Treating the Medically Complex Patient

LOD-069-00

Dr. Adi Garfunkel

&#8226 What is the dental-medical approach to the hypertensive patient?<br> &#8226 Could we treat patients with medication induced bleeding tendency?<br> &#8226 The use of adrenalin in local anesthesia constitutes at times a contradictory subject. How do we deal with this question?<br>

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.

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)

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.

Treatment of the edentulous maxilla with immediate function (SPANISH LANGUAGE ONLY)

LOD-057-00

Dr. Joan Pi Urgell

Uno de los temas de mayor actualidad en Implantologia Oral es la posibilidad de someter a funcion oclusal,de una forma inmediata los implantes,evitando el tiempo de espera correspondiente a la Oseointegracion En el Maxilar Inferior se han obtenido unos resultados excelentes,con extensa bibliografia que evidencian un alto grado de predictibilidad. Los mismos resultados se pueden obtener en el Maxilar Superior siguiendo unos protocolos perfectamente definidos. El objetivo de esta presentacion es la descripcion de las bases cientificas para la funcion inmediata,su aplicacion clinica y las distintas alternativas o protocolos para el tratamiento del maxilar superior,analizando los factores mas importantes y los resultados obtenidos.

Predictable Anterior Aesthetics with Veneers - Interdisciplinary Approach

LOD-055-00

Dr. Galip Gurel

Creating the precision in terms of the preparation, fit and the aesthetic final outcome with veneer restorations needs a detailed treatment plan which is unique to each case. Designing a new smile for a patient consists of many steps which are very important and if followed correctly, produce predictable success. The key to aesthetic excellence requires patient communication as well as the communication with the laboratory and the specialists from the beginning of the case till the end. This presentation will help the clinician to understand the clinical steps as well the patient communication steps.<br><br>In todays dentistry success depends on an interdisciplinary team work. Every member of the team (including the specialists, lab technicians and the patient) should be aware of the treatment planning and the end result from the beginning. Every effort should be spent to bring the teeth to their natural position on the dental arch, hence creating enough space for the restoration to be received so that the aim should be minimum tooth preparation.<br><br>After that stage, in order to achieve a very precise and predictable tooth preparation, wax-up, silicon indexes and related techniques such as APR (Aesthetic Pre Recontouring), APT (Aesthetic Pre-evaluative Temporaries) and preparation through the APTs are extremely crucial. This eliminates all the possible mistakes and destruction of the depth cutters that could have been done if the tooth was to be prepared without realizing the aging affects on the enamel (volumetric enamel loss) or their inappropriate teeth positions on the dental arch

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.