New Trends, Techniques, and Technology Presentations

Wednesday Morning's New Trends, Techniques, and Technology forum includes presentations given by esteemed clinicians representing our corporate partners.

Wednesday, October 3, 2012

Optimizing Implant Esthetics with Implant Design
8:20 am - 8:40 am
Presented through a grant from BioHorizons, Diamond Sponsor

Natalie Wong, DDS

  • Fellow, American Academy of Implant Dentistry
  • Diplomate, American Board of Oral Implantology/Implant Dentistry
  • Clinical instructor, University of Toronto; Assistant Professor, Temple University
  • Private practice limited to prosthodontics and implant surgery

Today, bone attachment to dental implants is expected.  Learn why the evolution of implant dentistry means that soft tissue attachment like that of natural dentition is now possible. This presentation will demonstrate how new implant and abutment surfacing technology can help clinicians engineer a zone of attachment around implants and abutments, leading to superior bone and tissue maintenance and ideal esthetic outcomes.

Successful Use of Allogeneic Bone Blocks of Human Vertebra in Augmentation of Atrophied Jaw Bone
8:40 am - 9:00 am

Presented through a grant from Rocky Mountain Tissue Bank, Gold Sponsor

Mohamed Sharawy DDS, PhD

  • Recipient, Isaih Lew Memorial Research Award, American Academy of Implant Dentistry, October 2005
  • Presidential citation, American Academy of Implant Dentistry
  • Professor, Oral Biology/Anatomy, Oral and Maxillofacial Surgery, Anatomy, Medical College of Georgia and College of Graduate Studies, Georgia Health Sciences University

Loss of biomechanical stimulation of jawbone due to loss of teeth results in chronic significant bone loss in width, height, and density of edentulous ridges. Bioengineering of structure and function of atrophied ridges requires the use of combination of bone grafts and dental implants.  Autogenous bone blocks have been considered as the gold standard in bone augmentation procedures.  These procedures are associated with significant post operative morbidity at the donor sites.  The advent of allogenic blocks has increased the possibility of expanding the scope of treatment.  In search for allogeneic bone blocks that can be used with predictable success, we have done translational research followed by clinical trials. In this paper we will present micro-ct analysis and Scanning Electron Microscopy (SEM) of corticocancellous bone blocks of human vertebral body origin (Rocky Mountain Tissue Bank, Denver, Colorado, USA), followed by presentation of case reports of successful augmentation of human atrophied ridges as supported by histological and histomorphometric studies of core bone biopsies. Evidence of creep substitution of the allogeneic bone blocks with significant amount of host vital bone will be presented.  The presentation will illustrate the predictable nature of the allogenic cortico-cancellous blocks that have been successfully utilized in managing extremely atrophic jaws and even in instances of managing implant failures that have caused bone loss.

Implant Associated Bone Loss and the Black Triangle Disease: Treatment Planning and the Team Approach to Prevention
9:00 am - 9:20 am
Presented through a grant from Dentium America, Inc., a Gold Sponsor

Hessam Nowzari, DDS, PhD

  • Diplomate, American Board of Periodontology
  • Director, USC Advanced Periodontics
  • Editor, Esthetic Periodontal Therapy: PERIODONTOLOGY 2000

The purpose of this session is to provide scholarly insight into implant dentistry in the maxillary anterior sextant.  The healing dynamics at peri-implant sites will be discussed.

Immediate/Selective Loading and Failure Avoidance through Osseous Fixation: A New Era in Oral Implantology
9:20 am - 9:40 am
Presented through a grant from OCO Biomedical, Inc., a Gold Sponsor

David D. Dalise, DDS

  • Honored Fellow, American Academy of Implant Dentistry
  • Associate Fellow, American Academy of Implant Dentistry
  • President and Founder, OCO Biomedical, Inc.

Raise a Flap or Direct: Advantages and disadvantages of each technique Immediate Loading: Why this has become the preferred method Selective Loading: Immediate critical time frame and approaching the safe zone Case Selection: Treatment and diagnostic tools for optimal case selection Osseous Fixation with Dual Stabilization: Utilizing advances in dental implant engineering using orthopedic principles

“Simply Smarter” Implantology
9:40 am - 10:00 am
Presented through a grant from Implant Direct Sybron International, a Platinum Sponsor

Gerald A. Niznick, DMD, MSD

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

Technological advances and recent economic factors have shifted the implant industry toward affordable care.  This lecture will explore the evolution of implant designs, separating fact from fiction, and will mark the launch of a new InterActive™ generation of implants with All-in-1 Packaging that provides the accuracy of an open try transfer with the simplicity of a closed tray transfer.  Other treatment options to be discussed using slides, 3-D graphics and surgical videos include immediate replacement of a single lower molar to a variety of affordable treatment options for edentulous patients with application-specific, 1-piece implants.

The Use of Short Implants in Minimal Available Bone
10:20 am - 10:40 am
Presented through a grant from MegaGen USA, Inc., Gold Sponsor

Hisham F. Nasr, DDS, MScD, PhD(ca)

  • Private practice, Oral Surgeon and Periodontist, New Orleans, Louisiana

One of the most common clinical challenges for placement of posterior implants is the anatomical limitation imposed by the three-dimensional topography of the residual ridge following tooth extractions. The presence of vital structures such as the mandibular neurovascular canal and the proximity of the maxillary sinus floor further complicate the treatment approach and may require further surgical steps to achieve the desired long-term success. The use of shorter and wider implants has been suggested and advocated in such situations where newer designs and surfaces appear to enhance the surgical outcome. This presentation will address the use of one of the most recent implant systems with FDA approval in the USA in both immediate and delayed surgical protocols where minimally invasive posterior ridge surgery will be presented in details.

