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ODS CE September 20, 2019 – Dr. Dennis P. Tarnow
WHAT WE KNOW, WHAT WE THINK WE KNOW, AND WHAT WE DON’T KNOW ABOUT
IMMEDIATE EXTRACTION SOCKET MANAGEMENT
CATEGORY 2 – 6 CE CREDITS
Immediate placements of implants into extraction sockets is an exciting treatment alternative for our patients. However, there are many potential short and particularly long term risks which the practitioner must be fully aware of. This presentation will focus on the potential problems and benefits both clinically and biologically when the choice of immediate socket placement is made for single and multiple sites.
Upon completion of this presentation, participants should be able to:
- Identify what type of healing takes place against the implant in immediate socket placement
- Know how to minimize recession with immediate provisionalization
- Know the propr crown contour for immediate provisionals
- Know if the gap distance really matters
- Know if primary closure should be attempted or should it be left open
- Know if membranes should be utilized
- Know what type of graft material if any should be utilized
- Identify what are the potential short and long term risks involved with immediate placement of implants
INTERDISCIPLINARY APPROACH FOR TREATING THE ESTHETICALLY COMPROMISED PATIENT
The treatment planning of complex cases requires the highest level of knowledge ands kill of the treating team. It is an orchestration of procedures including proper sequencing and timing that makes the difference. An envisionment of the final case before starting is required to know where the goal of treatment will be directed. This, in conjunction with the patients needs and clinical situation comprise the decision-making process for what is the best treatment for the patient.
Problems facing the team such as:
- Which teeth to save or extract?
- Should implants be placed immediately or in a delayed protocol?
- Should multiple implants be placed in the aesthetic zone?
- When and how to include orthodontics if neeed for sight development?
- Should pink ceramic be used or should ridge augmentation be performed?
- Should be case be splinted or broken up into separate bridges or individual teeth?
- How to provisionalize the case throughout treatment
- When to immediate load cases vs do a serial extraction case
These concerns will be addresed in this interdisciplinary approach to our most challenging cases.
Dr. Dennis P. Tarnow is currently Clinical Professor of Periodontology and Director of Implant Education at Columbia School of Dental Medicine. He is the former Professor and Chairman of the Department of Periodontology and Implant Dentistry at New York University College of Dentistry. Dr. Tarnow has a certificate in Periodontics and Prosthodontics and is a Diplomat of the American Board of Periodontology. He is a recipient of the Master Clinical Award from the American Academy of Periodontology, Teacher of the Year Award from New York University and Distinguished Lecturer Award from the American College of Prosthodontists in 2015. Dr. Tarnow has a private practice in New York City, and has been honored with a wing named after him at New York University College of Dentistry. He has published over 175 articles on perio-prosthodontics and implant dentistry and has co-authored three textbooks, including one titled “Aesthetic Restorative Dentistry”. Dr. Tarnow has lectured extensively in the United States and internationally in over thirty countries.