86th Annual Meeting Speakers

Day 1

 

Dr. Lyndon Cooper:

Prosthodontics: Creating the Future of Dentistry

Prosthodontics has embraced remarkable change over the past quarter century. Having adopted several emerging technologies, we find ourselves with remarkable ability to influence the future of dentistry.  But, is it ‘better’?  This presentation will explore the impact of technology on our approaches to tooth restoration and tooth replacement therapy.  Larger challenges face dentistry.  By imagining our future, we can consider the changing patient demographics, the evolving business models, the challenges facing dental education, and emerging technologies as some of the factors that Prosthodontists can fully embrace.  In building our future, it is likely that we will again rely on our foundational principles that include empathetic creativity and data-based innovation to create a path that assures the ascension of the specialty and the improvement of oral health.

Learning Objectives:

  • Recognize the challenges that new technology has created in dentistry
  • Identify demographic, economic, and educational factors that challenge the future of dentistry
  • Imagine a future of continued creativity and innovation led by prosthodontists

Lyndon Cooper, DDS, PhD is the Associate Dean for Research and Head of the Department of Oral Biology at University of Illinois School of Dentistry, Chicago.  At UIC he leads a basic and clinical research laboratory where he focuses on bone biology and dental implant therapy. He previously served as Stallings Distinguished Professor of Dentistry, Chairperson and Director of Graduate Prosthodontics at the University of North Carolina at Chapel Hill.  Dr. Cooper is a Diplomate of the American Board of Prosthodontics and served as the 2010 President of the American College of Prosthodontists and has served as the Chair of the American College of Prosthodontists Education Foundation.  He has been honored with research awards from the ACP, the IADR and the GNYAP. His and his collaborators’ research focuses on bone regeneration and dental implant therapy and is represented in over 170 peer-reviewed publications and many national and international presentations.

 

Dr. Mary MacDougall

The Impact of Genetics on Prosthodontics

With the unmasking of the human genome, comprehension of the genetic aspects of human disease is leading to new approaches in the prevention, diagnosis, and management of craniofacial, oral and dental diseases. We are now appreciating the role that hereditary factors contribute to caries, periodontal disease, missing or supernumerary teeth, altered tooth structure, and oral cancer. This presentation will provide an overview of genetics and resources related to dental genetic disorders and applications impacting the future of prosthodontics.

Learning Objectives:

  • Understand the general principles of genetics
  • Principles of dental genetic disorders and utilization of genetic resources
  • Application of genetics in dentistry 

Mary MacDougall, BA, PhD, is the Dean of the Faculty of Dentistry and Professor at the University of British Columbia. She has held dental faculty appointments at USC, UTHSCSA and UAB where she held the Presidents Council Chair in Dental Research and the James R. Rosen Chair in Dental Research. She served as President of the AADR and IADR receiving the IADR Distinguished Scientist Awards in Pulp Biology Research (2001) and Mineralized Tissue Research (2005). She has published 18 book chapters and over 150 peer-reviewed articles.

 

Dr. Craig Young

Genetics, Genomics and Epigenetics: I’m a Dentist so Why Do these Topics Matter to Me?

Individualized Healthcare is becoming more mainstream. A greater understanding of how variations in genetic expression can influence patient presentation and treatment response will be discussed. We will explore practical ways for our profession to use what is known so far to improve our diagnostic skills, treatment planning and improve outcomes.

Learning Objectives:

  • Understand what the terms Genetics, Genomics and Epigenetics mean, and how they apply to patient presentation
  • Understand how to see a deeper picture of the person we are serving
  • Develop an appreciation of how one can enhance treatment planning using current understanding of genetic expression

Craig Young, DDS is a general dentist with a special interest in integrated healthcare, functional medicine, chronic pain, post trauma rehabilitation, headache, sleep disordered breathing, total health, wellness and disease prevention. He has been practicing dentistry since 1987, and Medical Acupuncture since 1997. He was a founding member of the American Academy of Oral and Systemic Health, a member of the International Academy of Oral Medicine and Toxicology, a member of the American Academy of Craniofacial Pain, and a member of the American Academy of Anti-Aging Medicine, of which he is currently working on his fellowship. He is also a member of the American Academy of Dental Sleep Medicine. Dr. Young is a past director on the board of the Alberta Dental Association and College and is a director of the Tooth Fairy Children’s Foundation, and is involved in many other philanthropic initiatives in Canada and around the world.

 

Dr. Michael Gunson

The Face and Occlusion of a Bad Airway: Growth Restriction, Compensation and Esthetic Decline

The face is a complex system of parts which respond to each other in growth and function. The skeleton, teeth and facial structures must work together to perform their key functions: eating, speaking and breathing. When growth is inappropriate, the system requires greater energy to work correctly, leading to patterns of compensations, dysfunction and breakdown. Identifying these patterns is necessary when attempting to treat patients with these issues. Patients with small airways and breathing disorders have these identifiable patterns of dysfunction. This lecture will present the identifiable facial dysfunction patterns of airway disease. This will help the clinician more appropriately identify patients at risk for airway disease and correctly treat the whole system, the face, the airway and the bite, for a more healthy, long lasting result.

Learning Objectives:

  • Learn the three basic functional keys
  • Learn how the face grows and influences the keys
  • Learn how to treat to functional and esthetic health

Michael J. Gunson, DDS, MD graduated from UCLA Dental School and continued on to receive his Medical Degree and Specialty Certificate in Oral and Maxillofacial Surgery from UCLA. Upon completion of his training, Dr. Gunson partnered with Dr. G. William Arnett at the Center for Corrective Jaw Surgery in Santa Barbara, California. Their surgical practice is limited to facial aesthetics and reconstruction. Dr. Gunson examines and treats thousands of patients with aesthetic, functional, and sleep conditions. Dr. Gunson treatment process enhances his orthognathic and aesthetic surgical techniques which provide patients with improved health and satisfaction. Dr. Gunson lectures throughout the world and publishes his research on orthognathic surgery, facial aesthetics, obstructive sleep apnea and the treatment of TMJ arthritis and condylar resorption. He enjoys sharing this information with colleagues through publications and lectures.

