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Friday 11:25 - 11:50pm

Changing Objectives in Periodontal Prosthetic Rehabilitations

Dentistry that is esthetic, comfortable, survives long-term, and minimizes health risks to the patient is an important clinical objective. The knowledge within dental science, practice, and technology has dramatically expanded, resulting in better quality, better artistry, and more standards-based clinical applications. Ceramics are the most consistently predictable esthetic dental material. Today, dentists can offer more treatment options for patients’ complex problems. With advances in digital design, CAD CAM, dental implants, and new generations of dental ceramics, one can ask if the basic tenets of education and treatment are being overridden. If specialty care is ignored, what will referral patterns be in the future? What needs to be taught to and mastered by students today?

Understanding methods to manage simple and complex restorative issues are critical to improving patient acceptance and long-term ceramic success. Methods to integrate the efforts of laboratory technologists, as well as managing occlusion and patients’ desires can have a profound impact in the practice of dentistry.

The lithium disilicate e. max and zirconia mono-layered all-ceramic material is changing dentistry and the realization of long-term ceramic survival. Complex dentistry is being resolved principally with single-unit restorations in face of the successful history in treating the complex patient with splinted metal ceramic restorations.

At the conclusion of this lecture, participants will have gained an understanding of:

  1. Understand what factors and concerns a prosthodontist would have treating patients that require esthetic procedures.
  2. Understand the controversies that exist with modern dental materials.
  3. Understand the impact of clinical factors on long-term survival of dental ceramic materials. With over 3500 restorations over 12 years, the e. max lithium disilicate ceramic restoration has proved to be the most successful ceramic ever studied.
  4. Understand the restoration of dental implants in complex conditions.



Kenneth Malament, DDS, MScD

Dr. Malament received his D.D.S. from N.Y.U. College of Dentistry and a specialty certificate and Master’s degree from the Boston University School of Graduate Dentistry. Dr. Malament has a full-time practice limited to prosthodontics in Boston that includes a dental laboratory with master dental technologists. A Past President of the American Board of Prosthodontics, he is a Clinical Professor at Tufts University and a Course Director in the postgraduate department of Prosthodontics. Dr. Malament is a Fellow of the American College of Prosthodontists, Academy of Prosthodontics, Greater New York Academy of Prosthodontics, and Northeastern Gnathological Society and a Past President of the Greater New York Academy of Prosthodontics, Northeastern Gnathological Society and the American Academy of Dental Science. He has served as the Secretary and Director of the American College of Prosthodontists and Secretary-Treasurer of the International College of Prosthodontists. He presently serves as President of the Academy of Prosthodontics and Treasurer of the American Academy of Esthetic Dentistry. Dr. Malament has been the recipient of significant awards in Prosthodontics, including the American College of Prosthodontists’ Clinician/Researcher Award, the Daniel F. Gordon Award for Lifetime Achievement and Distinguished Lecturer Award, the American Academy of Fixed Prosthodontics’ George Moulton Award for Outstanding Achievement, the Greater New York Academy of Prosthodontics Distinguished Lecturer Award, the European Academy of Esthetic Dentistry John McLean Honorary Lecture Award, and the first Frank V. Celenza Memorial Award from the Northeastern Gnathological Society. Dr. Malament was on the research and development teams for two different well-known ceramic products and developed instrumentation used in clinical practice.

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