DAY 1
7.30am - Registration & Exhibition Open
8.00am - Welcome - Scientific Chairman
Professor Iven Klineberg AM, RFD, BSc, MDS, PhD, FRACDS, FICD
On behalf of Henry Schein Halas and Quintessence International, it is a privilege for me to welcome you to the latest International Quintessence Symposium. As with previous Symposia, this program has been designed to benefit general dental practitioners in particular, and will bring you the most up-to-date and clinically relevant evidence-based information through lectures and workshops devoted to topics of special importance to general dental practice.
The program will have a focus on how to optimize aesthetics to meet contemporary patient expectations, as well as relevant clinical data on oral implant treatment.
I enthusiastically welcome you to this state-of-the-art program and believe that it will be of real benefit to your role in providing optimum patient care.
8.30am - Advanced Diagnostics at the Chairside – Where Are We Now?
Professor Laurence Walsh BDSc, PhD, DDSc, FFOP(RACP), GCEd, FICD
This lecture will provide an overview of the latest research work in chairside diagnostic technologies for clinical practice, and how these augment or replace traditional methods, under the general headings of cariology and restorative dentistry, periodontology, endodontology and oral medicine.
The emphasis will be on what technologies are now available and how these can be used most effectively in a general practice ennvironment by both dentists and other members of the dental team.
9.30am - Implant Therapy in the Aesthetics Zone – Soft and Hard Tissue Management.
Dr Yasukazu Miyamoto DDS
In recent years, optimal implant results in the aesthetic zone can be predictably achieved utilizing many soft and hard tissue augmentation techniques. However, gingival recession following buccal bone resorption frequently occurs after completion of treatment. Dental Cone Beam CT can evaluate the change of the buccal bone before and after implant placement. This evaluation can clarify the predictable method for obtaining tissue stability around implants.
This presentation will focus on soft and hard tissue management around implants, and the optimal approach for obtaining tissue stability of aesthetic implants using evaluation by Dental Cone Beam CT.
10.30am Morning Tea
11.00am Dental Implant Therapy in the Context of Osteoporosis and Bisphosphonate Treatment.
Professor Sreenivas Koka DDS, PhD
The effect of the osteoporotic condition on jaw bones as it relates to dental implant therapy will be presented to define whether a diagnosis of osteoporosis or osteopenia constitutes a contraindication for dental implant therapy. Following on, guidelines for the dental management of patients treated with bisphosphonates for osteoporosis will be presented with a specific emphasis on concepts of the risk of osteonecrosis of the jaw, the risks and benefits of a drug holiday, and the safety of dental implant placement in these patients.
12.00pm Post Graduate Research Presentations.
12.30pm Panel - Question & Answers with the Morning Presenters.
1.00pm Lunch
2.00pm Interdisciplinary Approach for Optimizing Aesthetics.
Dr Galip Gurel DDS, MSc
With the ever-increasing importance that the media, patients and general society place on appearance, an even greater emphasis has recently been placed on elective aesthetic dentistry. By improving deficient facial proportion and integumental form, surgeons, orthodontists, and restorative dentists have the unique opportunity to weave these aesthetic needs and the creation of a pleasing smile into the fabric of their comprehensive treatment planning.
Creating precision in terms of the preparation, fit and the aesthetic final outcome needs serious treatment planning which is different for each case… Designing a new smile consists of many steps which are so very important and if followed correctly, produce predictable success.
At this point I would also like to emphasize the importance of minimally-invasive dentistry. This is only possible if we can insure that proper tooth position in the arch is established, eliminating the need for any soft or hard tissue removal. This brings to mind the importance of the interdisciplinary team (in contrast to multidisciplinary). The major difference between an interdisciplinary versus a multidisciplinary approach, is that with an interdisciplinary approach, treatment planning is accomplished in a group setting with all treatment team members present. All treatment planning and treatment challenges can be discussed in a collaborative environment with team members complementing and supporting the efforts of each other. A multidisciplinary approach only represents that each discipline or area of dentistry is involved in one aspect of the treatment without necessarily working together in a unified manner.
After that stage, in order to achieve a very precise and predictable tooth preparation, wax-up, silicon indexes and related techniques such as APR (Aesthetic Pre Recontouring), APT (Aesthetic Pre-evaluative Temporaries) and preparation through the APTs are extremely crucial.
3.00pm Evolving Implant Aesthetics…Options…Limitations…Solutions.
