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February 2016
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DAC Give BackCourse Listing

MSDA's Spring Meeting
Sponsored by MSDA's Endorsed Vendors

Friday, April 8, 2016

9:00 AM - 10:15 AM                 Michael Will, MD, DDS, FACS 
                                                   -Fixed Detachable Hybrid Restoration Surgical and Restorative 

10:30 AM - 12:00 PM               Michael Will, MD, DDS, FACS
                                                   -Immediate Molar Implant Replacement 
2:00 PM - 5:00 PM                    John Murphy, Esq 
                                                    -Law School 101: Legal Lessons for Protecting Your Practice

 Saturday, April 9, 2016

9:00 AM - 12:00 PM                   Ziad Ali, DMD, MD 
                                                     -A Multi-disciplinary and Evidence-Based Approach  to 
                                                      Obstructive Sleep Apnea
2:00 PM - 5:00 PM                      Kevin Gerold, DO, JD
                                                     -Strategies That Can Improve Your Odds of Survival and 
                                                      Achieve Medical Resilience Against Emerging Threats

Course Descriptions

Michael Will, MD, DDS, FACS

Fixed Detachable Hybrid Restoration Surgical and Restorative Protocols

The concept of replacing a full arch of teeth with an implant supported fixed detachable restoration has become a popular patient request. Since the introduction of the "All-on-Four” surgical and restorative protocol, there have been many modifications presented in the literature to accomplish replacement of a full arch of teeth with a fixed detachable implant-retained prosthesis utilizing anywhere from 4 to 6 or 8 dental implants per arch. My restorative colleagues and I have gained experience in restoring a full arch with the implant- retained fixed detachable prosthesis over the past 10 years due to loss of the dentition related to blast injuries from the wars in Iraq and Afghanistan, as well as from tooth loss from other sources of trauma, caries and periodontal disease.

Many patients are just not tolerant of a removable prosthesis due to negative effects related to their speech, taste or instability and poor retention of the prosthesis, and desire a fixed option. The fixed detachable prosthesis in many instances provides the treatment option patients request, and resolves their complaints of an ill-fitting and unstable prosthesis. This treatment option may be the solution for the hopeless or mutilated dentition, with an opportunity for improved speech, esthetics, function and taste in patients who desire a fixed option. This presentation will discuss the treatment planning, work-up, surgical procedures and the prosthodontic considerations and steps involved in delivering the "teeth in a day” concept through the direct approach. This presentation will focus on evidence-based outcomes reported in the literature as well as survival and success rates reported by the presenter.

Immediate Molar Implant Replacement

Molar extraction due to fractures, caries or periodontal disease is unfortunately not an uncommon presentation for the restorative dentist or the endodontist. Traditionally these non-restorable teeth have been extracted and allowed to heal or the sockets augmented with a ridge preservation bone graft for future implant placement. Another option was to attempt to place a traditional size implant into the inter-septal bone with an attempt to achieve primary stability. This is frequently an unpredictable procedure with implants placed in less than ideal positions for the restoration or with implants being placed too deep or too shallow.

There are now molar sized implants (7-9mm in diameter) that are designed to be placed at the time of molar extraction that will occupy most of the socket and achieve a very high degree of primary stability and will allow for ideal emergence profile for the restoration. This presentation will discuss the advantages and disadvantages of immediate molar implant replacement and a technique that can provide a predictable outcome with a high degree of patient satisfaction. The surgical protocol regarding the molar extraction and immediate implant placement will be discussed in detail and examples of various molar relationships to the nerve and sinus will be reviewed utilizing clinical cases. The results of our evidence-based clinical study on immediate molar replacement implants will be disclosed and will serve as the basis for the success of this technique.

John Murphy, Esq

*Note: This course is not applicable for MSBDE relicensure.

Law School 101 – Legal Lessons for Protecting Your Practice 

Mr. John Murphy, Esq is a founding member of Walker, Murphy & Nelson, LLP, a civil litigation law firm representing dentists, among other health care providers, throughout Maryland and the District of Columbia. Mr. Murphy’s practice areas include, but are not limited to, defending health care providers in professional malpractice claims, contract disputes, and disciplinary Board actions. His presentation will focus on legal considerations dentists need to be aware of when practicing in the State of Maryland and range from legal obligations that are involved in creating / joining a dental practice, to their rights and responsibilities to patients when faced with a lawsuit or disciplinary action.

Ziad Ali, DMD, MD

A Multi-disciplinary and Evidence-BasedApproach to Obstructive Sleep Apnea

Dr. Ali will discuss the multi-disciplinary approach to obstructive sleep apnea. Topics will include: OSA diagnosis; signs, symptoms and sequelae; non-surgical treatment including oral appliances; surgical treatment including maxillo-mandibular advancement; and multi-disciplinary approach to treatment planning. 

Kevin Gerold, DO, JD

Strategies That Can Improve Your Odds of Survival and Achieve Medical Resilience Against Emerging Threats

For nearly fifty years, we have been encouraged not to get involved in times of crisis, but to call 911 and wait for assistance by trained professional responders. While this has been successful in reducing death, there is a period of opportunity between recognizing a threat until the arrival of first responders. What is often only minutes, provides lay rescuers a chance to render aid and reduce or mitigate the harm. Citizens willing to self-rescue or to assist others until the arrival of responders serve as the necessary bridge that spans the time from injury to definitive care. This presentation will discuss the important role of the citizen responder in reducing potentially preventable death and disability in the immediate aftermath of an active shooter or terrorist event. It will describe the common behavioral response by unprepared persons confronted with an immediate threat of harm and describe mental preparation and training that can improve your ability to act effectively and improve your changes for surviving, and helping others survive, such an event.