Lateral and Internal Sinus Lifts, Medical Emergencies, Peri-implantitis, and Implants in the Aesthetic Zone
Course Description
Placing implants in the posterior maxilla can be challenging. Bone can be “soft” and horizontally and vertically deficient. Vertical augmentation may be necessary prior to implant placement. This session discusses sinus anatomy, a classification system based on the amount of residual bone, and how this system can determine what techniques are used to augment the posterior maxilla. Several predictable vertical bone augmentation techniques will be discussed and will be reinforced with hands-on.
Date
June 20 - 22, 2025
New York City
Placing implants in the esthetic zone is one of the most challenging procedures to perform due to the high cosmetic expectations of the patient and clinician. As the popularity and desirability of implants have grown, the expectations for success have increased considerably. A greater understanding of osseous and soft tissue augmentation has led to discoveries about what is and is not possible for single and multiple implant placement in the anterior smile zone. Various techniques have shown predictable methods for increasing hard and soft tissue volume that add to the desired prosthetic outcome and enable clinicians to select from an array of treatment methods. The best results are achieved with more time, effort, and expense. It is of the utmost importance that a detailed timeline be given to the patient so they understand each step and when it will occur. Patients need to be aware that restorations in the esthetic zone require more time from the clinician to ensure that the restoration blends in with the rest of their smile and that many steps require extra appointments and an element of artistry.
Complications can occur at any time. The best way to treat it is through prevention. Common medical emergencies seen in the dental practice as well as peri-implantitis will be discussed.
Implants in the Esthetic Zone
As implants have become accepted and requested by our patients, so have the expectations for more ideal outcomes. Whether doing the surgery, restoration or both aspects, This lecture will focus on techniques that increase the dentist's ability to deliver an optimized restoration in the anterior esthetic zone. We will discuss when osseous and tissue augmentation is required and the various biologic techniques used to provide an optimized morphology for the final restoration. Visualizing the final restoration is key to developing a comprehensive treatment plan, whether for a single tooth or several teeth. Understanding the restorative components, from temporization to abutments to materials is crucial before deciding where the implant is to be placed.
Learning Objectives:
Understand when to augment the bone either prior or the same day as implant placement. Flap design and suture techniques to maintain the current papilla height Know how to increase and shape the keratinized tissue prior to final delivery. Be confident with developing treatment planning strategies for missing teeth in the esthetic zone. Know how abutment selection can be vital in restorative success.
Specific Aims
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Describe the maxillary sinus anatomy and its surgical implications
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Describe the posterior maxilla using a system based on residual bone height and how this can determine the surgical technique used to vertically augment for eventual implant placement
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Discuss several internal or vertical sinus elevation techniques and understand how to diagnose and manage certain surgical complications
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Understand how to manage patient expectations for restoration success
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Understand the four main areas of consideration for treatment planning implants in the esthetic zone
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Understand the rationale for immediate versus delayed implant placement and loading
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Apply implant placement concepts to restorations for both single and multiple edentulous anterior sites
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Discuss how complications can occur along two different time frames early and late. Peri-implantitis and medical emergencies that can be seen in the dental office will be reviewed
Course Outline
Friday
8:00 am – 10:00 am – Sinus anatomy and Internal Sinus Lifts options
10:00 am – 10:30 am Break
10:30 am – 12:00 pm Internal Sinus Lifts options continued
12:00 pm – 1:00 pm Lunch
1:00 pm – 2:30 pm – Internal Sinus Lifts hands-on.
2:30 pm – 3:00 pm Break
3:00 pm – 4:30 pm - Lateral Sinus Lifts
Saturday
8:00 am – 10:00 am Lateral Sinus Lifts Hands-on
10:00 am – 10:30 am Break
10:30 am – 12:00 am Medical emergencies
12:00 pm – 1:00 pm Lunch
1:00 pm – 2:30 pm Peri-implantitis
2:30 pm – 3:00 pm Break
3:00 pm – 4:30 pm Introduction to anterior implant aesthetics – Dr. Foleck
Sunday
8:30 am – 10:00 am Anterior implant aesthetics (Cont.) - Dr. Foleck
10:00 am – 10:30 am Break
10:30 am – 12:00 am Lecture
12:00 pm – 1:00 pm Lunch
1:00 pm – 2:30 pm Hands-on
2:30 pm – 3:00 pm Break
3:00 pm – 4:30 pm Lecture
Bio
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Bart Silverman, D.M.D.
Dr. Bart Silverman graduated from Fairleigh Dickinson University in 1982 Summa Cum Laude and received his doctorate in Dental Medicine in 1986 from Fairleigh Dickinson Jr. School of Dentistry, where he was a member of the Omicron Kappa Upsilon Honor Society. He completed his Oral and Maxillofacial residency at Westchester County Medical Center in 1989 and was chief resident in his final year. He is in private practice limited to Oral and Maxillofacial Surgery in New City, N.Y. and is a Diplomate of the American Board of Oral and Maxillofacial Surgery and a Diplomate of the American Board of Oral Implantology. He currently serves as President of the American Board of Oral Implantology/ Implant Dentistry. He has been lecturing nationally and internationally in the field of implant dentistry for over 25 years. Dr. Silverman worked and managed an Oral and Maxillofacial Surgery office in New City, NY for over 33 years. He served as an attending Physician at Westchester County Medical Center, Department of Oral and Maxillofacial Surgery, and a Clinical Associate Professor at New York Medical College for over 30 years. He is also an Adjunct Clinical Associate Professor Roseman School of Dentistry. Director of Roseman University Salt Lake City Maxicourse in Implant Dentistry, Director BWS Dental Seminars, and the Co-editor of a new textbook in Implantology entitled Modern Implant Dentistry.
Dr. Adam Foleck
Dr. Adam Foleck received his undergraduate education at the University of North Carolina at Chapel Hill, and his dental training from Temple University School of Dentistry, where he graduated in 1997.Dr. Foleck is dedicated to providing patients with exceptional care, combining a gentle hand with the latest in dental technology! Dr. Adam Foleck is a prominent physician based in the USA, known for his expertise in the field of internal medicine and cardiology. With a commitment to patient-centered care and innovative treatment approaches, Dr. Foleck has made significant contributions to the medical community. His work often focuses on advancing the understanding and management of cardiovascular diseases. Dr. Foleck is also recognized for his involvement in medical research and education, aiming to enhance the quality of care and outcomes for patients.
