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Wednesday Feb 28

Hands-on Workshops

  9:00 am - 4:00 pm (separate morning and afternoon sessions)

This series of sessions offer smaller, more intimate settings that offer hands-on training and encourage one-on-one interaction with presenters. Each session will provide registrants the opportunity to put their skills to practice using state-of-the-art materials that will vary for each session and are described below. Sessions are limited and pre-registration is required.

HOW-1

This full-day Hands-On Workshop Session will be conducted at Nobel Biocare headquarters in Yorba Linda, California.  Refreshment breaks and lunch will be provided.

Transportation will be provided to and from the Nobel Biocare facility. Busses will pick up at 6:30 am outside the West Hall Lobby on Gilbert Lindsay Drive, and will depart promptly at 7:00 am.

8:30 am – noon
The All-on-4® Treatment Concept for the Resorbed Maxilla – Highlight on Implant Design Evolution 
Paulo Malo, DMD

This session will discuss the objectives and evidence-based principles for surgical and prosthetic therapy when using the All-on-4® treatment concept to restore complete edentulism and failed dentition cases with a special focus on atrophic maxillae.

The most recent advancements of this technique, as well as new products development by introducing implant line-up extension (longer, shorter, and wider) allow to better address specific clinical situations; because of a wider variety/selection of implant sizes, further graftless solutions can be provided which could not be considered when using other implant systems.

The rehabilitation of the severely resorbed maxilla is a challenge when poor quantity of bone restrains the use of conventional implants. The use of Zygoma implants became a good alternative for the rehabilitation of patients with atrophic maxillae, offering obvious advantages for the patient when compared to other approaches – including bone grafting – of making it possible to restore speech, prosthetic retention, mastication and esthetics following an immediate function protocol.

The Extramaxilla technique has the potential to offer better prospects of clinical success to solve the challenges of atrophic maxillae cases; it can avoid the membrane and sinus approach, also allowing the possibility of greater length of zygomatic bone anchorage. This approach is also advantageous for the prosthetic rehabilitation component, since an improved prosthetic screw exit position can be achieved, thus allowing for a more favorable outcome in terms of biomechanics and in-home patient maintenance.

Upon completion of this presentation, participants should be able to: 1) select the best implant designs/length options for each case type; 2) discuss the indications for the use of the modified technique using Zygoma implants; 3) evaluate the pros and cons of the Extra-maxillary technique; and 4) explain the All-on-4® treatment concept evolution.

1:00 – 4:30 pm
Improving Clinical Outcomes with Digital Advances for Shorter Time to Teeth

Peter Wöhrle, DMD, MMSc

The integrated workflow with digitally assisted treatment planning based on prosthetic outcomes and guided implant placement is here to stay. This treatment approach has been shown to deliver more efficient care with consistently better patient outcomes. Combining intraoral and CBCT data sets with diagnostic and treatment planning skills and properly executed guided surgery based on ideal prosthetics elevates the level of excellence. This treatment modality improves efficiency, safety, and overall patient experience. Emphasis will be placed on the latest developments for a digitally integrated treatment workflow for shorter time to teeth.

Upon completion of this presentation, participants will be able to: 1) recognize the advantages of CT assisted treatment planning; 2) describe the workflow from patient acquisition to delivery of final restoration; 3) explain the different areas throughout treatment where CT or CAD/CAM based tools can enhance outcome; and 4) discuss the various prosthetic techniques and materials used to restore patients with implant-supported restorations.

Sponsored by a grant from Nobel Biocare

The remainder of the Hands-On Workshop Sessions will be conducted in half-day sessions and located in the West Building of the Los Angeles Convention Center.

HOW-2

9:00 am – noon
Edentulous Treatment Strategies: One Size Fits None

Bryan Limmer, DMD, MS

The number of patients requiring edentulous treatment is continuing to grow both domestically and globally. This population includes patients with long-term edentulism, who have struggled with conventional removable prosthetics for many years, as well as patients with a terminal dentition, who will soon be edentulous. However, it also includes those edentulous patients who have been previously treated with implant therapy and now require revision, retreatment, or redirection.

