FRIDAY FEBRUARY 21, 2025

Integrative Digital Pathways for Full Arch Implant Rehabilitation: From Diagnosis, Virtual Planning, Intraoral Scans, to CAD/CAM Prostheses

9 am to 12 pm

Presented by: Dr. Wei-Shao Lin and Dr. Chao-Chieh Yang

This comprehensive presentative will delve into the patient’s journey of full arch implant rehabilitation, highlighting the pivotal role of digital technologies in modern dental practices. It will begin with the diagnosis and risk assessment process for edentulous patients or those with terminal dentition, advancing through the digital planning of treatment strategies. The importance of a multidisciplinary team approach will be emphasized, aided by static computer-aided implant surgery (s-CAIS) and CAD/CAM surgical templates. The discussion will extend to the prosthodontics domain, shedding light on the selection, design, and fabrication of CAD/CAM prosthetics, and underscoring the transformative impact of intraoral scans and digital workflows on enhancing prosthetic fit, function, and aesthetics. Additionally, it will confront the challenges and limitations inherent to digital methodologies, such as the cumulative nature of errors in digital workflows and the strategies to mitigate them. This presentation will offer a holistic view of the forthcoming advancements and directions in full arch implant rehabilitations, aiming to achieve optimal patient outcomes through the synergy of technology, clinical expertise, and interdisciplinary collaboration.

LEARNING OBJECTIVES

• Formulate a comprehensive interdisciplinary treatment plan that integrates surgical, restorative, and laboratory expertise to enhance patient-centered care in full arch implant rehabilitation.
• Integrate intraoral scanning and digital workflow technologies to optimize the fit, function, and aesthetic quality of CAD/CAM-fabricated prostheses.
• Explore the selection criteria for materials and design elements used in the fabrication of dental prostheses, considering patient-specific needs and risks.

Hands-on: Advancing Full Arch Implant Rehabilitation Solutions: From Denture Conversion to Accurate Intraoral Scanning

1:30 pm to 4:30 pm

Presented by: Dr. Wei-Shao Lin and Dr. Chao-Chieh Yang

This workshop introduces the principles of creating predictable provisional full-arch implant-supported dental prostheses. Attendees will learn about the Smart Denture Conversions system, which utilizes Separable Fasteners for efficient denture conversion for the immediate loading procedure, enhancing the strength of the provisional prosthesis by eliminating the need for extensive screw access. Furthermore, correct selection of multi-unit abutments and laboratory procedures for finalizing the prosthesis to achieve superior clinical outcomes will be covered. The workshop aims to equip participants with the knowledge to improve the structural integrity and clinical success of provisional immediately loaded full-arch implant-supported dental prostheses. The latter part of the session will pivot to a digital prosthodontics workflow, moving away from traditional impressions to the innovative Nexus iOS workflow. Participants will gain hands-on experience with the Nexus Scan Gauge and will be instructed on the scanning sequence and strategies to capture precise intraoral scans for definitive full-arch implant-supported dental prostheses. The workshop will guide participants through the subsequent digital workflow steps once accurate intraoral scans are obtained, including the approval of the digital preview, trial of 3D-printed prototypes, and the delivery of the definitive prosthesis. Ultimately, the Nexus iOS workflow provides a digital solution to complete the definitive full-arch implant-supported dental prostheses with a passive fit, into 2 to 3 patient appointments.

LEARNING OBJECTIVES

• Identify and utilize the components and principles of the Smart Denture Conversions system for full-arch implant-supported dental prostheses.
• Transition from traditional prosthodontics practices to a digital workflow by integrating the Nexus iOS system into clinical operations.
• Perform accurate intraoral scans using the Nexus Scan Gauge for full-arch implant-supported dental prostheses.

Dr. Wei-Shao Lin is a tenured Professor, Chair, at the Department of Prosthodontics; Co-Director of the ITI Scholarship Center, at Indiana University School of Dentistry. Dr. Lin’s research interests include clinical dental implant research, ceramic restorations, and digital dentistry, and has published more than 100 research and clinical articles in peer-reviewed journals. Dr. Lin is a Diplomate of the American Board of Prosthodontics and a Fellow of the International Team for Implantology (ITI) and the American College of Prosthodontists. Dr. Lin an associate editor for the Journal of Prosthodontics. He maintains an intramural dental implant and prosthodontics practice at the Center for Implant, Esthetic and Innovative Dentistry, Indiana University School of Dentistry.

