Oak Seminars in Contemporary Periodontology: Evidence-based Discussions for Patient Treatment

Interested in reviewing earlier Oak Seminar presentations? View them here!

PAST LECTURES

Inaugural Lecture: Monday October 26, 2020

Achieving Predictable Horizontal Guided Bone Regeneration

Dr. Jim Yuan Lai, DMD, MSc(Perio), EdD, FRCD(C)

Diplomate, American Board of Periodontology
Vice-Dean, Education
Faculty of Dentistry, University of Toronto

Guided Bone Regeneration is an essential part of implant therapy for patients with inadequate ridge width. This session will review fundamental principles that are critical in achieving predictable outcomes for horizontal guided bone regeneration. Cases will be presented to demonstrate flap designs to obtain proper surgical closure and how to use the periosteum to achieve stability of the graft.

 

Monday November 2, 2020

Platelet-Rich Fibrin (PRF/CGF) Preparations and their Value in Regenerative Oral Surgical Procedures

Professor Douglas Deporter, DDS, Dipl Perio, PhD

Discipline of Periodontics
Faculty of Dentistry, University of Toronto
Pioneer in the use of short and ultrashort dental implants 

While platelet-rich fractions isolated from patients’ venous blood have been known for over 2 decades to support regeneration of bone and soft tissues body-wide, it is only recently that their isolation procedures have become simplified sufficiently for in-office use during oral and maxillofacial surgery. Original platelet isolates were liquid in form making their application difficult and effectiveness unpredictable. Current isolates, however, allow the growth factors and stem cells in venous blood plasma to be captured in dense fibrin clots that can be easily manipulated during regenerative surgical procedures including dental implant-related treatments. This presentation will include current terminology, preparation and application of autologous PRP/CGF clots in dentistry.

 

Monday November 16, 2020

Using Deepithelialized Amnion-Chorion Allograft for Minimally Invasive Dental Implant Surgery

Dr. Daniel Cullum, DDS, Dipl OMFS

Visiting lecturer, Loma Linda University and UCLA, Departments of Oral and Maxillofacial Surgery
President of Implants Northwest LIVE Learning Center

The use of placental tissue over the last decade has advanced dento-alveolar surgery and dental implant reconstruction. Processed dehydrated deepithelialized amnion-chorion allograft has expanding applications with local delivery of multiple growth factors, extracellular matrix proteins and cytokines in biological amounts, over many days. Upregulation of stem cells, neovascularization and rapid epithelialization occur with bacterial inhibition, reduced pain and inflammation. This lecture will present a scientific overview and clinical case series of open socket grafting, immediate implants and other challenging bone and soft tissue defects. Evidence-based use of amnion-chorion allograft reduces treatment timelines and pain while improving soft tissue quantity and quality, predictability and patient satisfaction.
 

 

Monday November 30, 2020

Diagnosis and Management of Peri-Implant Disease — Challenges and Opportunities 

Dr. Michael Goldberg, BSc, MSc, DDS, Dipl Perio

Associate Professor, Discipline of Periodontics, 
Faculty of Dentistry, University of Toronto
Designate Dentist-in-Chief and Head, Periodontics
Department of Dentistry, Mount Sinai Hospital

Peri-implant disease has become a significant concern for dental practitioners and patients alike. Properly diagnosing and managing this condition can provide a much-needed service that will help patients maintain their implants or provide a basis for decision-making that may lead to removal and replacement of implants. This lecture will provide an overview of past and current diagnostic categories, treatment decision-making criteria as well as outline both non-surgical and surgical treatment modalities for the management of peri-implant disease.

 

 

Monday December 14, 2020

Osseodensification: The Evidence and Proven Protocols

Dr. Salah Huwais, DDS

Private practice limited to Periodontics and Implantology.
Diplomate, The American Board of Periodontology.
Diplomate, The American Board of Implantology.
Adjunct assistant Professor at University of Minnesota, Dental Implant Fellowship Program.
Founder of the Osseodensification and the inventor of the Densah® Bur technology.
2017 Recipient of the AAID Foundation Isaih Lew Memorial Research Award.  

Osseodensification, an evidence-based approach to osteotomy preparation that enhances implant stability and bone density without compromising healing. This lecture will present the biomechanical, histological healing timeline, and clinical data of osseodensification. It will discuss bone plasticity and its clinical effect and will also cover the clinical versatility of this novel technique including sub-crestal sinus auto grafting, ridge expansion, immediate implant placement with osseodensification, and guided expansion graft. Several clinical protocols will be outlined.

