Antimicrobial Effect of a Single Dose of Amoxicillin on the Oral Microbiota
Amoxicillin is commonly used in oral surgery for antimicrobial prophylaxis against surgical-site infection and bacteremia because of its effect on oral streptococci. The aim of this study was to determine whether amoxicillin reaches the break-point concentrations in saliva and has any effect on the salivary microbiota, colonizing bacteria on mucosal membranes and on the gingival crevice after a single dose of amoxicillin. A single dose given as prophylaxis to prevent a surgical-site infection results in a significant reducing effect on the oral streptococcal microflora in the gingival crevice and may have an impact on bacteria spreading into tissues and the bacteria of streptococci.

Legal Considerations in the use of Cone Beam Computer Tomography Imaging
Cone beam computed tomography imaging represents a paradigm shift for enhancing diagnosis and treatment planning. Questions regarding cone beam computed tomography’s associated legal responsibility are addressed, including cone beam computed tomography necessity, recognition of pathosis in the scan’s entire volume, adequate training, informed consent and/or refusal and current court status of cone beam computed tomography. Judicious selection and prudent use of cone beam computed tomography technology to protect and promote patient safety and efficacious treatment complies with the standard of care.

Laboratory Technology
Prosthodontic treatment ofthe edentulous cleft palate patient presents the dentist with numerous challenges for achieving a satisfactory result for the patient. A technique is described for prosthodontic rehabilitation of a completely edentulous cleft palate patient using bone augmentation procedures, root-form dental implants, and a removable maxillofacial prosthesis. Dental implants may improve prosthesis retention, stability, and occlusal function when used in carefully selected cases.

Restorative vs. Orthodontic Therapy; Alternative Management and Lab-Dentist Communication
Patients often refuse orthodontic realignment and correction due to the length of treatment required even if it may be the best or most conservative therapy. In same cases, patients will get anxious about having metal or even invisible ceramic braces in their mouth for even a short period of time. On other hand, cosmetic dentistry is able to satisfy the patients with the same needs by using porcelain-veneers as an alternative to orthodontics treatment. This presentation describes a patient who has rejected orthodontic therapy but continues to seek a improved cosmetic result. Porcelain veneers and crowns were an appropriate alternative in this case. Follow-ups of treatment display a successful cosmetic and functional result.

Optimizing Surgical Implant & Augmentation Outcomes Through CBCT Technologies
This presentation will focus on challenging bone deficiencies and how pretreatment and post grafting CBCT evaluations can optimize and evaluate the success of our surgical outcomes. Ideal case planning using CBCT data and 3D software will be shown for large horizontal/vertical bone defects, challenging immediate implant surgeries with provisionalization and grafting of buccal plate deficiencies around teeth.

Dr. Frank Spear on Continuing Education
Dr. Spear discusses continuing education

The Role of Digital Technologies & Materials for Full-Arch Implant Reconstruction
In prosthetic rehabilitations, we used for many years codified and widely described protocols in literature, with results that met our expectations and well above those of our patients. It is true that the advent of new technologies has enabled the dental team to use new material and new equipment that facilitated the production of an adaptation and an accuracy of the prosthetic rehabilitation that has, up to now, been difficult to obtain. In this presentation, we will analyze different cases, highlighting the operational differences that they have developed over time, with the increasing knowledge of the new materials and the daily developing of the new software's. It is also described how traditional materials and techniques have been replaced with other innovative new technologies, and how the results obtained with these are systematic and significantly better in updated generations prior.

Effective Restorative Dentistry Using CO2 Hard Tissue Laser
The CO2 9.3um hard tissue laser has made restorative dentistry more acceptable to patients mainly due to the lack of local anesthesia required for most all restorations. Procedures will be shown on both virgin teeth as well as replacement of previous restorations. What has been most impressive is how the cutting speed can be varied in both enamel and dentin. Also the efficiency as well as the simplicity of operation will be included. Finally, you will see patient responses after the procedures showing the effectiveness of the laser in anesthetizing the teeth being treated.

Managing Technology for Best Outcomes and Productivity
Digital technology provides tools to improve planning, clinical execution, prosthetic design, manufacturing, maintenance, and cost of care. Dental professionals need to understand the value of individual technologies as well as the benefit derived from linking them together. During this presentation, a business model and clinical cases will be used to illustrate how a number of digital technologies can impact outcomes and productivity.