e TO bl UP la ai Av 23 s ur Ho International Quintessence Symposium On Periodontics & Restorative Dentistry Achieving Quality Predictable Outcomes November 21-23 Hilton Hotel Sydney NSW Australia Advanced Program Register today www.henryschein.com.au/iqs Proudly Sponsored by Including a concurrent program on DIGITAL DENTISTRY D CP 2014 2014 International Quintessence Symposium Scientific Chairman Dr Daniele Cardaropoli Professor Laurence Walsh DDS, Cert Perio Turin, Italy BDSc, PhD, DDSc, GCEd, FFOP(RCPA), FICD, FIADFE Brisbane, Australia Laurence holds a personal chair at the University of Queensland, and he recently completed a 10 year term as the Head of the UQ School of Dentistry. He maintains a part time specialist practice in special needs dentistry in Brisbane. Laurence is the program leader for research into advanced dental technologies and dental biomaterials at UQ, an area in which he has published extensively in the biomedical and patent literature, including having authored over 230 journal articles. Laurence is an Editorial Board member of 5 international dental journals and serves as the dental editor of Lasers in Medical Science. Dr Christian Coachman Professor P. Mark Bartold CDT, DDS San Paulo, Brazil BDS, BScDent, PhD, DDSc, FRACDS(Perio), FICD Adelaide, Australia Mark is Professor of Periodontics and Director of the Colgate Australian Clinical Dental Research Centre at the University of Adelaide. He has particular interests in periodontal regeneration, tissue engineering of periodontal tissues, and stem cell biology. Mark has authored over 220 scientific articles in periodontology. He is an Editorial Board member of eight international dental journals, and is the current Editor of the Australian Dental Journal. In 2004, Mark was made a Member of the Order of Australia for his numerous contributions to periodontal research and teaching. Professor Markus B. Blatz Christian graduated in dental technology in 1995, and then trained in dentistry at the University of São Paulo in Brazil. He completed the ceramic specialisation program at the Ceramoart Training Centre, going on to become an instructor. In 2004, Christian was invited by Drs. Goldstein, Garber, and Salama of Team Atlanta to become Head Ceramist of their laboratory, a position he held for over 4 years. Christian has worked with many leading dentists around the world. He maintains a clinical practice in San Paulo, where he works with his father, uncle and brother. Christian is the developer of several techniques including the Pink Hybrid Implant Restoration and the Digital Smile Design Concept. His particular areas of expertise are in aesthetic dentistry, dental photography, oral rehabilitation, dental ceramics and implants. Professor Lyndon F. Cooper DMD, PhD Philadelphia USA Markus B. Blatz, DMD, PhD is Professor and Chairman of the Department of Preventive and Restorative Sciences at University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, USA, where he founded the UPenn CAD/CAM Center. A Diplomat in the German Society of Prosthodontics, he received his dental, doctorate degrees, and a Professorship from University of Freiburg, Germany. He serves on the editorial boards of numerous dental journals and is Clinical Associate Editor of Quintessence International. He is co-founder and president-elect of the International Academy for Adhesive Dentistry (IAAD) and a member of multiple other professional organisations. Dr. Blatz has published and lectured extensively and is the recipient of multiple teaching and research awards. 2 Daniele trained in dentistry and then completed a certificate in periodontology at the University of Turin, Italy. He maintains a private practice in Turin. Daniele is the Scientific Director of PROED – the Institute for Professional Education in Dentistry and Director of the Oral Implantology Department at the “Sedes Sapientae” Clinic in Turin. Daniele has won several awards including the Goldman Award for Clinical Research. He is a member of several editorial review boards including the American Journal of Orthodontics, Dentofacial Orthopedics and The International Journal of Periodontics. His particular interests are in periodontology, implantology, regenerative therapy and ortho-perio interdisciplinary treatment. DDS, PhD Chapel Hill, USA Lyndon is the Stallings Distinguished Professor of Dentistry of the Department of Prosthodontics at the University of North Carolina at Chapel Hill, where he serves as Director of Graduate Prosthodontics. He is a Diplomate of the American Board of Prosthodontics. Lyndon served as the 2010 President of the American College of Prosthodontics (ACP), and he currently is a member of the Board of Directors for the Academy of Osseointegration. Lyndon’s awards include the 2004 ACP Clinician/ Researcher Award, and the 2009 IADR’s Distinguished Scientist Award for Prosthodontics and Implantology. His research focuses on bone biology, adult stem cell bone regeneration, and clinical evaluation of dental implant therapies, striving to integrate basic and clinical research to improve patient care. Lyndon’s research work has been presented in over 115 journal publications. 2014 International Quintessence Symposium Professor Roland Frankenberger Professor Iven Klineberg AM, RFD, BSc, MDS, PhD, FRACDS, FDSRCS, FICD Sydney, Australia DMD PhD FICD FADM Marburg, Germany Roland completed his DMD in 1992, and his PhD in 2000. He has held a number of senior positions including serving as Editorin-Chief, for Quintessence Germany in 2011, as President of the German Association of Conservative Dentistry in 2012, and as Dean of the Marburg Dental School since 2012. He is a member of the editorial board of eight journals, and has authored over 200 articles, particularly in the area of dental materials science, adhesion and ceramics. Dr Jonathan Ferencz DDS, Cert Pros New York, USA Jonathan completed his DDS at New York University College of Dentistry in 1971, followed by a certificate in prosthodontics in 1984. He has been on the prosthodontics teaching faculty at NYU since 1972, and since 1990, has been Clinical Professor of Post-Graduate Prosthodontics. Jonathan is a Board-certified Prosthodontist, and he maintains a private practice in New York City. He has particular interests in CAD/CAM applications of high strength ceramics for fixed prosthodontics for teeth and implants. Jonathon has been recognised with numerous awards including the American College of Prosthodontists Presidents Award, Achievement Award and Distinguished Lecturer Award, and the Greater New York Academy of Prosthodontics Achievement Award and Distinguished Lecturer Award. Dr Julián Conejo Gutiérrez Iven is