CAPP - Centre for Advanced Professional Practices
Current Concepts in American Dentistry - MIDDLE EAST PROGRAM 2012 - 2013

Current Concepts in American Dentistry - MIDDLE EAST PROGRAM 2012 - 2013

(Abu Dhabi / New York)

Programme

NYU in The Middle East (Abu Dhabi, UAE)October 11-12-13, 2012
Dr. Cyril EVIAN Thursday, October 11 (09:00 16:00)
Crown Lengthening Procedures and Resective Techniques for Esthetics and Treatment for Caries and Fractured Teeth

Periodontal surgical techniques are utilized to create sound tooth structure for restorative dentistry and esthetic enhancement. In addition, these procedures are utilized to treat many aspects of periodontal disease.

The rational for the use of these procedures and techniques described and discussed in detail. The relationship between the bone and soft tissue form is emphasized. In addition, the various suturing techniques that allow for sophisticated results are described.

Treatment Decisions for Interdisciplinary

Diagnosing and treating the early implant problem is critical in preventing further loss of bone and ultimately implant failure. This program outlines the pathology of implant mucocitis and implantitis, the diagnosis of these conditions and the therapeutic modalities to treat these conditions. In addition, occlusal pathology will be outlined discussed.
Dr. Michael APA Friday, October 12 (09:00 12:00)
Treatment Decisions for Interdisciplinary Challenges: Achieving Ultimate Aesthetics (Part I)

Dentistry has evolved into a multi-disciplinary approach to treating esthetic cases. The surrounding gingival architecture plays a major role in achieving the patients' goals and sometimes may require more than restorative dentistry to reach the expectations and needs of the patient. This presentation will explore challenges that may arise while working with the anterior esthetic region, discuss how facially driven treatment planning provides the position of a smile, how to communicate with restorative dentist, surgical specialist and ceramist to create smiles that are "invisible" in the patient's facial arrangement. Methods of preparation, temporization and tissue management will also be discussed.

The presentation will also review comprehensive diagnosis and treatment planning for both natural teeth and implants in the aesthetic zone. Aesthetic crown lengthening, root coverage and ridge augmentation procedures will be shown as part of an overall treatment planning process. The use of immediate implant placement and immediate provisionalization will also be discussed.
Dr. Brian CHADROFF Friday, October 12 (13:00 16:00)
Treatment Decisions for Interdisciplinary Challenges: Achieving Ultimate Aesthetics (Part II)

Dentistry has evolved into a multi-disciplinary approach to treating esthetic cases. The surrounding gingival architecture plays a major role in achieving the patients' goals and sometimes may require more than restorative dentistry to reach the expectations and needs of the patient. This presentation will explore challenges that may arise while working with the anterior esthetic region, discuss how facially driven treatment planning provides the position of a smile, how to communicate with restorative dentist, surgical specialist and ceramist to create smiles that are "invisible" in the patient's facial arrangement. Methods of preparation, temporization and tissue management will also be discussed.

The presentation will also review comprehensive diagnosis and treatment planning for both natural teeth and implants in the aesthetic zone. Aesthetic crown lengthening, root coverage and ridge augmentation procedures will be shown as part of an overall treatment planning process. The use of immediate implant placement and immediate provisionalization will also be discussed.
Dr. Philippe TARDIEU Saturday, October 13 (09:00 - 16:00)
Written Reports and Clinical Cases Choices and Organization Scientific Publications

- Each participant needs to deposit a written report in his or her preferential topic selected from the title of the course.
- Each participant needs to orally present 2 clinical cases.
This session will help each participant choosing his or her Written Report topic.
Basic information will be given to each participant about the required format of presentation and where to find help and support for that.

Photography & Documentation

Just making a click is by far not enough to make good intra-oral pictures!
Being good in photography in an absolute necessity in dentistry today.
Photography is fully integrated in daily practice. It is first used for diagnosis purpose but also for communication purpose with patients and lab technician. It is used for medico legal reasons and allows getting a clear view on our clinical results.
This course is an introduction to digital imaging techniques.
A full and clear review of the material to use will be done: criteria of selection's criteria for the camera, the flash, lenses and the software to use to manipulate images.
The camera settings will be explained to take intra oral and extra oral pictures.
The image transfer and storage will be fully covered.
And all kind of in-office use of pictures will be explained.
A hands-on workshop will be done using your camera, Adobe Photoshop on participants' lap-tops and using Dent@lvia software.
Aim of the course: To understand how to manipulate a digital camera to make good quality intra-oral and extra-oral pictures. To know how to treat store and manipulate our patient's images.
NYU in New York CityJanuary 21-25, 2013
Dr. Edgard EL CHAAR Monday, January 21 (09:00 - 16:00)
Current Concepts in Aesthetic Site Development

