The recording for the session is available for registrants: 

https://pheedloop.com/EDDS2021/virtual/

Self-study CE reporting and exam: 

https://eddsonline.com/event-4674209

Dr. Philip Walton

Immediacy in the Esthetic Zone: Optimizing Results

Implant replacement at the highest level must incorporate an understanding of underlying biologic principles. Although the single tooth implants require diligent planning, the partial edentulous predicament poses unique challenges, especially when working in the esthetic zone.

An understanding of when, where and how many implants to place in various edentulous permutations to optimize success will be discussed. Key articles that have clinical relevance to maintaining bone levels, papillary presence and the appropriate dimensions implants should be placed in relationship to each other and surrounding natural teeth will be reviewed.

A number of cases both successful and so called "less than ideal outcomes" will be analyzed to understand what went right and wrong in an effort to increase predictable desirable results with an emphasis on the role of immediacy. This course is geared to those involved in both the surgical placement or restoration of dental implants.

The definition of success for dental implants has evolved over the years, but the basic tenants remain the same - to ensure long term integration, maintain bone levels and an absence of peri-implant disease. Although most clinicians are aware of risk factors involved in implant failure few deem the restorative technique as a major culprit.

Through the years many have debated the pros and cons to screw and cement retained options for dental implant restorations. A wealth of evidence is now mounting that residual cement may play a critical role in peri-implant disease. Cement remnants have been thought to undertake their deleterious effects through a number of mechanisms of action including microbial activity and immune reaction.

The possible etiology of restorative driven peri-implant disease and the little knowledge that exists in the dental industry about the type, quantity and the route by which bone loss takes place around implants will be examined.

Dr Walton will focus on the importance of screw retention and the appropriate prosthetic planning which must be performed to ensure it can be delivered successfully. We will also discuss alternative options when screw retention does not seem possible including angulated screw channel (ASC) abutments, techniques for reducing excess cement and the impact of immediate implants.

Biography 

Dr. Walton earned his Doctor of Dental Surgery degree from the University of Toronto. Prior to pursuit of his graduate dental studies, he completed externships at the University of Michigan and overseas at King's College School of Medicine and Dentistry in London, England.

Dr. Walton completed his Master’s degree in Periodontology at the Harvard School of Dental Medicine. His practice includes conventional periodontal therapy for tooth maintenance, periodontal plastics as well as advanced regenerative techniques and implant rehabilitation. His current area of focus lies in immediate implant placement and temporization for both single, multiple and full arch reconstruction.

Dr. Walton is a Fellow of the Royal College of Canada and a US Board Certified Diplomate of Periodontics and Implantology. He maintains an affiliation to University of Toronto, and Harvard as a clinical instructor, international research fellow, admissions committee member and active alumnus.