BOSTON, MASSACHUSETTS JUNE 6 9, 2013 BOSTON MARRIOTT COPLEY PLACE
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1 Presented by The Quintessence International Publishing Group & The 11th International Symposium PeRioDoNTiCS REstORaTIVe dentistry on BOSTON, MASSACHUSETTS JUNE 6 9, 2013 BOSTON MARRIOTT COPLEY PLACE FEATURING Periodontal, Restorative Dentistry, and Implant Therapeutics CO-CHAIRS Myron Nevins, dds Marc L. Nevins, dmd, mmsc Photo courtesy of the Greater Boston Convention & Visitors Bureau. FINAL PROGRAM Cosponsored by With additional corporate sponsorship from
2 GEM 21S Growth-factor Enhanced Matrix Caution: Federal Law restricts this device to sale by or on the order of a dentist or physician. GEM 21S is composed of two sterile components: synthetic beta-tricalcium phosphate (ß-TCP) [Ca3 (PO4)] is a highly porous, resorbable osteoconductive scaffold or matrix that provides a framework for bone ingrowth, aids in preventing the collapse of the soft tissues and promotes stabilization of the blood clot. Pore diameters of the scaffold are specifi cally designed for bone ingrowth and range from 1 to 500 µm. The particle size ranges from 0.25 to 1.0 mm and highly purifi ed, recombinant human platelet-derived growth factor-bb (rhpdgf-bb). PDGF is a native protein constituent of blood platelets. It is a tissue growth factor that is released at sites of injury during blood clotting. In vitro and animal studies have demonstrated its potent mitogenic (proliferative), angiogenic (neovascularization) and chemotactic (directed cell migration) effects on bone and periodontal ligament derived cells. Animal studies have shown PDGF to promote the regeneration of periodontal tissues including bone, cementum, and periodontal ligament (PDL). The contents of the cup of ß-TCP are supplied sterile by gamma irradiation. Sterile rhpdgf-bb is aseptically processed and fi lled into the syringe in which it is supplied. All of these components are for single use only. INDICATIONS: GEM 21S is indicated to treat the following periodontally related defects: Intrabony periodontal defects; Furcation periodontal defects; and Gingival recession associated with periodontal defects. CONTRAINDICATIONS: As with any periodontal procedure where bone grafting material is used, GEM 21S is CONTRAINDICATED in the presence of one or more of the following clinical situations: Untreated acute infections at the surgical site; Untreated malignant neoplasm(s) at the surgical site; Patients with a known hypersensitivity to any product component (ß-TCP or rhpdgf-bb); Intraoperative soft tissue coverage is required for a given surgical procedure but such coverage is not possible; or Conditions in which general bone grafting is not advisable. WARNINGS: The exterior of the cup and syringe are NOT sterile. See directions for use. It is not known if GEM 21S interacts with other medications. The use of GEM 21S with other drugs has not been studied. Carcinogenesis and reproductive toxicity studies have not been conducted. The safety and effectiveness of GEM 21S has not been established: In other non-periodontal bony locations, including other tissues of the oral and craniofacial region such as bone graft sites, tooth extraction sites, bone cavities after cystectomy, and bone defects resulting from traumatic or pathological origin. GEM 21S has also not been studied in situations where it would be augmenting autogenous bone and other bone grafting materials. In pregnant and nursing women. It is not known whether rhpdgf-bb is excreted in the milk of nursing women. In pediatric patients below the age of 18 years. In patients with teeth exhibiting mobility of greater than Grade II or a Class III furcation. In patients with frequent or excessive use of tobacco products. Careful consideration should be given to alternative therapies prior to performing bone grafting in patients: Who have severe endocrine-induced bone diseases (e.g. hyperparathyroidism); Who are receiving immunosuppressive therapy; or Who have known conditions that may lead to bleeding complications (e.g. hemophilia). The GEM 21S grafting material is intended to be placed into periodontally related defects. It must not be injected systemically. The radiopacity of GEM 21S is comparable to that of bone and diminishes as GEM 21S is resorbed. The radiopacity of GEM 21S must be considered when evaluating radiographs as it may mask underlying pathological conditions. PRECAUTIONS: GEM 21S is intended for use by clinicians familiar with periodontal surgical grafting techniques. GEM 21S is supplied in a single use kit. Any unopened unused material must be discarded and components of this system should not be used separately. ADVERSE EVENTS: Although no serious adverse reactions attributable to GEM 21S were reported in a 180 patient clinical trial, patients being treated with GEM 21S may experience any of the following adverse events that have been reported in the literature with regard to periodontal surgical grafting procedures: swelling; pain; bleeding; hematoma; dizziness; fainting; diffi culty breathing, eating, or speaking; sinusitis; headaches; increased tooth mobility; superfi cial or deep wound infection; cellulitis; wound dehiscence; neuralgia and loss of sensation locally and peripherally; and, anaphylaxis. Occurrence of one or more of these conditions may require an additional surgical procedure and may also require removal of the grafting material. STORAGE CONDITIONS: The GEM 21S kit must be refrigerated at 2-8º C (36-46º F). Do not freeze. The individual rhpdgf-bb component must be refrigerated at 2-8º C (36-46º F). The ß-TCP cup can be stored at room temperature, up to 30º C (86º F). The rhpdgf-bb component must be protected from light prior to use; do not remove from outer covering prior to use. Do not use after the expiration date. Distributed By: Osteohealth, a Division of Luitpold Pharmaceuticals, Inc. One Luitpold Drive, P.O. Box 9001, Shirley, NY 11967, (800) This product is sold and distributed under US patents: 4,845,075; 5,045,633; 5,124,316, 7,473,678 BS0005 Rev. 11/2012 OHD 257 Iss. 11/2012 Help your patients retain their natural teeth with predictable regeneration Offer your patients the option of retaining their natural teeth with confidence! Periodontal regeneration with GEM 21S is an effective treatment for severely compromised teeth* and can help your patients avoid tooth extraction. Most patients would prefer to save their natural teeth rather than tooth extraction and tooth replacement. Osteothealth can assist you in presenting treatment to your patients. Request your free patient education booklets by calling our customer care center at (800) or your request to [email protected] *Safety and effectiveness has not been established in patients with Class III furcations or teeth exhibiting mobility greater than Grade II. IMPORTANT SAFETY INFORMATION GEM 21S Growth-factor Enhanced Matrix is intended for use by clinicians familiar with periodontal surgical grafting techniques. It should not be used in the presence of untreated acute infections or malignant neoplasm(s) at the surgical site, where intra-operative soft tissue coverage is not possible, where bone grafting is not advisable or in patients with a known hypersensitivity to one of its components. It must not be injected systemically. The safety and effectiveness of GEM 21S has not been established in other non-periodontal bony locations, in patients less than 18 years old, in pregnant or nursing women, in patients with frequent/excessive tobacco use (e.g. smoking more than one pack per day) and in patients with Class III furcations or with teeth exhibiting mobility greater than Grade II. In a 180 patient clinical trial, there were no serious adverse events related to GEM 21S ; adverse events that occurred were considered normal sequelae following any periodontal surgical procedure (swelling, pain).
3 WELCOME MESSAGE Dear Colleague, As we welcome you to the 11th International Symposium on Periodontics & Restorative Dentistry, we reflect on the origin of this outstanding meeting. It was an innovative thought during a time when it was necessary to recognize many changes that were on the cusp for dentistry. The first meeting was held in 1983, and we greeted colleagues from around the world. It provided an opportunity to share new treatment regimes and, more importantly, to identify the need for continued investigations to support emerging procedures. Even now in 2013, we look forward not only to sharing ideas and results of contemporary research but also to the translation of this information into improved patient care. This symposium once again will be a joint endeavor between the Quintessence International Publishing Group, publisher of the International Journal of Periodontics and Restorative Dentistry, and the American Academy of Periodontology. We have selected 85 of the profession s most renowned clinicians and researchers to construct valuable panels, presentations, and discussions that lead to optimal outcomes. They have had 3 years since the previous ISPRD to accept the challenge of relating contemporary treatment regimes to multidisciplinary patient care. Topics to be discussed include periodontics, implants, prosthodontics, and oral surgery. Boston is in full bloom in June, and everyone will enjoy its ambience. We are confident that this outstanding program in comprehensive adult dentistry will bring new enthusiasm to your practice, invigorated by the latest cutting-edge information. Cordially, Myron Nevins, dds Program Co-Chair Marc L. Nevins, dmd, mmsc Program Co-Chair Dear Friends and Colleagues, On behalf of the American Academy of Periodontology, it is my pleasure to welcome you to Boston for the 11th International Symposium on Periodontics & Restorative Dentistry, cosponsored by the Quintessence International Publishing Group. Featuring 85 world-renowned clinicians and researchers, this triennial symposium promises to provide comprehensive and timely educational programming, with periodontics and restorative dentistry as its primary focus. We are excited that the wide range of session topics has drawn leaders in their respective dental fields so that all participants will benefit from the cutting-edge educational and networking opportunities that this collaborative effort will present. With the Pre-Symposium Sessions on June 6, a Welcome Reception on June 7, and technical exhibits from June 6 to 8, attendees will have opportunities to augment continuing education programming with a variety of activities. Set against the backdrop of a world-class city with a rich history and a diverse culture, this symposium is the ideal setting to enjoy the sights of Boston, meet new colleagues, and further cultivate established friendships. With warm regards, Nancy Newhouse, dds, ms President American Academy of Periodontology
4 INSPIRE BETTER ORAL HEALTH WITH A RECOMMENDATION THAT CAN MAKE A DIFFERENCE COLGATE TOTAL IS THE 2-MINUTE WORKOUT THAT KEEPS ON WORKING PROVEN IMPROVEMENTS IN ORAL HEALTH OVER TIME* HOUR Antibacterial protection 1 WEEKS Significant plaque reduction 2 MONTHS Long-lasting gingivitis control 2 * Compared to non-antibacterial fluoride toothpaste. References: 1. Fine DH et al. J Clin Periodontol. 2012; doi: /j X x. 2. Cubells AB, Dalmau LB, Petrone ME, et al. J Clin Dent. 1991;2(3):
5 TABLE OF CONTENTS General Information...7 Scientific Sessions Timetable List of Sponsors...10 List of Speakers...11 Pre-Symposium Sessions Pre-Symposium Workshop...15 Scientific Program Lecture Abstracts and Curriculum Vitae Speaker Disclosures Poster Presentations...46 Exhibit Floor Map/Sponsors...48 List of Exhibitors...49 AAP MEMBERS Check out the new redesigned IJPRD... at a discounted rate! The International Journal of Periodontics & Restorative Dentistry now has more pages and more articles per issue, but it continues in its reputation for quality editorial content and unparalleled production values. AAP members are eligible for a substantial discount on the subscription rate equal to the student rate. There has never been a better time to subscribe to IJPRD! Please visit the all-new IJPRD website < and follow us on Facebook or Twitter.
6 DENTSPLY Implants is the union of two successful and innovative dental implant businesses: DENTSPLY Friadent and Astra Tech Dental. DENTSPLY Implants offers a comprehensive line of implants, including ANKYLOS, ASTRA TECH Implant System and XiVE, digital technologies such as ATLANTIS patient-specific abutments, regenerative bone products and professional development programs. We are dedicated to continuing the tradition of DENTSPLY International, the world leader in dentistry with 110 years of industry experience, by providing high quality and groundbreaking oral healthcare solutions that create value for dental professionals, and allows for predictable and lasting implant treatment outcomes, resulting in enhanced quality of life for patients. We invite you to join us on our journey to redefine implant dentistry. For more information, visit US DENTSPLY International, Inc. Facilitate
7 GENERAL INFORMATION REGISTRATION All participants of the 11th International Symposium on Periodontics & Restorative Dentistry must register and obtain a badge before attending symposium events. You will not be allowed into the lecture ballrooms unless you display your badge. Wednesday, June 5 Thursday, June 6 Friday, June 7 Saturday, June 8 Sunday, June 9 1:00 pm 6:00 pm 7:00 am 5:00 pm 7:00 am 5:00 pm 7:00 am 5:00 pm 7:00 am 3:00 pm Please wear your badge at all times. Admission to the scientific sessions and receptions is by badge only. Lecture Rooms All general sessions will be held in the Grand Ballroom (4th floor) of the Marriott Copley Hotel. The special Thursday Pre-Symposium Workshop will be held in the Simmons Room (3rd floor). The Marriott Copley Hotel prohibits smoking throughout its property. Cellular telephones and other electronic devices must be turned off or switched to silent mode. Photography, audiotaping, and videotaping are prohibited during the sessions. Please be courteous to other attendees. Poster Session The poster presentations will be held in front of the Grand Ballroom, located on the 4th floor, from Thursday, June 6, through Saturday, June 8. Winners will be announced during the Welcome Reception on Friday evening in the Grand Ballroom. Cash awards of $1,500, $1,000, and $500 will be given for first, second, and third place, respectively. Winners will also receive a recognition plaque and a refund of their symposium registration fee. Special Recognition Awards The Distinguished Clinician Award is given to two clinicians who have contributed to advancements in periodontics and restorative dentistry. This year s recipients are Dr James T. Mellonig and Dr Arnold S. Weisgold. The Awards Ceremony will be held during the Welcome Reception on Friday evening in the Grand Ballroom. Continuing Education Credit Information One hour of continuing education (CE) credit is offered for every hour of program attendance. Continuing education credit can be recorded on the CE Form included in your symposium registration packet. One copy of the completed CE Form should be returned to the continuing education counter located in the registration area. Be sure to retain a copy of this completed form for your records; you will receive no further documentation. The American Academy of Periodontology will maintain one copy of the form for 4 years but will not send CE information or CE forms to state boards. CE credit awarded for participation in a course or activity may not apply toward licensing renewal in all states. It is the responsibility of each participant to verify the requirements of his or her state licensing board. Meeting attendees are responsible for ensuring that their education credits are current and on file with their respective state board or other licensing/regulatory agency. Quintessence Publishing Company Inc and the American Academy of Periodontology are ADA CERP Recognized Providers. Videotaping Several lecturers have agreed to the videotaping of their presentations. DVDs for the Thursday, Friday, and Saturday lectures will be available for purchase on-site; you will find an order form in your registration packet. Sunday lectures may be ordered on-site or through the Quintessence website ( and will be shipped at the conclusion of the meeting. Please note that not every lecturer has agreed to videotaping; refer to the DVD order form for availability. TECHNICAL EXHIBITS Technical exhibits, located on the 3rd floor, are open during the hours listed below. All participants are invited to visit the exhibits to observe the latest developments in dental products offered by the leading manufacturers. See the list of exhibitors on page 49. Thursday, June 6 Friday, June 7 Saturday, June 8 9:30 am 6:30 pm 9:30 am 6:30 pm 9:30 am 6:30 pm Coffee Breaks Coffee breaks will be held each morning and afternoon. Complimentary coffee, tea, and soft drinks will be available during break time in the 3rd floor exhibit area. Special Events Wine and Cheese Reception, Thursday, June 6, 5:00 pm 6:30 pm, in the exhibit area located on the 3rd floor. Welcome Reception, Friday, June 7, 6:30 pm 8:30 pm, in the Grand Ballroom. Plan to spend a fun evening to renew friendships and meet colleagues from around the world. Winners of the poster presentations will be announced during this reception, and recipients of the Distinguished Clinician Award will be presented. 7
8 SCIENTIFIC SESSIONS TIMETABLE Thursday, June 6 Grand Ballroom (Salon E,F) Grand Ballroom (Salon G K) 8:00 Moderator Moderator Moderator 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 Session I: The Next Generation Tarnow Zuhr Break Baumgarten De Angelis Lunch Session II: Strategic Regeneration: Biomaterial Rasperini Artzi Break Rocchietta Lunch Grand Ballroom (Salon A D) Simmons Room Session III: Defining and Implementing Definitive Periodontal and Peri-Implant Treatment Moderator Paquette Offenbacher Break Break Fiorellini Lunch Workshop (8 am 4 pm) Alveolar Ridge Regenerative Strategies: Titanium and SonicWeld Michael A. Pikos Break Lunch Friday, June 7 Grand Ballroom (Salon G K) Grand Ballroom (Salon E,F) Moderator erator Session I: The Creation of Optimal Meyenberg Garber Break Malament Lunch Session II: Bone Preservation for Hämmerle Araújo Break Cooper Lunch Moderator Grand Ballroom Session III: The Realistic Endpoint Goals of Periodontal Regeneration (Salon A D) Mod- McClain Nevins, Marc Break Froum Panel Lunch Saturday, June 8 Grand Ballroom (Salon F) Grand Ballroom (Salon G K) Grand Ballroom (Salon A E) Session I: Clinical Applications of Tissue Engineering Giannobile Cochran Break Simion Panel Session III: Treatment-Planning Innovations Fradeani Nevins, Myron Break Tarnow Lunch Session IV: Advances in Localized Site Langer, Burton Watzek Break Buser Lunch Sunday, June 9 Moderator Moderator Moderator Grand Ballroom Session I: Periodontal Plastic Surgery for the Treatment of Recession- (Salon G K) Mod- McGuire Allen Break Zabalegui Pasquinelli Lunch erator Grand Ballroom (Salon F) Moderator Coachman Schuepbach Session II: Novel Advances and Rationale for Implant Break Ricci, John Misch Lunch Grand Ballroom (Salon A E) Session III: Immediate Loading: When and Where for Testori Chu Break Miller Tinti/Parma-Benfenati Lunch 8
9 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 of Implant Dentistry Lee Selection and Surgical Techniques Ramsey Break De Bruyn Murphy Froum Break Wallace in Specific Patient Groups: Critical Advances for the Practicing Clinician Otomo-Corgel Tonetti Break Rosen Mesh with BMP-2 and Particulate Allograft Break Exhibits Panel Panel Panel Wine and Cheese Reception (5:00 6:30) Exhibit Hall Ceramic Esthetics Winter Gürel Break Blatz Compromised Extraction Sites Merli Camargo Break Leziy Panel Panel Session IV: Adult Orthodontics to Resolve Spacing and Tissue Deficiencies Sarver Wise Break Wilcko Panel Welcome Reception (6:30 8:30) Grand Ballroom Exhibits Lunch Session II: Identification and Management of Prosthetic Problems for Dental Implants Moderator Knoernschild Weber Break Taylor Panel for the Compromised Patient Strub Marx Break Sasaki Panel Development for Implant Dentistry Grunder Urbán Break Pikos Panel Exhibits Type Defects De Sanctis Ricci, Giano Panel Success Langer, Laureen Yamamoto Panel Whom? Parel Sclar Panel 9
10 SPONSORS Thanks! The Quintessence International Publishing Group would like to extend their gratitude to the following companies for their generous support of the 11th International Symposium on Periodontics & Restorative Dentistry: Principal sponsor Major sponsors Platinum sponsors Gold sponsors Silver sponsor Bronze sponsors 10
11 SPEAKERS Edward P. Allen, dds, phd Sunday, 9:00 am 9:45 am Ueli Grunder, dmd Saturday, 1:00 pm 2:00 pm Marc L. Nevins, dmd, mmsc Friday, 9:00 am 10:00 am Myron Spector, phd Moderator, Thursday all day Maurício G. Araújo, dds, msc, phd Friday, 9:15 am 10:15 am Zvi Artzi, dmd Thursday, 9:15 am 10:15 am Harold S. Baumgarten, dmd Thursday, 10:25 am 11:15 am Markus B. Blatz, dmd, phd, dr med dent habil dr Friday, 3:30 pm 4:30 pm Daniel Buser, dds, dr med dent Saturday, 10:45 am 11:45 am Paulo Camargo, dds, ms, mba Friday, 2:00 pm 3:00 pm Stephen J. Chu, dmd Sunday, 9:00 am 9:45 am Christian Coachman, cdt, dds Sunday, 8:15 am 9:00 am David L. Cochran, dds, phd Saturday, 9:15 am 10:15 am Lyndon Cooper, dds, phd Friday, 10:45 am 11:45 am Nicola De Angelis, dds, msc Thursday, 11:15 am 12:05 pm Hugo De Bruyn, phd Thursday, 3:40 pm 4:30 pm Sergio De Paoli, md, dds Moderator, Friday morning Massimo De Sanctis, md, dds, ms Sunday, 12:45 pm 1:30 pm Nicholas M. Dello Russo, dmd, mscd Moderator, Friday afternoon Galip Gürel, dds, ms Friday, 2:00 pm 3:00 pm Christoph H. F. Hämmerle, dr med dent Friday, 8:15 am 9:15 am David M. Kim, dds, dmsc Moderator, Saturday morning Kent Knoernschild, dmd, ms Saturday, 1:20 pm 2:15 pm Burton Langer, dmd, msd Saturday, 8:15 am 9:15 am Laureen Langer, dds Sunday, 12:45 pm 1:30 pm Richard J. Lazzara, dmd, mscd Moderator, Thursday all day Ernesto A. Lee, dmd Thursday, 1:30 pm 2:20 pm Sonia S. Leziy, dds, frcd(c) Friday, 3:30 pm 4:30 pm Kenneth A. Malament, dds, mscd Friday, 10:45 am 11:45 am Robert E. Marx, dds Saturday, 2:00 pm 3:00 pm Pamela K. McClain, dds Friday, 8:05 am 9:00 am Thomas J. McGarry, dds Moderator, Sunday all day Adriana McGregor, dds Moderator, Sunday all day Michael K. McGuire, dds Sunday, 8:15 am 9:00 am Mauro Merli, md, dds Friday, 1:00 pm 2:00 pm Myron Nevins, dds Saturday, 9:15 am 10:15 am Steven Offenbacher, dds phd, mmsc Thursday, 9:15 am 10:15 am Joan Otomo-Corgel, dds, mph Thursday, 1:00 pm 2:00 pm David W. Paquette, dds, mph, dmsc Thursday, 8:15 am 9:15 am Stephen M. Parel, dds Sunday, 12:45 pm 1:30 pm Stefano Parma-Benfenati, md, dds, mscd Sunday, 11:00 am 11:45 am Kirk L. Pasquinelli, dds Sunday, 11:00 am 11:45 am Michael A. Pikos, dds Thursday, 8:00 am 4:00 pm Saturday, 3:30 pm 4:30 pm Christopher Ramsey, dmd Thursday, 2:20 pm 3:10 pm Giulio Rasperini, dds Thursday, 8:15 am 9:15 am Giano Ricci, md, dds, mscd Sunday, 1:30 pm 2:15 pm John L. Ricci, phd Sunday, 10:15 am 11:00 am Chris R. Richardson, dmd, ms Moderator, Saturday all day Isabella Rocchietta, dds Thursday, 10:45 am 11:45 am Paul S. Rosen, dmd, ms Thursday, 3:30 pm 4:30 pm Jörg Strub, dds, dr med dent habil dr, dr hc Saturday, 1:00 pm 2:00 pm Dennis Tarnow, dds Thursday, 8:15 am 9:05 am Saturday, 10:45 am 11:45 am Thomas D. Taylor, dds, msd Moderator, Saturday afternoon Saturday, 3:45 pm 4:30 pm Tiziano Testori, md, dds Sunday, 8:15 am 9:00 am Carlo Tinti, md, dds Sunday, 11:00 am 11:45 am Maurizio Tonetti, DMD, phd, mmsc Thursday, 2:00 pm 3:00 pm István Urbán, dmd, md Saturday, 2:00 pm 3:00 pm Diego Velásquez, dds, msd Moderator, Friday all day Stephen S. Wallace, dds Thursday, 3:30 pm 4:30 pm Hom-Lay Wang, dds, msd, phd Moderator, Sunday all day Georg Watzek, md, dds, phd Saturday, 9:15 am 10:15 am Hans-Peter Weber, dmd Saturday, 2:15 pm 3:15 pm Arnold S. Weisgold, dds Moderator, Saturday all day M. Thomas Wilcko, dmd Friday, 3:30 pm 4:30 pm Ray C. Williams, dds Moderator, Thursday all day Joseph P. Fiorellini, dmd, dmsc Thursday, 10:45 am 11:45 am Mauro Fradeani, dmd Saturday, 8:15 am 9:15 am Stuart J. Froum, dds Thursday, 2:00 pm 3:00 pm Friday, 10:30 am 11:30 am David A. Garber, dmd Friday, 9:15 am 10:15 am William V. Giannobile, dds, dmsc Saturday, 8:15 am 9:15 am Konrad Meyenberg, dr med dent Friday, 8:15 am 9:15 am Brahm A. Miller, dds, msc, frcd(c) Sunday, 10:15 am 11:00 am Craig M. Misch, dds, mds Sunday, 9:30 am 10:15 am Kevin G. Murphy, dds, ms Thursday, 1:00 pm 2:00 pm Daniel Nathanson, dmd, msd Moderator, Friday all day David M. Sarver, dmd, ms Friday, 1:05 pm 2:00 pm Takeshi Sasaki, dds Saturday, 3:30 pm 4:30 pm Peter Schuepbach, phd Sunday, 9:00 am 9:45 am Anthony G. Sclar, dmd Sunday, 1:30 pm 2:15 pm Massimo Simion, md, dds Saturday, 10:45 am 11:45 am Robert R. Winter, dds Friday, 1:00 pm 2:00 pm Roger J. Wise, dds Friday, 2:00 pm 3:00 pm Atsuhiko Yamamoto, dds, phd Sunday, 1:30 pm 2:15 pm Ion Zabalegui, md, dds Sunday, 10:15 am 11:00 am Otto Zuhr, dds, dr med dent Thursday, 9:05 am 9:55 am 11
12 PROT OC OL WORKS! 3 & 9 Month Panoramic Comparison Two Human Histological Evaluations for PROT OC OL Supracrestal Environment at the level of the junctional epithelium (JE) at 3 months (left) and at 9 months (right). JE - Junctional Epithelium B - New Bone OB - Old Bone KEY C - Cementum N - Notch OC - Old Cementum OB B JE Yukna et al IJPRD 2007 Nevins et al IJPRD 2012 LEARN MORE ABOUT PROT OC OL Ongoing Clinical Lectures & Case Studies in the Berkeley Room & TM PROTOCOL Charles Braga, DMD, MMSc Certified Instructor, the Institute for Advanced Laser Dentistry Allen S. Honigman, DDS, MS Certified Instructor, the Institute for Advanced Laser Dentistry The only company with a clinical results guarantee! MILLENNIUM DENTAL TECHNOLOGIES, INC. (877) Yukna, Carr, Evans, Histologic Evaluation of an Nd:YAG Laser-Assisted New Attachment Procedure in Humans. Int J Periodontics Restorative Dent 2007; 27: Nevins, Camelo, Schupbach, et. al., Human Clinical and Histologic Evaluation of Laser-Assisted New Attachment Procedure. Int J Periondontics Restorative Dent 2012;32: Company Intellectual Property. Copyright All Rights Reserved.