 

Dr. Kevin Lung

Modern Reconstruction of the Cleft Lip & Palate Patient

Cleft Lip and Palate (CLP) comprise a range of congenital deformities and are the most common head and neck congenital malformation in the world.  Cleft lip and palate deformity has a significant psychological and socio- economic effect on patient quality of life and require a multidisciplinary team approach for management. The primary goals of surgical repair are to restore normal function, speech development, and facial esthetics.  Different techniques have evolved over the last few decades to improve outcomes and produce long term success and results.  This review will present the latest techniques and technologies that have been developed to improve unique CLP patient outcomes and stability. 

Learning Objectives:

  • Recognise the sequencing of surgical correction of CLP deformities
  • Be able to list  important tools  and techniques for surgical correction of CLP deformities with improved outcomes and stability
  • Be able to understand the advances of surgical care for CLP patients with the utilization of  technology

Kevin E. Lung, BSc, DDS, MSc is a certified specialist in Oral and Maxillofacial Surgery currently engaged in private practice at Kingsway Oral and Maxillofacial Surgery Center  in Edmonton, Alberta, Canada. He graduated from the University of Alberta, Faculty of Dentistry in 1987 with the Alberta Dental Association’s Gold Medal. Kevin practiced for three years in general practice in Alberta prior to returning to graduate school in Halifax, Nova Scotia. Kevin undertook four years of post-graduate residency in Oral and Maxillofacial Surgery at Dalhousie University in Halifax and graduated with a Master of Science in Oral and Maxillofacial Surgery. Following completion of this program, he completed additional fellowship training in Germany and Switzerland. Kevin has been engaged in an active oral and maxillofacial surgical practice in Edmonton from 1994 to the present. He obtained his Fellow- ship RCDC in 1995. He is currently Clinical Professor, Director of Implant Surgery Clinic, Faculty of Medicine and Dentistry at the University of Alberta. In addition, he is the Chief, Pediatric Oral & Maxillofacial Surgery at the Stollery Children’s / University Hospital. Kevin has been an Examiner in Oral & Maxillofacial Surgery for the Royal College of Dentist of Canada since 1998. He has an active involvement, as the Oral and Maxillofacial Representative, with the Northern Alberta Cleft Lip and Palate Clinic at the University of Alberta. He has been an active fellow with COMPRU/IRSM at the Misericordia Hospital since 2003. Kevin is past Section Head, Oral and Maxillofacial Surgery and Hospital Based Dentistry, in the Capital Health (Edmonton Zone) Region.

 

Dr. Frank Celenza

Ortho/Perio in the Aligner Age

Certain orthodontic movements are utilized for their beneficial impact upon the periodontium.  These movements include forced eruption, molar uprighting, embrasure management, root torqueing, and implant interactions.   Historically, these movements were accomplished primarily by employing fixed appliance mechanotherapy.  However, the advent and development of aligner therapy has developed to a level of sophistication that now allows these movements to be accomplished utilizing removable aligner techniques.  This presentation will delineate the philosophy behind these movements, the periodontal benefit, and display clinical cases that illustrate these methods.

Learning Objectives:

  • Develop an appreciation for the periodontal aspects of certain tooth movements
  • Develop an appreciation for physiology of tooth movement
  • Gain an understanding of aligner mechanotherapy

 Frank Celenza, DDS is a uniquely qualified dual specialist in the fields of both Periodontics and Orthodontics. This dual certification positions him perfectly for the understanding and treatment planning of multi-faceted adult dental needs.  He has been involved in post graduate teaching for over twenty years and is an acclaimed speaker worldwide.  He has recently joined a faculty position at Rutgers Dental School.  Dr. Celenza has received numerous awards and commendations, and has authored many scientific articles and textbook chapters.  He has been in practice for over twenty years in New York City and more recently with satellite practices in New Jersey and Westchester.  He is also the product of a long line of dental specialists, both his father and brother are recognized Prosthodontists. Dr. Celenza lives in New Jersey with his three children.

 

Mr. Jeff Rubenstein

Osteoradionecrosis (ORN) vs. Bisphosphonate Induced Osteonecrosis of the Jaws (MRONJ) … That Is The Question??

Cancericidal doses of radiotherapy can lead to osteoradionecrosis.  Bisphosphonates administered  either intravenously for malignancy or orally for osteoporosis can result in osteonecrosis (MRONJ). A patient who underwent anterior mandibulotmy for oral cancer in the floor of the mouth followed by post-op radiotherapy then treated with pre- and post implant placement hyperbaric oxygen therapy, rehabilitated with a fixed segmental implant supported prosthesis functioned well four years post-treatment. At 4 yrs post tx the patient noted loosening  which wasattributed to loss of integration. This clinical/radiographic findings correlated with his having been placed on Fosomax by his physician for management of osteoporosis.  The patient's implant treatment was conservatively managed more than eight years at which point the prosthesis and implants spontaneously evulsed. This presentation calls to light a possible synergistic effect between the impact of radiotherapy and bisphosphonates on on jaw bone metabolism.  This might portend compllications in other individuals being so managed medically with radiotherapy and either with a prior or subseqent history of being placed on bisphosphonates.

 Learning Objectives:

  • Understand ORN
  • Understand MRONJ
  • Learning of a possible synergistic relationship between ORN and MRONJ

Jeffrey Rubenstein, BA, DMD, MSc, Professor and Director, Maxillofacial Prosthetic Service, University of Washington School of Dentistry. In 1983 he joined the Faculty at Harvard School of Dental Medicine’s Department of Implant Dentistry. Since 1989 he has been a full-time faculty member in the School of Dentistry at the University of Washington. Dr. Rubenstein is a Diplomate, American Board of Prosthodontics, Fellow of the American College of Prosthodontists and Academy of Prosthodontics, and active member of the Academy of Osseointegration. He is also a fellow and past president of the American Academy of Maxillofacial Prosthetics and the Washington State Society of Prosthodontists and a Fellow of the International Academy of Oral and Maxillofacial Rehabilitation.

 

Dr. Cheryl Cable

What Do You Do With A Patient Who Has Been Told That “There Is Nothing We Can Do For You”

  

What do you do with a patient who has been told that “there is nothing we can do for you”. Patients who have nowhere else to turn but home; to become reclusive and accept the fact that this is as good as it gets. What if we looked outside the normal parameters of “gold standard” treatment and found another way around to address the patient’s specific needs? This presentation is a case scenario of a series of clinicians who created their own outcome using telehealth tools and pushed forward in a multidisciplinary manner to help create a successful outcome.

