A New Common Sense Approach to Full Mouth Rehabilitation Using Direct Composite and Limited Implants

LOD-185-00

Dr. Jose Luis Ruiz

<div style="text-align: justify;">All of us have patients who have destroyed their teeth usually due to occlusal disease...patients who have missing teeth.  And, unfortunately, many of these patients do not have the funds to pay for a full mouth rehabilitation.  And, even if they did, we do not believe that the full-mouth rehabilitations are ideal anymore.<br /> <br /> We see journal articles showing patients who have virgin teeth, and in the end they are treated with a full mouth of crowns.  We know from experience in our practices that these patients do not do very well: The margins below the gums cause our patients to have unhealthy gums; and, then when they have caries below the gums, trying to treat this becomes a nightmare.  That is why using minimally based super-gingival dentistry is the best for our patients.  We do not have to grind the teeth.  We can use new adhesive dentistry.  And we can give our patients excellent results without having to destroy their natural teeth.<br /> <br /> We will examine cases where patients who might have traditionally been treated with full-mouth rehabilitation, are instead treated with bonded dentistry.  In one case we will use direct composites and some indirect composites and almost no grinding on the natural teeth.  Meanwhile, we are able to provide the patients with the esthetics and the function that the patient needs.<br /> <br /> We will discuss the seven signs and symptoms of occlusal disease which is a very practical way to learn how to diagnose occlusal disease on your patients.<br /> <br /> We will talk about smile design using the Dento-Facial Esthetic Diagnosis System.<br /> <br /> We will also cover the 3 Golden Rules of Occlusion which are the engineering principles that we need for durability.</div>

Provisional Restoration - The Overlooked Link to Aesthetic and Functional Perfection

LOD-179-00

Dr. Stefan Paul

<p style="margin: 0px; text-align: justify;">This presentation is about Provisional Restorations.  You may wonder why.  What is so interesting about Provisional Restorations?  But consider a perfect temporary restoration as the foundation of any restorative excellence you might strive for.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">We have all experience clinical situations where you do a direct temporary restoration based on a silicon mold that you took before you removed the old crown.  Easy, right?  Nevertheless, coming up with the nice marginal fit necessary to create a healthy biological sulcus epithelium which is the prerequisite for a good, easy impression, and good adhesive cementation requires more consideration.  This presentation will examine this in full detail.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">How about a situation where we use an indirect lab made temporary restoration that is a little more complex, including crown lengthening procedures?  This presentation will discuss not only the temporization, but also additional clinical issues.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will focus on temporaries for veneer-prepared teeth.  What do we do?  How can we make them stay in place, and not fall off every-so-often?</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">We will look at implant retained situations, either using multiple implants where we have use of temporary restorations for a longer period of time, maybe making it necessary to use metal-reinforced temporary restorations.  And, when it comes to really demanding clinical situations where the immediate approach means tooth extraction, immediate placement of implants, and immediate temporization followed then by a final restoration.  What aspects should be taken into consideration to achieve the best possible esthetic result?</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And, finally, various materials and cements to be used in the temporary approach will also be reviewed.</p>

Bio-Integrated Restorative Dentistry

LOD-177-00

Dr. Costin Marinescu

<p style="margin: 0px; text-align: justify;">We want to achieve long-lasting results for our patients in treatments that are perfectly tolerated by the body, restore good health, and look beautiful.   This presentation will outline the logical flow-chart that Dr. Marinescu utilizes every day in his own practice (Exam >> Diagnosis >> Treatment >> Maintenance) and the interconnection of each individual step with each other.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The Stomatognathic System (the ensemble of bones, muscles, joints, teeth and supporting structures) has two states: Pathological  and Physiological.  How these two conditions influence each other will be discussed, and how important it is for us to find the threshold between the two.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will also look at occlusion concepts: how teeth come in contact, and the pathways through which they are moving in performing everyday functions like chewing, and how to design our restorations so we can achieve beautiful results but that are functionally tolerated and perfectly integrated with our patients" health.  A history of occlusion concepts will be presented that will cover all the way through to the latest research that are empowering us more and more to offer our patients minimally invasive restorative dentistry that will balance their Stomatognathic System and that will offer a predictability for long term.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Offer your patients the most conservative treatments with the minimum impact and the stability of the Stomatognathic System with a long term impact in quality of life...and a beautiful esthetic result.</p>