The diversity within the edentulous population, along with the technical difficulty of the related procedures, often makes treatment of the edentulous patient a time consuming, expensive, and challenging endeavor for many clinicians. Yet, when well planned and well executed, it can also be one of the most rewarding and life-changing aspects of our clinical practice.

The purpose of this program is to help participants understand the psychosocial impact of edentulism, identify key factors in treatment success, treatment plan and implement effective clinical strategies, and create sound maintenance protocols for their edentulous or soon-to-be edentulous patients. Specifically, Dr. Limmer will review the procedure for immediate restoration of edentulous patients with screw-retained bridges or bar overdentures on a minimum of four implants. An emphasis will be placed on the relationship and communication between the surgeon, restorative doctor and laboratory technician. There will also be restorative hands-on session for participants to handle the parts and pieces discussed.

Upon completion of this presentation, participants should be able to: 1) recognize the relationship between implant biology and biomechanics in successful implant therapy; 2) list the benefits and limitations of various restorative strategies for completely edentulous patients, with a focus on full-arch fixed restorations utilizing angled implants and multi-base abutments; 3) describe the surgical and restorative aspects of edentulous therapy including immediate temporization; and 4) explain how advancements in technology are allowing treatment of a broader patient population and refining clinical workflows.

Sponsored by a grant from Dentsply Sirona

HOW-3

9:00 am – noon
Management of Anterior Alveolar Defects: The Challenging Cases in the Aesthetic Zone
Isabella Rocchietta, DDS

Osseointegrated oral implants have been successfully reported for over 40 years. Prosthetically driven implant positioning requires a sufficient volume of bone in the desired position. However, sufficient bone volume is frequently lacking as a result of trauma or infectious diseases such as advanced periodontitis. Regardless the numerous surgical techniques described in the literature that aim at regenerating bone in a vertical and horizontal dimension, clinicians still struggle when faced with challenging vertical defects. The use of autogenous bone could be a viable option but clearly causes discomfort to the patient, increases the morbidity and undergoes a rapid degree of resorption.

Advances in digital imaging and 3D reconstructions offer dramatic improvement in diagnostics when faced with severe vertical jaw defects. The use of Guided Bone Regeneration associated to non autogenous scaffolds constitutes the next generation of bone augmentation in all alveolar defects with or without implants.

Upon completion of this presentation, participants should be able to: 1) describe the biological principle of GBR in its clinical applicability; 2) discuss tips and tricks on how to perform Vertical GBR in severe defects; and 3) explain the use of growth factors in GBR.

Sponsored by a grant from Geistlich Biomaterials

HOW-4

9:00 am – noon
Screw Retained, Site Specific Immediate Implants for Mid-Facial Tissue Preservation
Harold Baumgarten, DMD and Stephen Chu, DMD, MSD, CDT

Post-extraction socket immediate implant placement in the anterior maxilla remains one of implant dentistry’s most challenging procedures. Anatomic challenges often result in implants being placed and angulated in a compromised facial-biased position. This leads to cement-retained restorations or the use of angled abutments, both of which are sub-optimal for preserving mid-facial tissues.

This program will demonstrate why the use of an innovative implant design together with an appropriate screw-retained provisional and final restoration can help maximize bone and soft tissue volume. A dual or co-axis implant design allows for Subcrestal Angle Correction™ leading to properly placed implants and the 100% use of screw-retained restorations. Predictable anterior esthetic outcomes in post-extraction socket immediate implants in the anterior maxilla are achievable and should be considered by all implant specialists.

