Projected Table Clinics - Grand Ballroom
Clinician: Dr. Rajiv G. Patel
Title: Surgical Extrusion- Restorative Driven
Abstract: Single rooted teeth structurally compromised by extensive caries, fracture, perforation or resorption confronts the clinician with the dilemma of either an extraction or inter-disciplinary procedures to salvage the involved tooth. An optimum ferrule and respect for biologic width is critical to predictable long-term prognosis of such teeth. A variety of corrective procedures such as clinical crown lengthening, orthodontic extrusion or the forgotten modalities of immediate surgical extrusion are available in order to achieve the above objectives. Clinical crown lengthening can cause collateral damage by removal of healthy bone support on adjacent teeth and its effect on esthetics in the anterior region can be unfavorable whereas orthodontic extrusion is time dependent, relying on patient compliance and the need for additional corrective crown lengthening therapy subsequent to orthodontic repositioning of the tooth. Immediate surgical extrusion is the intentional and controlled luxation of the root coronally with the objective of stabilizing the root in a favorable restorative position. The information extrapolated from the dental trauma literature with regards to extrusive luxation supports a favorable prognosis with a low incidence of adverse events for the immediate extrusion procedure. The typical risks of resorption, ankylosis or persistent mobility anticipated with a traumatic luxation are minimal with the controlled procedure of surgical extrusion. From the available evidence, surgical extrusion is certainly a valid treatment option in restoratively compromised single rooted teeth. It is time to re-emphasize this forgotten dimension of treatment option.
- Indications, case selection and armamentarium for surgical extrusion.
- Biology and mechanics of surgical extrusion.
- Restorative considerations and risks
Clinician: Dr. Monica Azer
Title: Leveraging digital design and printing technologies--a minimally invasive alternative in complex dental cases.
Abstract: Conservative management of an elderly patient with anterior and posterior open bite due to osteoarthritis of the TMJ. A fully digital workflow was utilized. A maxillary removable appliance was milled and a mandibular removable appliance was printed with the intention of increasing chewing surface area and therefore increasing chewing efficiency. The maxillary appliance doubled as an esthetic appliance.
- Utilizing digital technology in occlusal rehabilitation
- Exploring minimally invasive alternatives in complex dental cases
- Increasing overall quality of life of the elderly population
Clinician: Dr. Adriana Manso
Title: What, when and how on bulk-fill composites: Scientific evidences for clinical applications.
Abstract: This table clinic will discuss the current status of bulk fill resin composites as a direct restorative material. From materials' modifications to clinical scenarios when bulk fill composites can be a good alternative to conventional composites will be presented. The ideal placement of bulk-fill composites for optimal clinical results will be detailed. Their limitations will be addressed as a useful clinical guideline for practitioners.
- Describe the main modifications on bulk-fill composites
- Understand the impact its chemistry on long-term performance
- Apply current scientific knowledge in clinical placement of bulk-fill restorative materials
Clinician: Dr. Supitcha Talungchit
Title: Do We Need Amalgam Anymore? An Eight Year Follow-up
Abstract: The use of amalgam has greatly decreased and has even been condemned in current dental practices. This interactive audience response device presentation will sample and present viewer attitudes compared to those from a table clinic presented at the 2011 AOD meeting. Pros and cons of amalgam’s future in operative dentistry will be discussed and possible alternative materials will be reviewed.
- To learn AOD members’ opinions about the future of dental amalgam through an interactive presentation using Turningpoint, an audience response system and to compared this with the opinions received from a similar table clinic presented at the 2011 AOD meeting.
- To have an understanding of the advantages and disadvantages of using dental amalgam in current dental practice.
- To evaluate the alternatives to replacing dental amalgam and how effectively these will work.
Clinician: Dr. Christina Cho
Title: Comparative evaluation of composite resin restorations fabricated from CAD/3D printing and CAD/CAM technologies
Abstract: This study investigates a comparison between marginal fit and internal adaptation of composite resin restorations fabricated from computer-aided design and additive manufacturing 3D printing (CAD/3DP) and computer-aided design and computer-aided manufacturing (CAD/CAM). The impact of our proposed study would help us understand the potential 3DP technology has in advancing the field of operative dentistry.
- Review the differences in physical properties of resin restorations from CAD/3DP and CAD/CAM.
- Evaluate the difference in marginal fit and internal adaption of composite resin restorations fabricated from CAD/3DP and CAD/CAM.
- Understand the applicability of CAD/3DP technology to clinical operative dentistry.
Clinician: Dr. Upoma Guha
Title: In Vitro Analysis of Dental Erosion Caused by Commercial Vegetable Juices
Abstract: This in vitro study reports the erosive effect of commercially available popular vegetable juices on bovine enamel surface in terms of alteration of surface morphology and microhardness. The altered surface microhardness and morphology suggests that the healthy vegetable juice has the potential for dental erosion. Author suggests the clinicians to educate the patients to prevent future dental erosion.
- To learn about the clinical concept of dental erosion and critical pH to protect enamel and dentin from dissolution.
- To learn about the potential of dental erosion from seemingly healthy vegetable juice.
- To learn about the proper instruction for patients to avoid possible dental erosion after consuming acidic juice.
Clinicians Name: Sierra Schafer
Title: Raising patient’s self-esteem through improvement of anterior restorations.
Abstract: Young adult patient with a visibly improved self-esteem after completion of lithium disilicate bonded restorations on maxillary anterior teeth. -A Case Report.
- Effect of dental esthetics and its role in improved patient psychological disposition.
- Understand the technique of using provisional restorations to create the proper gingival contour, tooth shape and patient acceptance of the case.
- Effective communication with the lab for optimal esthetic dental results.
