Risk Management – See more details

These courses were previously recorded. Join LIVE Q&A immediately following each presentation.

Moderator – Tara Aghaloo, DDS, MD, PhD

10:00 – 10:25 am

Risk Profiling of Patients

Don Curtis, DMD

This program will review how a risk assessment questionnaire (RAQ) can be used to estimate cumulative risk for late-term biologic complications related to implants. In private practice settings where this risk assessment tool has been used, patent acceptance and clinician feedback have been positive. Several ongoing clinical validation studies of the risk assessment algorithm will be reviewed in the context of how treatment planning and patient compliance can be improved. The goal is fewer unanticipated surprises for the clinician and fewer unexplained surprises for the patient. Calculating aggregate risk for a health outcome allows risk to be stratified so that the unique risk profile of a patient is identified and managed. In medicine, there are hundreds of risk assessment questionnaires that are used to provide an estimate or aggregate risk for a health outcome. This is the basis of personalized medicine. The RAQ discussed includes a summary of 20 individual factors that can increase the risk for biologic complications in patients being treated with dental implants. It can serve as a checklist for the clinician, informed consent for the patient, and as a means by which to establish a patient-specific maintenance program.

Upon completion of this presentation, participants should be able to: 1) identify how risk assessment can be helpful in treatment planning, providing informed consent, and providing a patient-specific maintenance plan; 2) identify some of the clinician-based risks that can limit success with dental implants; and 3) explain why a maintenance plan should be patient specific, risk-based, age-appropriate and account for the type of prosthesis being fabricated.

10:25 – 10:50 am

Minimizing Risk with Digital Planning and Dynamic Placement

Michael Block, DMD

Lack of appropriate treatment planning and malposition of implants at time of placement increase liability as well as implant success. Risk assessment of failed implants often reveals lack o optimal placement. This session will highlight a time-efficient means to utilize digital technology easily, with the use of one software program, to determine the final restoration and implant placement in a time efficient manner. Implant placement using dynamic systems allows for accurate and precise placement which decreases risk.

Upon completion of this presentation, participants should be able to: 1) identify which pieces of equipment are needed to utilize digital planning and dynamic placement; 2) recognize how the digital methods are time efficient for both the clinician and patient; and 3) explain how digital planning and dynamic placement increase accuracy and precision for implant placement, resulting in less risk.

10:50 – 11:15 am

Risks and Pitfalls of Guided Implant Surgery

Waldemar Polido, DDS, MS, PhD

Surgical procedures with the goal of implant placement require a high degree of accuracy. Digital planning is part of everyday practice, and guided implant surgery was developed in order to increase surgical accuracy. However, as its use becomes more widespread, understanding technological tools, and the clinic workflow are important steps to take the most advantage of guided surgery. This presentation will review different indications for guided surgery, as well as potential pitfalls, and what are the important details that clinicians need to understand to reduce and avoid complications.

Upon completion of this presentation, participants should be able to: 1) list the components of a digital workflow for guided implant surgery; 2) choose the correct digital pathway for a specific clinical situation; and 3) recognize potential pitfalls for guided implant surgery.

11:15 – 11:30

Q&A with Drs. Curtis, Bloc and Polido

11:30 am – noon


Noon – 12:30 pm

Understanding Risks Associated With Patients Terminal Dentition

Ricardo Mitrani, DDS, PhD

For over a decade, the term “terminal dentition”, has unquestionably gained a lot of traction in the dental community, and it implies that there is a need to remove a patient’s remaining dentition. Implant-supported solutions for these patients have been around for quite some time and even now, there seems to be confusion among dental practitioners as to what is the ideal prosthetic solution for these patients, and what are the risks associated with these prosthetic solutions.

Upon completion of this presentation, participants should be able to: 1) review a treatment planning algorithm that allows the treating team to follow a linear thought process in assessing the remaining dentition; 2) discuss common complications associated with full arch implant supported solutions; and 3) improve communication amongst the treating team.

12:30 – 12:55 pm

Optimal Digital Design for Restorative Contours

Mark Ludlow, DMD, MS

Nothing is more satisfying (and sometimes more elusive) than an absolutely perfect implant restoration that is indistinguishable from the surrounding natural teeth. In this presentation, we will look at what needs to come together to achieve ideal results from a surgical and restorative perspective and how digital tools can help us make these results predictable.

Upon completion of this presentation, participants should be able to: 1) review how the gingiva, teeth, and bone interface to harmoniously create idealized implant esthetics; 2) discuss the role that the position of the implant fixture and the characteristics of he abutment play in maintaining and idealizing soft tissue contours; and 3) utilize digital surgical modalities to optimize implant placement and digital restorative modalities to register provisional contours and seamlessly transfer them to final restorations.

12:55 – 1:20 pm

Influence of A.I. in the Digital Planning of Advanced Interdisciplinary Care

German Gallucci, DMD, PhD

During this lecture, clinical considerations and indications for dental implants will be analyzed in the context of their direct application to esthetic implant-prosthetic rehabilitations. Risk assessment, treatment planning, surgical protocols and esthetic/prosthodontic rehabilitations will be discussed in detail according to different clinical situations. Recommended planning steps and treatment procedures will be presented through scientific evidence. Modern Implant-prosthetic restorations using different implant designs and digital technology call for a harmonious esthetic integration with the pre-existing environment. A scalloped gingival line with distinct papillae and free of any abrupt vertical differences in clinical crown length between anterior implants, is paramount. In this context, biologic considerations affecting normal peri-implant soft tissue integration will be discussed as a major esthetic parameter.

Upon completion of this presentation, participants should be able to: 1) discuss current trends in esthetic implant dentistry; 2) assess associated risk factor for suitable treatment planning; and 3) widen treatment planning options using a selective approach.

1:20 – 1:35 pm

Q&A with Drs. Mitrani, Ludlow and Gallucci

1:35 – 2:00 pm