Upon completion of this presentation, participants should be able to: 1) identify patient candidates for post-extraction socket immediate placement in the anterior zone; 2) incorporate tissue management guidelines for preserving the natural gingival contours post treatment; 3) explain the predictable anterior aesthetics benefits of a unique site-specific implant combined with a screw-retained restoration; 4) execute the surgical techniques necessary to place an immediate implant placed in an anterior socket site through a hands-on exercise; and 5) demonstrate prosthetic provisional restoration techniques to capture subgingival tissue contours around anterior immediate implants through a hands-on exercise.

Sponsored by a grant from Southern Implants

HOW-5

9:00 am – noon

Options for Precise Diagnostics, Planning and Surgery
Adam Hamilton, BDSc, DCD, FRACDS

Practical Demonstration and Hands-on Training Using a 3Shape Inter-Oral Scanner
Charlie Vincent, MPH

Treatment Planning: A Fully Integrated Workflow to Maximize Treatment Outcomes and Differentiate Your Practice
Ron Roche

The evolution of digital technology in implant dentistry is developing at a rapid pace. The mainstream availability of three-dimensional imaging with CBCT has been a turning point in providing safety and predictability in dento-alveolar surgery, as well as providing a platform for restorative input into the treatment planning process. However, is this technology absolutely necessary? And are we utilizing it to its full potential?

This lecture will explore the various technologies which can be integrated into the digital implant workflow with a clinical and evidenced-based approach to the advantages and disadvantages of each.

Upon completion of this presentation, participants should be able to: 1) outline an overview of the digital implant workflow; 2) discuss the potential of virtual implant treatment planning in every day implant treatment for the surgical and restorative implant practitioner; 3) explain the CAD/CAM guided surgery options and their indications; and 4) present new techniques with CAD/CAM guided surgeries for both immediate loading of single implants and full arch edentulous patients.

Sponsored by a grant from Straumann

HOW-6

9:00 am – noon
Same-day Guided Immediate Placement and Provisionalization Using an Improved Digital Workflow
Brent Boyse, DDS

Patients with debilitated or missing dentition often seek rehabilitation to quickly regain masticatory function, aesthetics, and quality of life. Clinicians can now predictably offer treatment solutions for both single-tooth and immediate full-arch restorations to meet patient demands and expectations.

This program combines didactic and hands-on training to show participants a step-by-step, practical approach to deliver provisional prostheses on the day of implant placement with reliable accuracy; definitive prostheses can be fabricated and delivered in an appropriate timeframe.

Upon completion of this presentation, participants should be able to: 1) discuss new ways to manage the treatment planning and communication between the surgeon, referral and lab; 2) describe a comprehensive guided surgery system that is based on the aesthetic tooth position and facilitates the ability to provide a provisional restoration at the time of surgery; 3) list the advancements in the industry that have led to greater efficiencies and improved accuracy through digital workflows; and 4) explain the tips and tricks for taking a digital impression with the latest in intraoral scanning technology.

Sponsored by a grant from Zimmer Biomet

HOW-7

9:00 am – noon
Dynamic Navigation, Optimizing Surgical Accuracy on the Spot: A Hands On Workshop

George Mandelaris DDS, MS, FACD, FICD

Dynamic surgical navigation technology is the only modality that allows for real-time verification and validation of positional accuracy in osteotomy site preparation as well as implant placement. This comprehensive hands-on workshop will include clinical protocols, case presentations inclusive of edentulous protocols and cases. The Navident workflow will be demonstrated, attendees will have the opportunity to practice treatment planning cases on navigation software, registration and calibration of instruments as well as drilling on models utilizing the Navident surgical navigation system.

Upon completion of this presentation, participants will be able to: 1) discuss the advantages of dynamic surgical navigation; 2) explain how to use navigation technology for enhanced precision and accuracy in implant therapy; and 3) describe the dynamic navigation workflow to optimize success.

Sponsored by a grant from Navident

HOW-8

1:00 – 4:00 pm
Edentulous Treatment Strategies: One Size Fits None (Repeated)
Bryan Limmer, DMD, MS

The number of patients requiring edentulous treatment is continuing to grow both domestically and globally. This population includes patients with long-term edentulism, who have struggled with conventional removable prosthetics for many years, as well as patients with a terminal dentition, who will soon be edentulous. However, it also includes those edentulous patients who have been previously treated with implant therapy and now require revision, retreatment, or redirection.