 

Monday January 11, 2021

Site-specific Approaches for Treating Gingival Recession: The Anterior Mandible

Dr. Vinay Bhide,, BArtsSc, DDS, MSc(Perio), FRCDC

Clinical Instructor, Discipline of Periodontology, Faculty of Dentistry, University of Toronto
Staff Periodontist, Centre for Advanced Dental Research and Care, Sinai Health System, Toronto
Adjunct Assistant Professor, Department of Periodontology, University of Pennsylvania School of Dental Medicine
Diplomate, The American Board of Periodontology 

Perhaps no other subject has been more popular in the discipline of Periodontology over the past two decades than periodontal plastic surgery. Indeed, surgical correction of gingival recession and other mucogingival deformities around natural teeth has been shown to be a predictable therapeutic modality. While there are numerous techniques with variations which can be used to obtain root coverage and increase tissue thickness, we cannot always apply the same technique in all areas of the mouth as different areas have their own unique challenges and considerations. Hence, a site-specific approach must be applied to optimize surgical outcomes. This lecture will focus specifically on the mandibular anterior region as it is very unique and the implications for root coverage are different than other areas of the mouth. Various surgical approaches for treating gingival recession in this region which have been reported in the literature will be presented and critically evaluated.

 

Monday January 25, 2021

Dealing with Ridge Deficiencies: Graft, Graftless, and Graft less Options

Dr. Rodrigo Neiva, DDS, MS

Chairman, Department of Periodontics, University of Pennsylvania School of Dental Medicine 
Diplomate and Director, The American Board of Periodontology 
Diplomate, The International Congress of Oral Implantology

New treatment options and materials have been introduced to Periodontics and Implant Dentistry in recent years. The aim of this presentation is to discuss possible advantages, disadvantages, and realistic short- and long-term expectations of these new techniques and materials.

 

 

Monday February 8, 2021

Soft Tissue Management Around Dental Implants: Surgical Approaches

Dr. David Wong, DDS

Board-certified Periodontist in private practice, Tulsa, Oklahoma
Diplomate, The American Board of Periodontology 
Fellow, International Congress of Oral Implantologists

Treating soft tissue defects around dental implants poses challenges that are different from teeth.  This presentation will address common soft tissue defects from mucogingival deficiencies to gingival recession to inadequate tissue volume.  Both case planning and treatment options will be reviewed.

 

 

 

Monday February 22, 2021

New Strategies and Tactics for Esthetic Zone Implants

Dr. Ziv Simon, DDS, MSc

Board-certified Periodontist in private practice, Beverly Hills, California
Diplomate, The American Board of Periodontology

Placing implants in the esthetic zone can be challenging especially with pre-existing bone and tissue loss.  However, even if the supporting structures are intact to begin with, we often see gradual site deterioration over time. While augmentation techniques have greatly improved, they are not always predictable leading to compromised results. Dr. Simon will explore these problems and the methods he uses to retain the soft tissue and bone for a good esthetic outcome. He will explain how to create a custom strategy for various clinical situations in the esthetic zone. 

Learning objectives 

• Know the indications and contraindication for the socket shield technique 
• Know how to manage the soft tissue around an upper central incisor 
• Know how to create effective strategies for extraction and implant placement in the esthetic zone 

Dr. Ziv Simon is a periodontist practicing in Beverly Hills. He graduated Tel-Aviv University, and University of Toronto and is a Diplomate of the American Board of Periodontology and a Fellow of the Royal College of Dentists of Canada. He teaches surgery at the University of Southern California. Dr. Simon is the creator of SurgicalMaster®, a global teaching platform that teaches dentists how to excel in surgery and enjoy growth and fulfillment. 

 

Friday March 12, 2021 at 4pm EST

Prevention and Management of Complications in Root Coverage Procedures

Dr. Ilham Mounssif, DDS, MS

Clinical Professor, 2nd Level International Master’s in “Soft tissue management around teeth and implants” and “Periodontology and Implantology”, Bologna University, Italy
Researcher, Bologna University, Italy

 

Root coverage procedures have become very common in clinical dental practice. Even though these techniques are considered safe, the clinician may face several issues during the therapy due to their surgical nature. Some of these issues can be defined strictly as complications inherent to the procedure, while others are complications due to medical error or treatment errors.
The present lecture will focus on describing treatment errors and complications that may arise during different phases of the root coverage therapeutic process and on how to prevent and manage them.

