Why Guided Surgery (Part 1) - A Restorative Perspective
LOD-134-00
Dr. Christopher B. Marchack
To achieve an ideal prosthetic result with dental implants, it takes proper treatment planning. The use of surgical templates, helps ensure the correct implant position. Traditional implant placement, with conventional surgical templates are restorative driven, although it does not account for anatomical factors that will make it impossible to place the implant. CAD/CAM surgical templates or guided templates, through the use of surgical planning software allows for a restorative driven implant placement along with a three dimensional view of the patient’s anatomy. This presentation will discuss the advantages of guided surgery in treating patients with this advancing technology.
Non & Minimally Invasive Veneers
LOD-131-00
Dr. Louis Malcmacher
Non and Minimally invasive veneers is an area of dentistry that can really expand your practice. Many people want veneers. That want to improve their smiles. But, many wonder how they can afford it. This lecture will cover this aspect. But, it will focus on how do you do it. And, how do you help your patient understand the process and feel comfortable in moving forward with this option.
LOD-128-00
Dr. Vinny Celenza
Clear, accurate and easy to read replication of our tooth preparations is a pre-requisite to creating well fitting restorations. Making beautiful impressions requires much more than a knowledge of dental impression materials. This presentation is designed to develop an understanding and technique for: soft tissue control, tooth preparation design, precise margin placement, impressioning, and developing the room for our impression material. Clinical cases depicting particular clinical challenges will be presented and discussed in a way that allows the practitioner the ability to easily try these techniques in the office immediately.
The Success of Endodontic Therapy - Healing and Function
LOD-089-00
Dr. Shimon Friedman
The Success of Endodontic Therapy - Healing and Function<br>Over 30% of root-filled teeth in the population present with persistent disease, suggesting an extensive need to manage the affected teeth. Treatment options include extraction and replacement, orthograde retreatment and apical surgery, and selection between these can often be complex. When the patient is motivated to retain the affected tooth, a key consideration is the prognosis, or potential for healing; therefore, the prognosis should be communicated to patients in a clear and objective manner. This lecture focuses on the prognosis of orthograde retreatment and apical surgery.<br><br>Inconsistent reports on the prognosis of orthograde retreatment and apical surgery, in contrast with consistently favourable reports for implant-supported single-tooth replacement, have caused considerable confusion in the profession. To reliably reflect the prognosis, studies must conform to design and methodology criteria consistent with an acceptable level of evidence. These criteria are met by only a few studies on retreatment and apical surgery. This lecture identifies the studies that provide the best evidence and outlines the prognosis of retreatment and apical surgery in regards to healing and symptom-free function of the treated teeth. Furthermore, specific clinical factors are highlighted that may influence the prognosis.
One appointment Inlays/Onlays; Durable, Economical, and Appreciated
LOD-087-00
Dr. Lorin F. Berland
Patients are demanding aesthetic, yet reliable alternatives to the replacement of their defective amalgam restorations. Learn the rationale for replacing defective amalgam restorations while conserving and reinforcing the remaining tooth structure. Systematic methods will be detailed about amalgam and caries removal, insulation, proper preparation, impression taking, inlay/onlay fabrication, and final cementation techniques.
Composite Resins in Contemporary Practice
LOD-086-00
Dr. Ronald Jackson
The public today want their dentistry less invasive and more aesthetic. Direct composite resin does both and its use in dentistry is rising rapidly. However, these materials have undergone significant evolution in recent years and dentists are challenged to keep current. In addition, esthetic standards have been raised and quality outcomes redefined by todays educated patient. This presentation will focus on understanding the new composite materials specifically developed for anterior and posterior use and illustrate the key elements for their successful application.
Endodontic Rotary Instrumentation - How to achieve maximum efficiency while eliminating failure
LOD-085-00
Dr. John T. McSpadden
There may be more instrumentation technique recommendations than there are endodontic instruments available. Obviously, all cannot be the 'best' approach. Are these techniques confusing motion with accomplishment and time with safety? This presentation describes 6 basic principles that enable the practitioner to maximize endodontic rotary instrumentation in terms of effectiveness, efficiency and safety for any type endodontic file available today and as they become available in the future. Saving valuable time and eliminating pernicious stress are the result.
The use of MTA in Clinical and Surgical Endodontics
LOD-082-00
Dr. Arnaldo Castellucci
Recently, Dr. Mahmoud Torabinejad of Loma Linda University, California, has developed a new cement named Mineral Trioxide Aggregate which appears to have all of the characteristics requested of the ideal cement to seal pathways of communications between the pulp and the oral cavity (mechanical and carious pulp exposures), and between the root canal system and the periodontium (iatrogenic perforations, open apices, resorbed apices, root-end preparations).<br><br>MTA is an endodontic cement that is extremely biocompatible, capable of stimulating healing and osteogenesis, and is hydrophilic. MTA is a powder that consists of fine trioxides (Tricalcium oxide, Silicate oxide, Bismute oxide) and other hydrophilic particles (Tricalcium silicate, Tricalcium aluminate, responsible for the chemical and physical properties of this aggregate), which set in the presence of moisture. Hydration of the powder results in formation of a colloidal gel with a pH of 12.5, that solidifies to a hard solid structure in approximately three-four hours. This cement is different from other materials currently in use because of its biocompatibility, antibacterial properties, marginal adaptation and sealing properties, and its hydrophilic nature.<br><br>The characteristic that distinguishes MTA from other materials used to date in endodontics is its hydrophilic properties. Materials used to repair perforations, to seal the retro-preparation in surgical endodontics, to close open apices, or to protect the pulp in direct pulp capping, are inevitably in contact with blood and other tissue fluids. Moisture may be an important factor due to its potential effects on the physical properties and sealing ability of the restorative materials. As shown by Torabinejad et al., MTA is the only material that is not affected by moisture or blood contamination: the presence or absence or blood seems not to affect the sealing ability of the mineral trioxide aggregate.<br><br>During the presentation, several cases of treatment with MTA will be showed. Aim of the presentation is to show the indications and the technique for the correct use of this relatively new material: how to seal an open apex, how to repair a strip-perforation under the microscope, how to protect a pulp exposure to perform a direct pulp capping, how to use MTA during surgery to seal the retroprep.<br><br>In conclusion, the viewers should be able to appreciate the advantages of this material, which made our treatments more predictable and gave us the possibility to save teeth otherwise condemned to extraction.
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.