Restorative Excellence - Occlusion on Implant Retained Restorations

LOD-176-00

Dr. Stefan Paul

<p style="margin: 0px; text-align: justify;">In this in-depth presentation regarding Occlusion on Implant Retained Restorations, we will examine several cases. We will look at a case that is all to common where right after final delivery, major chipping takes place.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Sometimes we receive an emergency case where perhaps a patient has a bicycle accident.  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What do we do?  <br /> </p> <p style="margin: 0px; text-align: justify;">Do we place an implant?  <br /> </p> <p style="margin: 0px; text-align: justify;">Do we deliver an immediately fixed temporary restoration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And what occlusion are we going to give in order not to interfere and cause loosening of the implant and losing osseointegration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What about an even more demanding clinical situation, such as a missing canine where the plan is to place an implant and deliver an immediate temporary restoration?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">What occlusal concept are we going to utilize to prevent interference with good bone healing?  To make it even more demanding we will look at a case where there is an interior gap, canine to canine, where, again implant placement is the plan. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;"> How are we going to design our occlusal schematic so that the patient is not going to clench on these teeth at night, and possibly punch out our implants?  <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And, finally, we will examine a very challenging case where we have a maxillary and mandibular full-arch restoration, and incorporate an occlusal concept of a mixed dentition with implants on natural teeth (vs implants on implants).</p>                                

Aesthetic Treatment Planning - The Smile Design

LOD-174-00

Dr. Saiesha Mistry

<p style="margin: 0px; text-align: justify;">Comprehensive treatment planning is essential for the satisfactory outcome of any case. Contemporary treatments are not considered successful unless the final outcome is not only functional but also aesthetic. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">As a result an Aesthetic Analysis has become integral to every treatment plan.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This lecture will lay down a systematic approach for an aesthetic examination and the subsequent analysis of the collated information so as to predictably design and execute the most aesthetic treatments for our patients. </p>

Soft Tissue Esthetics & Health - 10 Key Factors in Soft Tissue Management

LOD-173-00

Dr. Sascha A. Jovanovic

<p style="margin: 0px; text-align: justify;">There are 10 key criteria that are important in implant therapy to achieve optimal soft tissue outcomes. The criteria are divided into 2 areas. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The first area involves the biomaterial elements in therapy, while the second involves procedural issues. The biomaterial elements of implant surface, the implant neck, abutment material, the sub gingival abutment design, and abutment reconnection will be discussed. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">The procedural elements covered are implant spacing, implant vertical positioning, bone and soft grafting and provisional management. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This presentation will focus on the 10 key criteria as applied in implant therapy for selected patients. </p>

Which Ceramic Should I Use ? A Clinical Perspective - Part 3

LOD-171-00

Dr. Anas Aloum

<p style="margin: 0px; text-align: justify;">This presentation aims to lift the large cloud of confusion that surrounds contemporary dental ceramics and their application. A systematic solution will be provided for common clinical situations. A complete range of common clinical situations will be discussed.  This includes, important sequencing and design consideration for restoring implants adjacent to ceramic restorations. </p> <p style="margin: 0px; text-align: justify;">The following questions will be addressed: </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">- How do we achieve longevity while maintaining a high level of aesthetics?</p> <p style="margin: 0px; text-align: justify;">- Why, when and where should each contemporary ceramic material be used?</p> <p style="margin: 0px; text-align: justify;">- What role do soft tissues play in ceramic material selection? </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Participation in this presentation will allow delegates to be able to communicate more effectively with dental technicians. They will also be able to use dental ceramics predictably with dental implants.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">In part 3: Will look at stronger ceramic restorations and how to use them appropriately to be able to get the best out of them in terms of esthetics and function. The materials covered in this section will include Zirconia crowns, and porcelain fused to metal crowns. The presentation will also look at proper framework design in order to optimize esthetics and function predictably for our patients.</p>

