Digital Occlusal Technology In TMD, Implant And Restorative Dentistry
- Friday, June 28th from 8 am to 4 pm
- Presented by Robert D. Kerstein, DMD and James A. Oshetski, DDS
- Register For Seminar Here
With the digital dental revolution, dentist and patients are benefiting from predictable and timely dental treatment. Computerized occlusal analysis has been available for many years in dentistry but unfortunately, the technology is underutilized. This technology enables clinicians to records relative bite pressure and muscle activity in real-time and pinpoints occlusal disharmonies with precision. This presentation will introduce clinicians with the diagnosis of occlusal disharmonies and understand its influence on the temporal mandibular disorder (TMD), tooth and implant-related complications. Participants will be introduced to and observe disclusion-time reduction (DTR) and immediate complete anterior guidance development (ICAGD) for the treatment of myelogenous-based TMD. This lecture will consist of didactic, hands-on and live patient DTR treatment.
- Understand key mechanical and biological differences between a dental implant and natural teeth and ideal implant-protected occlusal schemes in dental implant restorations.
- Discuss computerized occlusal analysis role in diagnosing and treating prosthetic complications and force related peri-implantitis.
- Discuss the inaccuracy of traditional occlusal marking paper when compared to digital occlusal analysis and related ineffective occlusal treatment.
- Understand how to perform occlusal recording with the T-Scan and identify occlusal pathology including long disclusion time (LDT).
- Understand how the neurophysiologic etiology of the LDT excursive muscle hyperactivity physiology creates the ischemic muscle pain commonly observed in TMD patients.
- Understand how the T-Scan and BioEMG technologies simultaneously record and illustrate both the excursive Disclusion Time contacts and the resultant masticatory muscle hyperfunction that causes ischemia and pain.
- Learn how to lessen excursive muscle hyperactivity and muscular ischemia made possible with T-Scan guided occlusal adjustments to shorten the Disclusion Time.
- Understand how to treat muscular TMD without appliances, mouth guards, NTI’s and deprogrammers.
Complication Reduction With A Digitally-Driven Implant Workflow
- AAID 68th Annual Conference
- October 23-26th 2019
Digital workflows in dental implantology have not only reduced cost and length of treatment, but also complications that alter our ideal outcome. Adopting a digitally-driven treatment workflow will improve surgical and restorative accuracy, treatment acceptance and satisfaction for both patient and provider. This lecture and hands-on presentation will introduce and incorporation technologies that reduce treatment time and avoid common complications associated with traditional workflows.
- Participants will be introduced to digital implant treatment workflow including restorative-driven treatment planning, surgical and restorative phases.
- Understand the combination of CBCT DICOM, dental scanning STL, and photos in a digital reconstructive treatment planning platform for a digital workflow.
- Compare computer-guided surgery options advantages between milled surgical guides and 3D dynamic navigation technology.
- Demonstrate how digital implant workflow increases the predictability of single and full arch immediate dental implant placement and provisionalization.
- Discuss dental implant scan bodies customization of cad/cam milled abutments and prosthetics resulting healthy implant abutment finish line, emergence, and occlusion.
- Understand occlusal technology’s role in the digital implant treatment workflow, occlusal schemes, and biological and technical complication avoidance.
- Hands-on company: Tekscan digital occlusal technology. Dynamic 3D Navigation (X-Nav X-Guide)
Surgical Series: Bone Grafting for the Implant Dentist (w/ Live Patient Demo)
The ability to maintain or restorative alveolar dimensions is a necessary skill for the implant surgeon as the success of implant tooth restorations is predicated on the dimensions, quality, and quantity of the boney foundation. This series is designed for surgical doctors with surgical implant placement experience who wish to further develop their proficiency with augmentation techniques. Participants will benefit from the live surgical demonstration of techniques and preceding scientific rationale and discussion of evidence-based treatment. Following the completion of this series, clinicians can qualify for hands-on training supervision with Dr. Oshetski and staff. Class limited to 12 participants.
Session I: Socket, GBR and Block Grafting
- Learn restorative-driven implant position and corresponding bone volume classifications with the aid of CBCT technology
- Learn an algorithm for predictable augmentation technique for horizontal osseous defects.
- Understand bone metabolism, bone graft materials and growth factors necessary for successful regeneration
- Learn bone grafting principles, flap management, closure, and post-operative considerations.
- Understand the advantage of the addition of autogenous bone and platelet blood products (L-PRF, L-PRP) to bone grafting procedures
- Learn ridge preservation post-dental extraction, membrane-guided bone regeneration, and block grafting principles.
