The Greater New York Academy of Prosthodontics 60th Scientific Meeting The Appel Room, one of the three main performance venues in Jazz at Lincoln Center’s Frederick P. Rose Hall Credit: Brad Feinknopf Friday and Saturday, December 5 - December 6, 2014 Jazz at Lincoln Center’s Frederick P. Rose Hall Broadway at 60th Street, New York City Message From The President The Greater New York Academy of Prosthodontics is pleased to invite you to attend our 60th Annual Fall Scientific Meeting, once again being held at the Jazz at Lincoln Center’s Frederick P. Rose Hall in New York City. The Academy is proud of its long and impressive history of excellent programs, and plans are in place to assure a wonderful experience for all. Dr. Stephen Chu and his Program Committee have created a super scientific program for clinicians, educators and students. Dr. Caroline Grasso and her Fall Arrangements Committee have put in order the finest venue and events that highlight the Academy’s traditions. We hope that you will join us for this opportunity to see state-of-the-art presentations given by experts from around the world in a facility second to none. New York City is a wonderful attraction around the holiday season. In addition to our scientific program, the theater, arts, shopping, sightseeing and reconnecting with colleagues and friends await you! We hope to see you there. Lawrence E. Brecht, DDS President, Greater New York Academy of Prosthodontics Scientific Program Friday, December 5, 2014 Saturday, December 6, 2014 7:15 REGISTRATION Jazz at Lincoln Center's Frederick P. Rose Hall Continental Breakfast and Commercial Exhibits/Poster Clinics 7:30REGISTRATION Jazz at Lincoln Center's Frederick P. Rose Hall Continental Breakfast and Commercial Exhibits/Poster Clinics 7:45 PRESIDENTIAL GREETINGS Morning Presentations - Rose Theater Presiding Moderator: German O. Gallucci, DMD 8.00Hans-Peter Weber, DMD Abutment Color and Mucosal Thickness: What’s the Correlation? 8:30 Marc L. Nevins, DMD, MMSc Innovations for Minimally Invasive Esthetic Implant Surgery 9:10 Joseph Y. Kan, DDS, MS Inter-Implant Papillae Management in the Esthetic Zone 9:50 DISCUSSION BREAK - Ertegun Atrium Commercial Exhibits/Poster Clinics 10:30 Richard B. Smith, DDS Immediate Molar Implants: When, Where, Why and How? Morning Presentations - Rose Theater Presiding Moderator: Petra Gierthmuehlen, DDS, Prof. Dr Med Dent Habil 8:00 Andrea Ricci, DDS Treatment Planning Multidisciplinary Cases – When is it Worthwhile to Give Up Teeth and Place Implants? Criteria for Decision Making 8:40 Tomas Linkevicius, DDS, PhD Development and Preservation of Crestal Bone Stability Around Implants 9:20 Maurice A. Salama, DMD Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone 10:00 11:00 Peter Wöhrle, DMD, MMedSc, CDT Single Tooth Immediate Implant Replacement in the Esthetic Zone: 20 Years in Retrospect 11:40 LUNCHEON- The Appel Room Presentation of the 2014 Jerome M. and Dorothy Schweitzer Research Award of the Greater New York Academy of Prosthodontics to Avishai Sadan, DMD, MBA Presentation of the 2014 Greater New York Academy of Prosthodontics Foundation Distinguished Lecturer Award to Rade D. Paravina, DDS, MS, PhD Afternoon Presentations - Rose Theater Presiding Moderator: Wael Att, DDS, PhD 2:00 Avishai Sadan, DMD, MBA Adhesively Retained Restorations: In Search of Minimally Invasive and Long Lasting Functional Solutions 2:40 Ward M. Smalley, DDS, MSD and Robert R. Faucher, DDS, MSD Class II Treatment – Why Surgery? 3:50 Galip Gürel, DDS, MSc Ultimate Commumication Dentist/Specialist/Ceramist Patient: The Tools for a Predictable and Customized Design 4:30 Open Discussion and Wine Reception - Ertegun Atrium DISCUSSION BREAK - Ertegun Atrium Commercial Exhibits 10:40 Edmond Bedrossian, DDS Biomechanical and Histological Evdence for Immediate Loading the Fully Edentulous Patient 11:20 Eduardo D. Rodriguez, MD, DDS The Future of Facial Transplantation Redefined 12:00 BUFFET LUNCHEON - Ertegun Atrium Lunch with Commercial Exhibits Afternoon Presentations - Rose Theater Presiding Moderator: Irena Sailer, DDS, PhD, Prof Dr Med Dent 1:20 Rade D. Paravina, DDS, MS, PhD Color in Esthetics: The Science Behind Beauty 2:00 Naoki Aiba, CDT DENTSCAPE™: Shade Communication Through Photography 2:40 Ronald Jung, Dr Med Dent, PhD Implant Prosthetics and Abutments: Make the Right Decisions in the Esthetic Zone 3:20 Michael Bergler, CDT, MDT Material and Workflow in CAD/CAM Technology 4:00Adjournment 7:00 DINNER MEETING The Metropolitan Club - One East 60th Street, New York, NY RESERVE ESSAYIST - Marcus Abboud, DMD T he Art and Science of Digital Technology – The Transformation of the Prosthodontic Specialty Continuing Education Credit The Greater New York Academy of Prosthodontics is an ADA CERP recognized provider of continuing education credit. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/cerp’. The Greater New York Academy of Prosthodontics designates this activity for 12.50 continuing education credits. This meeting is sponsored by The GNYAP PRESENTATION ABSTRACTS FRIDAY, DECEMBER 5, 2014 7:00 AM REGISTRATION Jazz at Lincoln Center's Frederick P. Rose Hall Continental Breakfast and Commercial Exhibits/ Poster Clinics 7:45 AM PRESIDENTIAL GREETINGS Morning Presentations - Rose Theater Presiding Moderator: German O. Gallucci, DMD 8:00 AM This program will present guidelines for incremental levels of flap elevation from flapless to open procedures for implant site development. The use of growth factors has increased the ability for optimal hard and soft tissue regeneration with less invasive techniques. This course will provide a decision matrix for how to manage extraction site defects including whether to raise a flap and how to sequence soft tissue grafting. Course Objectives: 1. A pplying tissue engineering to clinical decision-making achieves optimal biologic and esthetic results for challenging dental implant cases Hans-Peter Weber, DMD Boston, MA 2. T echniques utilizing rhPDGF-BB for combined hard and soft tissue grafting will be presented Abutment Color and Mucosal Thickness: What’s the Connection? 3. T he use of technology can ease the treatment process for patients and improve the predictability for biologic and esthetic longevity Abutment selection is a key component in implant prosthodontics and requires special considerations in esthetic sites. Compared to prefabricated abutments, custom abutments offer the choice of various materials and the possibility to individualize position, angulation, contour, margin location, and even color. Mucosal thickness presents one of the determining factors when choosing abutments for implant restorations in the esthetic zone. Titanium abutments have the advantage of proven mechanical stability long-term, but they tend to induce a noticeable color change in this labial peri-implant mucosa. Abutments made of zirconia fare much better in this regard. However, their longterm performance in the oral environment remains unproven. Colored metallic abutments are offered as an alternative and may combine proven mechanical long-term behavior with uncompromised esthetics. It is the purpose of this presentation to review the current understanding of the relationship of abutment color and mucosal thickness and make evidence based clinical recommendations for indication specific abutment selection in implant prosthodontics. Course Objectives: 1. A ssess the correlation between ‘thin gingiva biotype’ and thin peri-implant mucosa 2. C ompare the esthetic effectiveness of different colored abutments in sites with thin peri-implant mucosa 3. D efine indications for colored abutments depending on soft tissue thickness 8:30 AM Marc L. Nevins, DMD, MMSc Boston, MA 9:10 AM Joseph Y. Kan, DDS, MS Loma Linda, CA Inter-Implant Papillae Management in the Esthetic Zone Achieving anterior implant esthetics is a challenging and demanding procedure. To create implant papillae that emulates nature is a fusion of science and art. Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations. This presentation will focus on current implant treatment philosophies and methodologies for papilla management around single and multiple adjacent implants in the esthetic zone. Equal emphasis will be placed on the diagnosis and treatment planning, surgical and prosthetic management of soft and hard tissue for anterior implant papilla esthetics. Course Objectives: 1. Understand the biology of implant papillae 2. Different methods in maintaining inter-implant papillae 3. Prognostic variable for implant papilla management 9:50 AM DISCUSSION BREAK - Ertegun Atrium Commercial Exhibits/Poster Clinics 10:30 AM Richard B. Smith, DDS New York, NY Innovations for Minimally Invasive Esthetic Implant Surgery Immediate Molar Implants: When, Where, Why and How This presentation will provide a clinical update on minimally invasive approaches for Esthetic Implant Site Development. The utilization of a recombinantly engineered platelet-derived growth factor-BB (rhPDGF-BB) has accelerated the trend toward minimally invasive surgical procedures to preserve and enhance the esthetic foundation for dental implant supported restorations. While immediate implant placement in the molar extraction socket has been well-documented in the literature, until now, there has been no organized, evidence-based treatment protocol. A new classification system for molar extraction sockets will be presented. This classification system categorizes the extraction socket based upon the bone available within the socket for stabilization of an immediately placed implant. Three categories, Types A, B, and C are described. The relevant anatomy of the socket and the tooth as well as the use of various implant designs will be illustrated. Issues including gap distance, initial stabilization and anatomic limitations will be addressed. This presentation will offer a treatment protocol based upon this new socket classification system. This new protocol represents a game-changing shift in the management of molar extractions. 