General Session Lectures

Craig Misch DDS, MDS
A Clinical Update in Bone Regeneration: Autogenous Bone vs. BMP-2

For historical and biological reasons autogenous bone has long been considered the gold standard of bone graft materials. For bone augmentation procedures autogenous grafts provided predictable volume gains, favorable bone quality with short healing periods. However, the need to harvest the graft and associated morbidity are inherent disadvantages. The choice of a technique for bone augmentation is dependent on a number of factors including the use of bone substitutes. More recently recombinant human bone morphogenetic protein (rhBMP-2) has been shown to be effective in repairing buccal wall defects from extractions and in sinus bone grafting. The use of rhBMP-2 is currently under clinical investigation as a replacement for autograft in ridge augmentation process.

Learning Objectives:

• Understand the biologic attributes of autogenous bone and rhBMP-2
• Understand the advantages and disadvantages of using autogenous bone
• To present clinical cases using autogenous bone and rhBMP-2 and provide guidelines for their use

Edward McLaren DDS, MDC
The Single Anterior Crown and Minimalistic Veneers

Still in 2013 the single anterior tooth and minimal and no-preparation veneers remain a challenge for both dentist and ceramist. There are many clinical and laboratory variables that need to be planned and dealt with to be successful esthetically, biologically and mechanically. This presentation will cover the clinical and laboratory techniques for the single anterior restoration and minimalistic veneering of anterior natural teeth (called the “Mini”).

• Preparation guidelines
• Material selection
• Adhesion, cementation and finishing
• MLayering concepts and color control for anterior teeth
• Minimalistic layering techniques for minimal and no-prep veneers

Christian Coachman DDS, CDT
Improving the Dentist/Technician Communication for optimum Smile Design and Ceramic Restorations

As modern dentists and dental technicians we need to keep abreast of the latest developments in dentistry and incorporate new techniques and materials into our armamentarium on an ongoing basis. Moreover, it is essential that all the team members participate proactively in the treatment planning process in order to ensure the best possible result for the benefit of the patient. Consequently, consistent interaction among the members of the dental team is required. Technicians should have a basic understanding of clinical procedures and the development of target-oriented communication protocols are essential prerequisites for a smooth workflow and the provision of high-quality service. Dentists should be aware that crucial treatment steps such as the diagnostic wax-up, the fabrication of the mock-up, shade selection, material selection, prep design, and the fabrication of temporary restorations, etc. can be greatly improved by taking into account the technician’s perspective.

Marcus Abboud DDS
CBCT / CadCam Restorative Technologies in Clinical Dentistry

This lecture will provide you with the background information on the rapidly changing digital dental technologies that allow you to make enlightened decision on what to use and how to gain the greatest benefit when incorporated into your practice. Recent advances such as three-dimensional dental radiography with cone-beam computed tomography (CBCT), virtual dental implant planning, clinical execution with guided surgery and new computer-aided design/computer-aided manufacturing (CAD/CAM) technology for the implant abutment and restoration all play a role in the success of modern implant dentistry. While the benefits of CBCT scans for treatment planning and fabrication of surgical guides is well understood, this lecture will also illuminate and clarify the inherent potential problems found in some imaging data. The digital work flow for guided surgery and CAD/CAM offers new approaches to the way dentists can practice implant dentistry. CAD-CAM has already begun to revolutionize the world of medical and dental implants by allowing practitioners to offer custom-made solutions to suit individual patient needs. Combined with guided surgery it is now possible to transfer the virtual implant position to the real patient, which is opening up new restorative options, particularly for implant prosthetics. The benefits of this approach are reduced complications, more predictable results and increased confidence of the surgeon. Learning Objectives: - Understand the accuracy of CBCT - Advantages and limitations of CAD/CAM technology - Recognize the advantages and disadvantages of guided surgery

Howard Gluckman BDS, MChD
Modern Bone Augmentation Techniques: An Alternative Donor Site

In this lecture, Dr. Glickman will give the participants an alternative bone block harvesting site that is in the same area as the anterior maxillary teeth, eliminating the need for a second site surgery. This also provides a site that is painless and easily accesible therefore allowing the patients to have the gold standard of bone grafting rather than settling for treatment options with a more more variable outcome.