Dr. Chao-Chieh Yang is a Clinical Assistant Professor, received his DDS degree in 2008 from Kaohsiung Medical University in Taiwan, obtained a certificate in Prosthodontics in 2016 and completed his MSD degree at the Indiana University School of Dentistry in 2017. He was appointed as a Grad Pros Program Director in 2023. Furthermore, Dr. Yang is a Diplomate of the American Board of Prosthodontics and a Fellow of the American College of Prosthodontists. He maintains dental implant and prosthodontics practice at the Indiana University School of Dentistry Implant Center.

Saturday, February 22, 2025

Soft Tissue Integration and Management

• Soft tissue management at Tissue Level implants
• Increasing the width of keratinized mucosa
• Prevention and treatment of peri-implant soft tissue complications

Presented by: Dr. Mario RoccuzzoLEARNING OBJECTIVES

Upon completion of this course, the participant will be able to:

• Understand the importance of peri-implant soft tissues for long-term success.
• Learn how to properly place tissue level implants.
• Select the proper soft tissue augmentation procedures (CTG vs. FGG)
• Treat the most common peri-implant soft tissue complications

 Mario Roccuzzo is Senior Lecturer in the Division of Maxillofacial Surgery at the University of Torino, and Adjunct Clinical Assistant Professor in the Department of Periodontics and Oral Medicine at the University of Michigan, USA. He teaches Periodontology in several Master courses at various Universities. He is an ITI senior fellow, past-president of the Italian section, former member of the ITI Board, Study Club director in Torino, and member of the Osteology Expert Council. He serves on the editorial board of Clinical Oral Implants Research, the International Journal of Esthetic Dentistry, and the International Journal of Periodontics & Restorative Dentistry. Dr. Roccuzzo has been invited to lecture in more than 50 countries of all continents, and maintains a private practice limited to Periodontology and Implantology, in Torino. Awarded for the best clinical presentation on implants in periodontally compromised patients at the 2009 EAO Congress in Montecarlo and for the best published research article on the same subject by the DGP in 2010. Winner of the 2013 Osteology Clinical Research Prize. Mario Roccuzzo is co-author of the recent book “Peri-implant Soft-Tissue Integration and Management”.

Sunday, February 23, 2025

Titanium particle-mediated Peri-implantitis and the Harm Associated with Empirical Dental Treatments

Presented by: Dr. Georgios A. Kotsakis

Abstract: Peri-implantitis has been receiving attention following recent studies that showed that it is highly prevalent and difficult to manage. This lecture will provide the latest evidence-based information on peri-implant diseases with emphasis on the role that titanium particle release has in destructive bone inflammation around implants. Strategies for prevention and mitigation will be presented through clinical cases.

LEARNING OBJECTIVES

• Define peri-implantitis and diagnostic criteria. 
• Understand the interactions between biological peri-implant environment, oral bacteria and biomaterial that lead to titanium release
• Review the role of titanium in perturbing oral tissue homeostasis
• How to appropriately clean implants without releasing titanium particles

Dr. George Kotsakis is a Board-Certified Periodontist and a Fellow of the ITI. He received his DDS from the University of Athens and after graduation he practiced in Athens, Greece prior to coming to the US. He then completed his residency in Periodontics and MS in Science at the University of Minnesota when he first got involved in Peri-implantitis research. Following his training, he became an Assistant Professor in the Department of Periodontics at the University of Washington, Seattle, WA and then moved to UTHealth San Antonio as an Associate Professor and held the Roland Meffert Endowed Professorship in Implant Dentistry. He is currently a Professor of Oral Biology & Assistant Dean for Clinical Research at Rutgers School of Dental Medicine. He directs the NIH-funded Translational Periodontal Research Lab conducting research on the biological mechanisms underlying peri-implant bone loss and developing novel treatments for dental and biomedical implants. Dr. Kotsakis has published over 100 peer-reviewed scientific articles and textbook chapters with more than 25,000 citations of his work (h-index: 35). He is one of the few Dental researchers to have been published in prestigious medical publications, such as the Lancet, the BMJ and PNAS.

He has been the recipient of multiple career and research awards from the American Academy of Periodontology, the Academy of Periodontology Foundation, the IADR, and other organizations. Additionally, he serves as an Associate Editor for the Journal of Periodontology, and for Clinical Implant Dentistry and Related Research. He lectures frequently and gives hands-on courses both nationally and internationally on peri-implantitis therapy.