10:00 am – 3:15 pm — These are LIVE PRESENTATIONS with Q&A immediately following.
These presentations will be recorded for subsequent ON DEMAND viewing
Opening Symposium: Moderator – Clark Stanford, DDS, PhD
10:30 – 11:00 am
KEYNOTE SPEAKER: New Frontiers in Robotic Surgery
Catherine Mohr, MD, MS
In her talk “New Frontiers in Robotic Surgery”, Dr. Mohr will take us on a journey through some of the history of medical technology, its impact on human health, and what that means for how we should think about developing and introducing new technologies into medicine and surgery on a global scale – especially in the context of pandemic. From understanding the many ways to measure value, to exploring the new technologies coming down the pipe, Dr. Mohr will talk about how these new capabilities might affect both the practice of medicine as well as the way in which we teach the next generation of practitioners their surgical skills.
Upon completion of this presentation, participants should be able to: 1) discuss the effect that medical technology has had on overall longevity; 2) explain the difference between infrastructure limited technology deployment, and fast deploying technologies; and 3) describe the implications of emerging technologies like robotics and A.I. on the practice and training of medicine.
11:00 – 11:15 am
Q&A with Dr. Mohr
11:15 – 11:45 am
From Rocket Ships to Surgery: Precision, Accuracy and the Impact of Gaming
Pravin Patel, MD
For nearly half-a-century, reconstructing patients with craniofacial deformities has relied primarily on two-dimensional photographic images and radiographs. It was the surgeon’s eye and experience that integrated the two-dimensional records to generate the virtual three-dimensional image for surgical planning. In the last decade of the twentieth century, multi-dimensional visualization of the skeletal deformity became possible with the emergence of computerized tomography (CT) and Magnetic Resonance Imaging. This allowed the surgeon the ability to visualize the complexity of the deformity but not the ability to simulate surgery.
It is only within the last several years that rapid advances in computational software began to transform the pure visual imagery of CT/MRI to allow the surgical simulation to become a reality. Today surgeons are beginning to have the tools to simulate various craniofacial skeletal osteotomy patterns and the ability to manipulate each of the bony elements. However, the limitation of true simulation has always been the inability to fully visualize the third dimension trapped within two-dimensional flat screen displays. Thus, surgeons relied on 3D printed models for tactile feedback and to visualize depth. With the recent introduction of immersive virtual reality, mixed augmented reality and haptic feedback, three-dimensional surgical simulation becomes a possibility with greater fidelity. This presentation will showcase the technology of the future, today.
Upon completion of this presentation, participants should be able to: 1) explain the historical evolution of the role for simulation from the space program of the 1960’s to the role of ‘gaming’ for surgical training; 2) discuss virtual and augmented reality tools to improve the precision and accuracy for surgical navigation; and 3) recognize how to incorporate three-dimensional surgical simulation into practice.
11:45 am – 12:15 pm
Exploring the Boundaries of Diagnostic Imaging
Mitra Sadrameli, DMD, MS
Artificial intelligence (AI) is fast becoming a staple of diagnostic imaging, with the potential to allow early detection of disease and diagnosis of pathology. AI models are being developed to automate prediction of disease risk, detection of abnormalities/pathologies, diagnosis of disease, and post-surgical evaluation to optimize routine care and diagnosis accuracy. This presentation will discuss the contributions and limitations of AI and which applications will make AI an indispensable tool for the radiologist.
Upon completion of this presentation, participants should be able to: 1) describe areas where AI will contribute to diagnostic evaluation in radiology; 2 ) discuss limitations which will prevent AI’s mass use in the near future; and 3) explain deep learning’s role in the efficacy of AI in radiology.
12:15 – 12:30 pm
Q&A with Drs. Patel and Sadrameli
12:30 – 1:00 pm
1:00 – 1:30 pm
Periodontology: The Dynamics of This Discipline and Its Impact on Implantology
Sonia Leziy, DDS
The career of the periodontist is far from static, being influenced by medicine, technology, and contemporary research advances. Every facet of the periodontology and the scope of care that this encompasses is being impacted, from diagnosis, to planning and culminating in treatment execution. While many traditional non-surgical and surgical periodontal procedures still apply in clinical practice, these are evolving with improved disease recognition and documentation, refined diagnosis, better disease prevention approaches and through minimally invasive soft and hard tissue regenerative therapies to manage tissue loss. The results – our ability to mitigate disease and regenerate tissues is more predictable. This lecture will explore some of the advances and directions that are shaping this dynamic career.
