Mouthrinse to Improve Gum Health: The Case for CPC and Zinc
Maria Emanuel Ryan, DDS, PhD, Silvana Barros, DDS, MS, PhD, and Kowsilla (Premie) Pillay, PhD

A goal in treating periodontal disease, from mild gingivitis to more severe periodontitis, is the removal of supragingival and subgingival plaque. While much supragingival plaque is readily removed through toothbrushing and use of interproximal dental devices, this remains insufficient. This symposium will review the extensive data of mouthrinse containing CPC and Zinc from its antimicrobial properties to its excellent performance in plaque and gingivitis studies making the case for its use as an adjunct to oral hygiene.

Laser Assisted Surgery in the Treatment of Periodontal and Peri-Implant Diseases Using Twinlight Lightwalker with the Wavelength of Nd:YAG and Er:YAG
Hana C. Hobbs, DDS, MS

This presentation will highlight Laser Assisted Surgery in the treatment of periodontal and peri-implant diseases using Twinlight Lightwalker with the wavelength of Nd:YAG and Er:YAG.

It will be demonstrated how optimal results of dental laser therapy is achieved when two wavelength are included in the treatment protocols.

Laser Assisted surgery provides successful clinical and microbial results for decontamination and debridement of the periodontal pocket. Furthermore, Er:YAG lasers have been shown to be effective in smear layer removal and decontamination of the implant without altering the implant surface. This is a key step in the treatment of ailing or failing implants.

Learning Objectives:
•  Understanding how Twinlight Lightwalker can be used to treat periodontitis.
•  Treatment protocols to successfully treat and more predictably address periimplantitis including surface decontamination and achieving regeneration

The Use of Biomaterials to Augment Hard and Soft Tissue Around Dental Implants in the Esthetic Zone – Part 2
Matthew J. Fien, DDS

Management of the anterior dental implant poses numerous challenges that have long been considered. The current consensus is that increased soft tissue thickness is necessary to provide long-term esthetic stability and health of the peri-implant tissue. This has historically necessitated the harvesting of a secondary palatal surgical site to thicken the gingival biotype. This lecture will review the use of long-term biomaterials to provide the tissue support without harvesting of autogenous tissue.

Minimally Invasive Crestal Sinus Augmentation using CAS system
Enrique Muller, DMD

Crestal sinus floor elevation with osteotome and mallet is traditionally used to place implants in the maxillary sinus with greater than 5mm of residual bone height. Although this technique has shown clinical success, it does present some challenges. Septum and sinus floor inclinations can lead to difficulty with the osteotome sinus augmentation technique. Complications such as membrane tear, loss of implant primary stability, and in some instances benign vertigo have also been reported. The Hiossen CAS-system has been designed to reduce complications normally seen through osteotome sinus floor elevation. This lecture is designed to teach the course participant about the benefits of the Hiossen CAS-system for crestal sinus augmentation. Both a traditional and guided surgical approach will be reviewed.

Use Er:YAG Laser for the Peri-Implantitis Surface Disinfection: Rationale and Outcome Assessment
Hom-Lay Wang, DDS, MSD, PhD

Treatment of peri-implantitis defects is unpredictable and has become a major challenge for many dentists who placed implants. At this moment there is no standard protocol available to figure out how to predictably treat this emerging problem. One of the main challenges is properly disinfected contaminate implant surface to all possibility of re-osseointegration. This presentation addresses the characteristics of Er:YAG lasers and how they can be used to assist in the regeneration of peri-implantitis defects.

Learning objectives:
• Learn how to properly use Er:YAG dental lasers
• Know the pros and cons of using Er:YAG dental lasers for the treatment of peri-implant diseases

The Use of Bioactive Bone Grafts and Barriers in Periodontics and Implant Dentistry
Michael Sonick, DMD

Bone grafting can be confusing; a multiplicity of techniques exist to regenerate bone around teeth (guided tissue regeneration), and in preparation for successful dental implant therapy (guided bone regeneration). Ideal bone regeneration and wound healing are dependent upon choosing the proper surgical technique and correct combination of bone graft material, growth factor, and barrier membrane options. A bone grafting algorithm leading to consistent results will be defined and discussed.

