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New Trends, Techniques, and Technology Presentations

These corporate sponsored courses give you the opportunity to learn about the latest innovations in implant dentistry directly from those developing the newest techniques and technologies.

 

Wednesday, October 19, 2011

The Survival of Ultrashort Locking Taper Implants
8:15 am - 8:45 am
Presented through a grant from Bicon Dental Implants, Gold Sponsor

Rainier Urdaneta, DMD

  • Specialization, Prosthodontics
  • Extensive surgical and prosthetic experience with Bicon system, including the techniques of immediate stabilization and function and Integrated Abutment CrownsTM
  • Authored several publications, responsible for ongoing research projects with Bicon system

This program will present the results of a retrospective cohort study that was conducted between January 2008 and December 2009 designed to evaluate the performance of implants 5 mm in length, specifically the Integra- CP coated, plateau design locking taper implant (Bicon®, Boston, MA). The study compared ultrashort implants (5 mm and 5 mm) with short implants (8 mm). Based on 291 subjects who received 410 locking taper implants, there was no statistically significant difference between the survival rates of ultrashort implants and short implants. The study’s conclusion is that survival of ultrashort implants (5 and 6 mm) was comparable to that of short locking taper implants (8 mm).

 

The Various Uses of Acellular Dermal Grafts (ADGs) for Hard and Soft Tissue Grafting
8:45 am – 9:15 am
Presented through a grant from Dentsply Tulsa Dental Specialties, Platinum Sponsor  

David H. Wong, DDS

  • Diplomate, American Board of Periodontology
  • Private Practice, Tulsa, Oklahoma
  • Founder of continuing education, Tulsa Institute

Advancements in soft tissue grafting are changing the way clinicians are able to deliver ideal treatment to patients–enhancing esthetic outcomes and stabilizing periodontiums, while decreasing patient discomfort, recovery time, and even expenses. Root coverage and soft tissue augmentation are increasingly predictable with the latest in soft tissue allografts that address all of the past negatives of human allografts. Grafting has never been simpler, and both patients and dentists are finding it easier to say “yes.” This presentation will give the audience a glimpse of Perioderm and its various uses in treating recession, socket grafting, and ridge augmentation. Periodontal-restorative outcomes will be demonstrated along with Perioderm’s application in implant dentistry.

Learning Objectives: At the completion of this presentation, participants should be able to:
1. Describe the most recent advances in acellular dermal grafts: consistency, safety, ease of handling, longevity
2. Introduce and demonstrate basic root coverage techniques using acellular dermal grafts
3. Understand the potential role of ADGs in socket grafting as well as guided bone regeneration
4. Simplify periodontal-restorative treatment with ADGs

 

Missed Diagnosis Using Conventional 2D Radiography
9:15 am - 9:45 am
Presented through a grant from PreXion, Gold Sponsor

Daniel McEowen, DDS

  • Researcher in hard tissue laser applications in dentistry
  • Trainer, World Clinical Laser Institute

The addition of 3D CBCT to a dental practice can increase the accuracy of diagnosis over the use of other forms of 2D radiography including digital periapicals and panoramics.  The inherent distortions and limitations of these types of 2D radiographs make it much more difficult to complete an accurate diagnosis of the case.  Some of these limitations include: elongation and foreshortening of the target tissues, overlap of structures either in front of or behind the target tissues, tissue density that is not easily interpreted in bone or soft tissues and the inherent differences in resolution in many types of film and digital receptors.

Today with the use of 3D CBCT many of these issues can be eliminated or at least the effects greatly reduced.  With the medium field of view CBCT scanners offering focal spot sizes down to 0.15mm and resolution of 0.076 mm voxel size, can in most cases come to a very accurate diagnosis every time.  CBCT offers multiplaner views (MPV) in slices as thin as .05 mm thick.  These MPV are cross sections through the volume of information in axial, coronal and saggital views.  With sophisticated software the volume can be sliced at any oblique direction to view pathology from virtually any angle and thickness.  This ability to view diseased areas in different planes can eliminate any guess work with the diagnostic task.  Adding a 3 dimensional view as a bonus in many software packages aids in diagnosing the least invasive procedure to treat the dental disease.