Eduardo Anitua MD, DDS, PhD
Regenerative Dental and Facial Rejuvenation: The Essential Role of Growth Factors

The potential of plasma rich in growth factors is well-documented in different medical fields to improve tissue regeneration and to minimize pain, inflammation and morbidity resulted from a surgical intervention. In this presentation we will discuss the potential of this endogenous therapy in the treatment of post-extraction socket and in the field of facial rejuvenation of the peri-oral region.

Learning Objectives:

• Discuss novel treatment protocol for post-extraction socket management as well as presenting a new horizon in the aesthetic treatment of the peri-oral area.

Edward P. Allen DDS, PhD
Maximizing Esthetics with Minimally Invasive Surgery Around Implants

Soft tissue deficiencies around implants impact esthetics and often lead to escalating problems. Early recognition and intervention with minimally invasive soft tissue surgery reduces the risk of undesirable sequellae associated with conventional surgical approaches around implants. The application of a minimally invasive soft tissue grafting method will be shown for treatment of soft tissue problems around implants and the indications for use of this technique will be outlined.

Learning Objectives:

• Detail special problems encountered when correcting problems at implant sites
• List the indications for MIS around implants
• Describe the MIS technique for soft tissue grafting around implants

Dean Vafiadis DDS
Digital Restorative Technologies, Implants, Aesthetics and Occlusion

CAD/CAM technology has the advantage of reduced clinical chair-time and reduced laboratory costs. The accuracy of these techniques has improved to the point where they are now comparable to conventional techniques. This presentation will review the current technology which allows the fabrication of an implant abutments through streamlined digital fabrication, that maximizes aesthetics and minimizes time and errors. In addition, this impression does not require the removal of the healing abutment. The fabrication of ceramic full coverage restorations and veneers, with an in-office technique, will also be demonstrated. Occlusion principles will be discussed as they relate to new materials and their application in private practice.

At the conclusion of this lecture the participant will understand the advantages and disadvantages of:

• Cad/Cam Restoration, Anterior and Posterior areas
• Ceramic full coverage for teeth and implants
• Occlusion principles with all ceramic restorations and implants
• Implant abutment fabrication without a fixture level impression
• Complete CAD/CAM Veneers and Anterior implant crowns

Jay Lerner DDS
Management of Occlusion and Vertical Dimension in Esthetic Restorative Dentistry

Beautiful, functional anterior and posterior treatment is both an art and a science. This lecture introduces a philosophy of practice that provides exceptional dental care through a comprehensive functional and aesthetic approach

The role of Occlusion and Function:

• Concepts of occlusion and centric relation
• Methods of finding centric relation
• Importance of Anterior guidance
• Understanding the envelope of function
• Concepts of Vertical dimension

Myron Nevins DDS
TEETH 2013: When to Save and When to Extract and When to Regenerate

The treatment of periodontally compromised patients has been significantly altered by the availability of predictable implant dentistry.Where in the past, a compromised tooth with advanced bone loss and/or furcation invasion might have been retained, the high success rate of osseointegrated implants challenges the clinical decision. Should the tooth be saved with periodontal regeneration or be replaced with an implant?

Conversely, new biomimetic mediators have enhanced the predictability of regenerative outcomes and encourage endeavors to maintain the natural dentition. This lecture will address the clinical decision that occurs in every practice: save the tooth or place an implant.

Suheil M. Boutros, DDS, MS
Trabecular Metal™ Technology from Orthopedics to Dental Implantology

While the tapered implant design provides good primary stability, the trabecular metal structure will have the potential for faster secondary stability through bone on-growth and in-growth which will have great potential for immediate loading.

Learning objectives:

• Understand the structure of the trabecular metal material and discuss the opportunities provided for the healing protocols
• Demonstrate the immediate non-functional loading with provisional restorations at the time of placement and definitive loading with occluding restorations 7 to 14 days from the date of placement in various clinical situations
• Review the successful results of several human clinical cases

Arnold Rosen, DDS, MBA
Managing Technology for Best Outcomes and Productivity

Technology today can be leveraged to improve planning, surgical and prosthetic execution, prosthetic design and manufacturing, follow up, and cost of care. Technologies in dentistry are often presented in a vacuum without dealing with critical issues such as investment decisions, integration, and effective workflow.

