Team Collaboration of Periodontal, Prosthetic, and Maxillofacial Reconstruction to Optimize Implant Esthetic and Functional Results

Monday, Oct. 29
8 - 10 a.m.

Program Track: Implant Surgery and Prosthetic Rehabilitation
Moderator: Barry D. Wagenberg 
Speakers: Oded Bahat, Edmond Bedrossian, and Peter S. Wöhrle 

Implant reconstruction is an imperfect science that continues to evolve. The goals of these reconstructive procedures include the restoration of esthetic and function intraorally, which in turn influence the lower facial structures. The realities are that these objectives are not always achieved. The combination of intraoral reconstructive surgery, various modalities of prosthetic solutions, and maxillofacial surgery are often needed when large deformities are present. The interplay of such approaches during the planning and the active therapeutic phase will dictate the final outcome.

The vertical integration of different philosophies and specialties, which is often missing, will enhance the final outcome. In a way, the team members’ tasks have certain similarities to a formula one-pit stop, where pre-assigned responsibilities are delegated to individuals in order to collectively win the race. A seamless integration of each member’s responsibilities in sharing the vision of the final goal has to be practiced and rehearsed, in order to improve the final results. It requires a learning curve for each clinician and the team as a unit.

The results of these complex situations often require a conscious thinking process, which in turn is slow to master, develop, and execute, and where mistakes are commonly made. Furthermore, practicing these approaches and new techniques does not necessarily result in perfection. This lecture will present systematic and synchronized approaches for various surgical and prosthetic therapeutic modalities that will improve the predictability of all these goals.

Educational Objectives:
• Explain the relationship between intraoral and facial esthetic and its impact on the final outcome.
• Develop an algorithm of treatment options and individual risks.
• Gain decision-making approaches for various patients and clinical situations.
• Consider the management of physiological and clinical complications.