Learning Objectives:

1. Understand the diagnostic limitations of traditional 2 dimensional radiography

2. Learn how 3D CBCT systems generate 3D and Multiplanar views and how to visualize any area of the anatomy from any angle

3. Learn the diagnostic capabilities of 3D CBCT images and the clinical benefits from having more diagnostic data

 

"Tips and Tricks" For Single Tooth And Partially Edentulous Replacements”
10:15 am – 11:15 am
Presented through a grant from Nobel Biocare, Anchor Sponsor

Jack Hahn, DDS

  • Honored Fellow, American Academy of Implant Dentistry
  • Diplomate, American Board of Oral Implantology/Implant Dentistry
  • Private practice limited to implant surgical placement and restoration

Implant dentistry has had more advances than any field in medicine. This program will present ideas that can be implemented in the attendee’s practice immediately. Cases discussed will include single tooth replacement anterior, achieving optimum esthetics without having to do connective tissue grafts, single tooth replacement posterior in only two patient visits, and a partially edentulous case avoiding provisional removable partials. Also demonstrated will be immediate extraction replacements or “the emergency implant" with immediate provisional fixed restorations. The program will center around usage of the Nobel ReplaceTM implants. Replace is a tapered implant. Nobel Replace is now available in two new versions, Nobel ReplaceTM Platform Shift and Nobel ReplaceTM Conical with the conical connection. The presentation will demonstrate the benefits regarding the soft and hard tissue in the cervical region.

Learning Objectives: Attendees can expect to learn the following from the presentation:
1. How to be more comfortable in predicting the final esthetic and functional outcomes with single tooth replacements in the esthetic zone
2. The principles of immediate extraction replacements that insure long term success
3. Techniques that lessen treatment steps for single tooth replacements and partially edentulous cases
4. A better understanding of the benefits of tapered implants and platform shifting as related to hard and soft tissue remodeling

 

Application Specific 1-piece Implants
11:15 am - 11:45 am
Presented through a grant from Implant Direct Sybron, Platinum Sponsor

Gerald A. Niznick, DMD, MSD

  • Honored Fellow, American Academy of Implant Dentistry
  • Founder and President, Implant Direct
  • Awarded 35 U.S. Patents

The goal of implant design is to optimize clinical success while simplifying both surgical and restorative procedures. With the proven success of a one-stage surgical protocol and the increased understanding of the factors needed for success of immediate load implants, one-piece implants should play a more significant role in implant dentistry. A combination of proper case selection and implant design offers great opportunity to reduce both chair-time and component costs by the use of one-piece implants provided with All-in-1 packaging. The increased strength of a 1-piece implant facilitates use of 3mmD implants, minimizing the need for bone grafting thereby expanding clinical applications with narrow ridges. Dr. Niznick will demonstrate the clinical indications and procedures of these 1-piece implants all with the same body design and surgical protocol. These application specific implants expand the opportunities to provide Teeth-in-1Day™ for edentulous patients and Allover- 4, a new concept for maxillary implant supported overdentures without the expense of fabricating custom cast or cad-milled bars.

Learning Objectives: At the completion of this presentation, participants should be able to:
1. Understand the factors needed for success of immediate load implants
2. Expand treatment options for edentulous patients
3. Minimize chair-time, component costs and the need for bone grafting with 1-piece implant designs

 

Using CAD Technology to Facilitate Implantology
11:45 am – 12:15 pm
Presented through a grant from Camlog USA, Gold Sponsor

Peter Hunt, BDS, MSC

  • Professor, Restorative Dentistry and Director of Implant Dentistry at Nova Southeastern University College of Dentistry
  • Member, International Council of Experts of the Camlog Foundation
  • Private practice, implant and rehabilitation dentistry, Philadelphia, Pennsylvania