In the past 25 years, the focus in dentistry has changed gradually from being in repair business to a very sophisticated comprehensive treatment and more focused on aesthetics. As we know, aesthetics relates psychologically to a patient's perception of beauty. Knowing the parameters of aesthetics by a surgeon is crucial in providing the restorative dentist an adequate result to build on particularly for dental implants in the anterior. The latter requires different philosophy in treatment planning that combines esthetics, function, well being and psychological demand tailored for each patient individually.

Essentials in Aesthetic Soft Tissue Management and Dental Suturing: Principles and Practice

Establishing primary wound closure of various soft tissue flaps is paramount for optimal post-surgical wound healing. Surgical procedures that require clinical flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard- and soft-tissue regeneration also require excellence in execution and thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. This lecture will discuss the rationale of specific suturing techniques and suture materials to aid the clinician in obtaining optimal wound closure and the optimal management of soft tissue manipulation in highly aesthetic areas. A "hands-on" laboratory session will follow allowing the participant to execute some of the techniques reviewed in the didactical part.

MODEL WORKSHOP
Dr. Jackie BERKOWITZ Tuesday, January 22 (09:00 - 13:00)
Orthodontic Preparation in Complex Restorative, Esthetic and Implant TEAM "Interdisciplinary" Therapy

The emphasis in all of the contemporary dentistry is to interact in a team environment to provide excellence in patient care. Recent advances throughout the scope of dentistry, including esthetic/restorative methods and materials, periodontal philosophy including regenerative procedures and gingival esthetics, implant therapy for restorative and orthodontic purposes, and orthognathic surgical advances, have given us the tools to synergistically improve our results with interdisciplinary TEAM care.

Comprehensive "TEAM-Oriented" Treatment planning and sequencing of therapy will be emphasized particularly related to interdisciplinary preparation of the complex restorative and esthetic patient. It will stress interaction of surgical-implant/restorative-orthodontic disciplines, in preparation for complex restorative and esthetic therapy.
  • Today's Orthodontic practice, future trends and "TEAM Synergism"
  • Orthodontic Preparation in Complex Restorative, Esthetic and Implant TEAM "Interdisciplinary" Therapy
  • Understand the general approach and sequence of "TEAM" therapy in the complex restorative/esthetic/implant patient
  • Understand the role of Orthodontics to synergistically enhance Esthetic, Implant and Restorative results including details of the newest modalities in the treatment of congenitally absent maxillary lateral incisors, malformed maxillary lateral incisors and congenitally absent mandibular second bicuspids.
  • An overview of the role of orthognathics in all phases of "TEAM" Therapy
  • An interactive review and complete details of multiple patients treated in an "Interdisciplinary" environment including the predictable, functional and esthetic rehabilitation of the abraded and worn dentition
Dr. Sang-Choon CHO Wednesday, January 22 (14:00 - 16:00)
LIVE SURGERY

Associate Director of Clinical Research and Clinical Assistant Professor in the Ashman Department of Periodontology and Implant Dentistry, New York University, College of Dentistry; Recipient of Advanced Implantology Certificate, New York University; Editorial Board for Journal of Periodontal and Implant Science; Member, Greater New York Academy of Prosthodontics (GNYAP) and OKU. He has published over 20 articles in peer review journals and contributed chapters in 4 textbooks. He currently has a private practice in New York City specializing in Implantology and Dental Aesthetics.
Dr. Stephen WALLACE Thursday, January 23 (09:00 - 16:00)
Surgical Procedures to Rehabilitate the Compromised Posterior Maxilla

A recently completed evidence-based review of the sinus augmentation procedures by the presenter has shown the implants placed in grafted in maxillary sinuses experience survival rates similar to or better than implants placed in the non-grafted posterior maxilla. The reviews show that utilizing available evidence to select grafting materials, membranes and implant surfaces is what leads to high success rate.
This presentation will focus on the use of that information in the formulation of treatment plans that lead to the most favorable outcomes in the hands of surgeons engaged in the clinical practice. Further research from a data base of over 1,000 sinus augmentation surgeries performed at the NYU Department of Implant Dentistry will be presented examined in a step-by-step manner that will allow the clinician to achieve maximum results with minimum complications. Handling of intraoperative and postoperative complications will be discussed.

