Main Podium Presentations
(Preliminary Schedule: check back periodically for updates)
THURSDAY, OCTOBER 20, 2011
Finding the Right Patient - It Takes More than an Ad
8:00 am - 8:55 am
James R. McAnally, DDS
Dentistry has never had more predictable solutions for delivering function, comfort, and esthetics regardless of clinical condition or a greater number of clinicians qualified to deliver life changing services. Unfortunately, most promotional efforts fail for finding patients who can benefit, and who will invest in what dentistry offers leaving clinical skills and technology underutilized. This presentation provides a clear understanding of why promotional efforts fail, refines thinking related to a practice’s current elective service promotion efforts, and helps clinicians not promoting services beyond limited reimbursement schemes to decide whether they should invest in the time and resources necessary for success.
Learning Objectives:
1. Understand underlying marketing costs for insurance/government reimbursement scheme referred patients and why the 3-7% marketing “rule” is out dated for elective case promotion
2. Gain historical perspective on why most “creative” marketing fails to perform for practices promoting elective niche services
3. Identify key current Western economic trends affecting promotion of dental services
4. Understand the different levels of complexity with designing case acceptance systems for discussing insurance-limited versus fee for service dentistry with patients
The First Visit for the Patient - Your Only Chance at the First Impression
9:00 am - 10:00 am
Bill Blatchford, DDS
Dr. Blatchford will share how all people make decisions. He will show how education doesn't work because decisions are always made emotionally. He will show you how to enjoy conversations with patients which allow them to express their dreams, values and challenges. These conversations make the patient feel they are in the driver's seat and you are a great listener. He will share important shifts in thinking and pitfalls of where we stumble. Dr. Blatchford will help you develop a path of much greater sales acceptance.
Learning Objectives:
1. Discover what the patient wants and the deeper values of why they are seeking your care
2. Learn how to engage the patient in conversations about themselves which have them sharing their values and dreams about a smile
3. Ascertain the factors which make the first visit so important and can mean the difference between “fixing” a small item or creating with the patient the opportunity to look into the future with them leading the conversation
4. Identify how to have your team be motivated to have patient centered conversations with guests and keep that accountability going
5. Develop skills so every member of your team will be asking, “would you like fries with your burger?”
Case Planning to Prevent Implant Complications: Methods to Reduce Biomechanical Factors; Key Implant Position; Implant Number; and Implant Size
11:00 am - 12:00 Noon
Carl E. Misch, DDS, MDS, PhD (h.c.)
Every implant prostheses have key implant locations to reduce biomechanical stress. There are over 100,000 combinations of missing teeth, available bone in edentulous sites and quality of health of natural teeth abutments. As a consequence, treatment planning has often been an art form. In implant dentistry the implant abutment is more likely to be ideal in health. However the position of the implant is critical to reduce complications. There are four rules for the key implant position: no cantilever, no 3 adjacent pontics, the canine rule and the first molar rule.
Once the key implant positions are located, the additional implants for the prostheses are determined. The primary factors which contribute to implant number are the quality of the bone in the edentulous sites and the patient force factors. The implant size is determined once the implant position and number are satisfactory for the prostheses. When an ideal size is not utilized- implant number and implant design is more necessary to consider.
Learning Objectives:
1. Learn the most important implant positions in prostheses
2. Understand the necessary number of implants in prostheses is related to biomechanical stress
3. Develop a method to determine the ideal implant size for prostheses
Comprehensive Implant Dentistry Using 3-D Imaging: Reduce Complications, Increase Confidence, Achieve Excellence
1:30 pm - 2:25 pm
John Russo, DDS, MHS
Today, three-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 Cone Beam 3-D data will be presented to demonstrate successful diagnoses and treatment planning of dental implant cases.
