Zirconia Update: The Material and its Clinical Applications
Drs. Gerry J. Chiche and John O. Burgess
This presentation will outline clinically useful current research, and its application for predictable clinical applications.
- Describe and compare the evolution of zirconia through three generations— traditional opaque zirconia, slightly translucent, and cubic containing translucent zirconia – mechanically and esthetically.
- Present relevant research data and clinical parameters required for routine use of traditional and translucent zirconia for onlays, crowns, and fixed partial dentures.
- Provide a step by step predictable procedure for cementing and bonding zirconia restorations.
Dr. Chiche is a Thomas P. Hinman Endowed Chair in Restorative Dentistry and Director of the Center for Esthetic & Implant Dentistry at Augusta University College of Dental Medicine in Augusta, GA. He is a Past President of The Academy of Esthetic Dentistry and the author of two textbooks: “Esthetics of Anterior Fixed Restorations” and “Smile Design-A Guide for Clinicians, Ceramist, and Patient”. (Quintessence Pub.) In 2009, he became the first recipient of the “Endowed Chair” by The Thomas P. Hinman Society.
Dr. John Burgess is an adjunct professor at The University of Alabama at Birmingham where he is the assistant dean for clinical research from 2006-2016. Dr. Burgess has authored or c
o-authored more than 400 articles, abstracts, and book chapters, edited several textbooks, and has presented more than 1000 all day CE courses. Currently he conducts clinical research projects at UAB by placing ceramic restorations, bulk placed and cured posterior composites, new adhesives and resin infusion systems.
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Drs. Chiche and Burgess report no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
Incorporating Digital Scanning into your Practice – Is it a Positive Disruption?
Dr. Brian Schroder
Any change in a significant, time tested technique or system in restorative dentistry is disruptive. Having reached the “tipping point” of acceptance into mainstream dental practice but not yet the standard of care, intraoral scanning (IOS) is being considered by many practitioners. This presentation will review the incorporation of IOS into a general practice and demonstrate the breadth of its’ capabilities.Within this presentation will be a discussion of the old (biomechanics) and the new (using digital technology to reveal outcomes before initiating treatment) and many procedures in between. The intention of the presentation is to determine whether the disruption caused by changing to IOS is a positive one.
- It’s a Scanning Wand, not a Magic Wand
- The different technologies utilized in data accumulation
- The challenges that present themselves in converting to IOS
- Techniques to utilize IOS in implant placement and restoration
- How we can use IOS in treatment planning beginning with the end in mind
A live, internet based, surgical guide design and treatment planning workshop will be presented during the Table Clinics Friday afternoon. This workshop will be a continuation of and more detailed look into utilizing intraoral scanning in the fabrication of surgical guides for precision implant placement. We will do a live treatment planning seminar with an internet based surgical planning, design and fabrication service that will demonstrate the simplification of a process that is perceived as very complicated and difficult. After this workshop attendees will realize that surgical guide fabrication is actually very straightforward and predictable enabling more accurate implant placement and improved restorative outcomes.
Dr. Schroder graduated from the UT Health Science Center Dental School in San Antonio in 1982 and completed a General Practice Residency at the Audie Murphy Veterans Administration Hospital in 1983. He maintains a position as an Adjunct Clinical Faculty Member at UTHSCSA Dental School where he teaches in the Advanced Education in General Dentistry program. He is an active member of the American Academy of Restorative Dentistry and a fellow of both the American and International College of Dentists. He maintains a full-time private practice in comprehensive restorative dentistry with special interests in Interdisciplinary Treatment and Digital Dentistry. He has been published in The Compendium of Dental Education, Inside Dentistry and Dentistry Today.
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Dr. Schoeder reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
The 37th Buonocore Memorial Lecture
Tailored Dentistry – Or One Size Fits All?
Dr. Falk Schwendicke
A highly dynamic epidemiologic landscape and an unequal distribution of oral and dental health between and within populations, lead to calls for a tailored decision-making in dentistry. Risk-based diagnostics and therapy planning will be discussed, and future challenges in elderly, more diverse populations analyzed. Further consideration will be paid to a possible need to balance between efforts, i.e. costs, and health benefits, i.e. effectiveness, stemming from tailored and non-tailored approaches.
