2010NOV 4-6

AMED is an ADA CERP Recognized Provider.

2010 AMED Sponsors

“The Intersection of Macro and Micro Dentistry” will feature lectures from top clinicians in every discipline as well as master classes, corporate forums and pre and post session comprehensive “Hands-On” courses at education facilities along the Pacific coast.English to Japanese translation will be available.

Program Co-Chairs: William Lannan, DDSJohn West, DDS, MSD

Scientific Session Committee: Terrel Pannkuk, DDS, MScDAdriana McGregor, DDSTetsuya Hirata, DDS, PhD

Platinum:

Silver:

All of our presenters have a microscope centered practice and are highly skilled in the application of this technology in clinical dentistry.

Featured 2010 Presenters

Dr. Katsuhiko Akiyama Dr. Paul Anstey Dr. Stephane Browet

Dr. Cliff Ruddle

Dr. Eric Herbranson

Dr. Cami Ferris Dr. Eudes Gondim Dr. Jeffrey Hamilton

Dr. Adriana McGregor Dr. Jose Roberto Moura

Dr. Laurence Rifkin

Dr. Tetsuya Hirata Dr. Kazuo Kurihara Dr. Te-Fu Li

Dr. Kunio Matsumoto Dr. Carlos Alberto Ferreira Murgel

Dr. Masahiro Nakazawa

Dr. Junya OkawaraDr. Masayuki Okawa Dr. Terrel Pannkuk Dr. Dennis Shanelec

Dr. Cherylin Sheets Dr. Malcolm SneadDr. Randy Shoup Dr. Glenn van As Dr. John West Dr. Claudia Cia Worschech

Dr. Markus Hürzeler

Dr. Morio Okaguchi

Dr. Peter Jannetta

Schedule At-A-Glance

register online at:www.MicroscopeDentistry.com

Wednesdaynovember 3rd

10am - 4:30pm Santa Barbara Back Country Wine Tour**6pm - 9pm Registration Begins

Thursday november 4th

7am Registration & Exhibits Open 9:30am - 1:30pm Spouse/Guest Event: Lotus land Garden Tour**

8am - 12:45pm General Session

John West, DDS, MSD Presidents Welcome Cliff Ruddle, DDS My Endodontic Practice – A 35-Year Retrospective Analysis Terrel Pannkuk, DDS, MScD The Endo/Perio Differential Diagnosis Paul Anstey, DDS The Power of 3D Imaging in Endodontics and Beyond… Tetsuya Hirata, DDS, PhD What I Learned During Eight Years Research Study in Image Enhanced Dentistry Cherylin Sheets, DDS Quantitative Percussion Diagnostics and Magnification – A Synergistic Combination12:45pm - 1pm Members’ Business Meeting12:45pm - 2pm Luncheon Buffet

2pm - 5pm Endo Master Class Carlos Murgel, DDS Small FOV CBCT for Endodontics: Another Gadget or a Paradigm Shift? Terrel Pannkuk, DDS, MScD Outcome Study Science and Art: Can the Value of an Endodontic Technique or Technology Be Adequately Assessed?

Morio Okaguchi, DDS Microscope Assisted Precision Dentistry II Eudes Gondim, DDS, PhD Beyond the Microscope: What Else Can Make the Difference? John West, DDS, MSD Speakers’ Panel Moderator

2pm - 5pm Perio Master Class

Markus Hürzeler, DMD, PhD Minimally Invasive Implant Surgery Supported by Microsurgical Techniques Adriana McGregor, DDS The Hidden Secrets of Outstanding Results in Soft Tissue Management Around Implants: From Planning to Placement to Restoration Te-Fu Li, DDS Micro-invasive Treatment of Periodontal Pockets Katsuhiko Akiyama, DDS Papilla Reconstruction Using the Patch Technique Bryan Pearson, DDS, MS Speakers’ Panel Moderator

2pm - 5pm Restorative Master Class

Kunio Matsumoto, DDS Pre-Treatment in Esthetic Restoration Masayuki Okawa, DDS Minimally Invasive Interventions & Interdisciplinary Approach for Esthetic Dentistry José Roberto Moura, DDS Art and Precision with Direct Composites Claudia Cia Worschech, DDS, PhD Obtaining Clinical Success with Micro Laminate Porcelain Veneers Assad F. Mora, DDS, MSD, FACP Speakers’ Panel Moderator 7pm - 11pm Social Event: Welcome Reception, Entertainment & Dance

