. These new options include surgically-facilitated orthodontic therapy utilizing corticotomies and single- or multiple-tooth osteotomies.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize that solutions to restorative dilemmas frequently fall into a “Gray Zone” between the different disciplines; 2) explain why an interdisciplinary approach is needed to properly diagnose and treatment plan these problems; and 3) utilize recent advances in orthodontics to enable the interdisciplinary team to more predictably treat these problems.

______________________

LA-6 Digital Solutions for the Implant Surgeon

Speaker(s) : Jay Beagle, DDS, MSD

  • Digital dentistry offers the surgeon, restorative dentist, and laboratory technician the potential to provide a treatment approach for patients with a degree of accuracy, predictability and precision never before available. Conventional diagnosis and treatment planning using panoramic and periapical radiographs provide a limited understanding of a patient’s bone anatomy and volume, especially when incorporating a crown-down philosophy of implant restorative dentistry. Using computerized tomography and 3D implant planning software, the surgeon can virtually perform a surgery and through the use of a surgical guide, execute the procedure identically in the clinic. This presentation will explore the current scientific literature regarding digital implant surgery and will focus on applying that information and streamlining clinical procedures from initial diagnosis to implant placement. Special emphasis will be given to technology for immediate implant surgery.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the benefits and limitations of surgical planning software; 2) describe the information flow in the digital dentistry chain, especially between the surgeon and dental laboratory; and 3) explain how surgical planning software can improve outcomes with the immediate placement of dental implants.

______________________

LA-7 The Surgical Algorithm: From Tooth Removal to Implant Placement

Speaker(s) : James Ruskin, DMD, MD

  • This presentation will outline the decisionmaking process for planning dental implant therapy. Decision algorithms will be presented to cover the most common clinical situations concerning extraction timing, site preparation and dental implant placement.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) outline the most common clinical situations that lend themselves to place an immediate implant; 2) describe the most common clinical situations which require site preparation (augmentation) prior to implant placement; and 3) explain the treatment sequence for clinical situations which require extraction of teeth prior to implant placement.

  • ****AUDIO ONLY****

______________________

LA-8 Loading Options for the Edentulous Maxilla

Speaker(s) : Jorge Barrios, DDS , Robert Jaffin, DMD

  • Thanks to the advent and success of implant dentistry, the patient who is about to become edentulous or has been edentulous in the maxilla, has many restorative options, including a full denture, an overdenture with and without a palate, or a fixed prosthesis. Patients want to keep treatment simple and predictable and they want it completed in a reasonable amount of time. They don’t want to undergo multiple procedures that add no benefit to the result. This course will demonstrate a rationale treatment approach in expediting treatment in the edentulous maxilla where the remaining teeth are slated for extraction and a full arch restoration is planned.

  • Utilizing the team approach, parameters for immediate placement and loading will be discussed. The cases will be followed from initial visit, through surgery, prosthetic care and follow-up.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) review CT evaluation regarding bone volume and density and number and location of implants; 2) design pre-prosthetic planning that is required for a smooth transition from a hopeless dentition to an immediate fixed implant restoration; and 3) discuss fabrication of surgical templates that offer precision in this dynamic situation.

______________________

LA-9 Comprehensive Surgical Options in the Anterior Maxilla

Speaker(s) : Michael Pikos, DDS

  • Esthetic zone implant therapy can present difficult functional and esthetic challenges for the dental implant team. Regenerative, implant and restorative disciplines endeavor to recreate an esthetic harmony of a healthy dentoalveolar process, to the goal of definitive restorations that mimic or enhance natural dentition.

  • This presentation will focus on integrating digital imaging technology with hard and soft tissue regenerative protocols to rehabilitate the compromised anterior maxilla. The use of autografts, allografts, and xenografts along with bioactive modifiers and nonresorbable and resorbable mesh will be covered. The spectrum of extraction site to 3D defect management will be covered.

  • Objectives: Upon completion of this lecture the participants should be able to: 1) discuss extraction site management of compromised sites in the esthetic zone; 2) describe the indications and application of autogenous bone for anterior maxillary alveolar ridge deficiencies; and 3) explain the indications and application of mesh particulate grafts with bioactive modifiers for anterior maxillary alveolar ridge deficiencies.

______________________

LA-10 Managing Various Biotypes in the Esthetic Zone

Speaker(s) : Farhad Boltchi, DMD, MS

  • Although recent advances have significantly enhanced the predictability of an esthetic outcome of implant therapy in the esthetic zone, esthetic implant therapy remains very challenging. This is largely due to anatomic limitations and the significant potential for soft tissue complications, especially in conjunction with higher risk procedures such as immediate implant placement and immediate loading protocols. This challenge is related to the well documented and inevitable resorptive process that follows the extraction of these teeth. The clinical decision-making dilemma and controversy relates to the choice of which treatment option is best suited to counteract this resorptive process and thereby achieve the optimal esthetic result. This presentation will outline the advantages, disadvantages, indications, and contraindications of each of these options as they relate to the various periodontal biotypes in order to achieve the most predictable and long-term stable esthetic result.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) outline the advantages, disadvantages, indications, and contraindications of various treatment options for the replacement of teeth in the esthetic zone with dental implants, with regard to the predictability and long-term stability of the esthetic outcome; 2) diagnose, treatment plan, and execute the appropriate periodontal plastic surgical procedures to improve the esthetic and functional outcome of dental implant therapy in the esthetic zone in standard and complex situations; and 3) detail the factors leading to soft tissue complications of implant therapy in the esthetic zone and demonstrate the various procedures available to repair these compromised esthetic outcomes.

______________________

LA-11 Periodontics and Prosthodontics – Working Together Towards Success

Speaker(s) : Robert Levine, DDS

  • This presentation will discuss treatment of complex interdisciplinary cases with concentration on periodontal plastic and reconstructive techniques to aid in the final prosthetic result.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify explicit methods of team treatment planning in complex cases from a periodontal, plastic surgical perspective; 2) discuss selection and design of prostheses for complex interdisciplinary cases; 3) identify practical applications of accelerated implant placement and loading; and 4) detail the “team” approach concept in implant dentistry using the Esthetic Risk Assessment in team communication.

