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Periodontal Prosthesis: Yesterday, Today, and Tomorrow
September 22, 2018 • Philadelphia, Pennsylvania • 7 Live CEU

7:00 – 8:00 AM

Registration

8:00 – 8:15 PM

Welcome and Opening Remarks – Mario Vilardi, DMD

8:15 – 9:00 AM

The History of Perio-Prosthesis – Howard P. Fraiman, DMD
9:00 – 10:30 AM The Role of Walter Cohen and Mort Amsterdam in the Development of Periodontal Medicine – Robert J. Genco, DDS, PhD

10:30 – 10:45 AM

Break

10:45 – 12:15 PM

Lessons Learned from Perio-Prothesis: Tooth Replacement and the Pink Dilemma – David Garber, DMD

12:15 – 1:30 PM

Lunch Break

1:30 – 3:00 PM

Periodontists Should Still Be Saving Teeth – Paul S. Rosen, DMD, MS

3:00 – 3:15 PM

Break
3:15 – 5:00 PM Does Dataset Match Your Mindset: Understanding Clinical Failures – John C. Kois, DMD, MSD

5:00 – 5:30 PM

Break

5:30 – 6:30 PM

Cocktail Reception

6:30 – 9:00 PM

Gala Dinner
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Lessons Learned from Perio-Prothesis: Tooth Replacement and the Pink Dilemma

David A. Garber, DMD

The extraction of a tooth initiates a cascade of biologic events that result in alveolar ridge resorption, with aberrant soft tissue compromise and inevitably unattractive tooth replacement. Enumerable surgical, biologic, and prosthetic techniques have been developed to compensate for this inevitable three-dimensional loss of hard- and soft-tissue, to facilitate restorative esthetics that is predictable and sustainable.

The alternatives for tooth replacement include various forms of Fixed Partial Dentures, PFM or All Ceramic bridges, Maryland bridges, and a plethora of implants systems now designed specifically for esthetic tooth replacement. Each form of replacement comes with specific limitations, and then the need to make different clinical decisions, based on the individual needs of the patient as well as the clinician’s aptitude.

Recently a novel method was published for preserving the "exact" three-dimensional soft- and hard-tissue profiles by the intentional retention of a selected buccal portion of the root (a Socket Shield), with it's attachment apparatus, the bundle bone, periodontal ligament, and essential vascular supply. This prevents the consequences of extraction, the unavoidable buccal socket remodeling, and so retains the three-dimensional labial hard/soft tissue profiles and color of the restorative recipient site. An implant or bridge pontic with ideal esthetics can then placed lingual to this retained root/tissue complex.

Predictable long-term sustainable integration of the implant has been documented on CBCT in combination with volumetric superimposed digital scans of the peri-implant tissue geometry, and animal and human histology showing successful integration of the titanium implant surface. This ‘Partial Extraction Therapy’ is an evolution of the tenets of perio-prosthetics, the predictable root submergence logic, and promises to be a potential revolution in implant and traditional tooth replacement.

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The History of Perio-Prosthesis

D. Walter Cohen, DDS

The Periodontal Prosthesis program at the University of Pennsylvania had its origins at the Graduate School of Medicine in 1955. Its early beginnings met interesting challenges and during the next 63 years the graduates of this program had significant impact on similar activities in the academic world and in the practice of dental medicine. This presentation will focus on the early history of the collaboration of disciplines and their subsequent influence on the treatment of advanced oral problems.

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The Role of Walter Cohen and Mort Amsterdam in the Development of Periodontal Medicine

Robert J. Genco, DDS, PhD

The concept of the importance of host factors in risk for periodontal disease and the role of periodontal disease in systemic diseases was a major concept stimulated by the teaching of Walter and Mort. Although the field of Periodontal Medicine was not clearly defined until the mid-90’s, they helped stimulate much thought, discussion, and research in the principles that underlay this remarkable field. Today, we have evidence of involvement of periodontal disease in a host of systemic conditions including diabetes—an early interest of Walter’s—as well as heart disease, stroke, rheumatoid arthritis, and most recently specific cancers. The current state of knowledge of these relationships will be presented.

Learning Objectives:
• Discuss the role of host factors in the risk for periodontal disease
• Review the relationship between periodontal disease and systemic health
• Describe the development and future of the field of Periodontal Medicine

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Periodontists Should Still Be Saving Teeth

Paul S. Rosen, DMD, MS

There are clinical situations where teeth present with advanced bone loss related to inflammatory disease. While their removal might seem to be clinically expedient, maintaining them by restoring them back to health through regenerative efforts is the best treatment option. Moreover, it is the care that most of our patients seek. This program will review some of the innovative techniques and materials being used today ranging from enhanced grafts with stem cells and biologics to the use of the Nd:YAG laser.

Learning objectives:
• Identify the situations where regenerative therapy can be applied to saving teeth.
• Identify the risk factors that could pose diminished results if not considered.
• Discuss where the use of the Nd:YAG laser fits in to the regenerative treatment armamentarium.

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Does Dataset Match Your Mindset: Understanding Clinical Failures

John C. Kois, DMD, MSD

The ability to provide patient care that yields a predictable outcome is dependent upon an individualized risk assessment for your patient. Unfortunately, the majority of data utilized in making decisions regarding patient care is based on survival analysis, which is procedure-generated and may not accurately reflect the individual needs of your patient. This program will provide a conceptual framework for clinical practice that is simple to implement and will create a paradigm shift in the way we interface with our patients and collect data. In addition, the program will introduce new dental software that will link the benefits of evidence based science to clinical protocols, thereby providing all the necessary analysis, improving quality assurance, and resulting in a more seamless integration of other developing technologies.

Learning objectives:
• Review the importance of standardized data collection leading to improved data analysis.
• Discuss how to develop critical risk parameters to minimize failures and maximize successful outcomes.
• Describe ways reduce confusion regarding different modes of failure.

Register for Periodontal Prosthesis Program

For housing and reservation information at The Westin Philadelphia, click here or call: 844-279-5413 and reference the Cohen Amsterdam Education Foundation.