Penn Dental Medicine

Continuing Education

AMED-Penn Dental Microscopy Meeting » Meeting Program


Friday, September 28, 2018

Time Topic Presenter
7:00 am Registration and Breakfast  
8:00 am Microscope Introduction  

Non-AMED members and other dentists who are not using the microscope will have the opportunity to learn from Dr. Randy Shoup, Dr. Jorge Zapata and Dr. Glenn DeWeirdt, three global experts, on clinical uses and significance of microscope magnification in dental procedures.

Time Topic Presenter
8:45 am Opening Remarks WILLIAM LINGER, President and FRANK SETZER, Program Chair
9:00 am Precision Restorative Dentistry with the Dental Microscope: Clinical Guidelines for Successful CAD-CAM Restorations ALAN ATLAS

Precision Restorative Dentistry with the Dental Microscope: Clinical Guidelines for Successful CAD-CAM Restorations With the advent of CAD-CAM technology precision crown preparation is critical for success. This visual presentation utilizing HD Video projection with a dental microscope will offer compelling evidence that the Dental Microscope will enable the dental practitioner to achieve improved clinical outcomes in all phases of restorative dentistry. Step by step preparation techniques demonstrated with the Dental Microscope using specific diamonds for perfect finish lines for all ceramic crowns, veneers, inlays and onlays.

Learning Objectives
*Demonstrate how precise preparation with the dental microscope can improve scanning and milling procedures as well as conventional impressions.
*Implement digital technologies to achieve better dentistry.
*Describe CAD-CAM ceramic options for crowns, inlays, onlays and veneers.

Time Topic Presenter
10:00 am Exhibit Time & Break  
10:30 am The Digital Patient – 3D Virtual Design & Material Selection in Dental Technology MICHAEL BERGLER

The Digital Patient – 3D Virtual Design & Material Selection in Dental Technology Numerous CAD/CAM systems have been introduced to the market and offer a significantly more reliable and precise fabrication process as compared to traditional fabrication techniques. Both clinical and laboratory protocols and workflows are affected and need to be adapted to the digital world. Different production technologies like milling, 3D printing or laser sintering are already established for a variety of dental applications. It seems much more challenging to handle and implement new features for the 3D virtual design and planning in the advanced digital workflow. Specifically affected are full-mouth implant-supported restorations by new software features, which dramatically alter the traditional approach in the dental laboratory. However, to take full advantage of the virtual 3D design and planning, it is crucial for the laboratory technician and the dentist to establish new ways of communication in order to manage and achieve optimal outcomes in a completely digital workflow. This presentation will provide an update on new virtual design options in the dental laboratory while recognizing the importance of a team approach between dental technician and clinician in the digital age. Different approaches of the digital workflow will be presented and illustrated on selected tooth- and implant-supported cases.

Learning Objectives
*Differentiate digital treatment protocols and traditional workflows.
*Describe different software features for the complete digital workflow.
*Choose and implement the latest materials based on the design of a restoration.

Time Topic Presenter
11:30 am Microscope for Kids «From the Simple to the Complex» ANTONINA GETSMAN

Microscope for Kids «From the Simple to the Complex» Usually we use magnification for difficult manipulations. For example, root canal treatment. But today some of the dentists use microscope for fissure sealing of the primary and permanent teeth, during preparation primary teeth for standard crowns, for usual caries treatment (it’s our routine) and c.t.r. Is it really need? This presentation will show you the clinical cases, which demonstrated the advantages of the using the microscope in the paediatric dentistry. And you’ll see how easy to start work with this technology.

Learning Objectives
*Demonstrate the importance of the microscope in a pediatric practice.
*Describe various procedures for pediatric treatment with a microscope.
*Learn behavioral management during work with the microscope.