Professor of Prosthodontics at the University of Sydney, and is a former Dean of the Faculty of Dentistry at Sydney. He introduced and has co-ordinated the specialty training program in prosthodontics since 1980. He is a specialist prosthodontist with particular interests in the clinical management of temporomandibular disorders, orofacial pain, and more recently oral implant rehabilitation of hypodontia. Iven is the head of the Jaw Function and Oro-facial Pain Reseach Unit and his research has included studies of occlusion and temporomandibular disorders, jaw muscle function and movement, and implant restoration with optimizing function and proprioceptive control (osseoperception). Associate Professor Bernard Koong BDSc, MSc(OMR), FICD, FADI, FPFA Perth, Australia Bernard is a founding partner at a multidisciplinary comprehensive private radiology group, where he consults as a specialist Oral and Maxillofacial Radiologist. He also consults internationally. He is a member of the editorial board of Clinical Oral Implant Research, and holds academic titles at Associate Professor level at both the University of Western Australia and Hong Kong University. He also contributes to training medical radiology registrars for the Royal Australian and New Zealand College of Radiologists program. Bernard authored the radiology chapter for the forthcoming 6th edition of Lindhe and Lang’s Clinical Periodontology and Implant Dentistry (Wiley-Blackwell), and has presented more than 80 lectures internationally. DDS San Jose, Costa Rica Julian obtained his DDS from the Universidad Latina, Costa Rica in 2005, and then completed training as a specialist in Prosthodontics at the Universidad Intercontinental Mexico in 2008. He is professor at the Universidad Latina de Costa Rica and visiting professor at the Universad Intercontinental Mexico. Julian works in specialist private practice in prosthodontics, with a specific focus on implantology with CAD-CAM technology, in San Jose, Costa Rica. He is also the Director of Perlas de Porcelana Dental Laboratory in San Jose, and is the founder of www.jceducaciondental.com, a website dedicated to online dental education. Julian was awarded the Young Clinician Award at the Nobel Biocare World Tour, in Mexico City, 2008, and serves as a consultant to several international dental corporations. Dr Konrad H. Meyenberg Dr. Med. Dent. Zurich, Switzerland Konrad graduated from the University of Zurich, Switzerland, and then completed post-graduate specialty training in reconstructive dentistry in Zurich. He maintains a private practice limited to aesthetic reconstructive dentistry in Zurich, Switzerland, His special areas of interest and research are perio-prosthetics, adhesive dentistry, aesthetic prosthodontics and implant dentistry. Konrad teaches as a senior lecturer at the University of Zurich dental school, and serves on the editorial boards of three international journals. November 21-23 Hilton Hotel Sydney NSW Australia 3 2014 International Quintessence Symposium Professor Ian Meyers Dr David Roberts BDSc, FICD, FRACDS, FADI, FPFA Brisbane, Australia BDSc, MDSc. Brisbane, Australia Ian is currently in general dental practice in Brisbane, and has honorary professorial positions with both the University of Queensland and with James Cook University. His research and teaching is in the area of applied dental biomaterials, and he has run many postgraduate and continuing education courses. Ian is Chairman of the Australian Dental Research Foundation, and is on the editorial advisory board of the Australian Dental Journal and other international journals. He is a long standing member of the ADA Dental Instruments, Materials and Equipment Committee, and a product consultant to a number of dental companies. David completed his undergraduate dentistry training in 1991, graduating with first class honors and four academic awards in his final year. After graduation he served as a commissioned dental officer in the Royal Australian Navy at numerous locations across Australia and with the United Nations in Rwanda. David completed his specialist training in prosthodontics in 1998, and after serving his remaining time with the Navy in Canberra and Brisbane, launched his specialist prosthodontics practice in South Brisbane and Camp Hill. David has served in leadership positions in the Australian Prosthodontic Society and the Australian Osseointegration Society, and has taught and examined at the University of Queensland and Griffith University. He has lectured extensively on prosthodontics and dental implants throughout Australia and internationally. He has a special interest in full arch implant supported restorations and CAD/CAM integration in prosthodontics. Dr Graeme Milicich BDS Hamilton, New Zealand Graeme lectures internationally on minimal intervention and cariology, clinical applications of lasers, and CAD/CAM. He maintains a general dental practice in Hamilton, New Zealand. Graeme has conducted research work on the physics of laser ablation and associated clinical applications, and developed training materials on a range of topics including restorative techniques, and anterior single crowns using CAD/CAM. He is a Diplomate of the World Congres of Minimal Intervention Dentistry (WCMID), and has been honoured with awards including life membership of the New Zealand Institute of Minimum Intervention Dentstry and the WCMID Clinician of the Year Award and Clinical Research Award. Assoc. Prof Dax Calder BDSc, MDSc (perio), MRACDS (perio), FADI, FPFA Dax Calder is a periodontist in full time private practice in West Perth, Western Australia. He completed his BDSc in 1990 and MDSc in 1997 from the University of Western Australia. In 1998 he completed further graduate studies at UCLA. He has lectured nationally and internationally to general dentists, graduate students and specialists; with a particular focus on case selection, risk assessment and skills development in the field of implantrelated augmentation techniques. His current research interests include immediate implant loading protocols for the management of terminal periodontitis dentitions and augmentation strategies for the optimisation of implant aesthetics. Assistant Professor Paulo Monteiro He currently holds academic appointments in post-graduate implant training programmes at the University of Sydney and the University of Western Australia. DMD, MSc. Lisbon, Portugal Professor Bart Van Meerbeek Paulo completed his dental training at the Instituto Superior de Ciencias da Saude - Sul (ISCSEM), in Lisbon, Portugal in 1998, and then went on to specialise in Aesthetic and Restorative Dentistry. In 2010 he completed his Master’s degree in Dental Medicine. Paulo undertook training in CAD/CAM technology in restorative dentistry at the University of Zurich in 2008, and since then he has maintained an interest in dental material science, including studies of composite resins, dental adhesives, dental ceramics and new technologies. His clinical work in private practice is devoted exclusively to aesthetic and cosmetic dentistry. Paulo teaches in the Aesthetic and Restorative Dentistry post-graduate program at ISCSEM. 