______________________

LA-12 Digital Clinical Photography – Why and How To

Speaker(s) : Frank Lozano, DMD

  • Information will be provided on the basic components in a good intraoral camera system as well as operation and control instructions for intraoral photography. Methods of operation and controls will be covered. Basic composition for effective team communication will be highlighted and overviews of implementation and workflow will be covered.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the parts of a good intraoral photography setup and their overall effect for dental imaging; 2) identify appropriate angles and framing to take standardized views for dental imaging; and 3) identify the key controls for a digital SLR camera system.



March 8th, 2013
Surgical Track
______________________

Managing the Complex Extraction Site

Speaker(s) : Craig Misch, DDS, MDS

  • This presentation will discuss the diagnostic, surgical and prosthetic management of the complex extraction site. The use of cone beam computed tomography will be discussed in the preoperative evaluation of the site. Key diagnostic parameters will be reviewed that guide decisions on planning for implant prostheses. There are various methods to repair alveolar defects including the use of bone substitutes, guided bone regeneration and growth factors. Provisional tooth replacement is also an important aspect of therapy and will be discussed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) define the parameters that distinguish routine extraction sites from more complex conditions; 2) discuss which diagnostic parameters influence the decisions on managing the complex extraction socket; and 3) select surgical techniques to manage complex extraction sockets.

______________________

Mesh/Graft/BMP/Stem Cell Enriched Options

Speaker(s) : Robert Marx, DDS

  • Today’s dental practitioners can avail themselves of a readily available source of mesenchymal stem cells with Platelet Rich Plasma concentrations or via simplified bone marrow aspirate concentrates. Together with recombinant human bone morphogenetic protein and a scaffold of cancellous allogeneic bone, predictable bone regeneration can be accomplished. This composite graft contains the three critical elements for insitu tissue regeneration of a matrix (scaffold), cells, and a signal which has successfully regenerated implantable bone in sinus augmentations, horizontal ridge deficiencies and vertical ridge deficiencies.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the principles of tissue engineering for bone regeneration; 2) harvest mesenchymal stem cells from blood or bone marrow; 3) discuss the development of a composite graft of stem cells, rhBMP and allogenic bone; and 4) define the surgical approaches necessary to place composite grafts.

______________________

Options for Grafting the Maxillary Sinus

Speaker(s) : Paul Fugazzotto, DDS

  • Maxillary posterior reconstructive therapy, when faced with a pneumatized sinus, is a predictably, attainable treatment outcome. Advances in techniques and materials have resulted in the development of a variety of different treatment options, and the simplification of therapy for the patient. This presentation will discuss the indications, and contraindications and limitations of different treatment approaches and materials for use in a maxillary posterior region which presents with significant sinus pneumatization. The definitions of success following such treatment will also be explored and redefined.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the indication, contraindications and limitations of various treatment options and materials for reconstruction of the edentulous maxillary posterior region; 2) formulate appropriate treatment algorithms to reconstruct the edentulous maxillary posterior region; and 3) explain how to perform augmentation at the time of maxillary molar extraction.

______________________

Periodontal Plastic Procedures for Implant Patients

Speaker(s) : Eduardo Lorenzana, DDS, MS

  • The everyday world’s perception of dental implant treatment has matured from the utilitarian to the artistic, reflecting our own desire for ideal form, beauty, and the illusion of what is natural. Consequently, as our patients’ and our own expectations have grown, so have the demands on the restorative and surgical team’s diagnostic and clinical talents. The peri-implant and periodontal tissues are an intimate component of any implantbased reconstruction, since overall gingival display, soft tissue position and volume, and papilla quantity and quality can exert significant influence on overall implant position as well as the overall esthetic outcome. Therefore, periodontal/oral plastic surgery offers the surgical and restorative team a number of techniques to enhance implant soft tissue outcomes, and sometimes repair gingival defects that compromise the desired result. This course will present concepts and techniques that can have a profound impact on esthetic treatments involving dental implants. Among the procedures to be discussed will be connective tissue grafting, crown lengthening for esthetics, periimplant soft tissue sculpting, hard and soft-tissue augmentation, and immediate implant placement.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss and apply smile analysis and esthetic risk assessment concepts in daily practice; 2) apply periodontal/oral plastic surgery concepts and techniques to enhance implant esthetics; 3) explain the importance of emergence profile and peri-implant soft tissue sculpting to the overall esthetic outcome; and 4) identify and discuss common complications that can compromise esthetic outcomes and endanger implant survival.

______________________

Regenerative Options for Compromised Implant Sites

Speaker(s) : Robert Miller, DMD

  • Guided bone regeneration (GBR) has an integral part in the achievement of esthetic outcomes in our clinical practice. Building upon both soft and hard tissue techniques, emphasis of this session will surround cutting edge techniques and its relevance in our daily clinical practice. The discussion will focus on the choices that we have as surgeons when employing guided bone regeneration as a treatment modality. Evidence based research and clinical cases will aid clinicians in developing appropriate treatment protocols in both one and two stage GBR procedures.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the factors which influence clinical success; 2) explain the incorporation of various regenerative methodologies and understanding its clinical relevance; 3) discuss how the barrier membrane, graft material, and implant surface technology impacts treatment in guided bone regeneration; and 4) review how surgical techniques can be incorporated into everyday practice.

______________________

Managing the Complex Maxillary Arch

Speaker(s) : Hideaki Katsuyama, DDS, PhD

  • The posterior maxilla is known as a compromised site in implant dentistry. Sinus floor elevation is well documented and numerous publications support scientific evidences and efficacy of those methods. On the other hand, posterior maxilla has unique anatomic specificity and various different situations. To handle such compromised situations, sinus floor elevation procedures (SFE) are well chosen for implant placement with bone augmentations. In this lecture, welldocumented diagnosis and treatment concepts will be described. Selection of surgical procedures, timing of implant placements and complications will be also discussed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) select appropriate surgical procedures and combinations depending on various anatomic structures; 2) discuss the frequency of complications and failures in sinus floor elevation procedures and its handling and prevention; and 3) explain the concept of microscope-enhanced surgical approach for sinus floor elevations.

