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Implant Mini Residency Program 2017

Monday, October 24th, 2016

Download Full Invite Here
Dates: Friday, February 3rd, Friday, March 3rd, Friday April 21st, Friday, May 19th, and Friday June 23rd, 2017
Tuition: $1250 (Including Free Astra Implant Wrench, a $600 value with all parts included, and Refreshment/Lunch )
Time: Full day – 6 hours per session
Sponsor: Metro West Dental and Dentsply Implants
Location: Hampton Inn, La Vista, NE
Closest airport: OMA Airport, Omaha, NE
Maximum Attendance: 20
Registration: Charlotte Fitts-Sprague, Program Registration
DENTSPLY Implants at Charlotte.Fitts-Sprague@dentsplysirona.com or 781-810-6168
Questions: Jen, Practice Ambassador: MetroWest Dental, Email: jen@dentalprg.com or 402-983-9245.

Session 1 - Friday, February 3rd 

Patient Identification, Selection and Education
Instructor: BARRY R. FRANZEN, DDS and Takanari Miyamoto DDS
• Program overview and introduction
• The history of implant technology
• Staff training on how to discuss implant dentistry with patients
• When to extract a tooth and when to save it
• Knowing when to refer
• Case presentations on single and multi-unit posterior restorations
• Restorative hands-on workshop with review of components


Session 2 - Friday, March 3rd
Implant Diagnosis, Treatment Planning and Your Bottom Line
Instructor: BARRY R. FRANZEN, DDS and Takanari Miyamoto DDS
• Treatment planning single-tooth restorations
• Treatment planning multiple-tooth restorations
• Effects of work how on your bottom line
• How to communicate efficiently and effectively with your surgical partner
• Case presentations
• Advantages of utilizing surgical guides
• Hands-on workshop to include creation of a surgical guide that can be securely to adjacent teeth

Session 3 - Friday April 21st
Implant Maintenance for your Dental Hygiene Practice
Instructor: Lorenzo Mordini DDS and Becki Cole RDH
• Principle of Implant Maintenance
• Dental Anatomy in relation to Dental Implant
• Instrument Selection for Implant Maintenance
• Knowing when to refer
• How to treat peri-mucositis
• How to treat peri-implantitis
• How to recognize “cement” around dental implant restorations

Session 4 - Friday, May 19th
Restorative Procedures
Instructor: BARRY R. FRANZEN, DDS and Takanari Miyamoto DDS
• Abutment selection, design and materials
• Patient-specific abutments
• Impression taking techniques and materials
• Provisionalization
• Tissue development
• Treatment planning the esthetic zone
• Screw-retained and cement-retained guidelines and techniques
• Hands-on workshop to include impression taking, abutment selection, seating and provisionalization

Session 5 - Friday June 23rd, 2017
Planning for Success: Simple to Advanced Concepts
Instructor: BARRY R. FRANZEN, DDS and Takanari Miyamoto DDS
• Follow-up and maintenance of implant restorations
• Alternative work flows using digital dentistry
• Calculating the financial impact of implant therapy: patients and providers
• Common implant challenges and their solutions
• Diagnostics for treatment planning the edentulous patient
• Case presentations - discussion and planning
• Hands-on workshop to include the conversion of an overdenture

BARRY R. FRANZEN, DDS

Dr. Franzen received his DDS degree from the Marquette University School of Dentistry and then went on to receive his prosthodontic training at the University of Missouri and Truman Medical Center. During this time, Dr. Franzen focused on esthetic replacement teeth and implant dentistry. After completing his postgraduate residence, Dr. Franzen opened his private practice and served part-time as the clinical adjunct professor at the Marquette University School of Dentistry in Graduate Prosthodontics.
The implant revolution began while Dr. Franzen was in dental school, and he has continued to follow it closely. For the past 18 years, he has lectured extensively on implant dentistry throughout the United States and in London, England. He remains an important resource for dentists and prosthodontists in the implant community.

Dr. Franzen was recognized by the International Congress of Oral Implantologist at their winter meeting in New York at NYU. After satisfactorily completing the requirements for Fellowship, he is now a Fellow Member of the International Congress of Oral Implantologists.

Dr. Franzen and his wife, Raquel, have been married since 1982 and have three children and a new grandson. When Dr. Franzen’s not studying dentistry, helping his patients achieve their dream smiles, or lecturing on dental implants, he enjoys hunting, fishing, and farming for wildlife.

PROFESSIONAL MEMBERSHIPS
• American Dental Association
• Wisconsin Dental Association
• Greater Milwaukee Dental Association
• American College of Prosthodontics
• Academy of Osseointegration
• Milwaukee Odontological Society
• Alpha Sigma Nu National Jesuit Honor Society
Omicron Kappa Upsilon Dental Honor Society

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Radiology Report: TMJ Degenerative Joint Disease - Osteophytes and Joint Mice

Friday, August 19th, 2016

An 80-year-old lady presented incidental findings of unusual calcifications of the right TMJ. The red arrow shows a triangular opaque “beak” on the anterior surface of the condyle and two circular and one faint curvilinear opacity anterior to the condyle (3 orange arrows).

The latter are probably calcifications of the joint ligament capsule and/or possibly calcifications of the lateral pterygoid muscle. MRI would show better what tissues were involved. However, as the lady is asymptomatic no further investigation or treatment is required.

