Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration. Grafting techniques (hard and soft tissue) and prosthetic manipulations are required to attempt reestablishing the proper hard and soft tissue loses and proper emergence profile of the implant restorations. Multiples grafting materials and surgical techniques (hard and soft tissue) compounded with biological modifiers are currently used to reduce and repair the amount of ridge deformation.

After this course the participants should be able to:

•	Discuss the decision tree making of bone graft selection
•	Understand the mechanism of bone graft incorporation
•	Show the utilization of Titanium mesh, membranes, tenting screws and Biological modifier (Platelet Rich Fibrin and Sticky Bone) to enhance the clinical outcome of bone grafting
•	Techniques and case presentations

•	peri-implant inflammation diagnosis
•	peri-implant inflammation non surgical management
•	peri-imlant inflammation control and maintenance

Give your practice a boost by harnessing laser technology with a positive result that manages effectively day to day periodontal to soft tissue patient conditions. We provide the practitioner on how to chose the right laser and apply simple techniques that result in precision, controlled bleeding, accelerated healing, reduced post-operative issues, shorter procedure time, and a more relaxed experience for the patient.
Procedures include non-surgical (Laser bacterial reduction and curettage) surgical periodontics, frenectomy, gingivectomy, implant uncovering, implantitis, are presented considering coding and patient acceptance.
You experience direct hands on activity with various lasers on a variety of models including the hog jaw.

•	Understand indications for using laser in crown lengthening and preorthodontic procedures including esthetics
•	Consider case reports demonstrating success along with clear contraindications.
•	Develop techniques for incorporating laser into a dental practice considering patient acceptance, third party coding
•	Differentiate laser technologies for periodontal indications (surgical and non-surgical)
•	Develop post-operative evaluation protocols assessing wound healing

A recent landmark study demonstrates validity in managing periodontitis with all-tissue-lasers including clinical success with positive patient related outcomes and a concomitant decrease in recession. Similar data shows how Erbium laser wavelengths have been incorporated into procedures for treating peri implant disease with no adverse thermal events as to the integrity of implant surfaces. Dentistry is evolving into a minimally invasive culture with attention to positive patient perceptions and comfort.

•	Develop an understanding of the Erbium wavelength as related to the effects on target tissue in both the periodontium and implants
•	Review the rationale for managing periodontitis as related to laser therapy
•	Explore the effect of Erbium lasers on various titanium surfaces as part of a detoxification process in managing peri implantitis
•	Demonstrate how the integration of a Er, Cr: YSGG laser into a practice of periodontics creates a positive niche for patient acceptance and value-added revenue stream

Sales are easily won and lost based on the conversations you and your sellers have with your patients. The common thought process is that sellers make mistakes along the way – but that is too easy to diagnose. More often mistakes are made before the sales process really starts. How much do you know about your patients? How much time do you actually spend getting to understand what your patient really wants? And are you leaving the most crucial aspect, THE CLOSE, to people who have never even been trained to sell…or who may not even like to sell. Patients aren’t like they were 20, 30 or even 10 years ago. They are wiser and more educated. The days of blind treatment acceptance from an expert in a white lab coat are long gone. So even after putting in place a great marketing campaign, a gorgeous and informative website, do you still find that you may not be converting as many treatment plans as you hoped?

•	Learn the steps, strategies and tactics that are the foundation of successful selling
•	Learn the key selling skills your dental team needs to get more patient compliance and treatment acceptance

Osseodensification, an evidence-based approach to osteotomy preparation that enhances implant stability and bone density without compromising healing. This lecture will present the biomechanical, histological healing timeline, and clinical data of Osseodensification. It will discuss bone plasticity and its clinical effect and will also cover the clinical versatility of this novel technique including Sub-Crestal Sinus Auto Grafting, Ridge Expansion, Immediate Implant Placement with Osseodensification, and Guided Expansion Graft. Several clinical protocols will be outlined.

•	Understand the scientific principal of Osseodensification.
•	Understand bone plasticity biomechanics and its clinical advantages.
•	Discuss Osseodensification effect on total implant stability, healing, and what it means biomechanically and histologically (BIC, Bone volume)
•	Learn how bone can be enhanced with adequate instrumentation.
•	Learn sub-crestal sinus lift protocols.
•	Learn how Osseodensification can change the minimum amount of bone needed to predictably place an implant utilizing the Plus1 protocol.
•	Learn how to optimize their implant practice and create more with less.

The purpose of this presentation is to discuss concepts in full arch Implant rehabilitation using graft less protocols.

•	The participant will understand the diagnostic concepts involved in Full arch rehabilitations
•	The participant will understand the rationale for material selection and prosthetic design
•	The participant will be introduced to minimally invasive protocols for graftless soltuons

Diagnosis and Management of Gingival Diseases and Conditions is a continuing education presentation designed to provide an overview common gingival diseases and conditions other than the common plaque-induced gingivitis. The causes of these diseases can range from genetics, medications, infection, immune-mediated, reactive, traumatic, endocrine to neoplastic in nature. Examples include herpetic lesions, plasma cell gingivitis, pemphigoid, orofacial granulomatosis, pyogenic granuloma, leukoplakia, leukemia, vitamin deficiencies, drug induced overgrowth, among others. Diagnostic work-up including medical history, clinical examination, laboratory tests, histopathology, and diagnostic imaging for appropriate diagnosis will be presented. Evidence-based management modalities to treat and manage these conditions will be discussed. Periodontal management considerations including non-surgical and surgical therapies (grafting, implants) in patients with gingival diseases such as lichen planus will also be discussed.

