31st Annual NYU/ICOI Implant Symposium

31st Annual NYU/ICOI Implant Symposium

Oct 09, 2021 - Oct 10, 2021




“Digital Dental Solutions in Implant Practice:
From Single Tooth to Full Arch: A Step by Step Review”

• Participants will be able to learn initial scan procedure prior to implant prosthetic planning
• Learning a functional/esthetic planning based on patient expectations
• Milling a single crown or a full arch provisional restoration as well as a surgical guide
• Implementing the pre-milled prosthetic on the inserted implants for functional temporization

“ Prosthetic Guided Bone Regeneration for Ideal Implant Placement”

Today in implant dentistry, osseointegration alone is no longer enough. Implants must not only be osseointegrated, but in the right place and esthetic. The excuse, “well that is where the bone was,” is no longer acceptable. Thus the position that creates the most beautiful and functional prosthesis dictates the location of the implant, not the ridge morphology. Today, we simply grow bone where we desire it. Techniques that are now available to augment hard and soft tissue at the various phases of treatment will be shown. Techniques will include particulate bone grafting, guided bone regeneration with bio-absorbable and non-resorbable membranes and the use of ridge expanders.
In addition, a thorough discussion of surgical technique including flap designs, suturing techniques,
second stage procedures and post-operative management will be discussed. The sequence and timing of
implant placement and regeneration will vary depending on the situation. Implant placement may be
immediate or delayed up to nine months depending on the quality and quantity of bone. The advantages
and disadvantages of each of the treatment modalities will also be discussed. Four grafting timing
possibilities will be discussed:

  1. at the time of extraction (site preservation)
  2. post extraction (ridge augmentation, sinus grafting, ridge expansion)
  3. simultaneous with extraction and implant placement (immediate implantation)
  4. post extraction and ridge augmentation (Per-implant GBR)

“FMR- Step by Step Approach to Full Mouth Rehabilitation:
Implants, Aesthetics and Occlusion”

Understanding comprehensive dental care can take us many years to figure it out. By using some excellent tools and techniques we can see our patients and approach their care in an efficient manner. Restoring OVD in the proper position and understanding Occlusion techniques will be discussed. Photography, computer imaging, digital techniques can help us analyze each patient for better treatment planning and success. Proportions utilizing digital calipers, facebow and preparation design will be demonstrated. Using provisional techniques to get patient feedback with be show on various patient treatments. CAD/CAM technology has the advantage of reduced clinical chair-time and reduced laboratory costs. The accuracy of these techniques has improved to the point where they are now comparable to conventional techniques. The fabrication of ceramic full coverage restorations and veneers, with an in-office technique, will also be demonstrated. Occlusion principles will be discussed as they relate to new materials and their application in private practice.


“Impact of Compressive and Loading Forces of Implants and Grafting Materials on Bone Regeneration“

The lecture will demonstrate the role of compressive and loading forces on dental implants and bone grafting materials in order to improve bone regeneration. We compared the long-term effects of bone under loading conditions using different loading protocols of dental implants with experimental animal studies performed in calvaria defects and socket preservation models. Based on the histological and histomorphologic evaluations we found more bone formation under loading conditions of implants leading to defect closure and improvement of the bone-implant-contact percentages. In addition, we present data from our recent studies showing the impact of under-sizing the osteotomy on the implant body, the implant-abutment connection, and the effects of potential wear at the bone-implant interface. The lecture will conclude that compaction, compression, and loading forces applied to dental implants or particulate bone grafting materials appear to be fundamental and beneficial contributing to new bone formation and improving long-term success.

“Guided Surgery – 3D Diagnosis, Planning, and Clinical Success for the Single,
Multiple, and Full Arch Cases”

With more and more clinicians placing implants, it is imperative that proper diagnosis and treatment planning be implemented for long term clinical success. Clinicians must understand how implant dentistry is a prosthetically driven modality. The final restorative design and prosthesis must dictate the final restorative and surgical plan. By incorporating guided surgery, cases can now follow the “Crown Down” approach to achieve implant success and predictability. Surgical placement can be planned digitally and 3-Dimensionally through the use of CBCT analysis and final prosthetic design and following through with a pre-planned provisional for immediate loading. Pre-planning the case digitally for a completely guided surgery will reduce surgical time as well as visits. The use of guided surgery will allow for more ideal and predictable implant placement with the final prosthesis in mind.

“The Complete Guide to Digital Implant Workflow”

The presentation will provide an update on current and future digital implant workflow and how it can help eliminate complications and further improve success rates. From CBCT to treatment planning software, surgical guide fabrication, implant guided surgery, sculpting of gingival architecture at the time of implant placement, and intraoral scanning this lecture will help bridge the gap between virtual and clinical dentistry. It will provide a clear understanding of the step by step workflow needed to introduce this technology into your practice.

“The Mucosl Detachment Technique”

Successful membrane coverage is determined by tension free flap closure and is significant for desirable clinical outcomes. Hence, proper tension release on the overlying flap to achieve passive tension flap closure remains to be the most important factor for achieving predictable bone augmentation outcomes. Flap openings have been associates with postsurgical complications including infections and. graft failure.Therefore, gaining flap flexibility for the coverage of small to high volume augmentation is an important component for predictable outcomes. Several techniques have been described in the literature for flap advancement Vertical releasing incision and periosteal scoring are common techniques to obtain flap flexibility and are commonly applied.8 Also, it is known that the incision into submucosa and even some muscularly incision will provide major flap
advancement. Furthermore, the application of these advancement methods are often limited to the presence of sufficient gingival tissue thickness. The determination of periodontal phenotype is relevant
to determine mucogingival surgical management. For thin gingival tissue it has been advocated to perform a full thickness flap (periosteum within the flap) rather than a partial-thickness flap (leaving the periosteum over the bone As tissue thickness decreases wound dehiscence occurs leading to flap tearing and subsequent graft exposure. Similar to flap advancement split thickness flaps are surgical
demanding to be performed in thin tissue as perforation may occur. So far, no specific surgical technique has been proposed for major flap advancement in the thin tissue phenotype (≤1.5mm). Therefore, this Lecture introduces a surgical technique that is separating the mucosal
insertion from the periosteum which is aimed at achieving adequate dimensions of flap flexibility to cover high volume augmentation.

“Patient Complaints And Implant Complications: Overview, Outcomes and Avoidance”
This presentation will provide a blend of evidence-based, case-based and anecdotal complaints and
Learning Objectives:
• Recognize common patient complaints
• Identify common implant complications
• Summarize the outcomes of complaints
• Describe common complications