Learning Objectives:

  • How to successfully use telehealth techniques in multidisciplinary treatment
  • Why telling a patient “there is nothing we can do for you” may be more traumatic than we can anticipate
  • Why maxillofacial prosthodontics is like old school auto body repair

Cheryl Cable, BSc, DDS graduated from the University of Alberta and then from the Mayo Clinic in Rochester, MN in 2001 in Prosthodontics and Maxillofacial Prosthodontics. She has worked at the University of Alberta as a tenured academic and has a robust private practice. Her work focuses on functional rehabilitation and emphasizes a multidisciplinary approach to prosthetically driven treatment. She is an advocate for dental funding for patients and clinicians who fall between the cracks.

 

Dr. Steve Rosenstiel

Objective Quantification of Dental Esthetics with Eye-Tracking

Eye-tracking provides a reliable and objective method for evaluating the visual attention paid to facial features, including the mouth. Studies at The Ohio State University have assessed how facial attractiveness and levels of malocclusion affect the amount of visual attention received. This presentation summarizes these and other eye-tracking studies and the findings will help guide the prosthodontist in providing restorative care oriented to the perception of esthetics.

Learning Objectives:

  • Understand the principles behind the eye-tracking methodology
  • Know which facial features receive the most attention
  • Understand how a patient’s facial attractiveness might affect the amount of visual attention received

Stephen F. Rosenstiel, BDS, MSD is Professor Emeritus of Restorative and Prosthetic Dentistry at The Ohio State University College of Dentistry, where he maintains an intramural prosthodontic practice.  He is a 1973 dental graduate of Birmingham University in England and completed his Masters in Prosthodontics at Indiana University in 1977.  He taught fixed prosthodontics at the University of Florida and University of London before joining Ohio State in 1985. He is Editor-in-Chief of the Journal of Prosthetic Dentistry, Past-President and current Secretary of the American Academy of Fixed Prosthodontics, Past-President of The Carl O Boucher Conference the Prosthodontics Group of the International Association for Dental Research, the John F. Johnston Society for Advance Prosthodontics and the Fixed Prosthodontic Section, American Dental Education Association. He is an author of the textbook Contemporary Fixed Prosthodontics, the fifth edition of which was published in 2015.  The textbook has sold over 60,000 copies, is used in many dental schools and has been translated into ten languages.  He has authored over 180 scientific articles and abstracts, principally on the fracture properties of dental ceramics and dental esthetics.

 

Day 2

 

 

Dr. Sree Koka

The Opportunities and Challenges of DEI Initiatives

For decades, issues of diversity, equity and inclusion (DEI) in civilized societies have been discussed and promoted with varying degrees of impact. This presentation will take both an evidence-based and philosophical approach to the pros and cons of a more diverse, equitable and inclusive environment at home and at work while considering both natural rational and irrational human behavior. Does a focus on DEI improve business outcomes?  Does a focus on DEI make society better?  These are big questions needing big answers.

Learning Objectives:

  • Understand the terms diversity, equity and inclusion
  • Understand the pros and cons of DEI in the workplace and in society
  • Understand the opportunities and challenges brought forth by attempts to change the DEI status quo

Sreenivas Koka, DDS, MSc (University of Michigan). He joined the University of Nebraska faculty in 1992, became a Diplomate of the American Board of Prosthodontics in 1995, and received his PhD in Oral Biology from the University of Nebraska in 1999. While at the University of Nebraska, Dr. Koka received the Outstanding Teacher Award on numerous occasions and was the inaugural Merritt C. Pedersen Professor of Dentistry. He joined the Staff of Mayo Clinic in 2004 and is former Consultant, former Professor of Dentistry and former Chairman of the Department of Dental Specialties in Rochester, Minnesota. Dr. Koka received an MBA from MIT's Sloan School of Management in 2013 and moved to Zurich, Switzerland to be Executive Director of the Foundation for Oral Rehabilitation. Dr. Koka moved back to the US to focus on patient care and student education and open Koka Dental Clinic, a private practice focused on implant and removable prosthodontics in San Diego.  Dr. Koka was recently interim Chair of Restorative Dentistry at UCLA School of Dentistry and is also Clinical Professor in Advanced Prosthodontics at Loma Linda University School of Dentistry.  He is a Fellow and Past-President of the Academy of Prosthodontics, a Fellow of the American College of Dentists, a member of the ADA/CDA/SDCDS, President of the International College of Prosthodontists, and is Chair of MIT’s Sloan School of Management Alumni Board. Dr. Koka has published over 100 journal articles and book chapters and lectures extensively nationally and internationally. Dr. Koka has been a reviewer for NIH grants and been a principal investigator on grants funded by NIH and industry sources. In addition, Dr. Koka is the founder of two companies: Premium Dental Editing and Career Design in Dentistry, and the co-founder of the Future Leaders in Prosthodontics workshop series and the co-author on publications focused on leadership diversity.

 

Mr. Mark Ludlow

Digital Implant Dentistry 360

As digital technology becomes more pervasive in everyday practice, there is an increased demand to apply it in ever more expanding clinical situations. This presentation will help demystify the full application of digital technology in the implant patient from the initial diagnostics to the final restoration.  This course will cover what technology is currently available and the digital workflows needed to apply these tools in all phases of implant dentistry including CBCT use, digital diagnostic wax-ups, intra-oral scanning, implant planning software with guided implant placement, and provisional and final restoration design and manufacture.  Please join us to learn what your future can hold with the flexibility and simplicity of digital technology. 

Learning Objectives:

  • How to apply digital treatment protocols in daily practice including the use of an intraoral scanner, design and planning software, and milling and printing modalities
  • Learn how guided implant surgery with pre-made prosthetics can simplify treatment
  • Become familiar with digital workflows encompassing both simple and complicated cases 

Mark Ludlow, DMD, MSc is the Division Director of Implant Prosthodontics, Associate Professor, and Director of the Digital Dentistry Residency at the Medical University of South Carolina.  He completed his DMD dental training at the University of Connecticut and received his MS in prosthodontics from the University of North Carolina.  As a practicing and teaching prosthodontist, Dr. Ludlow’s passion is in the development and integration of digital technology in the practice of everyday implant and restorative dentistry. 

