SOUTHWEST SOCIETY OF PERIODONTISTS Winter Meeting February 11-13, 2011 Dallas Marriott Las Colinas Hotel Irving, Texas “Successful Ridge Augmentation Using Today’s Biotechnology - Bisphosphonates and How They Impact Your Clinical Practice” Guest Speaker: Dr. Robert E. Marx Professor of Surgery and Chief, Division of Oral and Maxillofacial Surgery Director of Research University of Miami School of Medicine Miami, Florida “Successful Ridge Augmentation Using Today’s Biotechnology” Synopsis: Recombinant human Bone Morphogenetic Protein (rhBMP-2) is an acellular collagen sponge (rhBMP-2/ACS) combined with the acceleration of the growth factors and cell adhesion molecules in Platelet Rich Plasma (PRP) together with scaffolding graft materials such as Crushed Cancellous Freeze Dried Mineralized Allogeneic (CCFDAB) Bone (CCFDAB) are able to regenerate sufficient bone in large vertical ridge augmentations without autogenous bone grafting. These materials together complete the classic tissue engineering triangle of a signal (rhBMP-2/ACS), cells (the host, bony ridge, and PRP) and a matrix (the CCFDAB and the cell adhesion molecules in PRP). By avoiding an autogenous bone harvest this composite graft is able to reduce surgical time and patient morbidity thereby allowing such procedures to be accomplished in an office setting and gains greater patient acceptance. Objectives: Relate the concept of insitu tissue engineering as it relates to bone regeneration. For the participants to be able to adopt the use of rhBMP-2/ACS and PRP in their own practices. “Bisphosphonates and How They Impact Your Clinical Practice” Synopsis: Since 2003, the dental profession has been confronted with preventing and treating osteonecrosis of the jaws first caused by intravenous bisphosphonates in the treatment of cancer patients (Aredia/Zometa), then caused by oral bisphosphonates in the treatment of osteoporosis (Fosamax), and recently caused by a new intravenous bisphosphonate used to treat osteoporosis (Reclast) as well as a monoclonal anti-rank Ligand drug (Denosumab). All of these drugs impair or kill osteoclast and target the jaws due to more rapid bone remodeling. However, preventative and treatment guidelines in each of these groups have reduced the incidence of this drug complication and have gained pain control and effective management of most cases. Objectives: For the participants to understand the differences in incidence severity, prevention, and management of osteonecrosis caused by oral bisphosphonates and intravenous bisphosphonates. For the participants to learn effective prevention and management protocols related to Bisphosphonate Induced Osteonecrosis of the Jaws (BIONJ). Biographical Information: Dr. Robert Marx joined the University of Miami, School of Medicine in 1984, became Professor of Surgery in 1990, and became Department Chairman in 1995. Northwestern University Dental School, 1967-1971 United States Air Force Internship, 1971-1973 Residency Oral and Maxillofacial Surgery at the University of Miami School of Medicine,1974-1977 Research Fellowship Bone Physiology – University of Miami, 1977-1978 Assistant Chairman Department of Surgery, Wilford Hall, US Air Force Medical Center and Consultant to the Surgeon General, 1978-1984 Professor and Chairman – Division of Oral and Maxillofacial Surgery – University of Miami School of Medicine: 1984 – present Recipient: American Association of OMFS: Research Recognition Award American Association of OMFS – Outstanding Educator Award 1995 American Association of OMFS – Walter J. Geis Award for Scientific Contributions to the Professions of Dentistry and OMFS, 1995 Undersea and Hyperbaric Medical Society’s Albert Benke Award for Scientific Contribution to the Understanding of Hyperbaric Oxygen, 1996 President of the Tissue Engineering Society 2010 to Present Practice Location: University of Miami Division of Oral and Maxillofacial Surgery Deering Medical Plaza 9830 SW 150 Street, Suite 190 Miami FL 33176
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