Hard and Soft Tissue Grafting for Optimal Implant Reconstruction

Dr. Richard Miron

Dr. Richard Miron will Present 2 Lectures During Pikos Symposium

Understanding Platelet Rich FibrinThursday, October 15, 2020, 8:00 am – 10:00 am

Platelet rich fibrin (PRF) has been widely utilized in implant dentistry primarily owing to its ability to favor soft tissue wound healing. While many have attempted to use PRF as a GBR barrier membrane, many remain disappointed regarding its rather quick resorption properties (2-3 weeks). From the lead Editor of Quintessence’s planned 2021 Textbook titled: “Understanding Platelet Rich Fibrin”, Dr. Richard Miron discusses a variety of methods to improve PRF in routine daily practice. One main discovery has been the ability to extend the resorption properties of PRF from 2 weeks to 4-6 months utilizing the Bio-Heat Technology. Within 10 minutes, membranes can be transformed towards a slow degrading fibrin mesh and utilized similarly to collagen membranes.

Learning Objectives:

  1. Learn how to transform PRF membranes from 2 weeks resorption properties to 4 months
  2. Learn new advancements in bone grafting utilizing custom 3D bone grafts utilizing PRF
  3. Provide updates in recent clinical application in PRF therapy

Vitamin D Deficiency and Early Implant Failure: What Every Implant Clinician Should Know – Thursday, October 15, 2020, 10:30 am – 12:30 pm

Dental implants are generally considered a safe and highly predictable surgical procedure performed by many clinicians with the aim of replacing missing teeth. Yet to this day, a number of implants placed in adequate bone volume are lost each year within a 2-8 week period following implant placement for yet explained reasons.

As society continues to consume lower quality foods and rely more heavily on fast foods, a large percentage of today’s population is increasingly demonstrating vitamin deficiency upon testing owing to this lack of nutritional intake. These deficiencies are even more pronounced in the aging population where a greater percentage of dental implants are placed. Unfortunately, one of the most prominent deficiencies known to mankind is that of vitamin D, a fat-soluble vitamin critical for bone and also proper immune cell function.

Over the past decade, vitamin D deficiency has been observed in ~70% of the population and particularly in post-menopausal osteoporotic women. Interestingly, recent dental implant studies have found that while smoking and generalized periodontitis is generally associated with a ~50%-200% increase in dental implant failure, studies have more recently shown that vitamin D deficiency is far worse and associated with roughly a 300% increase in early implant failure. This lecture critically assesses what every clinician should know today in 2020 and presents strategies to avoid early implant loss caused by this issue.

Learning Objectives

  1. Clearly demonstrate the prominent link between vitamin deficiencies (particularly Vitamin D) and early implant failure
  2. Showcase testing kits that can be performed in office within 10 minutes to test for Vitamin D levels prior to implant placement
  3. Provide supplementation guidelines and recommendations from the American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE)

Dr. Richard Miron is Also Giving an Optional Hands-on Workshops on Wednesday, October 14, 2020 | Click for More Information

Dr. Richard Miron is currently an Adjunct Professor in the department of Periodontology at Nova Southeastern University in Fort Lauderdale, Florida, USA where he started working in April 2016. He previously worked for 7 years in Bern Switzerland in the Oral Surgery department as head of pre-clinical research under Chair Daniel Buser and Anton Sculean.

He has currently published over 100 peer-reviewed articles and lectures internationally on many topics relating to growth factors, bone biomaterials and guided bone regeneration. He has recently been awarded many international prizes in dentistry and is widely considered as one of the top contributors to implant dentistry having won the International Team for Implantology Andre Schroeder Prize in 2016, the International Association of Dental Research (IADR) Young Investigator of the Year in the field of Implant Dentistry in 2015, and the American Academy of Implant Dentistry Young Investigator of the year award in 2014.

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