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Meeting focuses on evolving dental discipline of implants, implantology

Dec. 1, 2011
Long-term evidence on clinical efficiency is now being combined with technological advances to increase the scope of implants. Maria Perno Goldie, RDH, MS, lists some of the important areas of emphasis concerning implantology in this overview of the recent AAP gathering.
By Maria Perno Goldie, RDH, MS
The 2011 Annual Meeting of the American Academy of Periodontology was held November 12-15 in Miami Beach. Dr. Donald Clem welcomed everyone with a very inspiring speech, and there was a full schedule of continuing education courses. There were hands-on workshops, practice management sessions, and the first of three Corporate Forums. The Interactive General Session was a multi-panel conversation presented in conjunction with the European Federation of Periodontology. There was no “Hygiene Day," but there was a Special Rate: One-Day Hygienist Pass. If you would like to see dedicated dental hygiene tracks again in the future, contact the AAP to share your views.

There was a focus on implants, and implantology as an evolving dental discipline. Long-term evidence on clinical efficiency is now being combined with technological advances. Implant designs, surface technology, small diameter implants, mini implants, CBCT technology, ultrasonic surgical instruments, prefabricated abutments, digital impressions, and CAD/CAM technology were the focus of some of the courses. Management of Perio-Implant Disease was also featured.Dr. Paul Homoly, CSP, presented information on “Just because you are an expert … does not make you interesting.” Dr. Homoly practiced restorative dentistry for 20 years in Charlotte, North Carolina, has been active in dental education and leadership, and has given several hundred presentations. He is a consultant and trainer. Since 1986, he has coached dentists, dental laboratory technicians and owners, salespeople, consultants, academicians, executives, professional speakers, accountants, financial planners, politicians, and engineers. Dr. Homoly speaks about clinical practice as a combination of income, fulfillment, and joy.Mark K. Setter, DDS, MS, has his Master's degree in Periodontics. He is a graduate of the Misch International Implant Institute, is presently on the adjunct faculty of The University of Michigan, is a Clinical Assistant Professor at Temple University, and is on the faculty of The Misch International Implant Institute. He presented Building the Ultimate Team for Patient Care at the AAP meeting. Dr. Setter discussed the difference between Practice Management and Patient Management. Practice Management focuses on numbers, such as cost control and overhead. Patient Management focuses on more effective delivery of patient care, resulting in healthier patients. Increased revenue may result, but it is not an objective. Dr. Setter quoted John Kois, DDS, MSD: “Dentistry is facing a paradigm shift from a repair model to a health- oriented one. All of our clinical decisions must begin by determining an individual patient’s risk for future disease, even before he or she expresses it.” Practice style of the dentist is crucial to how an office functions. Is the dentist autocratic and “gives orders,” or does he or she really listen to the members of the team and shows appreciation. He talked about the principles of Andrew Carnegie, and what makes a person successful. The Keys to Success are possessing 15% technical knowledge and 85% people skills. According to Dr. Setter, the qualities of a good leader are: leadership; service; vision; passion; having goals; focus; quality; optimism; perseverance; risk; and authenticity. “Success is the byproduct of working towards a vision, it is not the vision.” For more about Dr. Setter, visit his website.(1)

Periodontal-Systemic Relationships were also covered during the meeting. Managing the Diabetes Epidemic, Impact of Risk Assessment on Diagnosis and Management of Periodontal Disease, and Risk Assessment and Treatment for Complications for Patients Taking Bisphosphonates were among the courses offered. For information on these topics, view the cited articles.(2,3,4,5,6) Treatment of Inflammatory Periodontal Diseases, including the use of lasers and antibiotics, were also presented.(7) For information on these topics, view the cited articles. There is an AAP Position Paper on Systemic Antibiotics in Periodontics.(8) As well, there is an American Academy of Periodontology Statement on the Efficacy of Lasers in the Non-Surgical Treatment of Inflammatory Periodontal Disease.(9) Comprehensive Periodontal Therapy: A Statement by the American Academy of Periodontology, is also available.(10)All in all, this was an informative and enjoyable meeting. The AAP website offers many resources helpful to periodontists, other dentists, and dental hygienists, many of them free of charge.(11)
References
1. drmarksetter.com/meet-dr-setter/. 2. Jahn CA. The Diabetes Epidemic: The Impact on Oral Healthcare Providers. professional.waterpik.com/pdfs/education/waterpik_diabetes_epidemic_CE.pdf.3. Nagelberg RH. Diabetes and dentistry — Part 2. www.dentaleconomics.com/index/display/article-display/373366/articles/dental-economics/volume-100/issue-3/columns/the-oral-systemic-connection/diabetes-and-dentistry-mdash-part-2.html.4. Douglass CW. Risk assessment and management of periodontal disease. JADA, November 1, 2006 vol. 137 no. suppl 3 27S-32S. 5. American Association of Oral and Maxillofacial Surgeons. Position Paper on Bisphosphonate-Related Osteonecrosis of the Jaws. Approved by the Board of Trustees September 25, 2006. www.aaoms.org/docs/position_papers/osteonecrosis.pdf. 6. American Dental Association Council on Scientific Affairs. Dental management of patients receiving oral bisphosphonate therapy. Expert panel recommendations. JADA, August 1, 2006 vol. 137 no. 8 1144-1150.7. www.dentistryiq.com/index/display/article-display/8658301030/articles/dentisryiq/clinical/surgical-restorative/2011/11/Systemic_antibiotics_in_the_treatment_of_periodontal_disease.html.8. www.perio.org/resources-products/pdf/46-antibiotics.pdf. 9. www.perio.org/resources-products/pdf/laser-efficacy-statement.pdf. 10. www.perio.org/resources-products/pdf/periodontal-therapy_statement.pdf. 11. www.perio.org.

Maria Perno Goldie, RDH, MS

To read previous articles in RDH eVillage FOCUS from 2011 written by Maria Perno Goldie, go to articles.