"Excellence in Multidisciplinary Dentistry"
Friday, September 28th — 55 Minute Presentations
8:30 am – Dr. Timothy Hess - Auburn, WA
Title: Facial Aesthetics: Looking Beyond Enamel and Gingiva
Synopsis: The Doctor of Dental Medicine or Dental Surgery is not merely a barber surgeon. The dentist possesses an intimate knowledge of head and neck anatomy, disease processes and craniofacial conditions. We have surgical experience that surpasses many other health care professionals. Administration of Botulinum toxin and dermal fillers for aesthetic or therapeutic procedures of the head and neck is a natural extension of the dentist’s skill set. Facial aesthetics involves looking beyond the enamel and gingiva and addressing the tissues that frame a smile.
- A review of the dentist’s existing knowledge of head and neck anatomy to illustrate why we are the logical choice as a clinician to address facial aesthetics.
- A discussion of physical changes that occur to the hard and soft tissues of the head and neck over time.
- An introduction to common oral medicine therapies and aesthetic applications of Botulinum toxin and dermal fillers.
Bio: Dr. Hess is a graduate of the University of Alberta and completed his DDS degree from the University of Washington in 1994. He is an Affiliate Instructor in Restorative Dentistry, Affiliate Faculty in Oral Medicine and the Director of the Tucker Institute at the UW School of Dentistry. He currently lectures on implant failures due to restorative techniques, zirconia restorations as well as facial aesthetics including the topics of Botulinum toxin and dermal fillers. He has a solo general practice and shares a practice, reStōr Dental Implant Center, that focuses on more fixed removable prosthetic procedures with Dr. Keith Phillips in Auburn, WA.
Dr. Hess has been published in the Journal of Prosthetic Dentistry, IJOMI, CJRDP, Decisions in Dentistry and Operative Dentistry. He has presented at the ADA Annual Meeting, the AGD Annual Meeting, Pacific Northwest Dental Conference, International Academy of Gnathology, Pacific Coast Society of Prosthodontics and the Canadian Academy of Restorative Dentistry and Prosthodontics.
He is a Past-President of the Seattle-King County Dental Society. Dr. Hess is a Fellow of the International College of Dentists, Pierre Fauchard Academy and has received his Life Long Service Recognition from the Academy of General Dentistry.
9:30 am – Dr. Hugo Ciaburro, Montréal, QC
Title: Cavity Design for Successful Gold Restorations
Synopsis: For more than a century, cast gold restorations have been the reference in restorative dentistry in terms of longevity and predictability. Still today, clinical evidence is showing us outstanding results using this type of restoration. The technique developed by Richard V. Tucker, implemented by many practitioners worldwide has proven to be particularly effective, predictable and of remarkable beauty.
What is it all about? How do cavity design and preparation differ from conventional design? A step by step description of the procedure from treatment planning to final seating will be described, emphasizing specifically on cavity design.
- Cast gold restoration
- Step by step procedure
- Cavity design
Bio: Dr. Ciaburro obtained his DMD from the Université de Montréal and a multidisciplinary residency certificate from the Montreal’s Jewish Hospital. Plus, a Master’s Degree in prosthodontics from the Université de Montréal and Fellowship from the Canadian Royal College of Dentists. Dr. Ciaburro is an associate professor at the faculty of dental medicine of the Université de Montréal and maintains a private practice limited to prosthodontics in Montréal. He has been teaching gold restorations to undergraduate students for over 15 Years and is an active member of the Academy of R.V. Tucker Study Clubs.
11:00 am – Dr. Dennis Nimchuk, Vancouver. BC
Strategies for Optimizing Implant Restorations in the Aesthetic Zone.
Synopsis: This presentation will focus on the principles and choices to be considered when there is an indication to restore damaged teeth to an ideal aesthetic and functional state. Discussed and illustrated will be the use of surgical protocols, material grafting selections, restorative techniques and restorative materials. Numerous case presentations will be shown which highlight how these four elements should combine to produce undetectable or near undetectable tooth replacements.
- Protocols for Surgical Management of damaged teeth and bone.