Let’s face it. Implant therapy can be complex, difficult, time-consuming, and expensive. It need not be that way. Ninety percent of implant placement procedures can be performed simply and easily, particularly in situations without extensive bone resorbtion. With the right protocol, it’s also possible to be very effective with placing implants into sites where the teeth have been recently extracted. Sinus elevation procedures mean that it is possible to place implants and regenerate bone in the maxillary posterior region at the same time. Effective angle change technology allows implant placement in compromised regions. By using modern computer generated emergence profiles, it’s possible to restore the form, function, and appearance of a lost tooth. Modern connections can be strong, precise, and reliable, although many dentists persist in using early generation technology which is more complex, involved, and less secure. Computerdesigned guide devices mean that implants can be precisely positioned in pre-determined locations where the bone support is optimal. With increasing confidence in the procedures and technology of modern implantology, then comes the real fun, changing the way that patients are treated. It’s possible to provide more functional, more effective solutions to a whole range of dental problems. Dentistry becomes more fun. It can offer better solutions and thereby becomes considerably more satisfying.


Immediate Placement of Mandibular Molar Implants
1:45 pm – 2:15 pm
Presented through a grant from MIS Implants Technologies, Diamond Sponsor

Dan Holtzclaw, DDS

  • Diplomate, American Board of Periodontology
  • Co-Editor-in-Chief, Journal of Implant & Advanced Clinical Dentistry
  • Private practice limited to periodontics and dental implants, Austin, Texas

Immediate implants placed at the time of tooth extraction provide convenience for the patient in terms of reduced time to restoration of form and function. For the clinician, however, this procedure has an increased level of difficulty and presents unique challenges that are not present when implants are placed in healed alveolar ridges. This is especially true in the case of mandibular molars. Immediate implantation in these locations have complicating factors such as nerve proximity, ridge undercuts, implant placement stability, graft containment, and gingival management. The aim of this presentation is to provide a comprehensive analysis of immediate implant placement in the mandibular molar region with emphasis on actual clinical cases.

Learning Objectives: At the completion of this presentation, participants should be able to:
1. Understand the risks and benefits of immediate implant placement in the mandibular molar region.
2. Understand the anatomical concerns unique to immediate implant placement in the mandibular molar region.
3. Recognize situations which are suitable for the placement of immediate implants in mandibular molar sites.
4. Understand the various techniques and materials for placement of immediate implants in the mandibular molar region.

Novel Approaches for Simple Socket Regeneration
2:15 - 2:45
Presented through a grant from MIS Implants Technologies, Diamond Sponsor

Robert A. Horowitz, DDS

There are many key factors for successful implant dentistry. Patients must first understand the value of ideal therapy from bone regeneration through implant placement to tissue maintenance and aesthetic restorations. To optimize placement of dental implants in the shortest time period after extraction, a few criteria must be met. When the tooth is removed, bone replacement therapy should be instituted at that visit. The materials used must be biologically active and lead to preservation of alveolar volume, replacement of the missing hard tissue with vital bone and allow maintenance and/or augmentation of the soft tissue that will cover the site. The use of a biphasic calcium sulfate material alone and in combination with other graft materials will be shown to meet these criteria. The results will be analyzed clinically, radiographically and histologically, validating these materials as ideal for use in extraction socket defects.

Learning Objectives:
• 3D Volumetric Analysis of Extraction Site
• Synthetic Bone Graft to Aid in Alveolar Regeneration
• Biphasic Calcium Sulfate to Enhance socket preservation
• Novel Dental Software for Patient Education and Increasing Case Acceptance
• Optimizing Bone Preservation with Ideal Implant Design

 

The Biologically Driven Implant System
2:45 pm – 3:15 pm
Presented through a grant from Intra-lock, Presidential Sponsor
 

Jack T. Krauser, DMD

  • Staff, Nova Southeastern University, School of Dentistry
  • Co-author, Dental Implants: The Art and Science
  • Private practice in periodontics and implant surgery

Recent progress in engineering working at numerous levels has created a new generation of implants that have the potential to profoundly affect clinical implant dentistry. This new generation of dental implants provides first, a surface technology that enhances the biologic response of soft tissue and bone and secondly, a new and dynamic implant macro-architecture. The new implant design enables the implant to continually slice through the bone as it is being placed, with increased efficiency and minimal effort. The result is superior implant stability with reduced bone stress. Background, research, and clinical case presentations demonstrating these biologically driven features will be presented.