Friday november 5th

8am Registration & Exhibits Open8am - 5pm “Test Drive” the Latest Technology

9am - 12:45pm General Session

Larry Rifkin, DDS Facial Esthetics Glenn vanAs, DDS Lasers and the Operating Microscope: Seeing the Light! Marc Alexander, DDS Treatment Planning for Esthetics Paul Piontkowski The Perfect CAD/CAM Restoration

2pm - 5pm Short Presentations

Randy Shoup, DDS Minimally Invasive Restorative Dentistry-Live Demonstration of Principals, Techniques, Equipment and Materials Junya Okawara, DDS Periodontal Microsurgery: Achieving Gingival Level Alignment with Connetive Tissue Graft Cami Ferris, DDS Heroic Endodontics in an Age of Implants Masahiro Nakazawa, DDS Utility of All-on-4 with Socket Preservation Kazuo Kurihara, DDS Tissue Management Around Implants in Esthetic Zones Stephane Browet, DDS The Matrix Revisited

2pm - 5pm Corporate Forums

BioClear Composites Hands-on Course** Global Surgical AMD Lasers Crystal Mark & GC America: Air Abrasion2pm - 3:30pm Spouse/Guest Event: Land Shark Tour** 7pm - 11pm Social Event: President’s Dinner and Awards

Saturday november 6th

8am Registration & Exhibits Open9am - 1:30pm “Test Drive” the Latest Technology

9am - 1:30pm General Session

Dennis Shanelec, DDS A Retrospective of Clinical Periodontal Microsurgery Jeff Hamilton, DDS Oral Medicine and the Clinical Operating Microscope Eric Herbranson, DDS Latest in Photographic Documentation Peter J. Jannetta, MD Neurogenic Face Pain in the Dental Office Malcolm Snead, DDS, PhD Thinking the Unthinkable: Regenerating the Whole Tooth1:30pm Adjourn

Off-Site Hands-on Courses

Pre & Post Session “Hands-On” Courses will be held at:

Microsurgery Training Institute www.microdentistry.com Newport Coast Oral Facial Institute www.ncofi.org Center for Endodontics www.centerforendodontics.com

* Schedule subject to change, please see website for full course descriptions and details.** Additional cost.

(with 45min break)

(30 min sessions)

(with 45min break)

Meeting Location & AccommodationsFess Parker’s DoubleTree ResortTel: 1.800.564.4333 Fax: 1.800.564.4964633 East Cabrillo Boulevard, Santa Barbara, CA, USA 93103

Santa Barbara, the Channel Islands and the nearby Santa Ynez Valley offer beautiful scenic opportunities and wonderful recreation for those with interest in exploring the area. The Double Tree is offering the convention room rate to our attendees the week before and the week after our meeting for those who wish to extend their trip in Santa Barbara.

Group rate is $259.00 for Run of House/Mountain View rooms. Please refer to ‘AMED’ when calling in reservations. The cut-off date for making reservations at this special rate is October 4, 2010.

Fess Parker’s Doubletree Resort offers a complimentary shuttle to and from the Santa Barbara airport. Please call upon arrival (805-564-4333).

Social Events & ToursWednesday, Nov 3rd 10am - 4:30pm Santa Barbara Back-Country Wine TourEnjoy lush valley views, breath-taking scenery and stops at 4 of the region’s best wineries for tastings, and a gourmet picnic lunch at one of the vineyards. Journey back to Santa Barbara through oak-shaded canyons and dirt trails, past the former Reagan Ranch and along the beautiful Pacific.… a visual feast!

Thursday, Nov 4th 9:30am - 1:30pm Spouse/Guest Event: LotusLand Garden Tour with Lunch You are invited to visit Lotusland, a unique 37-acre estate and botanic garden situated in the foothills of Montecito to the east of the city of Santa Barbara. visit www.lotusland.org for more information.

Thursday, Nov 4th 7pm - 11pm Welcome Reception, Entertainment & Dancing This memorable annual event is an opportunity for members and guests from around the world to meet face to face. Enjoy a Santa Barbara themed dinner, entertainment and dancing. California Casual Attire.

Friday, Nov 5th 2pm - 3:30pm Spouse/Guest Event: Santa Barbara’s Land Shark TourClimb aboard Santa Barbara’s original amphibious tour vehicle for a personally narrated 90 minute land and sea adventure. Enjoy exquisite views of the Santa Barbara coastline, the Riviera, and the Santa Ynez mountains as seen only from our boat at sea. Don’t miss this exciting and entertaining Land and Sea adventure to experience Santa Barbara.