4 DDS, PhD. Leuven, Belgium Bart undertook his dental training in 1988 and then completed his PhD in 1993 at the University of Leuven in Belgium. He continued his research work in the USA in San Antonio and Kansas City, before returning to Leuven. In 2003, he became the holder of the Toshio Nakao Chair for Adhesive Dentistry. Bart’s primary research interests are in the adhesion of restorative materials to tooth tissue, and this has brought him recognition with several major awards including being the AOD Buonocore Memorial Lecturer in 2003. He has served as President of the Pan-European-Federation of the International Association of Dental Research (IADR) in 2006-2007, and is currently the Secretary of the Continental-European-Division of IADR. Since 2004, Bart has been the co-Editor-in-Chief of the Journal of Adhesive Dentistry. 2014 International Quintessence Symposium Dr Vladimir Hotinksi Dr Barbara Woodhouse BDSc MSD Prosthodontist MBBS, BDSc, MDSc, FRACDS, FFDRCS, FRACDS(OMS) Brisbane, Australia Dr Vladimir ‘Bob’ Hotinski completed his undergraduate dental degree at the University of Western Australia in 1969 and his specialist prosthodontic training at the University of Indiana in 1978. He has established a successful full time specialist private practice in the Hills. Bob has also been an honorary consultant at the University of Western Australia in varying capacities since 1980. He has lectured extensively and conducted courses both nationally and internationally and also been involved in developing programmes and lectures at the Dental School, University of Phnom Penh, Cambodia. He is a post graduate clinical supervisor for Adelaide University. Bob’s passion is training and education in conjunction with clinical practice: his key interests are the interdisciplinary management of complex adult dentition, aesthetically challenging cases, implant dentistry and CEREC technology. Dr Peter Wöhrle DMD, MMedSc. Newport Beach, USA Peter is one of few dentists worldwide with formal training in the inter-related areas of implant surgery, implant prosthodontics and implant laboratory technology. Prior to his dental training at Harvard, Peter completed a four year certified Dental Technician Program in Switzerland. After additional years of postdoctoral training at Harvard, he received Specialty Certificates in Prosthodontics and in Implant Dentistry. In addition, Peter holds a Master of Medical Sciences Degree in Oral Biology from Harvard, and is a Diplomate of the American Board of Oral Implantology / Implant Dentistry. He maintains a private clinic based in Newport Beach, California, which has CT scanning and computer guided surgical technology onsite. After graduating in 1978, Barbara worked in the public sector and in private practice both in rural Queensland and in Brisbane before specialising in Oral and Maxillofacial Surgery (OMS). After her masters degree in combination with a four-year surgical training program, she completed further training in the United Kingdom and was admitted to the Fellowship of the Royal College of Surgeons in Ireland. She then completed her medical degree through the University of Queensland. Barbara maintains a specialist OMS private practice in Brisbane. As well as serving as a consultant in major teaching hospitals, she has also served as Lieutenant Colonel Consultant to the Australian Army and on the national board of examiners for doctors applying for specialist registration in OMS. Barbara frequently travels overseas to provide training and expert surgical care in a range of developing countries across South East Asia and Oceania and is chair of Operation Interface, the overseas aid arm of the Australian and New Zealand Association of Oral and Maxillofacial Surgeons. Dr Otto Zuhr Dr. Med. Dent. Munich, Germany Otto completed his dental training at the University of Aachen in 1992, and then undertook postgraduate studies across Switzerland, Scandinavia and the USA. In 2001, he was recognised as a specialist in periodontology. He maintains a specialist periodontal private practice in Munich, Germany, and contributes to periodontal teaching at the University of Frankfurt. He also serves as a board member of the German Society of Periodontology (DGP). Otto has a particular interest in the interplay of periodontology and aesthetic dentistry, and his book “Plastic Esthetic Periodontal and Implant Surgery” was published by Quintessence in 2011. November 21-23 Hilton Hotel Sydney NSW Australia 5 2014 International Quintessence Symposium Day 1: Friday 21 November 2014 7.30am Registration and Exhibition Open 9.30am Short or Angled Implants Do we still need straight implants? 8.00am Welcome – Scientific Chairman Dr Vladimir Hotinksi BDSc MSD Prosthodontist Professor Laurence Walsh BDSc, PhD, DDSc, GCEd, FFOP(RCPA), FICD, FIADFE On behalf of Henry Schein Halas and Quintessence, it is a great honour for me to welcome you to the 2014 International Quintessence Symposium, and to follow on in the coordinator role from Professor Iven Klineberg,who has capably chaired past Symposia with great enthusiasm and efficiency. The 2014 program has been designed to benefit general dental practitioners, bringing you into contact with the most up-to-date and clinically relevant evidence-based information through both lectures and themed workshops. A special feature this year is digital dentistry and its integration into clinical practice, and to that end we have included material around integrated treatment planning and CAD/CAM integration in both lectures and workshops. As in past years I believe the program has broad appeal and will enliven all who attend with practical information and with a passion for dental excellence. 8.30am Diagnostic Imaging in Periodontics and Restorative Dentistry: What, why and when? Associate Professor Bernard Koong BDSc, MSc(OMR), FICD With continued advances in imaging techniques, prescribing the optimal radiological test is becoming increasingly complex. Total reliance on plain 2D radiography is no longer sufficient. However, deciding on when to employ more advanced modalities such as multislice CT and cone beam CT can be difficult. Discerning the evidence based facts from the widely distributed information can be challenging. The strength and weaknesses of the various techniques will be revised. Multiple clinical cases will be reviewed along with the published evidence to provide guidance for appropriate prescription of the optimal modality. The associated responsibilities will also be discussed. 