Time Topic Presenter
12:30 pm Exhibit Time & Lunch  
1:30 pm Stress Reducing Direct Composite (SRDC) Dental Restorations. A Minimally Invasive (MI), Biomimetic Concept ARNOUD NOOT

Stress Reducing Direct Composite (SRDC) Dental Restorations. A Minimally Invasive (MI), Biomimetic Concept Preservation of tooth structure and maintaining the vitality of teeth for a lifetime has been a main objective in restorative dentistry fundamentals. Long lasting direct composite restorations and keeping a dentin bond has been labeled by some as “elusive”. Despite this reputation direct composite restorations large or small can predictably be relied on for longevity of service when strict protocols are adhered to. Every strategy is aimed at minimizing polymerization stress and maximizing bond strength. The foundation for success is more a matter of clinical technique than the material of choice. This presentation focuses on the fundamental objectives of successful restorations. We will outline some useful techniques and tools available for improved clinical success. Some of the technique demonstrated will be stratification by layering the composite and the placement of polyethylene fiber mesh. To help reduce stress and improve bond strength.

Learning Objectives
*Review the fundamental guiding principles that help us choose our restorations of choice and design.
*Understanding how we can improve bond strength and minimize polymerization stress in high configuration factor conditions.
*Present clinical cases to give examples of restorative technique. Demonstrate how high power magnification with a surgical microscope can aid the restorative process and improved outcome success.

Time Topic Presenter
2:30 pm Live Restorative: Loupes vs Microscope: Is There a Significant Difference for CAD-CAM Restorations? ALAN ATLAS

Live Restorative: Loupes vs Microscope: Is There a Significant Difference for CAD-CAM Restorations? A patient with a previously prepared tooth with loupes will be visualized with the dental microscope and digitally scanned with an intra-oral scanner. The tooth will then be re-prepared using the dental microscope at high magnification. The microscope enhanced preparation will be digitally scanned and both preparations will be compared to discuss where outcomes may be affected if preparation is not finalized with a dental microscope.

Time Topic Presenter
4:00 pm Exhibit Time & Break  
4:30 pm Educators Forum  
5:30 pm Microscopy Assisted Tissue Regeneration in Periodontology DIEGO VELÁSQUEZ

Microscopy Assisted Tissue Regeneration in Periodontology Microscope assisted periodontal therapy was introduced in the early 90’s. Since then, a handful of case series and randomized controlled trials have been published in the field of regeneration and mucogingival therapy. The purpose of this presentation is to illustrate the current status of the scientific evidence behind the utilization of the OM in the specialty of periodontology. The existing evidence supports the benefits and superiority of outcomes when utilizing the OM for surgical periodontal therapy geared towards regenerative and root coverage procedures.

Learning Objectives
*Review historical and scientific evidence supporting the advantage of utilizing the operating microscope in regenerative procedures in periodontology.
*Share clinical material that illustrates the application of microsurgical principles in tissue regeneration.
*Identify protocols and techniques to facilitate translation of this principles into clinical practice.

Time Topic Presenter
6:30 pm Adjourn  
7:00 pm President’s Welcome Reception  

Saturday, September 29, 2018

Time Topic Presenter
7:30 am Breakfast  
8:00 am Removal of Thirds Molars Under the Dental Microscope JORGE ZAPATA

Removal of Thirds Molars Under the Dental Microscope One of the greatest challenges and difficulties in the extraction of wisdom teeth, independent of the classification and position of the third molar, is access and visibility. In the majority of cases, the only way to successfully obtain adequate access and visibility is via a significantly large flap and removal of bone; this results in the creation of pockets and other complications. However, the dental microscope is an invaluable tool in increasing visibility due to magnification and illumination of the field of view. Thus, the clinician can successfully remove the third molar without the resultant negative side effects of bone removal. Hereafter, the patient reports less post-operative pain, less swelling, faster recovery, less bleeding and less use of narcotic pain medications. The dental microscope continues to be an untapped, tremendous resource in the area of third molar extractions; the integration of the dental microscope into the area of oral surgery needs to be explored.

