Clinical Roundtables
Clinical Roundatables are limited to 20 participants and each will be either one hour or two hours in length. These allow for interaction among the world-class expert and the attendees. Topics can be covered in-depth.
Thursday, October 20, 2011
1:30 pm - 3:30 pm
RT1: It's More than Just Money: Personal Aspects of Selling Your Practice
Bill Blatchford, DDS
When you think about selling your practice, the amount of money you will receive is only part of the considerations you should take into account. If you are like most dentists, a significant number of your patients have been with you since you started practice. Many are the sons, daughters or grandkids of your patients. You have a relationship with them. This relationship is built not just on your skills as a dentist but also on your the fact that your patients trust you to take their best interests into account when diagnosing and treating their oral health needs. So when you retire and transfer the responsibility for treating your patients, don't you want to make sure that the dentist you entrust your patients to, also shares your value system and will relate with your patients - your friends - as well as you have. This roundtable will be interactive.
Learning Objectives: After attending this program, attendees will be able to:
1. Recognize the key values they possess and bring to their practice
2. Create criteria that a potential purchaser should have in order to be a suitable replacement for you
3. Ask potential successors the right questions to determine if they are the best replacement for you
1:30 pm - 3:00 pm
RT2: Techniques and Materials for Ridge Preservation and Implant Site Development
Barry Bartee, DDS, MD
The purpose of this course is to familiarize clinicians with current techniques and materials available for ridge preservation and implant site development. With the current emphasis on esthetics in restorative dentistry, the prevention of post-extraction bone loss has never been more vital. With the current emphasis on natural esthetics in the field of implant dentistry, the importance of a properly developed implant site cannot be overstated. The scientific literature pertaining to soft and hard tissue esthetics will be reviewed as well as the scientific basis for the use of contemporary bone replacement materials. A treatment planning approach will be presented that will enable the clinician to select the correct material for extraction site grafting and apply it in a cost-effective manner.
Learning Objectives: After completing this program, participants should be able to:
1. Develop an organized approach to the treatment planning of future extraction sites
2. Understand the materials and techniques available for grafting extraction sites
3. Understand appropriate selection of materials for use in ridge preservation or in conjunction with immediately placed implants in extraction sites
4. Understand the techniques and materials available for localized ridge augmentation
4:30 pm - 5:30 pm
RT3: "Tunnel Grafting Procedure" to Gain Mandibular Bone Width
Alfred "Duke" Heller, DDS, MS
Robert Heller, DDS
SOLD OUT
The purpose of this presentation will be to show the implant dentist alternative methods of bone block grafting procedures to obtain lateral width of mandibular thin ridges sufficient to place normal width screw implants to support fixed crowns and bridges.
Each participant will learn the step-by-step procedure of utilizing a predictable “tunnel grafting procedure” that can give the patient increased ridge width up to 6-8mm of bone width in six months that is of sufficient strength to support screw-type implant placement. Hundreds of patients have benefited from the presenters’ use of this technique, plus hundreds of dentists taught by the presenter presently use this predictable technique to obtain sufficient bone width to place dental implants.
The participants will be shown an overview of how to use the “tunnel grafting procedure” in the following areas:
• Comparison of block bone graft procedures versus “tunnel grafting” procedures
• Step-by-step examples showing the development of a “tissue pocket” created by specific tissue manipulations that will allow for placement of bone grafting material
• Use of different tissue barriers which are essential to avoid tissue ingrowth into the grafted bone mixture
• Discussion of different bone grafting mixtures that have proven to be predictable to obtain sufficient bone width
• Decortications of lateral ramus of mandibular bone to allow for medullary blood supply needed for bone growth results
• Suturing techniques that assures best tissue closure
• Observation of several cases showing implant placement in previous “tunnel grafting procedures”
• Discussion of “tunnel grafting procedures” that did not produce the desired results of bone width sufficient to place implants
Friday, October 21, 2011
8:00 am -9:00 am
RT4: Treatment Planning - Implants Versus Root Canal Therapy: Read, Analyze and then Decide
Jaime L. Lozada, DDS
This Round Table will build on Dr. Lozada’s Main Podium session of the same title. During treatment planning the predictability of clinical dental procedures should always be taken into consideration prior to making a choice of therapy. The long-term prognosis of dental implants and endodontic procedures has been well documented. A recent quote from a dental journal indicates a change in treatment philosophy between saving a debilitated tooth and the anticipatory replacement with a dental implant. This presentation will describe a systematic review of the literature in implant dentistry and endodontics, as well as a list of recommendations and guidelines to help in the decision making process for the best treatment of patients.
Learning Objectives: At the completion of this presentation, participants should be able to:
1. Analyze the predictability of the most common clinical procedures in dentistry
2. Understand indications for implant placement
3. Evaluate various clinical scenarios were implants or endodontic treatments may be recommended
11:00 am – 12 Noon
RT5: Avoiding the Pitfalls of Immediate Function (Controlled Functional Osteocompression)
William Locante, DDS
The concept of immediate function on root form implants has become very popular. As the prevalence of immediate function increases, so does the potential for morbidities of this technique. We will discuss the potential morbidities and how to prevent them, as well as the factors that can make immediate function as predictable as our classical two-stage approach.
Learning Objectives: Attendees can expect to learn the following from the presentation:
Engineering and how to design immediate function cases
Physiologic processes that can work against success
Considerations that make immediate function cases successful
Saturday, October 22, 2011
8:00 am – 9:00 am
RT6: Development of the Bone Foundation of Implants
Joel Rosenlicht, DMD
With the popularity of both mini-implants, short fat (wide) implants, and a variety of prosthetic options, determining the need for augmentation becomes more challenging. If augmentation is to be considered, determining the appropriate surgery and materials to use also presents a challenge. In this short hour, we will discuss these concepts and issues with the goal of getting a better appreciation of these choices and decisions.
Learning Objectives: Attendees can expect to learn the following from the presentation:
1. To access the surgical site for implant placement and the need for augmentation
2. Alternatives to grafting when placing implants
3. Types of augmentations and new materials and techniques to consider
11:00 am – 12 noon
RT7: Immediate Implant Placement into Infected Sites: Bacterial Studies of the Hydraucostic Effects of the YSGG Laser
Edward R. Kusek, DDS
Placing dental implants into sites infected with apical pathology from fractured roots, failed root canal, and periodontal infection presents significant challenges. In this study, an Er,Cr:YSGG laser was used to reduce bacterial within the osteotomy site. Clinical slides from a small study supporting the statement will be presented. The cases were pre-planned using a computed tomography (CT) scan, reformatted into 3-D software, and a drill guide (SurgiGuide, Matieralise Dental NV, Leuven, Belgium) for exact implant placement was developed. The focus of this presentation is to show the steps used to detoxify (reduce bacteria in) the osteotomy and accelerate bone formation into implant fixtures with the use of an Er,Cr:YSGG laser (Waterlase MD, Biolase Technology, Inc Irvine, CA, US). In the presenter’s placement of more than 200 implants in areas of infections, only two implant failures have occurred. The technique uses the hydroacoustic effects of the laser.
Learning Objectives: At the completion of this presentation, participants should be able to:
1. Reduce the amount of bacteria found from the extraction site to the osteotomy by the use of hydoacoustic effects of the Er,Cr:YSGG laser
2. Understand how to shorten the completion time of treatment to only three months even in cases of facial bone loss