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Contemporary Approaches in Bone Grafting in Implant Dentistry- Hands On

Course Description
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

Part I: Updated on Advanced Periodantal Instrumentation with New Advanced Technique Videos (Full-Day Lecture Course)

Course Description
In the past five years significant developments in new high-tech devices, new hand instruments and ultrasonic tips have changed the way we teach and practice. This presentation for dentists and dental hygienists will update you on the newest hand instruments and ultrasonic units and tips that will enhance your ability to treat patients with moderate to advanced periodontitis and/or implants. Periodontal endoscopy videos will show the effectiveness of various ultrasonic tips and hand instruments on residual, burnished calculus. New streaming online instructional videos from the Pattison Institute will demonstrate alternative fulcrums, new instruments and advanced techniques. The newest titanium mini-bladed hand instruments for implants and ultrasonic tips for implants will be shown and compared to subgingival air polishing with glycine and subgingival irrigation with antimicrobials.

Topics of Discussion:
•  Root debridement: what are the latest concepts? Are viruses more important than bacteria?
•  The influence of the dental endoscope on instrument selection and sequence
•  Video comparing hand and ultrasonic instrumentation
•  Use of the Gracey 15/16,Gracey 17/18, new Pattison Lite Gracey Curets, Mini Fives™, Micro Mini Fives, Montana Jack and Nevi sickles, diamond-coated files, Quetin furcation curets, titanium implant instruments and other new periodontal instruments
•  Comparison of magnetostrictive and piezoelectric ultrasonic units and tip designs for periodontal and implant scaling.
•  New subgingival air polishing technique for periodontal and implant maintenance. Efficacy of subgingival irrigation with antimicrobials.
•  Innovative extraoral, reinforced, cross arch and opposite arch fulcrums and positions
•  NEW videos with detailed close ups of advanced instrumentation will demonstrate the most effective techniques for furcations, deep narrow pockets and use of magnetostrictive and piezoelectric ultrasonic tips.

Learning Objectives:
•  Identify the objectives of periodontal debridement
•  Describe the characteristics of the dental endoscope
•  Recognize the design, indications and sequence for use of universal curets, new types of Gracey curets, mini-bladed Gracey curets, new sickles, diamond coated instruments, furcation curets, and various types of implant instruments
•  Describe the differences between magnetostrictive and piezoelectric ultrasonic devices and tips for periodontal and implant scaling
•  Recognize the indications for extraoral, opposite arch or other alternative fulcrums
•  Discuss the efficacy of subgingival air polishing compared to hand and ultrasonic instrumentation of implant surfaces.
•  Discuss the efficacy of subgingival irrigation with antimicrobials.

Part II: *Hands On Workshop on Periodontal Typodonts

Course Description
This full-day laboratory course for dentists and dental hygienists is designed to enhance your periodontal instrumentation skills, enabling you to treat patients with greater confidence. This intensive hands-on experience features continuous TV demonstration and videos by Anna Pattison plus a team of experienced instructors attentive to individualized instruction throughout the day. Advanced instrumentation techniques are taught on periodontal typodonts using sickles, universal curets, Rigid Gracey curets, After-Fives, Mini-Fives, Micro-Minis, Gracey Curvettes, Pattison Gracey Lite curets, Diamond curets and furcation curets. Extraoral, reinforced, crossarch and opposite-arch fulcrums are incorporated into innovative approaches for furcations, line angles and deep, narrow pockets. Sharpening with the aid of a videotape, root planing exercises and root morphology review utilizing extracted teeth are also included

Learning Objectives
•  Describe the characteristics of a proper fit for gloves
•  Demonstrate close overlapping strokes on an extracted tooth with a Gracey curet
•  Recognize the design, indications and sequence for use of universal curets, Gracey curets, mini-bladed and Micro-mini-bladed Gracey curets, Pattison Gracey Lite curets, sickle scalers, files, furcation curets and diamond coated instruments
•  Demonstrate the use of universal curets, Gracey curets, mini-bladed and Micro-minibladed Gracey curets, Pattison Gracey Lite curets, sickle scalers, files, furcation curets and diamond coated instruments on a periodontal typodont
•  Demonstrate techniques for scaling maxillary and mandibular furcations
•  Demonstrate intraoral, finger-on-finger, extraoral, opposite arch and reinforced fulcrums

* Registrants for Part II must have attended Part I or another full-day Advanced Periodontal Instrumentation lecture course by Anna Pattison within the past three years as the Part II workshop teaches skills which build on concepts presented in the Part I (full-day) lecture course. (Documented proof of attendance required.)
***Participants are asked to bring safety glasses. It is advisable for attendees to not wear white clothing. Typodonts, poles, and complete instruction kits will be provided for use only during the course.

