Dr. Frank Spear will be in Toronto on September 18, 2020 for a 1-Day lecture on Integrating minimally invasive principals in the management of complex dental problems, including the correction of un-esthetic anterior implants.
Synopsis:storation or not? Those more difficult decisions often involve situations such as, an anterior tooth is fractured at the gingival margin, should I do endo and a post and core, or extract and place an implant, what do I need to look at to make an informed decision? A patient presents with an existing un-esthetic three-unit anterior FPD, should I replace it, or do an implant and 3 single unit restorations? What needs to be evaluated? What does the literature say about the 5, 10, and 20 year success of FPD’s vs Implants? This presentation will focus on these kinds of dilemmas involving tooth retention and restoration, vs removal and replacement. The specific clinical dilemmas covered, in addition to the two listed above, will be, teeth with apical root resorption, internal or external resorption, ankylosis, advanced bone loss, horizontal root fractures, and existing failing endodontic treatment. Clinical examples and literature support will be presented for all of the above listed dilemmas. In addition, the interdisciplinary management of deficient alveolar ridges in the esthetic zone will be covered. This will include the treatment options available to manage the deficient ridge, and also how to decide between implant or tooth supported restorations. And finally, a decision tree on predicting the prognosis for anterior implant esthetic success will be presented, as well as a segment on the treatment options and decision process for correcting un-esthetic anterior implants.
Learning objectives: The attendees will learn
1) An algorythm of key questions to ask when deciding whether to retain and restore vs remove and replace.
2) What the literature findings are regarding the long-term success rates are for the different treatment options available for the conditions listed above.
3) How the age of the patient impacts the treatment decision of whether to retain and restore vs remove and replace, the concept of “Management vs Cure”.
4) The importance of looking forward to, “What is next”, can impact the choice of what to do now.
5) What to evaluate to predict the esthetic outcome of anterior implants.
6} What to evaluate and what options exist to manage existing anterior un-esthetic implants.
For more details contact This email address is being protected from spambots. You need JavaScript enabled to view it. or 905.379.2407