13 Thursday, June 6 PRE-SYMPOSIUM SESSIONS SESSION I: 8:00 am 5:00 pm The Next Generation of Implant Dentistry Implant dentistry is dynamic and always evolving. This program will present new research, technologies, and practical experiences employed in implant practice. The panel will discuss the next generation of implant dentistry in surgical, restorative, and regenerative therapies. Participants should gain knowledge in treatment planning and management of compromised sites as well as advanced technologies for efficient, effective, and esthetic patient outcomes. OBJECTIVES: Understand clinical and technologic advancements to accelerate patient rehabilitation Understand the outcomes of immediately loaded implants in the full arch under compromised conditions Be able to recognize the benefits of immediate versus delayed socket management 8:00 am Richard J. Lazzara (Moderator) 8:15 am 9:05 am Dennis Tarnow Immediate Versus Delayed Socket Placement: What We Know, What We Think We Know, and What We Don t Know 9:05 am 9:55 am Otto Zuhr Management of Extraction Sockets: Scientific Data and Their Clinical Relevance 9:55 am 10:25 am Break 10:25 am 11:15 am Harold S. Baumgarten Factors for Influencing Treatment Options: Achieving and Maintaining Long-Term Esthetic Results 11:15 am 12:05 pm Nicola De Angelis Hard and Soft Tissue Preservation Around Dental Implants 12:05 pm 1:30 pm Lunch 1:30 pm 2:20 pm Ernesto A. Lee What Are the Best Clinical Practices for Integrating Implant Therapy in Smile Design? 2:20 pm 3:10 pm Christopher Ramsey Digital Dynamics in Dentistry 3:10 pm 3:40 pm Break 3:40 pm 4:30 pm Hugo De Bruyn Creating Ideal Results in Compromised Situations 4:30 pm 5:00 pm Panel Discussion SESSION II: 8:00 am 5:00 pm Strategic Regeneration: Biomaterial Selection and Surgical Techniques The continued emergence of biomaterials and biologics has resulted in an enhanced capability for surgical success and patient benefits. This program will consider several regenerative approaches to save teeth, reverse recession, and enhance the zone of keratinized tissue and site preparation for implant placement. Topics include the treatment of extraction wounds, periodontal plastic surgery, localized ridge enhancement, and sinus elevation. The focus of the presentation will be a take-home message to augment your surgical armamentarium. OBJECTIVES: Identify the limitations of regenerative materials Investigate the value of tissue engineering for localized edentulous ridge augmentation Learn to utilize alternative surgical techniques 8:00 am Myron Spector (Moderator) 8:15 am 9:15 am Giulio Rasperini Biomaterials and Surgical Techniques in Periodontal Plastic Surgery 9:15 am 10:15 am Zvi Artzi From Immediate Implant Placement Postextraction to Functional Reconstruction: Simultaneous Versus Gradual Approach 10:15 am 10:45 am Break 10:45 am 11:45 am Isabella Rocchietta Tissue Engineering: Can We Apply It Clinically? 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Kevin G. Murphy SonicWeld: Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration 2:00 pm 3:00 pm Stuart J. Froum Peri-implantitis: What Are the Options of Treatment? 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Stephen S. Wallace Sinus Elevation: Maximizing Outcomes Through Biomaterial Selection and Surgical Innovations 4:30 pm 5:00 pm Panel Discussion Sponsored by Sponsored by 13
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15 THURSDAY, JUNE 6 PRE-SYMPOSIUM SESSIONS SESSION III: 8:00 am 5:00 pm Defining and Implementing Definitive Periodontal and Peri-Implant Treatment in Specific Patient Groups: Critical Advances for the Practicing Clinician The role of the practicing clinician in ensuring each patient s overall long-term health and well-being has become increasingly critical within the last decade. With the explosion of emerging evidence for an oral health total health connection, dentists and hygienists are seeking new and innovative strategies for ensuring a patient s long-term health through optimal definitive treatment approaches. This symposium brings together a group of international experts who are leaders in the management of periodontal and peri-implant disease. Drawing on the lessons learned from intervention trials in distinct patient populations, the speakers will examine approaches for treating periodontal disease in specific patient groups, such as individuals with diabetes, explaining that treatment of periodontal disease is not the same in each patient group or in each patient. The speakers will also define what constitutes definitive treatment of disease and how to optimally achieve it. OBJECTIVES: Understand periodontal disease and peri-implant disease as primarily inflammatory diseases initiated by an infectious burden Understand the pitfalls in treating specific patient groups and the need to tailor specific treatment strategies for these groups Understand strategies for ensuring the definitive treatment of patients who have dental implants Understand how to incorporate new treatment strategies for specific patient groups into everyday practice 8:00 am Ray C. Williams (Moderator) 8:15 am 9:15 am David W. Paquette Understanding the Nature and Treatment of Periodontal and Peri-Implant Disease 9:15 am 10:15 am Steven Offenbacher Lessons Learned About Definitive Periodontal Disease Treatment from Human Clinical Trials 10:15 am 10:45 am Break 10:45 am 11:45 am Joseph P. Fiorellini Achieving Definitive Periodontal Disease Treatment in Patients with Diabetes 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Joan Otomo-Corgel Achieving Appropriate Periodontal Therapy in Women of Childbearing Age 2:00 pm 3:00 pm Maurizio Tonetti Achieving Definitive Periodontal Disease Treatment in Patients with Cardiovascular Disease 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Paul S. Rosen Incorporating Definitive Periodontal Disease and Peri-implant Disease Treatment into Daily Practice 4:30 pm 5:00 pm Panel Discussion Sponsored by Special Workshop: 8:00 am 4:00 pm All-day hands-on workshop by Michael A. Pikos Alveolar Ridge Regenerative Strategies: Titanium and SonicWeld Mesh with BMP-2 and Particulate Allograft Mesh particulate grafting must be integrated into treatment planning by today s implant surgeon to effectively treat patients with compromised alveolar ridges. This clinically based hands-on technique course will draw on the speaker s 30 years of experience with bone grafting. The indications, contraindications, and surgical protocol for titanium and Poly-DL lactide (SonicWeld) mesh with BMP- 2 and particulate allograft for alveolar ridge augmentation will be featured with step-by-step, hands-on surgical protocols. Flap design and soft tissue management will be reviewed along with comprehensive site development evaluation, including the use of cone beam computed tomography and detailed clinical examination. Recognition, management, and prevention of complications associated with mesh/bmp-2 particulate grafting will be covered. OBJECTIVES: Understand the indications for mesh/bmp-2 particulate grafting for alveolar ridge augmentation Appreciate the importance of site development for mesh/bmp-2 particulate grafting Understand and apply the surgical protocol for utilization of mesh/bmp-2 particulate grafting for alveolar ridge augmentation Recognize, manage, and prevent complications associated with mesh/bmp-2 particulate grafting 15
16 SCIENTIFIC PROGRAM FRIday, June 7 SESSION I: 8:00 am 5:00 pm The Creation of Optimal Ceramic Esthetics The quest for the perfect material to create optimal dental esthetics has led to remarkable progress, but we continue to learn new innovations. This panel will present pertinent information ranging from minimally invasive all-ceramic restorations to complex prosthodontics. It is important to establish a protocol that recognizes the need for correct tooth preparation in concert with the selection of the restorative material to achieve both function and esthetics. OBJECTIVES: Learn to select the optimal material for your patient Identify the appropriate tooth preparation for the procedure Appreciate the value of CAD/CAM in esthetic dentistry 8:00 am Daniel Nathanson (Moderator) 8:15 am 9:15 am Konrad Meyenberg Minimally Invasive All-Ceramic Techniques to Restore Discolored Anterior Teeth: A Contradiction? 9:15 am 10:15 am David A. Garber The Critical Pink Interface in Esthetic Dentistry A Cross-Disciplinary Approach: Options, Limitations, and Solutions 10:15 am 10:45 am Break 10:45 am 11:45 am Kenneth A. Malament Integration of Esthetic Dentistry in Routine and Complex Prosthodontics 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Robert R. Winter The Correlation Between Tooth Preparation, Restorative Material Selection, Function, and Esthetic Success 2:00 pm 3:00 pm Galip Gürel Ultimate Digital Communication Skills for Minimally Invasive Dentistry: Latest Updates on CAD/CAM Technology and Communication 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Markus B. Blatz CAD/CAM in Esthetic Dentistry 4:30 pm 5:00 pm Panel Discussion Access a mobile version of this program here: SESSION II: 8:00 am 5:00 pm Bone Preservation for Compromised Extraction Sites The acceptance of osseointegrated implants for the replacement of missing anterior teeth has led to the need to preserve the supporting alveolar process following extraction of teeth with prominent roots. It is apparent that the patient benefits from regenerative treatment at the time of extraction, and this panel will present the biologic and clinical observations. The speakers will consider the alternatives of regeneration and/or the placement of implants at the time of extraction. The ultimate goal is the longterm preservation of soft and hard tissues when treating compromised extraction sites. OBJECTIVES: Review the scientific evidence regarding preservation of the alveolar process with extractions Learn when immediate implant placement in an extraction socket is appropriate Consider the biomaterial selection for compromised extraction sites 8:00 am Diego Velásquez (Moderator) 8:15 am 9:15 am Christoph H. F. Hämmerle How To Preserve the Ridge: A Key Question in Clinical Practice 9:15 am 10:15 am Maurício G. Araújo Management of Extraction Sites 10:15 am 10:45 am Break 10:45 am 11:45 am Lyndon Cooper Data: The Building Block for Creating the Ideal Smile 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Mauro Merli Implant Therapy: The Integrated Treatment Plan 2:00 pm 3:00 pm Paulo Camargo Preserving the Dimensions of the Alveolar Ridge: Scientific Evidence and Clinical Applications 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Sonia S. Leziy Site Development for Implant Placement: Concepts, Procedures, and Techniques 4:30 pm 5:00 pm Panel Discussion 16
17 FRIDAY, June 7 SCIENTIFIC PROGRAM SESSION III: 8:00 am 12:00 pm The Realistic Endpoint Goals of Periodontal Regeneration Periodontal regeneration is the ultimate goal for the treatment of adult periodontitis. The contemporary availability of biologics, barrier membranes, and laser therapy provide many opportunities to reverse the tissue destruction of disease. In spite of this, questions persist as to the effort required, cost-effectiveness, and the esthetic result. This panel will present an organized selection of cases together with a background of evidence to guide your decisions. OBJECTIVES: Learn surgical techniques to achieve regenerative success Understand the value of tissue engineering Recognize the role of laser surgery for periodontal regeneration 8:00 am Sergio De Paoli (Moderator) 8:05 am 9:00 am Pamela K. McClain Regenerative Therapy in Furcation Defects: Advances and Limitations 9:00 am 10:00 am Marc L. Nevins Laser-Assisted Microinvasive Versus Biomaterial Periodontal Regenerative Therapy 10:00 am 10:30 am Break 10:30 am 11:30 am Stuart J. Froum Predictability and Advisability of Regenerative Therapy for Teeth with Severe Bone Loss 11:30 am 12:00 pm Panel Discussion SESSION IV: 1:00 pm 5:00 pm Adult Orthodontics to Resolve Spacing and Tissue Deficiencies Adult orthodontic intervention provides a serious benefit to many patients from both an esthetic and a functional basis. This is true for both dentate and implant spatial relations and, frequently, can be isolated to a specific area of correction. It also has the capacity to reposition hard and soft tissue relationships. There is emerging clinical evidence that many of these procedures can reach their culmination more efficiently than anticipated. OBJECTIVES: Learn the goals of hard and soft tissue change with tooth movement Observe the endpoint goals that are possible Recognize that optimal outcomes may occur in a shorter time frame 1:00 pm Nicholas M. Dello Russo (Moderator) 1:05 pm 2:00 pm David M. Sarver Global Assessment and Treatment in Dentofacial Esthetics 2:00 pm 3:00 pm Roger J. Wise Adult Orthodontics: The Practical Approach 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm M. Thomas Wilcko Periodontally Enhanced Orthodontics: A New Frontier 4:30 pm 5:00 pm Panel Discussion 12:00 pm 1:00 pm Lunch Distinguished Clinician Award The Distinguished Clinician Award was established in 1997 to recognize the outstanding contributions of two clinicians to the advancement of dentistry. The Award recipients are chosen not only for their excellence as clinicians and researchers but also as role models to their junior colleagues. This year the awards will be given to: The Awards Ceremony will be held during the Welcome Reception on Friday, June 7. Previous recipients of the Distinguished Clinician Award are: 2010 Robert G. Schallhorn, dds, ms Jörg Strub, dds, dr med dent habil, dr hc James T. Mellonig, dds, ms Arnold S. Weisgold, dds 2007 Gerald M. Bowers, dds, ms Lloyd L. Miller, dmd 2004 Morton Amsterdam, dds, scd Peter Schärer, dds, ms 2000 Ulf Lekholm, lds, phd George A. Zarb, bchd, dds, ms 17
18 SCIENTIFIC PROGRAM SATURDAY, June 8 SESSION I: 8:00 am 12:15 pm Clinical Applications of Tissue Engineering The contemporary utilization of tissue-engineered products in periodontal and implant treatment is substantial. They provide an opportunity to challenge the use of autogenous grafting to enhance bone without the adverse effects that accompany the harvest site. However, we have to determine which growth factor will provide the efficacy for success. It is then necessary to become familiar with their applications. This panel of experts will bring us up to date with their knowledge and clinical experience. OBJECTIVES: Reassess our regenerative procedures Recognize the value of tissue-engineered products Understand the combination of the growth factor and the matrix of choice 8:00 am David M. Kim (Moderator) 8:15 am 9:15 am William V. Giannobile Periodontal Bioengineering: How Are Innovations Advancing Clinical Dentistry? 9:15 am 10:15 am David L. Cochran What Is the Best Growth Factor/Matrix Choice in the Clinic? 10:15 am 10:45 am Break 10:45 am 11:45 am Massimo Simion The Clinical Use of Biomaterials and Growth Factors in Hard and Soft Tissue Management 11:45 am 12:15 pm Panel Discussion 12:15 pm 1:15 pm Lunch SESSION II: 1:15 pm 5:00 pm Identification and Management of Prosthetic Problems for Dental Implants Complications in implant dentistry are generally considered to occur at a low level, particularly surgical complications. Prosthodontic complications, on the other hand, can be quite common, problematic to patients, and at best annoying to the clinician. The spectrum of prosthodontic complications will be reviewed with a focus on etiology, frequency, and avoidance. The attendee should obtain valuable information relative to avoidance of prosthodontic complications. OBJECTIVES: Discuss how to lower the risk for late implant failures Discuss the prevalence of prosthetic material failure in implantsupported restorations Discuss the evidence for occlusal load as a cause of loss of osseointegration 1:15 pm Thomas D. Taylor (Moderator) 1:20 pm 2:15 pm Kent Knoernschild Occlusal Loading and Prosthetic Complications: Incidence, Rationale, and Resolution 2:15 pm 3:15 pm Hans-Peter Weber Late Implant Failures? Causes and Courses of Action 3:15 pm 3:45pm Break 3:45 pm 4:30 pm Thomas D. Taylor Ceramic Failure in Implant-Supported Restorations: Etiology and Management 4:30 pm 5:00 pm Panel Discussion ARE YOUR IMPLANT PROCEDURES SUPPORTED BY THE LITERATURE? Implant Therapy: The Integrated Treatment Plan, Volume 1 Mauro Merli This book on implant treatment planning offers something no other implant book has: integration of the literature into the surgical procedures. The author not only cites relevant and timely literature, he also evaluates each study for its strength, using a color-coded system to indicate various levels of evidence througout the book. 792 pp; 1,560 illus (mostly color); ISBN (B9518); US $360 Quintessence Publishing Co, Inc 18
19 SATURDAY, June 8 SCIENTIFIC PROGRAM SESSION III: 8:00 am 5:00 pm Treatment-Planning Innovations for the Compromised Patient Every patient is focused on the outcome of treatment and his or her dental future. Most compromised patients will require a multidisciplinary treatment plan that is unique and dependent on previous experience of the dental team. This panel will consider periodontal therapy to save teeth, implant replacement of teeth that are missing or beyond treatment, and the ultimate prosthetic restoration of the dentition. Consideration will be given to those classic therapies that have passed the test of time, today s modalities of treatment, and future treatment possibilities. OBJECTIVES: Identify treatment decisions with long-term results Observe the esthetic endpoint goals of prosthetic treatment Evaluate the benefits of dental implants 8:00 am Arnold S. Weisgold (Moderator) 8:15 am 9:15 am Mauro Fradeani Prosthetic Rehabilitation of Compromised Dentition: The Balance Between Function, Esthetics, and Long-Term Results 9:15 am 10:15 am Myron Nevins Prognoses, Risk Factors, and Solutions for Periodontally Compromised Patients 10:15 am 10:45 am Break 10:45 am 11:45 am Dennis Tarnow When to Extract a Tooth and Place an Implant in the Compromised Periodontal Patient 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Jörg Strub Digital Workflow in Reconstructive Dentistry 2:00 pm 3:00 pm Robert E. Marx Ridge Augmentation Using In Situ Tissue Engineering 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Takeshi Sasaki Comprehensive Treatment for Periodontally Compromised Cases: Three Key Concepts for Preserving Teeth and Ensuring Their Longevity 4:30 pm 5:00 pm Panel Discussion SESSION IV: 8:00 am 5:00 pm Advances in Localized Site Development for Implant Dentistry We have entered a new era of available biomaterials that challenge autogenous blocks to enhance bone volume as the gold standard of successful treatment. The ever-growing armamentarium of osteopromotive options opens the mind to many alternatives that previously would defy logic. We continue to be impressed with long-term observations as we investigate contemporary and future therapies. This distinguished panel will present a wide range of clinical deformities and demonstrate treatment modalities with and without growth factors. OBJECTIVES: Assess the long-term stability of treated cases Observe surgical techniques and their variations Evaluate barrier membranes and growth factors 8:00 am Chris R. Richardson (Moderator) 8:15 am 9:15 am Burton Langer Horizontal and Vertical Expansion of Bone In Situ: Long-Term Results 9:15 am 10:15 am Georg Watzek Facilitated Replacement of Molars with Implants in Anatomically Compromised Sites 10:15 am 10:45 am Break 10:45 am 11:45 am Daniel Buser Clinical and Radiographic Long-Term Stability of Contour Augmentation in Implants in the Esthetic Zone 11:45 am 1:00 pm Lunch 1:00 pm 2:00 pm Ueli Grunder Augmentation: The Solution for Long-Term Soft Tissue and Bone Preservation for Compromised Extraction Sites in the Esthetic Zone 2:00 pm 3:00 pm István Urbán New Perspectives of Vertical and Horizontal Augmentation 3:00 pm 3:30 pm Break 3:30 pm 4:30 pm Michael A. Pikos Alveolar Ridge Regenerative Strategies: Autogenous Bone Versus Tissue Engineering 4:30 pm 5:00 pm Panel Discussion 19
20 SCIENTIFIC PROGRAM SUNDAY, June 9 SESSION I: 8:00 am 2:45 pm Periodontal Plastic Surgery for the Treatment of Recession-Type Defects Every patient desires an esthetic display of gingiva while smiling, and periodontal plastic surgery explores every possible procedure for an optimal result. New materials have complemented traditional autogenous techniques and spur many questions. Which methods are best suited for Miller Class I and Class II recession and what is predictable for more advanced problems? How should the surgical technique and the material of choice be altered to establish predictability for more advanced problems? Is there a place for live cell therapy and tissue engineering principles? This panel has assembled individuals who have made major contributions in this arena and are sure to provide a significant take-home message. OBJECTIVES: Determine the optimal treatment strategy for specific types of recession defects Assess the cutting-edge techniques for root coverage Understand the biologic processes that occur with soft tissue healing 8:00 am Adriana McGregor (Moderator) 8:15 am 9:00 am Michael K. McGuire Evidence-Based Alternatives for Autogenous Grafts: Outcomes, Attachment, and Stability 9:00 am 9:45 am Edward P. Allen Urban Legends, Folklore, Myths, Rumors, and Misinformation 9:45 am 10:15 am Break 10:15 am 11:00 am Ion Zabalegui Enhancing Clinical Outcomes in Esthetic Sites 11:00 am 11:45 am Kirk L. Pasquinelli Simultaneous Augmentation of Multiple Teeth with Autogenous Connective Tissue 11:45 am 12:45 pm Lunch 12:45 pm 1:30 pm Massimo De Sanctis Treatment of Multiple Recession in the Esthetic Areas of the Mouth 1:30 pm 2:15 pm Giano Ricci Localized Ridge Augmentation and Leveling of Buccal and Interproximal Gingival Margins: The Ultimate Challenge for Optimal Esthetic Results SESSION II: 8:00 am 2:45 pm Novel Advances and Rationale for Implant Success Is it possible to improve implant success? How should we go about achieving this goal? This panel has been carefully selected for their contributions to this mission. Topics include the problematic nature of implants, histologic and clinical observations relative to implant design modifications, the use of stem cells to regenerate alveolar bone, and long-term peri-implant stability in the esthetic zone. OBJECTIVES: Learn the effect of implant modification on marginal bone retention Understand the clinical efficacy of implant surfaces Observe long term peri-implant tissue stability Become aware of implant complications 8:00 am Thomas J. McGarry (Moderator) 8:15 am 9:00 am Christian Coachman Smile Design, Team Communication, and Patient Management: The Emotional Aspect of Restorative Dentistry 9:00 am 9:45 am Peter Schuepbach The Clinical Efficacy of Implant Surfaces: Dreams and Reality 9:45 am 10:15 am Break 10:15 am 11:00 am John L. Ricci The Role of Laser Surface Modification in Establishing a Connective Tissue Attachment at the Implant Surface 11:00 am 11:45 am Craig M. Misch Dental Implant Survival in Onlay Bone Grafts 11:45 am 12:45 pm Lunch 12:45 pm 1:30 pm Laureen Langer Esthetic Clinical Realities of Immediate Implant Placement: 20-Year Results 1:30 pm 2:15 pm Atsuhiko Yamamoto Predictable Treatment of Peri-implantitis Using Erbium Laser Micro-Explosion 2:15 pm 2:45 pm Panel Discussion 2:15 pm 2:45 pm Panel Discussion 20
21 SunDAY, June 9 SCIENTIFIC PROGRAM SESSION III: 8:00 am 2:45 pm Immediate Loading: When and Where for Whom? The possibilities of immediate loading implant success are tempting for many patients, but how often do they result in complications that might be avoided? This group of experienced clinicians will provide treatment protocols that will identify the criteria of case selection and the use of provisionalization to achieve optimal soft tissue esthetics. There is a great need to have a prosthetic strategy to plan immediate loading of implants. This then becomes a multidisciplinary event. AD TO COME? OBJECTIVES: Identify the criteria of patient selection for immediate loading Recognize the value of soft tissue development with the provisional prosthesis Learn to treatment plan with an awareness of possible prosthetic problems and solutions 8:00 am Hom-Lay Wang (Moderator) 8:15 am 9:00 am Tiziano Testori Immediate Loading Protocols: Limitations and Complications 9:00 am 9:45 am Stephen J. Chu Prosthetic Strategies in Peri-Implant Soft Tissue Preservation 9:45 am 10:15 am Break 10:15 am 11:00 am Brahm A. Miller Immediate Implant Provisionals: Surgical and Restorative Considerations to Optimize Esthetic Outcomes 11:00 am 11:45 am Carlo Tinti and Stefano Parma-Benfenati Peri-implantitis: Surgical Approaches to Its Management 11:45 am 12:45 pm Lunch 12:45 pm 1:30 pm Stephen M. Parel Immediate Loading for the Edentulous and Failing Dentition Patient: Expanded Options and Profiling 1:30 pm 2:15 pm Anthony G. Sclar All-on-4 Solution for Full-Arch Immediate Function Procedures: Case Selection Criteria, Diagnostically Driven Treatment Planning, and Surgical and Prosthodontic Treatment Protocols for Success 2:15 pm 2:45 pm Panel Discussion PERIODONTAL REVIEW Deborah Termeie This comprehensive and fully up-to-date review manual provides all the information a prospective candidate needs to prepare for the American Board of Periodontology Qualifying Examination. Set in a question/answer format, the text provides complete yet succinct, evidence-based responses to questions with references to pertinent research. Each chapter covers its topic in full, divided into sections for easy reference. When appropriate, answers are provided as lists, tables, and with graphic design elements to aid in memorization and recall. A highly recommended resource for all those seeking certification or recertification from the American Board of Periodontology. 296 pp; 192 color illus; ISBN (B5914); US $68 The new standard reference for periodontology certification. Quintessence Publishing Co, Inc 21
22 LECTURE ABSTRACTS AND CURRICULUM VITAE (Thursday Sessions) The Next Generation of Implant Dentistry Moderated by Richard J. Lazzara Richard J. Lazzara, dmd, mscd, practices periodontics and implant dentistry in West Palm Beach, Florida. He is a clinical assistant professor at the University of Southern California School of Dentistry, an associate clinical professor at the University of Maryland Periodontal and Implant Regenerative Center, and a visiting associate professor of periodontics at the University of Pennsylvania. Immediate Versus Delayed Socket Placement: What We Know, What We Think We Know, and What We Don t Know Dennis Tarnow Immediate placement of implants into extraction sockets is an exciting treatment alternative. However, there are many potential short-term and particularly long-term risks of which the practitioner must be fully aware. This presentation will focus on these potential problems and their clinical and biologic benefits when the choice of immediate socket placement is made for single and multiple sites. Upon completion of this presentation, participants should be able to identify what type of healing takes place against the implant in immediate socket placement; minimize recession with immediate provisionalization; create the proper crown contour for immediate provisionals; determine whether the gap distance really matters, whether primary closure should be attempted, and whether membranes should be utilized; identify which type of graft material (if any) should be used; and determine the potential shortand long-term risks involved with immediate placement of implants. Dennis P. Tarnow, dds, is currently a clinical professor of periodontology and director of implant education at Columbia School of Dental Medicine. He is a former professor and chairman of the Department of Periodontology and Implant Dentistry at New York University (NYU) College of Dentistry. Dr Tarnow has a certificate in periodontics and prosthodontics and is a Diplomate of the American Board of Periodontology. He is a recipient of the Master Clinician Award from the American Academy of Periodontology and Teacher of the Year Award from NYU. Dr Tarnow maintains a private practice in New York City and has been honored with a wing named after him at NYU College of Dentistry. He lectures internationally and has published over 100 articles on perioprosthodontics and implant dentistry and coauthored three textbooks, including one titled Aesthetic Restorative Dentistry: Principles and Practice (Montage Media, 2008). Management of Extraction Sockets: Scientific Data and Their Clinical Relevance Otto Zuhr Modern treatment concepts have shifted implant dentistry away from the traditional two-stage surgical protocol, instead favoring immediate implant placement and immediate provisionalization. Immediate implants in the esthetic zone seem to be just as successful as those placed using traditional protocols. Therefore, patients and clinicians have reframed their respective treatment approaches and expectations regarding this new development. However, the criteria used to define success often remain unclear, particularly in the esthetic zone. In addition to successful osseointegration of an implant, the esthetic outcome should also be satisfying. Therefore, this presentation will focus on new treatment options and on possible problems and shortfalls with immediate implants in the esthetic zone. The participants should learn more about the advantages and disadvantages of the different treatment approaches and be able to differentiate between high-risk and lowrisk cases. Otto Zuhr, dds, dr med dent, received his Dr med dent from the Department of Oral and Maxillofacial Surgery at the University of Aachen in 1992, after which he began a dental practice in Munich. Several educational programs led him to Switzerland, Scandinavia, and the United States during the following years. From 1999 to 2008, he worked together with Drs Bolz, Wachtel, and Hürzeler and became an associate member in the Institute of Periodontology and Implantology (IPI) in Munich. In 2009, he founded a new clinic together with Marc Hürzeler. Dr Zuhr has written several articles in the field of periodontology and esthetic dentistry and lectures internationally. In 2001, he was named a Specialist in Periodontology by the German Society of Periodontology (DGP). He has been a board member of the DGP since Factors for Influencing Treatment Options: Achieving and Maintaining Long-Term Esthetic Results Harold S. Baumgarten All too often, the esthetics of an implant-supported restoration look good on the day of insertion but deteriorate over time. Success in the esthetic zone requires that the clinician understands the many factors that must come together to achieve and maintain the esthetic result in the long term. This lecture will discuss issues related to surgical and restorative techniques as well as implant design. Harold S. Baumgarten, dmd, is a clinical professor at the University of Pennsylvania and maintains a private practice in Philadelphia. He has both lectured and published extensively on the subjects of implant prosthodontics, advanced restorative dentistry and esthetics, occlusion, and the use of computers in dentistry. Dr Baumgarten is a member of a number of professional societies, including the Academy of Osseointegration, the American Academy of Periodontology, and Omicron Kappa Upsilon Dental Honor Society. Hard and Soft Tissue Preservation Around Dental Implants Nicola De Angelis Esthetic improvement is the first chief demand we receive from our patients today. Esthetics focus on the re-creation of the volume, color, and texture of natural tissues. This can be achieved by placing implants properly (according to the time of tooth extraction), preserving hard tissue thickness, and filling the residual walls with biomaterial. Soft tissues, on the other hand, can be preserved and increased using resorbable membranes. The aim of this lecture is to show how to prevent mistakes in daily practice and how to use the technology available today. Nicola De Angelis, dds, msc, received his dental degree at Genoa University, where he currently serves as assistant professor and coordinator of clinical research projects. He completed the postdoctoral program with a master course in periodontology at Siena University. He is an international member of the American Academy of Periodontology and a member of the Italian Society of Periodontology. He is also a lecturer at the Harvard School of Dental Medicine, the University of California at Los Angeles, the University of Pennsylvania, and the Mayo Clinic in Rochester, Minnesota. Dr De Angelis has published numerous articles on periodontology and implant surgery and maintains a private practice in Acqui Terme, Italy. 22
23 LECTURE ABSTRACTS AND CURRICULUM VITAE (Thursday Sessions) What Are the Best Clinical Practices for Integrating Implant Therapy in Smile Design? Ernesto A. Lee Contemporary implant therapy aims to provide highly esthetic treatment outcomes while decreasing treatment duration and complexity. The clinician must therefore become cognizant of circumstances that predispose the patient to suboptimal esthetic outcomes and treatment plan accordingly, including scenarios where tooth preservation may be the preferred alternative. This presentation will discuss current treatment methodologies and identify the best clinical practices for achieving predictable implant esthetics in smile design, ranging from dentofacial to peri-implant esthetic considerations. Ernesto A. Lee, dmd, is a clinical professor at the University of Pennsylvania School of Dental Medicine, where he serves as director of the Postgraduate Periodontal Prosthesis/Fixed Prosthodontics Program, clinical director of Postgraduate Periodontics, and director of the Postdoctoral Implant Fellowship. Dr Lee is a native of Panama, where he attended dental school, subsequently earning dual specialty degrees in periodontics and fixed prosthodontics from the University of Pennsylvania. Dr Lee has delivered over 75 lectures, has approximately 25 publications to his credit, and is a member of the editorial boards of the International Journal of Periodontics and Restorative Dentistry and the Journal of the American Academy of Cosmetic Dentistry. He maintains a private practice limited to prosthodontics and implant dentistry, with an emphasis on esthetic dentistry, in Bryn Mawr, Pennsylvania. Digital Dynamics in Dentistry Christopher Ramsey Implant and CAD/CAM dentistry are still two of the largest areas of growth in our field. As we look into the possibilities of combining the latest CAD/CAM technologies with the latest in implant dentistry, we find ourselves on the cutting edge of implant restorative procedures. With a complete understanding of the various scanners on the market, we will see how the digital interface is combined with the Bella-Tek Encode healing abutments. With this technology, the complete workflow is digitized to produce a Bella-Tek Encode definitive abutment and restoration, ultimately cutting down on chair time, improving the esthetics, and reducing the need to remove implant components after the day of delivery. Christopher D. Ramsey, dmd, maintains a private practice focused on comprehensive esthetic and restorative dentistry in Jupiter, Florida. He received his dental degree from Temple University School of Dentistry in Philadelphia, Pennsylvania. Dr Ramsey is an accredited member of the American Academy of Cosmetic Dentistry (AACD) and is also an alumnus of the Pankey Institute in Key Biscayne, Florida. He is on the editorial review boards for the AACD journal and Practical Procedures & Aesthetic Dentistry. He has published numerous articles on customer service related topics, adhesive technology, and cosmetic dentistry. Dr Ramsey is currently the president of the Florida Academy of Cosmetic Dentistry. Creating Ideal Results in Compromised Situations Hugo De Bruyn Dental implants have a good predictability in a large range of treatment options because of improvements in implant surface and implant design and a better understanding of soft and hard tissue biology. Firstgeneration dental implants resulted in unacceptably high failure rates. The introduction of the second-generation surface, however, has improved implant survival rates in such a way that comparable results are obtained regardless of loading time or surgical protocol, though treatment of the maxilla and especially the posterior zone has always been subject to higher implant failure rates because of bone morphology, bone quality, and anatomical limitations. To overcome these drawbacks, bone grafting procedures and sinus elevation have been advocated. In this lecture, the overall clinical outcome of implants in the maxilla will be discussed; the scientific evidence regarding short- and wide-body implants will be reviewed as possible alternatives to sinus elevation or bone grafting; and recent clinical studies on immediate loading under compromised conditions, including human histologic data on immediate loading in conjunction with sinus elevation, will be reported. Hugo De Bruyn, mds, msc, phd, received his dental degree from the University of Leuven in Belgium, his PhD at the State University of Groningen in the Netherlands, and a master s degree in periodontology at Lund University in Sweden. He worked in his own referral center for periodontology and implantology in Brussels for more than 15 years. Since 2004, he has been a professor and chairman of the Department of Periodontology and Oral Implantology at the University of Ghent in Belgium. He is the course director of the Postgraduate Oral Implant Program and the Postgraduate Specialist Program of Periodontology. Dr De Bruyn is also currently a visiting professor at the Department of Prosthodontics at Malmö University in Sweden. Strategic Regeneration: Biomaterial Selection and Surgical Techniques Moderated by Myron Spector Myron Spector, phd, is a professor of orthopedic surgery (biomaterials) at Harvard Medical School and director of orthopedic research at Brigham and Women s Hospital in Boston. He also serves as director of tissue engineering for the Veterans Administration Boston Healthcare System and as a lecturer at the Massachusetts Institute of Technology. Dr Spector is the recipient of the Veterans Administration Research Career Scientist Award and is the author of numerous publications. His research interests include musculoskeletal tissue engineering, the healing of musculoskeletal tissues, and tissue response to implants. Biomaterials and Surgical Techniques in Periodontal Plastic Surgery Giulio Rasperini In recent years, the esthetic demand from patients has become the biggest challenge in periodontology as well as in implant dentistry. Besides functional results, it is now important to achieve esthetic success, particularly in the anterior areas, where the expectations of the patients are even higher. The introduction of new biologic, biomaterials, and surgical techniques, including matrices, growth factors, image-based scaffolding, micro-invasive approaches, or different papillae preservation techniques, allows us to meet the patient s demands and change the prognosis of compromised teeth with predictable long-term results. Decision making of different clinical situations will be analyzed during the presentation, and the procedures will be shown in detail and clarified. Giulio Rasperini, dds, is currently an assistant professor of periodontology at the University of Milan, Italy. He is an active member of the Italian Society of Periodontology, the European Academy of Esthetic Dentistry, the Academy of Osseointegration, the European Research Group on Periodontology, the European Federation of Periodontology, and the American Academy of Periodontology. He is also on the editorial board of the International Journal of Periodontics and Restorative Dentistry. Dr Rasperini has authored several publications focused on periodontology and implantology, and he maintains a private practice limited to periodontics and implant therapy. 23
24 LECTURE ABSTRACTS AND CURRICULUM VITAE (Thursday Sessions) From Immediate Implant Placement Postextraction to Functional Reconstruction: Simultaneous Versus Gradual Approach Zvi Artzi Following tooth extraction, the timing of implant placement depends on hard tissue configuration and physiologic anticipated healing. There are several factors that influence the selection of the most appropriate treatment algorithm: immediate, early, or delayed implant placement according to the known classification. This presentation will emphasize the role of different biomaterials in establishing an ideal future implant site reconstruction, the advantages of the immediate restored/loaded cases, the contribution of the autogenous tissue grafting source, and the importance of wound stabilization. Special attention will be given to the sequencing of implant placement and bone augmentation procedures. Zvi Artzi, dmd, is currently an associate professor, the director of Graduate Periodontics, and the chairman of the Graduate Study Committee at the School of Dental Medicine at Tel Aviv University in Israel. He received his certificate in periodontology at Tufts University in Boston, Massachusetts, and is an active member of the European Federation of Periodontology, the European Association for Osseointegration, the American Academy of Periodontology, the Academy of Osseointegration, and the International Association of Dental Research. Dr Artzi is also an active member and a past president of the Israel Periodontal and Osseointegration Society. He has published over 80 articles and research abstracts in peer-reviewed leading journals on the subjects of periodontology and oral implantology. Tissue Engineering: Can We Apply It Clinically? Isabella Rocchietta Successful osseointegration is predicated on the placement of dental implants into a sufficient volume of bone. When teeth are lost due to trauma or periodontal disease, there is often a lack of adequate bone volume. A number of different techniques have been developed to reconstruct deficient alveolar ridges to allow dental implant placement in either a simultaneous or staged approach. Advances in tissue engineering may offer solutions that resolve bone volume deficits and soft tissue defects while at the same time eliminating some of the concerns posed by current techniques (eg, patient morbidity and predictability of results). Recombinant human platelet-derived growth factor (rh-pdgf-bb) has been extensively used as a potent regenerating factor in orthopedics and periodontics with success. The principal aim in hard tissue regeneration is to eliminate the need for autogenous bone harvesting and possibly eliminate the nonresorbable membrane. We are moving toward an era where less invasive treatment regimes are available to minimize complications and side effects of surgical procedures, increase success rates, and decrease patient morbidity and technical difficulties. The maturation of tissue engineering and its application to clinical surgical procedures has helped create a new paradigm. Isabella Rocchietta, dds, is currently a research consultant for the Institute for Dental Research and Education. She received her dental degree in 2002 with full marks from the University of Milan, Italy. She was then awarded a one-year scholarship from the Department of Medicine at the University of Milan. She is an active member of the Experts Council of the Osteology Foundation, the Academy of Osseointegration, and the Italian Society of Periodontology. She is also a member of the European Academy of Osseointegration and chairman of its Junior Committee. Dr Rocchietta has authored several national and international peer-reviewed publications as well as book chapters for various multiauthor texts. SonicWeld: Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration Kevin Murphy KLS Martin has developed a unique bioresorbable guided bone regeneration barrier that can be molded into any desired three-dimensional form. By combining thermoplastic and ultrasonic energies, these barriers have been successfully used to create the proper environment for both large lateral and vertical ridge augmentations for situations previously treated with block grafting or distraction. This course will outline the basic science, clinical techniques, and outcomes of the Sonic- Weld technique. Kevin G. Murphy, dds, ms, received specialty certificates in both prosthodontics and periodontics as well as a master s degree in oral histology from the University of Illinois. He maintains a private practice in Baltimore, Maryland, limited to prosthodontics, periodontics, and implant dentistry. He is also an associate professor in the Department of Periodontics at the University of Maryland Dental School, where he teaches in the Periodontal Prosthesis Fellowship Program. Dr Murphy serves on the editorial review board of numerous journals and is a board member of the Pankey Foundation. He has published numerous articles and textbook chapters on periodontal regeneration and implant dentistry and has lectured nationally and internationally on corticotomy-facilitated orthodontia, periodontal regeneration, placement and restoration of dental implants, and periodontal prostheses. Dr Murphy is a Diplomate and member of the American Academy of Periodontology, the American Academy of Esthetic Dentistry, the American Academy of Restorative Dentistry, and the American College of Prosthodontics. Peri-implantitis: What Are the Options of Treatment? Stuart J. Froum This presentation will focus on the definition, diagnosis, prevalence, risk factors, and treatment of peri-implantitis. Nonsurgical therapy as well as surgical options will be discussed relative to controlling infection and restoring lost hard and soft tissue caused by peri-implant inflammatory disease. Explantation of the severely affected implant as well as the use of a regenerative approach will be described. Materials and techniques will be discussed, and a step-by-step procedure to regain lost bone will be shown together with longterm evidence of efficacy. Stuart J. Froum, dds, is currently the president-elect of the American Academy of Periodontology (AAP) and will become president of the AAP in He has been an active member of the Continuing Education Committee for 6 years and an AAP Board Liaison to the Continuing Education Oversight Committee for 3 years. Dr Froum has been a clinical professor and director of clinical research in the Department of Periodontology and Implant Dentistry at the New York University Dental Center since He has published over 100 articles in peer-reviewed journals, coauthored the book Comprehensive Periodontics for the Dental Hygienist (Prentice Hall, 2001), and is editor of Dental Implant Complications: Etiology, Prevention and Treatment (Wiley-Blackwell, 2010). Dr Froum has maintained his private practice for 40 years. Sinus Elevation: Maximizing Outcomes Through Biomaterial Selection and Surgical Innovations Stephen S. Wallace Maxillary sinus elevation has become the most predictable of the preprosthetic surgical augmentation techniques. Clinical studies have resulted in the publication of 10 evidence-based reviews relating to graft material selection. Positive outcomes, based on both histomorphometric analysis and the secondary outcome measure of implant survival, have been achieved with a variety of graft materials as 24
25 LECTURE ABSTRACTS AND CURRICULUM VITAE (Thursday Sessions) well as without graft material. Successful outcomes are best achieved when intraoperative complications are avoided. The two most common complications are membrane perforation and profuse intraoperative bleeding. Lateral window surgical techniques have been developed that dramatically reduce the incidence of these complications. This presentation will discuss the history and the present state of graft material selection and describe the utilization of piezoelectric surgery and the DASK techniques for complication avoidance. Stephen S. Wallace, dds, received his dental degree from New York University (NYU) College of Dentistry. He is also a graduate of the Boston University School of Graduate Dentistry, where he received his certificate in periodontics in He is an associate professor in the Department of Periodontics at Columbia University and also continues to lecture at the NYU College of Dentistry in the Department of Continuing Education. Dr Wallace is a Diplomate of the International Congress of Oral Implantologists and a Fellow of the Academy of Osseointegration, where he currently serves as co-chairman of the Committee for Hands-On Education. He has authored over 30 peer-reviewed papers relating to implant dentistry, contributed numerous textbook chapters, and has co-edited a textbook on maxillary sinus elevation surgery. He maintains a private practice specializing in periodontics and implant dentistry in Waterbury, Connecticut. Defining and Implementing Definitive Periodontal and Peri-Implant Treatment in Specific Patient Groups: Critical Advances for the Practicing Clinician Moderated by Ray C. Williams Ray C. Williams, dmd, received his DMD from the University of Alabama School of Dentistry and his certificate in periodontology and oral medicine from the Harvard School of Dental Medicine. He is a professor of periodontology and dean of the Stony Brook University School of Dental Medicine in Stony Brook, New York. He is a member of the board of directors of the International Academy of Periodontology. He is also on the editorial board of the Journal of Periodontology, the Compendium of Continuing Dental Education, the Journal of Esthetic and Restorative Dentistry, the Chinese Journal of Dental Research, and the International Journal of Periodontics and Restorative Dentistry. Dr Williams has authored 140 papers and co-edited a textbook entitled Periodontal Disease and Overall Health: A Clinician s Guide (Professional Audience Communications, 2010). In 2008, he received the American Academy of Periodontology s Gold Medal Award. Understanding the Nature and Treatment of Periodontal and Peri-Implant Disease David W. Paquette Periodontal and peri-implant diseases are common, chronic inflammatory conditions involving the supporting tissues around teeth and dental implants. Both conditions are caused by a pathogenic shift in the oral microbiome that triggers host expression of inflammatory mediators locally and systemically. Treatment strategies for periodontal and peri-implant diseases in general focus on reducing the pathogenic microbiome via mechanical procedures. While the majority of patients show improvements in the clinical signs of disease with treatment, there is a fair amount of variability with regard to the extent and duration of these clinical improvements. In addition, patients may vary with regard to shifts in the oral microbiome or reductions in inflammatory mediators secondary to therapy. Much of this variability in responses may be credited to risk or prognostic factors occurring in the population. This presentation will introduce the working model of periodontal and peri-implant disease etiology and pathogenesis and discuss treatment strategies and challenges for clinicians. David W. Paquette, dmd, mph, dmsc, received his doctor of dental medicine degree, master s of public health, doctor of medical sciences, and certificate in periodontics from Harvard University. He is now a professor and associate dean for education at Stony Brook University School of Dental Medicine. Dr Paquette is active in many international and national organizations, including the American Academy of Periodontology, the American Dental Education Association, and the American Dental Association. He is an associate editor for the Journal of Periodontology. His major research interests include clinical trials, novel interventions for periodontal disease, and the interplay between periodontal disease and systemic conditions, in particular cardiovascular disease and obesity. Dr Paquette is a Diplomate of the American Board of Periodontology and maintains a private practice limited to periodontics in Stony Brook, New York. Lessons Learned About Definitive Periodontal Disease Treatment from Human Clinical Trials Steven Offenbacher The concept that periodontal disease represents an independent factor that potentially worsens systemic conditions remains controversial. Although most meta-analysis studies continue to show associations with certain conditions such as diabetes, randomized controlled clinical trials (RCTs) on diseased populations have generally failed to show a consistent impact on systemic conditions, rather demonstrating secondary effects of periodontal therapy on surrogate endpoints or risk factors. Unfortunately, because RCTs are considered the current gold standard for proving drug efficacy claims for FDA clearance and public health adoption, the model has been perhaps inappropriately applied and interpreted in dentistry. In recent years, there has been significant departure in the public health strategy for drug clearance. Genomic testing and the use of biomarkers and other diagnostics refine the targeted population for therapy, leading to personalized, or targeted, medicine. Significant strides have been made in our understanding of the underlying genetic basis of periodontal disease and the recognition of biologic heterogeneity among patients with similar clinical signs and symptoms. This session will summarize the current knowledge and limitations associated with study design that impact the generalizability of the conclusions, and it will focus on the clinical relevance of these findings and how these apply to our understanding of the oral-systemic relationship. Approaches to treatment that are designed to reduce systemic risk will be discussed. Steven Offenbacher, dds, phd, mmsc, received his DDS and PhD from Virginia Commonwealth University. He joined the department of Periodontology at the University of North Carolina (UNC) School of Dentistry in Chapel Hill in In 2003, he was appointed the OraPharma Distinguished Professor of Periodontal Medicine. In 2010, he was elected chairman of the Department of Periodontology at UNC School of Dentistry in Chapel Hill. He is the former president of the American Association of Dental Research and has served on the editorial board of several wellknown journals. He has published more than 300 papers, articles, book chapters, and manuscripts. Dr Offenbacher has earned many distinctions, including the Basic Research in Periodontal Disease Award from the International Association for Dental Research. He is the first dental scientist to be awarded the prestigious Healthy Mothers, Healthy Babies Special Impact Award. 25
26 LECTURE ABSTRACTS AND CURRICULUM VITAE (Thursday Sessions) Achieving Definitive Periodontal Disease Treatment in Patients with Diabetes Joseph P. Fiorellini Improved understanding of the natural biologic processes of wound healing in diabetic patients has begun to change the paradigm of patient care. One of the major goals has been to better characterize the diabetic status with the intent of enhancing dental implant success, controlling periodontal and peri-implant disease, and improving regeneration of bone and periodontal ligament. The successful developments of novel drug delivery systems and diagnostics have assisted the dental practitioner in enhancing predictability of periodontal and implant therapy. Joseph P. Fiorellini, dmd, dmsc, is program director of the Department of Periodontology at the University of Pennsylvania School of Dental Medicine. He serves on the editorial boards of the Journal of Periodontology and the International Journal of Periodontics and Restorative Dentistry and was the 1994 recipient of the American Academy of Periodontology s Young Investigator Award. Dr Fiorellini s areas of research include wound healing around endosseous implant materials, systemic illness, treatment of failing implants, and periodontal diagnostics. Achieving Appropriate Periodontal Therapy in Women of Childbearing Age Joan Otomo-Corgel Women of childbearing age present with fluctuations in gonadotrophic and ovarian hormones that occur primarily during puberty and pregnancy. Medications, hormones, and psychosocial issues may cause changes in gingival tissues and host susceptibility. Does periodontal disease affect pregnancy outcomes? Periodontal therapy should be provided according to the health status of the individual patient based on the interpretation of current research. This course will allow the participant to understand the physiology of ovarian hormones and associated periodontal implications; provide an understanding of periodontal disease, periodontal therapy, and pregnancy outcomes; and provide clinical guidelines on therapy and alterations of therapy based on the stage of the female life cycle. Joan Otomo-Corgel, dds, mph, received her DDS in 1976 from University of California Los Angeles (UCLA) School of Dentistry, where she currently serves as a clinical associate professor in the Department of Periodontics. She is also the chair of research at the Greater Los Angeles VA Health Care Center Dental Service. Dr Otomo-Corgel is on the board of directors of the California Society of Periodontists, CDA Inderdisciplinary Council, UCLA School of Dentistry Board of Counselors, and UCLA Periodontal Alumni Advisory Council and is a consultant to the ADA Council on Dental Practice. She has contributed to over 60 journals and texts. She is currently a Trustee of Mount St Mary s College, where she is a member of the Education Committee and Student Life Committee. She has maintained a private practice limited to periodontics, oral medicine, and implantology in Los Angeles, California, since Achieving Definitive Periodontal Disease Treatment in Patients with Cardiovascular Disease Maurizio Tonetti The majority of our patients suffer from different degrees of cardiovascular disease concurrently with periodontitis and its sequelae linked to tooth loss and the resulting masticatory dysfunction. Management of periodontitis is more complex in these patients: The medical risk profile, the medications, and the management of the common risk factors are challenging and require specialist attention. Optimal management cannot ignore the emerging evidence that periodontitis may be a modifiable risk factor (and surely is a risk marker) of atherosclerosis and cardiovascular events such as stroke or myocardial infarction. This, along with the need to preserve a healthy dentition, masticatory function, and oral esthetics and well-being, provides the rationale for optimal control of periodontitis in these populations even in older patients. On the other hand, periodontal therapy might increase the short-term risk for increased endothelial dysfunction and atherosclerotic plate instability immediately after a treatment episode, questioning the riskbenefit profile of treatment. Knowledge in this area is imperfect and slowly emerging. This presentation will discuss current understanding and present possible avenues for optimal patient management. Maurizio S. Tonetti, dmd, phd, mmsc, frcps, frcs(eng), is the executive director of the European Research Group on Periodontology (ERGOPerio) and editor-in-chief of the Journal of Clinical Periodontology. He has held the positions of professor and head of the Department of Periodontology at the University of Connecticut s School of Dental Medicine and at the University College London. He has also been an adjunct professor at the University of Bern in Switzerland and at the University of North Carolina at Chapel Hill. Dr Tonetti maintains a part-time private practice limited to periodontology and implant surgery with an emphasis on regeneration, minimally invasive surgery, and microsurgery. His research interests include regeneration and bioengineering of lost periodontal structures and the incorporation of dental implants in the management of periodontal patients. He is considered one of the most influential periodontists worldwide, and he has been engaged in the planning and delivery of worldwide advanced educational programs in the fields of periodontology and implant dentistry. Incorporating Definitive Periodontal Disease and Peri-Implant Disease Treatment into Daily Practice Paul S. Rosen The goal in clinical practice continues to be achieving definitive endpoints that allow our patients with either periodontal or peri-implant disease to recapture optimal health, comfort, and function for their teeth and/or dental implants. Recent evidence has introduced innovative changes for treatment that in some instances have been radical departures from what we thought was possible. At the forefront of these efforts are advances in the arena of regenerative medicine to rescue teeth and dental implants with a poor or hopeless outlook. This lecture will explore how regeneration continues to be at the forefront of periodontics and dental implant care for predictable and definitive success; outline the advantages that biologics play in regeneration; discuss the advantages of using grafts containing mesenchymal stem cells; and present the step-by-step procedure for decontaminating the surface of an implant with peri-implantitis that will facilitate regeneration. Paul S. Rosen, dmd, ms, maintains a full-time private practice in Yardley, Pennsylvania, and has an appointment as clinical associate professor of periodontics at the University of Maryland Dental School. Dr Rosen is a Diplomate of the American Board of Periodontology and serves as an examiner for the Board s oral examination. He is a reviewer for the International Journal of Oral and Maxillofacial Implants and serves on the editorial advisory committees of the Journal of Periodontology and the Compendium of Continuing Education in Dentistry. Dr Rosen has authored or co-authored a number of articles and chapters in textbooks on periodontal regeneration, implants, and interrelated orthodontic-periodontal care. Dr Rosen s research helped gain FDA clearance for a novel approach to regeneration using a flowable polymer barrier. Dr Rosen has lectured nationally and internationally on the subject of regeneration. 26
27 LECTURE ABSTRACTS AND CURRICULUM VITAE (Friday Sessions) The Creation of Optimal Ceramic Esthetics Moderated by Daniel Nathanson Daniel Nathanson, dmd, msd, is a professor and chairman of the Department of Restorative Sciences and Biomaterials at Boston University School of Dental Medicine, including the sections on advanced prosthodontics, advanced operative dentistry, and biomaterials. He is the immediate past president of the American Academy of Esthetic Dentistry and a member of the American College of Prosthodontics, the International Association for Dental Research, and the Society for Color and Appearance in Dentistry. Dr Nathanson has co-authored a text called Esthetic Dentistry and Ceramic Restorations (Martin Dunitz, 1998), has published over 250 articles and abstracts in esteemed journals, and lectures internationally. He maintains a part-time prosthodontics practice in Boston, Massachusetts. Minimally Invasive All-Ceramic Techniques to Restore Discolored Anterior Teeth A Contradiction? Konrad Meyenberg Rebuilding the ideal tooth from a nonvital root requires similar esthetics and mechanical and biologic behavior. The term biomimetics is often used as a primary factor of success. But what does this mean for long-term success? This presentation will evaluate recent endodontic procedures and scientific data to answer this question and several others, such as the following: How do we deal with craze lines, cracks, and fissures? How does this affect our treatment modality? What is the difference between vital and nonvital, young and old dentin? How does internal bleaching affect strength? Which internal bleaching substances should be used? When are veneers or veneer crowns or full crowns indicated? Why, when, and how are fiber, metal, and ceramic posts used? The selection process and the potential of each treatment modality will be discussed by means of clinical cases and studies, exploring the drawbacks of the present treatment guides and overcoming current preconceptions by using smart approaches driven by an allencompassing treatment concept. Konrad H. Meyenberg, dmd, completed a postgraduate program in reconstructive dentistry at the University of Zurich, Switzerland. His special areas of interest and research are periodontal prosthetics, adhesive dentistry, esthetic prosthodontics, and implant dentistry. Since 1992, he has maintained a private practice limited to esthetic reconstructive dentistry in Zurich, Switzerland. He is a senior lecturer for reconstructive dentistry at the University of Zürich and at the University of Bern. A well-known speaker at numerous international congresses, Dr Meyenberg has published numerous articles in the fields of esthetic dentistry, periodontal prosthetics, and implant prosthodontics. He is an active member of the European Academy of Esthetic Dentistry, the Academy of Osseointegration, and the Swiss Society of Reconstructive Dentistry. He is certified as a specialist in reconstructive dentistry by the Swiss and European dental societies. Dr Meyenberg is a member of the editorial board and reviewer of the International Journal of Periodontics and Restorative Dentistry, the European Journal of Esthetic Dentistry, and the Journal of Implantologie. The Critical Pink Interface in Esthetic Dentistry A Cross-Disciplinary Approach: Options, Limitations, and Solutions David A. Garber This program is a perspective into how crossdisciplinary interface planning has become an integral part of clinical esthetic dentistry, in particular implant diagnostics. Today it is essential to combine white tooth esthetics with pink gingival aspects. Understanding the individual prosthetic, surgical, and biologic limitations is part of innovative treatment-planning protocols developed in an approach to provide, simplify, and expedite minimally invasive limited therapy. Preemptive CBCT and 3D CAD/CAM planning of soft and hard tissue procedures, implant placement, ridge reduction, and restorative design now utilize new innovative protocols for the entire restoration from top to bottom implant, abutment, and restoration and the interfaces in between. David A. Garber, dmd, is one of the internationally recognized multidisciplinary educators of the well-known Team Atlanta. He is a dually trained clinician and professor in the Departments of Periodontics and Oral Rehabilitation at the Medical College of Georgia. He is also a clinical professor in the Department of Prosthodontics at Louisiana State University and in the Department of Restorative Dentistry at the University of Texas in San Antonio. He is a past president of the American Academy of Esthetic Dentistry (AAED) and has served on the boards of both the AAED and the American Academy of Fixed Prosthodontics. He is a former editor of the Journal of Esthetic Dentistry and co-author of Porcelain & Composite Inlays & Onlays: Esthetic Posterior Restorations (Quintessence, 1994) and Complete Dental Bleaching (Quintessence, 1995). He has also published over 60 articles and textbooks chapters. Integration of Esthetic Dentistry in Routine and Complex Prosthodontics Kenneth A. Malament Dentistry that is esthetic to the patient is an important clinical objective. Ceramics are the most consistently predictable esthetic dental material. Metalceramics are the state of the art for complex implant prosthodontics, but single-phase or monolithic all-ceramic materials have become increasingly popular for esthetic restorations because they do not chip like bilayered ceramic materials, ensuring more long-term success. The lithium disilicate e.max and zirconia monolayered all-ceramic material is changing dentistry and the expectation for long-term ceramic survival. Ultimately, crown performance is a complex set of interactions between crown material and geometry, the characteristics of the support structure of the cement and crown, and the clinical loading history. This presentation will provide a comprehensive look at failure modes and effects in bilayered all-ceramic crown-cement-tooth systems, tying together the influences on resistance to fracture initiation and propagation of ceramic material properties and thickness; crown/tooth geometry; cement modulus and layer thickness; damage induced by shaping, fabrication, clinical adjustments, and sandblasting; and fatigue in the wet intraoral environment. Original research will be presented that studied the clinical behavior of over 5,000 all-ceramic restorations, including life history and fracture rates over a period of 20 years. Factors such as tooth position, preparation, luting procedures, and sex were shown to be significant to long-term ceramic success. At the conclusion of this lecture, participants will understand the factors and concerns surrounding esthetic procedures, the problems and controversies that exist with modern dental materials, the clinical factors that impact long-term survival of dental ceramic materials, and the science of dental ceramic materials, with a look to the future. 27
28 LECTURE ABSTRACTS AND CURRICULUM VITAE (Friday Sessions) Kenneth A. Malament, dds, mscd, received his dental degree from the New York University College of Dentistry and a specialty certificate from the Boston University School of Graduate Dentistry. He is a clinical professor at Tufts University and a course director in the postgraduate Department of Prosthodontics. He is a past president of the American Board of Prosthodontics, the Greater New York Academy of Prosthodontics, the Northeastern Gnathological Society, and the Northeast Prosthodontic Society. He is also an active member of the International College of Prosthodontists, the American Academy of Fixed Prosthodontics, the American Academy of Esthetic Dentistry, and the Academy of Osseointegration. Dr Malament was on the research and development teams for two different wellknown ceramic products and developed instrumentation used in clinical practice. He maintains a full-time private practice limited to prosthodontics in Boston that includes a dental laboratory with master dental technologists. The Correlation Between Tooth Preparation, Restorative Material Selection, Function, and Esthetic Success Robert R. Winter There must be a clear vision of the biologic, functional, and esthetic outcome before beginning treatment. With this vision, appropriate tooth preparation can be performed to ensure that there is adequate thickness for the restorative material. This will allow the clinician to achieve the desired restoration durability and esthetic changes for each clinical scenario that occurs. A systematic thought process will be presented to enable the clinician and the technician to achieve their goals and those of the patient. Robert R. Winter, dds, graduated from the Marquette University School of Dentistry in 1981 and completed his prosthodontic specialty residency in Milwaukee, Wisconsin, at the VA Medical Center in For the past 27 years, he has maintained a private practice limited to prosthodontics and taught clinical and technical courses. He is a member of the Graduate Prosthodontics faculty at the University of Washington and University of Southern California and is on the faculty at Case Western Reserve University School of Dental Medicine and Midwestern University College of Dental Medicine in Phoenix, Arizona. Dr Winter has published numerous articles and sits on the advisory boards for the Journal of Esthetic and Restorative Dentistry and the International Journal of Periodontics and Restorative Dentistry. He co-developed d.sign dental ceramic and, in 1991, was the second recipient of the Gordon Christensen Lecturer Recognition Award for Excellence in Restorative Education. Ultimate Digital Communication Skills for Minimally Invasive Dentistry: Latest Updates on CAD/CAM Technology and Communication Galip Gürel Creating precision in terms of the preparation, fit, and esthetic outcome requires serious treatment planning unique to each case. Designing a new smile consists of many important steps that, if followed correctly, produce predictable success. Such success depends on interdisciplinary teamwork and communication among the team members (eg, the specialist, the laboratory technician, and the patient), each of whom should be aware of the treatment planning and the end goals from the beginning. Together with the increasing innovations in CAD/CAM technology, the many tools available for social and professional networking make it possible to communicate digitally, allowing synergistic teamwork among people in different countries. In addition, the armamentariums and techniques available today, such as microendodontics, microsurgeries, and lasers, create more options during treatment planning and allow for greater precision. The learning objectives for this lecture include interdisciplinary approaches and teamwork, how to create new smile designs, minimally invasive procedures with maximal esthetics, how to use digital photography and videotaping effectively, how to utilize today s digital tools, and how to get the maximal esthetic results using CAD/CAM technology. Galip Gürel, dds, ms, graduated from the University of Istanbul Dental School in He continued his education at the University of Kentucky Department of Prosthodontics. He is the founder and the honorary president of the Turkish Academy of Aesthetic Dentistry and is the past president of the European Academy of Esthetic Dentistry. He is also a member of the American Society for Dental Aesthetics and honorary Diplomate of the American Board of Aesthetic Dentistry. Dr Gürel is the editor-in-chief of the Quintessence Magazine in Turkey and serves on the editorial board of the Journal of Cosmetic Dentistry, Practical Procedures & Aesthetic Dentistry, and the European Journal of Esthetic Dentistry. He is also the author of The Science and Art of Porcelain Laminate Veneers (Quintessence, 2003). He has maintained a private practice specializing in esthetic dentistry in Istanbul since CAD/CAM in Esthetic Dentistry Markus B. Blatz The range of materials and treatment options with CAD/CAM technology have widened in recent years, making CAD/CAM an integral part of modern dentistry to provide less invasive, better fitting, more esthetic, and increasingly predictable restorative treatment options. Now almost all restorative dental material groups from ceramics to metal alloys, composite resins, acrylic resins, and even wax can be milled with CAD/CAM technology to fabricate restorations ranging from provisionals to implant-supported fullmouth reconstructions. Concurrent with these developments, new especially high-strength ceramic materials are progressively applied for tooth- and implant-supported restorations. These evolutions, paired with the development of new adhesive bonding materials, have vastly shifted traditional treatment paradigms and offer a whole new range of treatment options that are not only more esthetic and less invasive but also more functional in the long term, such as the CAD/CAM-fabricated all-ceramic resin-bonded fixed partial denture. The advantages of CAD/CAM technology are even more beneficial for the design and precise fabrication of full-mouth reconstructions, specifically on dental implants, where accurate fit is fundamentally important. This program will provide an update on CAD/CAM technology as it relates to dental esthetics, ceramics, and adhesion and will discuss guidelines for long-term success with tooth- and implantsupported CAD/CAM restorations based on the current scientific evidence. Markus B. Blatz, dr med dent, phd, is a professor of restorative dentistry and chairman of the Department of Preventive and Restorative Sciences at the University of Pennsylvania School of Dental Medicine in Philadelphia. Dr Blatz previously served as chairman of the Department of Comprehensive Dentistry and Biomaterials, assistant dean for clinical research, and director of the Master of Sciences Program in Oral Biology at Louisiana State University (LSU) Health Sciences Center School of Dentistry in New Orleans. Prior to joining LSU, he was a senior faculty member in the Department of Prosthodontics at the University of Freiburg School of Dentistry in Germany. Dr Blatz is an associate editor of Quintessence International and Quintessence of Dental Technology and an editorial board member for several recognized dental journals, including the Journal of Oral and Maxillofacial Surgery, the Journal of Esthetic and Restorative Dentistry, the Journal of Adhesive Dentistry, and Practical Procedures & Aesthetic Dentistry. Dr Blatz has published and lectured extensively on the various facets of restorative dentistry, implantology, and dental materials. 28
29 LECTURE ABSTRACTS AND CURRICULUM VITAE (Friday Sessions) Bone Preservation for Compromised Extraction Sites Moderated by Diego Velásquez Diego Velásquez, dds, msd, is a graduate of the Pontificia Universidad Javeriana School of Dentistry in Santafé de Bogotá, Colombia. Dr Velásquez finished his postdoctoral training in prosthodontics and dental materials and a master s degree at the Indiana University School of Dentistry. He completed a residency in periodontics at the University of Texas Health Science Center at San Antonio. Dr Velásquez maintains a private practice in Fenton, Michigan, and is an adjunct clinical assistant professor at the University of Michigan School of Dentistry. He is a recipient of the prestigious Dr and Mrs Gerald M. Kramer Scholarship for Excellence Award of the American Academy of Periodontology Foundation and is a Diplomate of the American Board of Periodontology. He is a consultant for both the Journal of Periodontology and the International Journal of Periodontics and Restorative Dentistry. He has lectured nationally and internationally and has published a number of articles on prosthodontics, periodontics, and implants. How To Preserve the Ridge: A Key Question in Clinical Practice Christoph H. F. Hämmerle A very large number of teeth are extracted in dental practices every day. The question for every dentist is how to best deal with an extraction socket. No clearly defined strategies regarding ridge preservation are presently available, and various techniques for handling extraction sockets have recently been published showing controversial data. Through the use of newly developed methods to quantitatively assess volume changes of the ridge, this presentation will evaluate the advantages and disadvantages of these techniques. Future possibilities will be presented for regeneration of hard and soft tissues of the ridge applying bioactive molecules. Novel carriers and matrices allow for reduction in the normal dosage of growth factors and more widespread use of this technology in daily practice. An algorithm will be provided on how to best deal with various clinical situations regarding hard and soft tissue preservation of the ridge. Christoph H. F. Hämmerle, dr med dent, is director and chairman of the Clinic for Fixed and Removable Prosthodontics and Dental Material Science and vice dean of the medical faculty for the Center for Dental and Oral Medicine at the University of Zurich in Switzerland. He is certified in prosthodontics as well as in periodontics. His clinical and research focus is on the comprehensive treatment of complex, partially edentulous patients, applying all available options of restorative dentistry, including dental implants. Dr. Hämmerle has published more than 150 original articles and has widely lectured internationally. He is the past president of the European Association of Osseointegration (EAO) and the current president of the Osteology Foundation. He is the co-organizer of the 2006, 2009, and 2012 Consensus Conferences of the EAO. Management of Extraction Sites Maurício G. Araújo Postextraction bone resorption represents a challenge for the clinician. It may lead to esthetic problems and more complicated implant placement. Thus, the aim of this presentation is to describe the dimensional alterations that occur following tooth extraction and to evaluate the benefit of socket bone grafting for the maintenance of the ridge profile. Maurício G. Araújo, dds, msc, phd, completed his PhD at the University of Gothenburg, Sweden, in He maintains a private practice and also practices at the State University of Maringá, Parana, Brazil, where he is the chairman of the Periodontology and Implant Research Unit. He is also a senior researcher in the Department of Periodontology at the University of Gothenburg. He is an ITI Fellow, the ITI chairman in Brazil, and an Osteology Foundation board member. He is also an active member of the editorial board for several journals. Together with his coworkers, he has published groundbreaking research in the fields of ridge alterations following tooth extraction, ridge preservation, bone formation in extraction sockets, and immediate implant placement. Data: The Building Block for Creating the Ideal Smile Lyndon Cooper Some essential questions regarding dental implant esthetics may be addressed through basic and clinical sciences. Our research efforts include studies that address many questions, including the following: What is the importance of local hard and soft tissue architecture on dental implant esthetic outcomes? How does the loading protocol affect the esthetic outcome of anterior single-tooth implants? Does the implant-abutment interface influence the behavior of tissues surrounding the implant crown? Are there significant short- and long-term esthetic risks associated with single anterior implant crowns? This presentation will include a review of existing information to answer these questions and clinical illustrations of implant surgical and restorative procedures that reflect these emerging guidelines. Lyndon Cooper, dds, phd, is the Stallings Distinguished Professor of Dentistry of the Department of Prosthodontics at the University of North Carolina at Chapel Hill. He is currently chair of the Department of Prosthodontics, acting director of Graduate Prosthodontics, and director of the Bone Biology and Implant Therapy Laboratory. He is also a Diplomate of the American Board of Prosthodontics and served as the 2010 president of the American College of Prosthodontics (ACP). He received the ACP s 2004 Clinician/Researcher Award and the IADR s 2009 Distinguished Scientist Award for Prosthodontics and Implantology. Dr Cooper s laboratory focuses on bone biology, adult stem cell bone regeneration, and clinical evaluation of dental implant therapies. His research findings have been presented in over 90 publications and in more than 250 national and international presentations. Implant Therapy: The Integrated Treatment Plan Mauro Merli Within recent decades, we have witnessed a profound transformation in the way treatment plans are conceived and implemented, especially with regard to complex clinical cases. One of the main changes is the importance and attention given to the specific needs and desires of the patient. In order to develop the most appropriate treatment plan, it is essential to identify the general profile of the subject, which involves analyzing and evaluating the complex nature of the patient s clinical status, socioeconomic situation, psychologic characteristics, as well as the prognosis. To achieve a thorough assessment of the patient, the diagnostic and therapeutic process must be reconsidered and developed into an integrated treatment plan that promotes both the interaction between the various disciplines to ensure treatment supported by high-quality scientific evidence and the active participation of the patient. This presentation will show clinical examples of hard and soft tissue reconstruction described in the various stages of diagnosis and treatment. 29
30 LECTURE ABSTRACTS AND CURRICULUM VITAE (Friday Sessions) Mauro Merli, md, dds, earned his degree in medicine and surgery at the University of Bologna in 1986 and his specialized degree in odontostomatology in He is a past president and active member of the Italian Society of Periodontology and a member of the Italian Academy of Prosthetic Dentistry and the European Association for Cranio-Maxilliofacial Surgery. He is the author of Implant Therapy: The Integrated Treatment Plan (Quintessence, 2013) and several scientific articles. Dr Merli maintains a private practice founded by his father, dedicating his clinical activity to treating complex cases from an interdisciplinary perspective. Preserving the Dimensions of the Alveolar Ridge: Scientific Evidence and Clinical Applications Paulo Camargo Implant therapy poses additional challenges when delivered in the anterior segments of the dentition. In these areas, treatment results need to fulfill not only functional and biologic requirements but also esthetic demands. The 21stcentury dental patient has become more enlightened in terms of dental esthetics, and the contemporary practitioner needs to be prepared to address their often heightened expectations. Proper placement of implant fixtures in the esthetic zone is dependent on the presence of adequate bone volume following tooth extraction. Substantial loss of the horizontal and vertical dimensions of the alveolar ridge can occur after tooth extraction, and clinical trials have shown the benefit of performing procedures aimed at preserving the dimensions of the extraction socket in conjunction with tooth removal, namely bone grafting, guided bone regeneration, and the use of biologic agents. This presentation will review the existing literature on procedures that maximize esthetic results with implant-supported restorations in the anterior segment. It will also discuss the surgical steps involved in treating the extraction socket with bone grafts, guided tissue regeneration, and other agents and will attempt to correlate clinical decisions with the existing scientific evidence in the field. Topics to be examined include the need to elevate a buccal flap, the selection of a bone graft, the use of resorbable and nonresorbable membranes, and the healing period until implant placement. Paulo M. Camargo, dds, ms, mba, received his dental degree from the University of Parana, Brazil, in 1984 and his certificate in periodontics from University of California Los Angeles (UCLA) in 1990, where he directed the predoctoral program for 15 years and currently serves as a professor of periodontics, the associate dean of Clinical Dental Sciences, and the chairman of the Curriculum Committee and the periodontics track of the revised curriculum. He is a past president of the Western Society of Periodontology and a Diplomate of the American Board of Periodontology and has published over 70 scientific papers. He maintains a private practice in the UCLA Periodontics and Implant Group Practice. Site Development for Implant Placement: Concepts, Procedures, and Techniques Sonia S. Leziy It is well established that tooth extraction impacts the dimensions of the alveolar ridge. This reduction largely affects the buccal aspect of the extraction site, although ridge height changes also can be significant in the case of multiple adjacent extractions. These changes can negatively impact the esthetic outcome of implant treatment and increase the complexity of reconstructive surgery. Clinicians continue to seek treatment approaches to minimize or ideally prevent bone loss following tooth loss; these include ridge enhancement with orthodontic site development, tissue contour support with ridge preservation protocols, and surgical protocols that take advantage of anatomy at the time of extraction coupled with restorative techniques to support soft tissues and seal the extraction wound. This presentation will explore current clinical strategies that can minimize dimensional tissue changes in immediate and delayed implant placement procedures. Sonia S. Leziy, dds, is an associate clinical professor and sessional lecturer at the University of British Columbia. Dr Leziy is a member of the editorial boards for several journals, including Spectrum Dialogue, Teamwork, and the Journal of Esthetic and Restorative Dentistry. She has published extensively on implant esthetics and surgical protocols and contributed to the textbook Interdisciplinary Treatment Planning: Principles, Design, Implementation (Quintessence, 2008). Dr Leziy lectures internationally on the subject of implants and advanced esthetics/ periodontal surgery. She maintains a full-time private practice in the Imperio Group Dental Health Specialists with Dr Brahm Miller and Dr Priscilla Walsh. She is also a Fellow of both the Royal College of Dentists of Canada and the International Congress of Oral Implantologists and a member of the British Columbia Society of Periodontists, the Canadian Academy of Periodontists, the American Academy of Periodontists, and the American Academy of Esthetic Dentistry. The Realistic Endpoint Goals of Periodontal Regeneration Moderated by Sergio De Paoli Sergio De Paoli, md, dds, is an assistant professor of periodontology at the University of Ancona in Italy, where he also maintains a private practice limited to periodontics. He is a frequent lecturer at international conferences and is co-editor of the Italian edition of the International Journal of Periodontics and Restorative Dentistry. Regenerative Therapy in Furcation Defects: Advances and Limitations Pamela K. McClain Multirooted teeth exhibiting bone loss present one of the most challenging periodontal defects to treat. Although dental implants have expanded treatment options, retention of the natural dentition, when feasible, remains an ideal goal in dentistry. Many treatment modalities can slow the progression of bone loss in furcations, but regenerative therapy provides the opportunity to reverse the disease process. This course will address the indications and limitations of regenerative therapy in furcation defects. Pamela K. McClain, dds, maintains a full-time private practice incorporating clinical research in periodontics and is an associate clinical professor in the Department of Surgical Dentistry at the University of Colorado School of Dentistry and a research professor in the Department of Periodontics at the University of Maryland Dental School. She is a Diplomate of the American Board of Periodontology, past president of the Rocky Mountain Society of Periodontists, and immediate past president of the American Academy of Periodontology (AAP). She has been active on numerous committees with the AAP and other organizations, including the council of the American Academy of Restorative Dentistry. Dr McClain has lectured on a variety of topics in the United States and abroad and has 18 publications in professional journals and books. Laser-Assisted Microinvasive Versus Biomaterial Periodontal Regenerative Therapy Marc L. Nevins This presentation will compare and contrast conventional surgical approaches (with flap access and biomaterials) with laser-assisted new attachment procedures (LANAP). The goal of periodontal therapy is to regenerate the periodontium and reestablish new cementum, periodontal ligament, and bone adjacent to the previously diseased root surface. This presentation will present a human histologic study evaluating LANAP therapy in addition to case examples from clinical experience. 30
31 LECTURE ABSTRACTS AND CURRICULUM VITAE (Friday Sessions) Marc L. Nevins, dmd, mmsc, graduated from Tufts University School of Dental Medicine and received his certificate for graduate training in periodontology and a master s of medical sciences in oral biology at Harvard School of Dental Medicine, where he now serves as a clinical assistant professor of oral medicine, infection, and immunity. Dr Nevins also serves as the co-editor of the International Journal of Periodontics and Restorative Dentistry and is a Diplomate of the American Board of Periodontology. He maintains a private practice focused on periodontics and implant dentistry in Boston, Massachusetts, and his research interests include clinical applications of tissue engineering for regenerative periodontics and implant dentistry. Predictability and Advisability of Regenerative Therapy for Teeth with Severe Bone Loss Stuart J. Froum This presentation will focus on various materials and techniques that have demonstrated the ability to regenerate lost attachment around teeth with advanced periodontal disease. The predictability and evidencebased factors influencing regeneration will be discussed. Based on these factors, the clinical situations in which regenerative therapy is indicated will be identified, and cases that demonstrate factors that are necessary to obtain successful treatment outcomes will be presented. See page 24 for bio. Adult Orthodontics to Resolve Spacing and Tissue Deficiencies Moderated by Nicholas M. Dello Russo Nicholas M. Dello Russo, dmd, mscd, received his DMD from Tufts University School of Dental Medicine in Boston, Massachusetts. He completed his specialty training in periodontology at the Boston University School of Graduate Dentistry, receiving a MScD and certificate in periodontology. He currently serves as an instructor in periodontology at the Harvard School of Dental Medicine. He is the past president of the Massachusetts Society of Periodontists and a member of the Massachusetts Dental Society, the American Academy of Periodontology, and the Society of Osseointegration. Dr Dello Russo is also a Diplomate of the American Board of Periodontology and an attending periodontist at the Massachusetts General Hospital in the Department of Oral and Maxillofacial Surgery, Division of Dentistry. Global Assessment and Treatment in Dentofacial Esthetics David M. Sarver In restorative dentistry, esthetics is evaluated in terms of anterior tooth display and smile design. For orthodontists and oral surgeons, the focus is on the facial profile. Interdisciplinary treatment in dentistry has progressed enormously in the past two decades, with collaboration among dentists, orthodontists, periodontists, and oral surgeons resulting in vastly superior results compared to those achieved working without collaboration. But our vision can, and should, still expand to broader appearance issues. With the assessment and treatment of other dimensions of the smile and facial esthetics, the target is the ultimate dentofacial esthetic outcome. This lecture will demonstrate the coordination of care between the disciplines of dentistry and facial plastic surgery, resulting in gratifying enhancement of our esthetic and functional results. David M. Sarver, dmd, ms, received his DMD from the University of Alabama School of Dentistry. He is a Diplomate of the American Board of Orthodontics and a member of the Edward H. Angle Society of Orthodontists. In addition to maintaining a private practice, Dr Sarver has authored over 60 scientific articles, 14 book chapters, and the book Esthetics in Orthodontics and Orthognathic Surgery (Mosby, 1998). He also co-authored the surgical text Contemporary Treatment of Dentofacial Deformity (Mosby, 2002) and the 4th and 5th editions of Proffit s classic textbook, Contemporary Orthodontics (Mosby, 2007, 2012). The article he wrote with Dr Marc Ackerman on smile analysis won the 2004 B. F. Dewel Award for the best clinical article in the American Journal of Orthodontics and Dentofacial Orthopedics. Dr Sarver has been featured on NBC s The Today Show, ABC s The View, and Fox National News. Adult Orthodontics: The Practical Approach Roger J. Wise Orthodontic treatment planning for healthy or periodontally comprised adults encompasses myriad treatment-planning possibilities rather than an absolute best approach. Understanding the utilization of orthodontics to stabilize dental alveolar injuries may minimize hard and soft tissue deformities when the patient reaches adulthood. Individualized orthodontic treatment-planning perspectives combined with contemporary periodontal and implant treatment modalities and advancements in restorative care further complement the final outcome. Participants will see the remarkable esthetic and satisfying functional results that can be achieved when the goal of therapy is to provide realistic treatment objectives that are in keeping with the maintenance of a healthy periodontium and stable occlusion. Roger J. Wise, dds, is a faculty member and lecturer of the Department of Orthodontics and Periodontics at Harvard School of Dental Medicine. He also lectures for the Department of Periodontics at Tufts University. He has presented more than 200 lectures throughout the United States and abroad on adult orthodontics and the interrelationship of periodontics, orthodontics, and restorative dentistry. He has written three textbook chapters and has authored numerous articles in peer-reviewed journals. Dr Wise served for 15 years as a consultant for the American Journal of Orthodontics and Dentofacial Orthopedics and is a Diplomate of the American Board of Periodontology. He maintains a practice specializing in periodontics, adult orthodontics, and implant dentistry in Swampscott and Boston, Massachusetts. Periodontally Enhanced Orthodontics: A New Frontier M. Thomas Wilcko The Periodontally Accelerated Osteogenic Orthodontics (PAOO) technique is a duel-specialty in-office treatment requiring the expertise of both a trained periodontist/surgeon and an orthodontist. It can provide for a 300% to 400% increase in the rate of tooth movement, making it possible to dramatically reduce treatment time and increase range of tooth movement. This overview will acquaint the pecialist with an understanding of both the physiologic and morphologic conditions that must be merged to provide for the facilitated tooth movement and dispel the confusion that has plagued corticotomy-based orthodontics for four decades. Examples will be given to demonstrate the severity of malocclusions that can be corrected once different treatment-planning parameters are mastered. The advantages of being able to increase the alveolar volume will be addressed in relationship to resolving preexisting alveolar deficiencies over vital root surfaces, compensating for any corticotomy-related reduction in bone volume, providing additional support for the dentition in retention, and accomplishing minor facial reshaping. The potential advantages of signaling agents will also be explored. 31
32 LECTURE ABSTRACTS AND CURRICULUM VITAE (Saturday Sessions) M. Thomas Wilcko, dmd, received his DMD from the University of Pittsburgh School of Dental Medicine and his certificate in periodontics from the Harvard University School of Dental Medicine. He currently maintains a private practice limited to periodontics in Erie, Pennsylvania, and is a clinical associate professor in periodontics at Case Western University in Cleveland, Ohio. His research has included free radical stability, ultrasound bone analyses, PH-related bone stimulation, porcelain shrinkage, and alveolar augmentation in conjunction with facilitated tooth movement. He has published and lectured extensively on the periodontal enhancement of orthodontic treatment. Clinical Applications of Tissue Engineering Moderated by David M. Kim David M. Kim, dds, dmsc, is an assistant professor and director of predoctoral periodontics at the Harvard School of Dental Medicine. Dr Kim is a past recipient of Harvard s Joseph L. Henry Award recognizing excellence in research and clinical training. In addition, he received the Balint Orban Research Award, the Award for Outstanding Teaching and Mentoring in Periodontics, and a Teaching Fellowship from the American Academy of Periodontology. Dr Kim has published extensively in peer-reviewed journals and contributed to textbooks on periodontal and implant therapies. Dr Kim is a Diplomate of the American Board of Periodontology and maintains a practice in Boston. Periodontal Bioengineering: How are Innovations Advancing Clinical Dentistry? William V. Giannobile One of the many major advances made in the past decade in the field of bioengineering of oral, dental, and craniofacial tissues is the clinical implementation of biologic growth factors for periodontal and alveolar ridge reconstructions. In addition, next-generation biologics and advanced biomaterials can greatly improve space maintenance, reduce surgical operatory time, and potentially provide more predictable clinical outcomes. This presentation will highlight new developments in novel biologics, scaffolding matrices, and rapid prototyping approaches for tooth and dental implant reconstructions, with particular emphasis on clinical application. At the same time, the clinical feasibility of using cell and gene therapy approaches many of which are also entering the clinical arena will be described. (This research has been funded by the National Institutes of Health NIH/NIDCR DE ) William V. Giannobile, dds, dmsc, is the Najjar Endowed Professor of Dentistry and Biomedical Engineering and the director of the Michigan Center for Oral Health Research at the University of Michigan School of Dentistry. Dr Giannobile previously served as a faculty member at Harvard and the Forsyth Institute in Boston. In 2006, he completed his sabbatical as a visiting professor at the Biotechnology Institute of Regenerative Medicine at the University of Genova Medical School in Italy. Dr Giannobile has lectured extensively in the area of periodontal regenerative medicine and tissue engineering. He currently serves as the editor-in-chief of the Journal of Dental Research as well as a consultant on dental devices to the FDA. Dr Giannobile is the recipient of the 2011 Distinguished Scientist Award from the American Academy of Periodontology for his research contributions to the field. What is the Best Growth Factor/Matrix Choice in the Clinic? David L. Cochran Three prerequisites must be met in order for growth factor/matrix combinations to be effective in the clinic: First, the growth factor must bind to the matrix/carrier and be delivered to the site in a form that can be active. Second, the growth factor must be at the site long enough to affect the cells responsible for tissue formation. Third, the growth factor must alter cellular activity. Certain growth factor/ matrix carrier combinations have data that support all of these prerequisites, while others do not. This presentation will review the evidence for these prerequisites with regard to specific growth factor/matrix carrier combinations. The most clinically effective growth factor/matrix carriers are likely to have data to support each of them. David L. Cochran, dds, ms, phd, mmsc, is a graduate of the University of Virginia and received his DDS and PhD in biochemistry from the Medical College of Virginia. He also was trained in periodontology at the Harvard School of Dental Medicine. He was recently awarded an honorary doctorate from the University of Bern in Switzerland for his contributions to implant dentistry. He currently serves as professor and chairman of the Department of Periodontics at the University of Texas Health Science Center at San Antonio s Dental School. He is also currently president of the Academy of Osseointegration and has served in all officer positions with the American Academy of Periodontology, including president. Dr Cochran is a Diplomate of the American Board of Periodontology and has published numerous scientific articles and abstracts on various periodontal biochemistry and implant topics. The Clinical Use of Biomaterials and Growth Factors in Hard and Soft Tissue Management Massimo Simion Efforts to regenerate hard and soft tissue have recently been enhanced with the introduction of osteoconductive biomaterials to stimulate bone and soft tissue growth factors, such as platelet-derived growth factor (PDGF), combined with the development of new surgical procedures. This new approach enables horizontal and/or vertical bone regeneration for a substantial improvement in the final functional and esthetic outcome. These techniques will be the focus of this lecture. Massimo Simion, md, dds, is professor and co-chairman of the Department of Periodontology and Implant Restoration at the University of Milan, Italy. Dr Simion is the founder of the Italian Society of Osseointegration and an active member of the Italian Society of Periodontology. He is a board member and past president of the European Association of Osseointegration and has published several papers and lectures internationally on periodontology, osseointegration, and ridge augmentation. JOIN US FOR A Welcome Reception 6:30 pm 8:30 pm Friday, June 7 Grand Ballroom 32
33 LECTURE ABSTRACTS AND CURRICULUM VITAE (Saturday Sessions) Identification and Management of Prosthetic Problems for Dental Implants Moderated by Thomas D. Taylor See CV at right. Occlusal Loading and Prosthetic Complications: Incidence, Rationale, and Resolution Kent Knoernschild The incidence of complications following prosthesis insertion may be related to a variety of factors including esthetic expectations, prosthetic design, occlusal scheme, implant number, insertion conditions, loading conditions, and material properties. Each of these factors must be considered individually and collectively for completely edentulous, partially edentulous, and single-unit implant patients, all of whom have differing needs. This presentation highlights key considerations regarding these factors to improve patient treatment predictability. At the end, participants will be able to describe the incidence of prosthetic complications with implant patients; the reasons for complications based on treatment-planning guidelines; and methods to avoid or resolve prosthetic complications. Kent Knoernschild, dmd, ms, is an associate professor and program director of the Advanced Education Specialty Program in Prosthodontics and co-director of the Comprehensive Dental Implant Center at the University of Illinois at Chicago. He is a Diplomate of the American Board of Prosthodontics, director for the American Board of Prosthodontics, and commissioner for prosthodontics for the ADA Commission on Dental Accreditation. He directs a progressive specialty clinic that integrates treatment approaches for surgical and restorative aspects of patient care supported by advanced technology. He is a past president of the American Academy of Fixed Prosthodontics and of the International and American Associations for Dental Research Prosthodontics Research Group. He has authored more than 50 publications and has received more than 25 research grants supporting clinical and laboratory research. He currently maintains a private practice limited to prosthodontics. Late Implant Failures? Causes and Courses of Action Hans-Peter Weber Late implant failures refer to those occurring after an implant has been restored and in function for varying periods of time. The causes of most late failures can be divided into two categories: biologic and mechanical. The main objectives of this presentation are to describe the possible causes of late implant failures, their incidence, and clinical manifestations; outline treatment approaches for different late implant failures on the basis of clinical case scenarios; and discuss how to lower the risk for late implant failures. Hans-Peter Weber, dr med dent, dmd, holds dental degrees from the University of Bern, Switzerland, and the Harvard School of Dental Medicine as well as certificates in prosthodontics and periodontology from the University of Bern. He is a professor and chair of the Department of Prosthodontics and Operative Dentistry at Tufts University School of Dental Medicine. He has made over 100 contributions to the scientific literature in his field and is a regularly invited panelist at national and international meetings. Dr Weber is an active member of the Academy of Prosthodontics, the Academy of Osseointegration, the International College of Prosthodontists, and the International Team for Implantology (ITI). He has also received honorary membership in the American College of Prosthodontists. Dr Weber is the co-editor of Clinical Oral Implants Research (Blackwell Munksgaard, 2007). Ceramic Failure in Implant-Supported Restorations: Etiology and Management Thomas D. Taylor Some authors have reported incidences of ceramic fracture of implant-supported restorations as high as 30%. This session will explore the potential etiologies for such high incidences of complications with ceramic restorations and offer some possible solutions for these problems. The roles of implant versus natural tooth support, loss of proprioceptive innervation, and altered implant abutment anatomy as well as material problems with these restorations will be discussed in detail. Thomas Taylor, dds, msd, is a professor and head of the Department of Reconstructive Sciences and chairman of the Division of Prosthodontics and Operative Dentistry at the University of Connecticut School of Dental Medicine. He is involved in both clinical and laboratory research and has published extensively in the prosthodontic literature. He is a former editor of the International Journal of Oral and Maxillofacial Implants. Dr Taylor currently serves as executive director and is a former president of the American Board of Prosthodontics. He is also past president of the American College of Prosthodontists and the International Team for Implantology (ITI), and he currently serves as president-elect of the Academy of Prosthodontics and as co-president of the International College of Prosthodontists. Dr Taylor maintains a part-time practice limited to prosthodontics. Treatment-Planning Innovations for the Compromised Patient Moderated by Arnold S. Weisgold Arnold S. Weisgold, dds, is a clinical professor of periodontics and the director of Postdoctoral Periodontal Prostheses at the University of Pennsylvania School of Dental Medicine, where he established the Department of Form and Function of the Masticatory System. Dr Weisgold is a consulting editor for Compendium of Continuing Education in Dentistry and the International Journal of Periodontics and Restorative Dentistry. He has lectured and published extensively on restorative dentistry, implant prosthodontics, and occlusion. Prosthetic Rehabilitation of Compromised Dentition: The Balance Between Function, Esthetics, and Long-Term Results Mauro Fradeani The prosthetic rehabilitation of patients with esthetically and functionally compromised dentition frequently requires a multidisciplinary approach. Achieving esthetic objectives in these cases, both on implants and on natural dentition, presents a considerable clinical challenge, especially in the face of extreme compromise of tooth structure that also involves erosion and/or abrasion phenomena. The role of the prosthodontist is to select the most suitable prosthetic treatment that is the least invasive and at the same time aimed at achieving the best functional and esthetic long-term result. Traditional versus innovative protocols will be presented as well as some long-term follow-ups. Mauro Fradeani, dmd, completed a specialization in dentistry at the University of Ancona, Italy, in He is a past president of the European Academy of Esthetic Dentistry and the Accademia Italiana di Odontoiatria Protesica and founder and director of the ACE Institute, an advanced continuing education center in Pesaro, Italy. He is also a founding member of Identalclub. Dr Fradeani is an associate editor for the European Journal of Esthetic Dentistry and a member of the editorial boards of Practical Procedures & Aesthetic Dentistry and the Journal of Esthetic and Restorative Dentistry. He is the author of the two-volume series Esthetic Rehabilitation in Fixed Prosthodontics (Quintessence, 2004, 2008) and maintains a private practice limited to prosthetics on natural dentition and implants in Pesaro, Italy. 33
34 LECTURE ABSTRACTS AND CURRICULUM VITAE (Saturday Sessions) Prognoses, Risk Factors, and Solutions for Periodontally Compromised Patients Myron Nevins Every patient relies on our cognitive skills to alert them to the risks inherent in any proposed treatment plan. This presentation will assume that the patient is healthy and can afford any necessary therapies. The overriding question: What would we do if the roles were reversed and we were the patient? How do we establish realistic prognoses for periodontally compromised teeth? Which teeth will respond to regenerative therapies, and when is the prognosis improved with implants? These questions are especially significant when the compromise is located in the esthetic zone and there is vertical bone loss that challenges the requirement for optimal results. Can we ignore the biologic width and place restorative materials subgingivally in this category of patients? Furcation invasions are another factor. We need to establish criteria for success as a means of realizing the prognosis. The combination of these issues and concerns will determine the realistic prognosis of the treatment plan when interdisciplinary care is involved. Myron Nevins, dds, is the editor of the International Journal of Periodontics and Restorative Dentistry. He is an associate clinical professor of periodontology at the Harvard School of Dental Medicine and a professor of periodontics at the University of Pennsylvania School of Dentistry. Dr Nevins is a past president of the American Academy of Periodontology and a former director and chairman of the American Board of Periodontology, where his contributions have been recognized with the Gold Medal and the Master Clinician Awards. He maintains a private practice limited to periodontics and implantology in Swampscott, Massachusetts, and is the founder and president of Perio Imp Research, Inc. When to Extract a Tooth and Place an Implant in the Compromised Periodontal Patient Dennis Tarnow Determining whether to treat or extract a tooth is one of the more complex decisions that a practitioner must make. It is a test of the team s knowledge and of the ability to reach the ultimate goal of an esthetic and functional restoration that will last for years to come. All of this must be done with the patient s emotional and financial status taken into account. This session will focus on the latest aspects of what we should or should not do with periodontally compromised teeth and how best to treat this area with a multidisciplinary approach. Participants will learn when to remove a tooth and place an implant or a pontic; when to save a tooth that needs periodontal and/or endodontic treatment; and the latest techniques in socket preservation when extraction is indicated. See page 22 for bio. Digital Workflow in Reconstructive Dentistry Jörg Strub The emergence of digital technologies is unavoidable in the contemporary dental practice. The application spectrum of such digital technologies covers all dental disciplines and varies between data acquisition, treatment planning, and CAD/CAM techniques. In reconstructive dentistry, the ultimate goal of these technologies is to improve the quality and capabilities in examination, diagnosis, and treatment of the dental patient. This presentation will provide an overview of the digital workflow in reconstructive dentistry, discuss its possibilities and advantages, and provide insights about future developments. At the end, participants will be familiar with the digital workflow in reconstructive dentistry, understand the current possibilities and limitations of technologies implemented in the digital workflow, and know about upcoming future developments that will be introduced to the digital workflow. Jörg R. Strub, dds, dr med dent habil, dr hc, received his DDS and Dr Med Dent Habil degrees from the University of Zurich and his Dr hc from the National and Kapodistrian University in Athens, Greece. He has held the positions of visiting assistant professor of biomaterials at Tulane University and Louisiana State University in New Orleans and associate professor and co-director of the Graduate Programme in Periodontal Prosthetics at the University of Zurich. Since 1988, Dr Strub has been a professor and chair of the Department of Prosthodontics at the Albert-Ludwigs University in Freiburg, Germany, where he is also the associate dean for clinical affairs. He is also currently a visiting professor for the Department of Preventive and Restorative Sciences at the University of Pennsylvania; the School of Stomatology at Sun Yat-Sen University-Guanghua in Guangzhou, China; and the School of Dentistry at King Saud University in Riyadh, Saudi Arabia. Ridge Augmentation Using In Situ Tissue Engineering Robert E. Marx In situ tissue engineering is the regeneration of 100% normal tissue within the planned anatomical space of the recipient. Related to ridge augmentation, this refers to the gain of sufficient vertical and/or horizontal width without using autogenous bone or leaving unresorbed inert graft particles that can compromise implant placement. This presentation will describe the use of a composite graft consisting of low doses of recombinant human bone morphogenetic protein-2/acellular collagen sponge (rhbmp-2/acs), platelet-rich plasma (PRP), and crushed cancellous mineralized allogeneic bone (CCMAB), which completes the three legs of the classic tissue engineering triangle of cells-signal-matrix. The specific surgical technique for placing this graft will also be described. The outcome is one of predictable bone regeneration equaling or surpassing that of any other graft system and without the morbidity and second site surgery of autogenous bone or leaving residual inert graft particles at the site. A randomized clinical trial showed this graft system to regenerate bone of equal or better trabecular bone area and gain better implant osseointegration as well as implant lifespan than an autogenous graft. Additionally, this graft system produced less pain and overall morbidity and saved 30 minutes or more of surgical time while keeping the cost comparable to that of an autogenous graft. Robert E. Marx, dds, is a professor of surgery and chief of the Division of Oral and Maxillofacial Surgery at the University of Miami Miller School of Medicine. His areas of research include the use of hyperbaric oxygen following radiation therapy, the development of platelet-rich plasma, and the relationship between smoking and carcinogenesis. Dr Marx has received numerous awards, including the Harry S. Archer Award, the William J. Gies Award, the Paul Bert Award, and the Donald B. Osbon Award. His first textbook, Oral and Maxillofacial Pathology: A Rationale for Diagnosis and Treatment (Quintessence, 2002), won the American Medical Writers Association s Medical Book of the Year Award for
35 LECTURE ABSTRACTS AND CURRICULUM VITAE (Saturday Sessions) Comprehensive Treatment for Periodontally Compromised Cases: Three Key Concepts for Preserving Teeth and Ensuring Their Longevity Takeshi Sasaki Each patient presents a unique set of complicated problems, for which various treatment methods are available. Most compromised patients want to restore lost function and esthetics, preserve their remaining natural teeth, and maintain the treatment outcome for many years. Periodontal and prosthetic treatments, including implants, must be closely integrated in order to provide comprehensive treatment of the entire oral environment beyond the resolution of localized problems and the temporary alleviation of symptoms. As clinicians, we should acquire the skills necessary to offer multiple treatment options within a consistent and comprehensive treatment concept. By assessing each patient s unique pathology, its etiology, and the degree of disease progression, we can provide optimal treatment while respecting the needs and desires of the patients. In this presentation, comprehensive treatment planning for compromised patients and the key concepts for preserving teeth and promoting longevity will be discussed. Takeshi Sasaki, dds, received his DDS from the Osaka University School of Dental Medicine, where he is currently a clinical associate professor. He also received certification by the Japan Institute for Advanced Dental Studies, where he continues to lecture. Dr Sasaki is the director of the Kiwakai Shin-Osaka Dental Clinic in Osaka, Japan, and the assistant director of the Ginza Periodontal Implant Center in Ginza, Japan. He is an associate Fellow of the Japanese Academy of Periodontology and a member of several other organizations, including the American Academy of Fixed Prosthodontics, the Japanese Society of Periodontology, the Japan Prosthodontic Society, and the Japanese Academy of Clinical Periodontology. Advances in Localized Site Development for Implant Dentistry Moderated by Chris R. Richardson Chris R. Richardson, dds, ms, currently maintains a private practice limited to periodontics in Richmond, Virginia. He is also a member of the clinical faculty of the Graduate Periodontics Department at the Virginia School of Dentistry at Virginia Commonwealth University Medical College. Dr Richardson has published several articles, lectures nationally, and currently serves as a reviewer for the International Journal of Periodontics and Restorative Dentistry. He is an active member of the American Academy of Periodontology, the Academy of Osseointegration, the Southern Academy of Periodontology, the American Dental Association, the Virginia Dental Association, and many organizations at the local level. Horizontal and Vertical Expansion of Bone In Situ: Long-Term Results Burton Langer Many patients have hopeless teeth, failing or failed implants, and healed sites with compromised bone. Patients desires to restore their lost dentition requires the rejuvenation of the bone in these sites without compromise to their lives and daily routines. This presentation will focus on a variety of techniques available for the clinician to modify the three-dimensional quantity of bone, ie, in both height and width. Of special interest will be understanding the potential of bone regeneration that is available to the surgeon without the need to enter into an additional surgical site. Reentry and longterm post-loading results will be demonstrated. Burton Langer, dmd, msd, graduated from Tufts University and Tufts School of Dental Medicine and later received his certificate in periodontics and a master s degree in science from the Boston University Graduate School of Dentistry in He is a Diplomate of the American Board of Periodontology and was one of the first periodontists trained in osseointegration by Professor Per-Ingvar Brånemark. His development of new modalities of therapy, such as the subepithelial connective tissue graft for ridge augmentation and recession on teeth, the wide implant, and various flap procedures for implants, have become standard methods of treatment. Dr Langer has lectured extensively throughout the world and has written over 50 articles and chapters for six textbooks, many of which have original concepts that have enhanced the clinical practice of periodontics and implant dentistry. He is the 1992 recipient of the Isador Hirschfeld Award for Clinical Excellence and the 1997 recipient of the American Academy of Periodontology Master Clinician Award. Facilitated Replacement of Molars with Implants in Anatomically Compromised Sites Georg Watzek When adequate bone supply is available, the replacement of missing molars with implants is considered a relatively easy and simple task in terms of the difficulty and complexity of the surgical procedure. However, the opposite is true in the case of increasing local atrophy of the alveolar process. Problems and difficulties will either be of a general nature due to local defects or atrophic changes of a posterior edentulous alveolar ridge segment, or they will specifically be due to pneumatization of the maxillary sinus in the maxilla or involve a subcrestal path of the inferior alveolar nerve in the mandible. To place implants without any augmentation measures, either immediate placement or ultrashort implants or implants with selective para-antral or paranerval positioning may be employed. This augmentation-free treatment option must be combined with appropriate prosthetic measures, such as implant-borne cantilevers with distal extension. If augmentation measures in the maxilla appear to be unavoidable, either internal augmentation in the form of sinus elevation surgery with percrestal or lateral access, external augmentation, or possibly a combination of both strategies will be indicated depending on the individual situation. In rare cases, distraction osteogenesis may also be indicated. If augmentation measures are needed in the mandibular molar region, horizontal or vertical ridge-splitting procedures and distraction osteogenesis may be used in addition to external alveolar ridge augmentation. Generally, autologous material, osteoconductive substances, or osteoinductive substances such as rhbmp-2 may be employed as augmentation materials. All of these treatment options will be discussed, and data from the literature will be compared to results and experiences from our own patient population. The various therapeutic approaches as well as the associated risks will then be explained in detail based on patient examples and documented by actual patient cases. Georg Watzek, md, dds, phd, is head of the Dental School at the University of Vienna. He is president of the Austrian Society of Oral Surgery and Implantology and a former president of the European Association for Osseointegration. Dr Watzek is the author of more than 200 publications, including 7 textbooks. He is the author of Implants in Qualitatively Compromised Bone (Quintessence, 2007) and The Percrestal Sinus Lift (Quintessence, 2012). 35
36 LECTURE ABSTRACTS AND CURRICULUM VITAE (Saturday Sessions) Clinical and Radiographic Long-Term Stability of Contour Augmentation at Implants in the Esthetic Zone Daniel Buser This lecture will present the biologic background and surgical aspects of contour augmentation at implants placed in the esthetic zone. This surgical technique was developed in the late 1990s using the guided bone regeneration (GBR) technique and is most often used in early implant placement postextraction. The goal of contour augmentation is a thick facial bone wall to support esthetic soft tissue contours. The technique is characterized by the use of two bone fillers: locally harvested autogenous bone chips to enhance new bone formation during the initial phase of bone healing combined with a lowsubstitution bone filler such as demineralized bovine bone matrix (DBBM) particles, which are primarily used for long-term stability of contour augmentation. The two fillers are covered with a resorbable collagen membrane to provide a temporary barrier. The surgeries are completed with primary wound closure using a tension-free adaptation of the wound margins. The step-by-step procedure for various clinical situations will be shown with a number of case reports and documented by clinical and radiographic studies. The most recent cases include CBCT documentation of the presence or absence of a facial bone wall. Daniel Buser, pd, dr med dent, is a professor and chairman of the Department of Oral Surgery and Stomatology at the School of Dental Medicine at the University of Bern in Switzerland. He has spent sabbatical years at Harvard University, Baylor College of Dentistry, and the University of Melbourne and has served as president of various academic associations, including the European Association for Osseointegration, the Swiss Society of Oral Implantology, and the Swiss Society of Oral Surgery and Somatology. He is currently president of the Swiss Implant Foundation and of the International Team for Implantology (ITI). Dr Buser has received several scientific awards by professional organizations, and his main research areas include bone regeneration around endosseous implants, surface technology, and guided bone regeneration. He lectures widely internationally and has authored and co-authored more than 250 publications, many of them in leading dental and biomaterials journals, and several textbooks, including two ITI Treatment Guides. Augmentation: The Solution for Long-Term Soft Tissue and Bone Preservation for Compromised Extraction Sites in the Esthetic Zone Ueli Grunder Missing soft tissue is the main reason for compromised results in the esthetic zone. But because the soft tissue has to be supported by a sufficient amount of bone, our focus also has to be on bone. Given that no bone preservation technique (at the time of tooth extraction) known today gives us the perfect result we need, it is questionable whether any preservation technique should be used. Augmentation procedures are still needed, and our goal must be to preserve newly generated tissue volume over many years. At the end of this lecture, participants should be able to select the ideal technique to apply in compromised sites in the esthetic zone; understand the need for augmentation procedures in different situations; and know the scientific data regarding long-term esthetics with implants. New Perspectives of Vertical and Horizontal Augmentation István Urbán In this presentation, an exciting new treatment modality of horizontal augmentation for edentulous atrophic maxillary ridges will be introduced. This technique involves the use of a native collagen resorbable membrane to completely immobilize and protect a particulated composite bone graft for the initial weeks of graft maturation. The absence of a titanium-reinforced membrane can be overcome by secure fixation of the membrane on both the lingual/palatal and the vestibular side. Utilizing these procedures may lessen the need for harvested autogenous bone and may generally lead to decreased morbidity and therefore increased patient comfort and satisfaction associated with these regenerative procedures. István Urbán, dmd, md, received his DMD degree and subsequently his MD degree from Semmelweis University School of Medicine and Dentistry in Budapest, Hungary, after which he completed a residency program in oral surgery at St Istvan Hospital and an internship program in periodontics at the University of California at Los Angeles. After graduating from the Fellowship Program in Implant Dentistry at Loma Linda University, he was appointed assistant professor there, where he continues to teach implant dentistry in the graduate program. Dr Urbán is currently conducting several clinical studies about the success of bone augmentation procedures and the long-term success rates of dental implants placed in regenerated bone. He has published several scientific articles and book chapters on the topic of bone regeneration, lectures internationally, and maintains a private practice in Budapest. Alveolar Ridge Regenerative Strategies: Autogenous Bone Versus Tissue Engineering Michael A. Pikos This clinical-based presentation will compare the use of autogenous bone and tissue engineering protocols including the use of rhbmp-2, rhpdgf, and PRGF for alveolar ridge augmentation. The science, indications, advantages, and disadvantages of each approach will be featured. Single-tooth to full-arch reconstruction cases will be covered. Upon completion of this presentation, participants should be able to understand and compare the science of and indications for autogenous bone and tissue-engineered bone grafts (rhbmp-2, rhpdgf, and PRGF) and appreciate the advantages and disadvantages, respectively, of autogenous bone and tissue-engineered bone grafts. Michael A. Pikos, dds, is the recipient of the 2006 Aaron Gershkoff Memorial Award from the American Academy of Implant Dentistry and is a Diplomate of the American Board of Oral and Maxillofacial Surgery, the American Board of Oral Implantology/Implant Dentistry, and the International Congress of Oral Implantologists. He is an adjunct assistant professor in the Department of Oral and Maxillofacial Surgery at the following institutions: The Ohio State University College of Dentistry, the University of Miami School of Medicine, and Nova Southeastern University College of Dental Medicine. He is also a courtesy clinical associate professor in the Departments of Periodontology and Prosthodontics at the University of Florida College of Dentistry. Dr Pikos has lectured extensively and serves on the editorial board for Implant Dentistry as well as the on the scientific board of ImplantNews. He is founder and chief executive officer of the Pikos Implant Institute. He maintains a private practice limited to implant surgery in Palm Harbor, Florida. Ueli Grunder, dmd, received his dental degree as well as postgraduate education in advanced fixed prosthodontics from the University of Zurich, Switzerland, where he has been a senior lecturer since He is a certified specialist in reconstructive dentistry. Dr Grunder has maintained a private practice in Zollikon-Zurich since He has published numerous papers and lectured nationally and internationally on the surgical and prosthetic aspects of implant dentistry. Dr Grunder is a past president of the Swiss Society of Oral Implantology and a past president of the ropean Academy of Esthetic Dentistry. 36
37 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) Periodontal Plastic Surgery for the Treatment of Recession-Type Defects Moderated by Adriana McGregor Adriana McGregor, dds, holds dual degrees in periodontology and is a co-instructor with Dr Dennis Shanelec, the father of microsurgery, at the Microsurgery Training Institute in Santa Barbara, California. She is a co-author of the microsurgery chapter in Carranza s Clinical Periodontology (Saunders, 2006); a past president of the Academy of Microscope Enhanced Dentistry (AMED); a member of the international editorial board of the International Journal of Microdentistry, the official journal of AMED and several other international societies; and a consultant for the International Journal of Periodontics and Restorative Dentistry. Dr McGregor lectures internationally on esthetic periodontal and implant microsurgery and maintains private practices in Westlake Village and Santa Barbara, California, devoted exclusively to esthetic periodontal and implant microsurgery. Evidence-Based Alternatives for Autogenous Grafts: Outcomes, Attachment, and Stability Michael K. McGuire The ability to predictably treat gingival defects with grafts has been one of the cornerstones of periodontal therapy over the past quarter century. During this time, surgical techniques have been refined and modified to become less invasive and more esthetically pleasing. Along with these advancements, tissue engineering concepts are producing outcomes that are more robust and predictable. This presentation will evaluate novel therapies that are capable of achieving true regeneration over denuded root surfaces in a less invasive and more predictable fashion. The objective is to understand soft tissue grafting options when the patient does not want to use their tissue or cadaveric sources. Michael K. McGuire, dds, is the author of over 50 scientific articles and textbook chapters on periodontology. He serves on the editorial board of multiple publications, including the Journal of Periodontology, the International Journal of Periodontics and Restorative Dentistry, and the International Journal of Oral and Maxillofacial Implants. Having given over 200 continuing education programs, Dr McGuire has lectured for both national and international audiences. His research has received the American Academy of Periodontology s highest recognition for excellence, earning twice the Robinson Regeneration Award and twice the Clinical Research Award. He is also the recipient of the Academy s prestigious Master Clinician Award and the Academy s highest honor, the Gold Medal Award. Dr McGuire is a director of the American Board of Periodontology and has served as president of numerous dental organizations, including the American Academy of Periodontology and the American Academy of Periodontology Foundation. He received both his DDS and certificate in periodontics from the Emory University School of Dentistry, which recognized Dr McGuire with their Distinguished Alumnus Award in Urban Legends, Folklore, Myths, Rumors, and Misinformation Edward P. Allen Precise presentation of the results of randomized controlled trials (RCTs) is critical to the dissemination of accurate scientific information and its implementation in clinical practice. Unfortunately, authors of scientific articles may consciously or subconsciously shade the impression of their results for readers by adding spin to their scientific reports. Spin can be defined as specific reporting that could distort the interpretation of results and mislead readers. Spin has been estimated to be present in 18% of titles, 37% of results sections in abstracts, 58% of conclusions sections in abstracts, 29% of results sections in RCTs, 43% of discussion sections in RCTs, and 50% of conclusions sections of RCTs published in high-impact journals. This presentation will therefore explore the impact of spin on issues concerning soft tissue grafting. Edward P. Allen, dds, phd, is a past president of the American Academy of Esthetic Dentistry, the American Academy of Restorative Dentistry, and the American Academy of Periodontology Foundation. He is the periodontal section editor for the Journal of Esthetic and Restorative Dentistry and serves on the editorial boards of the International Journal of Periodontics and Restorative Dentistry, the Journal of Periodontology, and the European Journal of Esthetic Dentistry. He has received the Distinguished Alumnus Award from The Baylor College of Dentistry Periodontics Residency Program and the Master Clinician Award from the American Academy of Periodontology. Dr Allen is founder of the Center for Advanced Dental Education, an educational facility in Dallas, where he teaches surgical technique courses. He has published over 50 articles on the subject of esthetic surgical procedures and has presented numerous lectures and surgical demonstrations worldwide. Enhancing Clinical Outcomes in Esthetic Sites Ion Zabalegui The purpose of this clinical presentation is to show the treatment and final outcome of large soft tissue deficiencies around teeth, edentulous sites, and mistreated implants with large amounts of palatal autogenous soft tissue grafts. Factors related to predictability of the procedure will be discussed, and step-by-step clinical cases including long-term results will be presented. Objectives include learning technique tips to enhance predictability with connective tissue grafts in esthetic sites and reviewing different applications of autogenous grafts in the treatment of tissue deficiencies around teeth, edentulous ridges, and implants. Ion Zabalegui, md, dds, maintains a private practice at the Albia Clínica Dental in Bilbao, Spain, and is currently a visiting professor in the Postgraduate Program in Periodontology at the Complutense University of Madrid. He received his MD from the University of the Basque Country in Spain and his certificate in periodontology from the University of Southern California. He is a member of several international societies, including the Spanish Society of Periodontology, the American Academy of Periodontology, the European Academy of Osseointegration, the American Academy of Osseointegration, and the International College of Dentistry. Simultaneous Augmentation of Multiple Teeth with Autogenous Connective Tissue Kirk L. Pasquinelli Recession defects frequently involve multiple teeth in an arch or even in both arches. The clinician treating these defects with autogenous connective tissue will usually resort to multiple surgeries because of a belief that enough connective tissue material cannot be harvested from the palate. This program will introduce the attendees to surgical modalities that allow them to harvest greater amounts of autogenous connective tissue, which will thus allow them to reduce the number of surgical visits for their patients. Objectives include understanding the possibilities and techniques for harvesting larger connective tissue grafts, understanding recipient site flap design to utilize these grafts, and understanding the potential risks for these procedures. Kirk L. Pasquinelli, dds, received his DDS from the University of California at San Francisco School of Dentistry, where he is currently an assistant clinical professor in the Graduate Prosthodontic Department. He received his periodontal training at the University of Washington in Seattle, taught continuing dental education at the University of the Pacific School of Dentistry from 1988 to 2000, and was on the faculty of the Interdisciplinary Dental Education Academy in Foster City, California, from 2004 to Dr Pasquinelli continues to teach select groups nationally and internationally and has authored numerous articles in the periodontal and restorative dentistry literature. He is a member of the American Academy of Esthetic Dentistry, the American Academy of Periodontics, the American Dental Association, the California Dental Association, and the San Francisco Dental Society. Since 1988, Dr Pasquinelli has maintained a private practice in downtown San Francisco dedicated to periodontics, esthetic and preprosthetic oral surgery, and dental implants. 37
38 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) Treatment of Multiple Recession in the Esthetic Areas of the Mouth Massimo De Sanctis Esthetic improvement of the smile is an everyday request by patients, and it usually concerns gingival recession. Today we can utilize several surgical techniques that yield very good results both in terms of root coverage and esthetic improvement. An ideal technique, however, should solve the problem of an entire surgical quadrant or entire arch in just one surgery. The multiple coronally advanced flap has been proven to be effective and to produce stable results for the treatment of multiple gingival recessions affecting teeth in esthetic areas of the mouth, and these successful root coverage results can be achieved irrespective of the number of recessions simultaneously treated during the surgical intervention and the amount of keratinized tissue apical to the defect. This presentation will discuss surgical details of the technique as well as modifications for overcoming specific problems. Massimo De Sanctis, md, dds, ms, received his doctorate in medicine and doctorate in odontostomatology from the University of Florence and his master of science degree in periodontology from Boston University. He is currently a professor of periodontology at the University of Siena in Italy. He is a past president of the Italian Society of Periodontology and the Italian Coordinating Committee for the Scientific Societies, a Fellow of the International College of Dentistry, and a member of the American Academy of Periodontology. He was also president of the Congress Europerio 2 in Florence and a member of the organizing committees of the Congress Europerio 5 in Madrid and the European Federation of Periodontology. Localized Ridge Augmentation and Leveling of Buccal and Interproximal Gingival Margins: The Ultimate Challenge for Optimal Esthetic Results Giano Ricci Ideal gingival margins are a prerequisite for obtaining optimal esthetic results in periodontic and implant cases, especially in patients with a high lip line. But results are not always predictable, especially in advanced periodontic cases. This presentation will discuss these clinical situations and their prognoses. In addition, localized ridge augmentation can be performed with different techniques, but the end results are not always satisfactory. Therefore, a reliable method for obtaining predictable results will be presented. Giano Ricci, md, dds, mscd, received his MD and his specialist degree in stomatology from the University of Florence and his master of science degree in periodontology from Boston University, after which he returned to Italy and opened the first practice limited to periodontics in the country. He is the author of many papers in the field of periodontics and has lectured extensively in Europe, the United States, and Japan. Dr Ricci is an associate editor for the European Journal of Esthetic Dentistry, a consultant for the International Journal of Periodontics and Restorative Dentistry, and a section editor of the Rivista Italiana di Stomatologia, Teamwork, and Practical Procedures & Aesthetic Dentistry. Dr Ricci is also the co-founder and past president of the Italian Society of Periodontology, an active member of the European Federation of Periodontology and the European Academy of Esthetic Dentistry, and an honorary member of the Italian Academy of Prosthetic Dentistry. Novel Advances and Rationale for Implant Success Moderated by Thomas J. McGarry Thomas J. McGarry, dds, received his DDS from the University of Missouri at Kansas City School of Dentistry and his certificate in prosthodontics from the VA Hospital at San Francisco. He is currently a clinical associate professor at the University of Oklahoma School of Dentistry and an adjunct assistant professor at the University of Illinois School of Dentistry. He is also a Diplomate of the American Board of Prosthodontics and a Fellow and past president of the American College of Prosthodontists, and he has published on the topics of complete and partial edentulism and their classifications. Dr McGarry maintains a full-time private practice limited to prosthodontics and is the clinical director for the McGarry Implant Institute, whose mission is to provide hands-on direct patient care training in a continuing education curriculum. Smile Design, Team Communication, and Patient Management: The Emotional Aspect of Restorative Dentistry Christian Coachman Restorative dentistry is not only about technical skills or using state-of-the-art materials. It is the way you visualize the disharmonies, communicate all the issues with the team, and present the plan to the patient that makes the difference. By learning how to master some simple tools and the process of digital smile design, you will improve your esthetic diagnosis, communication skills, case documentation, educational capabilities, and case acceptance and become a complete modern clinician incorporating those skills into your daily work. Christian Coachman, cdt, dds, received his CDT and DDS from the University of São Paulo, Brazil, after which he attended the Ceramic Specialization Program at the Ceramoart Training Centre in Brazil, where he later became an instructor. He was the head ceramist for Team Atlanta (Drs Goldstein, Garber, and Salama) for 4 years, and he is currently the scientific coordinator of the e-learning website www. identalclub.com and works as a consultant for dental companies and offices developing products and implementing concepts. Dr Coachman has lectured and published internationally in the fields of esthetic dentistry, dental photography, oral rehabilitation, dental ceramics, and implants. He is a member of the Brazilian Academy of Dentistry, the Brazilian Society of Esthetic Dentistry, and the American Academy of Esthetic Dentistry. Dr Coachman works with many leading dentists and ceramists around the world, including Eric Van Dooren, Galip Gürel, Mauro Fradeani, Michael Cohen, Nitzan Bichacho, and Paulo Kano. The Clinical Efficacy of Implant Surfaces: Dreams and Reality Peter Schuepbach Dental implants are placed into the alveolar bone with the expectation that they will become osseointegrated and that the peri-implant mucosa will heal to the abutment surface and fulfill the primary functions of the periodontal tissues: attachment and protection of the soft tissue and the underlying bone. This requires that the rigid connection between the implant and the surrounding bone functionally replaces the sophisticated suspension via the periodontal ligament and that the structural framework of the periimplant mucosa matches the architecture of the gingiva. The immediately elicited host site interfacial healing response will be discussed as well as long-term behavior. The role of the implant s surface and its macro- and microscopic design features for osseointegration will be elucidated and the clinical implications explained. In particular, the biodynamics of the cascade of early wound healing, from the first interactions between modified 38
39 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) rough implant surfaces, to the inflammatory and proliferating phase, to final osseointegration, will be demonstrated and summarized in an animation video. Peter Schuepbach, phd, natsc, is the chief executive officer of Microphot, a company specializing in histology and visualization services, in Horgen, Switzerland. For more than 20 years, he was head of a histologic group at the Dental Institute at the University of Zurich, where he also lectured on oral biology and pathophysiology as a member of the Faculty of Medicine. Dr Schuepbach is a member of several international organizations and the author of more than 50 scientific publications on implantology, tissue regeneration, cariology, and oral microbiology. The Role of Laser Surface Modification in Establishing of a Connective Tissue Attachment at the Implant Surface John L. Ricci Recent advances in materials surface processing and our understanding of cell-surface interactions have led to development of a unique surface (Laser-Lok) that has been shown to firmly attach bone, fibrous connective tissue, and epithelium. This surface comprises the first controlled microstructure surface in clinical use and is produced using high-precision laser technology. It consists entirely of small microchannels, 8 or 12 µm in size and depth, with superimposed micro- and nanostructure produced by the laser micromachining. The microchannels have been shown to control the organization, proliferation, and differentiation of cells at the tissue-implant interface. The most unusual aspect of this surface is its ability to firmly attach collagenous fibrous tissue. This allows it to be used on the collars and abutments of dental implants to encourage formation of a soft tissue seal, which prevents deep sulcus formation and crestal bone loss. This presentation will concentrate on the current state of knowledge of how fibrous tissue forms at implant surfaces, how this occurs adjacent to most surfaces, and how the Laser-Lok surface modifies this process. The impact of fibrous tissue attachment and its effects on adjacent epithelium and bone will be discussed, as well as how this, along with implant and abutment surfaces and designs, determines the level and configuration of bone, fibrous tissue, and epithelium around implants. The clinical significance of these tissue levels on esthetics will also be discussed. John L. Ricci, phd, received his PhD from the University of Medicine and Dentistry of New Jersey. He is currently an associate professor in the Department of Biomaterials and Biomimetics at New York University College of Dentistry, where he directs the Masters Program in Biomaterials Science. Dr Ricci is an active member of the Society for Biomaterials, the American and International Associations of Dental Research, and the Academy of Osseointegration. He is also on the editorial boards of the Journal of Biomedical Materials Research: Applied Biomaterials and Implant Dentistry. His active areas of research involve cell and tissue response to permanent and resorbable biomaterials and the development of implants, bone graft substitutes, and tissue-engineered devices. Dental Implant Survival in Onlay Bone Grafts Craig M. Misch Dental implants may achieve predictable and high success rates when placed in sites with adequate bone. When bone deficiencies are present, various techniques and materials have been used to augment the maxilla and the mandible for implant placement. A number of systematic reviews have been performed to examine implant survival in augmented sites. It appears that implants placed when horizontal augmentation has been performed achieve survival rates similar to those of implants placed in native bone. The augmentation of vertical bone defects is more challenging, and implant survival rates reflect this difficulty. The use of mictotextured implant surfaces and staged implant placement appears to provide improved results. This presentation will review implant survival rates in onlay augmentations and discuss methods to improve outcomes. Craig M. Misch, dds, mds, received postgraduate certificates in prosthodontics and oral implantology and an MS degree from the University of Pittsburgh. He completed specialty training in oral and maxillofacial surgery at St Francis Medical Center in Pittsburgh and is a Diplomate of the American Board of Oral and Maxillofacial Surgery. He currently practices as a dual specialist in Sarasota, Florida. Dr Misch is a clinical associate professor at New York University in the Department of Implant Dentistry and at the University of Florida in the Department of Prosthodontics. He serves on the board of directors of the Academy of Osseointegration and on the editorial board of the International Journal of Oral and Maxillofacial Implants. Esthetic Clinical Realities of Immediate Implant Placement: 20-Year Results Laureen Langer The purpose of this presentation is to simplify the steps leading to an optimal esthetic result and shorter treatment times. It will emphasize the protocol and surgical techniques of combined extraction, implant placement, and bone and/or soft tissue augmentation that are vital to rejuvenate highly compromised sites in one surgical visit. The statistical results of over 6,000 extractions with simultaneous implant placement will be compared with implants placed in healed sites. The long-term esthetic stability of these immediately placed implants will be detailed. Laureen Langer, dds, is a graduate of the Columbia University School of Dental and Oral Surgery, where she also received her certificate in periodontics. She was associate clinical professor at Columbia for 18 years and was the co-director of the implant program in the Postgraduate Division of Periodontics. Dr Langer has published articles in a number of peer-reviewed journals and has chapters in six textbooks on the subject of periodontal surgery, subepithelial connective tissue grafts, bone and soft tissue grafting, sinus elevations, and implants. She is a Diplomate of the American Board of Periodontology and a Fellow of the Academy of Osseointegration. She is a past president of the Osseointegration Foundation and the Northeastern Society of Periodontists. She is the 2006 recipient of the Isador Hirschfeld Award for Clinical Excellence. In addition, Dr Langer was awarded the Distinguished Alumnus Award by Columbia University s Periodontal Alumni Association in
40 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) Predictable Treatment of Peri-implantitis Using Erbium Laser Micro-Explosion Atsuhiko Yamamoto With the rapid advancement of implant dentistry in recent years, many complications have been reported; one of the most serious and frequent of these complications is peri-implantitis. Numerous articles have discussed risk factors of peri-implantitis as well as ideas to prevent it; however, a predictable therapy has not yet been developed. Over the years, research has suggested that rough implant surfaces improve osseointegration. This roughness, however, also provides a favorable medium for harboring bacteria once the surface is exposed to the oral environment. When grafting at an implant site after bone resorption, it is extremely difficult to disinfect the surface, thus reducing the chances of a successful grafting procedure. In order to regain the osseointegration, the contaminated surface must be completely removed. The Er:YAG laser is the only known equipment to allow this to be accomplished. This presentation reports on a revolutionary and predictable therapy for peri-implantitis using the erbium laser, which irradiates the implant surface. Accompanied with water micro-explosions, the erbium laser decontaminates the rough titanium oxide surface of the implant without causing a harmful increase in temperature. Animal research has proved its efficacy in restoring osseointegration. In addition, clinical cases of peri-implantitis will be presented that show evidence of favorable bone regeneration around the implant body due to this innovative and predictable therapy. Atsuhiko Yamamoto, dds, phd, is the president of the Perio-Implant Hospital AUTIS in Osaka, Japan, and a lecturer for the Japan Institute for Advanced Dental Studies. He is the director of the Japan Society for Laser Dentistry and an active member of the American Academy of Periodontology and the Academy of Osseointegration. Immediate Loading: When and Where for Whom? Moderated by Hom-Lay Wang Hom-Lay Wang, dds, msd, phd, is the Collegiate Professor of Periodontics and director of the Graduate Periodontics Program at the University of Michigan and also serves as a research advisor for growth factors and bone regeneration at King Saud University in Riyadh, Saudi Arabia. He received his DDS from Taipei Medical College in Taiwan, his DDS and MSD from Case Western Reserve University in Cleveland, Ohio, and his PhD from Hiroshima University in Japan. He is a Diplomate and a former co-chair and director of the American Board of Periodontology; the president, board director, and Diplomate of the International Congress of Oral Implantologists; and a Fellow of the American College of Dentists. He is a past president of the Midwest Society of Periodontology, a former consultant for the American Dental Association Commission on Dental Accreditation, and a former editor-in-chief for the Open Dentistry Journal. He currently serves as an associate editor for several journals, including the International Journal of Oral and Maxillofacial Implants. He is a founding editorial board member for the newly introduced Clinical Advances in Periodontics and sits on the editorial boards for several other journals, including the International Journal of Periodontics and Restorative Dentistry. Dr Wang is the recipient of several awards and honors and has published more than 22 book chapters/reviews and more than 250 scientific articles. Immediate Loading Protocols: Limitations and Complications Tiziano Testori The ultimate goal of an immediate loading protocol is to reduce the number of surgical interventions and shorten the time frame between surgery and prosthetic delivery, all without sacrificing implant success rates. These new protocols will ultimately lessen patients reservations and result in increased acceptance of implant therapy. The lecture will address a variety of topics related to immediate loading in different clinical situations, including completely edentulous arches or single-tooth to multiple-tooth implant units in partially edentulous patients. Complications and limitations of this procedure will also be addressed. Participants will learn the predictable clinical indications and contraindications to immediate loading, a correct diagnostic phase to reduce failures, and the step-by-step surgical/prosthetic procedures for totally and partially edentulous patients. Tiziano Testori, md, dds, received his MD, DDS, and specialist degree in orthodontics from the University of Milan in Italy, where he is currently head of the Section of Implant Dentistry and Oral Rehabilitation at the School of Dentistry. He is also a visiting professor at the New York University College of Dentistry. Dr Testori is a past president of the Italian Society of Oral Surgery and Implantology and a referee for oral surgery and implant dentistry for the Italian Committee of the Health Ministry for CE programs. He is an active member of the European Board of Oral Surgery and a member of the editorial boards for the International Journal of Oral and Maxillofacial Implants (JOMI), Practical Procedures & Aesthetic Dentistry, and the European Journal of Oral Implantology. He is also the co-editor of the books Maxillary Sinus Surgery and Alternative Therapies (Quintessence, 2009) and Immediate Loading: A New Era in Oral Implantology (Quintessence, 2011). Dr Testori has published over 200 scientific articles in Italian and international journals and is the recipient of the William R. Laney Award for the best article published in JOMI. Prosthetic Strategies in Peri-Implant Soft Tissue Preservation Stephen J. Chu Immediate anterior implant placement into fresh extraction sockets has become a more common and predictable treatment modality in regard to osseointegration and implant survival. Current treatment strategies employ minimally invasive protocols that require fewer patient visits, decrease overall treatment time, and afford greater patient comfort and satisfaction. However, controversies still remain regarding esthetic outcomes related to clinical treatment procedures. This presentation will specifically focus on clinical research related to single-tooth, anterior, immediate implants placed in fresh extraction sockets with and without provisional restoration and/or bone grafting and how these procedures influence esthetic outcomes in regard to peri-implant soft tissue esthetics critical for abutment selection. Fabrication techniques of full-contoured provisional restorations and custom healing abutments will be shown as well as innovative prosthetic approaches in peri-implant soft tissue preservation. After this presentation, the attendee should understand the following concepts associated with immediate implant placement and provisional restoration: the impact of provisional restoration and/or bone grafting on peri-implant soft tissue thickness and esthetics; the interrelationship between implant depth, marginal bone stability, and soft tissue preservation; and innovative fabrication techniques for creating the proper supportive subgingival soft tissue contour for a full provisional restoration or custom healing abutment. 40
41 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) Stephen J. Chu, dmd, msd, cdt, mdt, is a clinical associate professor in the Department of Periodontology and Implant Dentistry and the director of the Advanced CDE Programs in Aesthetic Dentistry at the New York University College of Dentistry as well as a partner in a private group practice specializing in esthetic, restorative, and implant dentistry. Dr Chu is a section editor for Practical Procedures & Aesthetic Dentistry and serves on the editorial review boards for the European Journal of Esthetic Dentistry and the Journal of Esthetic and Restorative Dentistry. He has published more than 15 articles, and he lectures worldwide on the subjects of esthetic, restorative, and implant dentistry. In addition to contributing chapters to several textbooks, Dr Chu has co-authored Fundamentals of Color: Shade Matching and Communication in Esthetic Dentistry, Second Edition (Quintessence, 2011) and Aesthetic Restorative Dentistry: Principles and Practice (Montage Media, 2008). Immediate Implant Provisionals: Surgical and Restorative Considerations to Optimize Esthetic Outcomes Brahm A. Miller The placement of implants followed by immediate provisional restorations has been discussed in the literature and is carried out clinically with increasing frequency. It is suggested that this approach can result in better esthetic outcomes, especially in the highly sensitive anterior maxilla. Despite the presumed advantages, however, this technique remains controversial. Therefore, this session will address the following: whether provisionalization altogether is a necessary step; the compelling argument in favor of this step; the relationship of provisionalization to implant surgical decisions; the steps required to correct provisional restoration designs, both in the clinic and in the laboratory; the accurate transfer of emergence profiles developed through provisionalization to the technician; and the relationship of provisionalization to the definitive abutment design. Brahm A. Miller, dds, msc. frcd(c), received his DDS from McGill University and completed his postgraduate prosthodontics certification at the Medical College of Virginia. He is a Fellow and Examiner of the Royal College of Dentists of Canada, a member and past president of the British Columbia Society of Prosthodontists, a Fellow of the International Congress of Oral Implantologists, and a member of the Association of Prosthodontists of Canada and the American Academy of Esthetic Dentistry. Dr Miller is currently an associate clinical professor and sessional lecturer at the University of British Columbia and a member of several consultant and editorial boards, including those for the Journal of Esthetic and Restorative Dentistry and the International Journal of Periodontics and Restorative Dentistry. He lectures extensively internationally and publishes on the subjects of ceramics and advanced implant esthetics. He maintains a full-time private practice with the Imperio Group Dental Health Specialists in Vancouver with periodontists Dr Sonia Leziy and Dr Priscilla Walsh. Peri-implantitis: Surgical Approaches to Its Management Carlo Tinti and Stefano Parma-Benfenati In order to control reinfection and limit biologic complications, it is of paramount importance to treat periodontitis before implant placement. Early interception is a crucial factor that can improve treatment prognosis. The correct diagnosis will facilitate preoperative selection of appropriate techniques for the maintenance of peri-implant tissue health. The primary objective of surgical treatment in peri-implantitis lesions is to access the exposed implant surface in order to optimize the removal of bacterial contaminants and thereby achieve resolution of the inflammatory lesion. Additionally, it is often necessary to reconstruct the lost periodontal tissues even if the process of reosseointegration is not currently considered predictable. Several peri-implantitis cases will be presented with survival follow-up, and the strategies, clinical protocols, and techniques implemented will be described. Carlo Tinti, md, dds, maintains a full-time private practice devoted to periodontology and implant dentistry in Flero, Brescia, Italy. He is an active member of the Italian Society of Periodontology and the Italian Academy of Restorative Dentistry. Stefano Parma-Benfenati, md, dds, mscd, received his MD at Ferrara University in Italy, his DDS at Genova University, and his master of science in periodontology at Boston University. He is an active member of the Italian Society of Periodontology and is currently a teaching professor both at Padova University for the Master Program in Implantology, focusing on guided bone regeneration topics, and at Torino University for the Master Program in Periodontology, focusing on mucogingival surgery. Dr Parma-Benfenati has lectured widely and co-authored many articles and books. He maintains a private practice in periodontology and implantology in Ferrara, Italy. A STANDARDIZED APPROACH TO IMPLANT SURGERY. Oral Implantology Surgical Procedures Checklist Louie Al-Faraje This checklist booklet outlines the proper sequence for surgical procedures, details the setups for necessary instruments, provides postoperative instructions, and even includes a clear roadmap to follow in emergency scenarios that might be encountered during or after surgery. It offers the implant surgeon a standardized approach to ensure that surgical procedures run smoothly and that an extra margin of safety is respected at all times. Washable pages make this book usable even in sterile environments, and when written on in ballpoint pen, the ink can be easily erased with an alcohol wipe. 92 pp (spiral bound); 50 color illus; ISBN (B5709); US $68 Quintessence Publishing Co, Inc 41