- Protocols for Guided Bone Regeneration.
- Protocols for Materials Selections in GBR.
- Protocols for Restorative Material and Laboratory Options.
Bio: Dr. Nimchuk is a Certified Prosthodontist. He has been a director and mentor to over twenty continuing education Study Groups in the field of Fixed, Removable and Implant Prosthodontics. He has been a Honourary Sessional Lecturer at the Faculty of Dentistry, UBC for over 15 years. He has given over 700 lectures worldwide and has authored numerous articles. He is the holder of an “Alumni of Distinction” award from the University of Toronto, Faculty of Dentistry. He is a Past President of CARDP. For many years he has held a position as Associate Editor of The Canadian Journal of Restorative Dentistry and Prosthodontics.
1:30 pm – Dr. Ashok Oommen – Montréal, QC
Title: Health is Wealth: You’re richer than you think!
Synopsis: A state-of-the-art, yet down-to-earth lecture exploring the past, present and future state of your health and what you can do to change your destiny. Dr. Oommen is back to discuss your health and the implications of personalized medicine, artificial intelligence and the very future of medicine itself, in his usual entertaining style. You will learn and laugh.
- Learn about the biggest threats to your health at this time.
- Learn about what you can do to add meaningful and productive years to your life.
- Learn about the role of personalized medicine in your future.
- Learn about the implications of artificial intelligence and the future of medicine.
Bio: Dr. Oommen is a seasoned Family Doctor and Emergency specialist. He is a faculty lecturer at McGill University and has worked at all the McGill University hospitals. For the past 12 years he holds the position of Medical Director at Cardiogenix Medical Centre, one of Quebec’s premiere medical and longevity centres. He currently oversees the operations of all 3 Cardiogenix clinics. Dr. Oommen is a regular guest on radio and television talk shows discussing the health topics of the day and the secrets to a long, strong and happy life. He has devoted his life to both helping patients with immediate and urgent health concerns, as well as specializing in wellness and longevity.
2:30 pm – Dr. Ali Fakhry – Montréal, QC
Title: Optimizing esthetics with immediate implant placement
Synopsis: This lecture offers an overview of treatment considerations related to implant therapy in the anterior esthetic zone, with specific emphasis on the indications and advantages of immediate implant placement. Topics covered during this presentation include extraction socket dynamics, atraumatic tooth extraction and alveolar ridge preservation strategies as well as immediate implant placement and provisionalization techniques for optimal aesthetics outcomes.
- Understand the factors critical to the successful diagnosis and treatment planning of implant restorations in the anterior esthetic zone;
- Understand the sequence of biological events that take place subsequent to tooth extraction, and how these events can affect future implant therapy and management;
- Understand the indications and advantages of immediate implant placement and provisitonalization;
- Understand the procedural and anatomical imperatives in a restoration-driven approach to implant therapy.
Bio: Dr. Ali Fakhry received his dental degree from the University of Montreal in 1992. He then completed a dual training in Periodontics and Prosthodontics at the University of Pennsylvania and a Master’s Degree in Oral Biology in 1999. Dr. Fakhry maintains a full-time private practice limited to Periodontics and Prosthodontics in Montreal.
Dr. Fakhry is a Diplomate of the American Board of Periodontology, the American Board of Oral Implantology, and a Fellow of the Royal College of Dentists of Canada. He is the author of several peer-reviewed scientific articles and is a regular speaker at national and international venues with programs focusing on the multidisciplinary approaches to implant dentistry.
4:00 pm – Dr. Samer Abi Nader – Montréal, QC
Title: The restorative management of vertical deficiencies: Design principles of using pink porcelain
Synopsis: The presence of vertical deficiencies in the anterior zone represent considerable esthetic challenges for both the surgical and restorative teams. Especially today, with patients seeking more and more fixed restorative solutions. The objective of this course is to provide the clinician with a predictable and systematic approach that is essential in securing a successful restorative treatment when facing these challenging clinical situations.
