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Thursday 10:45 - 11:30am

The Failing Maxilla: Why Are We Grafting?

Successful prosthetic rehabilitation of patients with severe maxillary bone loss resulting from tooth loss or implant failure is often compromised by the inability to obtain sufficient skeletal anchorage for implant placement. The most common way of treating this situation is with extensive bone regeneration procedures, four to eight implants, and multiple restorative visits. What if there was a way to predictably restore the maxilla with a single, non-grafting surgical approach that allowed for consistent implant placement in an ideal restorative position and shortened treatment time? By utilizing the zygomatic implant and osseous support beyond the oral cavity, we can accomplish this restoration. This presentation will demonstrate the close interaction needed between the surgical and prosthetic teams to plan and execute the zygomatic immediate load protocol. Long-term data will be presented supporting the use of zygomatic implants as a first line treatment.

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

  1. The treatment indications for using the zygoma implant
  2. The surgical and prosthetic techniques when using the zygoma implant
  3. The predictability of the zygoma implant as a non-grafting solution for the failing maxilla


Jay Neugarten, DDS, MD

Dr. Neugarten is board-certified oral and maxillofacial surgeon who graduated from Columbia University School of Dental and Oral Surgery, where he was named class valedictorian. He completed his residency at North Shore University-Long Island Jewish Medical Center and earned a medical degree from the Stony Brook School of Medicine. He is an associate clinical professor at both New York Hospital Cornell-Weil Medical Center and North Shore University-Long Island Jewish Medical Center. He is a nationally- and internationally-known specialist in oral and maxillofacial surgery, whose areas of expertise include complex implant and bone-grafting construction. Dr. Neugarten has published numerous articles related to implant reconstruction. He also has lectured both nationally and internationally on a variety or Implant related topics ranging from the single tooth implant to zygoma therapy, The Trefoil™ implant solution, as well complex grafting and implant reconstruction of the jaws.

Craig Sirota, DMD

Dr. Craig Sirota attended the Harvard School of Dental Medicine and received his Doctor of Medical Dentistry degree in 1991, as well as his specialty certificate in Prosthodontics and a Masters of Medical Science degree in 1998. Dr. Sirota returned to New York in 1999 to establish his private practice. Dr. Sirota is a former Clinical Assistant Professor at New York University College of Dentistry’s Arthur Ashman Department of Implantology. Since 2000, Dr. Sirota has been a participant in the Donated Dental Services program, which provides dental care to those who do not have sufficient resources. Dr. Sirota is a member of the ADA, NYCDS, ACP, GNYAP, and AO and has lectured throughout the country on conventional and implant prosthodontics.

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8/2/2018 » 8/4/2018
AAED 43rd Annual Meeting

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