Montana Fly Fishing Frenzy – Restorative Aesthetics and Challenges
Have you ever dreamed of hiking into the backcountry and finding a peaceful section of seemingly untouched river to cast into? Maybe you’d rather have a greater adventure and challenge of floating the rapids in a drift boat? You’re in luck, you’ll do both! Your registration will include the ce program, food, lodging, and the guide trips.
Each morning and evening will consist of a lecture, resulting in 8 CE credits awarded.
SPEAKER: Dr. Lane M. Ochi D.D.S., F.A.C.D., F.I.C.D.,
Dr. Ochi graduated with honors from the University of Southern California in 1981, where he received the Robert W. McNulty Memorial Award for the highest scholastic achievement. He is currently an Associate Clinical Professor in the Department of Restorative Dentistry, and was the Co-director of Occlusion at U.S.C. School of Dentistry. He is also an Assistant Director in the Advanced Restorative Institute Dental Education Center, and serves as a specialist consultant to the Graduate Prosthodontic Program at the Veterans Affairs Hospital in West Los Angeles.
He has lectured to national and international audiences on the subject of aesthetic restorative dentistry and occlusion.
Dr. Ochi maintains a full time private practice in Beverly Hills with an emphasis on physiologic and aesthetic reconstructive dentistry. His patients include Academy Award winners, former Miss America’s, and some of the most recognized names in the entertainment business.
DAY ONE: Restoring The Hardest Procedure In Implant Dentistry: The Central Anterior
There are many considerations in creating a believable restoration. Color communication,
especially in a medium to high smile line when the contralateral incisor exhibits complex internal
characteristics. Color theory is a language that conceptually and perceptually describes the
elements of color and their interactions. Unfortunately it’s quite a tricky concept, and we all know
if the color of a restoration is off it can result in us feeling like we’ve failed and the patient walks
away unhappy.
The preservation of soft and hard tissue after extraction and implant placement has always
been paramount for ideal anterior implant esthetics. As dentists we are typically concerned
about vertical changes in papilla height and gingival margin levels, but equally important are the
horizontal changes that always occur. Understanding and mastering critical tooth contours both
supra-gingivally and sub-gingivally are critical to help create the illusion of a natural tooth that
blends harmoniously with the adjacent teeth.
This presentation will review these critical concepts you can incorporate in symphony with your
laboratory support to make better predictions, so your restorations and outcomes will turn out more
successfully and your patients leave feeling happy.
Learning Objectives:
- Understand the interactions of light, color, color perception and shade matching.
- Understand the phenomenon of metamerism, and how it can act as a complicating factor in shade selection.
- Understand how to make and communicate the best shade selection.
- Understand how to use both supra and sub gingival contours to create the most natural tissue emergence profiles.
DAY TWO: THE GOOD THE BAD AND THE UGLY
This presentation will address less than ideal situations, cases where we address unusual cases “warts and all”. It is a joy to take a case from start to finish where the every phase of treatment is executed to plan. But as time goes on, more and more patients are presenting with previously placed and restored implants that need to be revised due to functional issues. Many of these problems are complications due to lack of restorative room. Occlusal concepts that we apply to natural tooth indirect restorations need to be modified to prevent shear forces on implant prosthesis. All restorative materials are weakest under shear and even our strongest materials can fracture. An honest look at modern materials and our lack of understanding of how they fail will provide data points to help select materials and how to design the prosthesis.
Learning objectives:
- How much vertical space is required for both fixed and removable implant restorations, focusing on complete arch restorations.
- Understanding our material choices, or is zirconia really the best restorative material for a fixed implant reconstruction.
- How to quickly determine on a new patient if you have enough restorative space for improving an existing implant supported prosthesis that the patient is not happy with.
Grab your fishing gear and join us in Big Sky country!! We will team up with local ranch owners and fly fishing guides to make your all inclusive trip west one you’ll never forget!