 

Dr. Walaa Ahmed

3D Interdisciplinary Treatment Planning for Orthodontic-Prosthodontic Patients

The orthodontic-prosthodontic relationship is usually reciprocal. Most of these cases require an interdisciplinary treatment planning to improve the patient outcomes. This can be achieved, in some situations, by pre-prosthodontic use of orthodontics, while in other situations, prosthodontic planning can facilitate orthodontic treatments and outcomes. Recent advancements in digital technology, including digital tools, smile design, virtual tooth setups, radiographic assessments, implant planning and execution, can be utilized to yield higher treatment predictability and profitability as well as enhance communication and saves time.

Learning Objectives:

  • Become familiar with treatment options for managing patients with orthodontic-prosthodontic treatments using three-dimensional (3D) digital technology
  • Understand the clinical factors that should be considered when managing orthodontic-prosthodontic cases to achieve predictable final treatment results in terms of esthetic, biological and functional outcomes
  • Become familiar with examples of mutual orthodontic-prosthodontic clinical scenarios that required interdisciplinary treatment planning, for instances, replacement of congenitally missing teeth, levelling occlusal plane, and management of developmental anomalies

Walaa M. Ahmed, DDS, MSc, PhD is a fellow of the Royal College of Dentists of Canada. Dr. Ahmed received several awards throughout her career including the American College of Prosthodontists Educational Research Fellowship awards (ACPEF) in 2016 and 2019, the American College of Prosthodontists (ACP) Sherry’s competition award in 2018 (third place), and the Pacific Coast Society of Prosthodontics (PCSP) competition award in 2019 (second place). This year, Dr. Ahmed was awarded 2020-2021 International college of prosthodontists (ICP)/Ivoclar Vivadent research fellowship in dental restorative materials. She is an associate member of PCSP.

 

   

Pacific Rim Speakers

 
   

Dr. Hideaki Ueda

 Mastering Occlusal Reconstruction
  

Number of patients have occlusal problem with or without clinical symptoms. We need to correct malocclusion and obtain the harmonized stomatognathic system including temporomandibular joint, perioral muscle, tooth and periodontium to secure favorable oral environment with long-term stability. Key points to lead to the successful occlusal reconstruction are to examine and to clearly diagnose the true problems with the stomatognathic system. I have categorized those etiologies into three groups, such as malalignment, periodontal disease, and multiple teeth defect. Then I will explain the characteristics and treatment key points of each category.

Learning objectives:

  • The harmonized stomatognathic system
  • Key points to lead to the successful occlusal reconstruction
  • Over time changes in stomatognathic system

Hideaki Ueda, DDS has completed specialty training in Maxillofacial Surgery and Implantology at Fukuoka Dental Collage, Japan.  He is currently Clinical Professor of General Dentistry at FDC since 2010 and Adjunct Faculty at Herman Ostrow School of Dentistry at USC since 2014. Dr. Ueda lectured internationally with publishing number of texts. He is Past President of Japanese Academy of Clinical Dentistry, Representative for Japanese Society of Oral Implantology and a Member of Academy of Osseointegration.

 

Dr. Yi-Jiin Wu

Restoring the Missing with NEW Concept

Nowadays the field of implantology develops rapidly and maturely. Implant reconstruction is not only implant placement and prosthesis but recovery the physiological tissue environment and further for regaining the functions, esthetics and stability. In this case, we analyze and make treatment plan by using computer tomography scan and diagnostic cast. We choose the right surgical techniques for hard and soft tissue management and combine with the autogenous cell growth factors for better tissue regeneration. Finally we use the temporary crown to adjust the subgingival contour and cervical margin then transfer to the final prosthesis. The goal is hope to achieve the final image which is begun with the end in mind.

Learning objectives:

  • Analysis and diagnosis of the occlusion
  • Clinical workflow for complicated cases
  • Application of implants in full mouth reconstruction

Bio?

  • Master of Perio-Prosthodontics of Kaohsiung Medical University, Taiwan
  • Diplomate of Association of Asia Reconstructive Dentistry
  • Diplomate of Taiwan Academy of Implant Dentistry

 

Dr. Tomohiro Ishikawa

Vertical Hard and Soft Tissue Implant Site Development in the Esthetic Zone

To achieve aesthetic results with anterior implants, it is necessary to three dimensionally preserve and augment tissue along the dental arch to not only place the implant inside the bone, but to also support the soft tissue for the projected crown form. GBR is still one of reliable for three dimensional bone augmentations. Orthodontic extrusion and partial extraction technique a predictable combination for vertical hard tissue augmentation.  Using several cases, this presentation will demonstrate hard and soft tissue management techniques to achieve natural and aesthetic implant treatment results.

Learning objectives:

  • Three-dimensional bone and soft tissue requirements for optimizing esthetic results in compromised cases.
  • Impact of the combination use of orthodontic extrusion and partial extraction technique.
  • Three-dimensionally adjusting non-resorbable membranes for curved anterior ridges.

Tomohiro Ishikawa, DDS is a perio-implant specialist with a private practice in Hamamatsu City, Japan. Dr. Ishikawa lectures weekly throughout Japan and presents regularly in Europe and North America. He is a founder, director, lecturer of the multi-disciplinary study group 5-D Japan and the ex- president of the Osseointegration Study Club Japan. Dr. Ishikawa has published extensively and is the co-author of a number of textbooks. 

 

Dr. Jin-Ho Phark

Adhesion to Restorative Materials

With a conservative approach in mind, the restorative team should be able to provide patients with minimally invasive, highly esthetic, and long-lasting solutions. Key to this is the understanding of the restorative interface and selecting the correct protocol on all surfaces that are involved in the bonding/luting procedures of direct and indirect restorations. This lecture will focus on current key clinical and material science principles as a foundation to create esthetic and long-lasting direct and indirect restorations. In addition, this presentation provides a systematic and scientific approach for selecting esthetic treatment modalities based on original research data with special emphasis on new techniques, materials, and selection.

Learning objectives:

  • Evidence-based decision making on materials selection: When to select which material for optimal adhesion?
  • Understand current adhesive concepts to dental hard tissue and CAD/CAM generated restorations.
  • Understand the consequences of surface treatment on the mechanical properties of restorative materials. 

