Keys to Optimal Implant
Esthetics (Time = 1/2 day or full day)
Dr. Priest will describe proven techniques and
protocols that enhance esthetic outcomes based on his experience
restoring thousands of implants over more than 20 years.
Clinical techniques, materials and components that profoundly
impact implant esthetics will be highlighted. The presentation
will build on a hierarchy of steps that follows the patient from
the initial examination, through treatment planning, implant
surgery, prosthetic treatment and laboratory steps that result
in predictably esthetic restorations.
This
information packed day will help restorative dentists,
prosthodontists, periodontists, oral surgeons, orthodontists,
pediatric dentists and laboratory technicians to enhance
esthetic implant outcomes.
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Esthetic Success with Single Implant Restorations: An
Interdisciplinary Approach (Time= 2 ½ hours)
Natural appearing esthetics with single implant
restorations can be expected results. Collaboration between the
restorative dentist and other team members is instrumental in
attaining optimal prosthesis design and consistent results for
single implant restorations. This presentation will introduce a
hierarchy of implant esthetic principles and a restorative
protocol for predictable outcomes. Implant components and
techniques specific to single-tooth restorations in the esthetic
zone are detailed and demonstrated.
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Young
Patients and Esthetic Single Implant Outcomes (Time = 3 hours)
Teenagers and young adults
represent a large and growing segment of potential single implant
patients. The majority of young patients are seeking
implant care in the esthetic zone primarily due to congenital absence and trauma. With proper treatment planning and
collaboration between members of the implant team, young
patients can avoid the ravages of conventional dental procedures
and ensure long term functional and esthetic success. In
addition to the oral surgeon, periodontist and restorative
dentist, the orthodontist and pediatric dentist are key team members in the treatment
of young patients. This presentation includes guidelines for
treating young patients with single implants including appropriate age and maturity,
cost and value of implant treatment, and clinical examples
highlighting long term results. [return
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Esthetic
Provisional Restorations for Single Implants (Time = 1
˝ hours)
Patients missing
single teeth are the largest potential population seeking
implant treatment. The provisional phase, during integration and
soft tissue maturation, is often the longest in duration and the
most challenging aspect of restorative implant treatment. Yet,
there is minimal instruction available on provisional
restorations. The provisional restoration is the most effective
esthetic communication tool between dentist, patient, and
laboratory. Techniques will be detailed demonstrating
three groups of available options of
provisional restorations for single implants from removable
prostheses to tooth-supported prostheses to implant supported
fixed prostheses.
Dr. Priest presents clinical examples for the application of
each type of provisional implant restoration as well as criteria
for selecting the most appropriate type of provisional
restoration for a specific patient.
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Single
Implant Profitability and Value (Time = 1 ˝ hours)
Dental implants have become the
standard of care for replacement of single missing teeth. The
financial misconceptions that a single-tooth implant replacement
is not as profitable for dentists or as cost effective for
patients as a fixed partial denture prevent many dentists from
recommending the implant option. A series of real-time video clips
illustrate an efficient and effective implant specific restorative protocol.
Dentists can realize higher production rates and greater profits
by using efficient implant impressions that minimize intraoral
procedures and maximize efficiency. Dr. Priest will present an
economic analysis, comparing single-tooth implant replacements and fixed partial dentures, that illustrates that the implant
option provides greater profitability for dentists and exceptional value
for patients. [return
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The Esthetic Challenge of
Adjacent Implants (Time = 2 hours)
Protocols for adjacent implants in the esthetic zone
are considerably different from those of single tooth
restorations. The challenge is to create the illusion of natural
gingival architecture between implants. This discussion explores
treatment planning concepts, leading-edge techniques and implant
designs, including Certain Prevail Implant, to achieve optimal
results for partially edentulous patients. Clinical examples
demonstrate implant placement and spacing guidelines, soft
tissue development, prosthetic alternatives when ideal tissue
form is not achievable and restorative protocols that maximize
esthetic potential. [return
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Implants
for Edentulous Mandibles: A Blueprint for Success (Time
= 1 ½ hours)
Brånemark envisioned his
concept of dental implants to solve the dilemma of unstable and
uncomfortable lower dentures. Twenty years later, implants have
become the standard of care for these once compromised patients.