VIDEO SURGICAL DEMONSTRATIONS
Dr. Preston MILLER Friday-Saturday, January 24-25 (09:00 - 16:00)
Regenerative and Reconstructive Periodontal Plastic Surgery: Cosmetic and Esthetic Consideration" (Part I/II)

Periodontal surgery is rapidly moving from respective techniques to regenerative and reconstructive techniques. Root coverage (reconstruction) with attachment (regeneration is not only possible, but routinely predictable in areas of marginal tissue recession using both free and pedicle grafts. A comparison of various surgical techniques for root coverage will be presented as well as a systemic approach for selection of the proper surgical techniques. Topics will include:
  1. Root Coverage Grafting
  2. Esthetic Crown Lengthening
  3. Embrasures
  4. Lost Papillae
  5. Prosthetic Crown Lenghthening
  6. Radiosurgery

RADIOSURGERY DEMONSTRATIONS
NYU in The Middle East (Dubai, UAE)April 11-12-13, 2013
Dr. Philippe TARDIEU Thursday, April 11, 2013 (09:00 16:00)
The Current World of Images in Implantology

This training session will allow participants to understand the world of images in dentistry and implantology. The world of images in coming into dental practices but very often, dentists can hardly understand what kind of tools should be selected to integrate this world. Most of the systems are closed and protected by strong monopoles. Dentists are perplexed about the use of these tools. Uniguide software program, developed by Philippe Tardieu, is an open program, it is a new and innovative suite of modules in the field of computer-guided implantology and diagnosis (impacted teeth, tumors, nerve path...). It includes 3 modules: U Treat for image treatment, U Plan for implant planning and U Design to design surgical guides.
Hands-on will allow dentist to work on a demo program and discover all the friendly and useful tools in an every day practice.
Dr. Michael SONICK Friday, April 12, 2013 (09:00 16:00)
Implant Treatment in the Aesthetic Zone

Implant dentistry is now part of routine dental treatment. It is no longer enough for an implant to merely osseointegrate; it must be esthetic as well. The maxillary anterior dental implant is perhaps the most challenging for the clinician. A multiplicity of techniques must be mastered including but not limited to ideal implant placement, proper surgical technique, bone augmentation, soft tissue development and proper restoration.
Dr. Dean VAFIADIS Saturday, April 13, 2013 (09:00 16:00)
Aesthetics, Implants and Occlusion: Computerized Dentistry for Private Practice

Over the past few years there have been many advances in Implants, Aesthetics and Occlusion. Using computerized techniques and digital impressions we can now predictably restore teeth in the anterior aesthetic zone. Implant restorations using new ceramic materials will be discussed and demonstrated. Using virtual models of articulation we can restore single units as well as full arches with computerized abutments. Using Aesthetic principles we can restore tooth aesthetics and facial aesthetics to its original beautiful colors. Evaluating different ceramic materials will also advance our knowledge as to when to use which materials for the worn dentition. In addition, understanding Vertical Dimension of Occlusion and establishing the envelope of motion to create long-lasting restorations.

Implant Restorations in the Aesthetic Zone: New Technologies and Techniques

There are new ceramic materials available and new materials for provisional restorations during long term healing of anterior implant cases. With these techniques we can preserve the gingival tissues and get a better aesthetic outcome for final implant restorations. Using provisional restorations and sound digital imaging techniques we can place implants in the proper areas to optimize implant aesthetics. Using principles of facial aesthetic design we can enhance all facial and dental aesthetics in combination with natural teeth and implants. Cad/Cam scanning and monolithic materials can predictably give us superior aesthetics in a one-visit protocol. Finalizing all the patient treatments with prosthodontic occlusion principles will allow our patients restorations to have a long term prognosis.
NYU in New York CityOctober 14-25, 2013
Dr. Christian STAPPERT Monday, October 14 (09:00 16:00)
The Art of Soft Tissue Management

