Topic:
A Hierarchy of Restorative Space Considerations for Implant Dentistry
Speaker:
Dr. Joseph Carpentieri
5:45 p.m. – Business Meeting
6:00 p.m. – Speaker
Dinner to Follow Presentation
A Hierarchy of Restorative Space Considerations for Implant Dentistry
Implant dentistry is prosthetic endeavor with a surgical protocol. The basic tenet of implant treatment is to provide patients with a prosthesis that will meet their long-term esthetic, phonetic and functional needs based on highly individualized personal factors. To support this goal, clinicians need to differentiate between numerous prosthetic designs, newer materials and manufacturing options that will achieve a high level of implant success, and prosthesis survival with minimal prosthetic aftercare considerations.
The purpose of this presentation is to present a practical, systematic clinical approach that highlights the incorporation of pre-treatment 3-dimensional restorative space assessment (horizontal and vertical) and to discuss its critical relationship in the decision-making process to choose various implant prostheses. These principles are essential and fundamental to the management of the partial and especially the fully edentulous patient and represent an important prerequisite to the treatment planning process.
Unfortunately, from a consensus point of view, no clear guidelines have been established to date regarding the importance of restorative space determination and its relationship to different types of implant format. As a result, often times, either the restorative dentist will not calculate these assessments and passes the decision-making to a surgical colleague to do (which is generally beyond their purview), or it is determined by default after implant placement and during the fabrication process. A prosthesis designed with inadequate space (which is more often the problem) can result in a structurally weak rehabilitation, poor physiologic contours, inadequate esthetics, reduced interocclusal rest space, and decreased stability.
Learning Objectives
After attending this session, participants will be able to:
1) Provide new definitions for “implant restorative space.”
2) Review various methods to pre-operatively assess restorative space in a time efficient manner.
3) Assign specific 3-dimensional measurements (numbers) needed for each implant construct, that when coupled with material choice, will have direct impact on the decision-making process.
Biography
Dr. Joseph Carpentieri, DDS is a graduate of the University of Maryland College of Dental Surgery. He practiced general dentistry for eight years before receiving a Certificate in Prosthodontics from Einstein/ Montefiore Medical Center. Subsequent to that time, he completed a four year surgical implant fellowship at the Department of Periodontology and Implant Dentistry at NYU. Currently, Dr. Carpentieri is an Assistant Clinical Professor in Prosthodontics at Columbia University College of Dental Medicine. He speaks nationally and internationally on all phases of surgical and implant dentistry and has contributed to numerous publications and textbooks.