“Update on Medication-Related Osteonecrosis of the Jaw”

Speaker: Kenneth Fleisher, DDS, FACS

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Bone health and maintenance of bone integrity are important concerns during comprehensive cancer care and management of osteoporosis. Bisphosphonates and denosumab are antiresorptive medications widely used for the prevention and treatment of osteoporosis and skeletal complications associated with metastatic cancer and multiple myeloma.  Medication-related osteonecrosis of the jaw (MRONJ) related to antiresorptive therapy is a condition that has created numerous dilemmas in patient management and may have a broad health impact.  

Minimizing the risk of MRONJ is critical, not only to prevent MRONJ but also to maximize the benefit of antiresorptive therapy. This case-based presentation will review evidence-based data that has led to paradigm shifts for pathogenesis and innovative strategies for risk assessment, prevention and management of MRONJ.
 

Course Objectives:

1. Identify risk assessment and prevention related to dental treatment.

2. Understand recent advances in the pathogenesis for MRONJ.

3. Recommend surgical options for patients with MRONJ.

About the Speaker:

Kenneth Fleisher, DDS, FACS is a board certified oral and maxillofacial surgeon.  He is a Clinical Professor in the Department of Oral and Maxillofacial Surgery at the New York University College of Dentistry, Associate Director of the OMS Postgraduate training program and an attending surgeon Bellevue Hospital Center and New York University Langone Medical Center in Plastic Surgery where he participates training pre-doctoral dental students, postgraduate residents, international postgraduate students and faculty on the advancements related to understanding Medication-related osteonecrosis of the jaw (MRONJ).

Dr. Fleisher is recognized by NYU for his clinical expertise in managing patients undergoing antiresorptive therapy and who have developed MRONJ. Dr. Fleisher has treated over 500 patients with MRONJ and has published numerous chapters and papers in peer-reviewed journals, lectures nationally and internationally for dental, medical and surgical organizations and he is currently the principal investigator of an interdisciplinary translational research protocol that explores the pathogenesis of osteonecrosis of the jaw.   

Dr. Fleisher has developed new strategies for the prevention, diagnosis, risk assessment and treatment of MRONJ.  His presentation will focus on the many dilemmas surrounding MRONJ and new strategies to maintain oral health while undergoing antiresorptive therapy.    

 

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“Beyond Root Coverage: Contemporary Soft Tissue Grafting Around Teeth and Implants”

Speaker: Mauricio Gutierrez, DMD, MS

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Soft tissue grafting has evolved far beyond traditional root coverage procedures and now plays a critical role in contemporary interdisciplinary dental therapy.
 
From optimizing esthetic outcomes and enhancing peri-implant tissue stability, to facilitating restorative and orthodontic treatment success, mucogingival surgery has become an essential component of modern dental care. This lecture will review contemporary soft tissue grafting principles, biologic rationale, and surgical techniques utilized around both natural teeth and dental implants.
 
Clinical applications including root coverage therapy, soft tissue phenotype enhancement, pre-prosthetic and pre-orthodontic site development, and peri-implant soft tissue management in anterior esthetic cases will be discussed. The presentation will also explore the role of soft tissue augmentation in the prevention and management of peri-implant mucogingival complications, with emphasis on long-term tissue stability, esthetic integration, and interdisciplinary treatment planning.

Course Objectives:

• Review contemporary indications and surgical techniques for soft tissue grafting around teeth and implants.

• Understand the role of soft tissue augmentation in esthetic enhancement, root coverage, pre-restorative treatment planning, and orthodontic therapy.

• Evaluate the application of peri-implant soft tissue grafting in anterior esthetic cases and in the management of peri-implant mucogingival disease.

About the Speaker:
Dr. Mauricio Gutierrez is a Cum Laude graduate of Boston College, where he received a BS in Biology/Neuroscience. He earned his D.M.D. degree in 1999 from the Temple University School of Dentistry in Philadelphia. Dr. Gutierrez completed his post-doctoral training at the University of Texas (UTHSCSA), receiving a Certificate in Periodontics along with a Master of Science degree. While at UTHSCSA, Dr. Gutierrez was also an Assistant Clinical Professor in the Department of Periodontics. He has been in private practice since 2002. 

