Lars Hansson, CDT, Chair, Allied Staff Education Subcommittee
8:10 - 10:00 am
A New Generation of Hybrid Denture: An Effective, Viable, Hygienic Solution for Edentulous Patient
Marco Brindis, DDS and Julio Zavala, Master CDT
This course will discuss the good, the bad and the ugly of the current hybrid denture protocol. It also provides both the rationale and fabrication technique for the next generation of immediate loading hybrid denture. The course will show the versatility of the system providing different techniques to extend the longevity and maintainability.
Upon completion of this presentation, participants should be able to: 1) explain the benefits of the screw-retained hybrid prosthesis and immediate loading for the edentulous maxilla; 2) describe implant complications and limitations involved in the screw-retained treatment options for the edentulous maxilla; 3) discuss the rationale for fixed versus removable in the treatment of the edentulous maxilla; and 4) recognize the benefits of the new generation of friction-retained telescopic hybrid denture.
10:30 am - noon
CAD/CAM Technologies for Private Practice: Aesthetics, Implants and Occlusion
Dean Vafiadis, DDS
CAD/CAM technology has the advantage of reducing clinical chair-time and reducing laboratory costs. The accuracy of these techniques has improved to the point where they are now comparable to conventional techniques. This presentation will review the current technology, which allows the fabrication of anterior and posterior crowns utilizing various digital intra-oral systems. In addition, these techniques can also be used to fabricate implant restorations. Utilizing a scan bodies & temporary abutments without a fixture level impression, this can allow us to design ideal abutments for implants. Digital acquisition impressions of implant and ceramic restorations will be demonstrated. Anterior and posterior restorations using CAD/CAM technologies and impressions will be discussed as well as one-visit protocols. Utilizing a variety of intra-oral scanners, we can plan our guided surgeries, use digital wax-up and finalize restorations using 100% digital work flow. In addition, working with CBCT scans, we can analyze OVD for our patients and transfer that information through to final Full Mouth Rehabilitation (FMR). Occlusion principles will be discussed as they relate to new materials and their application in private practice.
Upon completion of this presentation, participants should be able to: 1) explain the advantages and disadvantages of fabrication of anterior aesthetic crowns and veneers; 2) recognize the advantages and disadvantages of CAD/CAM generated and design abutments; 3) discuss the advantages and disadvantages of CAD/CAM anterior restorations for implants; and 4) describe the advantages and disadvantages of utilizing CAD/CAM crowns for restoring OVD in FMR cases.
1:30 - 2:30 pm
All-on-Four: The Technician View from Bench to Chair Side
Kurtis Helm, CDT
Patient expectations drive dental treatments for fixed edentulous immediate restorations. This has driven the need for dental technicians to participate by being chairside the day of surgery to assist with the conversion of the immediate provisional restoration. Predictable treatment success depends on comprehensive assessment, surgical planning, and selection of appropriate implants and custom restoration. Technological advances in digital dentistry are rapidly changing the way a clinician and technician work together to deliver what the patient wants.Upon completion of this presentation, participants should be able to: 1) describe what the laboratory needs from the clinician to digitally design a surgical template and how Fully Guided Surgery will expedite the chairside time and predictability for the final restoration; 2) list the essential components, armamentarium and restorative materials necessary for a technician to provide for chairside services; and 3) discuss chairside manner and protocol at a dental practice with patient.2:30 - 4:30 pm
Integration of Digital Technology in Aesthetic, Reconstructive Dentistry
Matt Roberts, CDT
Good dentistry is based on a series of good decisions, thoughtful planning and accurate execution of the series of logical steps that make up a treatment plan designed to fulfill a patient’s needs and expectations. Today’s patient has very high expectations of the dental team: they expect highly esthetic and functional outcomes, regardless of their current dental condition. Planning complex cases is a multidisciplinary process where each specialist provides their contribution to the overall outcome for the patient. This process has been well documented and taught in dentistry for many years, while patient needs have not changed, the tools that we have to work with to fulfill those needs have changed drastically in the last few years. Digital photography, digital design, milling, cone beam CAT scan, digital impressions, multimedia real time communication, 3-D printing and other new technologies are penetrating the dental market, and if used correctly, can significantly improve the workflow and final outcome of dental treatment. If used improperly, these tools can be less predictable than the more traditional, step-by-step approach we have used for years. I look forward to sharing ideas of how I am integrating the new digital design dental tools into proven restorative techniques and developing new ideas that take advantage of this amazing technology.
Upon completion of this presentation, participants should be able to: 1) identify the analysis tools that are available within digital software and how they can be used to evaluate bite registrations, measure thickness of restorations, check functional movements and overlay facial photographs with 3-dimensional designs; 2) describe techniques for using digital impressions to create milled PMMA overlays of existing dentition for bite opening and verification or esthetic design for patient preview applications; 3) discuss how scanned provisional models and incisal matrices are integrated into digital design of the final restorations; and 4) explain how to integrate photographs for facial esthetic analysis into digital design software, thus creating a “virtual patient”.