This course will elaborate the planning strategies and prosthetic design features of these compound reconstructions with an emphasis on establishing principles and guidelines for anterior restorations. The calculated planning when using pink porcelain will be discussed and highlighted as well as the importance of the various digital and material innovations and their impact on managing these cases in todays practice.
- Fundamental principles in designing anterior restorations.
- Management strategies for restoring anterior cases with vertical bone deficiencies.
- Strategic design principles of restorations with adjunct pink porcelain.
- The advantages of using Zirconia in managing these challenging clinical situations.
Bio: Dr. Abi Nader is a dental specialist in Prosthodontics and an Associate Professor in the Faculty of Dentistry. He is a Fellow of the Royal College of Dentists of Canada. He attended McGill University where he earned a Degree in Physiology before completing his Dental Degree at the University of Montreal. After a one-year multidisciplinary residency program at the Jewish General Hospital, he completed his training in Prosthodontics at the University of Montreal.
He is currently the Assistant Dean and Director of the Division of Restorative Dentistry. His research interest is mainly concentrated on implant dentistry. He has authored and co-authored a variety of articles in peer reviewed dental journals. In addition to his academic position, He has lectured both locally and international on a variety of topics for both General Dentist and Dental specialist. Dr. Abi Nader currently holds a part time practice in downtown Montreal and Moncton New Brunswick.
September 29th – Presentation time as indicated
8:30 am – 9:10 am – Dr. Berge Wazirian – Montréal, QC
Title: Understanding Dental Ceramics
Synopsis: Dental ceramics are widely used to replace and reconstruct missing or broken-down teeth. This course will present the most common materials available in the market. It will break down the vast array of ceramics into simple yet complete categories in order to give an easy understanding of the benefits of each material in the clinical environment.
- Recognize and categorize the dental ceramics
- Understand the proper clinical application of each type of ceramic
- Understand the proper cementation protocol of each type of ceramic
Bio: Dr. Wazirian graduated from Université de Montréal dental department. Upon graduation, he completed an Advanced Education in General Dentistry and a certificate in Prosthodontics at the Eastman Institute for Oral Health at the University of Rochester in New York. After completing his specialty, he joined a private prosthodontic practice at the Seaforth Medical building. Additionally, he is a faculty lecturer at the GPR residency program at the Montreal General Hospital and the Montreal Children’s Hospital. Dr. Wazirian is a Fellow of the Royal College of Dentists of Canada; he is also a member of the American College of Prosthodontists and the International Team for Implantology.
9:10 am - 9:50 am – Dr. David Baker – Montréal, QC
(40 Minute Presentation)
Title: Prognosis of Modern Endodontics
Synopsis: Endodontic therapy is a predictable way to save teeth that would otherwise be destined for extraction. This lecture will discuss the prognosis of root canal therapy, retreatments, and apical surgery while highlighting the causes of failure. It will discuss the newest techniques of modern endodontic therapy and compare it to the traditional approach. It will also touch upon the success of endodontics compared to the success rate of dental implants.
- To outline the prognosis of primary endodontic treatment, retreatment and apical surgery
- Understand the most common reasons for endodontic failure
- Understand modern endodontic therapy vs. traditional endodontic therapy
- Compare success of endodontic therapy vs. implant therapy
Bio: Dr. Baker received his dental degree and McGill University in 2010 where he was the recipient of the Dr. Harry Rosen Scholarship in Dentistry, the International College of Dentistry Prize, and was on the Dean’s Honor List. He completed a GPR at the Jewish General Hospital followed by his Endodontic residency at Tufts School of Dental Medicine, which was completed in 2013.
Dr. Baker is a Fellow of the Royal College of Dentists of Canada and works in private practice in Westmount. He is on a staff as a clinical demonstrator and lecturer of Endodontics at McGill University and the GPR programs of both the Jewish General Hospital and the Montreal General Hospital.
9:50 am - 10:30 am – Dr. Preety Desai – Kamloops, BC
(40 Minute Presentation)
Title: Peri-implantitis: Treatment Challenges vs Periodontitis
Synopsis: Tooth replacement with dental implants has provided dentistry with a superior option for oral rehabilitation, enhanced function and health. Unfortunately, peri-implant disease is ever burgeoning in our patients concurrent to this.
