February 6, 2009 - Jack Caton
Periodontal diseases destroy the supracrestal connective tissue fibers and allow the junctional epithelium to migrate apically. This in turn provides the opportunity for the plaque front to migrate apically and the resulting inflammation destroys the alveolar bone. Thus, periodontal pockets form around the teeth and bone loss occurs in various configurations. There are many approaches to managing deep periodontal pockets and these include surgical and non-surgical methods to resolve the pockets through resection, repair and regeneration. Furthermore, host modulation agents and local and systemic antimicrobials are now available as adjuncts to mechanical therapies. All of these subjects will be discussed as we approach the treatment dilemma of the six millimeter pocket.
Dr. Jack G. Caton is currently Professor of Clinical Dentistry, Program Director of the Advanced Training Program in Periodontics, and Chair of the Division of Periodontics, Eastman Department of Dentistry, School of Medicine and Dentistry, University of Rochester, in Rochester, New York. He is a Diplomate and former Chairman of the American Board of Periodontology and a Past President of the American Academy of Periodontology. Dr. Caton serves as an editorial consultant to several national and international periodicals and is on the Editorial Advisory Board of the Journal of Periodontology.
He is the past Commissioner to the Commission on Dental Accreditation of the American Dental Association. He received a D.D.S. from the University of California Dental School, San Francisco, an M.S. from the University of Rochester and a Periodontology Specialty Certificate from Eastman Dental Center. He has published over eighty scientific articles and book chapters, and presented before major dental groups both in the U.S. and abroad. He also has a private periodontal practice, which is located in Rochester, NY.
May 1, 2009 - Dennis Tarnow
Implant dentistry is continuously evolving into a more predictable form of therapy. New and innovative techniques now allow for better esthetics and greater patient comfort. At the same time, the numerous new techniques and therapies that are available continue to raise questions and concerns regarding the pros and cons of each. The full day program will answer the FAQs regarding many controversial issues as they relate to early loading, predictability, membrane placement, membrane type, grafting, primary closure, immediate placement, immediate temporization, to mention a few. The program will address and interweave the innovations in implant dentistry and how they can enhance your clinical outcomes for greater patient satisfaction.
Dr. Dennis P. Tarnow is presently Professor and Chairman of the Department of Periodontology and Implant Dentistry at New York University College of Dentistry. Dr. Tarnow has a certificate in Periodontics and Prosthodontics and is a Diplomate of the American Board of Periodontology. He has a private practice in New York City. Dr. Tarnow has published numerous articles on perio-prosthodontics and implant dentistry and has lectured extensively both in the United States and abroad.
November 6, 2009 - Michael Glick
This presentation will explore the role of oral health care professionals in a rapidly changing health care environment. Specifically, it will help oral health care professionals gain a valuable perspective on emerging medical topics, on how to evaluate and assess medically complex dental patients, and how to become an important resource for health related information for their patients. The opportunity for oral heath care professionals to significantly impact their patient's general health and well being has never been greater.
Dr. Michael Glick received his D.M.D. degree from the Hebrew University, School of Dental Medicine, Jerusalem, Israel, and his graduate training in Oral Medicine from the University of Pennsylvania. He is Professor of Oral Medicine at Arizona School of Dentistry & Oral Health and Associate Dean for Oral-Medical Sciences, College of Osteopathic Medicine - Mesa at A.T. Still University, Mesa , AZ.
Dr. Glick's present research focuses on provision of dental care for the medically complex patient. He has published more than 200 articles, book-chapters and monographs on oral medicine related topics, specifically proposing protocols for dental treatment for patients with complex medical conditions. He has also written and co-edited several textbooks including "Dental Management of Patients with HIV" and "Burket's Oral Medicine: Diagnosis and Treatment" (11th ed.). He is also an author and co-editor of the American Dental Association's Oral Health Care Guidelines.
Dr. Glick serves on a number of international and national committees on HIV and other blood borne infectious diseases. He is also an American Dental Association Seminars speaker on "Dental Treatment for Medically Complex Patients" and "Emerging Infectious Diseases".
Dr. Glick serves on the Board of Trustees of the American Academy of Oral Medicine, is the President of the American Board of Oral Medicine, and is a consultant to the American Dental Association's Council on Scientific Affairs, Council on Dental Practice, and Council on Access, Prevention and Interprofessional Relations. He also serves as the dental representative on the National High Blood Pressure Education Program Coordinating Committee.
Dr. Glick is the recipient of several awards for his educational and research efforts. He is the Editor of the Journal of the American Dental Association, and he serves on the editorial board of several other professional journals. Dr. Glick is a Diplomate of the American Board of Oral Medicine.
February 5, 2010 - William Giannobile
Part 1: New and Emerging Concepts in Periodontal Tissue Engineering
Repair of alveolar bone defects caused by development abnormalities, trauma or disease is a major goal of oral reconstructive therapy. The field of tissue engineering combines advances in materials science and biology to repair tissues and organs. Periodontal and peri-implant tissue engineering has been achieved with limited success by the utilization of barrier membranes and block grafting techniques. Over the past decade investigators have begun to utilize growth factors to restore lost tooth support due to damage of the alveolus. This presentation will review emerging therapies in biomaterials, growth factor biology and cell/gene therapy with particular emphasis on recent clinical trial results using recombinant human platelet-derived growth factor (PDGF) and bone morphogenetic proteins (BMP's). The presentation will conclude with a future perspective on the use of novel biomimetic approaches and interactive regenerative materials for oral tissue engineering of defects around teeth and dental implants
Part 2: Implications of Bone Regenerative Biology on Periodontal Medicine
For nearly 100 years, it has been known that oral health can affect systemic well-being. However, it has not been until the past decade, that mounting evidence has revealed the strong inter-relationships among oral disease and systemic disease and in particular the maintenance of oral bone mass. This presentation will highlight research on the etiology and pathogenesis of oral infection and how it can affect systemic bone volume including osteoporosis and osteopenia. The utilization of "bone-sparing" agents to preserve alveolar bone following regenerative therapy or in blocking progressive bone loss will be presented. The utilization of the variety of approaches including inhibitors of MMPs, osteoclasts and pro-inflammatory cytokines will be presented.