Time Topic Presenter
9:00 am Guided Endodontic Surgery and Autotransplantation GEORG D. STRBAC

Guided Endodontic Surgery and Autotransplantation In current dental implant treatment accurate clinical and radiological examination can enhance treatment planning, ensuring an atraumatic and minimally invasive surgical procedure. Modern diagnostic techniques, such as 3D imaging, not only allow imaging of anatomic structures for accurate diagnosis and treatment planning but can also be used for the fabrication of surgical models and for the construction of surgical templates in guided implant surgery. Today latest implant planning software programs can simplify the previously used template production techniques by shortening the fabrication process and by avoiding additional radiographic exposures. This can be achieved directly after the initial 3D radiographic assessment by merging the uploaded radiographic data with the STL files of scanned dental models or intraoral scans of the jaws to fabricate accurate surgical templates prior to the intervention. Next to the virtual planning of dental implants and prosthodontics reconstructions these modified computer-supported planning and guided surgical approaches can also be used for sinus grafting procedures. Additionally new surgical methods could be developed to ensure precise and safe guided osteotomies for future treatment methods. Moreover recently introduced innovative techniques such as Guided Autotransplantation of Teeth and Guided Modern Endodontic Surgery have become reality.

Learning Objectives
*Guided Osteotomies
*Guided Modern Endodontic Surgery
*Guided Autotransplantation of Teeth

Time Topic Presenter
10:00 am Exhibit Time & Break  
10:30 am Live Surgery: Endodontic Microsurgery SAM KRATCHMAN
12:00 pm Q& A  
12:15 pm Exhibit Time & Lunch  
1:30 pm Treatment of Calcified Canals HELMUT WALSCH

Treatment of Calcified Canals Everyone taking the challenge of root canal treatment is aware that the difficulty of treating a tooth with pulp space calcifications increases with the degree of calcification. In most cases, the calcification process progresses from coronal to apical. Even if the coronal aspect is completely occluded, a difficult to find patent remainder of the root canal is often expected further apical. One good example is the ‘mbII’ canal. In addition, calcific dentin is laid down on the entire root canal wall surface to different extents. The resulting reduced canal diameter and various other complications make negotiation and instrumentation challenging and time consuming. Many photographically and radiographically documented clinical cases together with the respective scientific evidence will demonstrate effective strategies for the successful management of all difficulties involved in the management of calcified root canals.

Learning Objectives
*Determine the specific challenges of individual cases and estimate their expected extent.
*Evaluate various strategies and describe when and how to apply them.
*Implement immediately the correct strategies successfully in clinical practice.

Time Topic Presenter
2:30 pm New Approaches for Esthetic and Periodontal Plastic Surgery TAKUYA SATOH

New Approaches for Esthetic and Periodontal Plastic Surgery The concept of minimal intervention dentistry became a primary approach to treat carious lesions. And these days this concept could be adapted to manage soft tissue around the teeth and implants as a “Minimally Invasive Technique”. Especially using high magnification loups and microscopes, this Minimally Invasive Technique makes it possible to achieve satisfying esthetic results as well as biological success. And more and more patients desire these minimally invasive techniques over conventional techniques.

Learning Objectives
*Implementation of modern concepts into everyday surgical practice
*Demonstrate the “Minimally Invasive Technique” in case presentations

Time Topic Presenter
3:30 pm Exhibit Time & Break  
4:00 pm Critical Issues in Defining Clinical-CBCT Outcomes and Treatment Success. From Micro Access to Restorative Treatment, What Does Really Matter? EUDES GONDIM JR.

