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.
Bone Morphogenetic Proteins, A Realistic Alternative to Bone Grafting<br>
LOD-054-00
Dr. Ulf Wikesjo
Surgical placement of oral implants is governed by the prosthetic design and by the morphology and quality of the alveolar bone. Often, implant placement may be difficult, if at all possible, due to alveolar ridge aberrations. In consequence, prostheticly dictated implant positioning commonly entails bone augmentation procedures. One objective of our laboratory is to evaluate the biologic and clinical potential of bone morphogenetic proteins (BMPs) including rhBMP-2, rhOP-1/rhBMP-7, rhGDF-5, other candidate biologics, bone biomaterials, and devices for alveolar ridge augmentation and implant fixation. This presentation will discuss the unique biologic potential, the clinical relevance and perspectives of BMP technologies for alveolar bone augmentation and oral implant fixation, in particular the development of a unique bone-inductive oral implant. This presentation will also address merits and explain short-comings of current treatment protocol including bone biomaterials and guided bone regeneration (GBR). BMPs have an unparalleled potential to augment alveolar bone and support implant osseointegration and long-term functional loading. Inclusion of BMPs for alveolar augmentation and osseointegration will not only enhance predictability of existing clinical protocol but radically change current treatment paradigms. Inclusion of the bone-inductive oral implant in the treatment panorama may make 'grafting' and GBR procedures altogether obsolete.
Endodontic Access and Negotiation - Breaking & Entering
LOD-038-00
Dr. L. Stephen Buchanan
Technological advances in shaping and filling root canal systems have resulted in extremely consistent and ideal outcomes making those procedures more science than art form. However, cutting access cavities, finding all the canals in a tooth, and negotiating them to their full apical extents still requires developed skills and careful attention to detail. Ironically, many clinicians consider the access preparation and root canal negotiation those things we do to get to the important stuff afterwards this is ironic because when a mistake occurs during these initial phases in treatment it is often impossible to recover. Loss of structural integrity, perforations, missed canals, blocked canals, ledged canals and broken files are just some of the negative outcomes that occur when access and negotiation procedures go awry.<br><br>With adequate radiographs, the right access instruments, ultrasonic handpieces, lubricants, apex locators, and a predictable negotiating technique, artful outcomes can and should be the expected result when we head into a root canal space. Dr. Buchanan will show, in a step-by-step manner, the concepts, instruments, and techniques needed to set the stage for endodontic success using CT reconstructions of endodontic anatomy, video footage shot through an operating microscope, and radiographs of clinical cases.
Endo or Implant - Rational decision making from an Endodontist's viewpoint
LOD-029-00
Dr. L. Stephen Buchanan
As an Endodontists who places implants, Dr. Buchanan presents a uniquely balanced argument for when to save teeth with endodontic therapy and when the patient will be better served by replacement of the tooth with an implant. Dr. Buchanan will first explain the procedural advances available from endodontic specialists to save many teeth previously thought to be unsalvageable, including microsurgery, MTA root repair material, ultrasonics, and state-of-the-art shaping, cleaning, and 3D obturation technology. Then he will discuss how the structural integrity of roots greatly affects the long term prognosis of endodontically-treated teeth and methods for maintaining the inherent strength of teeth being saved with RCT. Finally, Dr. Buchanan will explore the advantages and satisfaction of a multi-disciplinary approach to treatment planning with an emphasis on the new trend of endodontists to view themselves as understructure specialists.
LOD-023-04
Dr. Sam Strong
This program reviews the essential components and appointments required to complete implant cases. Operatory room setup, materials, procedures, and implant component inventory are illustrated. Liaison with the front office and dental lab require a system by the assistant to keep cases on time and on track. Methods to liaison with the front office and dental lab are illustrated to help the assistant keep cases tracked and on time. Scripted responses to common patient comments about are illustrated that positively promote the use of implants.
Staff Training Systems for the Clinical Assistants - Responsibilities for Each Team Member
LOD-023-02
Dr. Sam Strong
This program reviews the essential components and appointments required to complete implant cases. Operatory room setup, materials, procedures, and implant component inventory are illustrated. Liaison with the front office and dental lab require a system by the assistant to keep cases on time and on track. Methods to liaison with the front office and dental lab are illustrated to help the assistant keep cases tracked and on time. Scripted responses to common patient comments about are illustrated that positively promote the use of implants.
Staff Training Systems for the Front Office - Responsibilities for Each Team Member
LOD-023-01
Dr. Sam Strong
How to communicate with the prospective implant patient from initial phone call through diagnostic appointments and to case presentation. A system for the front office that presents an organized, professional approach to the patient. Appointment control, financial arrangements, and inter-office communication between the surgical and restorative offices are also illustrated as keys to developing the implant practice.
Treatment Planning and Prosthetic Procedures for Removable Implant Overdentures
LOD-022-04
Dr. Sam Strong
Step by step procedures to successfully complete bar and attachment overdentures are illustrated and compared. Case cost analysis and fee determination are simplified using clinical examples. AND a revolutionary impression technique and centric bite registration procedure are illustrated that will simplify overdenture construction for the prosthetic zdentist.
Treatment Planning and Prosthetic Procedures for Fixed Restorations on Multiple Implants
LOD-022-03
Dr. Sam Strong
Step by step procedures are shown in detail to fabrication implant supported fixed partial dentures or splint multiple implants together. Surgical template construction techniques, decision making rationale for splinting implants together or not, cement vs. screw retained preferences, cement selection, and retrieval of cement retained prostheses are illustrated in this program. Combination cases with implant and all ceramic esthetic restorations on natural teeth are also presented.
Treatment Planning and Prosthetic Procedures for Single Implant Crowns
LOD-022-02
Dr. Sam Strong
The single posterior implant crown can be the most productive, profitable, and complaint-free procedure in dentistry. Methods for surgical template construction, implant placement, and streamlined prosthetics are explained in this program. Application and advantages of the Nobel Easy Abutment and Snappy Abutment are shown in step by step protocol as well as the rationale for a fixture level impression to employ pre-machined titanium or Procera ceramic abutments.