Academy of Operative Dentistry Scientific Session 2024

 Thursday, February 22nd

8:00-9:00am
Tucker Lecture of Excellence

"The Digital Workflow for Gold Restorations" 

Michael Hohaus, PhD
Private Practice, Düsseldorf, Germany

Synopsis: The techniques commonly employed with the preparation and placement of cast gold restoration have been adapted since introduction by Dr. Richard V. Tucker and are commonly referred to as the Tucker Technique.  With the advent of milled digital dental technology, materials used to solve complex treatment cases have significantly expanded.  It offers a simplified and time-saving process in the practice as well as the laboratory in addition to improve patient comfort and satisfaction.  The integration of these techniques into practice requires a high level of motivation and a great deal of time for the entire dental team to develop a time efficient workflow which benefits all.  The adhesive technique offers the possibility of minimal or non-invasive restorations without further tooth structure loss for retention.  In the renewal of defective restorations, the morphological structure of the lost tooth substance and the protection of the remaining, fragile structures play a decisive role.  Material specific properties such as minimum layer restoration thickness and loads must be taken into account in cavity design.  Recommendations on the use of materials, whether gold, ceramics or composite in addition to the applications of direct or indirect techniques, should be based on the needs and necessities of the patient as well as the amount of remaining  hard tooth substance.  Decision workflows concerning material choice and a technique highlighting the benefits of a milled gold technique will be presented and discussed to improve patient outcome.

Learning Objectives: 
1) the benefits of the digital workflow and the milling of gold restorations
2) Instrumentation used for scanning
3) Special techniques adapted for scanning and milling
4) Laboratory benefits

About the Speaker:
Dr. Hohaus graduated from the University of Freiburg, Germany in 1985, received the Dr. med dent degree 1986, has served as a dentist and officer 1 year at the German army and has maintained a private dental practice in Düsseldorf for the past thirty five years.  In addition, he functioned as a founder and speaker of the German RV Tucker Study Club Rheingold and served as a President of the Academy of RV Tucker Study Clubs in 2002/2003. 

9:00-10:00am

"Demystifying Digital Dentures: Current Trends & Scientific Update "

Despoina Bompolaki, DDS, MS, FACP 
Associate Professor and Clinical Director, Department of Restorative Dentistry, OHSU School of Dentistry 

Synopsis: In the last decade, digital dentures have captured increasing attention by both restorative dentists and dental laboratory technicians. New products and workflows are constantly being introduced, while many clinicians are still unsure whether digital dentures are the right choice for their practice. This presentation will answer some common questions related to digital dentures, with emphasis on the best available scientific evidence. 

Learning Objectives: 
At the end of this presentation, attendees should be able to:
1. Identify ways to incorporate digital dentures in their practice
2. Understand advantages and limitations of different digital denture workflows
3. Communicate with the dental laboratory during the process of digital denture fabrication 

About the Speaker:
Dr. Despoina Bompolaki is a Prosthodontist and a Diplomate of the American Board of Prosthodontics. She holds a Certificate in Prosthodontics and a Master’s in Oral Biology from Texas A&M University. She is an Associate Professor and Director of Clinical Restorative Dentistry at Oregon Health & Science University. She conducts clinical research in the field of Prosthodontics, and her published work has been recognized nationally and internationally. She is a Fellow of the American College of Prosthodontists (ACP) and the Academy of Osseointegration (AO) and serves on several committees within these organizations. Since 2022, she serves as the Continuing Professional Education Director for the American College of Prosthodontists. She is also a member of the American Association for Dental, Oral, and Craniofacial Research (AADOCR) and the American Dental Education Association (ADEA). Dr. Bompolaki has maintained an active clinical practice throughout her academic career, focused on fixed, removable and implant prosthodontics. 

10:00-10:20am: BREAK 

10:20-12:00pm
Cariology Lecture

 "Root Caries:  Myths and Realities"  

Hendrik Meyer-Lueckel, DDS, MPH, PhD
Department of Operative, Preventive and Pediatric Dentistry in Bern, Switzerland 

Synopsis: Root caries is still surrounded by several myths regarding its etiology, diagnostics, prevention as well as non- and minimal invasive treatment. The lecture will give insights into a more tooth preservative approach instead of early drilling, crowning or inserting implants after extraction.. 

