In this workshop style course the basic science, research and clinical aspects of BMP-2 ACS (Infuse from Medtronics) will be thoroughly reviewed. The clinical applications of BMP-2 will be described in detail and clinical examples will be displayed with a focus on surgical design and management of the material. Space Management, selection of particulate bone to mix with the BMP-2 and ACS materials as well as the role of Titanium Mesh will be reviewed. Success rates and management of complications as well as how this technique compares to conventional protocols will also be addressed followed by a demonstration of the materials by the instructor.
Soft tissue deficiencies around teeth and implants impact esthetics and lead to escalating problems. This workshop includes lecture, video surgery, and hands-on exercises to teach the tunneling technique using AlloDerm for soft tissue grafting around teeth and implants.The following topics will be covered:
Learn how to reconstruct vertical and horizontal bone deficiencies efficiently utilizing mineralized bone with or without rh-BMP2. Dr. Cummings will explain and demonstrate how space maintenance around these materials can be accomplished predictably with a rigid resorbable pin and barrier system that is applied with ultrasonic energy. Critical soft tissue management strategies for healing and aesthetic success will be discussed allowing the user a complete strategy for challenging bone augmentation cases.Learning Objectives:
This program will provide solutions that address some of the most common clinical challenges facing practitioners today, including how to manage residual cement retained at the restorative finish line and how to correct misaligned implant fixtures easily and simply. Course participants will learn specific techniques such as fixture level impression making procedures that capture the patient's unique soft tissue contours. They will learn to fabricate CAD/CAM patient specific abutments for the same patient resulting in optimal esthetics of the definitive restoration.
The format of this course will be a combination of clinical case presentations interspersed with hands-on modules providing a level of comfort for clinical integration of new techniques into their practices.Learning Objectives:
Attendees will learn many alternative surgical approaches to horizontal ridge augmentation. Many innovative lateral bone grafting techniques will be presented and discussed along with their advantages and disadvantages. Mandibular ridge splitting has been a clinical challenge due to high density of cortical bone. Therefore, some clinicians recommend a two stage approach to overcome this issue. We will also present a unique ridge splitting technique that is easy to do and predictable using one stage approach.Learning Objectives:
Optimal esthetics and functional outcome of implants requires careful planning, proper 3D positioning of implants, as well as management of peri-implant soft tissues and alveolar socket walls. It is now clear that the presence of a stable zone of attached mucosa is not only important for optimal esthetics, but also can prevent the development of pre-implantitis. This workshop will provide a predictable protocol for placement of implants into extraction sockets, as well as management of peri-implant hard and soft tissues. A novel technique named “vestibular incision subperiosteal tunnel access” (VISTA) will be introduced, which can be used for augmentation of soft tissues around implants, as well as for correction of soft tissue complications.Topics Covered:
The proper space management, contour, surface texture, and polish can take average looking restorations and create an exceptional esthetic result. These steps are critical to the success of dental restorations weather it is composite or porcelain
This is a lecture and hands on course that uses composite as a medium to design, form, contour, finish and polish anterior teeth. The lecture part of the course will cover the step-by-step process of managing the design of 6 anterior teeth for a specific maxillary arch relationship. Specific guidelines for esthetic tooth arrangement both in size and position are the key elements taught during this course. Micro-esthetic elements of surface texture and polish will be covered in a very systematic easily learnable format.
The demonstration and hands on part of the course will be taking 4 maxillary incisors that have been built up prior to the course as 4 oversized blocks of composite and specifically determining the correct esthetic parameters of midline, tooth length and width, inter-tooth width relationships. Once these parameters have been determined the step-by-step process of creating these macro-dental esthetic relationships will be demonstrated and participants will do the same. Micro-esthetic parameters of form, contour, surface texture, and polished will gone over in great detail and participants will accomplish all these important skills.Topics Covered:
Implant insertion in the reabsorbed maxilla is a challenging procedure. Progressive resorption of both horizontal and vertical bone increases the cavity while reducing the thickness of the maxillary sinus floor. These limitations may hamper implant installation and negatively affect successful osseointegration and stability of dental implants. The present conference highlights some of the emerging surgical procedures that may address these limitations including sinus elevation, ridge expansion, split, vertical growth and the use of short and extra-short implants. All these approaches share the use of plasma rich in growth factors (PRGF-Endoret) technology.Course Objectives:
To become a real Smile Designer we need more than just dental technical skills, scientific background and good materials. An efficient Smile Designer can visualize the esthetic issues with artistic eyes, can integrate the smile with the patient’s face and character, can link all the specialties to develop the ideal plan for the patient, can test drive this plan and make all necessary esthetic adjustments, and most of all can communicate with the patient on a completely different level, educating and motivating them to manage their expectations and increasing the case acceptance.