6 In recent years there has been a shift in modern implant dentistry. One goal has been aimed at trying to reduce bone trauma, bone grafting and other shortening treatment times. Historically, straight implants have been the most widely used and manufactured implants. Nowadays, the focus has been on developing simplified surgical and restorative techniques, reducing the need for major bone grafting procedures and improving restorative outcomes using different implant shapes and topography. Unique angulated and short implants are currently available for immediate placement in extraction sockets. The angulated implants have been linked to less bone grafting procedures and predictable screw retention. The short implants overcome maxillary sinus proximity and obtain excellent stability in immediate molar sites. This lecture will address how these implants compare to our current experience of straight implants and what the evidence has shown. Learning objectives: 1) Features of angulated and wide body short implant 2) Clinical placement technique and tricks for successful outcomes 3) Comparison of straight and angulated implants 10.30am Morning Tea 11.00am Management of Extraction Sockets: Scientific data and their clinical relevance. Dr Otto Zuhr Dr. Med. Dent. Modern treatment concepts have shifted implant dentistry away from the traditional two-stage surgical protocol, instead favouring immediate implant placement and immediate provisionalization. Immediate implants in the aesthetic zone seem to be just as successful as those placed using traditional protocols. Therefore, patients and clinicians have reframed their respective treatment approaches and expectations regarding this new development. However, the criteria used to define success often remain unclear, particularly in the aesthetic zone. In addition to successful osseointegration of an implant, the aesthetic outcome should also be satisfying. Therefore, this presentation will focus on new treatment options and on possible problems and shortfalls with immediate implants in the aesthetic zone. You will learn more about the advantages and disadvantages of the different treatment approaches and be able to differentiate between high-risk and low-risk cases. 2014 International Quintessence Symposium 12.00pm Periodontal Regeneration – Fact or Fiction? Professor P. Mark Bartold BDS, BScDent, PhD, DDSc, FRACDS(Perio), FICD Over the past 20 years there have been some exceptional advances made in the field of periodontology. One of the major advances has been in our understanding of the biology and clinical outcomes of periodontal regeneration. This presentation will consider the important developments over the years. In addition, this presentation will discuss some of the major conceptual changes which have occurred in periodontal regeneration in recent years and how they have led to significant changes in our thinking and approach to periodontal therapy. A brief consideration of future developments will also be covered. 1.00pm Q & A Panel with the morning presenters 1.30pm Lunch 2.30pm Biological Prosthesis How to achieve success treating the edentulous patient. Dr Julián Conejo Gutiérrez DDS This lecture is focused on explaining the occlusal concept of the biological prosthesis which is based on natural healthy dentition. These guidelines are very useful for treating the edentulous patient in your daily practice. Clinical cases from complete dentures, over dentures and hybrid dentures will be presented. The CAD/CAM technology for production of different frameworks will also be addressed. Immediate loading protocols for more demanding patients will be explained. 3.30pm CAD/CAM Technology for Aesthetics and Precision Markus B. Blatz DMD, PhD Especially laboratory-based CAD/CAM systems have gained tremendous popularity over the past years for precise fabrication of tooth and implant-supported restorations and have fundamentally changed traditional workflows and clinicianlaboratory technician communication. Aesthetic and functional parameters can be captured in 3D models and digitally applied for treatment planning and restoration fabrication. In addition, a growing variety of materials is available for CAD/CAM fabrication to address the specific needs of each individual patient from single units to complex full-mouth implant-supported reconstructions, where accurate precision of fit is fundamentally important. This presentation will discuss possibilities with laboratory-based CAD/CAM systems and review some of their most exciting features. 4.30pm Afternoon Tea 4.45pm Indirect Restorations are More Sophisticated than Direct Professor Roland Frankenberger DMD PhD FICD FADM Ceramics are the synonym for modern dentistry representing biocompatibility, aesthetics and strength. However, compared to direct resin composites, preparation is more important and verifying adhesion is more complicated to perform clinically. This lecture covers the topics adhesion (with ultra-morphological views in 3-D) / preparation (with animated video clips) and buildup as well as adhesive luting procedures. 5.45pm Q & A Panel with the afternoon presenters 6.15pm Welcome Reception Cocktail Party. Join your colleagues and our guest speakers and share experiences over drinks and canapés. November 21-23 Hilton Hotel Sydney NSW Australia 7 2014 International Quintessence Symposium Day 2: Saturday 22 November 2014 Concurrent Program with Digital Dentistry 7.30am Morning Tea 10.30am Exhibition Open 8.20amIntroduction Professor Iven Klineberg AM, RFD, BSc, MDS, PhD, FRACDS, FDSRCS, FICD 8.30am Examination, Stabilisation and Preservation – A general dental practitioner’s guide to restoring and maintaining teeth in an ageing population. Professor Ian Meyers BDSc, FICD, FRACDS As our population ages and our patients expect to maintain the dentition into their senior years, a range of flexible management strategies are required to help meet the various demands and clinical situations. This presentation will focus on the preservation and restoration of tooth structure and how in general dental practice we can assist our patients to retain, and where necessary, restore their teeth to ensure an ongoing healthy, functional and aesthetic dentition. It will provide information and clinical guidance on how to manage the patient’s dentition and deal with the various