11:40 AM Course Objectives: 1. T he participants will be able to identify molar extraction sites using a new classification system Afternoon Presentations - Rose Theater Presiding Moderator: Wael Att, DDS, PhD 2. I mplant placement decisions in molar sites will be made more easily based upon the protocol presented 3. P articipants who are placing their own implants should be able to begin placing immediate molar implants in a predictable manner 11:40 AM Peter Wöhrle, DMD, MMedSc, CDT Newport Beach, CA Single Tooth Implant Replacement in the Esthetic Zone: 20 Years in Retrospect Losing a single tooth, especially in the esthetic zone, is a traumatic event for any patient. The traditional protocol at the time (extraction, healing period, delayed implant placement followed by another healing period, final restoration) took months to complete. Results were unsatisfactory, especially with regard to the patient’s needs and soft tissue morphology. In 1998 a technique was introduced that combined extraction, implant placement and temporization into one procedure, solely focusing on maintaining hard and soft tissue architecture in the esthetic zone while providing patients with an immediate solution to replace esthetically sensitive teeth. Implant survival rates observed with the immediate replacement protocols were maintained, while quality of survival was improved for many patients. Yet, problems subsequent to the procedures appeared mostly due to errors during diagnosis and treatment planning and surgical execution. This lecture will highlight the development of the technique, the mistakes that were made and the refinements that have led to the current techniques that allow for superior quality of survival compared to traditional approaches while addressing patient’s needs. Course Objectives: 1. U nderstand indications and contraindications for immediate tooth replacement 2. B e able to diagnose if the patient is a candidate for immediate tooth replacement 3. Understand and provide immediate prosthetic solutions LUNCHEON- The Appel Room Presentation of the 2014 Jerome M. and Dorothy Schweitzer Research Award of the Greater New York Academy of Prosthodontics to Avishai Sadan, DMD Presentation of the 2014 Greater New York Academy Prosthodontics Distinguished Lecturer Award to Rade D. Paravina, DDS, MS, PhD 2:00 PM Avishai Sadan, DMD, MBA Los Angeles, CA Adhesively Retained Restorations: In Search of Minimally Invasive and Long-Lasting Functional Solutions With a conservative approach in mind, prosthodontists should be able to provide patients with minimally-invasive, functional, highly-esthetic and long-lasting solutions. These solutions should take into consideration patient needs and desires, functional issues, available materials and clinical approaches. Novel conservative restorative techniques are able to combine a variety of treatment modalities for a large range of clinical situations including some that, until recently, were not considered possible. This presentation provides a systematic and scientific approach for selecting esthetic treatment modalities based on original research data with special emphasis on techniques and new materials design and selection. Course Objectives: 1. U nderstand challenges related to establishing a stable adhesive interface 2. Choose adhesive solutions that are age appropriate 3. F ollow a decision making tree for treatment planning adhesively retained restorations 2:40 PM Ward M. Smalley, DDS, MSD Edmonds, WA Robert R. Faucher, DDS, MSD Edmonds, WA Class II Treatment – Why Surgery? This presentation will focus on an interdisciplinary approach to the management of two patients with Class II malocclusions complicated by missing and/or worn teeth. An emphasis will be placed on the establishment of an anterior Class I relationship to achieve the most optimal results of treatment. It will also demonstrate the problems that can occur with respect to esthetics, function occlusion and stability when a Class I relationship is not established during treatment. Since orthognathic surgery to advance a patient’s mandible is often necessary to achieve optimal results of care, the various parameters in how such surgery is managed will be covered in some detail. Achieving the most optimal results of treatment certainly requires adequate treatment planning, but planning well beyond that of the single tooth dentistry we were all taught in dental school. This presentation will detail how to plan and deliver optimal treatment in a comprehensive, interdisciplinary approach to care. Course Objectives: 1. L earn how to manage Class II debilitated dentitions from an interdisciplinary perspective 2. Realize the shortcomings of not establishing an anterior Class I relationship 4. T esting the wax-up in the patient’s mouth before prepping the teeth (EPT-Esthetic Pre-evaluative Temporaries) 5. Prep through the EPT 6. Impression making (digital versus analog) 7. Building the veneers (digital versus analog) 4:30 PM OPEN DISCUSSION AND WINE RECEPTION - Ertegun Atrium Commercial Exhibits/Poster Clinics 3. G ain understanding in why and how orthognathic surgery is required to achieve the best treatment result 4. L earn how true interdisciplinary care results in much better management of treatment 3:50 PM Galip Gürel, DDS, MSc Istanbul, Turkey Ultimate Communication Dentist/Specialist/Ceramist/ Patient: The Tools For a Predictable and Customized Smile Design Modern techniques and materials can be useless if the final outcome does not live up to the patient’s esthetic expectations. It has always been a challenge to create a smile design for which the final result would be precisely predicted from day