1. To understand why tailored diagnostic and therapeutic concepts are needed in dentistry
2. To evaluate and appraise concepts towards tailored dentistry
3. To apply, critically, risk-based decision-making
Falk Schwendicke is Associate Professor and deputy head of the department of Operative and Preventive Dentistry at the Charité – Universitätsmedizin Berlin. His research focuses on modern management of caries and periodontitis, disease detection and risk assessment, epidemiology and health services research, including health economic and evidence-based assessment of dental technologies and interventions. He is the member of various editorial boards, among them the Journal of Dental Research, and has received a number of prestigious awards, including the IADR Lion Award and the David Sackett Award for Evidence Based Medicine. He has authored more than 100 scientific papers, and is the author and editor of various books on cariology and periodontitis.
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Dr. Schwendicke reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
A Direct Refractory Die Technique for Cast Gold Restorations
Dr. Cleveland T. Smith
Fabricating accurate cast gold restorations can be challenging for both clinicians and laboratory technicians. Removing the wax pattern from the master die often distorts the pattern, which in turn, compromises the overall fit and marginal adaptation of the casting. This presentation will demonstrate a laboratory technique in which the final restoration is cast directly on the refractory die without removing the wax pattern. Thus, distortion of the wax pattern is avoided, enabling the efficient production of superbly fitting gold castings for both intracoronal and extracoronal restorations.
- The advantage of a refractory die technique for cast gold.
- The long-term prognosis of precise gold castings placed intraorally.
- The precise efficiency and consistent results produced by the technique.
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Dr. Smith reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
Hazards of Commonly Prescribed Dental Drugs: Not as Safe as We Thought
Cindy Marek, PharmD, FACA
While the scope of medications commonly prescribed in dental practice is narrow, the dental drug arsenal contains agents that are increasingly associated with serious adverse effects due to genetic predisposition, drug-drug & drug-disease state interactions. The recognition and management of these issues continues to evolve.
- Identify patients at highest risk from acute use of NSAIDs
- Assess the potential for QT prolongation & torsades de pointes VT from routinely prescribed dental antibiotics
- Describe the relationship between the use of prescription opioids in adolescents and future misuse as adults
Dr. Marek is a Clinical Associate Professor in the Department of Oral Pathology, Radiology and Medicine at the University of Iowa College of Dentistry and holds a joint appointment at the College of Pharmacy.
Dr. Marek manages the Dental Pharmacy operations and provides lectures and clinical consultations on a variety of topics including intraoral effects of drugs, antimicrobial prophylaxis, pain management, therapeutic agents for mucosal disease, xerostomia etc. She has over 20 years of clinical experience at the College of Dentistry, consulting with all specialties and lecturing throughout the undergraduate and graduate curriculum at the College of Dentistry. She presents continuing education programs throughout the U.S. and Canada, which provide up-to-date, clinically relevant information along with extensive handouts designed to serve as chairside
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Dr. Marek reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented
Creating Natural Smiles with Minimally Invasive Dentistry
Rodrigo R. Maia, DDS, MS, Ph.D.
The purpose of this course is to present direct bonded restorative approaches for anterior teeth based on a minimally invasive principles, planning, materials (adhesive systems and resin based composites) and clinical approaches (photo curing strategies and layering techniques). The focus of this lecture will help the dentist achieve excellent esthetics, function and affordable solutions while preserving natural tooth structure.
- Understand minimally invasive concepts and their influence in esthetic dentistry;
- Understand the keys to be able to achieve long term and aesthetic direct restorations;
- Incorporate new concepts of light curing, dental adhesives and resin based composite materials into their practice.
Dr. Maia received his Dental Degree from Gama Filho University in 1994. After his graduation he served in the Brazilian Air Force:
- BAF (Captain 1995 – 2012).
- 1998 he finished his residency program in Operative Dentistry (BAF), Masters (2004) and PhD (2008) in Operative Dentistry from Rio de Janeiro State University in Rio de Janeiro, Brazil (UERJ).
- He completed his residency in Periodontology in 2005 (BAF – Health Directory).
- In 2006 his was appointed as the Coordinator of the residency program in Operative Dentistry (Brazilian Dental Association – section: Rio de Janeiro).
- He finished his PhD (2008)
- He received the Brazilian Air Force 2 years Scholarship to studyabroad at The University of Iowa.
- In 2010, he completed his postdoctoral work at Dows Institute of Dental Research UIOWA – College of Dentistry
- He returned to Brazil and was appointed as the Program director in Operative Dentistry residency course at the BAF.