Session II: Sinus Augmentation Techniques in Implant Dentistry:
- Understand sinus anatomy, pathology and ideal patient selection for sinus augmentation procedures.
- Learn sinus classification and appropriate grafting/augmentation procedures.
- Learn subantral ( through the osteotomy) augmentation procedures including osteotome and vertical Osseo-condensation techniques.
- Observe lateral-wall access (caldwell-luc) sinus augmentation procedure.
- Understand the advantage of the addition of autogenous bone and platelet blood products (L-PRF, L-PRP) to bone grafting procedures.
- Discuss common sinus graft complications and appropriate avoidance and management techniques.
- Learn digital workflow and the incorporation of STL and CBCT data into 3d dynamic navigated/guided subantral augmentation.
Complications in Dental Implantology Series (3 Part Series)
Session I: Prosthetic Complications (6CEU)
As clinicians, we appreciate the modality of dental implants and the positive effects these rehabilitations have on our patients. However, complications are also on the rise as the specialty of implant dentistry has both a prosthetic and surgical component. This complexity often makes it difficult for identifying the etiology of the complication and a treatment solution. Treatment of complications and ultimately avoidance will serve the modality of implant dentistry and ultimately our patients. This course, one of three in a series focuses on restorative and delayed biological complications
- Discuss key differences in mechanical and biological differences in a dental implant and natural tooth
- Discuss key dental implant positions in single and full-arch rehabilitation scenarios
- Discuss common errors in full-arch tooth position, intra-arch position, and functional complications
- Discuss digital workflow and its influence on restorative-driven implantology
- Discuss causes and avoidance of anterior esthetic implant failures
- Discuss full-arch fixed prosthetics and keys to complication avoidance
- Discuss common complications with full-arch removable implant prosthetics and avoidance.
- Discuss computerized occlusal analysis role in complication avoidance
- Discuss ideal implant-protected occlusal schemes in fixed and removable restorations.
- Discuss the etiology and treatment options of peri-implant mucositis and peri-implantitis
- Discuss criteria for healthy implant abutment finish line, emergence and a customization
- Discuss abutment, screw-retained and cement-related complications and their treatment
- Discuss patient-specific parameters, prosthetic materials, characteristics and applications
Session II: Pharmacology and Oral Medicine (6CEU)
With today’s aging population and increased need for implant teeth replacement, we can encounter adverse outcomes to surgery and implant treatment. Medications can affect the safety of surgical procedures and healing outcome. Systemic health concerns and pharmacologic co-morbidities should alter clinicians approach to optimize healing, avoid failed treatment and emergency scenarios. Treatment of the medically-complex patient and proper treatment algorithms will be discussed. This course is second in a three lecture series on implant dentistry complications and is highly recommended for clinicians who plan to take surgical complications course.
- Discuss most commonly prescribed medications and their influence on dental implant surgery and osseointegration
- Discuss systemic diseases that influence bone metabolism, osseointegration, and implant treatment success
- Discuss antihypertensive and anticoagulation treatment and appropriate surgical treatment modifications
- Discuss oral and intravenous bisphosphonate therapy and its impact on dental implant treatment protocols
- Discuss post-operative pain medications, NSAIDs effect on bone metabolism and necessary modifications
- Discuss prophylactic antibiotics and their indication for use in implant surgery
- Discuss L-PRF, L-PRP and its beneficial effect on implant dentistry and medically-complex patients
Session III: Surgical Complications (6CEU)
As clinicians, we appreciate the modality of dental implants and the positive effects these rehabilitations have on our patients. However, complications are also on the rise as the specialty of implant dentistry has both a prosthetic and surgical component. This complexity often makes it difficult for identifying the etiology of the complication and a treatment solution. Treatment of complications and ultimately avoidance will serve the modality of implant dentistry and ultimately our patients. This course is the final in a series of three focusing on intraoperative surgical and post-surgical complications and their corresponding treatment and avoidance.
- Common surgical complications related to implant placement position, removal and modification
- Discuss common concerns and complications with surgical stents for implant placement
- Discuss vascular anatomy, intra-operative hemorrhage, appropriate avoidance, and emergency treatment
- Nerve injury etiology, classification, and treatment
- Discuss post-surgical incision line opening, one stage implant surgery, and soft tissue concerns.
- Discuss post surgical implant failure causes, avoidance and treatment options
- Discuss peri-implant mucositis and peri-implantitis identification and treatment options.
- Oral-antral communications, displaced implants
- Sinus pathology and post-surgical rhinosinusitis infection and treatment