______________________

Dental Implants and Luting Cements: Role of the Implant Surgeon

Speaker(s) : Thomas Wilson, Jr., DDS

  • This session will discuss the relationship between excess cement around dental implants and peri-implant disease along with methods used in reducing peri-implant disease.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) detail the studies concerning the relationship of excess cement to peri-implant disease; 2) describe the methods to reduce the probability of reducing peri-implant disease related to excess cement; and 3) discuss the relationship between excess cement around the dental implants and peri-implant disease.



March 8th, 2013
Restorative Track
______________________

Planning Treatment for Patients with Esthetic Demands

Speaker(s) : Brody Hildebrand, DDS, MS

  • This program is designed for experienced restorative teams wishing to optimize esthetic and functional restorative-driven solutions to minor and complex dental problems. Emphasis will be placed on esthetic diagnosis and the treatment planning development related to implant restorative options for various areas of the mouth. The use of cement and screw-retained provisional restorations designed to support and contour soft tissues will be detailed. A direct relationship will be illustrated between the fabrication of esthetic provisionals and a reduction in restorative risk with simultaneous increase in productivity. In addition, customized impression procedures that transfer the emergence form developed by the provisional restoration to the master cast and dental technician will be described. Coordinated planning with your referral specialists and development of a treatment timeline will be the key to optimizing treatment outcomes. Lastly, tips and techniques for increased productivity and profitability will be identified.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize the esthetic, functional and financial benefits related to the use of proper planning for implant restorations; 2) recognize ways to better identify patients with needs related to interdisciplinary treatment options; and 3) identify key components within your referral network to provide smooth and optimal treatment delivery

______________________

Implant Dentistry in the Digital Age: Where Are We Heading and Why?

Speaker(s) : Ronald Jung, DMD

  • Current dental implantology is aimed to develop techniques that can provide optimal 3D implant positioning with respect to both prosthetic and anatomical parameters. Important achievements in this field have undoubtedly been the introduction of cone beam technique (CBCT), digital impressions, 3D planning software, and CAD/CAM technology in implant dentistry.

  • As many of these techniques are already available in clinical practice, it is of great importance to evaluate the possibilities and limitations of computer-assisted implant dentistry in clinical applications. Hence, the aim of this lecture is to discuss the clinical procedure of computer-assisted implant dentistry, the link to the digital workflow, the clinical indications and the accuracy and clinical performance of computer applications for implant diagnosis and surgery.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the different work-process to fabricate a surgical guide for computer assisted-implant placement; 2) discuss the approximate mean deviation of computer assisted-implant placement using a surgical guide at the entry point; 3) explain how we can achieve a better accuracy throughout the entire work-process of computer assisted implant planning and surgery; and 4) review the general data format coming from the CBCT.

______________________

Short Implants or Grafts? When, Why and How?

Speaker(s) : Hans-Peter Weber, DMD

  • In this presentation, the benefits and risks of alveolar ridge augmentation to accommodate dental implants are compared with those of short implants. Long-term outcomes for both treatment approaches will be discussed and indications for one or the other will be described.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the short- and long-term predictability of treatment outcomes involving implants placed in bone grafts; 2) discuss the short- and long-term predictability of treatment outcomes involving short implants; 3) inform their patients about the benefits and risks of either treatment; and 4) select appropriate indications for the two principal alternatives for replacing missing teeth in the atrophic posterior alveolar ridge.

______________________

Managing Complications in the Edentulous Patient

Speaker(s) : Stephen Parel, DDS

  • The most significant complication encountered in the treatment of the full arch implant patient is the management of implant failures. This is especially true in this era of immediate load, and the trend towards fewer implant numbers per jaw. This presentation will review methods employed for rescue with primary loss of single and multiple implants in both jaws. Protocol suggestions for the most efficient management strategies will also be covered.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the importance of treatment planning based on individual arch considerations; 2) create a plan for dealing with primary failures in either arch; and 3) identify and employ various rescue strategies based on failure location.

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Loading Protocols for Edentulous Implant Patients

Speaker(s) : German Gallucci, DMD

  • This lecture focuses on clinically relevant guidelines for loading protocols in implant/prosthetic rehabilitations. In this context, treatment regulators such as implant site, implant size and shape, implant surface, implant allocation, primary stability, loading procedures, etc. will be analyzed according to their role in successfully achieving osseointegration with modified loading protocols. Current clinical trials on implant loading protocols will be analyzed according to their corresponding prosthetic designs by using a novel validation method. This will allow for proposing a systematic way of selecting the most appropriate loading protocol based on the scientific evidence available for each clinical situation.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) indicate the most appropriate loading protocol for different clinical indications; 2) review the scientific evidence leading to translational clinical recommendations; and 3) assess treatment regulations for the achievement of osseointegration with modified loading protocols.

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Loading Options for Partially Edentulous Patients

Speaker(s) : Mario Roccuzzo, DDS

  • Patients’ expectations have tremendously increased in the last few years, therefore successful therapy can no longer be judged by whether or not implants osseointegrate. One of the greatest challenges facing clinicians is to reduce the time between surgery and loading, especially in the posterior maxilla, which has always been considered a difficult site, due to bone deficiency as well as low bone density. In the last few years, new surfaces have been introduced which offer us the possibility of safe early loading in this area. Moreover, the optimal bone-to-implant contact makes it frequently possible to avoid more demanding surgical procedures such as sinus grafting. When a severe defect is present, however, a thorough diagnosis and a careful selection among various bone-grafting techniques can, in most cases, produce long-term optimal results, with reduced treatment times. Advantages and disadvantages of a submerged approach will be discussed. Several cases to illustrate how to reduce the overall treatment time with limited risk for major complications will be presented.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify factors which influence timing for safe loading; 2) assess best available evidence regarding implant loading; 3) design treatment modalities for complex treatment scenarios (i.e. posterior maxilla and/or GBR); and 4) select appropriate loading protocols for partially edentulous patients in various clinical situations.