Effective management requires an understanding of individual technologies, the value they provide to each phase of treatment, and the links that occur through the chain of events. This presentation will use the value chain in dentistry as a model to understand the impact that technology can bring to each phase of treatment and the importance of vertical integration in providing simplicity and predictability to implant clinical practice. This presentation will also eliminate the neatness factor of technologies and will demonstrate how technology and project management can be used for superior outcomes.

Henry Salama D.M.D & Andrea Mastrorosa Agnini DDS & Alessandro Agnini, DMD
Optimizing Implant Esthetics and Treatment Flow: Pre-Machined and Digital Solutions

Predictable esthetics in implant therapy requires a synergistic utilization of diagnostic, surgical and restorative modalities. This presentation will offer a versatile and integrated work flow that takes the clinician from diagnosis and treatment design through temporization, laboratory support and final insertion. Both pre-machined as well as digital CAD/CAM restorative options will be demonstrated with an emphasis on achieving reproducible successful results.

Lewis C. Cummings, DDS, MS
Treating the Edentulous Patient

The use of multi-unit abutments to create screw-retained prosthesis has become increasingly popular in recent years. This course will discuss the advantages of this treatment modality along with potential for immediate load when the case permits.

Mike M. Chen, DMD
The New Innovative Solution for Internal Sinus Lift

The perfect solution for the internal sinus lift! HIOSSEN’s Crestal Approach Sinus Kit has been specifically designed for a safe and effective crestal approach to lift the membrane in the maxillary sinus. The advantage of the CAS-KIT is its unique drill design. The cutting-edges form a conical bone lid and the additionally formed bone chips lift up the membrane automatically. The atraumatic design of the drills enables a membrane elevation in the flat, incline and septum sinus floor. The unique stopper system prevents an over-drilling into the sinus floor. The hydraulic lifter is used to lift up the membrane safely and the bone graft material is being filled into the cavity with the Bonecarrier.

Dennis Tarnow DDS
Immediate vs. Delayed Socket Placement: What We Know, What We Think We know and What We Don’t Know

Immediate placement of implants into extraction sockets is an exciting treatment alternative for our patients. However, there are many potential short and particularly long-term risks that the practitioner must be fully aware of. This presentation will focus on the potential problems and benefits both clinically and biologically when the choice of immediate socket placement is made for single and multiple sites.

Learning Objectives:

• Identify what type of healing takes place against the implant in immediate socket placement
• Know how to minimize recession with immediate provisionalization
• Know the proper crown contour for immediate provisionals
• Know if the gap distance really matters
• Know if primary closure should be attempted or should it be left open?
• Know if membranes should be utilized
• Know what type of graft material, if any, should be utilized
• Identify what are the potential short and long term risks involved with immediate placement of implants

Stephen Chu DMD, MSD, CDT
The Relevance of Tissue Form, Color, and Thickness on Anterior Implant Esthetics

Implant dentistry is continuously evolving offering new and more predictable forms of therapy with minimally invasive protocols. Innovative techniques now allow for better aesthetics and greater patient comfort. However, these new techniques and therapies continue to raise questions and concerns regarding the risk and rewards of each. Specifically, controversial issues regarding esthetic outcomes related to immediate single anterior tooth implant replacement and immediate provisional restoration will be presented. This lecture will address current concepts, research, and innovations in immediate implant placement and how they can enhance treatment procedures, time, and clinical outcomes for greater patient care and satisfaction.

Learning Objectives:

• Impact of provisional restoration and/or bone grafting on peri-implant soft tissue thickness
• The interrelationship between soft tissue thickness and gingival color/discoloration

Aldo Leopardi BDS, DDS, MS
Treatment of the Fully Edentulous Patient: Prosthetic Implant Solutions

Restoration of the completely edentulous patient with dental implant therapy is a rewarding treatment modality for the patient and dentist. In order to accomplish consistent and predictable treatment outcomes, an understanding of the fundamental principles of implant biomechanics, prosthetic, surgical and treatment planning considerations is required. Dr. Aldo Leopardi’s objective is to bring all of these factors into perspective, through an understanding of the current literature and how to apply it to clinical practice. Discussion will include, but not be limited to:

• Review of treatment planning for the overdenture patient
• To understand the biomechanical principles in Prosthetic Design: stress broken verses rigid design concepts
• Discussion of fixed implant restorative solutions for the completely edentulous patient

George Duello DDS, MS
The “All on Four" Approach to Implant Dentistry

New surgical and prosthetic protocols may allow the patient and clinical teams with innovative techniques that have been studied using evidence based protocols in private practice. This program is design to help the clinical team understand one of the popular protocols, the All-On-Four Procedure. The presenter of this program will guide the attendees through the pre-treatment planning, surgical, prosthetic, and laboratory procedures. Special emphasis will be given to various biomaterials that can be used for the final fixed prosthesis for patient receiving four implants.