The goal of the DSD Concept is to enable this process in a very realistic and feasible way transforming the dentist into a better and successful case manager.Course Objectives:
This hands-on presentation, utilizing pig jaws, will focus on ridge augmentation techniques, regenerative solutions and implant placement. Participants will be able to utilize some of the newest and most innovative regenerative materials and techniques while enhancing their abilities with horizontal and vertical ridge augmentation. In addition, placement of the new Zimmer Trabecular Metal Implant and its advantages will also be outlined.Course Objectives:
The maxillary posterior ridge presents challenges for the implant surgeon due to proximity of the sinus floor. Anatomical evaluation has shown that pneumatization of the maxillary sinus takes places following loss of posterior teeth with expansion occurring at the expense of the residual alveolar ridge. In an effort to avoid violation of the maxillary sinus space while maintaining integrity of the Schneiderian membrane, several approaches have been developed and refined in the past three decades to facilitate implant placement procedures.
This presentation will focus on the current minimally-invasive lateral and crestal sinus floor elevation techniques with sub-antral bone augmentation for both immediate and delayed implant placement. A reference to implant systems that may be used simultaneously in immediate extraction and sinus lift protocols will also be discussed.Course Objectives:
The fully edentulous or future fully edentulous patient present challenges to our treatment approaches. Should we restore that patient with a removable or fixed restoration? How many implants are necessary for each type of treatment? Is immediate provisionalization a consideration? Each treatment option requires a thoughtful approach and consideration based on the patient’s anatomy, desires, need for stability, and finances.
This presentation and workshop will provide an experience for planning and executing implant therapy for the fully edentulous patient. The restorative options will include the implant-assisted overdenture, implant-supported overdenture, and screw-retained full arch restorations on four or more implants.
The workshop will start with the duplication of a patient’s complete denture to be used as a radiographic template, custom impression tray, custom occlusal record base, and template for the final restoration. A demonstration of the use of a computer guided implant planning software will illustrate how CBCT technology is used to determine the appropriate treatment option, implant location, implant angulation, and restorative design.
Participants will plan and work through the design and restorative procedures for the implant-supported overdenture and screw-retained full arch screw retained fixed bridge on four implants. Participants will also be provided with tools to evaluate the cost of treatment and appropriated fee.At the conclusion of this program participants should have an understanding of:
The diagnostic and surgical phases of implant surgery. Traditional methods of accessing a candidate for implant therapy are well established in the dental literature. These methods include examinations, radiographs, and photographs with supplemental subjective information from patients. All patients have personal challenges that influence their ability to have implant therapy.
Digital dentistry has changed the game. The advent of conebeam CT technology coupled with dicom data files have allowed the clinician the opportunity to explore minimally invasive implant therapy for the surgical and prosthetic phases of therapy. Computer aided manufacturing in the laboratory has presented the dentist and dental technician with many viable prescriptions for the final prosthetic outcome for the dental implant patient.Evidence-based dentistry - These methodologies are universal and this international language allows for researchers and clinicians to share scientific data, results, and conclusions. Evidence based dentistry (EBD)is comprised of the clinical research, clinician's experience and the patients value.
Michael Peleg, DMD SOLD OUT!
Innovative Approach to Immediate Implant Placement in Fresh Extraction Sites and the Utilization of Bone Compression Technique for Bone Enhancement, Preservation, and Closed Sinus Lift: Biologic and Clinical Considerations to Achieve Maximum Success
The use of endosseous dental implants to rehabilitate both fully and partially edentulous patients is a predictable procedure and has been thoroughly documented in peer reviewed literature for the past 25 years. Cumulative success rates for the treatment of partial edentulism with dental implants have been reported at 96% in delayed or late-placement sites. Recently, significant attention has been given to the placement of implants in fresh extraction sites.