Jin-Ho Phark, DDS is an Associate Professor of Clinical Dentistry in the Division of Restorative Sciences at the Herman Ostrow School of Dentistry of University of Southern California, where he also serves as the Section Chair in Cariology and Biomaterials and as the Co-director of the Master Program in Biomaterials and Digital Dentistry. He is associate editor of Quintessence of Dental Technology. Dr. Phark’s main interest is in the field of biomaterials, especially on ceramics, composites, and bonding to dental structures. He is the recipient of the IADR Arthur Frechette Award in Prosthodontics.    

 

 

 

 

Dr. Brian Goodacre

Digital Technology for Dentures and Implants
  

Digital dentures offer many benefits for both the clinician and patient.  Maximizing these benefits to assist planning, conversion, and restoration of dental implants allows predictable outcomes.  This lecture will discuss the current trends in digital dentures and how to utilize technology to plan and execute prosthetically driven treatment.

Learning Objectives:

  • Compare current digital denture trends
  • Learn to use digital dentures to assist in your implant planning
  • Review digital workflows for the restoration of fixed complete dentures

Brian J. Goodacre, DDS graduated from Loma Linda University School of Dentistry in 2013. He completed a four-and-a-half-year combined program in Prosthodontics and Implant Dentistry at Loma Linda University School of Dentistry in 2017, earning an MSD degree. He is a board-certified prosthodontist and serves as an assistant professor at Loma Linda University School of Dentistry.  Dr. Goodacre lectures both nationally and internationally on topics related to digital dentistry, prosthodontics and implant dentistry. He is passionate about implementing technology into the dental student curriculum and is involved in multiple research projects, many of which have been published in peer reviewed journals.

 

Dr. Dan Cullum

Minimally Invasive Dental Implant Surgery

This presentation will discuss minimally invasive implant techniques, related technology and materials including Dynamic Navigation and Amnion/Chorion. It will focus on advanced open socket grafting, immediate molar implants with defect management and simultaneous crestal sinus elevation in immediate maxillary molars. CBCT diagnosis and treatment planning will demonstrate applications of these techniques based on the residual bone and soft tissue anatomy, avoiding complications and surgeon preference. Participants will gain understanding to develop advanced skills utilizing minimally invasive techniques for predictable patient centered outcomes!

Learning Objectives:

  • Discuss the advantages and limitations of immediate and minimally invasive dental implant treatment ?
  • Understand applications of Dynamic Navigation, Amnion/Chorion and modified drill designs for immediate implant sites and with crestal sinus elevation
  • Discuss patient anatomy, CBCT planning and dynamic navigation to avoid complications 

Dan Cullum, DDS graduated with distinction at the University of Alberta, Canada and residency training at Westchester Medical Center, New York. Dr. Cullum is a Diplomate of the ABOMS and is on faculty as a Visiting Lecturer at Loma Linda University and UCLA, Departments of Oral and Maxillofacial Surgery. He speaks internationally and has contributed articles, textbook chapters, and was a contributor and editor of the innovative textbook “Minimally Invasive Dental Implant Surgery.” He practices Oral and Maxillofacial Surgery with a focus on dynamic navigation, immediate and minimally invasive techniques in esthetic implant reconstruction. Dr. Cullum is the President of Implants Northwest LIVE Learning Center, which emphasizes training in advanced techniques for surgeon/restorative teams using LIVE surgery and “hands-on application in a small group environment.

 

Dr. Peter Moy

The Current State-of-the-Art in Implant Dentistry: Innovations in Technologies, Biomaterials, and Surgical Techniques

The interest in dental implant therapy has reached an all-time high world-wide. This interest is due to several factors: the needs of our dental patients, the globalization of dental products, and the advancements being made daily within the biotechnological fields. The demands on the dental practitioner to provide dental implant services are extremely high and expectations placed on the clinicians by their patients are to achieve close to 100% success. It is extremely difficult for a clinician just starting in practice today to meet these demands without having the knowledge or training to provide the clinical treatments required for their implant patients. The clinician must become properly trained in order to take full advantage of the improved technologies and advanced techniques so that they may provide a higher standard of care for their implant patients. Even for skilled, experienced clinicians it is extremely difficult to meet the high expectations of patients to achieve successful esthetic and functional results. Advances in biotechnologies, restorative and surgical techniques as well as materials today permit the implant dentist to handle many more demanding clinical situations on implant patients. Hard and soft tissue augmentation procedures provide highly predictable results when used in appropriate situations and performed properly. The key to success for clinicians is to understand the biologic implications associated with the severity of alveolar defects, the objectives of the restorative reconstruction, and what surgical procedures are required to properly place implants in positions that will support the restoration. To accomplish this, the implant dentist must maintain an educational schedule that will not only update their knowledge of the innovations occurring in the dental implant field but also to continually improve their skill levels to carry out the complex treatments required by the implant patient. This knowledge must include managing hard and soft tissue defects, prosthetic management and loading protocols, as well as long-term maintenance of dental implant-supported restorations. This presentation will review the clinical breakthroughs with biologics, surgical techniques, and surgical instrumentations to manage dental implant procedures that have been achieved thus far and how to implement these techniques into daily practice in the field of Implant Dentistry.

Learning Objectives:

  • Be introduced to current “state of the art” technologies, equipment, biomaterials and surgical protocols in implant dentistry
  • Understand when to use the available technologies and clinical protocols for specific clinical situations for their implant patients
  • Gain knowledge of the future of Implant Dentistry as new technologies and more powerful tools become available for incorporation into their implant practices

 Peter K. Moy, DMD limits his practice to Oral & Maxillofacial Surgery, focusing on surgical aspects of Implant Dentistry and reconstruction of the severely atrophic alveolar ridge. A Professor in the Department of Oral & Maxillofacial Surgery at UCLA and the first holder of the Nobel Biocare Endowed Chair, Surgical Implant Dentistry at UCLA. He belongs to several professional organizations including the American Association of Oral & Maxillofacial Surgeons, a Fellow of the International Academy for Oral-Facial Reconstruction, a Fellow of Pierre Fauchard Academy and a Fellow of the Academy of Osseointegration, where he served as President 2010-2011. He is an associate editor for the Journal of Oral & Maxillofacial Surgery and reviewing editor for Clinical Implant Dentistry and Related Research, International Journal of Oral & Maxillofacial Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology. He has written numerous articles and book chapters on surgical augmentation procedures, management of medically compromised implant patients, use of rhBMP-2 for maxillary sinus grafting and immediate loading of dental implants. His two volume textbook, “Fundamentals of Implant Dentistry: Prosthodontic Principles Vol. I; Surgical Principles Vol. II was published in 2016 through Quintessence Publishers. He has lectured extensively nationally and internationally, most recently at the American Association of Oral & Maxillofacial Surgeons Annual Conference. Dr. Moy maintains his private clinical practice in the West Coast Oral & Maxillofacial Surgery Center in Brentwood, California.