Learning objectives: 

1. More teeth, more seniors = more root caries in future years
2. Risk-oriented non-invasive (preventive) therapy using highly fluoridated toothpaste with 5000 ppm F- is efficacious. Antimicrobials (i.e. CHX-varnish) only when biofilm is present.
3. Creative preparation and restoration techniques warranted. Good moisture control = composite; as a compromise = glass ionomer cements.

About the Speaker:
Hendrik Meyer-Lückel studied dentistry in Gießen, Germany (1992-1997) and received his PhD in 2000 from Freiburg University. From 2000-2008 he worked as an Assistant Professor at Charité, Berlin. His research focus was in Cariology and he was qualified academically on the devolvement of the caries infiltration technique (Habilitation 2008). After achieving a master degree in Public Health (MPH) in 2009, he was appointed as Associate Professor in Kiel. From 2012-2017 he was Head of Department of Operative Dentistry, Periodontology and Preventive Dentistry at Aachen University.  He has been appointed Head of the Department of Operative, Preventive and Pediatric Dentistry in Bern, Switzerland since 2017.

12:20-2:00pm

LUNCHEON

2:00-4:00pm

"In Pursuit of Esthetics Excellence with Endurance: Reflections of over 40 years"

Glenn Dupont, DDS  
Private Practice, St. Petersburg, FL

Synopsis: It is our responsibility to create not only the beautiful teeth that patients desire but results which lasts. This can only be done consistently through a comprehensive plan that will generate predictable results and a healthy, maintainable dentition. As dental professionals we must continually seek improvement of our diagnostic and treatment planning skills to facilitate optimum dental health in our patients.
Drawing from over four decades of dental experience, Dr. Glenn DuPont shares a simple, systematic approach for evaluating patients and developing a comprehensive treatment plan with efficient treatment sequencing. This systematic thought process can be applied to both simple as well as difficult restorative challenges to create long term stability with beautiful results.

Learning objectives: 

1. Understand the key principles and concepts of how function and esthetics go together
2. Apply four treatment options to solve functional issues
3. Show the use of the 8-step 3-D checklist
4. Explore the utilization of the Sequencing checklist
5. Utilize these concepts for helping patients who may choose to compromise their treatment

About the Speaker: 

Dr. Glenn Dupont completed his undergraduate training at the University of South Florida where he also played basketball on full scholarship.  In 1979, he graduated Emory University College of Dentistry and joined the prestigious practice of Dr.’s Peter E. Dawson and Pete Roach in St. Petersburg, Florida.  Under the mentorship of Dr. Dawson, Dr. Dupont honed his skills for solving severe esthetic and functional problems due to parafunctional wear, damaged/lost teeth, and occlusal/bite deficiencies.

Dr. Dupont is a founding member of the Center for Advanced Dental Studies which is now referred to as the Dawson Academy.  He lectures nationally and internationally on techniques and creative approaches to solving difficult dental problems for patients around the world.  He finds great satisfaction in sharing his extensive experience and knowledge with fellow dental professionals.

Professional and academic endeavors include serving as an Affiliated Clinical Associate Professor at the University of Florida College of Dentistry, President of the Pinellas County Dental Association and numerous teaching engagements at the L.D. Pankey Institute over many years.  Dr. Dupont is a Fellow in the American College of Dentists and was selected as “One of America’s Top Dentist”.

In addition to spending cherished time with his wife Janet, four daughters and seven grandchildren, he enjoys fishing, golf and volunteering in numerous capacities for his church, St. Raphael’s Catholic Church.

 4:00-5:00pm
Interdisciplinary

"Surgically Facilitated Orthodontic Therapy (SFOT):  A Facially Prioritized, Interdisciplinary Approach"

George A. Mandelaris, DDS, MS, Diplomate of ABP  
Private Practice, Glenview, IL 

Synopsis: Patients that want more ideal facial esthetics and function may choose to have the interdisciplinary team utilize SFOT to alter the dento-alveolar bone and optimally position the roots of the teeth for the patients’ face. Space may be appropriated to enable the restorative dentist to create natural tooth dimensions and morphology in the worn, eroded or otherwise altered dentition. Surgical, orthodontic and restorative perspectives will be presented to challenge the team to move beyond traditional interdisciplinary therapies into a new frontier for enhanced outcomes.