Which Ceramic Should I Use? A Clinical Perspective - Part 2

LOD-170-00

Dr. Anas Aloum

<div style="text-align: justify; ">This presentation aims to lift the large cloud of confusion that surrounds contemporary dental ceramics and their application. A systematic solution will be provided for common clinical situations. A complete range of common clinical situations will be discussed.  This includes, important sequencing and design consideration for restoring implants adjacent to ceramic restorations. </div> <div style="text-align: justify; ">The following questions will be addressed: </div> <div style="text-align: justify; "><br /> </div> <div style="text-align: justify; "> - How do we achieve longevity while maintaining a high level of aesthetics?</div> <div style="text-align: justify; "> - Why, when and where should each contemporary ceramic material be used?</div> <div style="text-align: justify; "> - What role do soft tissues play in ceramic material selection? </div> <div style="text-align: justify; "><br /> </div> <div style="text-align: justify; ">Participation in this presentation will allow delegates to be able to communicate more effectively with dental technicians. They will also be able to use dental ceramics predictably with dental implants.</div> <div style="text-align: justify; "><br /> </div> <div style="text-align: justify; ">In part 2: Will investigate the pressed and milled ceramics that are available on the market today. In particular, Emax and Empress restorations will be investigated. The presentation will look at the constituents of these materials as well as their physical properties. In addition, systematic evidence based-applications will be provided for these materials. Translational research will be utilized to understand and realistic clinical application and use for these materials. The clinician will be able to decide which ceramic to prescribe for various clinical presentations.</div>

Which Ceramic Should I Use? A Clinical Perspective - Part 1

LOD-169-00

Dr. Anas Aloum

<p style="margin: 0px; text-align: justify;">This presentation aims to lift the large cloud of confusion that surrounds contemporary dental ceramics and their application. A systematic solution will be provided for common clinical situations. A complete range of common clinical situations will be discussed.  This includes, important sequencing and design consideration for restoring implants adjacent to ceramic restorations. </p> <p style="margin: 0px; text-align: justify;">The following questions will be addressed: </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">- How do we achieve longevity while maintaining a high level of aesthetics?</p> <p style="margin: 0px; text-align: justify;">- Why, when and where should each contemporary ceramic material be used?</p> <p style="margin: 0px; text-align: justify;">- What role do soft tissues play in ceramic material selection? </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Participation in this presentation will allow delegates to be able to communicate more effectively with dental technicians. They will also be able to use dental ceramics predictably with dental implants.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">In part 1: An outline for the presentation will be provided. In addition, a contemporary and simplified classification for contemporary dental ceramics will be provided. This classification will allow proper communication and make the selection process simple. In this part the participants will be able to understands the benefits of feldspathic ceramics and their limitation. They will be able to decide what type of ceramics to use and where, in order to get the best esthetic results with good long term outcomes. A step-by-step evidence based approach for predictable bonding will be proposed.</p>

Newest Dental Laboratory Techniques in Implant Esthetics

LOD-168-00

Dr. Renzo Casellini

<span id="ctl00_ContentPlaceHolder1_gvProdutos_ctl458_labelConteudoHtml"> <p style="margin: 0px; text-align: justify;">This lecture will present  tissue management for anterior cases, the newest techniques in implant esthetics from single crowns to full mouth restorations on zirconia to PFM metal ceramic restorations or acrylic composite restorations.  It will examine the difference between PFM metal restorations and zirconia fixed, cemented, or screw-retained.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">This lecture will discuss the key elements of a Team Approach between the surgeon, the periodontist, the dentist, and the certified dental technologist so that success is achieved.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">You will learn about the 3D Pre-Planning with CAD/CAM on SIM-Plant that can help you determine exactly what kind of abutments will be best for the patient.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">And, finally, it will take you, step-by-step, through a case that begins as a disaster.  Everything has to be extracted: Upper and lower.  Multiple implants are placed. It is restored with full zirconia, and ends up an esthetic and functional success.</p></span>