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THE NINTH ANNUAL AMERICAN ACADEMY OF IMPLANT DENTISTRY MaxiCourse®- UAE 2016 – 2017 Starts August 30 A UNIQUE OPPORTUNITY DENTAL IMPLANTOLOGY In Fulfillment of the Educational Requirement for the Examination for Associate Fellow Membership for the American Academy Program Includes placement of 10 Implants with all surgical and prosthetic components, all materials for hands – on workshop and lecture handouts plus one complete surgical instrument Kit. MaxiCourse ® Advantage: 300 hours of comprehensive lectures, live surgeries, demonstration and hands-on sessions. In depth review of surgical and prosthetic protocols. Sessions stretch across 10 months in 5 modules of 6 days. Each session is always inclusive of a weekend. Over 15 speakers from the International Community who are amongst the most distinguished names in implantology will teach the curriculum. Certificate of completion awarded by the American Academy of Implant Dentistry. Non commercial, non sponsored course covering a wide spectrum of implant types and system. Hands-on patient treatment under direct AAID faculty supervision. Membership for AAID awarded for 2016 – 2017 Dates: Module 1 August 30th – September 4th 2016 Module 2 November 3rd – 8th 2016 Module 3 February 2nd – 7th 2017 Module 4 April 26th – May 1st 2017 Module 5 Dates to be announced Registration : Pre-Registration is Mandatory as it is a limited Participation Program. For further information and registration details visit website: www.maxicourseasia.com or e-mail Dr. Ninette Banday, Coordinator AAID-MaxiCourse UAE at drnbanday@yahoo.com The Faculty are as follows: Dr. Shankar Iyer, USA Director, AAID Maxi Course®UAE Diplomate AAID Clinical Assistant Professor,Rutgers School of Dental Medicine. Dr. Ninette Banday, UAE Co-Director AAID Maxicourse- Abu Dhabi, UAE Academic Associate Fellow AAID Dr. Amit Vora, USA Diplomate of the American Board of Periodontology Professor (partime) ,JFK Hospital and the Veteran Affairs (V.A.) Hospital Dr. Jaime Lozada, USA Director of the Graduate Program in Implant Dentistry Fellow, American Academy of Implant Dentistry Dr. William Locante, USA Diplomate of ABOI Fellow of American Academy of Implant Dentistry Dr. Robert Horowitz, USA Diplomate American Board of Periodontology Clinical Assistant Professor New York University Dr. Frank LaMar, USA Fellow, American Academy of Implant Dentistry Diplomate, American Board of Oral Implantology Dr. John Minichetti, USA Diplomat, American Board of Oral Implantology Honored Fellow, American Academy of Implant Dentistry Dr. Robert Schroering, USA Board Certified by the American Board of Oral Implantology Fellow, American Academy of Implant Dentistry Dr. Kim Gowey, USA Past President – AAID Diplomate ABOI Dr.Burnee Dunson, USA Fellow, American Academy of Implant Dentistry Diplomate ABOI Dr. Ahmed Ibrahim Osman UAE Director of Implant Center, University of Sharjah. Assistant Director of University Dental Hospital. Dr. Stuart Orton-Jones, UK Founder Member, The Pankey Association Member, Alabama Implant Study Group Director, The Stuart Orton-Jones Institute Dr. Robert Miller, USA Board Certified by the American Board of Oral Implantology/Implant Dentistry Honored Fellow American Academy of Implant Dentistry Dr. Philip Tardeu, France Founder and Author, Computer Guided Implantology and the Safe System. Dr. Natalie Wong, Canada Diplomate, American Board of Oral Implantology Fellow, American Academy of Implant Dentistry Dr. Irfan Kanchwala, India Implant Fellowship ( UMDNJ, USA) Diplomate , American Board of Prosthodontics Dr. Jason Kim, USA Diplomate of ABOI Eighth Annual Program Accredition by Health Authority Abu Dhabi for 252.75 CME Hours. Accredition for the Ninth Annual Program under process both with DHA & HAAD. Dental Tribune Middle East & Africa Edition | 4/2016 IMPLANT TRIBUNE 2 Fig6:Acircum-radicularpiezosurgeryisperformedin a circumferential direction around an anterior tooth, with the exception of the facial side so as to preserve thefacialalveolarboneplateandmaintainesthetics. Fig7:Benex®extractorsystem Fig 8a: Reduction of teeth # 9 and 10. #8 and 11 will act asabutmentsfor theprovisionalbridge Fig 8b: Bleeding epithelial edges that will promote creepingsubstitutiononroots#9and10. ◊Page1 ÿPage 3 Fig 4: Vertical sectioning the mandibular first molar along the buccalgroove that anatomicallycoincideswith thefurcation. Fig 5:The elevator is employed to create a wedge effect between the sectioned tooth structure to facilitate luxation between the separated toothfragments. nated with the added advantage of being able to insert and remove the prosthesis with minimal discomfort after healing. When planning for full mouth extraction and imme- diate dentures, alveoloplasty and alveolectomy using rongeurs, bone files, surgical burs, chisels and rotary surgical instruments are performed routinely. Unfortunately, when this is done, a considerable volume of bone is sacrificed. In some extreme cases, surgical resection of the alveo- lar bone is deliberately carried out to accommodate the placement of implants (such as “All on Four” [2, 3] techniques.) Thisarticlewillfocuson ways to minimize alveolar bone loss caused by extractions. Atraumatic techniques and various methods to employthesewillbediscussed. Fundamentalprinciples commontoallextractions 1.Carefullyexaminetheradiographs. Check the morphology of the tooth to be extracted and for the presence of: cervical and root decay, endodon- tically treated teeth, teeth restored with posts, curved roots, number of roots, a discernible periodontal liga- ment around the root, alveolar bone quality (i.e. sclerosis), root ankylosis, proximity to vital structures and periodontalconditionoftheroots. 2. Separation of the soft tissue from the tooth is accomplished with a periosteal elevator or with the aid of #12 or 15 scalpel, to sever the gingival fibers that are tenaciously bound to the cementum and to prevent any tear of the attached mucosa during extraction,especiallyinthecosmetic zone. In cases of mobile teeth, where the periodontal support is com- promised, retention of the tooth in the socket is primarily from dense diseased gingival tissues. Failure to separate these tissues that lack bony support often result in significant and exaggerated removal of the gin- gival tissue along with the mobile tooth. 3. When luxating the tooth, an eleva- tor is first tried in the space between the tooth and the alveolar bone to verify any detectable mobility. The leverage should not involve a ful- crumontheadjacenttoothasitmay causeluxationand/orfractureofthe healthyneighboringtooth. Techniques utilized to pre- serveboneduringextraction 1. Circum-radicular pericision (fiber- otomy) using periotomes, scalpels andluxators. 2. Tooth division using rotary instru- mentation. 3. Circum-septal osteotomy using rotary instrumentation and piezos- urgery. 4.Forcederuptiontechniques. 5. Extrusion techniques (Benex® ex- tractors). Techniques 1. Circum-radicular pericision us- ingscalpelsandperiotomes This technique is performed around single rooted teeth to free the root from the adjoining alveolus by sev- ering the periodontal ligament in the coronal portion of the root. This will enable the root to have space for further luxation and permit thinner elevatorsorperiotomestogainentry into the periradicular space. Gentle tapping with a mallet on the scalpel handle with #15c blade is used to separatethecoronalPDLfibers(Fig1) As the blade enters the periodontal ligament space, the blade handle is rocked minimally to retrieve the scalpel. Extracaremustbeexercised