Dr. Gutierrez is a former Assistant Professor at the West Palm Beach VA Medical Center and Atlantic Coast Dental Research Clinic, where he served as co-chair of the Periodontics and Dental Implantology section. He is an active member of the American Academy of Periodontology and the Academy of Osseointegration, and a Fellow of the International Team for Implantology (ITI) and the International College of Dentists. He is a two-time past president of the Central Palm Beach County Dental Association. Dr. Gutierrez’s special areas of interest and treatment within his specialty of Periodontics include dental implants, laser periodontal surgery, and esthetic soft tissue grafting. Dr. Gutierrez is part of the Straumann and Seattle Study Club Speaker Consortiums and has lectured nationally on the topic of Dental Implant and Soft Tissue Esthetics.

Since 2004, Dr. Gutierrez has been a Diplomate of the American Board of Periodontology and is dual board-certified in Periodontology and Dental Implantology.

 

 

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"Preserving and Restoring Compromised Teeth in the Era of Endosseous Implantology"
Speaker: Neil L. Starr, DDS

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Are we diagnosing the ailing and failing tooth properly? Are there technical methodologies that we can employ in treatment to preserve the natural tooth for longer? Put another way, are we sacrificing teeth for implants too soon in the lives of our patients, when maybe the tooth would still serve a useful function for many more years?

Dr. Starr will share lessons learned from decades-long experience in a successful clinical practice focused on interdisciplinary dental therapeutics. He will share the philosophy he employs to keep his patients with intact, functioning dentitions for life.

Course Objectives:

1. Identify how to preserve and restore compromised teeth for longer

2. Understand better how the interplay of dental disciplines can help to preserve and restore compromised teeth for longer

3. Develop a treatment philosophy to provide patients with a functioning intake dentition for life

About the Speaker:
Dr. Neil L. Starr was born in Montreal, Quebec, Canada and graduated from McGill University Dental School. After completion of a general dental residency program at the Jewish General Hospital, he attended the University of Pennsylvania Postdoctoral Programs in Periodontics and Periodontal-Prosthodontics.

He has authored a series of articles on treatment planning and sequencing therapy in the comprehensive treatment of the partially edentulous case – appearing in the inaugural issue of the Seattle Study Club Journal and the Scientific Issue of the Alpha Omegan.
His clinical articles have appeared in the Compendium of Continuing Education in Dentistry, the International Journal of Periodontics and Restorative Dentistry, the Scientific Journal Alpha Omegan, and Quintessence of Dental Technology. He also has contributed textbook chapters in “Periodontics, Medicine, Surgery and Implants” (Mosby, St. Louis) titled “Restoration of the Periodontially Compromised Dentition; two chapters in “Interdisciplinary Treatment Planning – Principles, Design, Implementation” (Quintessence Publishing Co., Inc.) titled “Establishing a Stable Occlusal Scheme” and “A Comprehensive Approach to Treatment with and without Endosseous Implants”; and a chapter for the textbook “Cosmesis of the Mouth, Face and Jaws” (John Wiley & Sons, Inc.) titled “Optimal Use of Dental Implants for Cosmesis: Creating Aesthetic Outcomes with Dental Implant Restorations”.

 

Dr. Starr has been lecturing to groups of surgeons and restorative dentists both nationally and internationally.

 

He maintains a private practice in Washington, D.C. performing advanced prosthodontic treatments to rehabilitate compromised and failing dentitions.

 

 

 

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"Digital Veneers Reimagined: Predictable Outcomes through Advanced Collaboration and Technology"

Speaker:  Dr. Effie Habsha BSc., DDS. Dip Prostho., MSc. FRCD

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Mastering the intricacies of porcelain veneer esthetics demands precise planning, collaboration and cutting-edge digital techniques. This presentation will demonstrate an advanced approach to digital veneer workflows, including initial digital treatment planning, clinical workflows and shade matching through innovative, technology-driven solutions. Attendees will gain insights into leveraging the precision of various shade selection tools, both analog and digital.  The presentation will also showcase the integration of shade navigation applications which aid in material selection, as well as innovative 3D-printed models which aid in achieving unprecedented accuracy in predicting and achieving the final esthetic outcome. 

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Course Objectives:

1. Incorporation of digital smile design concepts into treatment planning.

2. Exploration of digital shade selection tools 

3. Utilization of digital workflows for predictable outcomes. 
    

About the Speaker:

Dr. Effie Habsha earned her DDS, Diploma in Prosthodontics and Master of Science degrees from the University of Toronto. She is an Adjunct Assistant Professor at the Department of Dentistry, Eastman Institute for Oral Health at the University of Rochester Medical Center and former Assistant Professor at the University of Toronto. Dr. Habsha is currently serving as President of the American Academy of Prosthetic Dentistry and she is  a Resident Faculty member at Spear Education.  Dr. Habsha is also the founder of Women in Dentistry: Work.Life.Balance, a group created in 2010 which aims to educate, empower and connect all women in the dental field.  Dr. Habsha maintains a private practice limited to Prosthodontics in Toronto and lectures nationally and internationally on various prosthodontic and surgical topics. 

