Global Symposium
Global Symposium presentations are open to all attendees and will be offered on Friday. This program will bring together experts from all over the world including New Zealand, Korea, Spain, Canada, and many others.
Friday, October 5, 2012
8:00 am - 8:30 am
It's All About Space
AGD Subject Code: 695
Nitish Surathu, BDS, MDS
- Associate Fellow, American Academy of Implant Dentistry
- Post Graduate degree in periodontics
- Executive Council, Asian Pacific Society of Periodontology
Edentulousness often results in a functional and aesthetic deficit. Over the years, implants have sought to become the predominant solution for these situations. In our pursuit of implant based solutions however, we often encounter situations that are not optimal. Sometimes such situations challenge us to push the boundaries as we know them and clinical experience has even brought some of these boundaries into question. This presentation will specifically evaluate the effect of inter implant and implant-tooth distances in the horizontal dimension and also address current concepts in our understanding of biologic width as it relates to dental implants. Clinical cases that illustrate these situations and challenge our understanding of them will be presented. It is expected that a case will be made for a rethink on some of these issues.
Learning Objectives:
1. Identification of existing parameters that define spatial placement of dental implants
2. Evaluation of scientific evidence in support of these norms
3. Re-evaluation of existing parameters in the light of clinical evidence
8:30 am - 9:00 am
Advanced Tissue Reconstruction: Is BMP-2 the New Gold Standard?
AGD Subject Code: 499
Nicholas Caplanis, DMD, MS
- President-elect and Honored Fellow, American Academy of Implant Dentistry
- Diplomate, American Board of Oral Implantology/Implant Dentistry
- Diplomate, American Board of Periodontology
- Private practice limited to periodontics and dental implant surgery
Complete reconstruction of the atrophied alveolar process presents challenges and limitations. Vertical ridge reconstruction has been historically and predictably treated using autogenous bone. Today, biomaterials, such as BMP-2 are available and may negate the need for autogenous bone harvest. Literature, however, questions the quality of and predictability of BMP-2 induced tissue regeneration. This presentation will compare and contrast vertical ridge regeneration using autogeous bone vs. BMP-2 constructs.
Learning Objectives:
1. Understand the mechanism of bone induction using autogenous bone and BMP-2
2. Recognize the benefits and limitations of both treatment approaches
3. Understand the importance of space maintenance and the varied approaches to achieve it
9:00 am - 9:30 am
Influence of Implant Macro-design on the Peri-implant Tissues
AGD Subject Code: 691
Jihad Abdallah, BDS, MSCD
- Fellow, American Academy of Implant Dentistry
- Diplomate, American Board of Oral Implantology/Implant Dentistry
- Clinical Professor and Implant Program Coordinator, Oral &Maxillofacial Surgery Dept., School of Dentistry – Beirut Arab University
Various hazards constantly challenge the peri-implant tissues. Prosthetic manipulation and the accumulation of bacterial plaque are among the factors that have adverse effects on implant success. Research in the early 1980s revealed that bone loss up to 1.5 mm during the first year and 0.2 mm in subsequent years with mucosal recession is inevitable. New implant designs and switching platform techniques aim to decrease the bone resorption leading to more stable peri-implant structures. Prior to the wide recognition of the switching platform concept the use of an implant with taper lock design and convergent implant neck provided switching platform by design and was the only implant to demonstrate this. The fact that this particular implant has a convergent neck provides additional bone coverage at the shoulder of the implant that inherently gives support to the soft tissue leading to a healthier and more esthetic result. Multiple clinical cases with a long span follow up will be discussed to demonstrate the importance of this macro design on the long-term stability of the hard and soft tissues.
Learning Objectives:
1. The history and evolution of implant macro-design related to bone remodeling
2. Effect of implant macro-design on soft and hard tissue
3. Evaluation of different clinical scenarios with peri-implant bone stability
4. Achieving esthetic restorations because the bone that is maintained over the shoulder of the implant provides support for the interdental papillae
10:30 am - 11:00 am
Make an Impression: Go Digital!