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Ceramic Materials and Implant Dentistry: Special Considerations

Speaker(s) : J. Robert Kelly, DDS, PhD

  • This lecture will provide an overview of how ceramics are used in implant dentistry, what they are and what we know about their performance. Unlike titanium, parts fabricated from ceramics such as zirconia are quite sensitive to processing details such as powder packing, firing schedules, machining and details of their design. Designs for titanium parts do not directly translate into robust ceramics parts. In implant dentistry, we are also mechanically coupling ceramic and titanium parts creating potential problems – that again can depend on design. This overview will be developed both from basic engineering principles as well as a systematic review of the clinical literature.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the ceramics used in implant dentistry and differentiate among them based on properties and characteristics; 2) describe the indications and contraindications for use of ceramics based upon clinical evidence; and 3) discuss insights into maximizing the durability and esthetics of ceramics based upon laboratory and clinical handling.



March 8th, 2013
Surgical Treatment Approaches: Is Change a Good Thing? Contemporary Regenerative and Surgical Options
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Digital Planning Options for the Implant Surgeon

Speaker(s) : Jay Beagle, DDS, MSD

  • Digital technology has created a significant paradigm shift in implant dentistry, dramatically altering how clinicians diagnose, treatment plan, place, and restore dental implants. Using 3D imaging technology along with highly evolved and still-evolving software affords the surgeon the ability to achieve a new level of efficiency, accuracy, and predictability. It continues to improve the quality of care available to our patients, and offers more productive outcomes for the patient, the surgeon, and the restorative dentist. This presentation will offer a basic introduction to digital planning options available to the implant surgeon, discussing various types of software available, and specifically how features of digital planning software are utilized to assist the surgeon to more efficiently and predictably achieve better clinical results with less stress.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain how digital dentistry has changed and continues to change diagnostics and treatment planning of dental implants from a surgeon’s perspective; 2) describe the basic features of 3D treatment planning software; and 3) discuss how those features are utilized in the treatment planning process.

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Stereolithographic Planning and Treatment Options

Speaker(s) : Paul Glick, DDS, MS

  • Through the application of 3-D printing technologies, it is possible to fabricate models of the skeletal anatomy directly from CBCT or CT data. When combined with optical scanning of the patient’s dentition and oral tissues, “medical models” can be produced, which accurately duplicate the patient’s craniofacial anatomy. These medical models enable surgeons to plan and execute complex craniofacial surgery by directly visualizing the entire surgical anatomy, rather than “mentally reconstructing” complex 3-D radiographic images. In implant reconstructive therapy, these models can facilitate the planning and treatment between members of the “dental implant team” as well as the patient, thus enabling predictable treatment outcomes through mutually shared accountability and understanding. This presentation will further demonstrate using medical models as a platform to produce provisional implant restorations, as well as single unit definitive restorations. By reversing engineering, it is possible to laboratory fabricate surgical guides to enable guided implant surgery with sufficient accuracy to enable both implant placement and single tooth definitive restoration in a single visit.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the processes involved with the fabrication of rapid prototype models using the 3-D printing processes of stereolithography and polyjet printing; 2) describe the sources of error involved in the production of such models; and 3) identify the techniques involved with designing implant restorations directly from such models, as well as creating surgical guides for guided implant therapy.

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Guided Surgical Options for Edentulous Patients

Speaker(s) : Richard Nejat, DDS

  • In the constantly evolving field of implant dentistry the dentist plays a critical role in the long-term success of dental implants. Due to the predictability of dental implants in achieving osseointegration, once considered the ultimate goal, it is now the standard of care for tooth replacement. A new paradigm in implant dentistry is being developed. The goal in implant dentistry has now shifted to delivering an esthetic implant-supported restoration in as short a time as possible and a minimally invasive method. With the advances in digital dentistry this new paradigm is a reality. Computer guided dental implant techniques allow for a predictable placement of implants in the edentulous patient. Various treatment options using computer guided templates will be presented demonstrating the clinical beliefs of this modality.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) assess the benefits of computer guided dental implant surgery; 2) explain the benefits of minimally invasive dental surgery; 3) discuss how computer based planning helps promote better communication between the surgical specialist, restorative dentist and the laboratory technician; and 4) select the required case and treatment planning required for computer guided dental implant surgery.

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Discussion: Digital Options for Implant Surgery

Speaker(s) : Ole Jensen, DDS, MS

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When to Place Grafts and When to Place Implants

Speaker(s) : Donald Clem, DDS

  • This presentation will address the rationale behind why successful implant therapy depends on predictable and maintainable osseointegration and proper implant position to achieve restorative goals along with adequate hard and soft tissue volumes to achieve esthetic outcomes.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify implant sites that require pregrafting, simultaneous grafting or post implant placement grafting; 2) identify the current options for grafting; 3) discuss how implant position affects grafting decisions; and 4) explain how to evaluate esthetics vs. functional goals in implant therapy.

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Options When it Absolutely, Positively has to Work

Speaker(s) : Marc Nevins, DMD, MMSc

  • The ability to achieve predictable results is paramount to success especially when providing esthetic therapy to sites deficient in hard or soft tissue. An accurate diagnosis and precise treatment plan can guide the therapeutic process. A restoratively driven plan will provide the surgeon with the information necessary to plan the surgical sequence. 3-Dimensional diagnostics with a cone beam CT Scan will provide accurate assessment of the available bone in relation to the planned restoration visualized with a barium stent. The surgical therapy is then planned appropriately for implant placement or additional procedures as required, such as bone grafting (with biologic agents such as growth factors), soft tissue grafting, or guided surgery.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) accurately diagnose complex esthetic implant cases; 2) discuss the coordination of the surgical and restorative planning for optimal esthetic results; 3) utilize conebeam CT with Barium guides for routinely predictable diagnostics; and 4) plan and sequence hard and soft tissue grafting for esthetic implant therapy.