Learning objectives: 
1) Presentation of the biology, risks/benefits and execution of corticotomy surgery
2) Review the diagnostic observations and imaging modalities critical to treatment planning of the interdisciplinary patient
3) Three key elements in treatment planning from a contemporary airway context
4) Review of favorable periodontal phenotype and limiting associated risks using SFOT
5) Demonstration of the role of SFOT in decompensating different dentofacial disharmony skeletal malocclusion patterns for phenotype modification

About the Speaker:
Dr. George A. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery.  He has served as an examiner for Part II (oral examination) of the American Board of Periodontology’s certification process and is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists.

Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants.  He currently is a member of the Board of Trustees for the American Academy of Periodontology.  In addition, Dr. Mandelaris maintains private practice at Periodontal Medicine & Surgical Specialists in Glenview, IL and Oakbrook Terrace, IL limiting his practice to Periodontology, Dental Implant Surgery, Bone reconstruction and Tissue Engineering Surgery.

 Friday, February 23rd

8:15-9:30am
43rd Buonocore Memorial Lecture

“Changing Operative Mindsets with Universal Adhesives and Cements” 

Lorenzo Breschi, DDS, MS

Synopsis: Synopsis of the Presentation:  The requirements that dental adhesive materials are expected to meet are becoming ever more demanding.  An adhesive material should be versatile and suitable for universally bonding to a vast variety of substrates and restorative materials. It should be less technique sensitive, efficient in inexperienced as well as experienced hands, and indicated for simplified as well as more elaborate clinical procedures.  In achieving these goals, the material must indeed remain reliable in the long term. Hence, modifications in the chemical composition of adhesive materials have been made in order to improve their bonding, mechanical properties and biocompatibility. These modifications are particularly evident in cases of universal adhesive systems and resin cements which bring adhesive dentistry one step closer to the above-mentioned goals. Considering the increased interest in these materials by the scientific community, their strengths and drawbacks should be examined and discussed in detail, providing recommendations for further development.  

Learning objectives: 

1. Understand the modifications introduced in the compositions of universal adhesive systems and resin cements.
2. Understand the in vitro and clinical performance of universal adhesive materials.
3. Discuss future perspectives in the development of adhesive dental materials.

About the Speaker:

Dr. Lorenzo Breschi is a graduate of the University of Bologna (Italy) where he received his DDS degree (cum laude) and a PhD in Human Morphological and Molecular Science.  He maintains active membership with the American Academy of Restorative Dentistry (AARD), the Academy of Dental Materials (ADM) and the Academia Italiana di Odontoiatria Conservativa e Restaurativa (AIC).  He has served as President of the Italian Academy of Conservative Dentistry (AIC), the International Academy of Adhesive Dentistry (IAAD), European Federation of Conservative Dentistry (EFCD), Dental Materials Group of the IADR (DMG-IADR) and the Academy of Dental Materials (ADM).  Dr. Breschi serves as Associate Editor of the Journal of Adhesive Dentistry and member of the editorial boards of several international scientific journals in addition to active research on the ultrastructural aspects of enamel and dentin with respect to dentin bonding systems.  He has published more than 300 original papers and review articles from peer-reviewed journals on different aspects of adhesion and restorative materials.  Currently, he serves as Full Professor and Chairman of the Restorative and Director of the Master in Aesthetic Restorative Dentistry at the Department of Biomedical and Neuromotor Sciences (DIBINEM) at the University of Bolgna (Italy).

9:30-10:30am (session 1)
10:30-11:00am BREAK
11:00-12:00pm (session 2)

Summitt Lecture of Innovation

“Esthetic Dentistry with Digital Tools” 

      

Michael Roberts, BS                                Dr. Franklin G. Shull

Synopsis: Complex interdisciplinary treatment planning and execution has presented an immense challenge from the earliest beginnings of advanced dental techniques.   With the advent of new technologies and the race to implement these systems, the World of Dentistry may resemble nothing which we may recognize from 10-20-30 years or more ago when we initially entered the profession.   During this presentation we are excited to show the methods and results of using advanced digital tools to achieve superior accuracy and esthetics.

