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.
Posterior Composites Restorations (Direct and Semidirect Techniques)
LOD-043-00
Dr. Didier Dietschi
The reduction in the carious disease incidence and the growing concern of patients for potential toxicity of metals and for dental aesthetics, have called the profession for developing restorative options adapted to new demands. Composites and adhesive techniques have then become the foundation of modern restorative dentistry, following tremendous improvements in material mechanical performances, wear resistance and aesthetic potential. Composite resins are currently used in a broad range of situations, including the treatment of initial decay to the restoration of extended and serial cavities, or the adhesive luting of ceramic work-pieces. However, polymerisation shrinkage of the resin matrix remains a crucial problem and still imposes certain limitations for the use of direct techniques. Therefore, other restorative options such as semidirect and indirect techniques have to be considered for large and deep cavity configurations. The lecture will overview decision criteria for the treatment of posterior teeth, the main restorative options at hand and will provide a comprehensive description of clinical procedures.
LOD-042-00
Dr. Didier Dietschi
Different types of discoloration, some of displasic origin and others from acquired pathologies or tissue aging can be improved or sometimes fully corrected by bleaching. Bleaching aims to remove or treat several types of dark stains. The lecture will emphasize on the principles, application methods and potential indications of the various bleaching techniques at hand. All different bleaching protocols have potential to lighten tooth colour but not at the same level of efficacy; information will be provided as regard the likely indications for power / chair-side bleaching and other home bleaching methods. Attendees will also learn how to integrate chemical treatments in a comprehensive approach of aesthetics, which ultimately help us creating beautiful and attractive smiles without unnecessary tissue sacrifice.
LOD-041-00
Dr. Didier Dietschi
The dramatic improvement in the overall population oral health as well as the growing concern of patients for tissue preservation and dental aesthetics has rejuvenated 'free-hand bonding' and made it a primary treatment option for the anterior teeth. Today, composite resin restorations offer conservative, biological and esthetic solutions to many problems, which formerly could only be approached by expensive and more invasive ceramic restorations. However, composite systems are based on different layering concepts and as a consequence, the restoration esthetic potential is strictly linked to a perfect understanding of the shading concept and optical properties of the composite masses in relation with those of natural tissues.<br>Based on a thorough observation of natural esthetics and the application of the so-called 'natural layering', together with an appropriate selection of composite brands, the clinicians can produce beautiful natural like direct composite restorations. The lecture will cover fundamental knowledge about colour and optical properties of natural tissues, will overview the indications of composite restorations in the front teeth and will provide a comprehensive description of clinical procedures.
The Art of The Smile-From Diagnosis to Individualized Multidisciplinary Treatment Plan
LOD-024-00
Dr. Rafi Romano
During the last decade aesthetic demands in general, and in dentistry in particular, have changed dramatically and patients are much more aware of the possibilities that are available for them to achieve better aesthetic results. Many dentists use the latest technology and the most recent innovations in dental materials, but ignore the fundamental factor of the treatment - the diagnosis. Adult treatment always involves a multidisciplinary approach which requires full cooperation of the dental team: prosthodontist-periodontist / dental surgeon-orthodontist. The orthodontist, who is usually the most skilled member of the team to analyze the facial complex, is responsible for providing a detailed diagnosis together with a few alternative treatment plans that are based not only on the dental findings, but also on the patient's request. The lecture will focus on the criteria for proper diagnosis and will provide the clinician the tools that will help him/her achieve a proper individualized treatment plan.
Soft Tissue Behaviour And Integration Around Dental Implants <br>
LOD-021-00
Dr. Peter Schupbach
The scientific evidence on the biomaterial surface TiUniteTM will be given and compared to other implant surfaces. Several studies confirm and support the clinical benefits of the conductive properties of TiUniteTM, allowing bone and soft tissue to adhere along the implant surface and into the pores of the surface. This results in faster osseointegration and higher biological stability, thus minimizing time at risk for effective and safe Immediate FunctionTM. The clinical implications of TiUnite as Immdiate FunctionTM, reduced marginal bone loss, soft tissue integration and predictable esthetics will be discussed. In addition the scientific evidence of micro grooves along the threads and around the implant shoulder will be given. The introduction of the Groovy technology provides yet another step in implant development. With this technology, the speed of osseointegration can be further increased. The biological stability is enhanced by up to 30% allowing the use of groovy implants in soft bone.
Biological Data for Bone Integration
LOD-018-00
Dr. Peter Schupbach
The scientific evidence on the biomaterial surface TiUniteTM will be given and compared to other implant surfaces. Several studies confirm and support the clinical benefits of the remarkable osseoconductive properties of TiUniteTM, allowing bone to grow along the implant surface and into the pores of the surface. This results in faster osseointegration and higher biological stability, thus minimizing time at risk for effective and safe Immediate FunctionTM. The clinical implications of TiUnite as Immdiate FunctionTM, reduced marginal bone loss, soft tissue integration and predictable esthetics will be discussed. In addition the scientific evidence of micro grooves along the threads and around the implant shoulder will be given. The introduction of the Groovy technology provides yet another step in implant development. With this technology, the speed of osseointegration can be further increased. The biological stability is enhanced by up to 30% allowing the use of groovy implants in soft bone.
Challenging Composite Restoration With Free-Hand-Bonding - An Illusion Became Reality
LOD-008-00
Dr. Didier Dietschi
The growing concern of patients for tissue preservation and oral aesthetics has rejuvenated 'free-hand bonding with composites' and made it a primary treatment option for the anterior teeth. This lecture covers fundamental knowledge about color and optical properties, different treatment options with composite restorations, and provides a comprehensive description of clinical procedures.