Learning Objectives:

• To provide the attendees with an evidence based approach to edentulous patients
• To demonstrate the principles of immediate loading utilizing non-grafted solutions for the clinical team utilizing principles of bioengineering
• To present the rationale for the use of various prosthetic biomaterials in the delivery of a fixed prosthesis for the dental patient

Michael Pikos DDS
Alveolar Ridge Regenerative Strategies: Clinical Application of Autogenous, Allogeneic and Xenograft Substrates with Bioactive Modifiers and Mesh

This clinical based presentation will feature a CBCT based sequential diagnostic protocol including the latest hard and soft tissue grafting techniques for single tooth to full arch implant reconstruction. The use of autogenous, allograft, and xenograft substrates along with resorbable and nonresorbable mesh will be covered. Foundational tissue engineering principles will be covered and will include the use of PRGF, rhPDGF, and rhBMP-2/ACS.

Barry S. Goldenberg, D.M.D., M.S.
Abutment Selection and Tissue Modeling in Implant Dentistry

Dr. Barry Goldenberg outlines the unique role that the implant abutment/connection complex plays in peri-implant tissue stability. Specifically, how the interactions of the various components in this complex, and their relationship to each other, influence the shape, color and contour of the critical soft tissue around implants in the esthetic zone. In addition, stock and custom abutments are compared relative to their respective benefits.

Young-Ku Heo, DDS, CAGS, MSD, PhD
ANYTIME Immediate Loading Utilizing a Minimally Invasive Approach in Posterior Maxilla

This lecture will highlight a modified approach to the management of the posterior maxilla using a minimally invasive approach to sinus lift and augmentation. It will also focus on a modified implant placement protocol for obtaining and maintaining the ideal primary and secondary stability for immediate loading in the maxillary unilateral posterior area. The long term clinical results of the over 97% success rate for that protocol will be shown.

In this lecture, new guidelines and factors for the successful anytime loading in the unilateral posterior maxilla will be discussed.

Joseph Choukroun MD
Growth Factor Mediated Regenerative Therapies

In this very technical and scientific presentation, Dr. Joseph Choukroun, a physician and researcher from France, describes the benefits of Platelet Rich Fibrin (PRF) in wound healing. He emphasizes the effect of PRF on the two essential factors of wound healing which are new vessels and cells in surgical sites like extraction sockets, sinus augmentation and more.

Brian LeSage DDS, FAACD
COMPOSITES in the 3D World:Ease, Strength and Beauty

Composite is the most versatile cosmetic restorative material we have in a comprehensive, esthetic minimally invasive dental practice. It is easily sculptable to gain the proper contour, has great strength were clinically indicated and can attain the appropriate color, luster and polish for a beautifully seamless restoration. Revisit skills in direct composite restorations such as layering with the aid of a matrix, which allows for a more ideal 3D undetectable restoration. Custom characterization and finishing and polishing will also be included.

Cerec and its advanced technology has opened a whole new window to explore in the 3D world. A new completely innovative concept of 3D indirect composite restorations will be shared. Using Cerec technology to scan, design and mill a core is the starting point. Then using many of the composite skill of the direct world and one is able to attain the 3 C's of composite-- ideal color, contour and creativity. Join me as I explore the 3D world of composites.

Homa Zadeh, DDS, PhD
Transitioning of Teeth to Implants: Risk Assessment for Successful Outcome

In the transitioning of teeth to implants, a number of critical risk factors have to be assessed. Dozens of decisions have to be made by clinicians based on consideration of factors, including: esthetic requirements, morphology of extraction socket, biotype of peri-implant soft tissues, implant macro design, implant length and diameter, implant surface texture, management of the horizontal gap between socket and implant, provisionalization and loading protocol. Some of these decisions are guided by scientific evidence, while many of the decisions are typically based on empirical guidelines set by individual opinions. This presentation will provide a rationale and outline a predictable protocol for replacement of teeth with implants.