Learning Objectives:
1. Become aware of current literature supporting the use of Cone Beam 3-D data
2. Understand the advantage of dissecting the anatomy on a computer prior to performing the implant surgery
3. Describe the limitations of two-dimensional radiographs
4. Prevent long-term dental implant complications by using Cone Beam 3-D data
Treatment Planning-Implants Versus Root Canal Therapy: Read, Analyze, and then Decide
2:30 pm -3:30 pm
Jaime L. Lozada, DDS
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:
1. Analyze the predictability of the most common clinical procedures in dentistry
2. Understand indications for implant placement
3. Evaluate various clinical scenarios where implants or endodontic treatments may be recommended
The Case Acceptance Appointment - What to Do Starting Next Week
4:30 pm - 5:30 pm
Robert B. Willis, DDS
Our technical expertise cannot overcome poor fundamentals of the Case Acceptance Process that is prevalent in dental practices. Knowing what to do is important but knowing when to do it and getting it done separates the haves from the have-nots. All too often we see practices "fumbling the ball" at various places in the process when they should be "waltzing into the end zone untouched." Case Acceptance turnovers are really costly as those patients are often lost forever. This presentation provides a simple, easy to implement blueprint template to getting cases accepted in a predictable way starting next week.
Learning Objectives:
1. Identify the most effective ways to reach high probability Implant patients
2. Eliminate the Case Acceptance Prevention Barriers in your practice
3. Grease the skids in the initial visit so the Case Acceptance visit starts the treatment acceptance process, keeping things simple and letting them buy what they want
4. Engaging your team - Who should do what and when they should do it
FRIDAY, OCTOBER 21, 2011
Extract and Graft; Implant Later
8:00 am - 8:55 am
Suzanne Caudry, DDS, PhD
The relevant scientific and clinical concepts instrumental in the transition from a hopeless tooth to an esthetically pleasing dental implant, as well as decision making between immediate implantation vs. extraction, grafting, and future placement will be reviewed. The scientific evidence and rationale for preserving or reconstructing an extraction wound at the time of tooth removal for the ideal placement of a dental implant will be discussed. A step-by-step method for achieving predictably reconstructed bone with abundant overlying gingival soft tissues will be illustrated with clinical cases. This technique will provide excellent esthetic results for your implant patients.
Learning Objectives:
1. Learn how to determine if an immediate implant should be placed, or if the socket should be grafted and an implant placed after healing
2. Be able to discuss with your patients the rationale for bone grafting at the time of tooth extraction
3. Learn a step-by-step method for extraction-socket-grafting to achieve predictable hard and soft tissues for esthetic implant placement
Extract and Implant
9:00 am - 10:00 am
Paul S. Petrungaro, DDS, MS
Providing the esthetic implant restoration for the implant patient has been the main focus of Implantology for the last several years. The comparison of the implant/gingival complex to the natural tooth/gingival complex are significant, and play an important role in the successful esthetics that can be achieved in single and multiple tooth implant restorations. Incorporation of basic periodontal/prosthetic principles into the Immediate Restoration procedure has provided the vehicle whereby realization of these goals can be achieved. This program will provide a comprehensive review of surgical and restorative principles necessary to predictably achieve esthetics in single and multiple tooth implant restorations. The review will include ideal surgical stent design (The TempStent II™ method), minimally invasive implant placement, the immediate restoration of implants in single and multiple sites, and minimally invasive bone grafting techniques. Large multi-disciplinary cases utilizing this philosophy will also be presented. Simplification of the entire implant surgical and prosthetic procedure is the main goal of this lecture. Multiple cases will be presented, with statistics presented on the success rate of over 4000 sites using the Immediate Restoration procedure compiled by the presenter.