 

 

Day 3

 

 

Dr. Joe Kan

Anterior Immediate Tooth Replacement: Lessons Learned From 23 Years
  

Achieving anterior implant esthetics is a challenging procedure. Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations. This presentation will focus on current implant treatment philosophies and methodologies for immediate tooth replacement in the esthetic zone. 

Learning Objectives:

  • Prognostic Variables for immediate tooth replacement
  • How to manage buccal contour
  • How to select implant diameter for implant esthetics 

Joseph Kan, DDS, MSc completed Prosthodontics and Implant Dentistry from Loma Linda University. He is a Professor and maintains a private practice. 

 

Dr. Steve Sadowsky

 Are Teeth Superior to Implants?
  

There is a long-held assumption that teeth are superior to implants because the periodontal ligament (PDL) confers a preeminent defense against noxious stimuli. However, adequate analysis of the literature is lacking. This presentation will compare the microbiological responses in peri-radicular and peri-implant bone to biologic and mechanical challenges. The findings will offer enhanced evidence-based clinical decision-making when considering replacement of periodontally compromised teeth with implants, as well as the design of implant prostheses.

Learning Objectives:

  • Understand the biological and mechanical defense conferred by the PDL to the peri-radicular bone
  • Understand the response to similar biological and mechanical loads in the peri-implant bone
  • Align treatment planning decision making with basic science and evidence-based clinical outcomes

Steve Sadowsky, DDS is professor in the department of Preventive and Restorative Dentistry at the University of the Pacific Arthur A. Dugoni School of Dentistry. He was in full-time private practice limited to prosthodontics for 30 years.  Dr. Sadowsky is past-president of the American Prosthodontic Society and past-president of the Pacific Coast Society for Prosthodontics, as well as fellow of the Academy of Prosthodontics and the American College of Prosthodontists.  He has directed the American College of Prosthodontists Annual Review Course for 5 years. He is a diplomate of the American Board of Prosthodontists and has been invited to sit on the editorial review boards of The Journal of Prosthetic Dentistry, the International Journal of Oral and Maxillofacial Implants, and the International Journal of Prosthodontics.  He is Abstract Editor of the International Journal of Prosthodontics and has been appointed to the editorial council of the Journal of Prosthetic Dentistry.  Dr. Sadowsky has published more than 30 articles in peer-reviewed journals, mainly on the topic of implant dentistry. He was the 2016 American College of Prosthodontists recipient of the Presidential Citation and the 2018 recipient of the Ken Wical Award for Excellence in Prosthodontics. He was a visiting scholar at Stanford University in the Jill Helms Research Laboratory (2018-19). Dr. Sadowsky has edited a book, titled Evidence-based Implant Treatment Planning and Clinical Protocols.

 

Dr. Jean Wu,
Dr. Scott Dyer
Dr. John Sorenson

Panel: Ask the Experts Almost Anything

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Dr. Jean Wu
graduated with a Bachelor of Dental Science degree in 1990 and earned a Masters in Prosthodontics in 1994 from the University of Melbourne, Australia. She completed advanced training in Maxillofacial Prosthetics studying at the University of Pittsburgh, Pennsylvania. Dr Wu maintained a full time Prosthodontic private practice in Australia and was a Prosthodontist at the Royal Children’s Hospital of Melbourne. She was also a distinguished lecturer and clinical instructor at the University of Melbourne and Past-President of the Australian Prosthodontic Society.

After relocating to the United States in 1999, Dr. Wu earned a DDS at the University of Tennessee and was an instructor and lecturer in the Restorative Dentistry Department. She graduated from the University of Tennessee with highest honors and awarded membership of Omicron Kappa Upsilon and Richard Doggett Dean and Margarite Taylor Dean Honorary Odontological Society for her outstanding dental achievements.

Dr. Wu is on the Executive Council for Pacific Coast Society for Prosthodontics, PCSP Scientific Program Co-Chair 2020, Past-Editor of the PCSP Newsletter, and Past-President of the Academy of Microscope Enhanced Dentistry. She is also a member of the American College of Prosthodontists, American Society for Women Dentists, American Dental Association, the California Dental Association and the Orange County Dental Society. She was a Board member of the Orange County Dental Society in 2011 and Senior Delegate in 2012. Currently, Dr. Wu is Partner in the Sheets, Paquette and Wu Dental Practice and on faculty with the Newport Coast Oral Facial Institute, a non-profit international teaching and research center. She is also actively involved with several research projects on dental implants and materials, published several scientific papers and co-authored chapters in dental textbooks.

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Dr. Scott R. Dyer
is a Board Certified Prosthodontist and maintains a private practice limited to fixed, removable and implant prosthodontics in Tualatin, Oregon.  He is an Adjunct Professor at Oregon Health & Science University in the Department of Restorative Dentistry in the divisions of Biomaterials and Biomechanics, and Prosthodontics.  He received his D.M.D. from Oregon Health & Science University and a Certificate in Prosthodontics with a Master's of Science from the University of Texas Health Science Center at San Antonio.  Dr. Dyer earned his Ph.D. from University of Turku, Finland, with his work regarding the design of dental prosthetic structures.  While in prosthodontic residency, Dr. Dyer was honored as the Teledyne WaterPik National Prosthodontic Student of the Year. He has pursued scientific endeavors relating to the contemporary aspects of prosthetic dentistry, including patenting a process to make thinner, stronger dentures.  Dr. Dyer has previously owned a dental laboratory. Dr. Dyer helped found and co-directs the non-profit humanitarian group, Wide Open Humanitarian.  He enjoys the challenges and rigors of prosthodontic practice.