Advanced implant dentistry faces the challenge of tooth and implant restorations close to each other. To achieve esthetic satisfying results, an appreciable width and thickness of attached gingival is desirable around implants and teeth. Due to alveolar ridge defects, tooth extractions or previous restorations the soft tissue appearance is often compromised. Full thickness flap designs unveil their limitations when additional vertical or horizontal volume should be gained or if extended augmentation areas should be covered by soft tissue. Common surgical procedures result in an extension of mucosa up to the alveolar ridge and a displacement of the muco-gingival-line repeatedly. Different surgical procedures like apical reposition flaps or free gingival grafts etc are required to re-establish lost attached gingival and healthy soft tissue color. The knowledge of soft tissue management and the ability to choose the right surgical soft tissue procedure in a given situation creates the foundation for an outstanding prosthetic restoration.
Dr. Jackie BERKOWITZ Tuesday, October 15 (09:00 16:00)
Orthodontic Preparation in Complex Restorative, Esthetic and Implant TEAM "Interdisciplinary" Therapy

The emphasis in all of the contemporary dentistry is to interact in a team environment to provide excellence in patient care. Recent advances throughout the scope of dentistry, including esthetic/restorative methods and materials, periodontal philosophy including regenerative procedures and gingival esthetics, implant therapy for restorative and orthodontic purposes, and orthognathic surgical advances, have given us the tools to synergistically improve our results with interdisciplinary TEAM care.
Comprehensive "TEAM-Oriented" Treatment planning and sequencing of therapy will be emphasized particularly related to interdisciplinary preparation of the complex restorative and esthetic patient. It will stress interaction of surgical-implant/restorative-orthodontic disciplines, in preparation for complex restorative and esthetic therapy.
Today's Orthodontic practice, future trends and "TEAM Synergism"
Dr. Stephen WALLACE Wednesday, October 16 (09:00 16:00)
Surgical Procedures to Rehabilitate the Compromised Posterior Maxilla

A recently completed evidence-based review of the sinus augmentation procedures by the presenter has shown the implants placed in grafted in maxillary sinuses experience survival rates similar to or better than implants placed in the non-grafted posterior maxilla. The reviews show that utilizing available evidence to select grafting materials, membranes and implant surfaces is what leads to high success rate.
This presentation will focus on the use of that information in the formulation of treatment plans that lead to the most favorable outcomes in the hands of surgeons engaged in the clinical practice. Further research from a data base of over 1,000 sinus augmentation surgeries performed at the NYU Department of Implant Dentistry will be presented examined in a step-by-step manner that will allow the clinician to achieve maximum results with minimum complications. Handling of intraoperative and postoperative complications will be discussed.
Dr. Cyril EVIAN Thursday, October 17 (08:30 15:30)
Diagnosis and Treatment of Ailing and Failing Implants

Diagnosing and treating the early implant problem is critical in preventing further loss of bone and ultimately the implant failure.
This program outlines the pathology of implant mucocitis and implantitis, the diagnosis of these conditions and the therapeutic modalities to treat these conditions. In addition, occlusal pathology will be outlined discussed.

Occlusion Considerations in Implant Dentistry

The occlusion of the dentition is often a confusing issue for the clinician. The diagnosis of occlusal pathology needs to be thoroughly understood in order to treat the occlusion. The physiologic malocclusion and pathologic occlusion need to be differentiated in order to determine whether the occlusion needs therapy or not. Altering or amending the occlusion can often lead to unforeseen problems that a clinician should be aware of including pain, discomfort, esthetics, phonetic issues and function.
This lecture discusses the normal occlusion, physiologic malocclusion and the pathologic occlusion. Included is the diagnosis of these conditions and ultimately whether or not these cases require treatment and the therapeutic ramifications of treating and altering the occlusion.
Dr. George ROMANOS Friday, October 18 (08:30 13:00)
Advances and Innovations in Ridge Augmentation: Aesthetics and Clinical Considerations

There is no doubt that augmentative procedures are common in the daily practice. For the narrow alveolar ridge, there are various alveolar extension plastic procedures allowing increase the width of the ridge with many limitations.
However, augmentative procedures are successful and dependent on different host response and definitely the surgical approach. The presenter will demonstrate different concepts of therapy and will address the biological concepts besides the management of complications. The surgical steps and the requirements for the success are here discussed presenting also the opportunity of treatment using different loading protocols. The management of the insufficient width as well as the increase in the height in the posterior and anterior parts of the jaws will be demonstrated. Special focus will be the vertical augmentation technique in order to have a good and predictable result.
Dr. Peter HUNT Monday, October 21 (09:00 16:00)
Advances and Innovations in Restoring Dental Implants