one. In some cases the dentists build this design by themselves directly in the patients mouth. However, some leave it to the ceramist that they work with. More importantly, this smile design should also match with the patient’s functional, biological and emotional needs. Also, the final esthetic results may fail to meet the patient’s expectations due to disharmony between the smile design and the patient’s personality. The patient may feel that the restored teeth do not really “belong” to him or her. Without the proper knowledge, the origin of this disharmony can be difficult to identify, and it becomes even more challenging if the team (dentist, specialists and the ceramist) do not physically work together in the same place. This lecture highlights the creation of these very personalized smiles by utilizing the ultimate long distant communication among the team using the latest digital technology. The protocol that is presented will improve the esthetic diagnosis, the interdisciplinary communication and the predictability of anterior esthetic restorations. Course Objectives: 1. I mportance of the mock-up for the smile design and communication with the patient 2. T ransforming the information to the lab (conventional versus digital) 3. Reproduction of the smile design in the lab (digital versus analog) PRESENTATION ABSTRACTS SATURDAY, DECEMBER 6, 2014 7:30 AM REGISTRATION Jazz at Lincoln Center's Frederick P. Rose Hall Continental Breakfast and Commercial Exhibits Morning Presentations - Rose Theater Presiding Moderator: Petra Gierthmuehlen, DDS, Prof. 8:00 AM Dr Med Dent Habil Andrea Ricci, DDS Florence, Italy Treatment Planning Multidisciplinary Cases – When is it Worthwhile To Give Up with Teeth and Place Implants? – Decisional Criteria Caries, tooth discoloration, defective restorations, wrong restorative materials, advanced periodontal disease, consequences of periodontal therapy, iatrogenic lesions, wrong soft tissue management, wrong timing of procedures may all lead to different esthetic problems such as elongated teeth, altered gingival margins, lack of three-dimensional hard and soft tissue volume: namely an inadequate relationship between soft tissue and teeth and/or restorations. This, as a consequence, may determine an unnatural, non- pleasing smile. Modern techniques and materials can be useless if the final outcome doesn’t achieve the patient esthetic expectations. This presentation will focus on how to adequately diagnose the different sites, how to forecast the clinical outcome, the eventual solutions of these problems and the options available. In most cases, multidisciplinary approaches are required as well as a thorough knowledge of the restorative material and protocols which involve the effort of the entire dental team. The treatment approach required to “select the right treatment for the right patient” will be discussed. In fact, a standard protocol or treatment sequence is not indicated for all patients but a customized clinical approach should be preferred. Course Objectives: 1. H ow to predict the possibility of saving a compromised tooth long-term 2. S urgical and prosthetic protocols and materials utilized to restore function and esthetic in multidisciplinary treated patients 8:40 AM Tomas Linkevicius, DDS, PhD Vilnius, Lithuania Development and Preservation of Crestal Bone Stability Around Implants Crestal bone stability is considered to be important for bone preservation, longevity of implants and to prevent peri-implant tissue recession. Mucosal tissue thickness was shown to be the factor having impact on bone stability. It is suggested that thin tissues might be thickened during implant placement, thus reducing bone resorbtion. Allogenic membranes might be introduced as a material for vertical tissue thickening. Further, it is important to preserve bone levels. Current recommendations allow clinicians to place cementation margins up to 2 mm subgingivally. Recent research has proved that the deeper the position of the margin, the greater amount of residual cement is left undetected. The use of standard abutments for cementation with permanent cement involves high risk of cement excess. Cement remnants should be considered as a predisposing factor in development of chronic peri-implant disease. A special technique with cement-screw retained restorations with zirconium was developed for prosthetic rehabilitation. Course Objectives: 1. To provide clinical approaches on how to develop stable crestal bone levels, especially working in thin soft tissue biotypes 2. T o present prosthetic solutions which minimize the risk of cement remnants, thus preserving the stability of crestal bone 9:20 AM Maurice A. Salama, DMD Atlanta, GA Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone With the advent of new technologies, techniques and materials, the ability to replace missing teeth with the form, function and beauty of the natural dentition is now possible. Resin bounded bridges, porcelain fused to metal and all ceramic restorations as well as implants can be offered as solutions to patients suffering from the loss of teeth in the “Esthetic Zones.” With any and all of these procedures, in order to attain a successful outcome, the focus must be the framing of the restoration within the confines of the lip and gingivae to provide for ideal proportion and beauty in the final restoration. Therefore, any restorative endeavor in this region must entail the foundation of a beautiful soft tissue frame and the construction of harmony of the gingival scallop between the restorations, the adjacent dentition and the border of the lip perimeter. This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges or pontic replacement. Course Objectives: Include being able to answer the following questions: 1. What are the risk factors in anterior implant therapy? 