Critical Issues in Defining Clinical-CBCT Outcomes and Treatment Success. From Micro Access to Restorative Treatment, What Does Really Matter? In many instances, endodontic treatment modalities including nonsurgical root canal therapy, nonsurgical retreatment and surgical root canal therapy offer predictable means for dentists to save natural dentition. This presentation will discuss expected outcomes as well as factors that impact prognosis in a statistically significant manner. Clinical experience and exposure to various advanced situations helps the endodontist challenge cases requiring complicated decision-making skills and identify factors impacting prognosis of root canal treatment. The advent of more sophisticated digital (3D analysis) and readily retrievable patient treatment documentation has created an intense opportunity to record and measure treatment outcome parameters. This will not be a “how to” presentation, but rather a “why to” presentation focusing on the decision-making process applying an evidenced based approach.

Time Topic Presenter
5:00 pm Definitive Periodontal Therapy Without Periodontal Surgery OREST G. KOMARNYCKYJ

Definitive Periodontal Therapy Without Periodontal Surgery It is well documented that there are significant limitations to conventional scaling and root planing SRP techniques. In this course your paradigm to help patients achieve periodontal health will be forever altered. Endoscopic Periodontal Therapy is the future for patients requiring SRP. Visualization and magnification are key to optimizing results. Scaling and Root Planing are not effective in deep pocket areas that can’t be clearly viewed. In this session we will explore the challenges clinicians face in conventional SRP scenarios and how the endoscope will not only improve the health of the patient but will also impact the quality of life for the clinician. We will discuss the current treatment protocol developed over 15 years of endoscopic periodontal therapy.

Learning Objectives
*Determine what is endoscopic periodontal therapy and how does it work.
*Identify indications and contraindications for effective use on a daily basis.
*Review the current protocol based on 15 years of experience with Endoscopic Periodontal Therapy.

Time Topic Presenter
6:00 pm Adjourn  

Sunday, September 30, 2018

Time Topic Presenter
8:00 am Breakfast  
8:30 am Hands-on A “Restorative Microscope Protocols for Precision Dentistry with CAD-CAM Crown Preparation” ALAN ATLAS

Restorative Microscope Protocols for Precision Dentistry with CAD-CAM Crown Preparation Utilizing the Dental Microscope and HD video projection, this hands-on workshop will provide each participant the ability to learn essential restorative microscope utilization techniques and preparation protocols for intra-oral scanning with either chairside milling or lab-directed milling or alternatively conventional impressions.

Time Topic Presenter
8:30 am Hands-on B “Management of Calcified Canals” HELMUT WALSCH

Management of Calcified Canals Calcified canals are difficult to treat. This microscope enhanced hands-on course builds on the earlier lecture and teaches a methodological approach to identifying the calcified canal space, achieving patency and instrumenting the canal. Protocols and instruments are explained and demonstrated using detailed step-by-step instructions.

11:30 am Lunch  
12:30 pm Hands-on C “Modern Suturing Techniques with 7-0 Nylon” TAKUYA SATOH

Modern Suturing Techniques with 7-0 Nylon Learn modern fine suturing techniques with gum models as well as ways of increasing dexterity and hand-eye-coordination.

Time Topic Presenter
12:30 pm Hands-on D “Stress Reducing Fiber Reinforcements for Composite Restoration” ARNOUD NOOT

Stress Reducing Fiber Reinforcements for Composite Restoration This course will demonstrate placing ribbond in to the composite restoration in order to reduce stress. Ribbond is a high strength polyethylene reinforced fiber with allot of clinical research. There will also be practice placing layers into the preparation and techniques on how to modulate the light to reduce stress and improve bond strength. The goal with placing larger restorations with direct composite is to simplify and reduce the cost for the patient and still have longevity compared to indirect restorations.

3:30 pm Adjourn  
Meeting Program




BQ Ergonomics LLC
Crystalmark Dental Systems, Inc.
Global Surgical Corporation
Helse Utrasonic
J. Morita USA, Inc.
Omnia LLC
Prescott’s Inc
RGP Dental Inc
Seiler Instrument Inc.
Semorr Medical
TrueVision Systems, Inc.

The Robert Schattner Center
University of Pennsylvania
School of Dental Medicine
240 South 40th Street
Philadelphia, PA 19104-6030