Most dentists are confused about the restoration of dental implants. It's supposed to be easy but it's not. It's a whole new subject, a whole new experience that takes some getting used to. The question is where do you start? This program will discuss restorative guidelines in clinical practice to designing and creating a final crown that is strong, functional and aesthetic.
First, you need to understand how important it is for the implant to be in the right position. Good implant position allows an abutment to develop the right shape and emergence profile so it can be restored to appear and function just like a tooth. Poor implant position makes restorative therapy difficult, sometimes almost impossible, which may ruin the aesthetic result. Another critical consideration is the depth of the implant platform under the soft tissue.
Second, you need to appreciate how connection design and restorative technology are inexorably intertwined. A poor, sloppy connection makes for complex, expensive and relatively short-term restorative results. Whether the connection is conical or butt joint is also important as both have characteristics which affect the abutment design. For example, conical designs tend to require "Platform-switching."
Third, start understanding what it takes to develop the "emergence profile," the process where you make your implant restorations look like teeth emerging from the gingiva. It's becoming common to start developing the emergence profile at the time of implant placement. How can this be achieved? What components are available and how can you, the dentist, customize the component to get the desired emergence.
Fourth, once you have the desired emergence profile then how can this be copied across to the final abutment. Where does one start with abutment selection? Just what should be the shape of the abutment? What material should an abutment be made of? When do you need custom abutments instead of stock off-the-shelf abutments?
Fifth, the final form for an implant crown may have to be different from one based on a natural tooth. Often the implant base is smaller than the tooth base, particularly in the molar region. This can make for open embrasures, "black" triangles, poor phonetics and lousy aesthetics. It can also mean a bulked-out crown with relatively weak and fracture-prone porcelain.
Dr. Spyridon CONDOS Tuesday, October 22 (09:00 12:00)
Implant Prosthetics Demystified

Clinical Assistant Professor, Department of Implant Dentistry, New York University College of Dentistry; Diplomate of the International Congress of Oral Implantology; Fellow of the Academy of General Dentistry; Member, Academy of Osseointegration and American Equilibration Society. Founder and President of the Occlusion Concepts Study Group in Manhattan; Private Practice in Manhattan.
Dr. Sang-Choon CHO Tuesday, October 22 (13:30 15:30)
LIVE SURGERY

Associate Director of Clinical Research and Clinical Assistant Professor in the Ashman Department of Periodontology and Implant Dentistry, New York University, College of Dentistry; Recipient of Advanced Implantology Certificate, New York University; Editorial Board for Journal of Periodontal and Implant Science; Member, Greater New York Academy of Prosthodontics (GNYAP) and OKU. He has published over 20 articles in peer review journals and contributed chapters in 4 textbooks. He currently has a private practice in New York City specializing in Implantology and Dental Aesthetics.
Dr. Arnold WEISGOLD Thursday, October 24 (09:00 16:00)
Esthetic and Gingival Problems of the Single Tooth Implant

This presentation will deal with the unique features that impact on the esthetic and gingival management of the single tooth implant. In many respects the type of periodontium is as much a factor in success as the actual fixture position. Sulcular form, mesiodistal and facio-lingual location of the fixture, apical positioning of the fixture, ridge morphology and embrasure considerations will be dealt with the detail. The actual position of the artificial crown relative to the adjacent natural teeth and edentulous ridge will be analyzed and the manner in which this is managed will be reviewed. The difficulties involved with positioning implants adjacent to other implants, next to natural teeth and proximity to edentulous areas will be discussed in depth.
Dr. Robert HOROWITZ Friday, October 25 (08:30 13:00)
3D Evaluation and Bone Regeneration for Optimal Results: Paradigm Shifts in Dentistry

Case acceptance is improved by thorough diagnosis and enhanced patient education. The use of digital radiography and digital intraoral photography will be shown for their simplicity and powerful effect. In this age of optimal aesthetic implant-supported restorations, three-dimensional diagnosis is critical before and after tooth extraction and other types of surgery. Utilizing cone beam volumetric tomography enhances the diagnostic and educational ability of the dental team. This enables the non-surgical and surgical portions of therapy to be fully planned out before the case is started. Cases will be shown where diagnosis can be easily explained to the patient. Once the patient "owns" the issue, they accept treatment at a higher level.
A large component of the course will be devoted to optimizing extraction socket treatment - grafts, barriers, strategies for conventional extraction therapy and the latest research and techniques for immediate socket implantation. Additionally, a comparison of graft materials and techniques will be shown for maximizing vital bone formation in sinus and ridge augmentation sites as well.

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