Friday, Nov 5th 7pm - 9:30pm President’s Dinner and AwardsEnjoy an elegant evening during AMED’s annual President’s Dinner and short Awards presentation Ceremony. Semi-Formal Attire.

register online at:www.MicroscopeDentistry.com

Registration Register Online atWWW.MICROSCOPEDENTISTRY.COM

Subtotal

Wednesday, Nov 3rd ...... Santa Barbara Back Country Wine Tour ....... ADD $130

Thursday, Nov 4th .......... Master Classes: Endo/Restorative/Perio (Circle one)

Thursday, Nov 4th .......... Welcome Reception

Friday, Nov 5th ............... BioClear/Composites Hands-on Courses ..... ADD $295

Friday, Nov 5th ............... President’s Dinner/Awards

AGENDA/EVENT ITEMS: Check all that you will attend

Earn up to 17 CE creditsMEETING REGISTRATIONINCLUDES: General Sessions, Master Classes, Short Presentations, Test Drive, Corporate Forums, Breaks, Buffet Luncheons, Welcome Reception and Presidents Dinner.

Member $595

Non-Member $1095

Dental Auxiliary $295

Subtotal

Student/Faculity$295Must accompany

DoctorMust Provide proof

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Early Bird Registration ends August 1st

(add $100 after August 1st)

Please mail to: The Academy of Microscope Enhanced Dentistry (AMED) PO BOX 15834, Fort Wayne, IN 46885Or send via fax 480-247-4006

REGISTER ONLINE AT WWW.MICROSCOPEDENTISTRy.COM

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Subtotal

Wednesday, Nov 3rd ......Santa Barbara Back Country Wine Tour ........ ADD $130

Thursday, Nov 4th ..........LotusLand Garden Tour with Lunch ............... ADD $100

Thursday, Nov 4th ..........Welcome Reception ...................................... ADD $100

Friday, Nov 5th ...............Meeting Luncheon ......................................... ADD $45

Friday, Nov 5th ...............Land Shark Tour ............................................ ADD $30

Friday, Nov 5th ...............President’s Dinner/Awards ............................ ADD $100

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Questions? Please email: info@microscopedentistry.com or call 260-249-1028*An official confirmation will be emailed to the email address provided on this form.

Presentation Descriptions

register online at: www.MicroscopeDentistry.com

Thursday november 4th

8am - 12:45pm General Session

John West, DDS, MSD Presidents WelcomeCliff Ruddle, DDS My Endodontic Practice – A 35-Year Retrospective AnalysisThere is an old expression that to see the future you only have to look at the past. A 35-year retrospective analysis of my clinical practice will provide a glimpse of those early years, the enormous technical changes that followed, and how these changes created both chaos yet enormous opportunities. This presentation will focus on the unforeseen and unanticipated benefits of utilizing the dental operating microscope in every day practice. Through this monologue, Dr. Ruddle will share his experiences and provide a brief look into the past, present, and future of Endodontics.

Terrel Pannkuk, DDS, MScD The Endo/Perio Differential DiagnosisEndodontic diagnosis requires astute observation of signs, symptoms, tests, and radiographs. Distinguishing between artifacts and significant clinical entities can be very challenging. In this presentation Dr. Pannkuk will describe a logical approach to interpretation that can predictably and accurately distinguish between confusing presentations of periodontal and endodontic disease. He will show interesting and unique cases that highlight the clinical strategy.

At the end of the presentation the audience will be able to:• recognize important subtle radiographic signs • determine prognosis • recognize the treatment implications of an endodontic or periodontal disease etiology

Paul Anstey, DDS The Power of 3D Imaging in Endodontics and Beyond…We have been relying on radiographs to analyze dental disease and diagnose dental pathosis since the early 1900’s. This age-old 2D technology has obvious limitations. As a result, much of the true data has been hidden from us for decades leading to shortfalls in diagnosis, treatment planning and ultimately patient care.

The time has finally arrived and we are now able to utilize 3D imaging to improve patient care dramatically. These are exciting times with the technologic breakthrough of High Resolution Cone Beam Computer Tomography (CBCT).

The goal of this presentation is to highlight the newfound capabilities of this amazing “new and improved” CT technology. The multiple uses of CBCT in dental diagnosis and treatment planning will be demonstrated with correlation of the CT images to the areas explored and photographed through the Operating Microscope.