The diversity within the edentulous population, along with the technical difficulty of the related procedures, often makes treatment of the edentulous patient a time consuming, expensive, and challenging endeavor for many clinicians. Yet, when well-planned and well executed, it can also be one of the most rewarding and life-changing aspects of our clinical practice.

The purpose of this program is to help participants understand the psychosocial impact of edentulism, identify key factors in treatment success, treatment plan and implement effective clinical strategies, and create sound maintenance protocols for their edentulous or soon-to-be edentulous patients. Specifically, Dr. Limmer will review the procedure for immediate restoration of edentulous patients with screw-retained bridges or bar overdentures on a minimum of four implants. An emphasis will be placed on the relationship and communication between the surgeon, restorative doctor and laboratory technician. There will also be restorative hands-on session for participants to handle the parts and pieces discussed.

Upon completion of this presentation, participants should be able to: 1) recognize the relationship between implant biology and biomechanics in successful implant therapy; 2) list the benefits and limitations of various restorative strategies for completely edentulous patients, with a focus on full-arch fixed restorations utilizing angled implants and multi-base abutments; 3) describe the surgical and restorative aspects of edentulous therapy including immediate temporization; and 4) explain how advancements in technology are allowing treatment of a broader patient population and refining clinical workflows.

Sponsored by a grant from Dentsply Sirona

HOW-9

1:00 – 4:00 pm
Management of Severe Alveolar Defects: The Challenging Cases in the Aesthetics Zone (Repeated)
Isabella Rocchietta, DDS

Osseointegrated oral implants have been successfully reported for over 40 years. Prosthetically driven implant positioning requires a sufficient volume of bone in the desired position. However, sufficient bone volume is frequently lacking as a result of trauma or infectious diseases such as advanced periodontitis. Regardless the numerous surgical techniques described in the literature that aim at regenerating bone in a vertical and horizontal dimension, clinicians still struggle when faced with challenging vertical defects. The use of autogenous bone could be a viable option but clearly causes discomfort to the patient, increases the morbidity and undergoes a rapid degree of resorption.

Advances in digital imaging and 3D reconstructions offer dramatic improvement in diagnostics when faced with severe vertical jaw defects. The use of Guided Bone Regeneration associated to non autogenous scaffolds constitutes the next generation of bone augmentation in all alveolar defects with or without implants.

Upon completion of this presentation, participants should be able to: 1) describe the biological principle of GBR in its clinical applicability; 2) discuss tips and tricks on how to perform Vertical GBR in severe defects; and 3) explain the use of growth factors in GBR.

Sponsored by a grant from Geistlich Biomaterials

HOW-10

1:00 – 4:00 pm
Immediate, Fixed Full-Arch Rehabilitation with Subcrestal Angle Correction Without the Need for Cement or Screws
Robert del Castillo, DMD and Gary Morris, DDS

The most technically challenging and expensive prosthetic reconstruction for both the mandibular and maxillary arches is the full-arch, implant-supported fixed prosthesis. This treatment option is very demanding, complex and time consuming. In addition, the procedure is often unaffordable for the average patient. Recent advances in technology and innovation are making this treatment option more common, simplified and a time saving solution.  This workshop will teach an advanced treatment solution that incorporates implant designs that allow for complex anatomical conditions to be properly managed. Unique implant designs will help maximize the available bone, overcome anatomical structures and extend the A-P spread. This workshop will also highlight the latest treatment option for fixed full arch, implant-supported restorations, a system that requires no screws and no cement, simplifying the restorative technique and minimizing chair time for the restorative team, with fewer complications and treatment delays.