AGD Subject Code: 695
Natalie Wong, DDS
- Fellow, American Academy of Implant Dentistry
- Diplomate, American Board of Oral Implantology/Implant Dentistry
- Clinical Instructor University of Toronto; Assistant Professor, Temple University
- Private practice limited to prosthodontics and implant surgery
The digital era is rapidly changing the dental industry with major advances in the way we practice dentistry. Digital dentistry has presented us with a new way to diagnose, treatment plan and create functional esthetics for our patients in a more productive and efficient manner. Digital impression making is now one of the recently influential developments. This lecture will present the potential impact of digital impression making on precision and accuracy of impressions, fit of restorations and overall patient satisfaction.
Learning Objectives:
1. Understand the differences between traditional impressions and chair-side digital Impressions
2. Evaluate the influence of digital impressions on accuracy and fit of the restoration
3. Explore integrating and utilizing this technology within the dental practice
11:00 am - 11:30 am
Face-to-Face Surgery and Prosthetics
AGD Subject Code: 691
Sergio H. Cacciacane, DDS
- Associate Fellow, American Academy of Implant Dentistry
- Founder and Director, Superior School of Implantology, Barcelona, Spain
Since the beginning of implantology, Bränemark and his contemporaries turned their practice and teaching to the maxillofacial surgeons and prosthodontists, considering implant surgery and prosthetic rehabilitation later as something really complex and sophisticated. In fact, initially, the implant companies required some surgical and prosthetic accreditation for admission to its exclusive courses. Today, with the simplification of surgical protocols, reducing waiting times, the introduction of simpler prosthodontic methods, the possibility to use allogenic and xenograft material reducing the patients morbidity in grafting procedures, etc., it all has made implantology to become an affordable specialty for the general dentist reaching the largest possible number of patients. We will emphasize the diagnosis section, showing how the new planning software can help us anticipate the difficulty of each case and decide our working method. At the same time we'll see how CAD-CAM will greatly simplify the prosthetic phase.
11:30 am - Noon
A Unique Perspective on Implants “Screwless & Cementless”
AGD Subject Code: 694
John Stowell, FDSRCS
- Honored Fellow, American Academy of Implant Dentistry
- Associate Fellow, American Academy of Implant Dentistry
- National Mentor, Association of Dental Implantology (U.K)
The first part of the presentation will cover the salient facts regarding the tapered connection of the implant abutment and implant well in the Morse taper connection, press-fit implant without the use of screws. This results in a biological seal and also avoids the costly and perennial problem of loose or broken screws, as well as the potential of bone saucerisation and peri-implantitis around the neck of the implant and all its associated clinical complications. The second part of the presentation will illustrate the innovative use of an advanced composite that is directly bonded to the titanium abutment to fabricate a whole tooth – an Integrated Abutment Crown (IAC) that is simply tapped into the implant well without the use conventionally of a cement luting the crown and the implant abutment.
Learning Objective:
The presentation will convey the tenet that if we can reduce any potential complications in implant dentistry, then that is our goal. This in turn reduces our office costs, less stress on the implant dentist – particularly if you are part of a multi-disciplinary team and, last but not least, conveys confidence to your patient that can reflect in increased referrals to your office.
1:30 pm - 2:00 pm
Repair of Sinus Membrane Perforation
AGD Subject Code: 696
Jaehyun Shim, DDS
- Fellow, American Academy of Implant Dentistry
- Director, AAID MaxiCourse® in Korea
- Professor, Department of Advanced General Dentistry, Yonsei University
- Private Practice, South Korea
Maxillary sinus augmentation to overcome the problem of reduced vertical bone has become a very popular and predictable procedure over the last decade. The most common complication during sinus graft surgery is perforation of the sinus membrane. The perforation should be sealed properly to prevent graft contamination with the mucus of the sinus and to prevent the graft material migration. Graft materials may become sources for infection or may close off the maxillary ostium and create an environment for an infection. In this lecture, the surgical correction of perforated sinus membrane will be presented in various ways.
