New Trends, Techiques, and Technology Presentations
- Wednesday, October 20, 2010
8:15 am – 8:30 am Opening remarks
Diagnostic and Clinical Advantages of 3D Cone Beam Imaging
8:30 am – 9:00 am
Presented through a grant from PreXion, Gold Sponsor
Daniel McEowen, DDS
• Researcher in hard tissue laser applications in dentistry
• Trainer, World Clinical Laser Institute
For decades dentists have relied on 2D radiographic imaging for diagnosis and treatment planning. With the rapid growth of 3D Cone Beam Computed Tomography (CBCT), dentists now have tools available for more accurate diagnosis and treatment. The adoption of 3D Cone Beam imaging has important advantages for all modalities of dentistry, from every specialist to the general dentist. The increased amount of radiographic information as well as enhanced accuracy will aid the doctor in making the soundest diagnosis possible.
A New Paradigm for Implant Supported Immediate Load Overdentures
9:00 am – 9:30 am
Presented through a grant from Dentsply Tulsa Dental Specialties, Platinum Sponsor
David A. Little, DDS
• Adjunct clinical professor at the University of Texas Health Science Center at San Antonio Dental School
• Fellow in the International and American Colleges of Dentistry
• Private practice, San Antonio, Texas
The edentulous population continues to grow domestically as well as globally. This market has been underserved for many years, and patients have had to adapt to ill-fitting dentures. Thanks to advances in technologies and techniques, there is a dental solution that can provide function as well as esthetics. Dental professionals are now able to predictably increase function, form, and beauty using implant supported, immediately loaded overdentures.
This presentation will discuss the concept of placing four implants in the mandible between the mental foramen, then immediately loading using the patient’s existing denture. The abutment used for this procedure is a conical abutment with a gold coping. This tissue care connection exhibits no micro-movement and allows for long-term hard and soft tissue stability. Cases and treatment planning incorporating cone beam scans, software and surgical guides will also be presented.
New Technologies – How They Contribute to Predictable Implant and Prosthetic Success: Planning Successful Cases Using Digitally Guided Surgery and CAD/CAM Prosthetics
9:30 am – 10:00 am
Presented through a grant from Nobel Biocare, Diamond Sponsor
Robert Bagoff, DMD
• Director of the Division of Restorative Dentistry, Newark Beth Israel Medical Center
• Private practice, New Jersey
• Fellow, Academy of General Dentistry
The goal of implant treatment is to produce a restoration with the highest possible level of function and esthetics. By using digitally-guided techniques to improve the precision of surgical planning, along with the ability to plan the restoration using cad/cam technology, the doctor is able to reach new levels of predictable success.
The Use of Biphasic Calcium Sulfate to Meet Bone Augmentation Challenges
10:30 am – 11:00 am
Presented through a grant from MIS Implants Technologies, Inc., Presidential Sponsor
Amos Yahav, DMD
• Private Practice, Netanya, Israel
• Chair, Augma Biomaterials, developer of BondBone™
Optimal placement of dental implants is essential for obtaining functional and esthetic reconstruction. Current statistics reveal that one of three dental implant placements requires an augmentation procedure. The contemporary practitioner frequently faces an arsenal of bone graft methods and materials to choose from in order to achieve the optimal result.
In order to obtain an optimal bone regeneration rather than bone repair, a temporary space maintainer, that in time will be replaced with natural bone, is needed. However, until recently there was no material that could provide an optimal solution for augmentation challenges.
This lecture will present a novel biphasic calcium sulfate bone augmentation material that is suitable for defects that are less than 10mm in size and have at least three-wall bone support. This material is self-reinforced and easy to handle, and in most cases does not need membrane coverage.
When used in combination with other augmentation materials, it may act as a binder for a granular reinforcement matrix acting as a composite graft. Finally, it may act as a membrane for other augmentation materials.
The biphasic calcium sulfate graft can significantly reduce treatment time as well as improve the dental implantation outcome.
Bone grafting for Optimal Therapy: Following Paradigm Shifts in Dentistry
11:00 am – 11:30 am
Presented through a grant from Sybron Implant Solutions, Platinum Sponsor
Robert A. Horowitz, DDS
• Clinical Assistant Professor, Dept. of Implant Dentistry, NYU College of Dentistry
There have been recent paradigm shifts in dental therapy. One is the trend towards implant-supported restorations. We have gone beyond the “predictability” of integration and are concentrating on the esthetic result of both the surgical and restorative procedures. The other is to improve our diagnosis of current patient conditions. In this age of optimal esthetic implant-supported restorations, three-dimensional diagnosis is critical before and after tooth extraction and other types of surgery. Utilizing cone beam volumetric tomography enhances the diagnostic ability of the dental team. This enables the non-surgical and surgical portions of therapy to be fully planned out before the case is started. This information will enable the dentist to choose the ideal bone replacement graft materials and barriers to rebuild the osseous defect in the site. To support the regenerated bone and keratinized gingival at ideal levels, novel implant designs will be shown. Finally, a new approach to immediate socket implants will be demonstrated that enables preservation of alveolar bone and increase in keratinized tissue.
Immediate Implants after Extraction and Multiple Contiguous Implants in the Anterior Maxilla – How Does Science Affect Clinical Esthetic Procedures?
11:30 am – 12:00 noon
Presented through a grant from Neodent, Platinum Sponson
Carlos dos Reis Pereira Araujo, DMD
• Assistant Professor, Department of Prosthodontics, School of Dentistry of Bauru, University of São Paulo, Brazil
• Collaborator on the original Bränemark Project, 1991 – 1993, that originated significant advances in major graft implant surgery
Several clinical protocols are now suggested to extract a tooth and immediately place an implant as a substitute. This presentation will discuss the pros and cons of different approaches, as well as the challenge of placing implants side-by-side in the esthetic region of the anterior maxilla. The design of the implant, the prosthetic junction, as well as the surface of the implant, and the strategy of abutment selection and placement will be addressed under the light of modern scientific dental research.
Lateral and Crestal Bone Planing Antrostomy: Dask™ and Implantium™ System in the Treatment of the Posterior Edentulous Maxilla
1:30 pm – 2:00 pm
Presented through a grant from DentiumUSA, Gold Sponsor
Jaime Lozada, DDS
• Professor and Director, Graduate Program in Implant Dentistry, Loma Linda University
• Fellow, American Academy of Implant Dentistry
• Diplomate, American Board of Oral Implantology/Implant Dentistry
The DASK™ system presents an innovative crestal and lateral approach for sinus grafts used to reduce the incidence of maxillary sinus membrane perforation during subantral augmentation procedures. The Implantium™ Dental Implant System is the perfect partner for the treatment of patients with sinus grafts. The large surface area of these implants helps to provide the initial stability needed during sinus augmentation. The adequate use of these instruments will enhance the precision and accuracy in bone regeneration surgery and prosthodontic rehabilitation in the posterior maxilla. This presentation will describe the use of the DASK™ and Implantium™ systems, as well as the application of Osteon™ graft materials during treatment of the posterior edentulous maxilla.
Technologies – How It Contributes to Predictable Implant and Prosthetic Success:
Soft Tissue Esthetics from the 3rd Generation of Bone Level Implants.
2:00 pm – 2:30 pm
Presented through a grant from Nobel Biocare, Diamond Sponsor
Jack Krauser, DMD
• Associate Professor, University of Miami School of Medicine
• Private practice in periodontics and implant surgery
• Author and international lecturer on implant dentistry
Maintenance of soft and hard tissues is vital to long term esthetics. New implant designs and technologies offer increased options for maximizing soft tissue esthetics by providing an improved biological situation for the maintenance of these tissues.
2:30 pm – 3:00 pm
Presented through a grant from Intra-Lock, Presidential Sponsor
Thierry M. Giorno, DDS
- Associate Fellow, American Academy of Implant Dentistry
- Director of Research and Development, Intra-Lock® International
- Private practice, specializing in implantology, Monte Carlo, Prinicpality of Monaco and Nice, France
Remember in the 1980’s when Brånemark’s work launched the implant discipline you are using today? This was built upon scientific documentation and the establishment of reproducible protocols. However, as popularity grew, the “published literature” began to drift. Scientific discipline suffered and was often replaced by dogma or anecdotal studies. The commercial
companies began frenetic campaigns often based upon dubious “science.” Many practitioners still remember suffering from setbacks and shortcomings.