Upon completion of this presentation, participants should be able to: 1) explain how to maximize available bone by utilizing site-specific implants for Subcrestal Angle Correction; 2) determine the quantity and position of implants for the best outcome; 3) identify the indications and limitations of a fixed attachment system; 4) describe the protocol and procedure for immediate load cases, conversion from removable to fixed restorations, and options for salvaging failed screw retained cases; 5) execute the surgical techniques necessary to place multiple, site specific implants in a full arch setting through a hands-on exercise; and 6) process a full arch, fixed prosthesis without cement or screws through a hands-on exercise.

Sponsored by a grant from Southern Implants

HOW-11

1:00 – 4:00 pm
Options for Precise Diagnostics, Planning and Surgery (Repeated)
Adam Hamilton, BDSc, DCD, FRACDS

Treatment Planning with Co-DiagnostiX®: A Fully Integrated Workflow to Maximize Treatment Outcomes and Differentiate Your Practice (Repeated)
Ron Roche 

Practical Demonstration and Hands-on Training Using a 3Shape Inter-Oral Scanner (Repeated)
Charlie Vincent

The evolution of digital technology in implant dentistry is developing at a rapid pace. The mainstream availability of three-dimensional imaging with CBCT has been a turning point in providing safety and predictability in dento-alveolar surgery, as well as providing a platform for restorative input into the treatment planning process. However, is this technology absolutely necessary? And are we utilizing it to its full potential?

 This lecture will explore the various technologies which can be integrated into the digital implant workflow with a clinical and evidenced-based approach to the advantages and disadvantages of each.

Upon completion of this presentation, participants should be able to: 1) outline an overview of the digital implant workflow; 2) discuss the potential of virtual implant treatment planning in every day implant treatment for the surgical and restorative implant practitioner; 3) explain the CAD/CAM guided surgery options and their indications; and 4) present new techniques with CAD/CAM guided surgeries for both immediate loading of single implants and full arch edentulous patients.

Sponsored by a grant from Straumann

HOW-12

1:00 – 4:00 pm
Same-day Guided Immediate Placement and Provisionalization Using an Improved Digital Workflow (Repeated)
Brent Boyse, DDS

Patients with debilitated or missing dentition often seek rehabilitation to quickly regain masticatory function, aesthetics, and quality of life. Clinicians can now predictably offer treatment solutions for both single-tooth and immediate full-arch restorations to meet patient demands and expectations.

This program combines didactic and hands-on training to show participants a step-by-step, practical approach to deliver provisional prostheses on the day of implant placement with reliable accuracy; definitive prostheses can be fabricated and delivered in an appropriate timeframe.

Upon completion of this presentation, participants should be able to: 1) discuss new ways to manage the treatment planning and communication between the surgeon, referral and lab; 2) describe a comprehensive guided surgery system that is based on the aesthetic tooth position and facilitates the ability to provide a provisional restoration at the time of surgery; 3) list the advancements in the industry that have led to greater efficiencies and improved accuracy through digital workflows; and 4) explain the tips and tricks for taking a digital impression with the latest in intraoral scanning technology.

Sponsored by a grant from Zimmer Biomet

HOW-13

1:00 – 4:00 pm
Dynamic Navigation, Optimizing Surgical Accuracy on the Spot: A Hands On Workshop (Repeated)

George Mandelaris DDS, MS

Dynamic surgical navigation technology is the only modality that allows for real-time verification and validation of positional accuracy in osteotomy site preparation as well as implant placement. This comprehensive hands-on workshop will include clinical protocols, case presentations inclusive of edentulous protocols and cases. The Navident workflow will be demonstrated, attendees will have the opportunity to practice treatment planning cases on navigation software, registration and calibration of instruments as well as drilling on models utilizing the Navident surgical navigation system.

Upon completion of this presentation, participants will be able to: 1) discuss the advantages of dynamic surgical navigation; 2) explain how to use navigation technology for enhanced precision and accuracy in implant therapy; and 3) describe the dynamic navigation workflow to optimize success.

Sponsored by a grant from Navident