We will examine fixed and removable implant solutions that can
accommodate any patient's need and budget. A review of technical
procedures will elucidate the advantages of the many available
choices, including CAM StructSURE Bars and Locator Attachments
for removable prostheses and hybrid frameworks and metal ceramic
fixed prostheses. Cost and time considerations will be compared for complete dentures,
implant overdentures and fixed implant prostheses. [return
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Procedural Guide for Hybrid Prostheses in Edentulous Mandibles (Time = 1 ½
hours)
Modern implant dentistry has
its roots in the hybrid prosthesis (fixed complete dentures)
created for patients with edentulous mandibles. This implant
technique remains the most significant service restorative
dentists can provide for these otherwise debilitated patients.
Patient selection criteria, design parameters and procedural
details simplify and standardize the restoration process to
ensure optimum outcomes. [return to top]
Implant
Rehabilitation of Edentulous Maxillae (Time = 2 hours)
Implants have
significantly altered treatment concepts for edentulous maxillae
and have given edentulous patients new hope for functional
rehabilitation. Current literature is used to prescribe optimal
implant numbers and distribution for maximum longevity and
comfort. Removable and fixed alternatives which provide
favorable choices based on cost, esthetics and function are
explored. Specifically, Dr. Priest will detail protocols for
attachment and bar retained overdentures using traditional and
CAD/CAM components, followed by fixed restorations using
ceramics, resins, and gingival colored materials. This
interactive discussion will include step-by-step guidelines for
treatment planning and executing functional and esthetic
prostheses for edentulous patients.[return to top]
CAD/CAM Implant Technology for Treatment of Edentulism (Time = 1 ½
hours)
Current restorative systems defy
the myth of complicated implant procedures. Continually evolving
implant protocols are examined that improve the patient experience,
provide better value, increase profitability and accelerate treatment
time. Dr. Priest will examine the concept of CAMStructSURETM
restorations from Implant Innovations, Inc. that will virtually
eliminate the inaccuracies of archaic casing technology and ensure
accurate fitting prostheses.
Advances in CAD-CAM technology are demonstrated that reduce the
restorative complexity for completely edentulous patients. This cutting-edge technology of computer-generated restorations
will eventually become the standard for implant dentistry. This
presentation will emphasize edentulous patients and will include
a step-by-step guide to complete restoration. Modified surgical
and restorative protocols that enhance the patient experience
will also be examined. [return
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Computerized Techniques for the
Development of Implant Abutments & Crowns (Time =1 ˝ hours)
Computer designed and generated abutments for
single implant restorations, EncodeTM (Implant
Innovations, Inc.), will
fundamentally change the present restorative protocols for
implant dentistry and become the standard in the foreseeable
future. Standard implant prosthetic techniques rely on
implant-level impressions and conventional casting technology
for component fabrication. Many dentists are uncomfortable
making implant-level impressions and resort to time-consuming
conventional techniques of intraoral abutment preparation, or do
not offer implants as a treatment alternative. Dr. Priest will
introduce this innovative digital system which eliminates the
need to make implant level impressions, while providing patient
specific custom abutments with unmatched precision and ideal
contours. [return
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CAD/CAM Precision: The New Reality for Implant Restorative
Protocols (Time = 2 hours)
Computer
designed and generated abutments and bar frameworks will
fundamentally change the present restorative protocols for
implant dentistry and become the standard in the foreseeable
future. Dr. Priest examines how computer aided design and
computer aided manufacturing (CAD/CAM) virtually eliminates the
inaccuracies of archaic casting technology and ensures accurate
fitting prostheses. As dentists embrace CAD/CAM innovations that
simplify implant dentistry and create predictable and stable
implant interfaces, they are more likely to recommend and
deliver implants as their preferred option of tooth replacement
for patients. [return
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Technology Driven Practice
Growth and Improved Patient Care (Time = 2 hours)
New technological developments are dramatically
improving dentists' ability to provide optimal implant
treatment. This presentation highlights 5 new technologies
introduced by Implant Innovations, Inc.: Certain Prevail
Implants for bone preservation, Encode Patient Specific CAD/CAM
Abutments, CAM StructSURE CAD/CAM frameworks for edentulous
patients, PreFormance Provisional Components and NanoTite
surface technology for enhanced implant stability. The
objectives of these new technologies are to simplify and
enhance clinical and laboratory procedures, reduce
chairtime and treatment duration, increase durability of implant
prostheses and ultimately to improve patient care. [return
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Immediate
Implant Restoration (Time = 1
˝ hours)
Immediate restoration will
become standard implant protocol in the foreseeable future. Many
patients are demand instant results and are not willing to wait
months to receive their final prostheses. Immediate implant placement and
restoration of single and multiple missing teeth eliminates this important
barrier to acceptance of implant dentistry. However, this
popular new alternative should be approached with caution. This
presentation will better prepare practitioners to evaluate immediate
tooth replacement by 1)reviewing published data, 2) selecting
those patients who are the best candidates, 3) introducing surgical and restorative protocols
that will ensure the
highest rates of success. Protocols using PreFormance
Provisional Components for single implants and DIEM Components
for edentulous patients respectively simplify immediate
restorative techniques. [return
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Collaborative
Partnering: Teamwork in Implant Dentistry (Time = 3 hours)
The implant team must collaborate
throughout the entire treatment cycle. For optimum
results, the team approach should extend beyond the diagnosis
and referral to include continued cooperation during treatment
planning, the treatment phase, and the post-treatment assessment.