Immediate implant placement can prevent specific drawbacks common to delayed implant placement including bone resorption, the need for multiple surgical procedures, increased treatment time, and unsatisfactory esthetics. This presentation review the results of more than 500 implants immediately placed into fresh extraction sites and highlights specific guidelines utilized to assure success of the procedure.
In addition, for horizontal and vertical (closed sinus lift) alveolar bone deficiencies, the MIS bone compression kit can be utilized. This kit is a combination of handheld screw-type osteotomes, which expands the width of the alveolus while providing circumferential bone compression, creating an ideal recipient site for the dental implant and aiding in better initial stability.
This lecture will explore the fundamental principles needed to be followed in performing a successful immediate implant placement in fresh extraction sites, bone preservation and predictable closed sinus lift procedure with simultaneous implants placement.Objectives
Minimally invasive dentistry and composite restorations are the most conservative, least invasive and predictable restoration of the dentition to normal form and function. In this workshop, each clinician will fabricate an entire natural tooth from dental composite restorative materials. This exercise helps with emulating the CEJ, dentinal loves, polychromicity, incisal halo, and incisal edge effects. A second exercise will aid in creating a seamless, undetectable Cl-IV composite restoration.Objectives:
This hands-on course will highlight 2 of the most critical techniques in Implant Dentistry, GBR and Sinus Augmentation. Through the use of specific models, two extremely safe, effective and simple tools will be displayed that allow the clinician a predictable approach through modern technologies. Neurosurgical drills and moldable Titanium mesh will be utilized to highlight the effectiveness of these technologies. Additionally, creative Implant and Abutment screw removal, a common problem in implant dentistry, will also be addressed as part of this hands-on program.
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.
The communication between ceramist and dentist is the easiest link to aesthetic failures and success. In order to achieve the best possible result, a clear vision between both person’s is necessary. Traditionally, diagnostic wax-ups and detailed lab scripts have been utilized, which we have found lacks aesthetic accuracy. In this course, we will go over alternative methods of communication to ensure success. Working off of facial landmarks rather than landmarks of the just the smile help the practioner and ceramist be more conservative and create smiles that truly “dissappear” when placed into the mouth. We will talk about how to utilize provisionals as our form of communication and how to create them chairside. Discussions of addition veneers and communicated vertical dimension will also be touched upon.
The maxillary posterior edentulous region presents a challenging condition for dental implant placement. Alveolar bone resorbtion and increased pneumatization of the sinus cavity reduce the amount of alveolar bone necessary to maintain a predictable implant-supported prosthesis. This problem can be overcome by grafting the maxillary sinus floor which provides a sufficient quantity of bone for the placement of endosteal dental implants to support a prosthetic reconstruction.
Generally, dental implant placement associated with a sinus floor augmentation, can be performed in one or two surgical stages, depending on the residual alveolar bone height. A minimum of 4-5 mm is recommended for a one-stage surgical procedure (simultaneous implant placement). Improved initial implant stability provided by new surgical techniques and roughened implant surfaces have led some clinicians to advocate extending this treatment option to patients with <3mm of residual bone height reporting long-term data on the survival of such implants. It has been reported that sinus floor augmentation with simultaneous implant placement can be performed in case of 1-2mm of residual alveolar bone height with predictable results with a follow up of more than 10 years.
The purpose of this course is to give the theoretical background for being these kinds of procedures as well as the step-by-step surgical guidelines using state of the art grafting materials, instrumentation and utilization of growth factors. Special emphasis will be given on complications and failures associated with sinus augmentation together with ways to avoid them both pre and post operatively.
The provisional restoration phase of implant therapy has become one of the most critical steps in immediate fresh socket implants or delayed implant placement with immediate provisional restoration. Learn innovative techniques for immediate temporatization from a world-renowned periodontal prosthodontist through a combination of didactic and hands-on education.Course Objectives: