Saving/rescuing endosseous dental implants with all-tissue laser technology
Paul Chang, DDS, MS, Samuel B. Low, DDS, MS, MEd

Managing peri-implant complications have become increasingly prevalent in today’s periodontal practice. Causes of implant loss can be multi-factorial including marginal surgical planning and restorative execution. We review various peri implantitis etiologies and present specific protocols.

Learning Objectives:

• Closed versus open flap access decision
• Time effective degranulation
• Implant surface de-contamination with Er,Cr: YSGG lasers
• De-cortication and addition of osseous augmentation and biologics to achieve re osteointegration.
• An interactive case presentation demonstrating long term results with reversing implant disease will be presented including positive patient scripting/interaction and billing/coding.

Reconstruction of Severe Ridge Atrophies
Istvan Urban, DMD, MD, PhD

Session info coming soon!

Innovative Implant Maintenance Methods and Protocols for Treatment of Peri-Implantitis
Edward P. Allen, DDS, PhD

Peri-implant mucositis and peri-implantitis following successful osseointegration of implants have become recognized as significant problems in implant dentistry. Both are progressive infective processes that cause patient discomfort and can lead to implant failure.
Prevention and treatment of these maladies require reduction of the microbial burden by effective decontamination of the abutment and implant surfaces. This presentation will describe innovative implant maintenance methods and both non-surgical and minimally-invasive surgical protocols for treatment of peri-implantitis.

The Role of Lasers for the Treatment of Peri-implantitis
Hector L. Sarmiento, DMD, MSc

Peri-implant complication is a forever-growing issue in our clinical practice. What methods and materials can we trust to recuperate a failing implant? The purpose of this lecture is to identify different etiologies for peri-implantitis and to establish a classification system based on the different characteristics of the present disease. This presentation will also cover the surgical management of peri-implantitis utilizing various methods to detoxify implant surfaces for the grafting of hard and soft tissues.

Objectives

• Recognition of the etiology that causes peri-implantitits
• Understand a decision-making protocol for unhealthy implants
• Step by step surgical management of soft and hard tissues for the ailing implant
• Decontamination and predictable bone grafting around infected dental implants

The Importance of Biological Understanding to Drive Innovations
Jill Helms, DDS, PhD, John Brunski, MS, PhD, Oded Bahat, BDS, MSD, FACD

Patients and clinicians alike increasingly demand high aesthetic solutions and shorter treatment times. While many factors accelerate innovation, enhanced biological response is perhaps one of the most important innovation drivers to address these needs with advanced dental implant systems. To understand how biology responds to novel site preparation tools, implant geometries and connections, as well as advanced surfaces, it is important to develop robust model systems in which these new designs can be thoroughly scrutinized. It is important to consider hard and soft tissue response throughout the entire treatment, from site preparation to osseointegration and soft tissue healing.

This lecture will illuminate how building upon a solid preclinical understanding of key design features can not only steer critical design changes, but also lay a foundation for predictable clinical success.

Augmenting Traditional Periodontal Therapy and Implant Care for Long-Lasting Success
Dr. Gordon Fraser

Traditional periodontal therapies that advance patient health can be compromised by poor homecare. Augmenting treatment with prescription trays that patients use for 10-15 minutes each day results in significantly less bleeding and inflammation and long-lasting success. This Rx tray therapy can be successfully combined with scaling, laser therapy, surgery, and implant maintenance. The key is the deep delivery of medication into periodontal pockets. Learn how Dr. Fraser incorporated Rx periodontal trays into his own practice for long-lasting patient health.

Learning Objectives

• Identify the primary benefits and limitations of Rx tray therapy
• Recognize patient candidates who can benefit from Rx Tray therapy
• Understand the maintenance protocol for Rx Tray usage

Up Your Biologics Game for More Favorable Outcomes: 10 ways to Utilize Bioactive Biomaterials Within the Periodontal Practice
Curry Leavitt, DMD, MS

Learn about the indications and applications for de-epithelialized dehydrated amnion-chorion allograft (BioXclude), including guided bone and tissue regeneration, socket preservation and ridge augmentation, both surgical and non-surgical, and donor/recipient site adjunctive applications. Witness the impressive healing capabilities, in addition to a multitude of data and documentation demonstrating the unparalleled biocompatibility of this unique and remarkable allograft tissue.

Straumann® ImmediaXy™: Incorporating Immediate Treatment in a Busy Periodontal Practice
Dr. Tom Sterio

In today’s fast paced world, patients demand immediate results. This session explores Straumann’s most recent advances in implant technology with the BLX implant and Straumann® ImmediaXy™, the frictionless platform for immediate results for single-unit, partial and fully edentulous patients. Materials and techniques for predictable one-stage immediate implant placement, both in the anterior and posterior region, will be discussed. The impact of this versatile technology on practice efficiency, referral growth, and patient satisfaction will be illustrated.

Predictable Bone Regeneration in the Esthetic Zone: Should I use Allografts or Xenografts?
Monish Bhola, DDS, MSD

This lecture will highlight the current recommendation on the use of particulate allografts and xenografts for ridge augmentation and socket grafting, in the esthetic zone. Learn the types of grafts currently being used for esthetic ridge augmentation along with the advantages of each type of graft material. Clinical cases highlighting a decision tree for grafting sockets, ridges and bony defects in the esthetic zone will be presented.

Fully Guided Full Arch Immediate Implant Reconstruction: 2021
Michael A. Pikos, DDS

This presentation will focus on the integration of restorative, surgical and laboratory disciplines, combined with CBCT technology, to provide a seamless approach for fully guided full arch and full mouth immediate implant reconstruction for the terminal dentition and edentulous patient. This protocol includes placement of a prefabricated computer guided monolithic acrylic prosthesis for both edentulous and dentate arches.

Clinical cases will be presented that will feature indications and protocol for this approach, as well as advantages over the conventional conversion denture protocol.

At the end of this presentation, course attendees will be able to:

1. Understand the indications and protocol for fully guided full arch and full mouth immediate placement with a prefabricated monolithic acrylic bar supported provisional.
2. Compare the advantages of this protocol over the conventional conversion denture protocol for full arch and full mouth implant reconstruction.
3. Understand the limitations of this fully guided surgical and prosthetic protocol for full arch immediate implant reconstruction.

The Latest Evolutions and Advancements in Implant Dentistry
Rodrigo Neiva, DDS, MS

The ongoing evolution of dental implant therapy has been critical to improved patient care. Changes are reflected in incremental improvements to basic implant design features as well as modifications of surgical and prosthetic approaches in an effort to make tooth replacement therapies more predictable for our patients.

This presentation will set the stage for where we have been, where we are, and most importantly, where design enhancement will help our patients in the future. These changes will have a positive impact on surgical stability offering the surgeon options to manage the peri-implant tissues with predictable esthetic outcomes.

S.M.A.R.T. Minimally Invasive Bone Grafting: Innovative Solutions, Superior Outcomes, Fewer Complications
Ernesto A Lee, DMD

The wound healing dynamics of traditional flap-based GBR procedures often lead to complications and compromised outcomes. The resulting peri-implant tissue defects represent a substantial clinical challenge. The S.M.A.R.T. Minimally Invasive Bone Grafting method offers a predictable alternative with a wider range of solutions and fewer complications. A biologic rationale and clinical applications ranging from rescue of compromised implants to vertical augmentation will be presented.

Er:YAG Lasers for the Management of Periodontitis and Peri-implantitis
Hom-Lay Wang, DDS, MSD, PhD

Dental lasers have emerged as an adjunct tool in the management of periodontal diseases, as well
as peri-implant related diseases. This presentation highlights an overview of laser technology, the differences among various lasers, and presents current evidence and understanding related to these dental lasers. Specifically, the participant will learn how to properly use dental lasers for the treatment of different periodontal diseases and peri-implant diseases (e.g., peri-implant mucositis and peri-implantitis).

Learning Objectives

• Familiarize attendees with different lasers that are available in the market
• Understand how the dental laser can be used as an adjunct in treating periodontitis
• Know how to properly use an Er:YAG laser for managing implant surface detoxification and performing guide bone augmentation around peri-implant defects

Save Teeth & Place More Implants
Scott H. Froum, DDS

With the wide acceptance and implementation of implant dentistry into general dentist and specialty offices, the threshold of criteria for tooth extraction has lowered. The thought process tends to be a dentist’s practice can be either periodontally focused or implant focused. This lecture aims to show that periodontal offices can place more implants by saving teeth.

Learning Objectives:

• Explain how placing implants and regenerating teeth are not mutually exclusive
• Demonstrate the risks for patients with untreated periodontal disease receiving implants
• Show how regenerating teeth can help you place more implants

Revolutionizing Implant Dentistry: Innovations to Change the Way You Treat Patients
Oded Bahat, BDS, MSD, FACD, Giacomo Fabbri, DMD

A few major innovations have defined the industry over the last decades. From osseointegration, CAD/CAM prosthetics and immediate function, to All-on-4® treatment concept and guided surgery – all of these have benefited the patient and clinician. Now the next major breakthrough is here to reduce complexity, shorten treatment times and remove guess work.

Regeneration with Bioxclude to Improve Clinical Outcomes and Simplify Your Armamentarium
Matthew J Fien, DDS

A Purion® processed, de-epithelialized dehydrated amnion-chorion allograft (Bioxclude) is a versatile biomaterial with unique biologic and handling characteristics. In this forum, Dr. Fien will present a multitude of cases that illustrate the many applications of this material and will review new handling instructions for ease of use of Bioxclude for a plethora of clinical scenarios. The discussion will include the decision process for selecting a single versus double layer barrier technique including anatomical considerations and best practices to achieve consistent and predictable outcomes.

Why Straumann® TLX?
Dr. Edgard El Chaar

Tissue-level implants represent one of the earliest and well-established treatment concepts in implant dentistry. The concept emerged in the early 1970s and was adopted for routine rehabilitation of fully or partially edentulous patients since the mid-1980s. Implant dentistry is trending towards early and immediate procedures, outperforming the number of late implant placement procedures. For that, primary stability has been paramount key for success. Recently, a new self-tapping tapered implant design, Straumann® BLX has been commercially introduced that includes specific design features to maximize primary stability in situations with decreased bone quality. The key characteristic in this implant design is a protruding thread geometry, which allows the surrounding bone to be condensed and at the same time, limiting excessive stress specifically on the cortical bone by a process termed as active dynamic bone management. Combining an innovative thread design to a proven tissue level design gives the clinician more choice in clinical decision, and opens up options for the patient. Please join Dr. Edgard El Chaar to discover Straumann’s latest implant innovation – Straumann® TLX.

Restoratively Driven Guided Surgery
Jason Kim, DDS, MDSc, FAAID, DABOI/ID

Patients with debilitated or missing dentition often seek minimally invasive rehabilitation to quickly regain masticatory function, esthetics, and quality of life. Clinicians can predictably offer treatment solutions for both single-tooth and immediate full-arch restorations to meet patient demands and expectations. In this program, a step-by-step workflow will be presented via video format, demonstrating treatment planning through execution of full-arch therapy. 3D diagnosis and treatment planning of the restoration for the edentulous arch will also be discussed. Minimally invasive guided bone regenerative therapy will be demonstrated from the initial treatment planning stage through treatment.

The Ailing Implant: The Biological Portfolio We Currently Possess to Tackle These Challenging Situations
Curry H. Leavitt, DMD, MS

Implant dentistry has revolutionized the way we replace diseased or missing teeth. This uprising in implant related treatment has led to extreme success giving back function, esthetics, and ultimately overall health for our patients. Unfortunately, it has also contributed to the challenges that can come with dental implant related treatment. There is an exponential rise in periimplantitis cases…disease found around existing dental implants. Many factors contribute to ailing implants, what are they and what approach can we take to bring these situations back to health.

In this modern era of biologically advanced modalities, we possess the armentarium to tackle these very difficult cases. Utilizing specific debridement protocols and guided tissue regeneration with the addition of platelet derived growth factors make these regenerative efforts successful.
We will investigate the successes we can obtain by diving into the biological portfolio we have. We will look at the specific materials and more importantly specific periimplantitis cases that have been brought back to health.

Creating and Protecting Crestal Bone Around Dental Implants with OSSIX® Regenerative Materials
David Barack, DDS

While osseous graft failure is a reality, a clear understanding of its dynamics is not fully understood. There is value in developing a peri-implant environment with optimal amounts of vital tissue that helps withstand challenges of inflammation, crestal stresses, and possibly histocompatibility of graft materials. We will explore the potential of developing vital native bone without the sacrifice of losing the volume of bone required to protect the implants we place. In addition, we will look at possible treatments for ailing and failing implants.

Beyond Primary Stability – Building Hard and Soft Tissue Foundation for Predictable Esthetic Results and Long-Term Implant Survival
Andrew Michael Rossi, Jr., DDS

• Discuss the unique physical and handling properties of a novel bone substitute with 10% porcine collagen
• Review this versatile solution in augmentation around immediate implants for more predictable esthetic results
• Understand how collagen provides wound adhesion and hemostasis by initiating the clotting cascade promoting neovascularization and epithelial regeneration.

Morita CBCT: Better Imaging for Your Perio Practice
Bruno Azevedo, DDS, MS

Cone-beam computed tomography (CBCT) is an indispensable tool for diagnostic imaging in the modern periodontic practice. However, choosing the most suitable CBCT scanner for your office can be a difficult task. In this interactive presentation, Dr. Bruno Azevedo will explain the five imaging pillars that make Morita CBCT scanners the perfect choice for your practice – Acquisition Protocols, Data Correction and Data Navigation Tools, Interpretation, and Data Integration. He will describe how Morita’s precision scanning aligned with industry-leading imaging resolution can positively impact your diagnosis and practice workflow. Come learn what makes Morita systems the obvious choice for 3D imaging in periodontics.

Novel Strategies in Biofilm Control in Periodontal Therapy
Joan Otomo-Corgel, DDS, MPH, Nico Geurs, DDS, MS

New science addressing tooth-bacteria attachment at the molecular level provides a disruptive technology to enhance biofilm control and prevention. LIVFRESH, a commercially available dentifrice containing 2.6% EDTA alters the tooth surface environment to prevent the attachment of bacteria, thereby inhibiting biofilm formation. Studies have documented LIVFRESH’s ability to improve plaque control and decrease gingival inflammation and bleeding. Now, a recent double-blind study published in the Journal of Periodontology demonstrated brushing with LIVFRESH significantly improved periodontal parameters in periodontal maintenance patients without behavior modification.

Revolutionizing Implant Dentistry: Innovations to Change the Way You Treat Patients
Oded Bahat, BDS, MSD, FACD, Giacomo Fabbri, DMD

A few major innovations have defined the industry over the last decades. From osseointegration, CAD/CAM prosthetics and immediate function, to All-on-4® treatment concept and guided surgery – all of these have benefited the patient and clinician. Now the next major breakthrough is here to reduce complexity, shorten treatment times and remove guess work.

Facts, Fantasies, and Frustrations of Simultaneous Implant Placement and GBR: Innovative Solutions to Increase Patient Acceptance and Long-Term Implant Success
Robert J. Miller, DMD

Guided bone regeneration has become an integral part of implant dentistry over the past three decades. This presentation will focus on the unique role Purion® processed deepithelialized dehydrated amnion-chorion allograft (BioXclude®) plays in both simultaneous dental implant placement as well as a staged approach. A comprehensive review of the allograft and a decision tree will be presented, allowing a seamless decision-making process when evaluating the defect for simultaneous implant placement with predictable GBR. Participants will gain a unique understanding of a predictable approach to placement of dental implants in deficient sites with the long-term results demonstrating the overall efficacy of each methodology.

The full Straumann® digital workflow – planning concepts, digital tooling, surgical and transitioning solutions in today’s periodontal practice
Dr. Sonia Leziy

This presentation will explore how technology and product innovations are shaping our treatment planning, and emphasizing why a collaborative digital workflow allows us to meet the highest standard of patient care. From the perspective of the clinician, this results in reduced stress, improves preparedness and practice profitability. Surgical concepts that will be reviewed include, virtual planning and guided surgery/provisional treatment, selection of diverse implant designs, placement and restoration strategies, and management of hard tissue deficiencies in the gingival phenotype using Straumann’s complete portfolio of products.

Simplifying Intraoral Scanning in Digital Implantology
Julián Conejo, DDS, MSC

Digital dentistry has revolutionized restorative and surgical procedures. The implementation of intraoral scanning technology is a great tool to improve clinical success of dental implants. This webcast presents the multiple advantages of incorporating this technology into your practice. Useful tips and tricks and evidence-based concepts will be the main topic of this session.