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Dr. John Sorensen
is Professor, Department of Restorative Dentistry; Director, Biomimetics Biomaterials Biophotonics Biomechanics & Technology Laboratory; Director of Research, Graduate Prosthodontics Program; Director of Research, Dept. Restorative Dentistry, University of Washington. The B4T team is actively engaged in materials science investigation, developing new diagnostic and analysis tools, research and development of digital work flows for conventional prosthodontics and implant surgical-prosthodontics and clinical trials.

A diplomate of the American Board of Prosthodontics, Dr. Sorensen works extensively with the Graduate Prosthodontics residents performing complex full mouth rehabilitation with a DWF and digital technologies. Sorensen was listed as co-authoring 3 of the 100 most highly cited prosthodontic research articles in the last 50 years. He has published over 95 research articles and chapters and over 150 research abstracts. He has given over 150 invited lectures in 36 countries, over 300 lectures courses, hands-on programs and patient-treatment classes.

 

Dr. Elena Hernandez-Kucey

Clinical Management of Peri-Implant Diseases for Prosthodontic Patients

Clinicians involved in the long-term maintenance of dental implants are challenged with many scenarios of peri-implant diseases.  This presentation will provide the practitioner with relevant diagnostic indicators and appropriate non-surgical clinical management techniques to enhance patient outcomes.

Learning Objectives:

  • Become familiar with current information on clinical tests available to help diagnose peri-implant diseases
  • Understand non-surgical clinical and chemotherapeutic modalities to treat peri-implant diseases

Elena Hernandez-Kucey, DDS, a second generation dentist born in Cuba and raised in the US, graduated in dental hygiene (Miami-Dade Community College) and dentistry (University of Southern California Dental School). Her faculty appointments include the Department of Periodontics at Miami-Dade Dental Hygiene College (1986), USC Dental School (1982-1986), and University of Alberta (1987-present) where she is a sessional lecturer in the Implant Program. In 2017 she co-authored the chapter “Peri-Implant Diseases” with Dr. Brian Kucey in “Evidence-based Implant Treatment Planning and Clinical Protocols” edited by Dr. Steven Sadowsky.  She is actively involved in the Edmonton and District Dental Society (past president and currently Vice-President), Alberta Implant Seminar, a didactic and clinical implant and restorative study group, and many philanthropic organizations including Chair of 1000 Women Million Possibilities at Norquest College. Elena practices full-time as a general dentist in Edmonton with her husband, Dr. Brian Kucey, and their daughter, Cathy, who recently joined the practice.  Her professional interests include restorative, periodontics, and implant dentistry using co-therapy with Invisalign, neuromodulator and fillers. 

 

Dr. Frank Tuminelli

Are We Asking The Right Questions … How Many do we Really Need?

The magnitude of edentulism in the United States is pervasive. The desire of the dental profession to reduce this epidemic has many obstacles and is a daunting problem.  Even after 40 years of implant therapy the result has been no significant change. The toll edentulism has on emotional and systemic health of patients is well documented in the literature. The evolution of implant therapy has presented a variety of surgical and restorative options to the dental team. With the advent of reduced healing times, a myriad of surgical protocols, CAD / CAM, and advances in dental materials the dental team can achieve predictable outcomes with expedited care delivery protocols. The advantage of shortened treatment times, reduces time our patients remain in the edentulous state, thus providing enormous benefits psychosocially and systemically. The constraints of finances, time, along with reduced surgical intervention enables the dental team to provide restorative options across a broad spectrum while delivering optimal results. Traditional approaches may not be able to meet the overall needs of the population. The number of implants required to support and maintain a fixed dental prosthesis is variable. What criteria do you use to determine the number of implants? The discussion will revolve around treatment alternatives for completely edentulous arch. The surgical and restorative options represent a paradigm shift as it relates to number and position of implants. The rationale for providing immediate loaded implant restorations, treating our most challenged patients while providing comprehensive care with literature supported protocols. Explore the utilization of oral and facial skeleton for implant anchorage will be reviewed.

Learning Objectives:

  • Understand the rationale for utilizing less implants in full arch restorations
  • Understand the mechanics of implant loading and non-axial anchorage
  • Understand the use of extra oral anchorage and the use of the zygomatic bone

Frank J Tuminelli, DMD received his Dental Degree and specialty training in Prosthodontics from Fairleigh Dickenson University School of Dental Medicine. Dr. Tuminelli is a Diplomate and Director-elect of the American Board of Prosthodontics and is currently the Program Director of Graduate Prosthodontics at the Manhattan Veterans Administration, New York campus. Dr. Tuminelli is the director-elect to the American Board of Prosthodontics. He served as Program Director for Graduate Prosthodontics, New York Presbyterian Hospital at Queens from 2010 – 2016, and as the Program Director of Advanced Prosthodontics and Implantology, for the NSHLIJ Health System.  He is a past President of the American College of Prosthodontists, and past President of The Greater New York Academy of Prosthodontics. He serves as the ACP Commissioner to the National Commission on Specialty Recognition. Dr. Tuminelli is a clinical assistant professor in the Department of Dental Medicine at the Hofstra Northwell School of Medicine and was the Team Dentist for the New York Islanders for ten years. He lectures locally, nationally and internationally, presenting over 60 invited lectures. He has contributed to the scientific lecture authoring / coauthoring multiple scientific papers.  Dr Tuminelli is the recipient of the 2017 Educator of the Year award from the American College of Prosthodontists. He maintains a private practice limited to Prosthodontics on Long Island and in New York City.

 

Dr. Ben Geller

The Screwmentable Single Unit Implant Restorations: Categorization and Application

This presentation will describe different categories of screwmentable single unit implant restorations. It will examine advantages and disadvantages of the proposed technique compared to conventional cement retained and screw retained restorations and will compare precemented restorations to prostheses that are cemented chair-side by the practitioner. Discussion regarding advantages and disadvantages of restorations that utilize a Ti base, a stock abutment, or a custom abutment will also be presented. Further, this presentation will look at how the restorative material of the crown will influence the type of cement used in the restoration and how easily and predictably different materials can be taken apart and added to for adjustments and repairs.