Dr David Garber DMD
This program is an alternate perspective into how “aesthetics-driven” implant dentistry has evolved, and why in 2010 it is essential to combine both the “pink” and “white” aspects to achieve that optimal cosmetic result.
This complete philosophical approach involves both a biologic understanding of the healing process, as well as a need for specific implant and abutment designs. Today, understanding the “limitations” of what is biologically feasible is of paramount importance as these limitations often require use of a new modus operandi incorporating gingival colored “pink” restoratives and the essential 3D CAD/CAM treatment planning for final implant cosmetics. Preemptive planning of soft and hard tissue grafts, implant placement, ridge reduction and restorative design now utilize definitively specific protocols for these type of prosthetic gingival restorations.
This program will address:
- Virtual treatment planning for gingival restoratives- 3-dimensional planning of implants and grafts using computer simulation.
- New protocols for dento-gingival provisional restorations
- Artificial gingivae-ceramic versus composite
- Gingival and osseous reduction to optimize aesthetics
- Hygiene and maintenance beyond aesthetics over the long term.
- Factors in selecting an implant system.
- New considerations in abutment design.
- The abutment/implant interface in aesthetics.
- Zirconium titanium or ceramo-metal abutment.
- Surgical augmentation –what to use and when to use it versus gingival ceramics
4.00pm Afternoon Tea
4.30pm Cone Beam Imaging: Your Key to Successful Implants.
Dr Dale A. Miles BA, DDS, MS, FRCD(C)
Dentists use x-ray imaging every day to assist their clinical treatment planning for implant placement. Cone Beam Imaging helps dentists and dental specialists assess pre-surgical implant sites more rapidly and place their implants more precisely. The data from these scans can also be used to create surgical guides to simplify the surgical procedure and reduce the clinician’s risk of damage to an anatomic structure.
Cone Beam CT allows us to see anatomical detail of the inferior alveolar nerve, nasal cavity and sinuses like you’ve never seen it before. Cases will be presented illustrating the power of this imaging and demonstrate failures when Cone Beam Imaging was not used.
Objectives - this program will enable the dentist or auxiliary to:
- Understand the principles of CBCT
- Visualize more precisely selected pre-surgical implant sites
- Understand the role CBCT can play in their dental practice
5.30pm Panel - Question & answers with the afternoon presenters.
6.00pm Welcome Reception Cocktail Party
DAY 2
8.00am Exhibition Open
8.20am Introduction
Professor Iven Klineberg AM, RFD, BSc, MDS, PhD, FRACDS, FICD
8.30am The Clinical Evidence for Successful Bonding Procedures – Can it Work also for the Badly Broken Down Tooth?
Professor Michael Burrow MDS, PhD, MEd
The introduction of adhesive dentistry has seen large changes in the way we can treat our patients. The change in philosophy to MI Dentistry has largely been a product of the boom in adhesive materials, be they resin-based or glass ionomer cements. However, much of the MI philosophy has been directed towards the small caries lesion to heal it or place the smallest restoration possible.
As the population ages the need for restoration replacement is becoming a greater part of clinical practice. Restorations fail, teeth wear, making restoration more and more complicated. This problem is compounded by patients not wanting amalgam restorations; cavity preparation for amalgam is destructive of tooth structure and the cost of crowns is sometimes not affordable. Can adhesive restorative dentistry be employed as a sound alternative treatment?
The presentation will focus on what we know about current adhesive materials and techniques and how these materials can be used to restore form and function of the badly broken down tooth. The presentation will focus on the current clinical evidence and how it might be practically applied.
9.30am The Evolution of Bioactive Materials in Restorative Dentistry.
Dr Matteo Basso DDS, PhD, MSc
In modern dentistry, the correct approach for tooth decay must obviously require application of the latest materials and techniques. However, even if resin composites represent the most aesthetic and validated materials for restorative dentistry, in certain conditions the management of teeth lesions can be correctly obtained only through different “bioactive materials”. Generally, we can describe as “bioactive” some products or materials having an effect on or causing a reaction in living tissue. In dentistry, their benefits stay in their properties of inducing active phenomena, such as dental remineralization, antibacterial activity, or pulpal tissue healing.