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Management of Soft Tissues: The Restorative Perspective

Speaker(s) : Scott Keith, DDS, MS

  • This presentation will demonstrate how to incorporate various technologies such as patient planning and presentation software, cone beam CT scanning, radiographic guides and surgical templates, guided implant surgery, digital intraoral impressions and CAD/CAM abutments. To ensure optimal treatment outcomes, new product developments and innovations will also be highlighted. This presentation will also introduce the clinical protocols necessary to achieve and maintain predictable esthetic implant restorations for partially edentulous patients in a private practice setting. Surgical considerations and prosthetic options must be united with a common goal of providing a total bio-integration of the implant-supported prosthesis within the natural definition.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the importance of proper diagnosis and treatment planning prior to surgical intervention (i.e. esthetic risk assessment); 2) determine when and where extraction and immediate implant placement is appropriate and the associated indications and contraindications to immediate implant placement; 3) classify case types to assist in creating predictable esthetic outcomes including timing of extraction, grafting, implant placement and provisional restorations while understanding the importance of provisional restorations in the shaping of healed tissue contours and communication to the laboratory technician; and 4) describe the digital dental workflow from diagnostic imaging to guided surgical placement to digital impressions to virtual custom abutment design and finally fabrication of the final framework and/or restoration.

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Discussion: Single Missing Teeth in the Esthetic Zone (AUDIO ONLY)

Speaker(s) : Henry Greenwell, DMD, MSD



March 8th, 2013
Restorative Treatment Approaches: Is Change a Good Thing? Contemporary Planning and Restorative Options
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Edentulous Arches: Is the Conventional Approach Still the Gold Standard?

Speaker(s) : Stephen Barter, BDS

  • In the modern world, patients are increasingly demanding of rapid results with minimal intervention, and that includes surgery. Advances in materials, methods and mindsets can facilitate such an approach in carefully selected cases with an appropriate methodology. This presentation will reflect on the long-term results of the traditional approach to restoration of edentulous arches: the restoration-driven placement of multiple implants that are left to heal for a conventional period of time before loading in comparison to more aggressive placement and loading protocols and make suggestions for when the “good old fashioned way” may still be relevant.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the factors influencing the long term success of the restoration of edentulous arches using dental implants; 2) identify the clinical situations where accelerated treatment protocols may be associated with increased risk of surgical and/or prosthetic complications; and 3) recognize the limitations and drawbacks of conventional surgical and prosthetic techniques in the rehabilitation of the edentulous arch.

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The All-on-Four Experience: Planning, Progress and Pitfalls

Speaker(s) : Stephen Parel, DDS

  • The concept of tilting implants to create an improved spread and enhanced base stability for full-arch implant restorations has allowed treatment opportunities for a broader segment of patients than previously thought possible. Enhanced capabilities for planning implant placement using CBCT technology along with implants now designed with greater initial stability make this approach in immediate load situations even more viable. This presentation will review the present state of the “All-on-4” approach, along with a complication-based protocol for minimizing implant pitfalls at the treatment planning stage.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) employ the most effective available treatment planning options for full arch implant restorations; 2) identify an emerging class of patient presentations that might have previously not been considered full arch implant candidates; and 3) utilize a failure avoidance protocol at the time of treatment planning to help minimize implant complications.

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Accelerated Placement and Loading Options for Edentulous Patients: When to Hit the Gas and When to Hit the Brakes!

Speaker(s) : Robert Jaffin, DMD

  • Accelerated placement of implants has become more commonplace as a result of newer microroughened surfaces and the publication of longterm studies on immediate loading. This lecture will focus on the parameters for loading implants in various clinical situations in the edentulous maxilla. The biologic and clinical rationale for “when to hit the gas and when to hit the brakes” will be explained. Complications associated with immediate and delayed loading will be addressed, as well as how they should be handled.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) determine what loading protocol will best serve the patient’s needs; 2) describe the criteria for immediate and delayed loading; and 3) explain how to handle complications as a result of taking the incorrect approach to loading.

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Discussion: Contemporary Options for the Edentulous Arch

Speaker(s) : Jeffrey Ganeles, DMD

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Digital Restoration Planning and Information Transfer

Speaker(s) : David Gratton, DDS, BSc, MS

  • Digital dentistry? It’s here to stay. 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. Are these new technologies jeopardizing the role of the dental technologist as a member of the team or will these new prosthodontic technologies bring the dental technologist into all of our offices virtually, enhancing both the dentist-technician communication and teamwork, and ultimately improving implant patient care?

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify current and emerging technologies for each phase in the restoration of dental implant patients; 2) recognize the role of the virtual implant patient in view of the crisis facing dental laboratory technology; 3) trace the integration of the data workflow among the various technologies to create the virtual patient; and 4) explore possibilities in the modernization of the prosthodontic clinic-laboratory interface.

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Digital Implant Dentistry: New Technology for Teeth and Implants

Speaker(s) : Frank Higginbottom, DDS

  • Dentists for many years have performed very well in the analog world. Years ago, dentistry began going digital with a computer at the front desk, then in the operatory and digital records. Digital radiographs were a breakthrough in technology. This modality is still only 30-40% saturation in practices today. Today dentists have the option of incorporating digital technology to improve the treatment of patients. From digital radiographs, digital record keeping, to cone beam CT’s, we have so much more information for diagnosis and treatment planning today. 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 the latest technology used in dental practice; 2) explain cone beam CT technology, digital impressions and CAD/CAM restorations; and 3) discuss the use of digital implant planning, local digital guide fabrication, guided surgery and incorporation of soft tissue lasers into the dental practice.

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Digital Restorations in Implant Dentistry

Speaker(s) : German Gallucci, DMD

  • The translation from digital (CBCT, Intraoral Scanning, and Laboratory Scanners) into the clinical field opens a countless number of treatment possibilities at the surgical and the prosthodontics level. The incorporation of such technologies calls for an update on implant]prosthodontic workflows to successfully achieve a full digital approach to implant dentistry.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) describe the use of dental digital technology in implant dentistry; 2) discuss the potential of intraoral scanning in implant dentistry; and 3) evaluate implantprosthetic protocols in a fully digital workflow.