challenges and changes in risk, and how to implement the appropriate interventions to help patients keep their teeth for life. 9.30am Dental Adhesive Technology anno 2014 – Modern adhesive approaches 11.00am Aesthetic Restoration with Composite: Principles, techniques, materials and pitfalls. Assistant Professor Paulo Montiero DMD, MSc We live in an era in where aesthetics is fundamental for our patients. In parallel, in our dental treatments we must always combine aesthetics with functionality, longevity and biocompatibility. With the recent advances in dental adhesive systems and composite resins, the field of action of restorative dentistry has been widely increased. The current composite resins available, allow us to create restorations with optical and mechanical properties similar to the natural tooth. We will discuss the step by step clinical procedures, indications and benefits of implementing direct aesthetic restorations with composite resins, to preserve the remaining tooth tissue and follow the harmony of natural teeth. Smile Design and Team Work for Optimum White and Pink Aesthetics: 12.00pm The macro and micro aspects of ideal restorative dentistry Dr Christian Coachman CDT, DDS The Macro: Integrating the smile design to the patients face and for durable bonding to tooth enamel and character. The Micro: creating restorations that blends in with the dentin natural tissue. Emphasis will be given to the Dentist/Technician Professor Bart Van Meerbeek DDS, PhD Current dental adhesive technology follows either an ‘etch-andrinse’ or ‘self-etch’ approach. Enamel still requires phosphoricacid etching to obtain a durable bond. At dentin, phosphoric acid may today be less preferred, as the adhesives are generally not capable to envelop the exposed collagen tight enough to make the relatively thick hybrid layer resistant to hydrolytic and enzymatic degradation processes. A modern strategy to achieve durable bonding to dentin involves chemical interaction of functional monomers with hydroxyapatite. The objective of this presentation is to weigh the ‘etch-and-rinse’ against the ‘selfetch’ approach. The effectiveness of contemporary adhesives in laboratory will be correlated with clinical data. communication to improve the predictability of Ceramic Restorations over natural teeth and implants. Topics such as shade communication, material selection, ceramic Build-up, soft tissue conditioning and abutment design will be covered in order to create invisible restorations. 1.00pm Q & A Panel with the morning presenters 1.30pm Lunch Concurrent program available to all IQS delegates - Delegates are welcome to move b Time Perio & Restorative Digital Dentistry 8 8.30 9.00 9.30 10.00 10.30 11.00 11.30 12.00 12.30 Meyers Van Meerbeek Tea Montiero Coachman Milicich Gutiérrez Tea Cooper Roberts 2014 International Quintessence Symposium Delegates are welcome to move between day 2 Programs during breaks 2.30pm Minimally Invasive Techniques to Restore Discoloured Non-Vital Anterior Teeth – A Contradiction? Dr Konrad H. Meyenberg Dr. Med. Dent. Rebuilding the ideal tooth from a non-vital root requires similar aesthetics and mechanical and biological behaviour. The term biomimetics is often used as a primary factor of success. But what does this mean for long-term success? This presentation will evaluate recent endodontic procedures and scientific data to answer this question and several others, such as: How do we deal with craze lines, cracks and fissures? How does this affect our treatment modality? What is the difference between vital and nonvital, young and old dentin? How does internal bleaching affect strength? Which internal bleaching substances should be used? When are veneers or veneer crowns or full crowns indicated? Why, when, and how are fibre, metal, and ceramic posts used? The selection process and the potential of each treatment modality will be discussed by means of clinical cases and studies, exploring the drawbacks of the present treatment guides and overcoming current preconceptions by using smart approaches driven by an all-encompassing treatment concept. 3.30pm The Healing of Post-Extraction Sockets and the Concept for Ridge Preservation Dr Daniele Cardaropoli DDS, Cert Perio After tooth extraction, bone resorption of varying amounts always occurs as the edentulous site of the alveolar process undergoes both qualitative and quantitative changes. This is supported by scientific evidence. Hystologically and anatomically, the alveolar bone is a tooth dependent structure that develops in conjunction with eruption, and the topography is determined by the form of the teeth and their axis of eruption. In the first phase of remodelling of the buccal/lingual walls of the extraction site, the bundle bone is resorbed due to the lack of nutritive support from the periodontal ligament, and replaced with woven bone. Consequently, the socket’s walls will be reduced in both vertical and horizontal dimensions. This resorption may lead to aesthetic and functional disadvantages that can compromise future implant placement. In order to have a correct endosseous implant positioning, an adequate width of the bone ridge is essential. Based on this report, it becomes mandatory to preserve in someway the dimension of the postextraction socket, especially if an osseointegrated implant should be inserted. Different approaches have been presented in literature in order to preserve the post-extraction site, including the use of barrier membranes and bone fillers. Clinical research confirms that the filling and covering of the post-extractive alveolus preserves the bone volume with more predictability than the spontaneous healing. These studies will be presented and discussed. 4.30pm Afternoon Team Exhibition Closes at 5pm 5.00pm Atraumatic Tooth Extraction and Site Preservation Dr Barbara Woodhouse MBBS, BDSc, MDSc, FRACDS, FFDRCS, FRACDS(OMS) With implant supported dental restorations now constituting a mainstream service offered by many dental practices, patient expectations have risen accordingly. There is therefore an obligation at the time of tooth extraction, to plan for the possibility of implant replacement – if not immediately, then perhaps in the long term. This presentation will discuss the adverse changes that occur around an extraction site (that will affect the quality and quantity of bone support available for future implant placement) as well as the current techniques to minimise, delay and even prevent these changes. 