Learning Objectives:  

1. Development of patient records, evaluation and communication
2. Discussion of facially generated aesthetics
3. Digital bite analysis
4. Implant planning with esthetics in mind
5. Achieving monolithic restorations with beauty that lasts

About the Speakers: 

Michael Roberts is from Idaho Falls, Idaho and studied electronic, laser, and optics at Idaho State University.  After graduating in 2006, he applied this knowledge working as a government contractor in Las Vegas, NV.  In 2013, Michael pursued his passion for digital technology by joining CMR Dental Lab as Director of Computer Design and Milling.  Since then, he has overseen digital diagnostic treatment planning in addition to his duties as head CMR ceramist.  He has taught several courses at The Pankey Institute as well as Spear Education.  Currently he is working towards his American Academy of Cosmetic Dentistry (AACD) accreditation.  When not working, Michael enjoys anything to do with the outdoors especially skiing, mountain biking, and hiking.

Franklin G. Shull, DMD, FAGD is a native of Lexington, South Carolina.  He is a graduate of the University of South Carolina and the Medical University of South Carolina James B. Edwards School of Dentistry. Following dental school, he completed a hospital based General Practice Residency at Palmetto Health Richland in Columbia, SC. 

Dr. Shull is both a past president of the Greater Columbia Dental Association and the SC Academy of General Dentistry.  He is a fellow of the Academy of General Dentistry and is a faculty member at Palmetto Health Richland Department of Dentistry and the Medical College of Georgia School of Dentistry.  Dr. Shull is also on the teaching faculty at the The Pankey Institute in Key Biscayne, Florida where he teaches dentists from around the world about aesthetic dentistry.  He has been published in many dental journals and recently contributed to a textbook on comprehensive dentistry.  Dr. Shull lectures throughout the U.S. on aesthetics, dental materials and photography.

He lives in Lexington and enjoys spending time on the water with his family.

RESERVE SPEAKER

"A Comparison of Universal Composite Resins and Ceramic Shade Match"

Monica J. Cayouette, DMD, MS, FACP
Department of Reconstructive & Rehabilitation Sciences
Medical University of South Carolina
James B. Edwards College of Dental Medicine

Synopsis:  
Currently there are many universal composite shades on the market. Each actual composite resin has differing chemistries, but the basic concept is particles included in each resin allow for the material to reflect the color of existing tooth structure. A study of several universal composite resins was completed looking at the shade match to ceramics. Data was gathered from dentists blindly evaluating the ability of these composite resins in shade matching. The results and applications of this study will be presented and considered. 

Learning Objectives:
1. Define the definition of universal shade composite resins and indications for use.
2. Presentation and discussion of data from a comparative study of universal composite resins with respect to clinical applications.
3. Understand how different composite resins performed in this research project matching ceramics.

About the Speaker:
Dr. Monica J. Cayouette received her DMD from the Medical University of South Carolina, College of Dental Medicine. She continued her dental education by completing a residency in Prosthodontics at the University of Texas Health Science Center at San Antonio, School of Dentistry whereby she earned her Master's in Prosthodontics from the University of Texas Graduate School of Biomedical Sciences. She is board certified through the American Board of Prosthodontists and her primary clinical areas of interest are dental lmplantology, dental attrition, and the restoration of dental implants. Dr. Cayouette's memberships in various professional dental organizations include the American Dental Association, American Dental Education Association, Academy of Osseointegration, American College of Prosthodontists, South Carolina Dental Association, and the Coastal District Dental Society. She is also a Fellow of the American Board of Prosthodontics, the American College of Prosthodontists, the Pierre Fauchard Academy, the American College of Dentists, and the International College of Dentists. She actively serves in various capacities within these professional associations.
Currently, Dr. Cayouette serves as Division Chief and Associate Professor of Pre-Doctoral Prosthodontics in the Department of Reconstructive & Rehabilitation Sciences at the Medical University of South Carolina James B. Edwards College of Dental Medicine.