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Discussion: Impact of Digital Procedures in Implant Dentistry

Speaker(s) : William Martin, DMD, MS



March 9th, 2013
Emerging Surgical Treatment Options
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Peri-implantitis: Today's Diagnosis and Treatment Options

Speaker(s) : Lisa Heitz-Mayfield, BDS, MDSc

  • This presentation will outline the criteria for making a correct clinical diagnosis of periimplantitis. Anti-infective treatment protocols for management, ranging from a non-surgical to surgical/regenerative approach will be presented. The question of when and how an implant should be removed will also be addressed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) diagnose peri-implant mucositis and periimplantitis; 2) discuss the limitations of non-surgical therapy for treatment of periimplantitis; and 3) explain the principles for a surgical/regenerative protocol for treatment of periimplantitis.

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Contemporary Regenerative Options

Speaker(s) : Nikolaos Donos, DDS, MS, PhD

  • A prerequisite for the successful placement of dental implants in an ideal position, is the presence of a minimum amount of bone height and width at the recipient site, that will allow a functional and cosmetic implant borne restoration for the patient. In cases that the amount of bone is not adequate for implant placement, different ridge augmentation procedures have been suggested. At the same time, ridge preservation procedures are often used to maintain the volume of sockets in order to facilitate future placement of implants.

  • In recent years, a number of experimental and clinical studies have demonstrated that following the use of the GBR principle, with or without the use of bone grafts/substitutes, new bone formation can be achieved in a predictable manner for the treatment of different types of bone defects. In this presentation, a series of pre-clinical studies will be critically appraised and the healing potential of the GBR principle with or without the combined use of bone grafts under different conditions, will be evaluated. Different factors that might affect the healing outcome following regenerative procedures and specific critical points of the GBR procedure will be presented and linked to possible clinical scenarios.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify factors that affect healing during GBR; 2) link histologic observations at different time points following regenerative procedures to clinical situations; and 3) select different type of biomaterials according to clinical needs.

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Mandibular Bone Blocks in Alveolar Augmentation: Indications and Limitations

Speaker(s) : Luca Cordaro, DDS, MD, PhD

  • Several augmentation techniques have been described and proposed. It is difficult for the clinician to establish indications for each augmentation technique. This presentation will discuss the possible indications for alveolar bone augmentation with the use of onlay blocks harvested from the mandible.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) discuss the correct indication for the use of block grafts; 2) evaluate the possible morbidity of harvesting/grafting; 3) select the most appropriate donor site and the correct harvesting technique; and 4) determine when extra-oral bone harvesting is needed.

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Implant Options in Infected Sites (Audio Only)

Speaker(s) : Nardy Casap, DMD, MD

  • Immediate dental implantation is a well practiced procedure today. Placing an implant during the same visit at which the tooth is extracted reduces morbidity, treatment cost and time. Still, a controversy exists on whether this procedure causes reduced bone resorption. Frequently, compromised teeth that are indicated for extraction are associated with ongoing infections. In general surgery, the introduction of hardware into a contaminated region is contraindicated, and therefore some authors have contraindicated placement of dental implants in an infected region. Nevertheless, evidence arising from the treatment of vertebral osteomyelitis in orthopedic surgery suggests that this might be a misconception. Also, recent studies in humans and animals have corroborated this clinical experience and demonstrated that socket debridement and prophylactic antibiotics create adequate conditions for the bone remodeling process around immediate implants placed into debrided infected sites. The lecture will review the literature regarding the influence of periodontal and periapical infection on implant placement, and will challenge the conventional conservative concept. Extreme cases with extensive infections with over 8 years follow up will be presented, and a detailed protocol will be outlined.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the influence of infection and immediate implant placement; 2) determine whether placing an implant in a contaminated site is contraindicated; and 3) outline a detailed protocol for treating contaminated sites.

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Increased Diameter Implants: Indications and Advantages

Speaker(s) : Costa Nicolopoulos, BDS

  • This presentation will demonstrate how with the use of increased diameter implants, it is possible to minimize grafting procedures while at the same time maximizing implant treatment. In particular, the use of site-specific molar replacement implants allow for molar extraction and immediate wide diameter implant placement without grafting and in selected cases, immediate loading.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify indications and contraindications for the use of increased diameter implants; 2) describe the benefits for increased diameter implants including the stability of placing an implant in an extremely irregular socket, prosthetic stability advantages of a wide implant, and platform switching advantages of a wide implant; and 3) identify the surgical technique specific to immediate molar replacement with increased diameter implants.

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Identification and Management of Peri-Implant Disease

Speaker(s) : Pamela McClain, DDS

  • Implant therapy has enhanced treatment options for patients and improved our ability to provide optimal care. Initial studies implied that implants were impervious to “periodontal” type disease, however current data suggests that peri-implant disease may be more common than originally thought. This program will review criteria to evaluate implants once they are restored and establish parameters to identify treatment decisions.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify clinical criteria for evaluating implant health; 2) discuss the value of radiographic assessment following completion of implant therapy; and 3) evaluate therapeutic alternatives in managing implant disease.

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Use of BMPs in Contemporary Practice

Speaker(s) : Barry Levin, DMD

  • This presentation will cover the practical implementation of rhBMP-2 in clinical periodontal/implant surgical offices. Rationale, scientific support of and clinical applications will be presented. With patients presenting local/systematic risks, biologic mediators, such as rhBMP-2 can be utilized to positively manipulate the healing/regenerative process. This material can be used to shorten treatment times and combined with resorbable scaffolds to reconstruct 3-dimensional alveolar ridge deformities. Accelerated osseous regeneration in sinus grafts and ridge augmentations will be the main focus in this presentation, even though a brief discussion about socket-augmentation in compromised patients will be presented. The speaker’s publications using rhBMP-2 will be presented, including a procedure meant to serve as an alternative to block grafting.