After this presentation the audience will have a better understanding of:• How and why CBCT is truly a diagnostic breakthrough• What we have been missing all of these years• When and how to decide if we need a CBCT scan• How to read the scans and understand their value in everyday practice• How to detect classic artifacts and thereby prevent misdiagnosis associated with CBCT• What the challenges are with this new technology• What we can look forward to with the CBCT of the future

Tetsuya Hirata, DDS, PhD What I Learned During Eight Years Research Study in iMage Enhanced DentistryIn this presentation Dr. Hirata will share his research study results in these 8 yrs and a research project’s result with Universities in Japan, in Europe, in Brazil and in the States in iMage Enhanced Dentistry. This iMage Enhanced Dentistry, like Image Enhanced Medicine in medical field, includes Microscopes, CT, MRI, MRA, Endoscopes, SEM, video systems and all other magnification systems. Topics will cover rapid healing, atraumatic soft tissue reaction, effect of hydration, effect of chemical substance, Implant rescue, treatment planning in Implantology, relationship between crack and soft tissue, precise tooth preparation, atraumatic tooth preparation, relationship between marginal fitness and leakage, retrospective research on old prosthesis, and more.

Cherylin Sheets, DDS Quantitative Percussion Diagnostics and Magnification – A Synergistic CombinationThe introduction of magnification into dentistry revolutionized the ability of dentists to diagnose and treat abnormalities due to the increased size of objects and the flawless illumination provided. The microscope provided, regardless of specialty, more detailed visual information to the clinician in all phases of treatment.

During the last decade, a new technology has been explored that will give additional diagnostic information to the clinician. Quantitative percussion testing allows a clinician to evaluate the structural stability of natural teeth or dental implants by measuring the way it responds to a light impact on the buccal surface. The energy that is returned to the handpiece is analyzed in a manner that provides two pieces of information—the loss coefficient (LC) and energy-time response (ETR) of the structure tested . These two pieces of information can give the clinician indications of how sound the tested structure is and whether there are problems such as dentinal cracks and fractures, microleakage, recurrent decay, loose post and cores and other structural defects. By having an indication as to how a tooth or implant responds to mechanical stress prior to starting restorative care, the microscopic enhanced clinician will be prepared to look for potential problems where abnormal ETR’s are observed. ETRs also help patients understand the bioengineering challenges that some teeth present due to crack propagation and other serious biomechanical problems. Combined with video documentation of the defect, it creates a powerful documentation and patient educational tool simultaneously.

2pm - 5pm Endo Master ClassCarlos Murgel, DDS Small FOV CBCT for Endodontics: Another Gadget or a Paradigm Shift?Just very recently small FOV (field of view) CBCT (cone beam computer tomography) unities became available for endodontics. These machines have lower radiation dosages, more resolution, are smaller and less expensive than the large FOV ones. There are several machines available on the market and it is very difficult to select one that is more suitable for our clinical needs. Also it is crucial to know what is this technology about it, when and why to use it, how to interpret its results and how to implement it into a busy practice. At the end of this presentation the participants will have a solid understanding about the small FOV CBCT unities and will be able to know why this technology represents a major paradigm shift in modern endodontics.

Terrel Pannkuk, DDS, MScD Outcome Study Science and Art: Can the Value of an Endodontic Technique or Technology Be Adequately Assessed?The endodontic literature spans a wide spectrum of accepted levels of evidence. In this presentation Dr. Pannkuk will discuss the lowest forms of scientific evidence like opinion and single anecdotal case histories comparing them to less obtainable rigid CONSORT guidelines and Systematic Reviews as it relates to our understanding of clinical success and the value of clinical tools like the surgical operating microscope. Mounds of low level evidence are readily available yet high level evidence is not. Is this a double-edged sword of scientific knowledge? Is all available evidence valuable when looked at critically as a whole? Is a foggy picture better than no picture of reality? The philosophy of what we can and cannot test when it comes to a nuanced clinical art will be discussed. There will be a specific focus on the value of the microscope, single versus multivisit endodontic procedures, and implant versus root canal treatment success rates. Dr. Pannkuk will pose the questions:1. How does one achieve evidence-based clinical predictability? 2. What is a definitive clinical outcome versus clinical success? 3. What do we really understand about our clinical technique and choices?

Morio Okaguchi, DDS Microscope Assisted Precision Dentistry IIRecently attention has been focused on using Dental Microscopes. Many authorized medical doctors so called God-Hand in that field are definitely needed Microscopes and other up-to -date devices. In Dental field, more dentists require better and more excellent results in managing Minimal Intervention concepts, Esthetics, long term Prognosis and Occlusion, more precise procedure that surpass the limit in working under the naked eyes is required for those dentists. It has not been needed to state that high magnification and high resolution is essential to achieve fine dental treatment.

High magnification and resolution is giving dentists more clear images of not only root canals but also apical foramen. This grows the possibility in removing infected structures around apical area and in other difficult area for naked eyes. As the result, increasing the possibility higher and higher in saving treated root canals and miserable tooth.

