Dr. Neil Starr, Washington, DC

The confluence of esthetic dentistry, adhesive dentistry, osseointegration and now digital dentistry has resulted in the creation of more and more beautiful and functional tooth-supported and implant-supported restorations, but for how long?

In our efforts to achieve esthetic excellence, are we at times losing sight of our patients’ long-term functional needs? Are we diagnosing the ailing and failing tooth properly?  Are there technical methodologies that we can employ in treatment to preserve the natural tooth for longer?  Put another way, are we sacrificing teeth for implants too soon in the lives of our patients, when maybe the tooth would still serve a useful function for many more years?  When implants are to be utilized, can certain distributions of implants help to slow the progression of peri-implantitis?

Dr. Starr will share lessons learned from decades-long experience in a successful clinical practice focused on interdisciplinary dental therapeutics and he will share the philosophy he employs to keep his patients with intact, functioning dentitions for life.

Learning Objectives:

  1. Identify how and when to consider preserving teeth for a longer time before the inevitable implant.
  2. Discuss what constitutes a long-term therapeutic occlusal scheme that will endure for the periodontally compromised dentition, for the implant-supported dentition and for the tooth and implant-supported dentition.
  3. Develop a philosophy of treatment to provide patients with a functioning intact dentition for the patient’s entire life.

Bio: Dr. Neil L. Starr was born in Montreal, Quebec, Canada, and graduated from McGill University Dental School. After completion of a general dental residency program at the Jewish General Hospital, he attended the University of Pennsylvania wherein he received postdoctoral training in Periodontics and Fixed Prosthodontics.

Dr. Starr has been lecturing nationally and internationally to groups of surgeons and restorative dentists. He has authored a series of articles on treatment planning and sequencing therapy in the comprehensive treatment of the partially edentulous case, appearing in the inaugural issue of the Seattle Study Club Journal and the Scientific Issue of the Alpha Omegan. His clinical articles have appeared in the Compendium of Continuing Education in Dentistry, the International Journal of Periodontics and Restorative Dentistry, and Quintessence of Dental Technology 2005. Additionally, he contributed a textbook chapter for “Periodontics, Medicine, Surgery, and Implants”, Mosby, St. Louis 2004, titled “Restoration of the Periodontally Compromised Dentition and more recently “Therapeutic Occlusion for Ceramic Veneers and High-Strength Zirconia Restorations: Constructing Anterior Guidance”, Quintessence Dental Technology, 2005. In 2008, two chapters were written for the textbook “Interdisciplinary Treatment Planning – Principles, Design, Implementation” (Quintessence Publishing C., Inc.), titled “Establishing a Stable Occlusal Scheme” and” A Comprehensive Approach to Treatment With and Without Endosseous Implants”.; In 2012, he contributed a chapter in the textbook “Cosmesis of the Mouth, Face and Jaws”, (2012 by John Wiley & Sons, Inc.), titled “Optimal Use of Dental Implants for Cosmesis: Creating Aesthetic Outcomes with Dental Implant Restorations”; and most recently he contributed an article in the Scientific Journal, Alpha Omegan (Summer 2014) titled “The Extraction Socket and the Dental Implant Restoration”.

Dr. Starr maintains a private practice in Prosthodontics, in Washington, D.C.