Table Clinic Presentations
1:45 - 4:45

Urmi Bhattacharyya, DDS
Private Practice, Los Angeles, CA
“Keys to better tissue management” 

Synopsis: We have all heard of the old adage "The bone sets the tone, but the tissue is the issue". With the advent of digital dentistry, in fixed prosthodontics, appropriate tissue management has become even more essential due to its technique sensitivity and limited time to appropriately capture retracted tissue. This table clinic will review tissue management in order to achieve predictable results for both digital and conventional workflows.

William Morgan, DDS
Faculty, UCLA Los Angeles, CA
“Precise Method of Fabricating a Crown to an Existing Removable Partial Denture.”

Synopsis: A precise method of fabricating a new crown to fit an existing removable partial denture.

Learning Objective:
1. Learn a precise method of fabricating a new crown to fit an existing removable partial denture.

Alaa Aljohani, BDS
Resident, UNC at Chapel Hill, NC
"The Effects of Changing the Dispensing Methods of Resin-based Cements on their Physical Properties."

Synopsis: 
Easier and newer is not always better! Changing the dispensing method of resin-based cements may change its physical properties, film thickness and bond strength to the tooth structure. This study aimed to evaluate the role of dispensing and mixing technique on the physical properties of resin-based cements.

Learning Objectives: 
1) To investigate the influence of different dispensing techniques on the water sorption, solubility, and film thickness of resin-based dental cements.
2) To evaluate how changes in dispensing methods affect the bond strength of resin-based dental cements to tooth structures (before and after thermocycling).
3) To identify the effect of Thermocycling on the shear bond strength for the examined resin-based cements.  

Ahmad Alkhazaleh, BDS; MSc
Faculty, OHSU Portland, OR
“Shade Matching and Shade Reproduction in Operative Dentistry.”

Synopsis: Achieving a natural and aesthetically pleasing tooth shade with resin-based dental materials demands a nuanced understanding of color science, material properties, and precise clinical techniques. In this table-clinic session, we explore the complexities of shade selection and replication while offering effective techniques to replicate and reproduce shades with resin-based dental materials.

Learning Objectives:
1. Understand the fundamentals of color perception, Munsell system, and the role of lighting conditions and metamerism.
2. Analyze the optical characteristics of natural teeth including translucency, opalescence, counter-opalescence, and fluorescence.
3. Create actionable recommendations for enhancing shade replication during the restoration of teeth in the aesthetic zone.

Ben Belavsky, DDS; MS
Private Practice, Buffalo Grove, IL
“Orthodontic Treatment in Interdisciplinary Patient Care.”

Synopsis: Orthodontics can play a critical role in the preprosthetic management of single or multiple teeth, especially in the anterior segment, setting up the groundwork for a stable and esthetic restorative outcome.

Learning Objectives:
1. Learn to recognize cases in which orthodontics can play a vital role in hard and soft tissue augmentation.
2. Learn about various orthodontic modalities and auxiliaries that may be used when managing interdisciplinary cases.
3. Learn about the limitations of orthodontic treatment for interdisciplinary cases

Rana Sedky, BDS; MMSc; DDS.
Faculty, Ain-Shams University, Cairo, Egypt
“Unlocking the Next Level in White Spot Lesions Management, Deep Resin Infiltration Technique.”

Synopsis: Resin infiltration was introduced as a unique tool in management of white spot lesions (WSL). Although it provided ultraconservative biological and esthetic outcomes, this outcome was not optimum in all cases. That is why better understanding of the WSL type and severity and how the application technique can be modified to improve the treatment outcome is needed. That led to the introduction of the “Deep Resin Infiltration” technique.

Learning Objectives:
1. Identify lesions where conventional resin infiltration technique will not work.
2. Explain the rationale behind the modification “Deep Resin Infiltration Technique.”
3. Illustrate the technique tips and tricks for optimizing the treatment outcome.

Adriana Manso, DDS; MSc; PhD; FADM
Faculty, UBC Vancouver, BC
“Adhesive Dentistry Challenges to Altered Dentin.”