2. W hat are the four most important diagnostic components leading to a successful treatment design for an esthetic restoration? 3. H ow and when should we perform immediate implant replacement? 4. H ow do new macro and micro-geometry of implant designs affect treatment planning? 5. How do new digital and CAD/CAM technologies optimize therapy? 6. How to integrate abutment selection and new ceramic components with soft tissue augmentation procedures to create the most esthetic zone of emergence for our implant restorations? 10:00 AM DISCUSSION BREAK - Ertegun Atrium Commercial Exhibits 10:40 AM Edmond Bedrossian, DDS San Francisco, CA Biomechanical and Histological Evidence for Immediate Loading the Fully Edentulous Patients Presence of pneumatized maxillary sinuses as well as lack of alveolar bone due to significant horizontal and/or vertical resorption in the completely edentulous maxilla, posed unique surgical treatment planning challenges. Prosthetic challenges such as esthetics, lip support and phonetics also are affected. Therefore, unique considerations are needed when treating the edentulous maxillary arch in this group of patients. The successful fabrication and delivery of fixed implant supported prosthesis for this group of patients is dictated by a systematic approach to surgical as well as prosthetic treatment planning. A paradigm shift has taken place as the graftless surgical approach has gained credibility through multicenter publications showing predictable positive outcomes. Reduced treatment time, a single stage surgical reconstruction and immediate loading, eliminating the need for transitional dentures, has resulted in a higher degree of case acceptance by most patients. This presentation will discuss the biomechanical criteria for immediate loading the fully edentulous patient. The critical number of implants and their distribution will be discussed as well as the criteria for undersizing the osteotomy in order to attain a reliable initial stability which is paramount for immediate loading. Course Objectives: 1. Treatment planning concepts for the maxilla 2. Decision making tree for the graftless approach Course Objectives: 1. D efine the current state of facial reconstruction 2. D escribe the role and indications for facial transplantation 3. D efine the requirements for creating a comprehensive and innovative facial transplant program 12:00 PM BUFFET LUNCHEON - Ertegun Atrium Lunch with Commercial Exhibits Afternoon Presentations - Rose Theater Presiding Moderator: Irena Sailer, DDS, PhD, Prof. Dr Med Dent 3. The number and the distribution of implants 1:20 PM Rade D. Paravina, DDS, MS, PhD Manvel, TX 4. B iomechanical and the histological bases for undersizing the osteotomy Color in Esthetics: The Science Behind Beauty 11:20 AM Eduardo D. Rodriguez, MD, DDS New York, NY The Future of Facial Transplantation Redefined Facial transplantation is a clinical reality; however, immunotherapy remains one of the leading obstacles to widespread acceptance of facial transplantation and limited large animal model studies exist. A large animal translational non-human primate vascularized composite allograft (VCA) model is integral to the success of teams focusing on studying technical feasibility, long-term graft survival and tolerance strategies. With the increasing transplantation of more extensive facial VCAs, fundamental craniofacial and esthetic principles become increasingly important. Additionally, the combination of computer-assisted planning and intraoperative navigation may consistently improve the precision of face VCA transplants and efficiency in these complex procedures. Experience treating severe craniofacial injury allows consistent transfer of facial VCAs while maintaining proper occlusion in a cadaveric model. Although cadaveric dissections are an essential preparatory exercise, they cannot simulate the true clinical experience of facial VCA recovery. Transplantation of a facial VCA is a highly complex procedure that requires meticulous planning and affords little room for error. Adequate preparation is critical to maximize VCA outcomes and preserve solid organ allograft function. A facial VCA research procurement offers a unique educational opportunity for the surgical and anesthesia teams, the organ procurement organization and the institution. Finally, following Institutional Review Board and organ procurement organization approval, a total face, double jaw and tongue transplantation was performed on a 37-year-old male with a central face high-energy avulsive ballistic injury, representing the most comprehensive transplant performed to date. Through