Implant-Assisted Orthodontics: Moving Toward a Better Tomorrow

LOD-202-00

Dr. Frank Celenza

The use of implants and miniscrews to provide the anchorage necessary for optimal clinical outcomes is an accepted and effective modality. The techniques of

Unusual TMD Cases - Unusual Treatment

LOD-196-00

Dr. Ilia Roussou

In this lecture, we will discuss unusual Temporomandibular Disorders (TMD) cases and unusual treatments.<BR><BR>We will focus specifically on occlusion and how the relationship of the dental arches interacts with the stability of the Stomatognathic system.<BR><BR>Occlusion is one of the most demanding aspects of dentistry, we all know about the term occlusion confusion.<BR><BR>Although occlusion used to be the main etiological factor for Temporomandibular Disorders and many dental treatments were performed in order to address the pain symptoms, nowadays the literature suggest that the static relationship of the dental arches is rarely the etiological factor for an intracapsular TM joint disorders or a masticatory muscles disorders, In some cases though, were the occlusion compromises the orthopedic stability of the stomatognathic system, once the pain symptoms are treated the dental problem needs to be investigated as a possible etiological factor of the TMD symptoms.

Predictable and Successful Maxillary Sinus Augmentation

LOD-192-00

Dr. Toshiro Sugai

In this presentation, we will identify safer and more predictable maxillary sinus augmentation procedures. We will discuss how to utilize CT imaging to evaluate and interpret the 3D anatomy of the sinus, including ostium, superior alveolar artery, and septa. Dr. Sugai will describe how to predictably lift the sinus membrane and avoid complications.

The 3D Click Guide - A New Direction for Model-Based Guided Implant Placement

LOD-187-00

Dr. Lambert Stumpel

<p style="margin: 0px; text-align: justify;">Guided surgery holds the promise to place dental implants in predetermined positions; allowing many clinical decisions to be made before the actual surgical procedure.   <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Computer guided surgery has been made possible through the increased accessibility of (CB) CT technology.  It allows clinicians who do not have the experience of placing 1000+ implants per year, to deliver, in selected cases, the same superior care as the master surgeons.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Model based guided surgery has historically been in the shadow of its high tech cousin; until now. The 3 D Click Guide is a modularly adjustable surgical guide system.  While primarily a model based system, utilizing minimally invasive bone sounding, it allows easy integration with CBCT as needed.  It

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>

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

LOD-178-00j

Dr. Toyohiko Hidaka

Guidelines for Aesthetic Peri-Implant Gingival Tissue (JAPANESE LANGUAGE ONLY)

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>