Clinician: Dr. Urmi Bhattacharyya
Title: Direct vs. Indirect Restorations as a prognostic factor for successful pulp capping
Abstract: This table clinic will describe the most predictable methods and known prognostic factors for pulp capping. The effect of a temporary vs. a permanent restoration, on pulp capping, has been explored. Mente et al, recommend placement of a permanent restoration immediately after pulp capping. However, do direct restorations vs. indirect restorations have an effect on the outcome of pulp capping?
- Clinical protocol recommendations to achieve predictable pulp capping under direct restorations vs. indirect restorations
- The need for studies that explore the effect of direct vs. indirect restorations on the success of pulp capping
- A brief overview of modifications to the original Pro-root MTA formula
Clinician: Awab Abdulmajeed
Title: Effect of Fatiguing and Preheating on the Mechanical Properties of Bulk-Fill Versus Conventional Composite Resin
Abstract: To evaluate the effect of fatiguing and preheating on mechanical properties of bulk-fill composite resin and compare it to a conventional composite resin counterpart.
- Mechanical properties of bulk-fill and conventional composite
- Benefits of preheating composite resins
- Effect of preheating on the mechanical properties
- Importance of in-vitro fatiguing in laboratory studies
Clinician: Dr. Elizabeth Kidder
Title: Sleep-disordered Breathing in the Pregnant Patient
Abstract: Pregnant women currently suffer from some of the highest percentages of sleep-disordered breathing of any patient population. Sleep-disordered breathing during pregnancy contributes to multiple adverse outcomes to both mom and baby. Helping these patients better manage their airway can dramatically improve quality of life during pregnancy, and may even improve post-partum outcomes for mom and baby.
- Participants will be able to list the pregnancy-related anatomical changes that occur to the airway that make pregnant patients more vulnerable to developing sleep-disordered breathing, and how sleep-disordered breathing during pregnancy can result in poorer outcomes for both mother and baby.
- Participants will learn simple screening tools to assist themselves, pregnant patients, and OBGYNs for sleep-disordered breathing during pregnancy.
- Following the course, participants will understand simple ways to alleviate pregnancy-related sleep-disordered breathing for their patients during what is commonly a period of temporary physical changes to the airway.
Clinician: Sama Suliman
Title: Teeth Dehydration/Rehydration And The Effect Of Time On Tooth Shade Selection
Abstract: Shade selection is influenced by tooth dehydration/rehydration and is relevant to increase in time, the purpose of this clinical study is to estimate the time required for teeth to dehydrate, and to estimate the time required for teeth to rehydrate and its relation to the accuracy of tooth shade selection.
- Visual and instrumental methods of shade selection
- The effect of dehydration time on color change throughout shade selection process
- To determine the time needed for the color change to return to normal levels after isolation removal
Clinician: Dr. Robert “Tito” Norris
Title: Substitution to replace Missing Teeth in the Anterior Maxilla
Abstract: In the context of congenitally absent or traumatically avulsed teeth in the anterior region of the dental arch of a adolescent, the most efficient, enduring, timely, and cost effective solution is one and the same: the use of the natural dentition. The methodology and necessary considerations pertaining to canine substitution for a maxillary lateral incisor, premolar substitution for a maxillary cuspid, lateral substitution for a maxillary central incisor, and auto transplantation of a mandibular premolar for a missing incisor are discussed in detail.
- Attendees will learn the esthetic and functional considerations and benefits and challenges of substituting a premolar for a missing canine.
- Attendees will learn the esthetic and functional considerations and benefits and challenges of substituting a canine for a missing lateral incisor.
- Attendees will learn the esthetic and functional considerations and benefits and challenges of substituting a lateral incisor for a missing central incisor.
Clinician: Dr. Ashley Hoders
Title: Strategic ridge management utilizing partial extraction therapy: Why should we consider this technique?
Abstract: Tooth removal results in dimensional changes of the alveolar ridge both horizontally and vertically, as loss of the bundle bone compromises blood supply to an already thin anterior alveolus. These changes impact the hard and soft tissues, potentially compromising the esthetic outcome. Although various augmentation approaches aim to reconstruct these deficiencies, some degree of resorption and remodeling invariably occur, and involve added cost and time for treatment.
Partial extraction therapy is a strategic approach to ridge management that is based on biologic principles. Goals of this technique include intentional retention of aspects of the root for preservation of ridge volume, which ultimately helps to preserve esthetics by utilizing what exists naturally.
- What is partial extraction therapy?
- Why can partial extraction therapy be beneficial?
- Which clinical situations can we consider this approach?
Clinicians Name: Zhen Shen
Title: Accuracy of Occlusal Caries Detection Using Three Different Caries Scoring Systems
Abstract: Caries detection is a key element in the caries management plan. In order to monitor the caries progression on occlusal tooth structure, it is important that the caries detection systems present the granularity of caries process. The traditional caries finding codes, primary and incipient carious lesions, cannot represent the caries progression due to unclear definition between these two terminologies.
- To get familiar with three different occlusal caries classification systems: traditional, ICDAS and ADA;
- To compare the effectiveness of the three detection systems in diagnosing occlusal caries;
- To evaluate the ability of restorative treatment decision by predoctoral dental student in comparison to the instructors using the three systems.
Clinician: Gustavo E. Mahn Arteaga
Title: An improved direct anterior injection technique with flowable composites using a digital approach
Abstract: Anterior teeth restorations often involve difficult and time-consuming procedures. An improved direct injection technique using digital workflow in the restoration of anterior teeth can be an alternative to save clinical time and yield a predictable and esthetic outcome.
- Propose a new technique using flowable composite resin to improve anterior esthetics
- Incorporate digital workflow to save time and deliver restorations with more efficiency and predictability
- Provide a critical analysis about the use of dental materials and novel techniques