Dr. William Giannobile a William K. and Mary Anne Najjar Endowed Professor, Dentistry and Biomedical Engineering and the Director of the Michigan Center for Oral Health Research at the University of Michigan School of Dentistry. He received is DDS and an MS in Oral Biology from the University of Missouri. He later received his Certificate in Periodontology and Doctor of Medical Sciences in Oral Biology from Harvard University. He subsequently completed postdoctoral training in Molecular Biology at the Dana-Farber Cancer Institute and Harvard Medical School. Dr. Giannobile previously served as a faculty member at Harvard and the Forsyth Institute in Boston. He recently completed a sabbatical as a Visiting Professor at the Biotechnology Institute of Regenerative Medicine at the University of Genova Medical School in Genova, Italy and at the School of Dentistry at the University of Milan. Dr. Gionnobile has published over 125 manuscripts, textbook chapters and abstracts and has lectured extensively in the area of Periodontal Regenerative Medicine and Tissue Engineering. Dr. Giannobile is an Associate Editor for the Journal of Periodontolgy, The Public Library of Science (PLoS ONE) and is on the editorial boards of the Journal of Periodontal Research, International Journal of Oral & Maxillofacial Implants and the International Journal of Periodontics & Restorative Dentistry. He also serves as a consultant to the Food and Drug Administration the National Institutes of Health and several biotechnology companies focused on regenerative medicine. Dr. Giannobile is a Diplomate of the American Board of Periodontology and maintains a private practice limited to periodontics and implantology at the University.
April 30, 2010 - Myron Nevins
The predictability offered by osseointegration has created the need for guidelines to delineate the decision-making process of whether to retain the natural teeth or replace them with implants. It is, therefore, omnipotent to decide the prognosis of periodontal regeneration for the teeth in question. Therefore, this program will focus on bone regeneration and the introduction of signaling devices (growth factors) to empower our results. Recognizing the array of popular products that are available and the comfort zone we have created for out therapeutics, why consider a change in paradigm? Because scientific advancement is routinely accompanied by reexamining our cherished beliefs, we need to evaluate our base of information objectively when applying osteoconductive materials, or their combination, to achieve the optimal result from regenerative treatment regimes. This presentation will expand the utilization of growth factors to prepare implant sites including extraction wounds, sinus floor elevation and vertical bone augmentation.
Myron Nevins, D.D.S. is the editor of the International Journal of Periodontics and Restorative Dentistry and Associate Clinical Professor of Periodontology at the Harvard School of Dental Medicine. Dr. Nevins is a past President of the American Academy of Periodontology where his contributions have been recognized with the Gold Medal and The Master Clinician Awards. He is a Professor of Periodontics at the University of Pennsylvania School of Dental Medicine, a Clinical Professor at the Temple University School of Dentistry and Adjunct Professor at the University of North Carolina. He maintains a private practice limited to Periodontics and Implantology in Swampscott, MA.
November 5, 2010 - Paul A. Fugazzotto
Regenerative and implant therapies afford unmatched opportunities for providing previously undreamt of patient treatment outcomes. In order to maximize the benefits of such therapies, it is imperative that the conscientious clinician recognize the indications, contradictions and limitations of various treatment approaches, as well as how best to incorporate these therapies into existing armamentaria. All treatment must be grounded in comprehensive diagnosis, treatment planning and case work up.
Designed to underscore the inter-relationships between the various specialties and the restorative dentist, this course includes a framework in which to carry out differential diagnosis and compresengive treatment planning; periodontal restorative inter-relationships; and various esthetic procedures. The rose of guided bone regeneration, sinus augmentation and implant therapy in the treatment of a variety of patients will be discussed. The indications sinus grafting will be reviewed. And long-term results will be examined. The realistic use of osteotomes and other techniques to simplify therapy will be discussed in detail, culminating in a mathematically based system for treatment approach selection and augmentation of the posterior maxilla.
Guided bone regeneration will be discussed in detail. Diagnostic and technical prerequisites for maximization of the regenerative treatment outcomes will be reviewed, and the results of over 3500 cases will be discussed. Numerous pre and postoperative clinical examples will be examines critically. A clinically based hierarch of implant selection and utilization will be explored and critically examined. The role of immediate insertion and/or immediate load implant therapy in every day proactive will be highlighted, focusing upon treatment planning, surgical restorative interrelationships, and various implant options and approaches in different clinical situations.
Finally, the use of newer technologies in the diagnosis and delivery of implant therapy, both in non-immediate load cases and in full arch immediate load situations, will be discussed in detail. The use of the ICAT machine or other CAT scanning imaging systems, in conjunction with various treatment planning and tent generating computer softwares will be explored. The advantages and disadvantages of each system in various situations will be critically appraised.