Hard and Soft Tissue Grafting for Optimal Implant Reconstruction

Dr. Hom-Lay Wang

Dr. Hom-Lay Wang will be Presenting 2 Lectures During Pikos Symposium

Implant Esthetic Complications and ManagementSaturday, October 17, 2020, 1:45 pm – 3:45 pm

Esthetic complications around anterior dental implants have become major concerns among many implantologists. This lecture addresses the etiologies as well as the approaches to avoid these problems before they occur. Research related to soft tissue recession and papillae loss around dental implants will be analyzed and discussed. An ideal implant 6-dimensional positioning to avoid this problem will be demonstrated. New implant recession classification and related treatments will be illustrated. Different soft tissue graft approaches to these defects will be presented. The pros and cons of techniques used to treat these complications around dental implants such as various soft tissue grafts (e.g., connective tissue graft, acellular dermal matrix, collagen matrix, free soft tissue graft, guided bone augmentation), as well as implant removal will be discussed.

Learning Objectives:

  1. Recognize etiologic factors that may contribute to soft tissue recession around dental implants.
  2. Learn how to prevent future soft tissue recession around dental implants.
  3. Understand the decision tree used to select treatment modalities for the management of different implant soft tissue recession

Unfolding Peri-implantitis – Saturday, October 17, 2020, 4:15 pm – 6:15 pm

Implant complications have become a major challenge for many dentists who placed implants. This lecture is designed to help dentists who placed or restored implant understand what’s new in implant complications, how to avoid these problems and how to predictably mange this emerging concern. 

New definitions such as plaque induced peri-implantitis and non-plaque associated peri-implant diseases, predisposing and precipitating factors associated with peri-implant complications and treatment prognosis of peri-implant diseases will be presented.  Recent research findings of how surface coating or the titanium particles influence the incidence of implant complications will be discussed.

In addition, this lecture will provide the mechanisms (e.g., surgically triggered, prosthetically triggered and biological induced implant complications) of how implant bone loss and implant failure occurred. Specifically, how to manage implant esthetic and biological complications using EP-DDS protocol will be demonstrated.

Two decision trees (implant biological complication management and implant treatment based upon defect morphology) will be proposed. The treatments for implant diseases/complications include: chemotherapeutic agents, lasers de-contamination, apically positioned flap with or without implantoplasty, implant surface detoxification, lasers, guided bone regeneration, soft tissue grafts, implant removal as well as re-implantation will be thoroughly discussed.

Learning Objectives

  1. Recognize predisposing and precipitating factors associated with peri-implant complications
  2. Learn how to prevent future implant complications
  3. Know how to select proper treatment for different implant complications
  4. Learn EP-DDS guided bone regeneration protocol to predictably regenerate peri-implantitis defects
  5. Familiarize yourself of dental lasers as well as other detoxifying agents

Hom-Lay Wang, DDS., MSD., Ph D, Professor and Director of Graduate Periodontics at the University of Michigan. Dr. Wang received his DDS from Taipei Medical College, Taipei, Taiwan, DDS, MSD from Case Western Reserve University, Cleveland, Ohio and Ph D from Hiroshima University, Japan.

He published 2 textbooks, more than 40 book chapters/invited reviews and more than 580 peer-reviewed scientific articles. Dr. Wang currently serves as a member of Scientific Oversight Committee, Annual meeting Task Force and Continuing Education Oversight Committee for the American Academy of Periodontology (AAP) and is a Secretary and Former Board of Director for the AO.

Dr. Wang is a Diplomate and a Former Chair and Director of the American Board of Periodontology, a Fellow of American College of Dentists as well as a Fellow of AO, and is a Diplomate, Former President and Board Director of the ICOI and Former President of Midwest Society of Periodontology. He serves as an Associate Editor for The International Journal of Oral & Maxillofacial Implants, International Journal of Oral Implantology, Periodontology, Oral Surgery, Esthetic & Implant Dentistry Organization, eJournal of Oral & Maxillofacial Research, and Founding Editorial board member for Clinical Advances in Periodontics, Editorial Board member for the Journal of Periodontology, Clinical Oral Implants Research, International Journal of Periodontics & Restorative Dentistry, Journal of Clinical Periodontology, Compendium of Continuing Education in Dentistry and many others.

Dr. Wang is the recipient of following awards/honors: AADS clinical research fellowship award (1992), University of Michigan Outstanding Service Award (2001), Best Faculty Award (2003), The Charles E. English Annual Award in Clinical Science and Techniques (2004), Best papers in Journal of Oral Implantology (2004) and Implant Dentistry (2004), Morton L. Perel Annual Award for Dental Implant Educator (2007), AAP University of Michigan Outstanding Teaching and Mentoring in Periodontics (2010), AAP special citation award (2013), ITI Andre Schroeder Research Prize (2014), AO Osseointegration Foundation Clinical Research Recipient (2016), AAP Outstanding Educator Award (2017), AAP Distinguished Scientist Award (2017), ADEA William J. Gies Annual Periodontology Award (2018), University of Michigan Distinguished Faculty Research Mentoring Award (2019) and AAP Master Clinician Award (2019).

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