- He worked for 17 years as a part-time in private practice in Rio de Janeiro and joined the Department of Operative Dentistry in 2012 at the University of IOWA as a visiting assistant professor
- 2013 he became an assistant professor.
- He is participating as a co-director of graduate operative dentistry program and has an intramural dental practice in the Department of Operative Dentistry.
- He is an active member of: The American Dental Education Association, The International Association for Dental Research, and The Academy of Operative Dentistry.
Dr. Maia will also be presenting a step by step sit-down video demonstration Table Clinic Friday afternoon. See the Table Clinic Program for additional information
Operative Dentistry, Inc. designates this activity for 1 continuing education credit. Dr. Maia reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
Richard V. Tucker Lecture of Excellence
Occlusion Concepts and Anatomy: New Perspectives for 2018
Dr. Terry T. Tanaka
Dr. Tanaka will demonstrate how current occlusion concepts and the supporting structures are affected by occlusal forces, function, opposing occlusions and both local and systemic disease.
- Why an understanding of basic anatomy is important in diagnosing occlusal disorders & maintaining a stable occlusion.
- New skills for physical diagnosis and treatment planning will be presented.
- Why abfractions are rarely caused by tooth bending and why fatalities occur after TMJ arthroscopy
Dr. Tanaka is a Clinical Professor in Graduate Prosthodontics at the University of Southern California, School of Dentistry and maintained a practice limited to Prosthodontics and orofacial pain for 40 years. He directs Anatomical and Dental Research at the Clinical Research Foundation 501(c)3 where he teaches advanced occlusion and head and neck anatomy.
Operative Dentistry, Inc. designates this activity for 3 continuing education credits. Dr. Tanaka reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.
What is a Click?
John R. Droter, DDS
That mysterious sound coming out of the Temporomandibular Joint will be explored. Some clicks are dangerous, most are not. Can you tell the difference?
- All clicking temporomandibular joints are damaged. Most damaged temporomandibular joints do not need treatment.
- The clinical implications of “The Click”.
- How to identify dangerous clicks.
After this presentation, you will have a much better understanding of the TMJ in health and disease. You will be better able to explain to your patients why their joints are making a clicking sound and if there is anything to worry about. The clicking sound emanating from the TMJ can be from several different causes. Some need treatment, most do not. A simplified diagnostic approach that can be done in any dental office will be presented, allowing a general practitioner to identify the “dangerous clicks”.
Dr. Droter maintains a private practice diagnosing facial pain in the Washington DC, Baltimore, Annapolis area. He is a visiting faculty member at the LD Pankey Institute in Florida and the Spear Educational Center in Arizona. In the past he was a visiting faculty member at The Washington Hospital Center in Washington, DC, teaching temporomandibular disorders to the orthodontic residents and was on staff at Anne Arundel Medical Center in Annapolis, where he did rounds with orthopedic surgeons, learning the medical approach to damaged joints. He lectures nationally and is honored to be included in the Dentistry’s Todays Top Clinicians in Dental Continuing Education. His writings include published articles on the TMJ, a TMJ Manual written for patients, and a chapter in the Tek Scan textbook.
Solving the Toothache Diagnostic Puzzle… And Communication of Findings
Dr. Mark Camp
- Understand strategies for developing diagnostic information from the patient’s chief complaint.
- Develop an understanding of the different clinical presentations for pulpal and periapical pain.
- Learn methods of communicating endodontic diagnoses to patients.
Dr. Mark Camp graduated from the LSU School of Dentistry in 1996. Mark then served in the US Navy Dental Corp as a general dentist in South Carolina, then aboard the USS Theodore Roosevelt, an aircraft carrier stationed in Norfolk, Virginia. Upon release from the Navy, Mark returned to New Orleans and completed a 3-year residency in Endodontics, earning his Certificate in Endodontics and a Masters in Oral Biology. After finishing his Endodontic program, Mark moved to Longview, Texas where he has practiced for 15 years
The Academy is grateful to Dr. Mark Camp, who is serving as stand-by clinician this year in the event that another essayist cannot be present.
Operative Dentistry, Inc. designates this activity for 1.5 continuing education credit. Dr. Camp reports no proprietary, financial or other personal interest of any nature or kind in any product, service and or company that will be presented.