Select Cases in Oral Pathology for the Periodontist: Avoiding Pitfalls to Help Achieve Comprehensive Oral Health For Your Patients

Course Description
Using a case-based approach, this presentation will cover numerous oral pathologies involving the periodontium. An emphasis will be placed on avoiding potential mistakes when approaching lesions, the use of appropriate diagnostic methods, and an approach to treatment and management of patient conditions. At the end of the course, the clinician will be armed with the knowledge necessary to help contribute to a comprehensive approach to oral health care.

Course Objectives
1.  Review numerous oral pathologies affecting the periodontium
2.  Learn how to avoid common mistakes when approaching oral lesions
3.  Gain an understanding of how to manage and treat select conditions to ensure optimal patient care

Hands-On: Application of the Digital Work-Flow for
Guided Implant Surgery

Course Description
During the hands-on course the participant will acquire the information and training for the use of an implant planning software (Co-Diagnostix) and the notions to solve fully edentulous and partially edentulous cases using a guided surgery approach.
Use of CBCT for implant planning
- Image acquisition - Image errors

Software for implant planning
- Uploading of Dicom files
- Image segmentation
- Implant planning
- Designing the surgical guides

Hands on implant placement using the Straumann Guided Surgical Kit

Learning Objectives
•  Understand the advantage and disadvantage of Guided Implant Surgery. The state of the art.
•  The use of Co-Diagnostix for implant planning of edentulous and dentate patients
•  Application of the Digital workflow in complex cases and bone reconstruction.

Current Concepts For The Management Of The Post-Extraction Site: From Ridge Preservation To Immediate Implants

Learning Objectives
•  To learn the dynamics of healing of post-extraction sockets
•  To learn the biology and clinical rationale for preserving the volume of the post-extraction site
•  To critically evaluate the advantages for an immediate implant placement

Advanced Hard And Soft Tissue Augmentation Around Implants

Course Description
Severe horizontal and vertical bone resorptions require lateral and supracrestal regeneration, a challenge for clinicians since the external soft tissue pressure is considered to be a major reason for failure of the surgical procedure in non-spacemaking bone defects. Guided bone regeneration using membranes and bone grafts has been proposed for horizontal and vertical bone augmentation. Customised titanium mesh seems to be a reliable alternative able to reduce the morbidity. Once hard tissue has been successfully augmented, an adequate soft tissue thickness becomes mandatory in order to create healthy and stable peri-implant tissues

Learning Objectives
•  To learn the biology and the surgical principles of horizontal and vertical ridge augmentation
•  To learn the selection criteria for membranes, titanium mesh, autogenous bone and biomaterials.
•  To learn the technique for soft tissue augmentation using CTG or collagen matrix

Lasers in Periodontics: An Update

Course Description
Lasers hav varied characteristics that affect the tissue the response arising from exposure to the laser energy. We understand many, but not all, of these tissue effects. We often hypothesize potential clinical value based upon these understandings; however, these hypotheses must then be tested to validate any value they might have.

This presentation will provide an update of various laser wavelengths and their apparent clinical effectiveness in selected applications from the perspective of clinical data. Hypotheses will also be shared based upon anecdotal data of other promising applications.

Learning Objectives
•  To provide a cursory review of clinically relevant laser/tissue interactions
•  To review current clinical consensus on selected clinical laser applications in periodontics

Clinical solutions for adhesive esthetic rehabilitations

Course Description
Novel adhesive techniques and bonded restorations are able to provide patients, clinicians, and dental technicians with treatment alternatives that until recently would require invasive approaches and sacrifice of pristine dental structure. Through microscopically interaction between biomaterials and dental structure, highly-esthetic and long-lasting clinical solutions can be attained while simultaneously preserving the integrity of the enamel and dentin. The adhesive revolution has overturned established dogmas and concepts by advancing our profession with groundbreaking ultra-conservative philosophies that supported by the sealing and reinforcement of dental tissues. However, as newer adhesive dental materials and technologies are introduced at a very fast pace, it is essential that clinicians and dental technicians become familiar with their indications and limitations to provide the best restorative strategy for each individual patient. This presentation provides a systematic and scientific approach for selecting esthetic treatment modalities using adhesive techniques and CAD/CAM materials based on original research data with special emphasis on minimally-invasive adhesive techniques for materials design and selection.

Course Objectives
•  Understand challenges related establishing a stable adhesive interface
•  Choose adhesive strategies for different clinical situations
•  Understand the advantages and limitations of current in-office CAD/CAM materials

Peri-Implant Inflammation Control and Maintenance

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

HANDS-ON: Utilize Today’s Dental Lasers in Managing Periodontal/Implant

Course Description
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.

Learning Objectives
•  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

Getting Better Case Acceptance

Course Description
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?

Learning Objectives
•  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

Opening Remarks

Coming Soon

Osseodensification: Optimize the Site-Optimize the Outcome

Course Description
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.

Learning Objectives
After this course the participants should be able to:
•  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.