Learning Objectives: At the completion of this presentation, participants should be able to:
1. Identify significant advancements in implant design and bioactive properties
2. Increase efficiency and minimize effort during placement
3. Understand superior implant stability and reduce bone stress
4. Recognize that new surface technology enables more rapid and enhanced biologic response

 

True Restoratively Driven Implant Dentistry Through 3D Planning
3:45 pm – 4:15 pm
Presented through a grant from Imaging Sciences, Gold Sponor
 

Scott D. Ganz, DMD

  • Private practice in prosthodontics with an emphasis on maxillofacial and implant reconstructions
  • International lecturer on prosthetic and implant dentistry
  • Faculty at University of Medicine and Dentistry New Jersey Dental School

Successful "restoratively-driven" implant dentistry has its foundation in the ability to diagnose and plan treatment properly. It’s imperative that we understand all of what iS missing, which often includes the bone, the surrounding soft tissue, and the tooth. The goal of implant dentistry is not the implant; it is the tooth that we replace. Therefore patients seek out treatment when they need teeth, not implants. The advent of CBCT has empowered clinicians with the tools to diagnose in 3-D, to assess the underlying anatomy and adjacent vital structures, to communicate these concepts to the patient and all members of the implant team, and to execute the plan to restore the patient properly, whether for a single tooth replacement or full mouth reconstruction. New paradigms have emerged, and dental school curriculums need to be re-written to embrace the digital tools of today.

As CBCT has become the state-of-the-art, the race is on to identify opportunities which benefit from the digital information embedded in each scan. Guided implant surgery has evolved as an important modality and aid in transferring the virtual 3-D plan to the patient. Surgical templates can then be laboratory fabricated on stone casts, or directly CT-derived via stereolithography, taking the scan data and turning it into solid resin models of the patient's mandible or maxilla. However, as more companies invest in 3-D digital dentistry solutions, linking the technologies together has become a reality. This presentation will demonstrate how digital dentistry is evolving into a mainstream dentistry, allowing everyone to achieve successful "restoratively-driven" implant dentistry.

Learning Objectives: At the completion of this presentation, participants should be able to:
1. Compare traditional imaging to sophisticated imaging technologies available today through Cone Beam CT scans.
2. Understand how 3-D imaging helps in assessing patient anatomy for implant placement, implant restoration, and other related procedures.
3. Illustrate the use of interactive treatment planning software.
4. Understand the decision tree related to the "Triangle of Bone" concept
5. Demonstrate how “True Restoratively Driven Implant Dentistry” can be accomplished through CBCT-derived three dimensional planning and execution.

 

The True Root-Form Implant for Predictable Implant Success
4:15 pm - 4:45 pm
Presented through a grant from Astratech, Gold Sponsor

Barry Levin, DDS

  • Diplomate, American Board of Periodontology
  • Fellow, International Team for Implantology
  • Staff, University of Pennsylvania - Periodontal and Dental Implant Surgery Department

The evolution of implant shapes, sizes, and surfaces continues with no end in sight.  Paramount to successful treatment, especially esthetically-critical situations, is bone maintenance.  Not only proximal but facial and lingual/palatal bone preservation impacts results.  Proper adaptation to the anatomic alveolar ridge has eluded surgeons, resulting in the need for vertical bone augmentation or anticipated apical migration of the alveolar crest.  This may no longer be true. The optimal solution for a sloped alveolar ridge would be to place an anatomically designed implant, designed to maintain 360 degrees of bone around the implant.  This breakthrough in implant technology allows for maximum bone preservation and more predictable outcomes.This program will demonstrate the impact of implant design on marginal bone support in sloped ridge and extraction site placements, aimed at preserving facial and proximal bone levels so crucial to esthetics.  This course will also provide an overview of the restorative options for the sloped implant.