a comprehensive and systematic approach, the restoration of human appearance and function for individuals with a devastating composite disfigurement is now a reality. This presentation will be very different from programs in color matching, communication and reproduction of natural teeth that you may have attended in the past. The didactic part will emphasize the nature, principles and fundamentals of color and tools that are essential to master a plan for successful color matching in both office and dental laboratory, together with step-by-step instructions. Examples and practical suggestions will be provided, including the latest changes recommended by the presenter. Dental Color Matcher, a color education and training program for esthetic dentistry authored by the presenter, will be demonstrated. This program has been used by dental professionals and students in 100+ countries. Course Objectives: 1. UNDERSTAND color 2. L earn about advanced shade matching conditions and methods 3. Contrast dental shade guides and elaborate color-related properties of dental materials 4. Review the state of the art in tooth whitening monitoring 5. L earn about resources for color education and training in esthetic dentistry 2:00 PM Mr. Naoki Aiba, CDT Monterey, CA DENTSCAPE™: Shade Communication Through Photography Dental photography can be used as a means of communication between the dentist and the technician. Ideally, the technician who is going to fabricate the restoration should see the patient and make the appropriate shade selection. However, the great majority of restorations are fabricated by offsite technicians who do not have access to the patients. Photography provides a means to bridge the “gap” between the patient and the technician regarding shade and surface character. In this presentation, award-winning professional photographer and ceramist, Naoki Aiba, CDT will address what dentists and technicians need to know about photography for shade communication. A number of clinical cases will be presented to illustrate practical applications. Course Objectives: 1. D escribe the method of photographing Shade View photos and their use for shade analysis and virtual blueprints 2. U nderstand the importance of coding shade guide and calibration 3. Illustrate the workflow of custom white balance and color profiling for shade assessment 2:40 PM Ronald Jung, Dr Med Dent, PhD Zurich, Switzerland Implant Prosthetics and Abutments: Make the Right Decisions in the Esthetic Zone The prosthetic reconstruction should imitate the appearance of the natural teeth. It was reported that restorations could cause a discoloration of the mucosa. Furthermore, different studies have proposed the use of all-ceramic restorations for esthetic rehabilitation. However, the benefits of all-ceramic restorations over the use of porcelain fused to metal (PFM) restorations in terms of soft tissue discoloration needs to be investigated. For that reason, it might be postulated that the color of abutment and reconstruction might play an important role for the color of the peri-implant mucosa around single-tooth implants in the esthetic zone. Clinical and experimental data will provide information on the color-change effect of all-ceramic restorations, based on all-ceramic abutments compared with PFM restoration based on titanium abutments on marginal peri-implant soft tissue. Decision criteria will be formulated in order to choose between all-cermamic abutment and crowns and well as titanium abutments and porcelain fused to metal crowns. Course Objectives: 1. T o understand the influencing parameters (biologic aspect, material technical aspects, clinical performance, mucosa thickness) to choose the right implant abutment and reconstruction material 2. T o recognize the correlation of the soft tissue thickness and the restorative materials 3. To make the right decision for the right restorative materials in the esthetic zone 3:20 PM Mr. Michael Bergler, CDT, MDT Philadelphia, PA Material and Workflow in CAD/CAM Technologyt CAD/CAM technology has drastically altered traditional dental fabrication processes and has already become an integral part of many dental laboratories. The benefit of this technology is not anymore just a reliable and precise fabrication process. Much more importantly, it offers a whole new range of materials which require different fabrication protocols. Excellent esthetic features paired with favorable physical and biological properties have made, for example, high-strength ceramic materials such as zirconium oxide, a true alternative to conventional dental alloys. There are many different kind of zirconia materials available which can be used in a variety of clinical indications. For longterm clinical success, however, and to take full advantage of the unique material properties, it is especially crucial for the laboratory technician to know about the required protocol changes and limitations of those materials. Furthermore, the digital workflow plays a decisive role in achieving a predictable, functional and esthetic end result. If these guidelines are followed, CAD/CAM technology and all-ceramic materials are not limited to single crowns and short-span FPDs, but can be applied to construct