Dr Douglas K Benn DDS PhD
Oral and Maxillofacial Radiologist

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Preventing Heart Attack, Stroke

Wednesday, October 28th, 2015

Calcified atheromatous plaque at the bifurcation of the common carotid artery is seen in about 5% of adult pans and CBCTs. In patients with kidney failure this can be as high as 60%.

 

 

 

 

 

 

 

 

Informing a patient who is not being treated for cardiovascular disease to consult their MD can prevent a stroke or heart attack.

Douglas K Benn DDS, PhD. Oral and Maxillofacial Radiologist, Omaha, NE.

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Dense Bone Islands

Wednesday, October 28th, 2015

Dense bone islands are common and found in about 5% of panoramic radiographs as opaque boney regions which are continuous with the surrounding bone. If there is a thin lucent delimiting line around them they are not dense bone islands but other odontogenic lesions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dense bone islands usually do not displace or resorb teeth or expand the jaws. In the CBCT image you can see how the island encircles the Inferior Alveolar Nerve Canal but does not compress or displace it. Their origin is unknown but perhaps related to chronic inflammation at some time in the past. Dense bone islands require no treatment.

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Osteomyelitis: Acute and Chronic

Wednesday, October 28th, 2015

Osteomyelitis is a spreading infection of the bone marrow space. It can start as an acute apical periodontitis following death of a pulp (good old-fashioned toothache) and due to virulent organisms or reduced resistance by the patient spread to the nearby bone marrow. Since it is acute (sudden onset), after a couple of weeks the changes are predominantly ill-defined bone destruction such as shown in the periapical radiographs here: OSTEOMYELITIS images.

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Evaluating 3rd Molar Impactions

Wednesday, October 28th, 2015

The inferior alveolar nerve canal is partially surrounded by cribriform bone which is full of small holes to allow vessels and nerves to pass from the neurovascular bundle to the teeth and surrounding bone. Many textbooks incorrectly state that the canal is made of cortical bone. Cribriform bone is intermediate in strength between cortical and trabecular bone which makes it vulnerable to crushing during surgical removal of third molars. Evaluation of the proximity of third molar roots to the canal is essential in treatment planning to avoid surgery if the roots are close to the canal.

The riskiest situation is where the root is touching the bundle with no intervening cribriform canal tube. The CBCT image A below shows a circular ring of canal some distance away from the root and this has a low risk of crushing.

See images: EVALUATING_3RD_MOLAR_IMPACTIONS

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Bisphosphonate Osteoradionecrosis

Wednesday, October 28th, 2015

Bisphosphonates are widely prescribed as treatments for osteoporosis and other bone disorders. Approximately 3% of patients develop osteonecrosis of the jaws (ONJ) with exposed bone and pain. Patients with IV administration are more likely to develop ONJ but because the persistence of the drugs in the bone are about 10 years, it is possible that we have a silent epidemic developing in the patients who had had oral medication. The radiographic appearance is variable with increased periodontal ligament spaces, thickened lamina dura, sclerotic bone and even sequestra like osteomyelitis.

The panoramic in A is normal and one year later in B shows extensive sclerosis and sequestrum formation. Click here to view: BISPHOSPHONATE_OSTEONECROSIS_Jaws

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Tongue Swelling

Wednesday, October 28th, 2015
Base of tongue swelling
A 57-year-old lady was recently being treatment planned for dental implants. Upon evaluation of the full volume a soft tissue swelling, 8 x 10 mm was noticed in the left base of tongue region occluding part of the space between the left posterior side of the epiglottis and the tongue.
Any obvious asymmetries like this should be reported to the patient and their MD informed since an ENT examination is indicated. There has been an increase of base of tongue cancers over the last few years which may be linked to HP virus. These are not rare and thorough inspection of the pharyngeal airway region should always be performed.

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Root Fracture, Lucency

Wednesday, October 28th, 2015

#15 palatal root fracture and lateral root lucency

Incidental finding on a 58 year old female patient where there is a large well defined semicircular lucency centered on the furcal side of #15 palatal root.

 

 

 

 

 

 

 

 

 

There is a thin dark lucent line showing an oblique root fracture. The well defined midroot lucency not involving the apex is typical of a root fracture. What is unusual is to see the fracture so clearly. The slice interval thickness is 0.1 mm.

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Sinus Lift - August 2015

Wednesday, October 28th, 2015
1) Apical pathology lifting maxillary sinus floor and 2) Upper size limit of incisive canal
Asymptomatic chance finding on 74 year old male subject of a well defined unilocular apical lucency of #2 (see arrows in sagittal and coronal slices). There is a superior opaque cortical boundary which is the floor of the maxillary sinus which has been lifted up by the apical soft tissue. Since the floor of the sinus is lifted up, the disease is external to the sinus and is classified as extrinsic sinus disease as opposed to intrinsic disease originating from inside the sinus.
The diagnosis is most likely an apical granuloma or radicular cyst secondary to chronic apical periodontitis.
The first axial slice shows a large midline well defined unilocular lucency palatal to #8 and #9 which is the incisive canal. It measures 6 mm wide which is the upper limit of normal. No further investigation is required.”

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