Saturday Program

This lecture will discuss soft tissue components of the peri-implant phenotype and the biologic classification of soft tissue graft materials from clinical perspectives to highlighting the characteristics and predictability of soft-tissue graft materials in different clinical scenarios. 

The principles, selections, procedures and technique notes of managing peri-implant phenotype modification via soft-tissue grafts and flaps in a less invasive but more predictable ways to increase soft tissue volume, augment keratinized tissue, improve implant esthetics, etc will be demonstrated to not only achieve long term stability but also avoid implant complications for the next generation of practice.

The era of digital dentistry has exploded in the last 20 years and has fundamentally changed our profession. However, it has also come at a price which questions our biologic compass as treatment has become heavily predicated on computer-guided expectations compared to decision making based on surgical experience and core treatment planning principles. From each full volume CBCT scan, a historical picture of growth and development can be gleaned, influencing our decision making. To that end, each treatment plan we put forth and the materials we choose to alter or influence bone can have consequences on the healing dynamics, the esthetic/biologic outcomes realized and, ultimately, our successes in creating sustainable conditions. The digital era has not only provided better diagnostic capabilities to assess and plan, but has given us expanded planning modalities to design more personalized surgical therapies when complex bone construction efforts are needed. This presentation will provide a historical background of guided implant technology, review current digital therapies and provide a look into the future where artificial intelligence may change the paradigm even further.

To achieve predictable and optimal outcomes, contemporary multidisciplinary treatment in periodontal patients should aim to achieve not only functional stability but also aesthetic harmony. The sequelae of periodontitis represent a complex therapeutic challenge. Among them, tooth replacement in the anterior zone with dental implants implies careful diagnosis and treatment planning in the context of interdisciplinary dentistry. In this lecture, protocols to facilitate the execution of interdisciplinary treatment plans to rehabilitate the aesthetic zone in patients with a history of periodontitis will be  presented, with a special focus on minimally invasive techniques.

Peri-implantitis is a plaque-associated pathological condition characterized by the mucosal inflammation along with progressive loss of supporting bone. Substantial evidence suggests that non-surgical therapy is of limited efficacy in arresting further bone loss, thus indicating the necessity of surgical intervention in the majority of patients diagnosed with peri-implantitis.

Achieving optimal treatment results in diverse clinical situations requires proper knowledge of indications and surgical performance of different surgical treatment modalities. This lecture will cover different surgical peri–implantitis treatment concepts, including reconstructive, resective, and combined surgical therapies, and the decisive factors in determining which surgical technique is most appropriate in different peri-implantitis cases. Important aspects of soft-tissue management and rationale for soft-tissue volume grafting following surgical peri-implantitis treatment, as well as the prognostic factors associated with treatment outcomes will be further discussed.

This workshop is designed to help dentists manage peri-implantitis with higher predictability, less trauma and therefore increase both the dentist’s confidence and patient’s acceptance when dealing with peri-implantitis. Participants will learn the principles and techniques to provide more predictability and less trauma for their patients in the management of peri-implantitis.

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The role of digital technologies in dental implant therapy has rapidly expanded over the last 15 years. CBCT imaging for implant planning is now an industry norm. The use of surgical guides, however, continues to lag significantly behind. Recent changes in software accessibility and 3D printing remove many of the obstacles hindering wider adoption. Join us as we discuss the latest developments in guided implant surgery with a focus on in-house management of the process. 

Treating the biologic complications of peri-implant mucositis and peri-implantitis has remained a conundrum for clinicians. As the use of lasers in dentistry has continued to expand in both acceptance and application, employing them for managing these two conditions has been one approach to gaining greater predictability and success.  This lecture will update the audience on scientific evidence for laser use for both peri-implant mucositis and peri-implantitis. Clinical cases will also be provided showcasing why different lasers are being employed by practitioners as an integral part for managing implant biologic complications.