implant-supported restorations and fullmouth rehabilitations in complex cases. This lecture will present and discuss guidelines of handling protocols for different high strength materials and will explain and outline different approaches in the digital workflow for achieving a reliable and predictable end result. Furthermore, various design options for implant-supported restorations, ranging from single crowns to complex fullmouth reconstruction, will be discussed. Course Objectives: 1. D ifferentiate modern ceramic materials and their indications 2. L earn about CAD/CAM technology and its different applications and workflows 3. U nderstand guidelines for long lasting ceramic restorations from single crowns to implant supported full mouth rehabilitations 4:00 PM ADJOURNMENT 7:00 PM DINNER MEETING The Metropolitan Club One East 60th Street New York, NY RESERVE ESSAYIST Marcus Abboud, DMD Stony Brook, NY The Art and Science of Digital Technology – The Transformation of the Prosthodontic Specialty We are in the midst of a professional change. Technology intrudes into biology and dental specialties. Boundaries shift or disappear. A new world is emerging at the intersection of classic dentistry and digital technology and everything we think we know might just be incomplete. This lecture demonstrates and reviews the latest advances and wants to challenge us to pause and rethink modern dentistry. It provides the dentist and dental technician with the background information on the rapidly changing digital dental technologies like CAD/CAM, that allow you to make a decision on what to use and how to gain the greatest benefit. The presentation will highlight customized products together with integrated digital solutions. Matching several different digital technologies offers benefits like reduced treatment time, more predictable results and increased confidence of the clinician. Cutting edge biomimetic products blending digital technology with organic tissue clearly mark the latest developments in this segment. Course Objectives: 1. The advantages and limitations of CAD/CAM technology 2. How to improve results with customized prosthetics 3. The potential of fully integrated digital solutions Corporate Sponsors The Greater New York Academy of Prosthodontics gratefully acknowledges the support of the following sponsors: DIAMOND SPONSORS Nobel Biocare, USA, Inc. Straumann, USA SAPPHIRE SPONSOR Henry Schein PLATINUM SPONSORS Biomet 3i Dentsply Implant Direct Ivoclar-Vivadent Inc. Leonard Marotta Dental Studio GOLD SPONSORS BioHorizons, Inc. CADBLU Zimmer SILVER SPONSORS Keystone Dental Neoss Rhein 83 United States Air Force CORPORATE MEDIA PARTNER Quintessence Publishing SOCIAL EVENTS Thursday Speaker’s Dinner (GNYAP Council, speakers, sponsors with their spouse/guests) This dinner, which honors the speakers, will be held at the elegant Columbus Club, which is located at 8 East 69th Street (at Fifth Avenue) at 7:00 PM. Attendance is limited to speakers with spouse/guest and the following Academy members: Executive Council, all Past Presidents, Chairs of the Following Committees: Program, Fall Meeting, Audio Visual and Dinner Meeting. If you wish to attend, please fill out that portion of the registration form and include the appropriate amount in your payment. Space is limited and guests will be accommodated on a first-come, first served basis. Business Attire. Saturday Night Dinner Meeting The Greater New York Academy of Prosthodontics cordially invites you to attend this year’s spectacular Dinner Meeting! The event is held to honor our new officers, our distinguished speakers and the entire Academy family. It will be held on Saturday, December 6th at 7:00 PM at the Metropolitan Club, One East 60th Street, New York City. Once again, Nobel Biocare generously sponsors this event. Black tie is required. New York City is particularly beautiful at this time of year. The lights, mood and holiday atmosphere make the city a glorious place to be. What better way to compliment the 60th Scientific Meeting and enjoy the Holiday Season than by joining us at the Metropolitan Club! We promise you a very special evening. POSTER CLINIC PRESENTATIONS As part of our commitment to education and research, please join our graduate prosthodontic residents who will present poster presentations on one day only, Friday, December 5, 2014. JAZZ AT LINCOLN CENTER'S FREDERICK P. ROSE HALL This venue is located near Columbus Circle. Please note the address: Jazz at Lincoln Center's Frederick P. Rose Hall, Broadway at 60th Street. This location is NOT the Lincoln Center but a separate and distinct entity. Hotel arrangements have been made at Le Parker Meridien Hotel, 118 West 57th Street (between Avenue of the Americas and Seventh Avenue). See inside back cover for additional information. ATTENTION RESIDENTS AND RECENT GRADUATES: THE DR. MARTIN E. KANTOR SEMINAR Current residents in Advanced Education Programs in Prosthodontics (AEPP)and their recent graduates (2010-2014) are invited to attend a special seminar on Thursday afternoon, December 4, 2014 at 12:45 PM at the University Club, One West 54th Street. The seminar is named for our past fellow, Dr. Martin E Kantor, whose commitment to prosthodontic education lives