 

 

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"The Smile Ring: How Fascia Connects the Airway and Occlusion"

Speaker:  Jeffrey L. McClendon DMD, FAGD, ABGD

The orbicularis oris, buccinator and superior pharyngeal constrictor compromise the “smile ring,” which links the lips, occlusion and the airway, thereby impacting oral health and wellness. This web of muscle, bond and fascia provides tensegrity to the face. Multiple factors disrupt facial and fascial balance requiring multidisciplinary care. Functional and esthetic integration of the lips, tongue and teeth, and occlusal plane provides proper occlusion and stability, looks natural and performs efficient facial function. 

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Course Objectives:

1. Review the anatomical components of the smile rim, the concept of tensegrity and the role of fascia

2. Review functions of the face: respiration, mastication and communication

3. Review patient treatments

4. Explore the role of tooth form in diagnosis, treatment planning and long term treatment stability

 

About the Speaker:

Dr McClendon graduated University of Pittsburgh School of Dental Medicine (1981), Advanced Education Program in General Dentistry, 2-Years, Ft. Knox , (1988-90), and served in the US Army Dental Corps 1981-1994.

He earned the Federal Services Board Certification in General Dentistry, and American Board of General Dentistry in 1994

Since 1994 he has been in private practice in Manhattan, providing restorative and Bioesthetic care. He has been a speaker both nationally and internationally.  

He is a member of Academy of General Dentistry, Academy of Bioesthetic Dentistry, American Dental Association and Roth-Williams International Society of Orthodontists. He is an instructor for Foundation for Orognathic Bioesthetics International (OBI) for 25 years and director of OBI Mexico for 7 years.  For 10 years he has served as Assistant program Director, New York University Esthetic Continuum (2014-2024), and for 7 years has provided a 10 session Occlusion Workshop for the NYU PG Perio Residents (2017-2023).  Additionally he has been involved in the Full FACE orthodontic program (Ormco, Forestadent), and created and directed CORE (Collaborative Orthodontic and Restorative Excellence) workshops. For the past 15 years he has been a special speaker at the Arnett-Gunson Orthognathic Surgery Course.  He designed a modified plate for the AD2 articulator and developed an IPAD app for dental photos and patient records. 
 

Dr McClendon provided the chapter “Equipe Multidisciplinar em Ortodontia Bioestetica” in Flavio Cotrim-Ferreira and Eduardo Sakai, Nova Visao em Ortodontia e Ortopedia, Funcional dos Maxilares, 345-453, Livraria Santos Editoria Ltda., 2008. He wrote “Bioesthetic Orthodontics” in Goal-Directed Orthodontics, editor Andy Giriardot, 2013. He wrote “Integration of Function and Esthetics” in Essentials of Esthetic Dentistry: Smile Design Integrating Esthetics and Function, editor Jonathan B Levine, Elsevier 2016. Most recently he added “Bioesthetics and Orthodontics for Diagnostico Biofunctional,  editor Claudia Casanova Arambula. Amolca 2021.

 

 

 

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“XTX Talk: An Interactive Session”

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With the evolution of the NGS AMD to a true multidisciplinary organization, a new perk of memberhsip is access to XTX, or Cross-Treatment Talks. XTX Talks are treatment planning style seminars conducted several times per year in a virtual format and are intended to reflect the current trend of cross-discipline education and team dentistry. Patient treatments are presented and attending members from various specialties are invited to collaborate on how they would treatment plan and execute the cases

The program will be devoted to giving members and guests a look into a live XTX-style treatment planning seminar. In addition to hearing the speaker give his/her scheduled preesntation, everyone can participate with the speaker as he/she presents and reviews patient treatment. With Dr. Dennis Tarnow, we’ll get insight into how this highly skilled and knowledgeable dentist approaches a complex, mutiisciplinary treatment with his own specialist perspective. After the case has been discussed by him we will open up the floor to questions. Audience participation will be encouraged.

 

The objective of the presentation is the same as that of the NGS AMD a a whole: high-quality educational content in a supportive and collaborative environment.

Speaker/Moderator: TBA
 

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Meeting Sponsored by the NGS Academy of Multidisciplinary Dentistry

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