Dental Microscopes may potentially guide all dentists to higher and higher level and finally may lead to be called God-Hand. In this presentation Dr. Okaguchi will share his concepts in Endodontically treated tooth through his clinical cases.

Eudes Gondim, DDS, PhD Beyond the Microscope: What Else Can Make the Difference?A range of clinical techniques and applications will be reviewed and illustrated in an attempt to help clinicians ensure and rationalize necessary treatment objectives for success. Anatomic exploration, systematic disinfection using new irrigation techniques will be discussed. Currently, effective irrigant delivery is a prerequisite for successful endodontics and this lectures will present an overview recommendations for safe and effective irrigation.

2pm - 5pm Perio Master Class

Markus Hürzeler, DMD, PhD Minimally Invasive Implant Surgery Supported by Microsurgical TechniquesThe refinement of the surgical technique by means of a microsurgical approach is one of the most importaant determinants of successful esthetic results. A series of case reports in reconstructive implant dentistry and a controlled clinical study on periodontal regeneration and plastic reconstrcutive surgery demonstrated that a microsurgical approach is able to accelerate healing and improve the rate of primary soft tissue closure.

In this presentation the microsurgical concept will be demonstrated which will allow the participants to fullfil the high esthetic demands from the patients in the daily practice on a more predictable base. The microsurgical concept includes magnification aids, new instruments, new suture material and new flap designs. Case presentations using the microsurgical concept will help the attendees to understand the idea behind the novel idea better

Adriana McGregor, DDS The Hidden Secrets of Outstanding Results in Soft Tissue Management Around Implants: From Planning to Placement to RestorationPre-surgical, tran-surgical and post-surgical soft tissue management are critical factors in determining the overall implant outcome.

Implant success is currently measured not only by implant location, stability and lack of surrounding infection, but additionally by the adjacent soft tissue form, level, color, tone, health and support, with the aim of replicating or even improving upon the original tooth esthetics.

This course will focus in specific microsurgical techniques to achieve unsurpassed soft tissue outcomes around implants.

Te-Fu Li, DDS Micro-invasive Treatment of Periodontal PocketsDuring the past several years, tremendous changes have occurred in the practice of periodontics and implantology. As our patients are now getting more conscious about their physical as well as psychological well-being, a shift of paradigm in the therapeutic modality has thus undertaken. Pain-free procedures and minimized post-operative trauma have become patients’ primary concerns, and emphasis is now being placed on the aspect of non-surgical approach for treating periodontal disease as well as placing dental implants. In order to achieve these, microscopically enhanced therapies provide a new way for insight into the solutions. Under the microscope, “flapless approach” is no more equated with “blind treatment”. The utilization of this perfect visual tool offers an aid as an eye opener for the dental clinicians. With the high power magnification, dentist’s vision can actually pass through tiny openings such as pocket entrances and crestal gingival punched accesses. As a result, there would be no more need for traditional open flap surgery to create visibly large wounds. The advantage of doing so obviates the possibilities of relevant potential risks carried by surgeries, such as uncontrolled bleeding, post-operative swelling, pain and even neurosensory damage. Treatment is simplified with patient undergoing one single procedure. Without incision and tearing of periosteum, healing can be faster and more uneventful. So the whole therapeutic course can be a more cost effective one. Nevertheless in the meanwhile different solutions are offered to meet our patients’ demands, questions have also arisen as to whether or not these “newly invented non-surgical methods” would violate against our basic biological principles that we have long followed and believed in. Five to ten years’ follow-up results from presenter’s private practice will be presented for open discussion and hopefully will unveil this myth.

Katsuhiko Akiyama, DDS Papilla Reconstruction Using the Patch TechniquePapilla reconstruction is a difficult procedure to perform with your naked eye. However, the combination of a Dental Operating Microscope and the Patch Technique makes it much easier. In this presentation Dr. Akiyama will share his technique.

The Patch Technique is composed of the following operations under the Microscope: (1) Debridement, Desquamation, and Tension free incisions through the sulcus; (2) Harvesting connective tissue from the palate; (3) Supporting the epithelial flap with the harvested connective tissue patch; and (4) Lifting/Maintaining this combined flap to the coronal direction using a composite resin anchor on the tooth surface.

This technique gives more effective result in papilla reconstruction of both natural teeth and Implants in conjunction with using dental operating microscopes.

Dr. Akiyama will introduce several special instruments that provide more efficient performance with the Patch Technique under the Microscope.

Thursday november 4th contintued...