Learning Objectives:

1. Identify the criteria for determining clinical cases appropriate for the sloped implant

2. Understand how treatment planning for additional surgical considerations may enhance outcomes

3. Review implant placement in both healed ridges and immediate placement/provisionalization cases

 

Immediate Loading - Expanding Application With New Implant Design
4:45 pm - 5:15 pm
Presented through a grant from Dentium, Gold Sponsor

Tae Kim, DDS

  • Assistant Professor, Division of Restorative Science, Ostrow School of Dentistry, University of Southern California, Los Angeles, California
  • International Lecturer
  • Author, Educational Video series at Herman Ostrow School of Dentistry of USC
  • Auhtor, Prosthodontics Review Book

Dental implant therapy is more exciting than ever… current trends in early and immediate load have made dental implants the treatment of choice with many patients dictating the desire for tooth replacement with dental implants. Restorative techniques and materials have revolutionized the practice of dentistry and the quality of prosthetic tooth replacement with unmatched esthetics and function.

Immediate loading technique for restoration of the single tooth, or multiple teeth will be discussed with special focus on the predictability that has revolutionized the practice of dentistry and the quality of prosthetic tooth replacement. The benefits and risks associated with immediate implant loading will be explored.

Learning Objectives:

1. Provide Immediate loading concept

2. Present immediate loading protocol as the treatment of choice to replace missing tooth and create a comfort level with the predictability of implant dentistry.

3. Focus on the unique design of Superline fixture

4. Provide easy to follow recipes for successful provisional restoration on single implant

5. Understand the importance of initial stability during implant placement

6. Provide new pontic design for optimal esthetics

 

Is Autogenous Bone Still the Gold Standard Material for Bone Grafting Procedures in Implant Dentistry?
5:15 pm – 5:45 pm
Presented through a grant from Rocky Mountain Tissue Bank, Gold Sponsor
 

José E. Pedroza, DMD, MSC

  • Founder and director, The Advanced Dental Implant Institute
  • Completed Residency in Anesthesiolgy, University of Puerto Rico School of Medicine
  • Earned Full Externship Certificate, Midwest Implant Institute and Center for the Advancement of Dentistry, Columbus, Ohio

Bone grafting is one of the least predictable procedures in implant dentistry. According to most scientific literature, dental implants and soft tissue augmentation procedures reveal high success rates. However, the results with bone grafting surgeries are inconsistent. Traditionally, autogenous bone has been acknowledged among the medical and dental community as the gold standard. Nevertheless, its limitations and complications, including increased operating time, limited availability and significant incidence of donor site morbidity and pain, allogenous bone has become a useful and predictable substitute for autogenous bone. For the clinician, a thorough understanding of bone grafts’ biologic properties, results in a deeper perception of their potential and limitations. Tissue management is one of the crucial aspects of successful bone grafting, therefore, special attention must be given to intraoral plastic surgery remote incisions. To achieve the goal of NIRISAB (Natural Implant Restoration In Stable Alveolar Bone) it is critical to overcome the primary obstacle: bone deficiency. How do we resolve this problem? Applying the NIRISAB components has been proven to restore the loss of alveolar bone through augmentation procedures.

This presentation will address a different perspective regarding bone augmentation techniques such as vascularized oteotomies with interpositional grafts and onlay bone graft using materials like non-autogenous particulate cancellous, particulate cortical and cortical-cancellous bone blocks grafts.

Learning Objectives: Upon completion of this presentation, participants should be able to:
1. Recognize the indications and advantages of vascularized oteotomies with interpositional non-autogenous grafts for implant site development versus non-vascularized autogenous onlay bone graft
2. Discuss the philosophy of NIRISAB as an approach to overcome bone deficiency
3. Determine what type of non-autogenous graft material should be used for different augmentation surgeries, for example, particulate cancellous, particulate cortical and cortical-cancellous bone blocks


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