6.00pm Q & A Panel with the afternoon presenters 6.30pmClose between day 2 programs during breaks 1.00 1.30 2.00 2.30 3.00 3.30 4.00 4.30 5.00 5.30 6.00 Q&A Lunch Meyenberg Cardaropoli Tea Woodhouse Q&A Q&A Lunch Wöhrle Blatz Tea Ferencz Q&A November 21-23 Hilton Hotel Sydney NSW Australia 9 International Quintessence Symposium 2014 Day 2: Saturday 22 November 2014 – Digital Dentistry 7.30am Exhibition Open 11.00am Can Aesthetics be Solved in the Digital Environment? 8.20amIntroduction Professor Lyndon F. Cooper DDS, PhD Professor Laurence Walsh BDSc, PhD, DDSc, GCEd, FFOP(RCPA), FICD, FIADFE For each clinical scenario, reproducible aesthetic concerns are of primary concern. The relationship of soft tissue, bone and tooth is a key determinant of both tooth and implant supported restorations. Volumetric imaging using CBCT and surface scanning technology is a key to planning. Moving planning to the digital environment enables greater evaluation, simplified optimization and improved communication. Provisional strategies involving milled resin prostheses improve the evaluation process. These digital steps converge to CAD/CAM manufacture of ideal frameworks and monolithic restorations that help to achieve reproducible aesthetic outcomes for the simple and the complex scenario. 8.30am Biological Functioning of Teeth and the Restorative Consequences Dr Graeme Milicich BDS This lecture will cover a brief summary of how teeth function under load and how they fail as a consequence. This leads to an understanding of new biomechanical concepts like the Compression dome/Bio-dome, the Peripheral Rim of Enamel and the BioRim. Once these concepts are understood, new restorative designs based on modern ceramics and adhesive technologies offer new minimally invasive techniques that allow us to more closely replicate Mother Nature’s design and help restore biomechanical stability to a damaged tooth. At the forefront of these biomimetic designs are the applications made possible with same-day CAD/CAM dentistry. 9.30am Latest Trends in Aesthetic Restorations from a Materials Perspective: Full ceramic materials, CAD/CAM technology, prepless veneers, veneers, full ceramic crowns, protocols for your daily practice. Dr Julián Conejo Gutiérrez DDS Dental materials are constantly changing and with the advances in research clinicians have more alternatives to choose from. This lecture will describe the latest ceramic materials available for CAD/CAM technology, indications and protocols will be described. Different techniques like cut-back, stain and glaze and polishing innovations that can help the clinician. Adhesive cementation concepts and tips will also be described. 12.00pm Digital Dentistry and Prosthodontics: Here, now and how Dr David Roberts BDSc, MDSc Integration of intra oral scanning, in-house design and manufacture into a busy prosthodontic practice incorporating the design and fabrication of single crowns to full arch restorations. The future of fixed prosthodontics may be soon coming to your clinic in the form of an accurate acquisition unit, advanced design software and industry standard milling machines that allow for the production of full contour restorations. In this presentation I will outline my personal experience with this career path and hopefully provide insight into what is currently available and what may be available in the near future. Cases will be presented and potential pitfalls discussed. Digital dentistry is coming to our profession sooner rather than later and my aim is to inform on how it may benefit your patients, your practice and your career satisfaction. 1.00pm Q & A Panel with the morning presenters 1.30pm 10.30am Lunch Morning Tea Concurrent program available to all IQS delegates - Delegates are welcome to move Time Perio & Restorative Digital Dentistry 10 8.30 9.00 9.30 10.00 10.30 11.00 11.30 12.00 12.30 Meyers Van Meerbeek Tea Montiero Coachman Milicich Gutiérrez Tea Cooper Roberts 2014 International Quintessence Symposium Delegates are welcome to move between day 2 lectures during breaks 2.30pm Integrated Workflow in Implant Dentistry 5.00pm Dr Peter Wöhrle DMD, MMedSc Dr Jonathan Ferencz DDS, Cert Pros Recent advances in implant dentistry have focused on streamlining the diagnostic phase. Three-dimensional data is collected before treatment is initiated which can be used throughout the course of treatment. By doing this, crucial data is available to help develop a diagnosis and treatment plan, and subsequent planning is executed without the need for additional scanning, reducing both radiation exposure and cost for the patient. The exact prosthetic reconstruction can be planned for in advance, and implants can be delivered precisely using CT based guiding systems. The result is a workflow that mimics how conventional treatment is delivered, while ensuring a better outcome at less cost. CAD/CAM, although in use in dentistry for more than twenty years, has dramatically impacted restorative and prosthetic dentistry and the laboratory industry over the past few years. This presentation will describe the incorporation of CAD/CAM concepts and procedures into the routines of clinical practice. It will illustrate the vast range of treatment options that are available today for the fabrication of single tooth restorations as well as more extensive constructions with an emphasis on the various digital workflows. Some of the existing preconceptions such as fit, strength and aesthetics will be addressed in detail. 3.30pm Adhesive Dentistry for Indirect Ceramic Restorations Markus B. Blatz DMD, PhD CAD/CAM Fixed Prosthodontics – Better than Handmade 6.00pm Q & A Panel with the afternoon presenters 6.30pmClose Dental adhesion and the ability to create predictable and durable resin bonds to tooth structures and dental materials has fundamentally changed our field towards less invasive and more aesthetic restorations. The combination with modern ceramic materials facilitates a variety of treatment options that are not possible with traditional methods, from laminate veneers to resin-bonded bridges. “Ceramics” describes a diverse material group from felspathic porcelains to high-strength ceramics. These different groups, however, require fundamentally different treatment protocols to achieve optimal and long-term durable resin bond strengths. This presentation will discuss the various ceramic materials and review preferred bonding protocols for long-term clinical and aesthetic success. 