Jay Malmquist, DMD, FACD, FICD
Jay Malmquist, DMD, FACD, FICD
1. The Congenitally Missing Tooth: Implant Options for Treatment Is Esthetics and Function Possible?
The complex dilemma of treatment for the congenitally missing tooth plagues many aspects of dental care for the adolescent and adult patient. Indications for treatment options along with the complications associated with poor tissue platforms forms a course of therapy facing many clinicians. The advent of implant therapy some forty five years ago has increased the ability to form outcomes that are now routine for the clinician. A look at growth considerations in conjunction with treatment options allows for a predictable course in designing the plan for the young patient. Combination therapy of orthodontics, orthognathic surgery and reconstructive dentistry allows for excellent long term outcomes for the partial anodontia patient. This discussion will focus on the congenitally missing tooth syndrome in combination with esthetic outcomes and functional rehabilitation in the compromised dentition. The ability to correct childhood missing tooth syndromes with implant therapy will be discussed with a focus on timing, adjunct therapies, esthetic and long term outcomes. Re enforcement of those issues vital to adequate results will be emphasized. All clinicians working in this field will find this discussion stimulating and informative.
- The clinician at the conclusion of this discussion will be able to better appreciate the partially edentulous patient as it relates to implant therapy and the missing tooth syndrome
- Treatment protocols for the various edentulous indications will be better understood
- The implant platform and the differences with the congentially missing tooth will be discussed to improve the understanding for the participant
- Finally, augmentation techniques and esthetic considerations will be reviewed so that the clinician can utilize the technology in his/her practice
This discussion will focus on implant esthetics and what issues can be controlled by the clinician. Specifically, this discussion will focus on issues isolated to soft tissue esthetics and how best to optimize the implant platform for predictable results. Indexing, grafting and temporization will be discussed with illustrations using case histories. Brief videos will be used to illustrate surgical techniques for grafting and esthetics
In addition to this discussion, new concepts in grafting will be discussed. A brief discussion of cell therapy and bone proteins in conjunction with conventional grafting will be reviewed.
Finally, a look at complications from poor patient selection to adverse outcomes will be shown with explanation of how these results can be refined, resolved and avoided. Every clinician that is providing this type of care needs to attend this discussion and understand the current state of the art and standard of care.
- Upon completion of this course the clinician will understand and be able to identify the patient who presents as a possible complication case
- The attendee will be able to understand and consider the newer techniques for implant placement in the esthetic zone and avoid the misadeventures
- The clinician will be able understand some of the newer implant designs and how they impact short and longer tissue stability
- The newest grafting techniques will be discussed so that the participant can incorporate them into her/his treatment options