This presentation will present exciting new data that has been published or accepted for publication in some of the most prestigious scientific journals. We will explore two critical aspects:
1. Implant Macroscopic Geometry: Can this alone condition the bone response?
2. Comparison of implant surfaces: Beyond the Nano scale...
Can we redefine osseointegration mechanisms? Is healing time around
implant a dogma?
Factors Associated to Crestal Bone Gain in Single-Tooth Implants
3:30 pm – 4:00 pm
Presented through a grant from Bicon Dental Implants, Gold Sponsor
Rainier A. Urdaneta, DMD
• Private Practice, with specialty in prosthodontics, Boston, Massachusetts
• Responsible for ongoing research projects with the Bicon system
• Authured several publications
Crestal bone gain has been documented on single tooth implants. However, it is not yet fully understood what factors are associated with crestal bone gain. The results of a retrospective cohort study will be presented. The cohort was composed of patients who had at least one single-tooth Bicon implant restored. More than 70 different factors were evaluated. This lecture will present seven different local and systemic factors that were associated with crestal bone gain in a univariate statistical model as well as those factors that survived the multivariate analysis.
Utilization of Software Designed Patient-specific Abutments for Achieving Optimized Outcomes
4:00 pm – 4:30 pm
Presented through a grant from Astra Tech, Gold Sponsor
Julian Osorio, DMD, MScD
Assistant Clinical Professor, Department of Prosthodontics and Operative Dentistry at Tufts University School of Dental Medicine
Private practice, Prosthodontics, Restorative and Implant Dentistry, Exeter, New Hampshire
Founder of Atlantis, patient-specific abutments utilizing the latest computer technology.
The further development of advanced computer technology continues to help simplify the implant treatment process, while ensuring even more reliable outcomes. Patient-specific abutments are a perfect example of how state-of-the-art technology can be utilized to achieve both highly functional and esthetic results. Software designed patient-specific abutments are uniquely developed based on the final restoration. Through the use of sophisticated optical scanning and precision milling processes, abutment solutions can now be ideally customized to the individual needs of each patient. This presentation will provide a brief overview on the history of implant restorations; the considerations that have contributed to the digital implant dentistry revolution, and the impact of abutment shape and design on clinical results. The concept of how utilizing top-down treatment planning can help to facilitate and provide the ideal esthetics and function that only a patient-specific solution can truly offer will be presented. The simplicity of this treatment option requiring little to no behavior change from traditional crown and bridge techniques will also be demonstrated.
Comprehensive Implant Dentistry Using 3-D Imaging: Reduce Complications, Increase Confidence, Achieve Excellence
4:30 pm – 5:00 pm
Presented through a grant from Imaging Sciences International, Gold Sponsor
John Russo, DDS, MHS
• Clinical Assistant Professor, Medical University of South Carolina, Division of Periodontics
• Course Director, Hands-on Cadaver bone and soft tissue grafting course, Medical University of South Carolina
• Private practice, Sarasota, Florida
Today, 3-Dimensional imaging is an essential role in comprehensive implant dentistry. Having complete 3-D views of oral and maxillofacial anatomy, without distortion or magnification provides advantages versus two dimensional conventional radiographs. New technologies provide a complete implant treatment solution by pairing digital intraoral scanning with cone beam data to provide full control of implant placement and restorative design. A variety of clinical cases using i-CAT Cone Beam 3-D data will be presented to demonstrate successful diagnoses and treatment planning of dental implant cases.
KAT Implants™- New System, New Possibilities
5:00 pm – 5:30 pm
Presented through a grant from KAT Implants, LLC, Gold Sponsor
Jay Sison, DDS
• Associate Professor, Division of Oral Biology, UCLA School of Dentistry
• Private practice, limited to periodontics and implant dentistry, Los Angeles and Westchester, California
KAT Implant System is built around a single low-profile, external-locking taper connection platform. This unique platform design allows for use of the same abutments for implants ranging in diameter from 2.5-5.0mm and in length from 6-14mm. This program will introduce the audience to such novel concepts as the Torque Activated™ locking taper connection, Abutment Incorporated Key™, Pick-Up Abutment™ impression method, and HALT™ (Healing Abutment Level Temporization) technique.