Learning Objectives:

1. Address delayed placement of short  implant in atrophied posterior ridges
2. Learn about maximum stabilization of immediate short implants in minimal available bone
3. Perform minimally invasive subantral bone augmentation when necessary
4. Avoid additional bone grafting when possible


Treatment Options for the Terminally Dentate Patient
10:40 am - 11:00 am

Presented through a grant from Nobel Biocare, Platinum Sponsor

Steven M. Bongard, DDS

  • Training in dental implants and advanced bone grafting and prosthetics from the Misch Implant Institute
  • Published and lectured on the subject of implant placement and restoration

Many potential candidates for implant restoration of the fully edentulous or soon to be fully edentulous maxilla and mandible are interested primarily in receiving a fixed prosthesis. Although good success rates were reported with bone grafting procedures in the past, the prolonged treatment plans with multiple staged procedures were barriers for patients’ willingness to proceed with recommended treatment plans. A paradigm shift considering the graftless approach, reduced treatment time, single-stage surgical reconstructions, and immediate loading (eliminating the need for removable transitional dentures) has resulted in a higher degree of case acceptance by most patients. This presentation will discuss the critical factors necessary to provide a fixed implant-supported restoration.

Patient-specific Abutments: Providing Customization through Simplicity
11:00 am - 11:20 am
Presented through a grant from Dentsply Implants, Platinum Sponsor

Mark Montana, DDS

  • Private practice, emphasizing fixed, removable, and implant prosthodontics
  • Pre-clinical instructor, Arizona School of Dentistry

Abutment selection is often the most intimidating aspect of esthetic implant restoration.  Historically, the decision lay between the high cost of custom abutments versus the ambiguity, confusion and design shortcomings of prefabricated catalog options.  Atlantis™ patient-specific abutments eliminates “selection stress” by providing patient and tooth specific abutments without the high cost of a traditional custom product.  This presentation will demonstrate the planning, execution and completion of implant treatment facilitated by patient-specific abutments.

Full Arch One-Piece Metal Free Restorations Over Short Implants
11:20 am - 11:40 am
Presented through a grant from Bicon Dental Implants, Gold Sponsor

Drauseo Speratti, DDS

  • Specialist in Dental Implants and Oral Minor Surgeries from the Universidade Camilo Castelo Branco
  • Formerly in private practice, Sao Paulo, Brazil
  • Clinical Instructor, Implant Dentistry Centre and Bicon Institute in Boston, MA

Clinicians have always been challenged to provide fixed full arch affordable aesthetic and reliable restorations for patients.  This program will present several clinical cases demonstrating the use of different materials including short implants (only 6 or 8.0mm in length) and metal free cemented or screw retained fixed restorations for full and partial arch reconstruction.  Patients allergic to metals or who are uncomfortable with removable prostheses and who have little bone availability can now have a confident solution to their problems.  From the implant placement to the final prosthesis only four visits are required for this technique.  Minimal patient maintenance is required which adds to the simplicity of this treatment option.

The Shift from Classic Bone Regeneration to Bi-Phasic Calcium Sulfate
11:40 am - 12 Noon
Presented through a grant by MIS Implant Technologies, Presidential Sponsor

Miguel Stanley, DDS

  • Chairman, White Clinic for Aesthetic Oral Rehabilitation
  • Private practice, exclusively in Aesthetic Oral Rehabilitation, Lisbon, Portugal

Bone augmentation and the bone grafting procedure used prior to implant placement is crucial to successful implant placement and implant stability, and to optimal long-term results following implant placement.  The gold standard in guided bone regeneration has traditionally been the commonly used classic autogenous bone, allograft, and resorbable collagen membrane.  In the last few years, new techniques and materials have emerged using bi-phasic calcium sulfate as bone graft and bone regeneration material, and the use of these materials has been showing promising results.  The use of classic bone regeneration methods as well as the innovative bi-phasic calcium sulfate technique will be presented and compared, and clinical cases will be described for both methods.

New Advances in Implant Design Challenge Convention Wisdom
Noon - 12:20 pm
Presented through a grant from Intra-Lock International, Presidential Sponsor

Robert Miller, MA, DDS

  • Diplomate, American Board of Oral Implantology/Implant Dentistry
  • Fellow, American College of Dentists
  • Chair, Department of Oral Implantology, Atlantic Coast Dental Research Clinic

Intra-Lock® is proud to introduce BLOSSOM™, a new technology in selftapping screw-type dental implant architecture. This engineering breakthrough eliminates the need for conventional flutes and vents that traditionally define self-tapping implants. Implants placed with high torque may lead to compression remodeling of bone, leading to an early decrease in bone-to-implant bonding strength. Clinical studies now demonstrate that lower insertion torque reduces bone microfracture while significantly enhancing bone growth and initial stability of implants. A close-up view of the design features and an understanding of the effect on both hard tissue will enable the participant to more fully comprehend the dynamics that take place during implant placement.

Learning Objectives:

1. Understanding the rationale for BLOSSOM™ design features
2. The biological response to the dynamics of implant insertion
3. Factors influencing implant stability
4. The role of surface technology