 

 Monday March 22, 2021

SPOT Drilling Protocol for Partial Extraction Therapy

Dr. Charles Schwimer, BS, DMD

Clinical professor of Periodontics, University of Pittsburgh School of Dental Medicine 
Adjunct professor in Periodontics, University of Pennsylvania School of Dental Medicine
Periodontist in private practice, Pittsburgh, Pennsylvania
Creator and owner of SPoT® (Site Preservation of Tissue)

SPOT drilling protocol promotes the synergy of osseodensification and partial extraction therapy to optimize our implant site preparations. The purpose of this presentation will be to enhance clinical understanding of SPOT diagnostics and treatment planning necessary to implement Partial Extraction Therapy and Osseodensification into everyday practice. Clinical cases demonstrating past present and future "out of the box" protocols will be shared.

 

 

Monday April 5, 2021

Management of Acute Postoperative Pain in the Dental Practice

Aviv Ouanounou, BSc, MSc, DDS, FICO

Assistant Professor of Pharmacology and Preventive Dentistry at the Faculty of Dentistry,
University of Toronto
Fellow of the International College of Dentists, the American College of Dentists and the
Pierre Fouchard Academy

One of the most common sequela associated with dental treatment is acute postoperative pain, which almost every dental procedure has the potential to cause and which requires multifaceted management. Today’s clinician has a large armamentarium of pharmacological agents for controlling acute postoperative pain. Depending on the anticipated severity of postoperative pain, these agents may include acetaminophen, nonsteroidal anti-inflammatories and opioids. Evidence-based information on the basic mechanisms of pain, pharmacology of analgesics and rationale for analgesic selection will be presented. Common adverse drug reactions and interactions associated with these agents will also be discussed. Finally, special topics, such as geriatric patients, pregnancy and lactation, and other situations requiring special caution from the clinician when prescribing analgesic treatment will be reviewed.

 

 

Monday April 19, 2021

Peri-implant Soft Tissue Dehiscences: Prevention and Treatment

Dr. Lorenzo Tavelli, DDS, MS

Clinical lecturer, Department of Periodontics and Oral Medicine, University of Michigan

The predictability of dental implants in replacing missing teeth has been largely demonstrated. However, the success of implant therapy also depends on aesthetics and patient satisfaction. Peri-implant soft tissue dehiscence has been defined as the apical shift of the soft tissue margin revealing the greyish color of the implant or the apical shift of the soft tissue margin with the implant-supported crown longer than the contralateral homologous tooth. This lecture discusses risk factors for these complications, together with recommendation for treatment. Several cases illustrating different clinical scenarios and the state-of-the-art of peri-implant soft tissue dehiscences management are presented.

 

 

Friday May 7, 2021

The Symbiotic Relationship Between Bone and Soft Tissue

Dr. Howard Gluckman, BDS, MChD, PhD

Adjunct assistant professor in Periodontics, University of Pennsylvania School of Dental Medicine, Periodontist in private practice, Cape Town, South AfricaCo-founder and director of the Implant and Aesthetic Academy (IAA)

Bone and soft tissue loss are a reality in implantology. Most cases require some form of tissue graft or another and there are very few that have the requisite structure in place for ideal treatment outcomes. Long term aesthetic stability and health of an implant is dependent on both bone and soft tissue. The symbiotic relationship between the two is crucial for long term success. This lecture series will go through the different protocols and share insight into achieving predictable results with both bone and soft tissue grafting. We will share hints and tips accumulated over years if practice including failures and successes with different treatment options.

 

 

 

Monday May 17, 2021

Mindful or Mindless?

Dr. Sally Safa, BA, DDS, MSc (Perio), FRCD(C)

Clinical Instructor, Discipline of Periodontology, Faculty of Dentistry, University of Toronto
Board-certified Periodontist in private practice, North York

In this program, Dr. Sally Safa will delve into the science behind stress and the difference between acute and chronic stress and the effects on the body and brain. The difference between a Stress Response versus a Stress Reaction will be discussed – what they mean, and which one is better.  Chronic stress changes the physiology of the brain.  Dr. Safa will share how mindfulness or mind training can rewire the brain, and that the practice of mindfulness can reduce stress and anxiety. The science backing Mindfulness-Based Stress Reduction (MBSR) will be presented including tools taught in MBSR that can help dentists combat day to day stress in both their personal and professional lives.