2pm - 5pm Restorative Master Class

Kunio Matsumoto, DDS Pre-Treatment in Esthetic RestorationProsthetic treatment in esthetic zone requires not only acquiring tooth morphology harmonizing with patients’ features but also gaining optimal continuous soft tissue lines. Dr. Matsumoto will share his clinical cases utilizing both Periodontal Microsurgery and Orthodontic treatment as a Restorative Pre -Treatment and discuss about its effectiveness and efficaciousness.

Masayuki Okawa, DDS Minimally Invasive Interventions & Interdisciplinary Approach for Esthetic DentistryLately, favorable results are seen in many esthetic cases with minimally invasive techniques. This became possible due to the development of biomimetics, advancement in bonding technique, and treatment using the problem-based approach. In addition, the use of microscope has allowed us to obtain precise and predictable outcomes. Many treatments require the expertise of specialists to get the best esthetic results, therefore, team approach is integral and necessary in esthetic dentistry.

To achieve optimal esthetics, it is imperative to use the team approach. This team should include the restorative dentist, periodontist, orthodontist and oral surgeon. As the demands for esthetic outcomes increases, communication and mutual understanding of treatment goals between different treatment providers become more and more important.

Using my clinical cases, the use and effectiveness of the microscope in porcelain bonded restorations and management of interdisciplinary approach in esthetic dentistry will be discussed.

José Roberto Moura, DDS Art and Precision with Direct CompositesDirect composites are one of the best solutions to restore anterior and posterior teeth regarding preservation of sound dental structure, natural appearance, reasonable cost and longevity. However, techniques are critical and careful attention to every step is essential to achieve best results.

We’ll go through every step of the restorative techniques, showing how high magnification can make a huge difference.

Claudia Cia Worschech, DDS, PhD Obtaining Clinical Success with MicroLaminate Porcelain VeneersCeramic Micro Laminate porcelain veneers are a sub category of conventional veneers. They are extremely thin and much smaller in size and can be placed with little or no tooth preparation.Their use in diastema closure, augmentation of tooth form and color conserves tooth structure and creates a natural esthetic result. Marginal fit, adaptation, and finishing are absolutely critical to the long term success of the laminate and will be the emphasis of this presentation.

Friday november 5th

9am - 12:45pm General Session

Larry Rifkin, DDS Facial EstheticsGlenn vanAs, DDS Lasers and the Operating Microscope: Seeing the Light!In this lecture and live demonstration, attendees will witness how hard and soft tissue lasers can impact daily dental practice to make clinical procedures simpler and more enjoyable. The operating microscope can help improve treatment outcomes in laser dentistry and this will be demonstrated in digitally photographed and videotaped clinical cases.

Clinical objectives that attendees will learn:1. The four different wavelengths available at present for dental practice. 2. How soft tissue lasers can be used to help improve treatment outcomes. 3. The value of hard tissue lasers in clinical practice. 4. Live demonstration of at least one wavelength of laser at the end of the lecture.

Marc Alexander, DDS Treatment Planning for EstheticsEsthetic reconstruction has become more popular, with adult patients asking for this treatment. Very often the restorative dentist is challenged by tooth malpositions and tooth size discrepancies. Diagnostic and planning criteria will be outlined, to help the restorative dentist achieve the patients’ satisfaction and the operators’ goals.

Paul Piontkowski The Perfect CAD/CAM RestorationIf you are considering purchasing a Cerec to integrate into your practice, attendees will learn the pros and cons of CAD/CAM dentistry and if it is a good fit for your practice. Altered preparation techniques, esthetic consideration and improved Cerec techniques will be presented for the microscope user based office.

2pm - 5pm Short Presentations

Randy Shoup, DDS Minimally Invasive Restorative Dentistry-Live Demonstration of Principals, Techniques, Equipment and Materials

Junya Okawara, DDS Periodontal Microsurgery: Achieving Gingival Level Alignment with Connetive Tissue GraftA harmonically aligned gingival level is a major factor in creating a beautiful smile. In esthetic dentistry, creating an aligned gingival level is of the utmost importance. At the same time, it is necessary to understand and consider each patient’s request during treatment planning and to perform surgery with absolute accuracy.

This presentation will introduce the benefits of using a dental microscope in periodontal surgery with connective tissue graft for patients who desire esthetic dental treatment.

Cami Ferris, DDS Heroic Endodontics in an Age of ImplantsDr. Cami Ferris will present the clinical rationale for treating some cases that may otherwise be deemed “heroic” in today’s implant-driven practices. She will discuss evaluation and consultation with the patient, as well as the referring dentist. Decision points and treatment modalities of two cases will be reviewed, including non-surgical retrieval of amalgam retrofilling material and use of Mineral Trioxide Aggregate cement.