4.30pm Afternoon Tea Exhibition Closes at 5pm Proudly sponsored by Connect Dental between day 2 programs during breaks 1.00 1.30 2.00 2.30 3.00 3.30 4.00 4.30 5.00 5.30 6.00 Q&A Lunch Meyenberg Cardaropoli Tea Woodhouse Q&A Q&A Lunch Wöhrle Blatz Tea Ferencz Q&A November 21-23 Hilton Hotel Sydney NSW Australia 11 2014 International Quintessence Symposium Day 3: Sunday 23 November 2014 HALF DAY WORKSHOPS MORNING 8.15 am - 12.30 pm Managing a Challenging Alveolar Ridge in Dental Implants: Immediate placement, bone regeneration, soft tissue augmentation. Simplifying Posterior Composite Resin Restorations - A hands-on workshop Professor Ian Meyers BDSc, FICD, FRACDS Dr Daniele Cardaropoli DDS, Cert Perio Single or multiple tooth extractions due to periodontal disease, periapical infection, root fracture or dental trauma, may represent a challenge for clinicians if implant placement is planned. After extraction, bone remodelling always occurs with alteration in ridge anatomy. Immediate implant placement may represent a reliable therapeutic protocol, in order to provide faster function and better aesthetic. Augmentation procedures, however, are needed when the pre-existing bone height doesn’t allow for a correct tridimensional implant insertion, when a proper primary stability cannot be reached or when the prosthetic rehabilitation will provide an unfavorable crown/root ratio. In such situations, bone augmentation procedures are capable of providing positive results. The aesthetic outcomes of an implant supported rehabilitation are both related to the volume of the hard and of the soft tissues. Key points: 1. Understand the rationale for immediate implant placement, the surgical aspects, the management of the gap, the concept for immediate restoration. 2. Planning alveolar ridge recontructions, in case of dehiscences, fenestration, horizontal and vertical deficiencies. 3. Provide clinical informations regarding the management of soft tissue around implants, from tooth extractions to the need for gaining keratinized tissue Attendance limited to 20 participants Location: ADA NSW Centre for Professional Development 71-73 Lithgow Street, St Leonards NSW 2065 Influence of Preparation Techniques on the Quality of Adhesive Restorations Professor Roland Frankenberger DMD PhD FICD FADM In terms of quality, exact preparation techniques especially with sonically vibrating instruments are today the cutting edge standard in adhesive dentistry. This course covers actual aspects of direct and indirect adhesive techniques involving different classes of materials with a special focus on hard tissue preparation and bonding. In current dental practice many patients request the use of non-metallic or tooth coloured restorations to restore their teeth. Frequently this provides a challenge to the operator when the restorations are large and access and visibility may be limited. This workshop will discuss a range of materials and techniques and provide participants with hands-on exercises for restoring posterior teeth with composite resin, and with the knowledge and tools on how to manage larger restorations to achieve predictable and optimised outcomes. Topics to be covered include; • • • • • • preparation design and options for management of posterior interproximal lesions understanding and selecting the appropriate restorative materials adhesion, bonding, bases, linings, and ‘sandwich’ restorations matrix systems and ensuring good interproximal contacts and contours the use of indirect chairside techniques for composite restorations finishing, polishing and long term maintenance of restorations Location: Hilton Hotel, Sydney Aesthetic Modifications to Monolithic Restorations Dr Julián Conejo Gutiérrez DDS This hands on course shows the clinician how to achieve high aesthetic restorations with new and easy stain and glaze techniques. Polishing protocols with each ceramic material with specific instrument kits will also be performed by the participants. A very useful course to improve the quality of your CAD/CAM immediate restorations. Attendance limited to 12 participants Location: Henry Schein Halas, 44 O’Dea Ave, Waterloo NSW 2017 A frequently stressed terminus today is minimum intervention. However, this involves not only preparation – real minimum intervention covers excavation with intelligent polymer burs, sonic preparation, longevity, and finally repair. All these aspects including “Adhesion in 3-D” will be explained and demonstrated live regarding the aspects direct vs. indirect tooth-colored restorations. Location: Hilton Hotel, Sydney 12 2014 International Quintessence Symposium Day 3: Sunday 23 November 2014 HALF DAY WORKSHOPS AFTERNOON 1.30 pm - 5.30 pm Novel Implant Designs - expectations, realities and perspectives Efficient Planning in Implant Dentistry The superior design - does it exist? Some considerations including biology, biomechanics, aesthetics & sustainability One of the major reasons why practitioners do not incorporate digital planning into their routine work-up for patients is the perception that planning takes too much time, is difficult and cumbersome, and does not deliver better outcome. Dr Konrad H. Meyenberg Dr. Med. Dent. Currently a variety of new implant designs are on the market. Most of these designs are based on advanced ideas how to improve aesthetics. Major differences exist regarding the design of the neck and the abutment and their respective connection. Furthermore a wide variety of materials and manufacturing techniques for abutments and crowns exist. This provokes some important questions: Is there one superior design and technique? What is the influence on aesthetics by the macro- and micro-geometry of these new designs? What are the clinical consequences? What is the real benefit of “white” abutments? Is Zirconia aesthetically really superior to other abutment materials as PFM or anodized titanium? What is then the material of choice for the final crown? Is the surgical challenge reduced and the predicability of aesthetics improved just by the choice of the “right” materials, techniques and designs? In addition, the current technical development of the implantabutment-crown-connection is shown and analyzed: conical friction fit connections versus flat blunt connections, and screwretained versus cement-retained prosthesis. What are the clinical benefits and disadvantages of each of these concepts? The workshop includes a hands-on section where the participants will have the opportunity to work with some of the recent technical components. Attendance limited to 30 participants Location: ADA NSW Centre for Professional Development 71-73 Lithgow Street, St Leonards NSW 2065 Dr Peter Wöhrle DMD, MMedSc This workshop will demonstrate that, if implemented correctly, the opposite is true. Participants will learn which tasks can be delegated to staff, and how to efficiently and safely develop a treatment approach. At the conclusion of the course participants will understand that planning will actually save time in the overall treatment and deliver more consistent outcomes. Location: Hilton Hotel, Sydney Options in Aesthetic Dentistry in the Daily Practice: from direct to indirect Assistant Professor Paulo Montiero DMD, MSc The evolution of dental materials in the field of cosmetic dentistry has been exponential. The composite resins are one example. Sometimes we have some questions regarding the optimal treatment for a particular case: direct or indirect? This decision is multifactorial, as the choice of material to use in the rehabilitation. In this hands-on we will clarify the indications/contraindications, and advantages/disadvantages of direct and indirect restorations, according to the latest data from the scientific literature. In the practical part we will do exercises in anatomical models: Class IV restoration with multi-layer technique; direct composite veneer; preformed indirect composite resin veneer. We will emphasise the finishing and polishing techniques. Attendance limited to 35 participants Location: Hilton Hotel, Sydney November 21-23 Hilton Hotel Sydney NSW Australia 13 2014 International Quintessence Symposium Day 3: Sunday 23 November 2014 HALF DAY WORKSHOPS AFTERNOON 1.30 pm - 5.30 pm Advanced Biomechanical Functioning of Teeth and the Restorative Consequences Dr Graeme Milicich BDS This program will be a significant expansion of the initial lecture and will investigate in depth how teeth function under load and how the fail as a result of what we do to them as a profession. Time will be spent looking at various restorative techniques to recreate as closely as possible the primary functional structures of a tooth. There will be a primary focus on new techniques to restore endo molars and premolars based on creating a core energy dissipation system using high molecular weight polyethylene woven fibre (Ribbond) and fibre reinforced composite to develop a fully bonded internal torsion tube within the tooth. The goal is to replicate as closely as possible the original energy sink and internal stress distribution system of the tooth and avoid the increased chances of failure associated with uncontrolled stress concentration. The Ribbond stress distribution core is then restored with some form of bonded porcelain compression dome design. In this lecture, cementation is considered a dirty word! In the final 30 minutes, there will be a live demonstration of the simplicity of modern CAD/CAM dentistry. Learning points • • • • • • • • • • • • • How teeth function and their failure modes under load The concept of the peripheral rim of enamel the compression dome and Bio-Rim What happens when we disturb the natural stress distribution system of the tooth Cut an occlusal and you can cause interproximal caries The six fracture modes of teeth The various treatment options for different fracture presentations The various use of Ribbond to manage C-Factor shrinkage stresses, fracture reinforcement and composite reinforcement How to recreate the compression dome with various restorative techniques, both direct and indirect Why you should not cut full crown preparations Why full crowns are a poor first choice for teeth with fractured cusps Restoring endo premolars and molars without full crowns by reconstructing the compression dome and preserving the Bio-Rim. Stress distribution to mimic Mother Nature, not stress concentration The nuances of successful bonding – SE cements do not belong in this discussion Location: Hilton Hotel, Sydney 14 2014 International Quintessence Symposium Day 3: Sunday 23 November 2014 FULL DAY WORKSHOP 8.30am - 5.30pm Microsurgery – Piezosurgery and Bone Augmentation for Teeth and Implants Assoc. Prof Dax Calder BDSc, MDSc (perio), MRACDS (perio), FADI, FPFA In recent years immediate implant placement has shown to result in predictable integration outcomes. Unfortunately for the single anterior implant, immediate implant placement may result in compromised soft tissue outcomes. This one day seminar and workshop will explore in detail the biology of the periodontal and peri-implant hard/soft tissues as a precursor to understanding: 1) What can go wrong - the integrated aesthetic implant failure? 2) Where Piezosurgery -assisted extraction techniques can improve post-extraction healing outcomes. 3) Appropriate case selection for aesthetic immediate implant outcomes. 4) The most predictable socket and ridge preservation techniques. 5) The most appropriate bone augmentation techniques for the deficient alveolar ridge. The hands-on component will utilise pigs jaws. Specific exercises to be covered will include: 1) Piezosurgery-assisted extraction techniques. 2) Flap design and suturing techniques for GBR. 3) GBR techniques utilising Bio-Gide and Bio-Oss. 4) Socket preservation techniques utilising Bio-Oss Collagen, Mucograft Seal and Bio-Gide 5) Soft tissue augmentation procedures utilising Mucograft. Attendance limited to 20 participants Location: ADA NSW Centre for Professional Development 71-73 Lithgow Street, St Leonards NSW 2065 November 21-23 Hilton Hotel Sydney NSW Australia 15 Register before 12 September & SAVE! How to Register full. Cancellations received on or after 1 October, 2014 but before the start of the Symposium will be charged a cancellation fee of AUD $200. No refunds will be made after the Symposium begins on 21 November 2014. Please register online at our website www.henryschein.com.au/iqs The registration fee includes admission to all Symposium sessions and exhibits, daily coffee breaks, lunch and the Welcome Reception Cocktail Party on the evening of 21 November 2014. For Registration enquiries contact: 1300 302 421 events@henryschein.com.au For Exhibition & Program enquiries contact: Jessica Chasen: (02) 9697 6239 jessica.chasen@henryschein.com.au Cancellations: Cancellations made in writing and received by Henry Schein Halas before 1 October 2014 will be refunded in Register online at: www.henryschein.com.au/iqs Worshop locations vary please check locations before completing your registration Options Privileges Member Non Member before 12 Sep 2014 after 12 Sep 2014 before 12 Sep 2014 2 day lectures only 16 CPD hours $1200 $1390 $1350 $1500 Full day workshop only 7.5 CPD hours NA $1300 NA $1300 Half day workshop only 3.5 CPD hours NA $650 NA $650 2 days of lectures and 1 full day of workshop/s 23.5 CPD hours $2490 $2680 $2640 $2790 2 days of lectures and 1 half day workshop 19.5 CPD hours $1840 $2030 $1990 $2140 2 day lectures only after 12 Sep 2014 Technicians, Hygienists & Therapists Students* $900 $600 *Please submit verification of student status with this registration form (Undergraduates only) *Prices quoted in Australian dollars HSH1612-4 Proudly Sponsored by
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