Learning Objectives:
1. Proper placement, depth and spatial arrangement within the Housing of a Fresh extraction site
2. How to manage a deficient facial plate at an immediate extraction, implant placement procedure
3. How to use a provisional restoration to sculpt and guide Natural soft tissue emergence profiles
Implants for Immediate Function - Fact or Fiction
11:00 am - 12:00 Noon
Jack A. Hahn, DDS, F.A.G.D
Immediate extractions replacements will be highlighted in the presentations. Single tooth replacements in the esthetic zone is readily accepted by patients and the doctor that can deliver that service will experience practice growth, especially in difficult economic times. Attendees will be shown step-by-step the implant treatment for patients with hopeless teeth restored to health, comfort, function and esthetics in a relatively short time. Indications for immediate function will be discussed so that the attendees can make decisions on which cases they feel confident in treating. Surgical and prosthetic management of the various types of cases will be clearly demonstrated.
Learning Objectives:
1. Indications and treatment sequencing for immediate replacements for single, partially edentulous and fully edentulous fixed restorations
2. Factors determining two stage, one stage and immediate function
3. Prosthetic options for the various treatment modalities
Implants for Removable
1:30 pm - 2:25 pm
Michael A. Pikos, DDS
This clinical presentation will focus on the indications and application of the mandibular complete subperiosteal implant. It will feature the author’s 20 year experience with this immediate load implant that has now reached its 7th decade of clinical application in dentistry. The history, indications, clinical application and prosthetic surgical protocol will be covered in detail.
The evolution of metallurgy, implant design, and laboratory and CAD CAM technology has made this a practical, cost effective, and predictable reconstruction option for edentulous patients with severe mandibular atrophy.
Learning Objectives:
1. Appreciate the history and evolution of the complete mandibular subperiosteal implant
2. Understand the indications and clinical application of the complete mandibular subperiosteal implant
3. Understand the prosthetic - laboratory - surgical protocol included with the complete subperiosteal implant
Risk Assessment in the Esthetic Zone
2:30 pm - 3:30 pm
André P. Saadoun, DDS, MS
Replacing a single tooth in the esthetic zone with an implant restoration is one of the most demanding tasks in Implantology. Osseo-integration is no longer questionable today. It is obtained if the basic surgical implant principles are respected, but esthetic predictability in the anterior zone is a different, riskier issue and more challenging to achieve, due to the variety of anatomical / biological considerations, patient’s local /general parameters, invasive or less invasive surgery scientific / clinical / technological evolution, clinician’s high responsibility toward the patient, patient’s high expectation from the clinician.
The anterior region represents the most critical area from an esthetic standpoint and the most complex one with regard to the osseous and gingival architecture. In the anterior region, immediate implantation following an extraction and delayed implantation in a healed site with a thin biotype generally also represents the greatest clinical challenge. When a single central incisor is to be replaced by an implant crown without restoring the adjacent teeth as well, the esthetic risk is even greater, as compromises are unacceptable. The Soft Tissue Framework plays a critical role in the visual perception of any anterior restoration. Without a pleasing gingival framework, even the most skilled restorative dentist and ceramist cannot predictably deliver an esthetically pleasing result. However, without an implant restoration respecting and reproducing the optimal harmonious natural tooth gingival contour, it is also impossible to achieve an esthetic outcome. Therefore, achieving ultimate esthetic in the anterior zone with Implant Restoration should be similar to achieving esthetic with Conventional Restorative Dentistry.
Soft Tissue Esthetics and Health with Dental Implants: 10 Key Criteria for Success
4:30 pm - 5:30 pm
Sascha A. Jovanovic, DDS, MS
This presentation will provide the current knowledge and criteria in soft tissue management and how to achieve stable and long lasting soft tissue margins around implant restorations.
Soft tissue management, preservation and grafting, especially where it relates to the rehabilitation of partially edentulous patients with thin biotypes and high esthetic demands will be presented from an evidence based and clinical step-by-step fashion.
The position, spacing and choice of implant materials with preservation of mucogingival tissues will be discussed and the techniques to reconstruct the deficient implant site like soft tissue grafts, membrane technology, growth factors are presented with their indications and limitations.
The restorative part of this presentation will focus on the shape and material of the abutment and temporary restorations and to the timing of insertion. This will result in harmonious healing of the tissues with guided soft tissue growth and papilla regeneration while minimizing the discrepancies between the anatomical emergence profile of a natural tooth and implant.