Learning Objectives:

  • Understand different classifications of screwmentable implant restorations
  • Understand advantages and disadvantages of utilizing the screwmentable technique
  • Understand how material selection for screwmentable restorations influences the ability for the restoration to be repaired or adjusted long term

Benjamin Geller, DDS, MSD was born in Los Angeles where he currently has a private prosthodontic practice.  Ben earned a BS in Molecular and Cellular Biology with a minor in Spanish at UC Davis.   He graduated with honors from UCSF dental school.  He was recognized there for his commitment to treating the homeless at the UCSF Community Dental Clinic.  The year following graduation he attended the General Practice Residency at the VA Caribbean Healthcare System in San Juan, Puerto Rico where he became a fluent Spanish speaker and was exposed to complex dental problems; the care of which inspired him to pursue formal training in prosthodontics.  He completed a three-year Residency in Prosthodontics at the University of Puerto Rico that included extensive training in fixed, removable and implant prosthodontics as well as esthetic dentistry.  He completed the board certification process making him a diplomate of the American College of Prosthodontists. He has a Master’s degree (MSD) for his clinical research:  Possession and use of removable partial dentures in relation to the number and position of remaining natural teeth.  He has presented continuing education seminars lecturing in both English and Spanish to dental professionals and was formerly a clinical faculty member at the UCLA School of Dentistry, Advanced Prosthodontics Division. 

 

 

Dr. Ricardo Carvalho

Bonding to Ceramics: Key Elements for Clinical Success

  

This presentation will discuss the mechanisms involved in the bonding of adhesives and cements to ceramic veneers. We will present and discuss step-by-step the procedures for improved bonding and make clinical recommendations based on current scientific evidence.

Learning Objectives:

  • Understand the best bonding strategy at each step of the bonding procedure to ceramic veneers
  • Be familiar with the critical steps that most significantly affect the bond
  • Understand how to make clinical decisions supported by scientific evidence

Ricardo Carvalho, DDS, PhD is Professor and Head in the Department of Oral Biological and Medical Sciences; and former Director of the Frontier Clinical Research Centre at the University of British Columbia - UBC. He has previously taught at the University of São Paulo, Brazil, University of Florida, USA, University of Hokkaido, Japan and served as Director of R&D of Bisco Inc., Chicago, IL. His research interests focus at uncovering the mechanisms involved in degradation of adhesive joints to mineralized tissues and dental materials and finding ways to prevent it. He is trained in Restorative Dentistry and Fixed Prosthodontics. He has published over 240 scientific articles in the field of dental materials and restorative dentistry and lectures worldwide to clinicians and researchers.

 

Julia S. H. Han (RDT)

Key Factors for Achieving Successful Zirconia Restorations

Over the past few years, zirconia has become the most requested material for crown and bridge restorations. As the demand increased, my lab was faced with various kinds of challenges and failures to overcome. The process of investigation, experiment and struggle for successful results with zirconia restorations will be shared in this presentation. Why is zirconia fracturing? What could be the cause of fracture and how to prevent it? Can the same aesthetic results be achieved with zirconia restorations compared with lithium disilicate or fully layered porcelain jacket crowns? Is it possible to fabricate a really nicely fitting zirconia crown from an intraoral scan file without going through a physical model? Like anything else with dental material utilization, as long as there is a thorough understanding with educated technique application, satisfying results are obtainable.

Learning Objectives:

  • Review and understand the dental material and technical process (behind the scan)
  • Understand the importance of proper preparation and processing of dental materials
  • Appreciate the difference in results when processes are properly utilized

 Julia S. H. Han, RDT practices in Langley, BC, Canada. She has been operating DaVinci Dental Services since 2008 with a passion and commitment in high quality crown, bridge, and implant restorations. Prior to becoming a dental technician, she was a practicing artist with a BFA in Ceramics and Printmaking for a number of years. Taking this background as an advantage, she incorporates her artistic sense and knowledge into every case she finishes. She is a lifelong learner, who sees value in continuing education and actively attends numerous local, national, and international dental conventions and seminars, as well as being a member of FOCUS study club for over 10 years.

 

Dr. Michael Moscovitch

Long-term Performance of Monolithic & Minimally Veneered Zirconia in Clinical Practice

Combining current prosthodontic practices and principles to achieve reliable performance outcomes our restorations requires a rethinking our choice of prosthetic materials. High strength ceramics (zirconia) and advanced prosthetic workflows are now able to provide the possibility of achieving performance outcomes exceeding all previously reported success parameters. This presentation will address the framework of knowledge required to understand the global impact of zirconia on improving our patient treatment outcome with respect to esthetics, function and efficiency of time. Published data and supporting evidence will be highlighted in conjunction with clinical illustrations.

Learning Objectives:

  • Understand of the benefits of high performance zirconia ceramics
  • Achieve insight into new treatment workflows and patient treatment outcomes
  • View clinical performance data of high performance ceramics

Michael Moscovitch, DDS graduated from McGill University (1976). He completed his Prosthodontic training at Boston University, Henry M. Goldman School of Dental Medicine (1978). Presently he is an Assistant Clinical Professor, Division of Restorative Sciences, at Boston University, and Clinical Instructor, McGill University Residency Program at the Jewish General Hospital in Montreal. He is a member and Past-President of the Association of Prosthodontists of Canada, as well he holds memberships and fellowships in numerous dental organizations such as the International College of Prosthodontists and the American College of Prosthodontists He is a reviewer of two peer-reviewed dental journals, lectures and publishes internationally and actively contributes to dental education. He maintains a private practice in Montreal limited to Prosthetics and Implant Dentistry.

 

Dr. David Chvartszaid

The Elusive Nature of Prosthodontic Prognosis

Prognosis is an elusive concept that is often used to justify a need for treatment as well as to identify an optimal treatment option. Yet, there is no universal agreement on how to assign prognosis especially in an interdisciplinary context. This presentation will critically review the available literature on prognosis in prosthodontics and allied fields.

Learning Objectives:

  • Review contemporary understanding of prosthodontic prognosis
  • Highlight concerns with the current use of prognosis and suggest solutions

 David Chvartszaid, DDS, MSc is the Graduate Program director of Prosthodontics at the University of Toronto and the chief-of-dentistry at Baycrest Rehabilitation Hospital (Toronto). He is a specialist in Prosthodontics and Periodontics and earned master’s degrees in both from the University of Toronto. He is the president of the Association of Prosthodontists of Canada and a fellow of the Academy of Prosthodontics. In 2019, he was the program co-chair of the 18th biennial meeting of the International College of Prosthodontists in Amsterdam, the Netherlands.