Implant Maintenance & Soft Tissue Management
This full day presentation will cover a number of different but interrelated concepts in dental implantology. In the morning session, the basic principles of hard and soft tissue grafting will be presented, which will include the use of various graft materials as well as membranes with a discussion on their biologic activity and biologic “potential”. These basic principles will then be used in the management of simple extraction defects as well as more complex defects, and provide a framework for a decision-making process: when to place implants immediately into extraction sites, or when to delay implant placement.
Various patient situations will be presented, demonstrating these basic principles and illustrating when to use what materials and techniques for each specific situation. Following the presentation on hard and soft tissue grafting techniques, viable alternative treatment options to grafting will also be presented and validated through scientific literature. These alternatives include the use of short implants, angled implants to avoid bone deficiencies, cantilever prostheses, and the application of a shortened dental arch.
In the afternoon session, peri-implant histology will be presented and contrasted to periodontal histology. The attachment apparatus will be compared between tooth and implant, and in order to provide a foundation for understanding various aspects of implantology including the following: basic wound healing, osseointegration, periodontal and peri-implant regeneration, and implant maintenance.
A working knowledge of peri-implant histology also forms the foundation for analyzing and critiquing new concepts and materials that develop in the field, such as platform switching or scalloped implant designs. Finally, the most common complications in implant dentistry will be presented along with management and prevention.
Following this session, participants will:
- Understand the differences between osteogenic, osteoinductive, and osteoconductive bone graft materials and when to apply which for specific defects
- Develop an understanding of the biologic rational for using membranes and when they are required
- Appreciate when an implant can predictably be placed immediately into a fresh extraction socket and when it would be better to perform a site preservation procedure instead
- Become familiar with how a connective tissue graft is harvested and applied
- Gain knowledge on the Extraction Defect Sounding Classification Syste
- Recognize scientifically sound alternative treatments when patients cannot have, or cannot afford hard and/or soft tissue grafting
- Understand the basic anatomy and histology of the periodontal and peri-implant environment
- Be exposed to the most common biologic complications associated with dental implants and become familiar with the techniques to resolve as well as avoid problems.
Presenter: Dr. Nicholas Caplanis
Case presentation and Clinical Session
Clinical Instructor: Dr. William Liang, Dr. Anthony Wong, Dr. Peter Balogh, Dr. Gabor Balogh, Dr. Ron Zokol
Parade of Implants
Course review, preparation for exam.
Presentation: Dr. William Liang