Masahiro Nakazawa, DDS Utility of All-on-4 with Socket PreservationAll-on-4 with a concept of immediate function, developed by Dr. Paulo Malo, is a medical treatment for patients with edentulous jaw. At Malo’s office, 80% of the cases who received All-on-4 were dentulous patients with severe gum disease. When All-on-4 treatment is given to dentulous patients, it is classified into two groups, immediate implant placement, and delayed implant placement.

Malo recommends immediate implant placement; however, the teeth to be extracted have the primary diseases and there is an indication that the surrounding alveolar bone is damaged. In addition, the volume of the alveolar bone in Asians is sometimes more restricted than that of Westerners.

When immediate implant placement is performed, the volume of the residual alveolar bone is restricted, due to flattening of the alveolar bone (the operative procedure of All-on-4), which is a series of procedures performed after tooth extraction. As a result, it is a concern that the size of the implant appropriate for immediate loading with All-on-4 treatment can not be determined.

The case presented is based on the results of the CT scan taken prior to the procedure, proving that application of immediate loading is difficult when the implant is performed in immediate implant placement. In this case, we conducted tooth extractions and socket preservation using a microscope and therefore could preserve the alveolar bone and obtain sufficient amounts of keratinized gingival.

Thereafter by using guided surgery, we succeeded in performing All-on-6 treatment after only 2 months from the extraction of the tooth.

Kazuo Kurihara, DDS Tissue Management Around Implants in Esthetic ZonesIt is well known that Implant procedure in Esthetic zone is effective, but is requiring complicated steps. Furthermore, it is also well known that both hard tissue and soft tissue management in that area is playing an important roll as a needed technique. Hard tissue management is usually performed before or at the same time placing Implants. On the other hand, Soft tissue management is able to perform after Implantation. That is the reason why Soft tissue management has been easy to prognoses the final result and been able to give long term stability with its appropriate technique and methods. In this presentation Dr. Kurihara will share his concept by showing his clinical cases grafting soft tissue around Implants after Implantation under the Microscope.

Stephane Browet, DDS The Matrix Revisited This presentation focuses on problem solving with the use of different matrix systems for direct restorations, in both anterior and posterior teeth. Numerous clinical cases will help to illustrate the strategy to address difficult situations.

2pm - 5pm Corporate Forums BioClear Composites Hands-on Course (additional cost)

Direct Composites - Simplified, Beautified, Clarified. Participants will have the opportunity to perform modern composite dentistry utilizing the Bioclear Matrix Systems, Operating Microscopes, and flowable and paste composites.

Participants will perform the following on simulation models: Prepare and restore Clark Class II preparations, peg lateral treatment, Restoratively driven papilla regeneration (“black triangle” elimination), and advanced composite preparations and matrixing for deep caries and diastema closure.

Cracked Tooth diagnosis will be addressed and various techniques to prevent and treat cracked teeth with both the Cala Lilly and composite onlay will be performed. You will re-think the role of resins in their practice after seeing the possibilities in this renaissance of direct composites!

At the end of this course participants will:• Achieve clinical proficiency in both diastema closure techniques and restoratively-driven papilla regeneration utilizing direct composites.• Understand and achieve confidence with minimally traumatic class I and class II composite preparations, including the Clark Class II.• Understand C-Factor, composite chemistry, and receive an update in dentin and composite bonding options.• Understand the strengths and weaknesses of flowable and past composites.• Receive a blueprint for the incorporation of flowable composites in all different types of composite preparations.• Have confidence in diagnosis, treatment and prevention of cracked teeth• Gain confidence in the use of the dental microscope for direct composites

Global Surgical Forum

Crystal Mark & GC America: Air Abrasion

AMD Lasers Forum

register online at: www.MicroscopeDentistry.com

Saturday november 6th

9am - 1:30pm General Session

Dennis Shanelec, DDS A Retrospective of Clinical Periodontal MicrosurgeryTwenty years ago, microscopy was introduced to clinical dentistry. In the ensuing years it has become an important modality for periodontal and dental implant treatment.

What has been learned about microscopy and its importance in clinical practice and education? Dr. Shanelec will review his experience applying microsurgical principles to surgical practice as well as his progress in educating a new generation of microsurgical clinicians.

This presentation will highlight a case series of 300 immediate dental implants in extraction sockets with provisionals to demonstrate the value of a microsurgical approach for most challenging clinical and esthetic situations.

Jeff Hamilton, DDS Oral Medicine and the Clinical Operating MicroscopeThe use of the clinical microscope in dentistry has proven to be an important adjunct to treatment in many fields including: restorative, endodontics, periodontics, and diagnosis. The diagnostic benefit of the clinical microscope in Oral Medicine, however, has not been as well developed as in the above dental disciplines.