on. The featured speakers are Avishai Sadan, DMD, MBA and Rade D. Paravina, DDS, MS, PhD. This special seminar encourages discussion between the attendees and the speakers. This is an excellent opportunity to meet these dedicated educator-clinicians. If you plan to attend, please register for this seminar on the enclosed registration form. Please note: ONLY current AEPP residents and recent graduates may attend! Following the seminar, there will be a reception for those attending. Please come and enjoy the camaraderie. Business Attire Required. MEETING REGISTRATION INFORMATION E nclosed you will find a registration form. If you wish to attend, please fill out the registration form and return by November 21, 2014 with the necessary payment to: The Greater New York Academy of Prosthodontics, 426 Hudson Street, Hackensack, NJ 07601. Or, you can register online at www.gnyap.org. Pre-Registration by Mail: Pre-Registration by Fax: Our fax: (201) 440 7963 On-Site Registration: (December 5, 2014) Ertegun Atrium, Jazz at Lincoln Center's Frederick P. Rose Hall (December 6, 2014) Ertegun Atrium, Jazz at Lincoln Center's Frederick P. Rose Hall Friday: 7:00 AM to 2:00 PM Saturday: 7:30 AM to 1:30 PM MEETING REGISTRATION CANCELLATION POLICY • Full refunds will be granted to written requests postmarked six weeks prior to the Fall Meeting • A 75% refund, minus a $25 processing fee, will be granted for written requests postmarked 4-6 weeks prior to the Fall Meeting • A 25% refund, minus a $25 processing fee, will be granted for written requests postmarked within four weeks prior to the Fall Meeting • The GNYAP Administrative Coordinator will process all approved refunds within 45 days after the completion of the meeting • In case of cancellation due to natural disaster and/or Act(s) of Terrorism, refunds are limited to meeting registration fees and social event fees only HOTEL REGISTRATION The Greater New York Academy of Prosthodontics has reserved a limited number of hotel rooms at Le Parker Meridien Hotel, 118 West 57th Street (between Avenue of the Americas and Seventh Avenue) at a special meeting rate of $ 610 Deluxe King. Please call the Reservations Department at Le Parker Meridien Hotel directly (800) 543 4300 and ask for the Greater New York Academy of Prosthodontics group rate before the deadline of November 4, 2014 to ensure this rate. After this deadline, you will be charged the normal rate and rooms may not be available. These rates will be subject to the current state tax of 8.875% and NYC hotel tax of 5.875% plus a $2.00 per night New York City occupancy tax, a $1.50 per night Javits Center Fee and a Facilities Fee of 10.00 per night plus tax. Business Meeting (GNYAP Members Only) The Business Meeting will take place from 1:00 to 4:00 PM on Thursday, December 4, 2014 at the University Club One West 54th Street, New York City Reception to follow This meeting is sponsored by the GNYAP. All Photography and videotaping of any presentation within the Jazz Facility is by permit only. Those violating this policy face the potential confiscation of any recording, photo or video. The Academy encourages limited discussion after each presentation. The Greater New York Academy of Prosthodontics • 426 Hudson Street, Hackensack, NJ 07601 (201) 440-6522 • Fax (201) 440-7963 • www.gnyap.org About The Greater New York Academy of Prosthodontics Our Mission The mission of the Greater New York Academy of Prosthodontics is to promote: the art, science and practice of prosthodontics; the highest ethical standards and professional membership; a better understanding among the specialties of dentistry and related professions; basic and clinical research in prosthodontics. Our Goals The goals of the Academy shall be: • To elevate the art and science of prosthodontics by having its members participate in education, research and patient care. • To improve the health and well being of the public through the dissemination of prosthodontic knowledge. • To select for membership those persons who have demonstrated accomplishments and proficiency in prosthodontics and can make meaningful contributions to the art, science and practice of prosthodontics. • To encourage lifelong learning in its membership and the prosthodontic community and to further encourage its members to seek opportunities to share their prosthodontic knowledge and skills. • To encourage its membership to anticipate and implement changes in the practice of prosthodontics. • To ensure that its membership adheres to the highest professional ethical standards. Our History The Greater New York Academy of Prosthodontics was formally organized on December 6, 1954 in New York City, to meet the needs of dentists located in the eastern part of the United States who were interested in the practice of prosthodontics and its related sciences. The Academy’s original aim was to foster a better understanding among the various specialty groups in dentistry, and to promote and stimulate further research in prosthodontics and its related fields. The organization has grown from its original thirteen charter members to 194 at present. Membership is by invitation, and is not confined to the New York area.
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