Learning Objectives:
1. Compares various window opening techniques
2. Studies clinical significance of membrane perforation
3. Explains how to repair the sinus membrane perforation
2:00 pm - 2:30 pm
Predictable Bone Regeneration with Allografts
AGD Subject Code: 694
Bernee Dunson, DDS
- Honored Fellow, American Academy of Implant Dentistry
- Diplomate, American Board of Oral Implantology/Implant Dentistry
- Private Practice, Atlanta, Georgia
It has been profoundly stated that "bone sets the tone" for success in implant dentistry . When the available bone is deficient due to atrophy or trauma then the need for guided bone regeneration procedures becomes necessary. Autogenous bone has been long considered the gold standard for predictable hard tissue regeneration procedures. Recently, however, new developments in treatment protocols, procedures and materials have created other means in which to predictably regenerate hard tissue. In "Debating the Options in Implant Dentistry for practical solutions " this presentation will provide an alternative predictable approach to bone regeneration using allografts rather than harvesting autogenous bone to challenge the notion of what is the current "gold standard."
Learning Objectives:
1. How to determine when bone regeneration is necessary
2. When to use particulate material vs block for grafts
3. How remote incisions play a crucial role in regeneration success
4. The rationale behind the use of barriers and how and when they are used
2:30 pm - 3:00 pm
Short Implants- Does Length Matter?
AGD Subject Code: 691
Paresh Kale, MDS
- Fellow, American Academy of Implant Dentistry
- Post graduate studies in prosthodontics, Government Dental College & Hospital, Bombay
- Member, Editorial board, Journal of Dental Implants
Desirable treatment solutions involve least invasive procedures, affordable options and comfortable patients. In attempting to satisfy these requirements for restoring dentitions, we often over-engineer, employ treatment plans that involve multiple surgeries, protracted time and involve expensive & technically demanding modalities. The presentation will explore whether short implants are able to circumvent the ancillary procedures to minimize trauma, expense and time involved. This concept will be illustrated through various clinical examples, with scientific data behind it.
Learning Objectives:
1. Treatment planning in dental implantology involves making decisions that are unique to each individual situation
2. Does length of the implant really matter in achieving long-term success
3. Is there sufficient evidence in literature to support employing short dental implants in practice
4. Are there situations where use of short dental implants could circumvent complex procedures in achieving high success
4:00 pm - 4:30 pm
Approaching Thirty Years with Implants: Long-term Cases and Recent Techniques
AGD Subject Code: 697
Yasunori Hotta, DDS, PhD
- Fellow, American Academy of Implant Dentistry
- Member of the Board and Diplomate of the Japanese Society of Oral Implantology
- Director, Aichi Implant Center
- Part-time lecturer, Aichigakuin University and Asahi University, School of Dentistry, Japan
This presentation will reveal the evolutionary changes in Implant dentistry in the past 3 decades that the present has been practicing. In the beginning of the 1980’s, titanium blade implants and Bioceram (Single crystal sapphire) implants were mainly used in Japan. In the 1990’s, osseointegratial implants became popular. The experience gained from the transition periods of the material, and designs have given a new perspective in future treatment planning – wisdom gained from mistakes and revision procedures will be discussed.
Learning Objectives:
1. Prevent complications and manage failures with an over-engineered treatment plan
2. Know the different attachment mechanism of implants, concepts of implant occlusion, and prosthetic materials
Live Surgery from Russia
4:30 pm - 5:30 pm
Vertical and Horizontal 3-Dimensional Bone Reconstruction
AGD Subject Code: 694
Maxim Kopylov, DDS
- Completed residency program in oral surgery, Samara State Medical University
- Head of Oral Surgery Department, Center of Interdisciplinary Dentistry and Neurology, Moscow, Russia
- Specializes in complex bone and soft tissue reconstruction, immediate loading, sinus grafting with immediate implant placement
- Member, Russian Implantology Association, Ukranian Implantology Association, International Implantology Alliance, Russian Dental Society
Sergey Zorin, DDS
- Completed residency program in oral and maxillofacial surgery, Saint-Petersburg State Medical University
- Private practice, Saint-Petersburg, Russia
This live broadcast from Moscow will demonstrate vertical bone augmentation with 3-Dimensional reconstruction in areas of 12,13 and 14. # 11 presents with a horizontal bone less of over 8 - 9 mm. The teeth were missing for over 22 years. The surgery will cover step-by-step procedures of the vertical and horizontal augmentation with autogenous bone and Rh BMP2.
Learning Objectives:
1. Diagnose and classify various types of bone loss
2. Formulate treatment options to reconstruct vertical and horizontal bone loss
3. Create a treatment plan for autogenous bone augmentation from intra-oral sources
4. Manage and utilize Rh BMP2 for implant reconstruction