  • Without the necessity of removing titanium mesh/fixation screws, rhBMP-2 can be combined with a bio-resorbable PLGA mesh to reconstruct deficient ridges. The subsequent implant placement is less-invasive, due to the resorbable nature of the regenerative materials. The option of computer-guided, flapless implant placement can be performed in shortened treatment times. All of these advantages, including the elimination of a second, intra-oral donor site, make implant therapy more attractive for patients, leading to better case acceptance. Support in the orthopedic and cranio-maxillofacial literature for the combination of these materials will be presented.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify patients who may benefit from regenerative treatment with rhBMP-2; 2) identify the mechanism of action of rhBMP-2 and its role in osseous regeneration; 3) demonstrate a technique of 3-dimensional ridge-augmentation, meant to serve as an alternative to block grafting; and 4) present a scientific basis for support of the techniques demonstrated in this presentation.

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Current Trends in Dental Implant Design and the Impact on Esthetics: A Scientific and Clinical Evaluation

Speaker(s) : Sonia Leziy, DDS

  • Many advances in implant design have improved implant stability allowing shorter integration periods and accelerated restoration protocols. Similarly, new designs for enhanced postrestoration crestal bone levels and unique scaffolding designs for peri-implant gingival tissues potentially impact the esthetic success of treatment.

  • Macro-geometric changes of the implant collar have focused on the position of the implant-abutment microgap relative to bone, with the goal of improving post-restoration marginal bone and soft tissue levels. Micro-topography or surface modifications in the implant collar region have also been suggested to positively influence the biologic response of bone and soft tissues, thus influencing esthetic outcomes

  • This presentation will explore the rationale for these ‘state-ofthe- art’ implant innovations, the current literature conclusions and the clinical influence on esthetics.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) explain the esthetic challenge of creating ideal tissue levels around single and multiple implant restorations; 2) discuss the biologic rationale for implant design changes; 3) describe what the dental literature supports in implant design changes and their impact on esthetics; and 4) identify esthetic outcomes of cases treated with many of these new designs.



March 9th, 2013
Emerging Restorative Treatment Options
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Contemporary Restorative Options for the Edentulous Arch

Speaker(s) : Arne Boeckler, DMD, PhD

  • The treatment of the edentulous jaw utilizing dental implants, gives the options for fixed, semifixed and removable restorations. All these options have certain advantages and disadvantages. Each concept requires special planning protocols regarding biomechanical considerations for implant number and implant positions, esthetics and functional reliability. This presentation will focus on planning and managing the treatment of the edentulous mandible and maxilla. Furthermore, a contemporary overview of available attachment systems for use with dental implants and implant-assisted prostheses will be provided and clinical criteria for system selection will be identified and described.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify explicit methods of treatment planning and decision making for both fixed and removable treatment options; 2) select and design prostheses for fixed and removable treatment options with a focus on biomechanical and functional reliability; 3) discuss how to obtain a basis for planning implant position and number; and 4) select the appropriate attachment system from a variety of contemporary options.

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Restorative Implant Options for the Complex Patient

Speaker(s) : Christian Coachman, DDS, CDT

  • Aesthetically replacing missing teeth inside the esthetic zone has been and still is a significant challenge in dentistry. High esthetic expectations and the addition of implant therapy have only increased the challenge. It is, therefore, necessary for clinicians and technicians to fully understand all the available options and limitations as well as where, when, and how to best utilize them. An interdisciplinary approach is paramount and how to communicate efficiently as a team becomes the biggest challenge.The protocol proposed will improve the esthetic diagnosis, case acceptance and team communication on complex cases.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) understand the prosthetic gingival option for ridge defects inside the esthetic zone including the advantages and disadvantages; 2) recognize the importance of smile design when planning implant restorations; and 3) implement tangible methods of communication and involvement with the dental laboratory.

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The Keys to Successful Implant-Assisted Restorations in the Esthetic Zone

Speaker(s) : Christopher Evans, BDS

  • This presentation will review the important biologic parameters which influence the ability to achieve an ideal implant retained restoration in the esthetic zone. The relevance of published literature in relation to these parameters will be discussed and reviewed. Various clinical techniques such as timing of implant placement, submergence contour, implant type and abutment form will be considered as a determinant of the final outcome.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify the factors that can be objectively used to assess restorations; 2) describe how bone remodeling around implants influences esthetic outcomes; and 3) detail which parameters the restorative dentist can alter that have an effect on implant esthetics.

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The Real Cost of Digital Options in Practice

Speaker(s) : Brody Hildebrand, DDS, MS

  • Technology is a wonderful, amazing, practice transforming aspects of dentistry. It may streamline production, reduce costs, make the practice of dentistry more efficient, more manageable, and simply easier. We can research, test, try-out, and show the clinical relevance to aid the clinician in determining how impactful an advancement might be to private practice. We can present the greatest technological advancements for dentistry, we can show how they can benefit the dentist, how we use them in our practice, we can show all the research that supports the use, the accuracy, and the clinical benefit, but there comes a need to help a clinician critically look at the pros and cons produced by the financial impact of the wonderful new technology on their practice without the corporate financial spreadsheet as the sole piece of non-peer reviewed documentation a clinician bases a new purchase on.

  • We can see on paper the cost associated with any new technology and the expected payout per use. We might even be shown the time to realize a financial gain, but are we certain the presentation, the spreadsheet, and the information presented in relation to this new big ticket item are taking into consideration all the factors of running a dental practice with this new equipment?

  • This lecture will look at a few non-corporate, specific, big ticket items a practitioner or a team may be currently considering to purchase and aid the clinician seeking to cut through to the bone in regards to the real costs involved. Not just purchasing and installing a new piece of technological advancement, but taking into consideration the facility costs, the manpower costs, the “doctor time” costs, and unforeseen fees that may elude the potential purchaser. There are many areas of potential advantages and disadvantages to each technology. The financial impact is merely one aspect to understand in order to accurately assess and plan for the success of your practice.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) objectively discuss the financial consequences of big ticket purchases independent of corporate spreadsheets; 2) explain financial analysis information about different types of technology to determine if the total cost associated with the new technology will be truly financially rewarding; and 3) describe tips and tricks to objectively analyze different levels of big ticket items to determine what route is best at this point for a specific practice while still planning for other items in the future.

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Digital Planning and Treatment Options for Implant Dentistry: Are You Impressed Yet?

