Schedule of Events Monday, Oct. 29, 2018
FCE8: Minimally-Invasive Approaches for Multiple Tooth Recession 10:45 a.m. - 12:15 p.m. Periodontal Plastic and Soft Tissue Surgery Moderator: Edward P. Allen
Speakers: John Chao, Jim Janakievski, and Homa H. Zadeh
Multiple gingival recession (MGR) defects remain a therapeutic challenge, approached through an array of therapeutic options. Selection of therapeutic modality is often based on a clinician’s preference and experience. In recent years, a great deal of evidence has accumulated for the benefits of tunneling to avoid flap reflection. Traditionally, most of the tunneling has been performed through the gingival sulcus of teeth. However, vestibular tunneling presents a few options which may facilitate the treatment of multiple gingival recession defects. An important consideration has been suturing methods to stabilize the gingival margins during healing and prevent relapse. Some of the biologic principles and available evidence for the treatment of multiple gingival recession defects will be reviewed to highlight the possibilities and limitations of MGR therapy.
In regards to the apical tunnel technique, the most current results of an ongoing study comparing the apical tunnel approach with the subepithelial connective tissue graft at the University at Buffalo, SUNY. Today, there are multiple techniques, materials, instruments, and protocols available for tunnel flap procedures. The clinician must choose the best approach for treatment based on patient needs, clinical skills, site anatomy, and available scientific evidence. Through customization of treatment for the patient, optimal outcomes can be achieved.
Educational Objectives: • Consider the evolution of tunnel flap procedures.
• Explain the surgical considerations when preparing a tunnel flap.
• Evaluate risk assessment and evidence for MGR therapy.
• Discuss vestibular tunneling: rationale and technique for MGR therapy.
• Review guidelines for graft material selection: autogenous donor tissue, allograft, xenograft, platelet-fibrin, and growth factors.
• Obtain the essentials of the apical tunnel approach protocol.
• Review the long-term results and most current research on the apical tunnel.
FCE9: The State of Dynamic Navigation: Technology and Workflow
10:45 a.m. - 12:15 p.m. Emerging Concepts and Innovative Therapies
Moderator: Bradley S. DeGroot Speakers: George A. Mandelaris and John Russo
Decades after its inception in neuro-surgery, dynamic navigation offers real-time information on the position, angulation, and depth of dental implant drills in order to “guide” implant surgery. Dynamic navigation provides the accuracy of fully-restrictive guides with a simpler workflow and fewer clinical limitations. This course will focus on the state of the technology, the workflow, and clinical benefits of navigated implant surgery and what is ideal for implant surgeons interested in improving the accuracy and precision of their implant placement.
Educational Objectives:
• Summarize the benefits of dynamic navigation over free- hand and traditional guided surgery.
• Demonstrate the clinical workflow for dynamic navigation surgery.
• Examine the indications and case-selection criteria for dynamically navigated surgery.
• Gain a clear understanding of how this revolutionary technology works and how it may be integrated to improve surgical outcomes.
FCE10: The Cost of Surgical Complications 10:45 a.m. - 12:15 p.m. Leadership, Personal, and Practice Development
Moderator: Caitlin Darcey Speaker: Peter C. Fritz
Despite our best efforts, some of our patients will develop post-surgical complications. Complications may present immediately, such as with a post-operative infection, but often they can take months or years to manifest as with peri-implantitis. Given the significant differences in the rate of complications between experienced and inexperienced surgeons, it is in the best interest of the patient to avoid the clinician with the highest complication rate. One way to communicate the severity of the complication is by assigning it a financial cost. Using business-modeling programs that calculate the return on invested capital, it is revealed that using a team approach for patient care not only provides the most predictable and cost-effective outcome for the patient, but is also the most profitable approach for the clinicians involved in the case.
52 | American Academy of Periodontology | 104th Annual Meeting SERIES
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