Adventure and Learn: Hawaii 2015

Feb 2-6, 2015

The Orthodontic – Prosthodontic Connection:  How a synergistic approach to complex restorative problems results in superior outcomes for dental patients.

The successful rehabilitation of the complex restorative patient often requires a synergistic approach of multiple dental specialties. These dentitions are often characterized by having any combination of multiple missing teeth, inappropriate spacing, over erupted teeth, advanced attrition, uneven occlusal planes, and compromised periodontal health. Communication between team members to establish uniform treatment objectives and appropriate sequence of care is required to ensure that an optimal outcome is achieved. With particular attention to the prosthodontic demands of treatment and through the use of many clinical examples, a systematic method of diagnosis and treatment planning for the complex interdisciplinary dental patient will be presented.

Objectives:

  • Demonstrate how to create a treatment plan as an integrated team
  • Outline essential information that should be communicated during the collaborative treatment planning process
  • Describe the advantages and goals of pre-prosthodontic orthodontic treatment
  • Summarize the range of orthodontic tooth movements possible with modern techniques to facilitate the restorative phase of treatment
  • Detail the key considerations and steps involved in restoring the single anterior tooth
  • Discuss the strengths and limitations of current restorative materials for specific treatment options

Oral Lesions: A Clinical Approach to Differential Diagnosis

Traditionally oral pathology has been taught in dental schools by presenting either clinical or histologic images and asking the student to recall their names. In clinical practice alterations in the oral soft and hard tissues rarely resemble the images from either dental school classes or oral pathology textbooks. The objective of this presentation is to guide the participants to develop an approach for the differential diagnosis of lesions of the soft tissues of the oral cavity through evaluation of key features of the lesions and reference to the anatomy/histology of the intraoral site. This approach builds on dentist’s strengths resulting from their clinical care of patients to provide a more comprehensive strategy to develop a differential diagnosis.  The importance of developing a differential diagnosis will be stressed in this presentation in order to insure that important conditions are not overlooked when evaluating a patient. In contrast to the expectations in a dental school oral pathology course it is not important to make the diagnosis of any oral lesion clinically the first time it is observed but rather to consider the range of possible diagnoses and establish a priority for them. Procedures that lead to a definitive diagnosis will be discussed and the rationale for selecting a particular procedure presented.  It is important that getting the diagnosis “right or wrong” at the chairside or in the clinic should not be the goal. The goal should be to consider all the possible diagnoses and proceed along a course that is most beneficial for your patient.  The presentation approach will use specific clinical cases to demonstrate the process for generating the differential diagnosis and determining the proper course of action to reach a final diagnosis. The steps involved in generating a thorough assessment of the lesion will be presented so that a broader range of potential conditions is considered. The result of this clinic will be a new strategy to approach the assessment of oral lesions that will result in a more extensive set of differential diagnoses.

learning objectives

  1. To recognize changes in oral soft tissues representative of pathologic changes
  2. To evaluate the lesions in a standardized format based on using clinical examination strengths generated in practice.
  3. To develop a process for generating a differential diagnosis based on the anatomy and histology of the site
  4. To understand the application of additional procedures to reach a definitive diagnosis and determine an approach to treatment
  5. To apply the process to clinical cases to reinforce this new approach to the evaluation of oral soft tissue lesions

Advancements in Direct and Indirect Adhesive Dentistry

Direct Dentistry

  • The value and role of lights…why they are so important.
  • Total etching, Selective Etching, Self Etching…what to do?
  • Have self etchant bonding agents proven their success? Is etching dead?
  • How do the new low stress composites make our lives easier? Are they worth it?
  • Bulk Filling versus Incremental approaches- Glass ionomers, Resin ionomers, Resin silicate Calcium Hydroxide,….why they are so valuable to you and your patients
  • When do you stop drilling? Conservative approaches to caries removals
  • Class 2’s, it’s all about the matrix system and how to customize contours and contacts

Indirect Dentistry

  • Understanding: EMAX, All Zirconia Restorations, Porcelain Restorations: the pros and cons to each
  • How preparations vary and why one is far more conservative
  • Maximizing your impressions: techniques in both traditional and digital and how to avoid the pitfalls that are SO common to our daily practice
  • The latest in temporization and why the materials have made it so much faster and easier, along with the latest on the “next’ generation of temporary cements
  • Cementation: the very latest on techniques, options, primers, silane, bonding agents, RMGI’s, and more!
  • Casework will include: How and when to do onlays, single units, quadrants and delivering beautiful smiles everyone can do.
  • How soft tissue can make or break a case with emphasis on lasers, socket grafting and temporization approaches to your most demanding patients.