Learning Objectives:
1. Understand the criteria for correct implant placement
2. Be able to identify the proper tissue management and grafting protocol
3. Choose the ideal material, shape and timing of abutment and prosthesis
SATURDAY, OCTOBER 22, 2011
Regenerative and Esthetic Techniques in Implant Surgery: Clinical Applications with Recombinant Growth Factors
8:00 am - 8:55 am
Marc L. Nevins, DMD, MMSc
Through technologic advances the ability to achieve esthetic surgical results with conservative techniques continues to evolve. The integration of recombinant growth factor technology into the surgical armamentarium is changing the approach to dental implant site development. This presentation will provide an update on techniques for esthetic implant site development using rhPDGF-BB (recombinant human platelet-derived growth factor BB).
Cases will be presented demonstrating successful treatment of extraction socket defects and ridge augmentation procedures in preparation for implant placement combining rhPDGF-BB with bone replacement grafts (BRGs). The use of growth factor technology is reducing the need for autogenous bone grafting and allowing for less invasive procedures. Techniques utilizing combined hard and soft tissue grafting for periodontal and implant applications will also be presented. Applying tissue engineering to clinical decision-making achieves optimal biologic and esthetic results for challenging periodontal and implant cases. Surgical management for esthetic challenges will be presented. Minimally invasive techniques will be presented and discussed.
Learning Objectives:
1. Understand the benefit of platelet-derived growth factor for localized ridge augmentation
2. To predictably sequence surgical therapy for complex dental implant cases
3. Compare and contrast various bone replacement graft biomaterials for use as growth factor enhanced matrices
Enhancing Outcomes with Block Bone Grafts
9:00 am - 10:00 am
Craig M. Misch, DDS, MDS
There are several methods and materials available for augmentation the deficient ridge. The choice of a particular technique will depend on the need for horizontal or vertical augmentation, degree of atrophy, type of prosthesis and clinician or patient preferences. There are several advantages to using autogenous block bone grafts for reconstruction including short healing times, dense quality, low cost and the ability to three-dimensionally reconstruct the lost anatomic contour. Autogenous bone grafts have proven to be the most effective in managing larger bone defects and greater atrophy. This presentation will discuss donor sites for block bone harvest with an emphasis on decreasing morbidity. Bank allograft bone blocks have been proposed as an alternative to bone harvest but these grafts have limitation. The distinct difference between using of cortical versus corticocancellous bone grafts is outlined. Techniques will be reviewed to enhance outcomes and minimize complications with block bone grafts.
Learning Objectives:
1. Understand the indications and advantages of block bone grafts over other ridge augmentation techniques
2. Review the advantages of using autogenous bone grafts over bone substitutes including bank allograft bone blocks
3. Understand graft incorporation and resorption with block bone grafts
4. Present clinical techniques that clinicians may use to enhance outcomes
Avoiding and Managing Esthetic Implant Complications
11:00 am - 12:00 Noon
Anthony G. Sclar, DMD
Dr. Sclar’s presentation will review the role that esthetic risk assessment, patient education, strategic selection and proper sequencing of adjunctive procedures with implant placement and biologically compatible prosthetic protocols have on achieving predictable outcomes for single and multiple adjacent esthetic implant restorations. Case studies will be used to elucidate the important factors and principles related to avoiding and managing complications in esthetic implant therapy.
Learning Objectives:
1. Follow an interdisciplinary treatment planning process and perform a pre-treatment esthetic risk assessment in order to develop biologically acceptable treatment options and an individualized esthetic risk profile for patients who desire esthetic implant replacements
2. Understand how strategic selection and proper sequencing of adjunctive procedures with implant placement and biologically compatible prosthetic protocols results in predictable outcomes in esthetic implant therapy
3. Understand the strategies for successful management of esthetic implant complications