Embracing Management of Periodontal and Peri-Implant Diseases in Today’s Periodontal Practice
Sonia Leziy, DDS, Dipl Perio, FCDS(BC), FRCD(C)

Periodontists have a unique position in today’s dental community- While we are challenged and embrace management of periodontal and peri-implant diseases, our surgical responsibilities also span surgical (and at times restorative) implant dentistry, tissue engineering and esthetics. Keys to positioning ourselves as ideal leaders in these areas include use of scanning technology, embracing the digital workflow in the management of implant cases and esthetic crown lengthening procedures, the enhancement of soft tissues through proven and new augmentation methods.

Chart your Digital Pathway with RealGUIDE™
Amar Katranji, DDS, MS

Learn about RealGUIDE treatment planning/ guided surgery software that allows clinicians and labs to realize unprecedented efficiencies.  The cloud-based licensing and HIPAA compliant cloud storage enable collaboration in the multidisciplinary team to elevate the standard of patient care.  RealGUIDE has advanced artificial intelligence features, trademarked SandBox™ parametric modeling environment, patented processes such as volume splitting, high fidelity endoscopic visualization, user-friendly step-by-step workflows etc. Leverage RealGUIDE as the platform to chart your custom digital pathway.

Teeth to Implants, the Decision Dilemma
Homa H. Zadeh, DDS, PhD

When transitioning teeth to implants, dozens of decisions must be made by clinicians based on patient and site characteristics. Many of these decisions are time-, material- and protocol- sensitive. To optimize the predictability of the treatment, decisions should be evidence-based and follow careful risk assessment. This presentation will focus on critical risk factors/indicators that must be assessed to determine when immediate placement is possible, how to properly position the implants, when to graft the horizontal gap, when to augment the soft tissue and when to provisionalize the implant. Materials selected such as the type of graft material and implants can also affect the outcome and will be discussed.

Learning Objectives:
• Risk assessment for tooth extraction and implant placement
• Protocol for immediate implant placement and provisionalization into extraction sockets
• Rationale and protocol for alveolar ridge preservation for delayed implant placement
• Management of sites with thin mucosal and alveolar bone phenotypes

Point/Counterpoint: Effective Implant Site Development
Bach Le, DDS, MD, FICD, FACD and Rodrigo Neiva, DDS, MS

It’s time to put the gloves on – or in this case, take them off for this friendly debate on biomaterials and implant selection. Industry experts, Drs. Bach Le and Rodrigo Neiva, will discuss and debate flap design, healing time, grafting material and implant selection and how they treat patients to achieve optimal results. The devil is truly in the details and specific questions that will be addressed include:

•  Material selection based on material properties and features
•  Rationale for absorbable scaffolds and contemporary techniques for application
•  Management of complex alveolar ridge defects
•  Implant placement and loading protocols

Minimally Invasive Soft Tissue Grafting a Teeth and Implant Sites
Lorenzo Tavelli, DDS, MS

Several soft tissue deformities affect natural teeth and dental implants. These conditions often result in patients’ esthetic concerns but can also negatively affect periodontal and peri-implant tissue stability and health. Scientific evidence has shown that soft tissue phenotype augmentation plays a key role for esthetics, health and patient comfort when treating soft tissue dehiscences/deficiencies around dental implant and also for the treatment of gingival recessions. While several techniques have been shown to be successful in soft tissue augmentation at teeth and implant sites, minimally invasive approaches with non-autogenous grafts have been more and more advocated by clinicians and patients. The present lecture will focus on the concept of soft tissue phenotype and on the novel minimally invasive techniques and biomaterials for the treatment of gingival recessions, peri-implant soft tissue augmentation and management of implant esthetic failures.