Each implant specialist has a defined role and specific protocol
in directing the team to optimal implant outcomes. The requirements
of each specialty team member will be discussed including effective marketing
of biologic and economic benefits to patients, appropriate age
for implants, optimal orthodontic alignment, surgical placement
for ideal esthetics, and final restorative and rehabilitative
results. The team partners will gain a perspective of each others
needs in a multidisciplinary cooperative approach to implant dentistry.
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A Collaborative Approach to
Comprehensive Implant Dentistry (Time = 2 hours)
Complex implant dentistry often requires a combination of
treatments including surgical hard and soft tissue
regeneration, periodontal crown lengthening and plastic
procedures, orthodontic spacing and alignment, and
restoration with implants, crowns and veneers.
Sophisticated, comprehensive dental care absolutely demands
collaboration of several specialists functioning as a team.
Using clinical examples, Dr. Priest will present a
collaborative approach for complex dental rehabilitations
that predictably results in optimal esthetics, durable
prostheses, and satisfied patients. [return
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ESTHETIC DENTISTRY
Progressive Veneer Techniques for Optimal Esthetics (Time = 2
˝ hours)
Ceramic veneers are the foundation
of the esthetically-oriented practice. They are conservative options
for esthetic enhancement that can significantly change a patient's
appearance. Materials and techniques have evolved that simplify
restorative procedures and maximize esthetic results. Dr. Priest
will examine indications, effective tooth preparation, luting
techniques, and esthetic tooth arrangements for specific patient
types. He will also recommend supplies and materials that have
proven to be effective. Techniques for avoiding common problems
of preparation are demonstrated, and the close association between
tooth preparation and prosthetic excellence are emphasized.
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Smile Line Revitalization with Crowns, Veneers and Implants (Time = 2
˝ hours)
Dentists
are often challenged to provide esthetically pleasing smiles to
patients with missing teeth or teeth compromised by dental
carries, wear, erosion or pernicious habits. The goal is to
preserve remaining tooth structure and prevent further
breakdown. However, dentists are also presented with the
opportunity to not only restore, but to
enhance these patients’ dental
esthetics. The sequential treatment steps of smile line
rehabilitation are largely influenced by the anticipated
esthetic results. Topics of discussion include the influence of
esthetics on jaw relations, diagnostic waxing, provisional
restorations as the esthetic template, and sequential
restoration techniques that simplify the process of complete
rehabilitation. Treatment plans involving combinations of
crowns, veneers and implant restorations are presented. [return to top]
Dealing with Esthetically
Challenging Patients (Time = 1 ˝
hours)
Our culture’s focus on youth and beauty has
fueled an increased demand for esthetic dental procedures and
has heightened patient esthetic expectations. How do we ensure
that our patients will be satisfied with final esthetic
outcomes? What do we do when patients are displeased in spite of
our best efforts? Using clinical examples, Dr. Priest will share
his personal experiences with esthetically challenging patients
and will offer potential solutions for ensuring esthetic success
and patient satisfaction. [return
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