Challenges of peri-implantitis diagnosis and treatment can be similar to periodontal regeneration around natural teeth and yet results are very different. Scientific literature and clinical cases will be presented to categorize and demonstrate the variety of treatment options for dental implants’ regeneration.
The key lies in the fact that the titanium implant surface is unforgiving when bone resorption occurs exposing it to the oral flora. This opportunistic biofilm and the titanium oxide layer on the implant needs consideration. Many mechanical devices on the market are unpredictable and there is evidence the regeneration can occur if this smear layer is removed, leaving the implant surface “Virginal” to receive the regenerative benefits with all our traditional techniques.
- Differentiating risk factors of PI vs periodontitis
- Role of biofilm and the importance of its effective removal in PI
- Engineering the implant site with laser extraction, avoiding common risk factors of PI
Bio: Dr. Preety Deasi is the first Canadian Periodontist implementing the all tissue laser into her periodontal practice since 2006. She has called Kamloops her home since 1996 and has a full-time practice.
Dr. Desai has received degrees from the university of Toronto, DDS from McGill University and specialized in Periodontics at the UBC. After which she and her husband loved British Columbia so much they choose to raise their two active sons in Kamloops.
Recently she has completed her specialty MSc Degree in Laser Dentistry 2016 from Aachen University, Germany and has implemented the erbium all tissue laser into all aspects of periodontal and implant surgery since 2006. She is passionate about implementing up to date technology and the best practices available to periodontics and sharing her experience having lectured locally, nationally and internationally.
11:10 am – 11:50 pm – Dr. Claudia Giamabatistini - Westmount, QC
(40 Minute Presentation)
Title: Multidisciplinary Adult Orthodontic Treatment
Synopsis: Adult orthodontic treatment can be significantly more complex as it often involves a multidisciplinary approach, as compared to children or adolescents. Such cases require special consideration to the periodontium, missing teeth, tooth wear, dental and skeletal asymmetries and prosthetic and/or surgical requirements. The most crucial step is definitely the initial diagnosis and treatment planning with all of the clinicians who will be involved in the different aspects of the rehabilitation of the dentofacial esthetics and functional occlusion. This information then has to be clearly reviewed with the patient with a detailed outlining of the order and sequence of the different disciplines, the duration of each phase and the costs for the varied procedures. Only then can a patient have a realistic expectation of the treatment goals and anticipated results to make a well-informed decision.
- When is orthodontic treatment beneficial in prosthetic cases?
- Should the orthodontics be started before or after implant placement?
- Factors to consider in treatment planning multidisciplinary cases involving orthodontics
Bio: Dr. Claudia Giambattistini completed her dental degree at McGill University in 1994. Following her dental studies, she completed a multidisciplinary residency program at the Royal Victoria Hospital affiliated with McGill University. She obtained her specialty certificate in Orthodontics in 1997 from the University of Toronto. Upon returning to Montreal, she joined Dr. Donald Taylor’s practice and together they established the TGO Orthodontics private practice. Dr. Giambattistini has been actively involved in academia for many years: she has given many lectures in orthodontics to the McGill dental students, has run the orthodontics division of the Royal Victoria and, more recently also the Montreal General Hospital, Multidisciplinary Residency Program.
She has been an examiner in orthodontics for the Royal College of Dentists of Canada. She has been a member of the American Association of Orthodontics, the Canadian Association of Orthodontics, the Quebec Association of Orthodontics and the Montreal Dental Club since her graduation. She has served 7 years on the executive committee of the QAO and 4 years on the MDC. Most recently, she has joined the Cleft Palate Clinic at the MCH treating patients with congenital malformations requiring orthodontic treatment, often in conjunction with various surgical procedures. In her spare time, she takes dance lessons, loves to read and watch her kids’ hockey and basketball games.