In fact, it is now evident that the management of tooth decay cannot be based on the inefficient approach of “drill & fill”, simply removing damaged tooth structures and replacing them with our magnificent composites. Without comprehending mechanisms on the origin of tooth decay, in this last example we can remove just a symptom (the tooth lesion) leaving in our patients’ mouth the real pathology (tooth decay processes). The result of this inappropriate approach could easily be the early failure of our reconstructions, even if well done, because the untreated pathology restart to damage teeth immediately after the patient leaves our dental clinic.
For this reason, we must focus on tooth decay evolution, treating it during all the phases of development, from plaque adhesion, initial demineralization, formation of cavitated lesions, until destruction of enamel and dentinal structures.
This lecture, will present the latest bioactive materials, including their clinical performances when compared with traditional restorative materials, and the way they can be helpful in the earliest phases of decay processes.
10.30am Morning Tea
11.00am Biomaterials in Daily Clinical Practice: Socket and Ridge Preservation.
Dr Karl-Ludwig Ackerman DDS
Today implants are more and more a prerequisite for a satisfactory perio-prosthetic rehabilitation outcome. Tooth loss always is related with bone loss. To achieve a reliable and stable therapeutic result, implant placement in many cases is related with hard and/or soft tissue augmentation. Pre-implantological augmentation procedures or defect contouring and filling simultaneously to implant placement are the concepts of choice. Socket preservation is performed to maintain bone and soft tissues prior to conventional or implant based prosthetic therapy.
This presentation will cover all the necessities for successful socket preservation treatment:
- Conservative socket preservation
- Atraumatic extraction
- Socket preparation
- Protocol for application of biomaterials (within the fresh socket)
- Open healing with application of membrane
- Socket sealing
- Connective tissue transplant and fixation
12.00pm Post Graduate Research Presentations
12.30pm Panel – Question & Answers with the Morning Presenters.
1.00pm Lunch
2.00pm Ultrasonic Bone Cutting Technology Introduces a New Era in Implantology.
New Ultrasonic Implant Site Preparation for Traditional Technique and New Implant Typology using Piezosurgery Technique.
Professor Tomaso Vercellotti MD, DDS
This presentation highlights the New Ultrasonic Surgical instruments, New Surgical protocols, New Ultra-osseointegration process and the clinical applications in: delicate anatomy, soft bone, close to the nerve and the extraction socket.
The speaker introduces a New Surgical Bone Classification together with Piezoelectric Bone Surgery Implant Site Preparation that promotes maximum primary stability and accelerates the bone response for a new secondary stability and permits immediate implant loading.
Extensive clinical cases involving thin crest, low height and above-all immediate post-extraction implants.
3.00pm Excellence in Dental Aesthetics – New Trends and Materials in Aesthetic Implantology.
Luc Rutten MDT & Patric Rutten MDT
In this lecture we will show how to bring a case to perfection and will outline the contemporary prosthetic concepts in management of implants in the aesthetic zone with a view to achieving long term aesthetics and stability. We will attempt to cover all disciplines and all types of challenges in the most comprehensive way.
The true challenge does not lie in ceramic layering, but bringing pink and white aesthetics into harmony with facial features of our patients. As of now, the principles of facial harmony dictate our work and have turned our aesthetic understanding completely around. We no longer exclusively concentrate on the aesthetics of individual teeth, but are more concerned with the harmony we create between restoration and patient.
Given these high demands, it is natural that the cooperation between dentist or periodontist and dental technician will intensify. An interdisciplinary approach is the key to optimal case management and this will be demonstrated by cases ranging single tooth management to complex multiple tooth restoration.
4.00pm Afternoon Tea
4.30pm Precision and Accuracy in Present and Future Prosthetic Restorations.
Dr. Domenico Massironi MD DMD
The focus of this lecture will be precision and aesthetics of prosthetic restorations at high magnification. In recent years the use of the stereomicroscope has been appled to many dentistry disciplines including endodontics, periodontics, prosthodontics and dental technology. We have used the stereomicroscope in our surgery and laboratory since 1988.
High magnification is very important and a major advance in the stages of fixed prosthodontics . In fact, the possibility of analysis at greater magnification provides complete control and accuracy in each step of the prosthodontic phase.
The tooth preparation and margin placement, must be correctly related to marginal soft tissues and the use of
the microscope allows us to obtain a regular and accurate marginal finish line; furthermore, the use of the stereomicroscope in the finishing phases allows the use of sonic oscillating instruments.
4.30pm Exhibition Close
5.30pm Panel – Question & Answers with the afternoon presenters.
6.00pm Close
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