AIDT 1st Annual European Lectureship Series

April 15th, 2013 21C Museum Hotel Bentonville, Arkansas

Prof. Dr. Urs C. BELSER GENEVA, Switzerland

UPDATE ON RECONSTRUCTIVE DENTISTRY

With Special Emphasis on the Rehabilitation of the Compromised Anterior Dentition In recent years the range of indications for conventional toothborne crown and bridge prosthodontics has been constantly reduced. This trend is due on the one hand to the increased performance of dentin adhesion technology, permitting even in case of severely broken down teeth to avoid cemented full coverage single crowns and, by this, some of their inherent shortcomings. Such novel approaches are based on principles defined as biomimetics. On the other end of the restorative spectrum, fixed partial dentures (FPDs) appear to be used less frequently as well, either due to their invasive character or due to the reported increased risk for failures and difficulty of eventual reinterventions when compared to implant restorations. Various clinical approaches for the replacement of extracted teeth with implant supported restorations have emerged in recent years. This program will focus on treatment protocols currently used to predictably restore esthetics and function in the partially edentulous anterior maxilla. In this context, long term data of anterior implants, specifically addressing esthetic parameters, will be presented. Based on these results, the rationale for an early placement/early loading concept will be discussed in detail, comprising the related preoperative analysis, decision making process and clinical/laboratory step-by-step procedures. In particular, the fundamental difference between single tooth sites, two adjacent missing anterior maxillary teeth, and more extended edentulous segments, often accompanied by significant horizontal and vertical tissue deficiencies, will be addressed. Finally, a critical appraisal of the recent evolution in implant design and novel restorative components, such as CAD/CAM derived high-strength ceramic elements and a newly developed bone level implant, implementing the principle of platformswitching, will be made. This program will focus on objective (evidence-based) parameters and well defined clinical decision making criteria when it comes to the treatment of broken down teeth or edentulous jaw segments. In this context, special emphasis will be given to diagnostics, esthetic aspects and most recent developments as they relate to anterior restorations on natural teeth and on implants. Treatment planning discussions, clinical and laboratory step-by-step procedures, as well as restorative tips and tricks will complete the presentation.

LEARNING OBJECTIVES: This program will focus on the following objectives as related to the treatment of broken-down teeth or edentulous jaw segments: 1. To gain an updated overview of treatment planning principles and to derive decisionmaking criteria related to reconstructive therapy, including novel adhesive concepts and the use of implants, in partially edentulous patients. 2. To critically review current controversial issues of reconstructive and associated implant therapy: adequate number, dimension and distribution of implants; multiple splinted vs. single-unit restorations; cemented vs. screw-retained; cantilevered units; combination of implants and teeth in the same restoration; and implant-specific occlusal concepts. 3. To provide practical solutions for provisionalization, articulator mounting, design principles of prosthodontic suprastructures, and so on. 4. To acquire step by step knowledge related to reconstructive therapy in the esthetic zone, including site development and handling of sites with horizontal and/or vertical tissue deficiencies, including recent evolutions in implant design and immediate loading protocols. (6 Hours ADA CERP Dental Continuing Education Credit)

CURRICULUM VITAE: Prof. Dr. Urs C. BELSER graduated at the Dental Institute, University of Zurich ; Switzerland.
Postgraduate training in Fixed Prosthodontics and Occlusion. Assistant Professor and then, Senior Lecturer at the Department of Fixed Prosthodontics and Dental Materials of the University of Zurich (chairman : Prof. Dr. Peter Schaerer, M.S.), from 1976 to .1980. Visiting Assistant Professor (19801982) at the Departments of Oral Biology (Prof. Dr. A.G. Hannam) and Clinical Dental Sciences (Prof. Dr. W. A. Richter), Faculty of Dentistry, University of British Columbia (Canada). Since 1st October 1983, Professor and Head of the Department of Fixed Prosthodontics and Occlusion of the University of Geneva School of Dental Medicine. President of the Swiss Association of Prosthetic Dentistry from 1984 to 1988. Recipient of the Scientific Research Award of the Greater New York Academy of Prosthodontics in 2002. President of the European Association of Prosthodontics (EPA) from 2002 to 2003. 2006 Visiting Professor, Harvard University (Boston, USA), Department of Restorative Dentistry and Biomaterials Sciences (Prof. Dr. H. P. Weber). Research activities in the fields of implant dentistry, with special emphasis on esthetics and latest developments in the field of CAD/CAM technology and high performance dental ceramics, as well as on adhesive reconstructive dental medicine.

For more information call or email us: (479) 530-8970 AIDTinfo@gmail.com or register online: http://belserlecture.eventbrite.com and http://aidtreception.eventbrite.com