The Hole Tooth: The Prevention and Management of Perforations Featured Clinician: MARC KUNIN, D.D.S. Associate Director of Endodontics, NYU Langone Dental Medicine Perforations occurring during root canal treatment may account for as many as 10% of all failed endodontic cases. Occurrence ranges from 2.3% to 12% and are reported to lower the prognosis of endodontic treatment to 50%. This presentation will discuss using the roadmap on the floor to locate calcified orifices, tricks to use to avoid perforations in different scenarios, and detailed descriptions of access of maxillary and mandibular molars. Causes of perforations in different locations on the tooth, recognizing perforations, and treatment and prognosis of different types of perforations will also be discussed. Upon successful completion of this lecture, attendees will learn: • Proper access techniques to prevent perforations • How to navigate clinical situations that often lead to perforations • Recognition and treatment of perforations • Prognosis of different types of perforations SDDS OCTOBER GENERAL MEMBERSHIP MEETING *Advance Registration Required—Register online at sddsny.org* Thursday, October 12, 2023 ◆ Dyker Beach Golf Course, Brooklyn, NY ◆ 6:30 P.M. ◆ MCEU – 1 HOUR Interdisciplinary Care: Case Studies and Outcomes for Straightforward and Complex Cases Essayist: CHRISTINA M. GOODHEART, M.A., CCC-SLP Board-Certified Specialist, Swallowing and Swallowing Disorders This presentation will include an outline of core team member roles and additional suggested disciplines for complex cases. It will also outline the rationale for functional assessment, objective testing and the need for patient participation. Two straightforward cases and two complex cases will be presented, along with their histories, treatment plans and outcomes. Upon successful completion of this lecture, attendees will: • Learn the rationale for interdisciplinary care even for simple cases • Describe three ways to professionally and successfully collaborate with other disciplines • Identify specialists essential to their specific specialty RICHMOND COUNTY DENTAL SOCIETY MEMBERSHIP MEETING *Advance Registration Required—Register online at sddsny.org* Tuesday, October 17, 2023 ◆ Max’s Es-Ca Restaurant, Staten Island, NY ◆ 7 P.M. ◆ MCEU – 1 HOUR Enhancing Esthetic Outcomes Through Periodontal Surgery and Dental Implants Featured Clinician: YE SHI, D.D.S., M.S. Clinical Assistant Professor, Department of Periodontology and Implant Dentistry, New York University College of Dentistry An attractive smile has always been the patient’s motivation for improving esthetic appearance and thus self-esteem. Clinicians can encounter several challenging scenarios in the esthetic zone such as missing teeth, uneven gingival margins and excessive gingival display. Each of these cases requires proper diagnosis and treatment planning to achieve long-term esthetic outcomes. To determine the proper treatment, both esthetic and periodontal evaluation are crucial during the treatment plan phases. Surgical crown lengthening, including soft and hard tissue management, is necessary. It can be used to decrease gingival display in cases of altered passive eruption, to enhance the clinical crown proportion or to establish biological width to maintain gingival health. Poor esthetic outcomes such as tissue regrowth or esthetic complications such as recession can occur with inaccurate treatment planning and inappropriate surgical techniques. Dental implants are indeed one of the treatment options for a single missing anterior tooth, which has been proven to have long-term success and survival rate. However, for a high smile patient, it is more important to obtain soft tissue harmony rather than just white esthetics. The ultimate goal of implant treatment is to achieve peri-implant soft tissue esthetics and long-term stability. This lecture will discuss the biologic rationale for different treatment options and factors and risks contributing to poor esthetic outcome, as well as propose clinical guidelines for the predictable achievement of stable gingival margins. It will also review clinically relevant literature and multiple case presentations to demonstrate from treatment planning to treatment execution. Upon successful completion of this course, attendees will learn: 1. Factors and risks that affect the esthetic outcome 2. Esthetic and periodontal evaluation during the diagnosis and treatment plan phases 3. Treatment options for the anterior esthetic zone, including esthetic crown lengthening and implants 4. Clinical guidelines of surgical treatment 5. Management of esthetic complications CONTINUING EDUCATION COURSE #2023-20 *Advance Registration Required—Register online at sddsny.org* Friday, October 20, 2023 ◆ Hilton Garden Inn, Staten Island, NY ◆ 9 A.M. – 12 P.M. ◆ MCEU – 3 HOUR Occlusion Simplified: Evaluation, Diagnosis and Treatment Featured Clinician: MARC B. GAINOR, D.M.D. Visiting Faculty, Spear Institute This program will provide a scientifically-based approach to occlusal evaluation, diagnosis and treatment. Attendees will learn various principles of occlusal, airway, joint and muscle evaluation and diagnosis, so they can gain confidence in managing occlusal problems in everyday practice. In addition, various occlusal treatment options including appliances and occlusal equilibration will be discussed in detail, along with various techniques to improve occlusal outcomes. Upon successful completion of this course, attendees will: 1. Review the key elements of occlusion, muscle and TMJ anatomy (as per the PankeyDawson occlusal philosophy) 2. Understand how bite force, obstructive sleep apnea, attrition, abrasion and erosion affect prognosis and treatment planning 3. Understand the key elements of a complete occlusal, muscle, joint and airway exam, and what positive findings mean 4. Know why centric relation is important, when to use it and when it’s safe to use the existing occlusion 5. Learn about the Learn Gauge and Lucia Jig—how to use them to safely load test the TMJ, deprogram muscles, and take consistently accurate centric relation bite records 6. Understand how to use exam findings to help choose the appropriate occlusal appliance 7. Know how to quickly assess occlusal risk—so you can know which teeth and which patients are safe to treat 8. Learn techniques to improve the accuracy of bite records, models, and mounting to help you analyze the occlusion 9. Understand how to properly adjust occlusal appliances 10. Understand when, why, and how to perform an occlusal equilibration 11. Provide some techniques to improve occlusal and restorative outcomes CONTINUING EDUCATION COURSE #2023-19 *Advance Registration Required—Register online at sddsny.org* Friday, October 13, 2023 ◆ Dyker Beach Golf Course, Brooklyn, NY ◆ 9 A.M. – 4 P.M. ◆ MCEU – 6 HOURS IN MEMORIAM Dr. Alan J. Sosnay – New York University, 1960 10 SDDS BULLETIN JULY/AUGUST 2023 — VOLUME 40 ◊ NUMBER 4
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