Synopsis: This presentation will discuss the newest scientific evidence related to bonding to altered dentin substrates, including eroded dentin, caries affected and deep dentin, sclerotic and hypermineralized dentin. Those bonding substrates represent the most commonly found in daily practice and a clear understanding of the best bonding approaches for each is key for clinical longevity of bonded direct and indirect restorations.

Learning Objectives:
1. Describe the characteristics of altered dentin substrates in relation to sound dentin
2. Understand how these differences can impact the bonding procedure
3. Discuss current adhesive systems in relation to bonding to altered dentin substrates.

Shimaa Hathan, BDS
Resident, UFL Gainesville, FL
“Mechanical Properties of 3D-printed and milled restorative materials used in conservative overlay preparation, bonded and non-bonded.”

Synopsis: In Vitro study of Mechanical Properties 3-D printed and milled restorative Materials used in minimally invasive overlay preparations. Mechanical properties of the materials were tested alone and bonded to a dentine analog.

Learning Objectives:
1. Relate the mechanical properties and the clinical application of different materials.
2.  Recognize the limitations of each material.
3. Is 3D-printed composite comparable to lithium disilicate and other glass-based ceramics.

Renata Lencioni DDS
Resident, UFL Gainesville, FL
“Effect of Blue and Red-lights on Biological Properties of Light-cured Composite Restorations.”

Synopsis: The use of red light seems a viable, harmless alternative to substitute the conventional blue light used in Restorative Dentistry.

“Sealing Success: The Art and Science of Rubber Dam Isolation.”
Synopsis: Rubber dam isolation is a critical aspect of modern dental practice, providing numerous benefits for both the dentist and the patient during dental procedures. This presentation aims to explore the importance of rubber dam isolation, the different techniques, and the essential instruments required for successful implementation. Through this comprehensive overview, dental professionals will gain valuable insights to enhance their clinical outcomes and patient experience.

Learning Objectives:
1. Participants will learn about the numerous advantages of using rubber dam isolation, including enhanced moisture control, improved infection control, increased treatment efficiency, and enhanced patient safety. Understanding these benefits will enable dental professionals to make informed decisions on when and how to implement rubber dam isolation in their practice.
2. Demonstrate proficiency in rubber dam placement techniques and instrument usage: attendees will be able to confidently perform rubber dam isolation for various dental procedures. They will learn step-by-step placement techniques.
3. Analyzing the selection criteria for appropriate rubber dam materials will allow participants to tailor their approach and select the most suitable.

Richard Trushkowsky, DDS
Faculty, NYU, New York, NY
“Bioemulation with Minimally Invasive Ceramic Restorations.”

Synopsis: Restoring a missing anterior tooth can represent a challenge especially in young children. Restorative options consist of a dental implant, fixed partial denture, removable partial denture and resin bonded fixed dental prosthesis (RBFDP) as demonstrated.

Learning Objective: minimally invasive ceramic restorations proper adhesive techniques selection of ceramic material

Leandro Soares, DDS; MSD; PhD (Ralph Phillips Student Research Award Winner)
Faculty, UNC, Chapel Hill, NC
“The Influence of Cut-Out-Rescan and Data Exchange by Over-Scanning Techniques on the Marginal Fit of CAD/CAM Crowns.”

Synopsis: Can cut-out-rescan (COR) and exchange by over-scanning (DEOS) techniques be used for image editing during the acquisition process in a chairside CAD/CAM system? Will these techniques aid the digital workflow and result in the fabrication of monolithic lithium disilicate crowns acceptable marginal gap values?

Learning Objectives:
1. Understand the implications of cut-out-rescan (COR) and data exchange by over-scanning (DEOS) techniques in CAD/CAM software for adjusting digital scans.
2. Recognize the significance of micro-CT in assessing the quality and precision of dental restorations, particularly in crown fabrication.
3. Recognize the clinical implications associated with the marginal fit outcome of lithium disilicate crowns after two different adjustment procedures.

Dr. Maria Cook, DDS
Private Practice, Citrus Heights, CA
"Air Abrasion in Restorative Dentistry."