Speaker(s) : David Gratton, DDS, BSc, MS

  • Today’s era of digital dentistry has brought an evolution of new diagnostic and treatment planning modalities for implant dentistry, none more prevalent than digital impressioning and radiographic technology. Combined, these technologies initiate the digital workflow for the virtual implant patient. Exploring these digital technologies will result in familiarity with their capabilities, advantages, disadvantages and will prepare us to answer the ultimate question: Does the scientific evidence support the routine clinical use of these emerging technologies for the virtual implant patient?

  • Objectives: Upon completion of this presentation, participants should be able to: 1) trace the development of the technology found in digital impressioning systems; 2) explain how 3-dimensional radiographic data can integrate with CAD/CAM systems to enhance dental implant therapy; and 3) appraise the evidence for the adoption of digital planning procedures and techniques.

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Influence of Ridge and Implant Architecture on Esthetic Predictability

Speaker(s) : Stephen Chen, BDS, MDSc, PhD

  • Achieving predictable esthetic outcomes with implant therapy depends upon a proper diagnosis of site-related factors. This ensures that appropriate steps can be taken to preserve the existing structures and reconstruct the missing hard and soft tissues. In addition, the design of dental implants can have a significant impact on the outcome of these reconstructive procedures and in the longterm maintenance of the soft tissue form. This lecture will address site-related and implant design factors that are important for achieving predictable esthetics.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify site-related factors that influence esthetic outcomes with implants; 2) discuss design features of dental implants that can influence treatment and esthetic results; and 3) plan treatment to achieve esthetic predictability.



March 9th, 2013
Allied Staff Program
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Comprehensive Care for Dentally Exhausted Patients

Speaker(s) : Carl Drago, DDS, MS

  • Periodontal disease and dental caries affects millions of patients. Many of these patients have sought professional dental care on a regular basis. Many have been treated successfully with a combination of periodontal surgery, endodontics, extractions, grafting, dental implants, and fixed/removable prostheses. Due to any number of circumstances, some or many of these patients require ongoing care that involves increased expense, more dental visits, and less than optimal results. Immediate occlusal loading of full-arch restorations has been proven to be effective and predictable. Extraction of hopeless and/or compromised teeth followed by immediate placement of implants and full-arch restorations may involve a complete paradigm shift for dental practitioners who have spent their careers "saving" debilitated dentitions. This program will illustrate the benefits of extracting hopeless and/or compromised dentitions and immediately placing and occlusally loading dental implants. Patient histories will be presented, along with extensive before-and-after clinical photographs and appropriate literature citations. The program will also feature a discussion on how office and clinical staff can interact and support patients in their decision making process regarding full arch restorations.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify teeth that present with hopeless prognoses and be able to develop treatment plans that include conventional prosthetics, as well as implant prosthodontics with immediate occlusal loading; 2) describe the prosthodontic principles associated with locating optimal positions of teeth for immediate prostheses (conventional immediate dentures; immediate full arch occlusal loading); and 3) discuss the requisite clinical procedures used in taking patients from compromised/ failing dentitions to immediate full arch loaded prostheses.

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Patient Selection and Guidelines for Immediate Implant Placement and Provisional Restoration in the Esthetic Zone

Speaker(s) : Joseph Carpentieri, DDS

  • Patients with hopeless teeth who choose replacement with dental implants today can expect those implants to remain stable and healthy for a long time. However, in the maxillary anterior region, it can still be challenging to achieve excellent aesthetic results for implant-supported restorations. Clinicians also must confront questions relating to how such patients should best be temporized and whether an accelerated treatment protocol is appropriate. The staff plays an important role in interviewing patients about what kind of smiles they want and educating them about various treatment options. This program will review the criteria for distinguishing which patients are good candidates for implant placement and provisionalization immediately after extraction of their anterior maxillary teeth. Guidelines for achieving optimal peri-implant outcomes will also be presented, along with supporting literature. Participants will gain an understanding of the balance between utilizing accelerated treatment protocols and achieving predictable esthetic outcomes.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify ideal case selection and mandatory “pre-operative” diagnostic criteria to choose between immediate vs. delayed protocols in the esthetic zone; 2) describe a detailed step-by-step clinical approach for both the surgical and prosthetic phases necessary to execute such procedures; and 3) discuss potential problems and common mistakes often associated with this option and other principles that are needed to obtain predictable long-term esthetic outcomes.

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Pre-Treatment Therapy and Site Preparation

Speaker(s) : Robert Eskow, DMD

  • An adequate volume of bone must be present to support dental implants of the proper length and diameter to retain a restoration. However, when teeth are lost, so is the bone volume. Planning accordingly to maintain the bone and tissue volume prior to implant placement is necessary for an aesthetic and functional result. This program will discuss the key role played by staff members, who help to identify potential candidates for elective implant therapy and assist in performing pre-treatment therapy to create a healthy oral environment, essential for obtaining optimal outcomes. Techniques for hard- and soft-tissue augmentation prior to implant placement also will be discussed.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) identify and treat sites of disease that can contribute to peri-implant disease; 2) recognize patients that will need guided bone regeneration; and 3) explain techniques used in guided bone regeneration.

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Post-Treatment Therapy: Contemporary Implant Debridement

Speaker(s) : Valerie Sternberg-Smith, RDH, BS

  • The long-term prognosis for implant-supported restorations is directly related to effective preventive care. Recognizing peri-implantitis and possible causative factors is crucial and must be performed in a manner that is compatible with contemporary implant-restorative designs. Methods originally employed for debridement of implant components are rapidly becoming obsolete in light of current implant-supported restoration designs. This program will enable participants to recognize the early signs of periimplantitis, determine the best plaque-control aid for various prosthetic designs, and identify the appropriate instruments for maintaining the implant, abutment, and prosthesis.

  • Objectives: Upon completion of this presentation, participants should be able to: 1) recognize early signs of peri-implantitis; 2) determine the best plaque control aid depending on the type of prosthesis; and 3) identify the proper instruments to maintain the implant, abutment and prosthesis.


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