A Revolutionary Approach to Full-Arch Prosthetics
Graziano Giglio, DDS and Gregory Toback, DMD, MS

Scan, upload, approve, and receive – welcome to a new-era in digital dentistry for full-arch restorations. This presentation will showcase groundbreaking digital technology for full-arch final prosthetics designed in a model-free digital workflow. The presenters will share their experiences and clinical cases utilizing a novel approach from scanning to the final prosthesis by using only an intra-oral scanner with new Nexus iOS scan gauge technology. This proven full-arch digital workflow and technology can significantly reduce chair time and increase the overall patient experience in as few as two appointments. Full-arch final prosthetics redefined with simplicity, accuracy, and efficiency.

The Starfish Effect…Light, Lasers and ONJ
Neal Lehrman, DDS, MS

The course will focus on the etiology, prevalence, and a new approach to the treatment of ONJ/ORN with a specific Nd:YAG protocol. By examining both scientific and clinical concepts, attendees will understand why treating this ever-prevalent condition with a specific laser therapy offers a new and possibly more effective way to handle this disease.

The Role of Lasers for the Treatment of Peri-Implantitis
Hector L. Sarmiento, DMD, MSc

Peri-implant complication is a forever growing issue in our clinical practice. What methods and materials can we trust to recuperate a failing implant? The purpose of this lecture is to identify different etiologies for periimplantitis and to establish a classification system based on the different characteristics of the present disease. This presentation will also cover the surgical management of peri-implantitis utilizing various methods to detoxify implant surfaces for the grafting of hard and soft tissues.

Learning Objectives:
• Recognition of the etiology that causes peri-implantitis
• Understand a decision-making protocol for unhealthy implants
• Step-by-stepep surgical management of soft and hard tissues for the ailing implant
• Decontamination and predictable bone grafting around infected dental implants

Demineralized Laminar Plate Membranes and BioXclude Amnion-Chorion Allograft: A Ridge Defect Marriage
Israel Puterman, DMD, MSD

Clinicians face a number of decisions in choosing the most appropriate materials that will offer both graft stability and contour. Whether the defect morphology is horizontal, vertical, or combined, material selection is key to successful outcomes. Placing an implant concurrently with augmentation presents an additional level of complexity. This lecture will review the use of two dissimilar materials, that when used together possess a specific combination of characteristics to predictably correct a variety of ridge deficiencies.

What’s Next in Surgery? Peri-Implant Chair to Self-Care Part 1 – TLX: Evolution to Revolution
Speaker: Edgard El Chaar, DDS, MS
Moderators: Beth Jordan RDH, MS and Charlie Vincent

Implants have evolved in design over the years; from one diameter to different diameters, from parallel to tapered, from regular threads to all shapes, all with a variety of implant surfaces.  A lot of these evolutions and concepts came and went but some proved fundamentally unshakeable.  The tissue level implant concept comes at the top of the list with respect to a design that has weathered the myriad of oral challenges.  Evolution of design is natural, but to that concept, imagine not just a simple evolution, but a revolutionary one. That, in short, is TLX.

Innovations to Optimize your Implant Practice – Novel Implant and Impression System Revealed
Sanju Jose, DDS, MDS

Patient demands for immediacy and esthetics are on the rise in dental implant therapy. This program will, for the first time, document a new to market dental implant designed for primary stability, optimized placement, and peri-implant health.  Moreover, learn about a next generation digitally enabled impression system creating natural healing contours, efficient workflows, and easy impressions. The presentation includes clinical cases and techniques covering these two innovative solutions.

The Ailing Implant: The Biological Portfolio We Currently Possess to Tackle These Challenging Situations
Curry H. Leavitt, DMD, MS

The uprise in implant related treatment has led to extreme success giving back function, esthetics, and ultimately overall health for our patients. Unfortunately, it came with a rise of periimplantitis cases. Utilizing specific debridement protocols, guided tissue regeneration, soft tissue grafting and the addition of platelet derived growth factors, make these regenerative efforts successful. We will dive into the biological portfolio and look at specific periimplantitis cases that have been brought back to health.

Removing the Friction for Full Arch from Patients to Referrals
Jeremy K. Ueno, DMD

Many Periodontists love performing full arch surgery and AOX surgery, but often struggle in marketing, referral education, team education and patient financing.  Dr. Ueno will present his workflow for removing the friction when it comes to these critical factors in order to increase case acceptance, referrals and ideas for direct-to-consumer marketing.  The full arch digital workflow will also be discussed as the workflow is key when working with your referrals, especially those that do not perform many full arch cases.

