These sessions have been pre-recorded. Join LIVE Q&A immediately following each presentation.
Moderator – Peter Moy, DMD
10:00 – 11:00 am
Point/Counterpoint: Flap Management in the Esthetic Zone
Marius Steigmann, DDS, PhD; Giovanni Zucchelli, DDS, PhD
Flap management in the aesthetic zone differs from flap management in the non-aesthetic zone, hence it requires specific, well-determined approaches according to their indication. Flap management for access and GBR, soft tissue maintenance or soft tissue correction has to be performed after precise diagnosis. To avoid soft tissue failures in the aesthetic zone, a good understanding of the biology, reaction to trauma and healing patterns is absolutely necessary. As there are multiple options, the lecture will describe different modern opinions on flap design in the aesthetic in a point-counterpoint discussion for an ideal soft tissue outcome.
Upon completion of this presentation, participants should be able to: 1) discuss the importance of pre-surgical soft tissue assessment in the aesthetic zone; 2) recognize the factors which make surgery in the aesthetic zone predictable; and 3) explain different techniques used to correct soft tissue failures.
11:00 am – noon
Interdisciplinary Treatment Strategies for Alveolar Ridge Deficiencies in the Esthetic Zone
Jim Janakievski, DDS, MSD; Greggory Kinzer, DDS, MSD
Planning treatment for patients with missing or compromised anterior teeth and implants can often be complex. A detailed examination will uncover many clinical and patient factors that will guide the collaborative strategies and techniques that are selected for each patient. These include augmentation protocols for ridge enhancement, prosthetic design unique to each patient and orthodontic space/site management. This presentation will focus on collaborative treatment options for patients with anterior alveolar ridge deficiencies and compromised aesthetics.
Upon completion of this presentation, participants should be able : 1) explain how a compromised implant may affect the outcome; 2) describe how the alveolar and gingival architecture can be preserved or enhanced; and 3) recognize how a collaborative approach can assist in treating the implant patient.
Noon – 12:15 pm
Q&A with Drs. Steigmann, Zucchelli, Janakievski and Kinzer
12:15 – 12:45 pm
12:45 – 1:45 pm
Michael Block, DMD; Marco Degidi, MD, DDS
Short and long-term problems with implants commonly result from problems with cement excess in the adjacent tissues or screw loosening which can result in screw fracture and inflammation from mobility. This friction fit solution eliminated these problems and creates a safe environment. This presentation will briefly illustrate the developmental history and then show multiple case examples of the technique. Data on retention of consecutive series of friction fit crowns will be shown.
Upon completion of this presentation, participants should be able to: 1) compare the difference between friction fit and cementation of crowns to abutments; 2) recognize the importance of proper technique to have long-standing retentive crowns on abutments; and 3) discuss the evidence base that establishes friction fit connections as a very healthy environment for implant restorations.
1:45 – 2:45 pm
Ortho-perio Implant Site Development
Daniel Berant, DMD; Frank Celenza, DDS
The advent and success of implantology continues to transform dentistry, and the inclusion of implants as integral components in orthodontic mechanotherapy is a particularly interesting application. Historically, orthodontics has played a preparatory role to implant placement, by virtue of aligning teeth to permit proper spatial relations for implant placement, which occurs subsequently. More recently, orthodontic modalities designed to alter tissue morphology, both hard and soft, have begun to be realized. In these two ways, orthodontic site preparation for implant placement has become an important modality to consider.
Perhaps even more interestingly, orthodontic techniques that actually employ implants for the purpose of anchorage can have a dramatic effect on previously unattainable possibilities and outcomes. Implant-enhanced orthodontics can be achieved by a variety of means but can be broken down to direct or indirect anchorage. Various devices and applications of these modalities exist and are expanding continually.
Upon completion of this presentation, participants should be able to: 1) explain the physiology of tooth movement; 2) describe the implementation of adjunctive orthodontic modalities for prosthetic benefit; and 3) discuss how orthodontics can interact with implants.
2:45 – 3:00 pm
Q&A with Drs. lock, Degidi, Berant and Celenza