•	Identify clinical characteristics of gingival diseases and conditions
•	Develop differential diagnoses for gingival disease other than plaque-induced gingivitis
•	Choose appropriate management modalities for specific gingival diseases

In this seminar we will explore the most important aspects of online marketing for dentists including website optimization, social media, online reviews / reputation management, SEO for Google rankings, PPC for new patient leads, and videos. Case studies will be used throughout the program to illustrate best practices. We will review how to track and measure results as well as how to determine Return on Investment.

•	Discuss recommended marketing services and budget for best results
•	How to properly optimize a website to convert new patient leads
•	SEO best practices to rank high on Google
•	Review typical ROI (Return on Investment) for new patient generation

This lecture will provide a better understanding of how the periodontal status of a patient can affect overall patient care and vice versa.

•	Review periodontal health and disease
•	Identify systemic conditions that are associated with periodontal conditions
•	Understand how the periodontal status of a patient can affect overall patient care.

When a patient looks online for a dentist, do you come up at the top of Google search. Do you dominate the first page of search engine results. One of the most effective ways that you can increase new patient numbers and case acceptance rates is with a comprehensive online marketing strategy. Does your practice have a marketing plan in place that fully utilizes the strength of today’s digital tools? Have you been able to build a comprehensive online presence for your practice? Len will share his first-hand experience and the resources he uses to bring exponential practice growth and help your office dominate your marketing.

•	Learn the importance of robust content for online ranking
•	Understand how to make your practice stand out online
•	See the benefits of using social media and online listings to promote your practice
•	Learn why reputation must be the foundation for your online marketing plan
•	Hear what the biggest differentiation is between good and great practices
•	Leave with a better knowledge of the tools available online, what to do and what not to do

The course will present a variety of interesting case studies in oral and maxillofacial pathology focusing on entities most likely to be encountered in general practice. Emphasis will be placed on presentation and treatment of the various conditions. The course will be in a clinico-pathology conference format, making the experience interactive by utilizing an Audience Response System. This session will allow participants to respond using their computer, tablet, smartphone or any phone with texting capability. Participation is not required to attend.

•	Review of common oral pathology presentations’
•	Discuss various treatment modalities of common oral pathology lesions and Review of oral cancer and treatments.

This presentation will highlight the use of CBCT technology & digital workflow in planning & executing immediate incisor & molar implant placement. The benefits of immediate implant placement & placement of an immediate provisional restoration designed from the digital workflow will be demonstrated. The use of regenerative products & blood biologics (PRF/PRP) will also be discussed.

•	Understand the benefits of using 3D planning in implant dentistry
•	Understand the importance of implant connection widths
•	Understand the need for proper implant placement depth
•	Understand the benefits of immediate implant placement & immediate provisionals
•	Understand the benefits of using regenerative products and blood biologics in implant surgery

Periodontal and peri-implant soft tissue deficiencies are often first noted, because of compromised esthetics. However, mucosal deficiencies are also associated with progressive periodontal and peri-implant attachment loss. Periodontal plastic surgical approaches have aimed to address periodontal soft tissue deficiencies that pose esthetic and functional concerns. Similarly, peri-implant soft tissue regeneration is often necessitated for enhancement of esthetic and functional stability of peri-implant tissues. One of the major objectives of periodontal and peri-implant plastic surgery is to treat gingival/mucosal recession defects, through an array of classic and novel approaches. The application of Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique for periodontal and peri-implant soft tissue regeneration will be discussed. The expanded application of VISTA for periodontal and peri-implant GTR will be introduced. This presentation will review the risk factors that influence disease progression and predict therapeutic outcomes. The rationale, scientific evidence and material selection for various therapeutic approaches will be discussed.

•	Risk assessment to identify patients and sites at risk, requiring treatment
•	The rationale and protocol for VISTA to regenerate periodontal and peri-implant tissues
•	Selection of appropriate material: connective tissue (palate and tuberosity), acellular dermis allograft, collagen matrix xenograft and platelet-fibrin concentrates.

Periodontal and peri-implant soft tissue deficiencies may be treated through a variety of approaches. Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique has a number of advantages which makes this technique suitable for periodontal and peri-implant soft tissue regeneration. The FIVE (Fibrin Immobilization Vestibular Extension) technique will be introduced for regeneration of peri-implant keratinized mucosa and vestibuloplasty. This presentation will review the risk factors that influence disease progression and predict therapeutic outcomes. The rationale, scientific evidence and material selection for various therapeutic approaches will be discussed.