11:50 am – 12:30 pm – Dr. Laurie St-Pierre, Québec, QC
(40 Minute Presentation)
Title: Excellence in Adhesive Dentistry: Material Selection and Techniques
Synopsis: Performance of dental adhesives has greatly improved since their introduction to dentistry. Besides, a wide range of dental materials has been developed for both direct and indirect restorations. Adhesive dentistry is therefore an integral part of today's dental practice and allows for aesthetic and conservative treatment options. Different adhesive formulations, resin cements and methods of application are now available to dentists and it becomes confusing and difficult to select the best systems and to use them ideally to optimize long-term success of restorations.
This evidence-based lecture will review the principles of adhesion, current adhesive systems and resin cements available as well as recommendations of use to reduce the risk of failure. Since the restorative outcome depends on ideal techniques and careful choice of materials, the goal is to enable participants to make the best possible decisions about adhesives and cements to be selected for a given clinical situation and to use them according to the substrates to be bonded and this, predictably and successfully.
- Differentiate adhesive systems and their efficacy.
- Use adhesives optimally to reduce risks of postoperative sensitivity and increase longevity.
- Select the appropriate resin cement for a clinical situation.
- Decide the appropriate cementation protocol.
Bio: Dr. Laurie St-Pierre obtained her DMD in 2008 and completed an AEGD program at Université Laval in Quebec City. She received a Certificate in Operative Dentistry and a Master of Science degree from the University of Iowa in 2011. She is currently an Associate Professor in Operative Dentistry at Université Laval and the undergraduate program co-director. Dr. St-Pierre maintains an intra-university practice limited to restorative and aesthetic dentistry. She is involved in continuing dental education giving courses, such as lectures and hands-on programs, to professional organizations nationally. Her area of interest and research are within the scope of aesthetic dentistry, minimally invasive dentistry, dental materials, adhesion, marginal adaptation and cariology.
2:00 pm – 5:00 pm - Dr. Richard Roblee, Fayetteville, AR
Title: Surgically Facilitated Orthodontic Therapy (SFOT): The Direction is “Clear”
Note - 3 Hour Presentation
Synopsis: Many complex interdisciplinary problems involve deficiencies or discrepancies in the dentoalveolar complex that can prolong treatment time and compromise overall outcomes. Inter-arch and intra-arch space appropriation problems are most evident as poor esthetics or less than ideal occlusions. Inter-arch problems are caused by TM joint changes or growth and development issues. Intra-arch problems manifest themselves as poor arch forms, severely crowded dentitions, insufficient alveolar bone and traumatic or developmental ridge defects. Surgically facilitated orthodontic therapy (SFOT) in combination with skeletal anchorage can shorten treatment times, modify vertical relationships and enhance the development of the arch form, alveolar bone and soft tissue to ideally address these issues involving the dentoalveolar complex. Special focus will be given to utilizing high-tech clear aligners instead of traditional orthodontic appliances to add a new and exciting dimension to SFOT while significantly increasing patient treatment acceptance.
- Interdisciplinary diagnostics and treatment planning for the SFOT patient.
- Combining hard and soft tissue grafting with selective corticotomies.
- Utilizing skeletal anchorage with SFOT to modify vertical relationships.
- High-tech clear aligners as an exciting new appliance option for SFOT.
Bio: Dr. Roblee practiced general restorative dentistry in Dallas, Texas before going back to study graduate orthodontics at Baylor College of Dentistry. He is recognized worldwide for his work in esthetic dentistry, orthodontic techniques and interdisciplinary therapy. He has given more than 500 professional presentations in the United States, Canada, Europe, Australia and Japan. Dr. Roblee is a Diplomate of the American Board of Orthodontics. He is the author of numerous publications and videos, including a textbook entitled “Interdisciplinary Dentofacial Therapy: A Comprehensive Approach to Optimal Patient Care” (Quintessence Publishing Co., Inc.). He is an associate clinical professor at Baylor College of Dentistry in both the restorative and the orthodontic departments and is an active member in numerous prestigious dental organizations, including the American Academy of Fixed Prosthodontics, the American Academy of Restorative Dentistry and the American Academy of Esthetic Dentistry of which Dr. Roblee is the current President.