Upon completion of the lecture, attendees should be able to:

• Outline risk assessment for tooth replacement in the esthetic zone
• Protocol for implant placement and provisionalization into extraction sockets
• Management of extraction sockets for delayed implant placement
• Management of sites with thin biotype

Rodrigo Neiva, D.D.S., M.S.
The Science and Technology Supporting Graft Material Selection

A wide variety of grafting materials is currently available. Understanding the right indications and the possible limitations of certain materials can be challenging. The main objective of this course is to provide guidelines for selection of the adequate materials to be used for specific indications in order to maximize treatment predictability.

Learning Objectives:

• To understand the unique properties of specific grafting materials
• To familiarize yourself with the different methods used to process materials
• To recognize when combining materials may be beneficial

John C. Minichetti, DMS
Utilizing Preshaped Collagen Membranes to Treat Ridge Deficiencies

Clinicians often encounter implant surgical sites with insufficient horizontal and/ or vertical dimension. This program is designed for the moderate/advanced level implant dentist wishing to learn about newer innovations and techniques in ridge augmentation containment. During the course, participants will learn the diagnosis of edentulous area deficiencies, review standard augmentation choices and be introduced to newer augmentation materials and techniques, including the CurV (R) pre-shaped membrane.

Learning Objectives:

• Understand how to diagnosis ridge deficiencies
• Review choices for ridge augmentation
• Learn about newer augmentation materials
• Learn techniques on how to utilize pre shaped collagen membranes in ridge augmentation including the CurV (R)

Raed Kasem, DDS, MS, FACD, FICD
CBCT as a Valuable Tool in Endodontic Therapy

Use of CBCT scan has proven to be of a great value in improving endodontic treatment outcome. It allows for accurate and effective diagnosis and treatment planning by detecting periradicular pathology, root resorption, bone loss and anatomical anomalies. Details of the dental anatomy such as location, number, curvature & shape of the root canal system could be easily identified with CBCT technology aiding in a more successful and predictable endodontic treatment outcome.

Learning Objectives:

• Understand the advantages of using CBCT scan for preoperative assessment and diagnosis in Endodontics
• Appreciate how CBCT scan could help develop a more effective treatment planning such as surgical vs. non surgical endodontic retreatment
• Understand the value of using CBCT scan as a superior technology over traditional periapical films in detecting small lesions

Michael Pikos DDS
Cone Beam CT: The Value of Pre and Post Graft Scanning for Implant Reconstruction

The loss of alveolar ridge compromises both esthetics and function and creates a myriad of surgical and prosthetic challenges for the implant team. This clinically based presentation will feature the advantages of utilizing CBCT technology for both pre and post bone graft reconstruction. It will draw on the author’s eight year experience utilizing this CBCT surgical protocol.

Learning Objectives:

• Understand the advantages of using CBCT technology for pre bone graft reconstruction
• Understand the advantages of using CBCT technology for post bone graft reconstruction
• Appreciate the importance of reduced surgical morbidity secondary to utilizing CBCT technology for post bone graft reconstruction

Curry Leavitt, DMD, MS
Restoring Esthetics with Narrow Diameter Implants

Congenitally missing teeth remain one of the most difficult areas to treat in the esthetic zone. Learn about the latest techniques and tools to create natural, highly esthetic restorations for your patients.

Barry Zweig, DDS
Challenges and Solutions of Lateral Approach Sinus Augmentation

The maxillary posterior edentulous area presents a challenging condition for dental implant placement. Alveolar bone resorption and increased pneumatization of the maxillary sinus decrease the amount of bone necessary to place the appropriate number of implants to construct and maintain an implant-supported prosthesis. This problem can be overcome by grafting the maxillary sinus floor which provides the required quantity and quality of bone for the placement of dental implants. The purpose of this lecture is to review the indications for sinus grafting and the various grafting modalities available. Different procedures, as well as, a step-by-step approach using innovative instrumentation will be presented. In addition a discussion of potential complications and how to avoid them will be addressed.