Although oral cavity (& pharynx) account for only 2.5 - 3% of new cases of all cancer projected in 2008 (SEER program, National Cancer Institute) and only 1.3% of total cancer deaths of the same period, early diagnosis still rests on the dental profession to lead the way in detecting these lesions. Detection of persistent “white” or “red” lesions may also lead to a broad diagnosis of lesions due to autoimmune, infectious, or drug related etiologies. The introduction to dentistry of narrow band imaging, notably the VelScope, increases the visibility of suspected lesions but has limited capabilities of definitive differential diagnosis.

The use of magnification and light contrast techniques in oral medicine to narrow diagnosis, document lesion progression (assumed pre-malignant risk), and improve early detection as investigated at the University of Washington Department of Oral Medicine over the past year will be summarized.

Eric Herbranson, DDS Latest in Photographic DocumentationDigital still and video camera technology is rapidly changing and their capabilities are converging. Current HD video cameras can take good quality still images and high end SLR still cameras now do good quality HD video. Both types of cameras can be used on a microscope. It is time to review how these changes impact documentation through the surgical operating microscope. This lecture will review and compare the technologies and how they impact equipment decision-making in the microscope driven practice. For completeness, they will also be compared to intra-oral wand type cameras. We will also review the storage and processing software necessary for the cameras. The second part will review the basic fundamental skills necessary for good clinical imaging and briefly review photo editing.

At the conclusion the participants should be able to:• describe the functional and performance difference between digital video and digital still camera when applied to microscope photography, as well as how they compare to wand type intra-oral cameras. • make informed purchase decision based on their particular clinical imaging needs. • describe the basic skills necessary to produce good clinical images.

Peter J. Jannetta, MD Neurogenic Face Pain in the Dental Office

Malcolm Snead, DDS, PhD Thinking the Unthinkable: Regenerating the Whole ToothPresident Kennedy captured the American imagination in a speech made decades ago where he stated the unthinkable: “We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard”. Our research team has been guided and inspired by the challenge of “doing what is hard” by embarking on a grand project to improve the oral health of the American people. We adopted the goal to regenerate a complete single rooted tooth. We sought to include the bioceramic portions and the tissues integrating the tooth to the bone using either a biological regeneration approach or a biomimetic recreation approach. A team of scientists was drawn from multiple universities and from multiple disciplines to be amalgamated as a trans-disciplinary, high-performance team dedicated to accomplishing this goal. We translated our broad goals into actionable organizational units, we identify three parallel interdisciplinary research groups that worked hand in hand with the others. One group involved the development of a “Blueprint” with structural and functional design specifications drawn from a human tooth, spanning gene expression to functional organization of the matrix. Members of our scientific team will mine, evaluate, and develop essential information needed for the Blueprint, while other members will create high-fidelity models intended to be so perfect that they might bypass wet laboratory tests in favor of computer generated outcomes. Knowledge from the Blueprint will be translated to stem cells or genetically engineered cells that, in conjunction with molecularly designed informational-rich extracellular matrices, will direct tissue regeneration. The Blueprint information is also used to guide the fabrication of nature-inspired biomimetic equivalents of tooth components using synthetic molecular systems and genetically engineered peptides.

Our vision is defined by five prioritized goals:

1) Regenerate functional tooth structures and supporting tissues; 2) Develop intermediary devices that are used for repair of diseased oral tissues; 3) Develop stem cell lines from single teeth applicable to all regenerative medicine strategies; 4) Build a polydisciplinary team with renewable knowledge and techniques to achieve these goals; 5) Translate this knowledge and technical capability into devices that improve health while creating: educational opportunities, new research pathways, new clinical applications and new jobs in technology-rich environments.

register online at: www.MicroscopeDentistry.com

the academy of microscope enhanced dentistry (AMED) is an International Association of Restorative Microdentistry, Periodontal Microsurgery, Microendodontics, Microprosthodontics, Implant Microsurgery, and Associated Disciplines. We are dedicated to providing a framework for all microscope-centered dental practitioners, regardless of specialty, to share information in an inclusive, not exclusive environment.

Restorative Endodontics Periodontics

CANCELLATIONS AND REFUNDS:All cancellations must be received by September 30, 2010. Requests for refunds received by September 30, 2010 will be granted in full, less a $75 administration fee. After September 30, 2010 NO registration refunds will be issued.Please call or email us to request a cancellation.

COURSE SPACE:Registration for courses is on a first come first serve basis and is only open to registered conference attendees. Please register for the Annual Meeting before registering for courses. You will receive confirmation once your registration has been accepted.

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