2010 AMED Sponsors - Dental-Revue

AMED is an ADA CERP Recognized Provider.
NOV 2010 4-6

“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, DDS
John West, DDS, MSD
2010 AMED Sponsors
Platinum:
Scientific Session Committee:
Terrel Pannkuk, DDS, MScD
Adriana McGregor, DDS
Tetsuya Hirata, DDS, PhD
Silver:

Featured
2010 Presenters
All of our presenters have a microscope centered practice and are
highly skilled in the application of this technology in clinical dentistry.
Dr. Katsuhiko
Akiyama
Dr. Paul Anstey
Dr. Stephane Browet
Dr. Cami Ferris Dr. Eudes Gondim Dr. Jeffrey Hamilton
Dr. Eric
Herbranson
Dr. Tetsuya Hirata Dr. Markus Hürzeler Dr. Peter Jannetta Dr. Kazuo Kurihara Dr. Te-Fu Li
Dr. Kunio Matsumoto Dr. Adriana McGregor
Dr. Jose Roberto
Moura
Dr. Carlos Alberto
Ferreira Murgel
Dr. Masahiro
Nakazawa
Dr. Morio Okaguchi
Dr. Masayuki Okawa Dr. Junya Okawara Dr. Terrel Pannkuk Dr. Laurence Rifkin Dr. Cliff Ruddle Dr. Dennis Shanelec
Dr. Cherylin Sheets
Dr. Randy Shoup Dr. Malcolm Snead Dr. Glenn van As Dr. John West
Dr. Claudia Cia
Worschech

Schedule At-A-Glance
Wednesday
November 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
(with 45min break)
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 Combination
12:45pm - 1pm Members’ Business Meeting
12:45pm - 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 Open
8am - 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 Abrasion
2pm - 3:30pm Spouse/Guest Event:
Land Shark Tour**
7pm - 11pm Social Event:
President’s Dinner and Awards
(with 45min break)
(30 min sessions)
Saturday
November 6th
8am Registration & Exhibits Open
9am - 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 Tooth
1:30pm 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.
register online at:
www.MicroscopeDentistry.com

Meeting Location & Accommodations
Fess Parker’s DoubleTree Resort
Tel: 1.800.564.4333 Fax: 1.800.564.4964
633 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.
Social Events & Tours
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).
Wednesday, Nov 3rd 10am - 4:30pm
Santa Barbara Back-Country Wine Tour
Enjoy 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 Tour
Climb 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 Awards
Enjoy 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 at
www.microscopedentistry.com
SPOUSE/FAMILY GUEST EVENT REGISTRATION
Name of Guest(s) for Badge
Attendee Name
Degree(s)
Specialty License Number ADA/AGD#
Email Address Phone #
Address
City/Province
Postal Code
Country
Wednesday, Nov 3rd.......Santa Barbara Back Country Wine Tour........ ADD $130
(per person)
Thursday, Nov 4th...........LotusLand Garden Tour with Lunch............... ADD $100
(per person)
Thursday, Nov 4th...........Welcome Reception....................................... ADD $100
(per person)
Friday, Nov 5th................Meeting Luncheon......................................... ADD $45
(per person)
Friday, Nov 5th................Land Shark Tour............................................. ADD $30
(per person)
Friday, Nov 5th................President’s Dinner/Awards............................. ADD $100
(per person)
Subtotal
Year Began Using Microscope
Food Allergies/Preferences
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Grand Total
MEETING REGISTRATION
AGENDA/EVENT ITEMS: Check all that you will attend
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
Earn up to 17 CE credits
INCLUDES: General Sessions, Master Classes, Short Presentations, Test Drive,
Corporate Forums, Breaks, Buffet Luncheons, Welcome Reception and Presidents Dinner.
Member
$595
Non-Member
$1095
Early Bird
Registration ends August 1st
Dental Auxiliary
Must accompany
$295 Doctor
Subtotal
Friday, Nov 5th................ BioClear/Composites Hands-on Courses..... ADD $295
Friday, Nov 5th................ President’s Dinner/Awards
Subtotal
Student/Faculity
Must Provide
$295 proof
(add $100 after August 1st)
billing information
Enter EXACTLY as appears on your billing statement
Card Type: VISA | MASTER CARD | DISCOVER (Circle One)
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Register Online AT
www.microscopedentistry.com
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An official confirmation will be emailed to the email address provided on this form.
Please mail to:
The Academy of Microscope Enhanced Dentistry (AMED)
PO BOX 15834, Fort Wayne, IN 46885
Or send via fax 480-247-4006
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
Thursday
November 4th
8am - 12:45pm General Session
John West, DDS, MSD Presidents Welcome
Cliff Ruddle, DDS My Endodontic Practice – A
35-Year Retrospective Analysis
There 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 Diagnosis
Endodontic 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 Dentistry
In 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
Combination
The 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 Class
Carlos 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.
register online at: www.MicroscopeDentistry.com
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 II
Recently 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 Techniques
The 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 Restoration
Pre-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 Pockets
During 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 Technique
Papilla 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...
Friday
November 5th
2pm - 5pm Restorative Master Class
Kunio Matsumoto, DDS Pre-Treatment in
Esthetic Restoration
Prosthetic 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 Dentistry
Lately, 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 Composites
Direct 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
Veneers
Ceramic 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.
9am - 12:45pm General Session
Larry Rifkin, DDS Facial Esthetics
Glenn 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
Esthetics
Esthetic 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
Restoration
If 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 Graft
A 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 Implants
Dr. Cami Ferris will present the clinical rationale for treating some
cases that may otherwise be deemed “heroic” in today’s implantdriven
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 Preservation
All-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 Zones
It 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 Microsurgery
Twenty 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 Microscope
The 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 premalignant
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
Documentation
Digital 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.
Peter J. Jannetta, MD Neurogenic Face Pain
in the Dental Office
Malcolm Snead, DDS, PhD Thinking the
Unthinkable: Regenerating the Whole Tooth
President 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.
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.
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
To register online please visit:
www.microscopedentistry.com
questions? contact:
Email: info@microscopedentistry.com
Phone: 260-249-1028 EST
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.
AMED Central Office:
PO BOX 15834
Fort Wayne, IN 46885-5834
Fax: 480-247-4006
PRIVACY NOTICE:
Unless otherwise requested, your contact information will
be shared with our sponsors and exhibitors. Any other
information you provide will be held with the utmost care and
will not be used in ways that you have not consented to. If
you have any questions, please feel free to call or email us.
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.