•	Simulated exercises will be conducted to provide practical experience with procedures for soft tissue augmentation around teeth and implants:
•	VISTA to regenerate periodontal and peri-implant tissues
•	FIVE technique for regeneration of peri-implant keratinized mucosa and deepening of the vestibule
•	Material: connective tissue, native and cross-linked collagen matrix xenograft platelet-rich fibrin and acellular dermis allograft.

The decision as to whether to incorporate an endodontically treated tooth in a periodontal/restorative treatment plan is often difficult. The availability of other successful treatment alternatives (dental implants) further complicates the issue. Yet, the retention of the natural dentition has many benefits for the patient. Endodontic success rates are high given new technologies and treatment modalities but is undeniably tied to restorative and periodontal factors. This lecture will focus on the evidence that endodontic therapy (initial therapy, retreatment, and surgical procedures) is still a viable and successful alternative in saving teeth which can be strategically used in restorative treatment plan. The prognosis for endodontically treated teeth will be considered.

•	Learn the success rates of the various endodontic modalities.
•	Learn the application and viability of applying these modalities clinically.
•	Learn guidelines as to when and when not to rely on endodontically treated teeth based on their strategic value in the treatment plan and their prognosis.

One of the principal goals of dentistry should be the preservation of the natural dentition. The opportunity to save teeth with advanced periodontal disease has become possible with advances in regenerative tissue engineering. With new potential to restore both hard and soft tissue around teeth lost because of periodontal disease, a shift in prognosis has occurred. What was formerly considered a hopeless tooth may now be saved because of technical and biological advances. With the emerging knowledge regarding complications associated with dental implants, keeping teeth has become more important. This program will look at how a patient driven philosophy in dentistry is shifting back to one of saving teeth versus placing implants.

•	Promote the benefits to rebuilding teeth with periodontal defects using hard tissue grafts and growth factors versus extraction and replacement with dental implants
•	Learn what biologic, hard, and soft tissue material can be used in regenerative periodontics around tooth defects
•	Discuss the financial benefits of saving teeth vs placing implants

Coronavirus disease 2019 (COVID-19), leads to a life-threatening pneumonia and acute respiratory distress syndrome. This virus has been found to cause a hyperinflammatory state with the release of immune modulators and mediators. This has been described as a “cytokine storm” that has been found to cause cardiomyopathy, disseminated blood clots, stroke via large vessel occlusion, neurologic problems, thrombosis, and multiorgan failure, including heart, kidney, and brain. COVID-19 illness can range from mild to severe with an increase in the severity of COVID-19 symptoms associated with patients who have preexisting inflammatory conditions. Periodontal disease is an inflammatory disease in which microbial etiologic factors induce a series of host responses that mediate inflammatory events, leading to tissue destruction in susceptible individuals. The purpose of this lecture is to highlight common inflammatory mediators between periodontal disease and COVID-19,
and further suggest that periodontal disease may be a contributing factor and/or exacerbate COVID-19 severity.

The use of platelet concentrates has had a long-history of use in various fields of medicine as an autologous source of growth factors fabricated utilizing centrifugation of blood under various conditions. Over the past 10 years, platelet rich fibrin (PRF) has seen a steady increase in utilization for a variety of medical procedures due to its lack of anti-coagulation factors favoring fibrin clot formation and faster wound healing. This talk aims to highlight the recent advancements made with respect to the newest formulations of platelet concentrates including recent developments in horizontal centrifugation. Thereafter, the Bio-Heat technology will be presented with an ability to extend the working properties of PRF from 2-3 weeks to 4-6 months. Lastly, new clinical applications and uses of PRF will be presented in periodontology and facial esthetics.

•	Optimization of protocols for any centrifugation device
•	Update on Bio-Heat technology and the ability to extend the working properties of PRF from 2-3 weeks to 4-6 months
•	Launch of the Bio-Cool technology
•	New uses of PRF in Periodontology and Facial Esthetics

The use of platelet concentrates has had a long-history of use in various fields of medicine as an autologous source of growth factors fabricated utilizing centrifugation of blood under
various conditions. While platelet rich plasma (PRP) was proposed as a first-generation platelet concentrate over 3 decades ago, over the past 10 years, platelet rich fibrin (PRF) has seen a steady increase in utilization for a variety of medical procedures due to its lack of anti-coagulation factors favoring fibrin clot formation and faster wound healing. More recently, the development of a liquid PRF provides a new formulation of liquid PRF without using anti-coagulation factors that may specifically be combined with currently available bone biomaterials favoring particle stability, angiogenesis and tissue integration. This talk aims to highlight the recent advancements made with respect to the newest formulations of platelet concentrates including recent developments in horizontal centrifugation and liquid concentrated-PRF to further speed wound healing and tissue regeneration for various clinical indications faced in routine daily dental practice.

•	Provide the biological background and scientific rationale for why platelet concentrates speed wound healing
•	Introduce new protocols using horizontal centrifugation
•	Provide clinical indications when, where and why to use PRF (membranes and liquid) in regenerative dentistry and facial aesthetics.

JOHN ROBERSON, DMD, FACS