Upon completion of this presentation, participants should be able to: 1) discuss patient-centered risk evaluation and how it impacts our treatment planning; 2) provide an overview of diagnosis and technology – intertwined to reduce subjectivity; and 3) explain how/why advanced minimally invasive surgical approaches will continue to improve outcomes and treatment acceptance.
1:30 – 2:00 pm
Pushing the Boundaries of Grafting Technology: Neural Allograft Technology
Michael Miloro, DMD, MD
Nerve injuries may occur following dental implant placement but there is no consensus on treatment protocols, and unfortunately, patient morbidity may significantly affect quality of life. Proper planning can mitigate the risk of nerve damage, but prompt diagnosis and management is required when nerve injury occurs. Both non-surgical and surgical options exist to treat these injuries, and current technological advances have allowed the use of a processed nerve allograft to repair the nerve with excellent outcomes.
Upon completion of this presentation, participants should be able to: 1) recognize the risk factors for implant-related nerve injury; 2) describe the diagnosis and treatment options; and 3) discuss the nerve allograft treatment possibilities.
2:00 – 2:30 pm
Are Consumers and Technology Driving the Future of Implantology?
Miguel Stanley, DDS
There are many challenges dentists face every day. The general population want faster, better, cheaper, smarter options in everything, and dentistry is not exception. What are the ways in which technology is reshaping the way we see dentistry and education, and how might this change the world of dentistry? Are you finding it difficult to fuse dentistry with business? Do your patients not understand why using technology will improve quality of treatments? Find out what is the perfect formula for yourself and your business. Dentistry is not what you see on-line but what you have to deal with every day, and it changes from country to country, between age groups, etc. This is a lecture for students, new dentists and veteran practitioners that will help you be part of a bigger game.
Upon completion of this presentation, participants should be able to: 1) discuss why it is important to embrace technology and bring it to our universe; 2) explain to patients the importance of using the best technologies and how it elevates the quality of treatments performed; and 3) describe how to introduce new technologies in your day-to-day workflow and how it helps save time and stress.
2:30 – 3:00 pm
2020 IADR Recipient: Prevention of Peri-implantitis Using Nisin and Nisin-producer Probiotic – An In Vitro Study on Titanium Discs
Allan Radaic, PhD
Dental implants have become a popular and predictable treatment option for replacing missing teeth, but it also created biological complications. Among those complications, peri-implantitis is a plaque-associated pathological condition occurring in tissues around dental implants, characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. The prevalence of peri-implantitis in between 28% and 56% of subjects and 12% and 43% of implants. Treatment of peri-implantitis focuses on the removal of the pathogenic biofilms that form on dental implant titanium surfaces, which trigger the host-immune response that leads to inflammation and bone loss around implants. These approaches are always successful and are often unpredictable. Thus, novel treatment approaches are needed to help address this significant problem in implant dentistry.
Recent studies have suggested that the peri-implantitis lesion has a microbiologic profile that is distinct from periodontitis and it does not fully correspond with disease severity. One potential approach is the use of probiotics and bacteriocins to help modulate the disease-associated dental implant biofilms. However, limited studies have examined their effects in the oral cavity, even though most of the probiotics are consumed orally. Among all the probiotic strains examined, the Nisin-producing probiotic Lactococcus lactis and its bacteriocin Nisin have exhibited significant potential for biomedical use in different areas of health. Previous studies from our workgroup demonstrated that Nisin prevents the planktonic growth of periodontal disease-related micro-organisms, including Porphyromonas gingivalis, Prevotella intermedia, A. actinomycetemcomytans and Treponema denticola and that both Nisin and the probiotic, can modulate the oral bacteria by shifting the pathogen-spiked biofilm from a dysbiotic to a biotic system. Therefore, we hypothesized that Nisin-probiotic might also have beneficial effects in a peri-implantitis settings. In this presentation, we will discuss the current findings of the research so far.
Upon completion of this presentation, participants should be able to: 1) evaluate and discuss the progress of the awarded research; 2) recognize probiotics and antimicrobial peptides as promising treatments for peri-implantitis; and 3) discuss the possibility of using probiotics and antimicrobial peptides for peri-implantitis.
3:00 – 3:15 pm
Q&A with Drs. Leziy, Miloro, Stanley and Radaic