Treating the Medically Complex Patient
LOD-069-00
Dr. Adi Garfunkel
• What is the dental-medical approach to the hypertensive patient?<br> • Could we treat patients with medication induced bleeding tendency?<br> • The use of adrenalin in local anesthesia constitutes at times a contradictory subject. How do we deal with this question?<br>
Integrating 'Esthetic' Dentistry and Prosthodontics
LOD-068-00
Dr. Kenneth A. Malament
Dentistry that is esthetic to the patient is an important clinical objective. The knowledge within dental technology, dental science and dental practice has dramatically expanded leading to better quality; artistry and more standards based clinical applications. Ceramics are the most consistently predictable esthetic dental material. Today dentists can offer more treatment options for patients complex problems. Metal-ceramics continue to be the state of the art and profoundly affect prosthodontic care and the future. <br><br>Understanding methods to manage simple and complex restorative issues are critical to improving patient acceptance and even long term ceramic success. Methods to integrate the efforts of laboratory technologists and managing occlusion and patients desires can have a profound impact in the practice of dentistry.<br><br>All-ceramic materials were developed to improve ceramic color and marginal fit. Until recently few research reports attempted to study their long term use or factors that relate to their performance without modeling the data. All-ceramic crowns on molars have yet to reach their full potential. Despite substantial improvements in material strength and toughness, they still fail at relatively high rates. Ultimately crown performance is a complex set of interactions between crown material and geometry, the characteristics of the support structure of the cement and crown, and the clinical loading history.<br><br>This presentation will provide a comprehensive look at failure modes and effects in bilayer all-ceramic crown-cement-tooth systems, tying together the influences on resistance to fracture initiation and propagation of ceramic material properties and thickness; crown/tooth geometry; cement modulus and layer thickness; damage induced by shaping, fabrication, clinical adjustments, and sandblasting; and fatigue in the wet intraoral environment. Some counter-intuitive findings will be addressed including changes in fracture behavior with different geometry and the influence of the compliant cement layer beneath stiff cores. Original research will be presented that studied the clinical behavior of over three thousand all-ceramic restorations. Life history and fracture rates were studied over twenty years in relationship to factors that might affect success. Factors such as tooth position, preparation, luting procedures and gender are significant to long term ceramic success.<br><br>Dental implants have become an integral part of dental practice today. Maintaining predictability and high success rates impose great challenges to the dental team. Edentulous ridge defects constitute a major problem. In the past long teeth have been placed into defects to take up vertical space. Gingival and tooth symmetry and the esthetic results were often compromised. Today these conditions as well as the lack of bone can be augmented surgically with soft and hard tissue grafting. This may not always produce a long-term predictable result. Prosthetic techniques will be discussed utilizing newly developed ceramic gingival material and design for fixed prosthodontics.
Minimally Invasive Soft Tissue Augmentation
LOD-067-00
Dr. Homa H. Zadeh
A variety of techniques have been described for augmentation of soft tissue around teeth with varying donor material and access. Recently, tunnel technique has been used for minimally invasive assess to sites being augmented. This presentation will describe a novel access for soft tissue augmentation and root coverage. Moreover, application of autogenous tissue, as well as growth factors will be discussed. Minimally invasive soft tissue augmentation may also be applied for modification of thin biotypes around dental implants. The techniques described will be illustrated with clinical cases.
All Ceramic Restorations - Achieving Esthetic Excellence
LOD-066-00
Dr. Mauro Fradeani
All Ceramic Restorations - Achieving Esthetic Excellence
Clinical Solutions with Immediate Function
LOD-065-00
Dr. Michael Danesh-Meyer
Overview of current concepts relating to immediate implant placement and immediate loading of dental implants for single tooth, partially edentulous and fully edentulous cases.
Tissue Engineering for Hard and Soft Tissue Regeneration - Clinical and Applied Results
LOD-064-00
Dr. E. Todd Scheyer
The promising field of periodontal tissue engineering, barely a decade old, is likely to revolutionize Periodontics. Cell based man-made skin, the first commercial product of tissue engineering, is already on the market and other variations will soon join it. Recombinant technology has provided us the first fully synthetic powerful growth factor available in periodontics with r-PDGF-BB which has been critically evaluated in all areas of periodontal research. This course will provide an overview of biologically based and live cell based tissue substitutes. Results from human and animal studies using biomimetics and tissue engineering to facilitate root coverage and bone formation will be discussed and human histology will be reviewed. Expanded clinical applications of growth factor influenced wound healing in tissue regeneration will also be presented.
Current trends in Aesthetic Periodontology
LOD-063-00
Dr. Andre Saadoun
Nowadays, the goal of periodontal plastic muccogingival procedure is to perform surgery as atraumatically as possible at the recipient and donor site. Recently, as an alternative to autogeneous gingival graft in root coverage procedures, Enamel Matrix Derivative and acellular dermal matrix allograft were utilized to correct this gingival defect, negating the requirement for a second surgical site.
Bone Augmentation for Implant Placement (JAPANESE LANGUAGE ONLY)
LOD-061-00j
Dr. Toshiro Sugai
Esthetic Dentistry - 2 Layer Composite Restorations (JAPANESE LANGUAGE ONLY)
Esthetic Dentistry - 2 Layer Composite Restorations (JAPANESE LANGUAGE ONLY)
LOD-060-00j
Dr. Didier Dietschi
Esthetic Dentistry - 2 Layer Composite Restorations (JAPANESE LANGUAGE ONLY)
YSGG Laser Precision in Periodontal Plastic Surgery
LOD-059-00
Dr. Bobby Butler
Lasers have been used in dentistry for many years. Mostly they have been used with soft tissue procedures. Recently the Er,Cr:YSGG laser has been shown to be safe and effective in osseous procedures. Many cosmetic dentists have been using lasers for esthetic crown lengthening procedures, but most of these cases are simple gingivectomies and not true crown lengthening procedures. Complications can occur without understanding the biologic width and different periodontal biotypes. This presentation will discuss current and future applications with the Er, Cr: YSGG laser with periodontal surgical procedures. The focus will be its use in closed and open esthetic crown lenghtening procedures. Discussion with case selection and osseous biotypes with be stressed. Other applications involving osseous augmentation procedures, harvesting osseous blocks, ridge splitting and lateral sinus wall procedures, will also be briefly discussed.