A Marriage between Xenograft and Allograft: From Science to Clinical Practice
Liliana Aranguren, DDS

Allograft materials are known to heal well for ridge augmentation procedures in implant dentistry. They are also known to have significant dimensional changes during the maturation process. Xenografts, have good dimensional stability but show slow resorption time against implants. A new generation of novel bone substitutes was created that provides long-term volume stability with osteoinductive potential. It incorporates an optimal scaffold for vascularization and validated allograft for new bone formation. In this presentation we describe our experience in the clinical setting with this new regenerative hybrid material to create vital bone faster with long-term volume stability.

Minimally Invasive Treatment of Periodontal and Peri‐Implant Disease – What does the Research Show?
Gabriel M. Strauss, DMD

As most clinicians already know, the incidence of periodontitis is at least 50% of the American population. Some evidence suggests the incidence of peri‐implant mucositis and peri‐implantitis is close to, if not equal to, periodontal disease. Traditional surgical intervention has shown great results around teeth with esthetic compromises. The same treatment has not been as effective around implants. This presentation will examine the available treatment options, specifically focusing on laser treatment of periodontal and peri‐implantitis. Learn more about the recent results of the prospective clinical trial for the LAPIP protocol, how these results compare to published retrospective results, and the implications of treatment for clinicians and patients.

Learning Objectives:
•  Review the diagnosis and pathogenesis of periodontal and peri‐implant disease
•  Examine the science of lasers; specifically how different wavelengths affect hard surfaces
•  Present the recent LANAP and LAPIP publications and how they compare to classic periodontal and implant research
•  Assess practical applications of these individual publications for the implant dentist

Safe and Effective Imaging: Increase Your Diagnostic Yield From CBCT
Sanjay M. Mallya, BDS, MDS, PhD

This presentation will address effective use of CBCT imaging to increase your diagnostic yield. It will discuss machine features, image quality, appropriate study design and a systematic approach to interpretation of CBCT images. It will provide a contemporary understanding of radiation safety and approaches to communicate the safety of dentomaxillofacial CBCT examinations to patients.

Learning Objectives:
• Understand machine features that are important to making high-quality images
• Apply principles of selection criteria to design appropriate radiologic studies for specific diagnostic tasks
• Understand the risks of radiation and communicate these to patients

The Delicate Balance of Success and Complications Associated with Oral Implant Rehabilitation
Ira Sy, DDS, MS, Dip Periodontics

Oral implant therapy has been increasingly popular as a treatment of choice over the past few decades. Although implants have shown to be highly predictable, there has also been an increase in various complications derived from surgical and prosthetic interventions. These problems have been known to lead to both acute and chronic infections, historically. This program will review the necessary clinical treatment planning strategies utilized to aid in preventing iatrogenic complications.

What’s Next in Surgery? Peri-Implant Chair to Self-Care Part 2 – Enhancing Biologic Predictability
Speaker: Sam Shamardi, DMD
Moderators: Beth Jordan RDH, MS and Charlie Vincent

Understanding biologic complications around teeth and implants along with the role bacterial biofilm plays in the pathogenesis of periodontal and peri-implant disease is essential to developing new tools for their prevention.  The sub-microbial microbiome around implants presents an additional challenge for our patient’s long-term success, requiring added emphasis on patient education for their homecare practices.  To provide solutions, we can analyze the efficacy and user friendliness of different tools for dental plaque removal and novel protocols for the prevention of biologic complications in order to present best in class homecare and long-term maintenance programs for periodontally compromised patients.

Customized Allograft Blocks – Guidelines for Predictable Bone Regeneration
Edward S. Alessandrini, DMD, MD

This program will highlight recommended guidelines for the placement of customized allograft blocks. Multiple cases and their success will be explored to showcase these techniques. This begins with effective block design and site preparation. Learn about flap design and soft tissue management as well as protocols for fixation screw placement. This program will also discuss revisiting the site to place implants for desired outcomes.