Interdisciplinary Strategies to Manage Patients with Bone and Soft Tissue Deficiencies Hands-On: Regenerative Solutions for Common Soft Tissue and Bone Deficiencies
Homa H. Zadeh, DDS, PhD
Patients often present with a variety of bone and soft tissue deficiencies around teeth or in sites planned for implant therapy. Examples of soft tissue defects include gingival recession around teeth and mucosal deficiency around implants. Many of the sites planned for implant therapy also present with alveolar bone deficiency. This presentation will address some of the most common scenarios encountered in clinical practice. A variety of therapeutic options are available to reconstruct atrophic hard and soft tissues. The regenerative options must be balanced against options requiring less surgical reconstruction, including using reduced dimension (short of narrow) implants. Additional option of using prosthetic tissue (eg pink ceramic) may be considered. The treatment begins with proper diagnosis and discussion of patients’ goals and expectations. A risk assessment will reveal the therapeutic options and the likelihood of achieving desired outcomes. Therapy may entail interdisciplinary team to perform orthodontic, periodontal, surgical and prosthetic aspects of patient care. This presentation will demonstrate the treatment of clinical cases to illustrate some of the concepts and therapeutic options.
Regenerative Solutions for Common Soft Tissue & Bone Deficiencies
Regeneration of soft tissue and bone deficiencies require 1) proper diagnosis, 2) risk assessment to determine the likelihood of achieving success, 3) selection of appropriate technique, material and protocol. Although many techniques, material and protocol are available to select, emphasis will be placed on selection of those which are: evidence based, associated with lower patient morbidity and less chance of complication.
This focus session will begin with explanation of the concepts and theoretical aspects, followed description of step-by-step protocol. The hands-on component will utilize realistic model specifically designed for this workshop. The demonstration by instructor will be followed by execution of each procedure by participants.
About Dr. Zadeh
Dr. Zadeh is a tenured Associate Professor and the director of the post-doctoral periodontology program at the USC, Herman Ostrow School of Dentistry and a Diplomate of the American Board of Periodontology. Dr. Zadeh received his doctor of dental surgery degree from USC. He has also completed advanced clinical education in Periodontology and earned a PhD degree in immunology from the University of Connecticut, Schools of Dental Medicine and Medicine.
Dr. Zadeh is internationally recognized for his clinical and scienti c expertise. His clinical areas of interest range from esthetic and minimally invasive periodontal and implant surgery, as well as tissue engineering. Dr. Zadeh directs the Laboratory for Immunoregulation and Tissue Engineering (LITE) at USC, dedicated to studying basic mechanisms to regulate bone and tissue regenera- tion/destruction under health/disease states, as well as conducting clinical trials of dental implant outcomes.
He has an extensive publication track, having published in peer-reviewed journals, as well as book chapters. Dr. Zadeh is the director of USC International Periodontal and Implant Symposium, which is currently in its 42nd year. He is a member of the American Academy of Periodontology (AAP), Academy of Osseointegration (AO), American Academy of Esthetic Dentistry (AAED) and American Association for Dental Research (AADR). Dr. Zadeh also maintains a part-time private practice limited to Periodontology in Southern California.
Contemporary Periodontal and Peri-Implant Plastic Therapy
Amir Aalam, DDS & Alina Krivitsky Aalam, DDS
Soft tissue recession around teeth and Implants is an epidemic problem in the eld of dentistry. Multiple challenges exist in proper treatment planning and execution, especially in the esthetic zone. Harvesting limitations of autogenous tissue from the palate represent a true challenge when treating patients with multiple recessions or gingival deformities around teeth and dental implants. A predictable and long-term peri-implant soft tissue augmentation outcome is primarily dependent on proper diagnosis, prognosis and treatment planning.
Attendees will gain the following fundamentals:
About Dr. Amir Aalam
Dr. Aalam graduated with a DDS degree from the University of Nice Sophia Antipolis, Nice (France). He, subsequently, specialized in Advanced Periodontics at the University of Southern California, Los Angeles. Dr. Aalam is a Diplomate of the American Board of Periodontology and a Diplomate of the American Board of Oral Implantology. The French Society and the California Society of Periodontology awarded Dr. Aalam for his contribution to clinical research in the eld of implant dentistry. Dr. Aalam is a Clinical Assistant Professor at the USC School of Dentistry in the department of Advanced Periodontics. In 2012, Dr. Aalam was appointed as the USC dental school representative on the Board of Governors. He maintains a private practice in Brentwood CA, limited to Periodontics and Reconstructive Implant Dentistry. Dr. Aalam lectures and publishes in the eld of dental implant and site development procedures.
About Dr. Alina Krivitsky Aalam
Dr. Alina Krivitsky Aalam graduated with a BS in Dental Hygiene, DDS and a Certificate in Advanced Periodontics from the USC School of Dentistry. She is a Diplomate of the American Board of Periodontology. Western Society of Periodontology and USC Research Committee awarded Dr. Krivitsky Aalam for her outstanding achievement and contribution to the eld of Periodontics. Dr. Krivitsky Aalam is a Clinical Assistant Professor at the USC School of Dentistry in the department of Advanced Periodontics and a lecturer for the Dental Hygiene program. She is on a committee for Friends of Dentistry, Los Angeles Dental Society Board of Directors and Peer Review. Dr. Kriv- itsky serves as an expert advisor for the “Surviving Beautifully” book and online source dedicated to helping others with beauty issues during and after a cancer fight.
Dr. Krivitsky maintains a private practice limited to Periodontics and Reconstructive Implant Dentistry in Brentwood, California.
Avoiding and Managing Restorative Implant Complications
Baldwin W. Marchack, D.D.S., M.B.A.
As dentists, the words we never want to hear from our patients are: “Doctor, my implant is loose”
Your heart stops beating. Then after you catch your breath, you think: “Is it the implant or is it the restoration? Is it the cement or is it the abutment? Is the screw loose or is the screw broken?”
There are a host of heartaches awaiting us if we ignore certain basic principles of restorative implant dentistry, material science and screw dynamics. This presentation will be of interest to both the experienced and the novice practitioner as it will result in effortless decision making and will enable the periodontist to not only collaborate better with the general dentist but to assist the general dentist and the laboratory technician in the design of each implant situation with confidence.
About Dr. Marchack
Baldwin Marchack is a 1971 graduate of the Ostrow School of Dentistry of USC. In 1989 he received his MBA from the Anderson Graduate School of Management at UCLA. Dr. Marchack is a Fellow of the American College of Dentists, a Fellow of the International College of Dentists, and a Fellow of the Pierre Fauchard Academy. He is a member of the Academy of Prosthodontics, the International College of Prosthodontists and the Academy of Osseointegration, and he is past‐president of the American Prosthodontic Society, past‐president of the Paci c Coast Society for Prosthodontics, past‐president of the American Academy of Esthetic Dentistry and past‐president of the Osseointegration Study Club of Southern California. Dr Marchack is an Honorary Member of the American College of Prosthodontists. He serves on the Board of Councilors of the Ostrow School of Dentistry of USC, and is President of the Executive Council for the International Federation of Esthetic Dentistry (IFED). Dr Marchack is the Course Director for the USC Comprehensive Surgical and Restorative Implant Dentistry Training Program in Shenzhen, China and course director for the USC Comprehensive Surgical and Restorative Implant Dentistry Training Program in Hong Kong. He is currently the Chair of the Editorial Council for the Journal of Prosthetic Dentistry, and he maintains a private practice in Pasadena, California.