Contemporary Approaches for Periodontal Plastic and Implant Site
Development Procedures

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

Learning Objectives
•  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

Course Description
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.

Course Objectives:
Attendees of this presentation will be able to:
•  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

New Patient Growth thru Digital Marketing

Course Description
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.

Learning Objectives
•  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

How The Periodontal Status Of A Patient Affects Overall Patient Care

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

Learning Objectives
•  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.

Surgical Treatment Planning Or Single Implant Restorations In The Aesthetic Zone.

Course Description
Dental implants have significantly changed the treatment algorithm of the edentulous patient.Although dental implants have demonstrate a very high level of predictability,the replacement of the single tooth in the aesthetic zone still represents one of the most challenging tasks for the clinician. A careful assessment of the implant site with respect to bone and soft tissue conditions, restorative conditions and patient expectations should be taken into consideration before contemplating the use of implants in the aesthetic zone. The purpose of this lecture is to present and discuss a classification of implant sites and a treatment algorithm for the use of single implant supported restoration in the aesthetic areas.

Learning Objectives
•  Understand the indication and contraindication of the use of single implant supported restoration in the aesthetic area.
•  Identify the pre-surgical site-related factors that can affect the final outcome when replacing a single tooth with dental implants in the aesthetic zone.
•  Apply the proper treatment algorithm for the optimal clinical result.

Hands On Course : Application of the digital workflow for guided implant surgery.

Course Outline
During the hands-on course the participant will acquire the information and training for the use of an implant planning software (Co-Diagnostix) and the notions to solve fully edentulous and partially edentulous cases using a guided surgery approach.
•  Use of CBCT for implant planning
•  Image acquisition.
•  Image errors
•  Software for implant planning
•  Uploading of Dicom files
•  Image segmentation
•  Implant planning
•  Designing the surgical guides
•  Hands on implant placement using the Straumann Guided Surgical Kit

Learning Objectives
•  Understand the advantage and disadvantage of Guided Implant Surgery. The state of the art.
•  The use of Co-Diagnostix for implant planning of edentulous and dentate patients
•  Application of the Digital workflow in complex cases and bone reconstruction.

Root Coverage: The science, the art, and the element of time

Course Description
Root coverage procedures, one of the components of periodontal plastic surgery, are an essential aspect of periodontal practice. This course will review current scientific evidence on root coverage, reexamine technical aspects of these procedures, and highlight the element of time as it relates to these surgical techniques.

Learning Objectives
Upon completion of this course, participants should be able to:
•  Discuss current evidence that supports the clinical use of root coverage procedures
•  Identify technical aspects of root coverage procedures that influence clinical outcomes
•  Explain the significance of time in the context of root coverage outcomes

Dominate Your Marketing Online: Attracting New Patients to Your Practice

Course Description
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.

Learning Objectives
•  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

Looking Ahead - Anesthesiology’s Role in Periodontics

Course Description
In this short, hour long presentation, attendees will explore and apply newer concepts of pain and anxiety management to their existing advanced periodontics practices and learn about emerging technologies, pharmaceuticals, and innovations that will improve outcomes and care in an office-based surgical practice.

Unfolding Peri-implantitis

Course Description
Implant complications have become a major challenge for many dentists who placed implants. This lecture is designed to help dentists who placed or restored implant understand what’s new in implant complications, how to avoid these problems and how to predictably mange this emerging concern. New definitions such as plaque induced peri-implantitis and non-plaque associated peri-implant diseases, predisposing and precipitating factors associated with peri-implant complications and treatment prognosis of peri-implant diseases will be presented. Recent research findings of how surface coating or the titanium particles influence the incidence of implant complications will be discussed. In addition, this lecture will provide the mechanisms (e.g., surgically triggered, prosthetically triggered and biological induced implant complications) of how implant bone loss and implant failure occurred. Specifically, how to manage implant esthetic and biological complications using EP-DDS protocol will be demonstrated. Three decision trees (implant biological complication management, implant treatment based upon defect morphology and implant soft tissue recession classification and proposed management) will be proposed. The treatments for implant diseases/complications include: chemotherapeutic agents, lasers de-contamination, apically positioned flap with or without implantoplasty, implant surface detoxification, lasers, guided bone regeneration, soft tissue grafts, implant removal as well as re-implantation will be thoroughly discussed.

Learning Objectives
•  Recognize predisposing and precipitating factors associated with peri-implant complications
•  Learn how to prevent future implant complications
•  Know how to select proper treatment for different implant complications
•  Learn EP-DDS guided bone regeneration protocol to predictably regenerate peri-implantitis defects
•  Familiarize yourself of dental lasers as well as other detoxifying agent



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Mailing Address
The Western Society of Periodontology
3820 Northdale Blvd.
Suite 205A
Tampa, FL 33624

(813) 444-1011