42 LECTURE ABSTRACTS AND CURRICULUM VITAE (Sunday Sessions) Immediate Loading for the Edentulous and Failing Dentition Patient: Expanded Options and Profiling Stephen M. Parel Angled or tilted distal implants used to support edentulous full-arch restorations have become a standard in implant dentistry. Early concerns regarding off-axis loading producing detrimental forces have been addressed, with more recent publications presenting sound evidence as to the efficacy of this approach. As a result, treatment plans can now eliminate the need for grafting, shorten overall treatment time, and allow for immediate loading in a much broader spectrum of patient presentations. Tilting of distal implants to avoid anatomical structures can also have the beneficial effect of improving anterior-posterior spread, enhancing cross-arch stability, and allowing placement of longer implants in higher-stress areas. The ultimate result can be a reduction in the number of implants needed (as few as four in the edentulous arch) for support in many cases. With the use of CBCT scans for accurate diagnosis of osseous anatomy and for determining the capability of existing bone to allow immediate loading, this approach is now even more controlled and precise. This presentation will focus on literaturebased experience using available bone receptor sites to place diverging implants for maximum desired effect with immediate loading. Additionally, a new treatment-planning protocol to avoid complications based on data from this experience will also be presented. Stephen M. Parel, dds, is a professor and director of the Division of Maxillofacial Prosthetics in the Department of Oral and Maxillofacial Surgery and Pharmacology at the Baylor College of Dentistry, Texas A&M University Health Science Center in Dallas. A Diplomate of the American Board of Prosthodontics and the American College of Dentists, he is the co-founder of Osseointegration Seminars, Inc, and a past president of the American Academy of Maxillofacial Prosthetics and the Academy of Osseointegration. He has authored many articles and textbook chapters as well as three books. Dr Parel also serves as a consultant for the International Journal of Periodontics and Restorative Dentistry. All-on-4 Solution for Full-Arch Immediate Function Procedures: Case Selection Criteria, Diagnostically Driven Treatment Planning, and Surgical and Prosthodontic Treatment Protocols for Success Anthony G. Sclar This presentation will introduce the All-on-4 solution for full-arch immediate function with hybrid restorations as a patientcentered approach that provides numerous benefits for patients suffering from complete edentulism and terminal dentition, including immediate function and comfort, unrivaled esthetic dental and facial enhancements, and unsurpassed quality-of-life improvements. Important case selection criteria and diagnostically driven treatment-planning concepts for avoiding complications will be reviewed. Detailed clinical case presentations will help participants distinguish between straightforward, advanced, and complex All-on-4 case types based on patient expectations, location, quality and volume of bone available to support implants, position of the maxillary sinus, location and path of the inferior alveolar and mental nerves, presence of localized bone defects or distant bone mass, and occlusal-biomechanical requirements for success in individual cases. Moreover, the multifaceted surgical and prosthodontic treatment protocols required for successful implementation of the All-on-4 treatment concept will be elucidated. Finally, the use of the All-on-4 solution for management and/or rescue of failed conventional dental reconstructions and implant restorations supported by axially positioned implants will demonstrate the expanded applications of this highly beneficial treatment concept. Anthony G. Sclar, dmd, is considered a leader around the world in reconstructive and esthetic dental implant surgery. He maintains a private practice in South Florida and founded Integrated Seminars and the Sclar Center for Empowered Dental Implant Learning, where he offers a comprehensive implant curriculum and limited attendance courses for his colleagues and their staff members using unique teaching methodologies, including evidence-based didactic and clinical presentations, live surgery observation, and hands-on surgical skill training. In addition to publishing numerous journal articles and textbook chapters, Dr Sclar authored the hallmark, multilanguage textbook entitled Soft Tissue and Esthetic Considerations in Implant Therapy (Quintessence 2003). He also serves as an editor for the dental implant section of the Journal of Oral and Maxillofacial Surgery and as an adjunct professor and director of clinical research and postgraduate dental implant surgery for the Department of Oral and Maxillofacial Surgery at Nova Southeastern University College of Dental Medicine. HOW MANY IMPLANTS HAVE YOU PLACED? Quintessence Dental Implant Logbook This convenient logbook allows you to keep track of the details of every implant that you place. Each book contains space for over 500 patient entries (2,000 implants or more) and tracks information on patient name/chart no., implant location and size, initial stability, procedures followed, recommended restoration, implant manufacturer, bone grafting procedures, healing abutments, and the recommended healing period. 240 pp; ISBN (B6027); US $48 42
43 Intelligent Simplicity system system Surface Performance Optimized Stability The Neoss Thread System Cutting and sit Forming met, conse Design ctww of all wxur Neoss add Implants wipis cing is elit. optimized Prae sent for predictable pelle ntes seating edsque in risus all bone qualities. The primary cutting vitae urna eaes temor quis face creates high bone-to-implant cursus urna tepus. sut ipsu dfw contact providing excellent stability ewst, ultrices. while the secondary cutting face One connection suewe whs wbi controls compression in dense bone. xtant conse ctww wxur add wiis. Come & see us in booth 15/16! 15! Intelligent Simplicity
44 SPEAKER DISCLOSURES Disclosure of Significant Relationships with Relevant Commercial Companies/Organizations As required by the Continuing Education Recognition Program (CERP) under the auspices of the American Dental Association, every effort has been made to encourage lecturers to disclose any commercial relationships or personal benefit that may be associated with their presentations. This disclosure in no way implies that the information presented is biased or of lesser quality. Attendees of this meeting should be aware of these factors in interpreting the program contents and evaluating recommendations. Edward P. Allen Consultant: Hu-Friedy, BioHorizons Maurício G. Araújo None Zvi Artzi None Harold S. Baumgarten Consultant/lecturer: Biomet 3i Markus B. Blatz Research grants: Kuraray Noritake, Nobel Biocare, Ivoclar Vivadent, Shofu, Tokuyama Dental, 3M ESPE Honoraria: Nobel Biocare, Kuraray Noritake Daniel Buser Research grants: Thommen Medical, Geistlich, Straumann, Dentalpoint Paulo M. Camargo None Stephen J. Chu Research/educational Grant: Keystone Dental Christian Coachman Honoraria: Ivoclar Vivadent, Nobel Biocare, Anaxdent David L. Cochran Consulting/grants: Straumann, Medtronic, Sunstar Lyndon Cooper Honoraria: Dentsply, Nobel Biocare Grants: Dentsply, BioHorizons Nicola De Angelis Unpaid consultant: Biomet 3i Hugo De Bruyn Research through university: Dentsply, Biomet 3i, Southern Implants Sergio De Paoli None Massimo De Sanctis None Nicholas M. Dello Russo None Joseph P. Fiorellini Research grant: Dentsply, OraPharma, Biomet 3i, Luitpold Mauro Fradeani Consultant and/or material support: American Eagle, Brasseler/Komet, Dentsply, Golden Misch, Heraeus Kulzer, Ivoclar, KaVo, Kerr, MHT Spectrashade, Nike Instruments, Nobel Biocare, Sultan, 3M ESPE Stuart J. Froum Consultant: Straumann, Nobel Biocare, Bio- Horizons, Osteohealth, Dentatus, Biomet 3i, Zimmer, OraPharma, Medtronic, Sybron, Dentsply Research through university: Straumann, Nobel Biocare, Astratech, BioHorizons, Dentatus, Osteohealth, Zimmer, Medtronic, Biomet 3i, Dentsply David A. Garber Past and/or current consultant, clinical/laboratory studies, and/or product evaluations: Nobel Biocare, Biomet 3i, Keystone Dental, Dentsply, Brasseler USA, Zimmer, CareStream Dental, Neobiotech, Deka Laser, Imaging Sciences, BioHorizons, 3M ESPE, Bisco, Biora, Siemens, Premier, GC America, Ivoclar Vivadent, Den-Mat, Shofu, Vident, ProDentec, Panasonic, Minolta, Kodak, Sony, Zeiss, Hu- Friedy, National Dental Network, Global Surgical, Materialise, Biolase, Belmont, Consult Pro, Stoma, XCPT, Titan Instruments, Heraeus Kulzer, Cosmedent, LED Dental, BTI, Osteohealth, Partners in Synergy, DentalXP William V. Giannobile Research grants: Amgen, Colgate, Sunstar, OraPharma, NIH, Geistlich Ueli Grunder Consultant: Biomet 3i, Thommen Medical Galip Gürel Honoraria: Ivoclar Vivadent, Sirona Christoph H. F. Hämmerle Financial interest, paid consultant, special customer preference, and/or research through university: Institut Straumann AG, Dentsply Implants, Geistlich Parma AG, Vita Zahnfabrik H. Rauter GmbH, Sirona Dental, Swissmeda David M. Kim None Kent Knoernschild Honorarium/research: Dentsply Implants Burton Langer None Laureen Langer None Richard J. Lazzara Consultant: Biomet 3i Ernesto A. Lee Consultant: Biomet 3i Sonia S. Leziy Consultant/financial interest: BioHorizons Kenneth A. Malament None Robert E. Marx Consultant: Harvest Technologies, Medtronic Pamela K. McClain Research: Sunstar, Organogenesis Consultant: Organogenesis Thomas J. McGarry Educational grant: Dentsply Consultant: Ivoclar Vivadent Customer preference: Salvin Financial interest: Golden Adriana McGregor Unpaid consultant: Global Surgical Microscopes, Optronics Cinemicrography, G. Hartzel & Sons Instruments Michael K. McGuire Research: Dentsply, Straumann, Geistlich Pharma, Organogenesis, Keystone, Sunstar Mauro Merli None Konrad Meyenberg None Brahm A. Miller Consultant: BioHorizons Craig M. Misch Consultant: BioHorizons, Biomet 3i, Medtronic, Osteohealth Research: Osteohealth, BioHorizons Kevin G. Murphy None Daniel Nathanson None Marc L. Nevins Lecture/research: Millennium Dental, Osteohealth, Biomet 3i Research: J. Morita USA Consultant: J. Morita USA, Materialise Dental Myron Nevins Research: BioHorizons, Biomet 3i, Osteohealth, Dentium Consultant: Osteohealth Foundation board: Geistlich Steven Offenbacher Customer preference: OraPharma, Colgate, Philips, GSK, Interleukin Genetics, Zimmer, Astra Tech Joan Otomo-Corgel None David W. Paquette Consultant: MIS Implant Technologies Advisor/speaker/research contract: Colgate Oral Pharmaceuticals Advisor: OraPharma Stephen M. Parel Consultant: Nobel Biocare 44
45 Stefano Parma-Benfenati None Kirk L. Pasquinelli None Michael A. Pikos Consultant: BioHorizons, Carestream, BTI of North America, Salvin Dental Honoraria: Osteogenics, Ellman, Piezosurgery, Materialise Christopher Ramsey None Giulio Rasperini None Giulio Ricci None John L. Ricci Consultant: BioHorizons Chris R. Richardson Past speaker: Nobel Biocare Isabella Rocchietta None Paul S. Rosen Lecture: Neoss, Snoasis, SunStar, Straumann Consultant: Snoasis, Sunstar, Acteon David M. Sarver None Takeshi Sasaki None Peter Schuepbach Consultant: Nobel Biocare Anthony G. Sclar Consultant: Osteohealth Massimo Simion None Myron Spector Consultant/royalties: Geistlich Pharma Jörg R. Strub Research: Vita, Ivoclar Vivadent, Straumann, Dentium, Panasonic, Nobel Biocare, Dentsply Lecturer: Nobel Biocare, Dentsply Dennis Tarnow Consultant: Biomet 3i, Keystone, Astra Tech, Dentsply, Dentium University research: Keystone, Astra Tech, Dentsply Research: Dentium Thomas D. Taylor Research grant: Dentsply, Ivoclar Vivadent Tiziano Testori Lecture honoraria: Geistlich, Biomet 3i Carlo Tinti None Maurizio Tonetti None István Urbán None Diego Velásquez None Stephen S. Wallace Research: Osteohealth, Geistlich, Dentium Hom-Lay Wang Dual commitments: BioHorizons, Osteogenic BioMedicals, Biomet 3i, Zimmer Dental Georg Watzek Board member: Nobel Biocare Hans-Peter Weber None Arnold S. Weisgold None M. Thomas Wilcko None Ray C. Williams Consultant: Colgate-Palmolive, MIS Implants, Izun Pharma Robert R. Winter Product development: Ivoclar Vivadent, Brasseler Consultant: BioHorizons Roger J. Wise None Atsuhiko Yamamoto Consultant: J. Morita USA Ion Zabalegui None Otto Zuhr None The big pink book that everyone is talking about. Plastic-esthetic Periodontal and Implant Surgery: A MICROSURGICAL APPROACH Otto Zuhr and Marc Hürzeler In this stunning book, the authors blend scientific knowledge and practical experience to provide a comprehensive overview of the principles, indications, and clinical techniques of plastic-esthetic periodontal and implant microsurgery, focusing especially on minimal soft tissue trauma and maximally perfect wound closure. 872 pp; 1,898 color illus; ISBN (B9069); US $380 Quintessence Publishing Co, Inc 45
46 POSTER PRESENTATIONS No. 1 K. J. Zeren Timonium, Maryland Utilization of bone morphogenetic protein-2 (BMP-2) in large uncontained molar extraction sockets with immediate implant placement: A case series No. 2 A. Fateh, D. M. Kim, M. L. Nevins, Z. Lin, S-W. Kim, P. Schüpbach, M. Nevins Boston, Massachusetts The clinical and histologic outcome of dental implants in large ridge defects regenerated with alloplast: A randomized controlled preclinical trial No. 3 M. S. Al-Shabeeb, M. Al-Askar, A. Al-Rasheed, N. Babay, F. Javed, H-L. Wang, K. Al-Hezaimi Ann Arbor, Michigan Alveolar bone remodeling around immediate implants placed in accordance with the extraction socket classification: A threedimensional microcomputed tomography analysis No. 4 A. Al-Jadaa, T. Attin, P. R. Schmidlin Zurich, Switzerland The seal is the deal: Gas-enhanced leakage testing (GELT) for implants No. 5 D. Choi Churcheon, Korea Study on the advantages of immediate loading implants No. 6 R. Al-Sadhan, M. Al-Qutub, E. Z. Alabdeen, A. Almasoud, K. Alqahtani, M. Aldossri Riyadh, Saudi Arabia Accuracy and reliability of cone-beam computed tomography for measuring buccal and lingual periodontal alveolar bone levels No. 7 L. Amorfini, M. Migliorati, A. Signori, A.S. Biavati, S. Benedicenti Gallarate, Italy Outcomes of flapless post-extractive implant with or without soft tissue augmentation: A 3-year randomized clinical trial No. 8 G. Avila-Ortiz, J. Rodriguez, I. Rudek, E. Benavides, H. Rios, P. Galindo- Moreno, H-L. Wang Iowa City, Iowa; Ann Arbor, Michigan; & Granada, Spain Effectiveness of three different alveolar ridge preservation techniques: A pilot randomized controlled trial No. 9 S. H. Jun Seoul, South Korea In vivo measurements of human gingival translucency parameters No. 10 T. Yoshino, A. Yamamoto, Y. Ono Yokohama, Japan Innovative regeneration technology to solve peri-implantitis by erbium (Er:YAG) laser based on the microbiological diagnosis No. 11 J. T. Marchesan, R. Sheridan, N. Inohara, C. Fenno, J. Kinney, T. Morelli, E. Somers, W. Marder, E. Easter, V. Rodrigues, W. V. Giannobile Ann Arbor, Michigan Circulatory microbial components and immune regulators of patients with periodontal disease No. 12 J-T. Lee, I-S. Yeo, T-K. Kwon, H-J. Lee, P-Y. Yun, Y-J. Yi Gyeonggi-do, South Korea, & Seoul, South Korea Histomorphometrical analysis between bioactive fluoride modified and bioinert anodically oxidized implant surfaces in early bone response using rabbit tibia model No. 13 A. Kasaj Mainz, Germany Application of a new porcine acellular dermal matrix using the tunnel technique in the treatment of gingival recession No. 14 J. Chao Alhambra, California A novel, scalpel-free, suture-free approach to root coverage: The pinhole surgical technique No. 15 K. Makigusa, I. Toda, D. Ehara, K. Yasuda, F. Suwa Kyoto, Japan Effects of platform switching on the microvasculature of the biologic width around implants No. 16 F. Guerrero Del Angel, M. De La Rosa, H. J. Tellez, A. C. Brambila, P. A. Cervantes Madero, Mexico Alveolar ridge reconstruction with allograft postextraction vertically and horizontally for placement of dental implants: 50 cases reported No. 17 A. L. Rodriguez, F. Guerrero Del Angel, H. J. Tellez, R. P. Oliver Madero, Mexico Efficacy of collagen polyvinylpyrrolidone sponge in extraction sockets for implant therapy No. 18 J. E. Rao, L. Barallat, C. Barragán, S. Domínguez, S. San Martín, B. Paniagua, L. Jané, R. Asensio, J. Nart, V. R. Magaz Barcelona, Spain Atraumatic alternative to second phase implant surgery: A novel approach No. 19 P. Simeone, M. De Paoli, R. Slavicek Rome, Italy, & Vienna, Austria Lithium-disilicate full mouth rehabilitation of severe bruxism: A contemporary minimally invasive prosthetic approach No. 20 H. S. Baumgarten, A. M. Meltzer Philadelphia, Pennsylvania, & Voorhees, New Jersey Dynamic loading fluid leakage characterization of CAD/CAM abutments No. 21 H. Saito, S. J. Chu, D. P. Tarnow Baltimore, Maryland, & New York, New York The dual-zone socket management for immediate implant placement in anterior extraction sockets: Bucco-lingual ridge contour changes and peri-implant soft tissue adhesion: A preliminary result No. 22 H. G. Dam, Y. Ogata, H-P. Weber Boston, Massachusetts A multidisciplinary approach to the functional and esthetic full-mouth reconstruction of amelogenesis imperfecta: A case report No. 23 S. Culshaw, J. Butcher, D. Lappin, J. Oliver-Bell, J. Malcolm, P. Garside, I. McInnes Glasgow, Scotland Periodontal disease and rheumatoid arthritis No. 24 Y. C. P. Yu, W. T. Hong, S-C. Cho, S. Froum, S. Engebretson New York, New York Fabrication of a chair-side fixed provisional restoration for occlusal re-establishment of worn implant hybrid restorations: A case series No. 25 M. H. Aldoukhi, F. Dunca, S-C. Cho, S. Froum, S. Engebretson New York, New York New surgical protocol to regenerate interimplant papilla: A retrospective study No. 26 A. D. Vrochari, A. Petropoulou, V. Chronopoulos, O. Polydorou, W. Massey, E. Hellwig Queensland, Australia; Athens, Greece; & Freiburg, Germany Evaluation of surface roughness of ceramic and resin composite material used for conservative indirect restorations, after polishing by intraoral means, using a laser profilometer No. 27 C-J. Chen, K. Lal, P. Papaspyridakos Tainan, Taiwan, & New York, New York Zirconia implant fixed complete dental prostheses: Clinical outcomes and complications after 5 years No. 28 J-H. Lee, S-H. Bae, J-Y. Lee, S-J. Kim, J. Choi Pusan, South Korea Establishment of esthetics in maxillary anterior region by forced eruption of teeth with altered passive eruption No. 29 M. Padial-Molina, S. L. Volk, J. C. Rodriguez, H. F. Rios Ann Arbor, Michigan Periostin: A promising matricellular molecule in periodontal regeneration No. 30 C. Montoya Santiago, Chile Integration testing in a prospective, randomized-controlled clinical study of multi-topography surfaced implants in early loading cases. 46
47 ROXOLID FOR ALL WITH THE LOXIM TRANSFER PIECE Three innovations all diameters award winning Technologies Introducing Roxolid for All an advanced combination of Roxolid material, SLActive surface technology, and the NEW Loxim transfer piece for simplified implant handling. Roxolid implants with Loxim can increase your treatment options and help to increase patient acceptance of implant therapy. visit straumann at BooThs #3-4 & in The harvard room 47
48 FA FH FH EXHIBIT FLOOR MAP Back Bay Conference and Exhibition Center, 3rd Floor Exhibits Open 9:30 am 6:30 pm, Thursday to Saturday Quintessence Publishing Co Inc STAIRS 4350 Chandler Drive Hanover Park, IL Booth 85 REGIS SUITE MEN STAIRWAY FA FE Principal sponsor Biomet 3i 4555 Riverside Drive Palm Beach Gardens, FL Booth 35 and Atrium Lounge BOSTON UNIVERSITY SIMMONS WOMEN ATRIUM AREA ESCALATORS 91 Atrium Lounge STAIRWAY 1 ELEVATORS Major sponsors Colgate 300 Park Avenue New York, NY Booth 50 Osteohealth/Luitpold Co PO Box 9011 Shirley, NY Booth 5 and Suffolk Room Platinum sponsors DENTSPLY Implants 590 Lincoln Street Waltham, MA M.I.T. Room Millennium Dental Tech South Street, Suite 306 Cerritos, CA Booth 13 and Berkley Room Nobel Biocare Savi Ranch Parkway Yorba Linda, CA Booth 9 and Arlington Room Straumann, USA LLC 60 Minuteman Road Andover, MA Booths 3 and Harvard Room Gold sponsors MIS Implants Technologies, Inc Fair Lawn Avenue Fair Lawn, NJ Booth 63 Neoss Inc Burbank Boulevard #190 Woodland Hills, CA Booth 15 Silver sponsor Geitlisch Biomaterials 202 Carnegie Center Princeton, NJ Booth 12 Bronze sponsors Carestream Dental 1765 The Exchange Atlanta, GA Booth 19 Sunstar Americas, Inc 4635 West Foster Avenue Chicago, IL Booth 60 York Dental Crown 4 Pin Oak Drive Branford, CT Booth 84 TUFTS SUITE SERVICE ELEVATORS ELEVATORS HOTEL STORAGE HOTEL HOTEL STORAGE STORAGE Electrical STORAGE RAMP EMER. EXIT 20' ' ELEVATORS STORAGE STORAGE WELLESLEY MECHANICAL ' ' BRANDEIS ROOM RAMP Suffolk NORTHEASTERN ' 89 5 EXIT ENTRANCE RAMP EXIT REST PANTRY/BAR ROOM Arlington Berkley Clarendon Dartmouth Exeter Fairfield RAMP EMER. EXIT M.I.T. Harvard EMER. EXIT HOTEL STORAGE STAIRWAY HOTEL HOTEL STORAGE STORAGE 48
49 EXHIBITORS AAP 737 N. Michigan Ave, Ste 800 Chicago, IL Booth 58 Designs for Vision, Inc. 760 Koehler Ave Ronkonkoma, NY Booth 42 Laschal-Bimedix 10 Pine Tree Lane Lincoln, RI Booth 100 Prexion, Inc. 411 Borel Avenue, Suite 550 San Mateo, CA Booth 105 AAP Foundation 737 N. Michigan Ave, Ste 800 Chicago, IL Booth 59 DoWell Dental Products 9287 Ninth Street Rancho Cucamonga, CA Booth 79 Lester A. Dine Inc. 351 Hiatt Drive Palm Beach Gardens, FL Booth 57 Quality Aspirators, Inc & Q-Optics PO Box Duncanville, TX Booth 39 Ace Surgical Supply 1034 Pearl Street Brockton, MA Booth 43 Exactech Inc NW 66th Ct. Gainesville, FL Booth 77 Medco 7732 W. 96th Place Hickory Hills, IL Booth 20 RGP, Inc 1 Shannon Court, Suite #103 Bristol, RI Booth 54 Bicon Dental Implants 501 Arborway Boston, MA Booth 1 GluStitch Inc Progress Way Delta, BC V4G 1M6 Canada Booth 78 Medtronic, Inc Sofamor Danek Dr Memphis, TN Booth 104 Salvin Dental Specialties, Inc 3450 Latrobe Drive Charlotte, NC Booth 25 BioHorizons 2300 Riverchase Center Birmingham, AL Booth 55 Brasseler USA One Brasseler Blvd Savannah, GA Booth 24 BT-Lock Via Madonnetta 97/C Montecchio Maggiore (VI), Italy Booth 23 BTI of North America 1730 Walton Rd, Suite 110 Blue Bell, PA Booth 96 CliniPix Inc W. Forest Hill Blvd, Ste Wellington, FL Booth 88 Consult-Pro 985 Broadview Ave, Suite 300 Toronto, ON M4K 2R9 Canada Booth 52 Dental Arts 241 NE Perry Avenue Peoria, IL Booth 89 Dental Implant Information LLC The Mews, Ambarrow Farm Courtyard, Ambarrow Lane Sandhurst Berkshire, UK GU47 8JE com Booth 102 Dental Implant Technologies 8776 E. Shen Blvd, B3-PMB 144 Scottsdale, AZ Booth 49 Dentium 180 Sylvan Ave Edglewood Cliffs, NJ Booth 33 Guided Surgery Solutions, LLC 1 Washington St, Suite 106 Wellesley Hills, MA com Booth 97 H&H Company 4425 E. Airport Drive, Suite 100 Ontario, CA Booth 82 Hartzell & Son, G Stanwell Circle, PO Box 5988 Concord, CA Booth 29 Hu-Friedy 3232 N. Rockwell Street Chicago, IL Booth 62 IDEA 1291 East Hillsdale Blvd, Suite 123 Foster City, CA Booth 28 Implant Direct LLC Malibu Hills Road Calabasas, CT Booth 72 Intra-Lock 6560 West Rogers Circle, Suite 24 Boca Raton, FL Booth 80 J. Morita USA 9 Mason Irvine, CA USA Booth 40 Keystone Dental Inc. 144 Middlesex Turnpike Burlington, MA Booth 83 Kilgore 36 W Pearl St. Coldwater, MI Booth 38 Microsurgery Instruments, Inc. PO Box 1378 Bellaire, TX Booth 106 OCO Biomedical 9550 San Meteo Blvd, Suite C Albuquerque, NM Booth 30 OraPharma 16 West State Street Sherburne, NY Booth 32 Organogenesis Inc. 85 Dan Road Canton, MA Booth 107 OSADA, Inc S. Robertson Blvd, #130 Los Angeles, CA Booth 48 Osseous Technologies of America 4500 Campus Dr., #662 Newport Beach, CA Booth 18 Osstell Inc 514 Progress Drive, Suite G Linthicum, MO Booth 67 Osteogenics Biomedical st St, Bldg 78 Lubbock, TX Booth 53 PBHS Inc 3785 Brickway Blvd, Suite 200 Santa Rosa, CA Booth 37 Photomed International Covello Street, #7-C Van Nuys, CA Booth 75 Piezosurgery 750 Communications Pkwy Columbus, OH Booth 70 Schumacher Dental Instruments 108 Lakeside Drive Southampton, PA Booth 90 Sclar Center 7600 Red Rd, Suite 101 Miami, FL Booth 98 Snoasis Medical 1905 Sherman St, Suite 245 Denver, CO Booth 21 Thommen Medical 1375 Euclid Ave, #450 Cleveland, OH Booth 61 Ultralight Optics Newhope St, Suite 203 Fountain Valley, CA Booth 103 Xemax Surgical Products 712 California Blvd Napa, CA Booth 47 Zest Anchors LLS 2061 Wineridge Place Escandido, CA Booth 22 Zimmer Dental 1900 Aston Ave Carlsbad, CA Booth 68 Zoll Dental 7450 N. Natchez Ave Niles, IL Booth 17 Z-Systems USA 284 Monponsett St, Suite 209 Halifax, MA Booth
50 50
51 Refine your mucogingival surgery techniques. NEW FROM QUINTESSENCE Mucogingival Esthetic Surgery Giovanni Zucchelli This beautifully illustrated book explains the art and science of esthetic surgical techniques on the mucogingiva around natural teeth and implants. The author shows readers how to diagnose and treat mucogingival defects, with detailed coverage of the diagnosis of and the surgical options for covering varying degrees of gingival recession. 830 pp; 4,359 color illus; ISBN (B9519); US $390 Experience anatomical images of hyper 3D clarity and beauty. The Face: Pictorial Atlas of Clinical Anatomy Ralf J. Radlanski and Karl H. Wesker This atlas provides a unique contribution to the study of facial anatomy in which readers are allowed to explore deeper into the anatomy as the layers are stripped away, one by one. This book features elaborate composite illustrations created in layers, starting from the skeleton and working out to the surface of the skin. 366 pp; 406 color illus; (B9072); US $178 Quintessence Publishing Co, Inc 51
52 Introducing the Preservation By Design Contemporary hybrid surface design with multi-level surface topography Integrated platform switching with as little as 0.37mm of bone recession 1 Designed to reduce microleakage through exacting interface tolerances and maximized clamping forces.* 2,3 Visit the Preservation Destination! For more information, please contact your local BIOMET 3i Sales Representative today! In the USA: Outside the USA: Or visit us online at 1. Östman PO, Wennerberg A, Albrektsson T. Immediate Occlusal Loading Of NanoTite Prevail Implants: A Prospective 1-Year Clinical And Radiographic Study. Clin Implant Dent Relat Res Mar;12(1): Suttin et al. A novel method for assessing implant-abutment connection seal robustness. Poster Presentation: Academy of Osseointegration, 27th Annual Meeting; March 2012; Phoenix, AZ Suttin Z, Towse R. Dynamic loading fluid leakage characterization of dental implant systems. ART1205EU BIOMET 3i White Paper. BIOMET 3i, Palm Beach Gardens, Florida, USA. biomet3i.com/pdf/emea/art1205eu%20dynamic%20loading%20t3%20white%20paper.pdf Dr. Östman has a financial relationship with BIOMET 3i LLC resulting from speaking engagements, consulting engagements and other retained services. Mr. Suttin and Mr. Towse contributed to the above research while employed by BIOMET 3i. * Seal integrity test was performed by BIOMET 3i July June In order to test the implant systems, a dynamic-loading leakage test was developed and executed. The test set-up was adapted from ISO14801, Dentistry - Implants - Dynamic Fatigue Test for Endosseous Dental Implants. Five samples each of the BIOMET 3i and three competitive implant systems were evaluated. Bench test results are not necessarily indicative of clinical performance. Preservation By Design is a registered trademark and 3i T3, 3i T3 Implant design and Providing Solutions - One Patient At A Time are trademarks of BIOMET 3i LLC BIOMET 3i LLC. All trademarks herein are the property of BIOMET 3i LLC unless otherwise indicated. This material is intended for clinicians only and is NOT intended for patient distribution. This material is not to be redistributed, duplicated, or disclosed without the express written consent of BIOMET 3i. For additional product information, including indications, contraindications, warnings, precautions, and potential adverse effects, see the product package insert and the BIOMET 3i Website.
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