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Next-Generation Dental Leadership: Evidence-Based Innovation and International Impact - The 6th International Dental Symposium

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Session

Dr.

10/ 3(Sat)

13:30 - 15:00 15:15 - 16:45

4F〜6F ホール C

Session 33

Session 34

Next-Generation Dental Leadership:
Evidence-Based Innovation and International Impact

Next-Generation Dental Leadership
世界で選ばれたトップヤングデンティストの競演

This Next Gen session brings together top-voted speakers from previous editions, showcasing the evolution of dental leadership through a two-part program that integrates restorative and periodontal excellence. The first part focuses on advanced restorative concepts, highlighting minimally invasive aesthetic enhancements, predictable composite layering for natural results, and structured workflows that connect occlusion, function, and smile design. The second part shifts to periodontal innovation, emphasizing interdisciplinary care, the harmony between white and pink esthetics, and microsurgical approaches for precise, minimally invasive soft tissue management, alongside complex endo-perio cases that challenge “hopeless” diagnoses and demonstrate successful outcomes. Overall, the session offers a forward-looking, evidence-based perspective on multidisciplinary dentistry driven by innovation and clinical precision.

 

Lecturer  

Advantages of Periodontal Microsurgery in the Esthetic Zone

Advantages of Periodontal Microsurgery in the Esthetic Zone

  • Interdisciplinary approach
  • White & Pink Esthetics
  • Periodontal Microsurgery
In modern dental practice, comprehensive diagnosis and treatment planning based on an interdisciplinary approach are essential. The goal of dental treatment is to resolve patients’ chief complaints while improving quality of life (QOL) and achieving esthetic satisfaction. Patient demand for esthetic treatment has increased in recent years. In addition to “white esthetics,” such as tooth color and shape, greater attention is now given to “pink esthetics,” which focuses on harmony between the teeth and surrounding soft tissues. To meet these expectations, periodontal plastic surgery must use techniques that minimize postoperative esthetic problems, including scar formation and unfavorable changes in gingival contour. Periodontal microsurgery provides a precise and minimally invasive approach to achieve these goals. This presentation outlines the basic concepts of periodontal microsurgery and demonstrates its clinical application within an interdisciplinary approach through representative cases.
 

Lecturer  

From Hopeless to Hopeful: A Tooth Preservation Strategy for Compromised Teeth

From Hopeless to Hopeful: A Tooth Preservation Strategy for Compromised Teeth

  • Even teeth diagnosed as hopeless may become preservable through dynamic, stepwise diagnosis and re-evaluation.
  • For endodontic-periodontal lesions, a stepwise approach combining endodontic treatment and periodontal regenerative therapy based on three-dimensional diagnosis is essential.
  • Cytrans Granules and FGF-2 may be effective regenerative materials for the treatment of endodontic-periodontal lesions.
The diagnosis of “hopeless teeth” has traditionally been regarded as an indication for extraction. However, recent advances in periodontal regenerative therapy and contemporary endodontic treatment have prompted a re-evaluation of conventional extraction criteria. This presentation reports a series of cases in which teeth diagnosed with a hopeless prognosis were successfully preserved through an interdisciplinary approach combining periodontal regenerative therapy and endodontic treatment. Comprehensive diagnostic assessments were performed to evaluate tooth preservability and the presence of combined periodontal and endodontic pathology. Endodontic and periodontal conditions were assessed independently using conservative diagnostic criteria, with particular emphasis on three-dimensional evaluation of lesion complexity. Cases were carefully selected based on the potential for infection control and biological reversibility. Treatment protocols consisted of meticulous endodontic disinfection followed by periodontal regenerative procedures targeting intrabony or furcation defects. Post-treatment evaluations demonstrated resolution of clinical symptoms, improvement in periodontal parameters, and radiographic evidence of stabilization or regeneration of supporting tissues, allowing functional maintenance of the treated teeth during the observation period. These findings suggest that the prognosis of teeth classified as “hopeless” should be regarded as a dynamic, case-dependent clinical judgment influenced by diagnostic accuracy, appropriate case selection, and contemporary regenerative approaches. The clinical relevance of maximizing tooth preservation prior to extraction and implant therapy is discussed.
 

Lecturer  

The strategies for severe periodontitis ~hopeless to hopeful~

重度歯周炎罹患歯への挑戦 ~Hopeless to Hopeful~

  • Periodontal regenerative therapy
  • Microscope assisted surgery
  • Furcation involvement
  • Connective tissue grafting
 

Lecturer  

Hopeless to Hopeful: The Potential of Monoblock Direct Composite Crown Restoration for Saving Root and Pulp

  • A monoblock direct composite crown is a technique in which the coronal portion of a tooth is reconstructed with composite resin using a direct approach, even when the tooth is in a residual root condition.
  • The advanced bonding protocol “SLDP” enables the realization of the monoblock direct composite crown technique.
  • The monoblock direct composite crown helps restore the patient’s root structure, dental pulp, and ultimately, their smile.
Composite resin restorations have expanded in indication with advances in restorative materials and are now applied not only to caries treatment but also to a variety of minimally invasive approaches.
This report presents a young patient who lost his smile due to severe generalized dental erosion with extensive coronal destruction, associated with recurrent vomiting secondary to excessive stress and sleep deprivation.
Because pulp vitality was preserved in many teeth, monoblock direct composite crown restoration was performed for the anterior teeth to preserve the pulp and roots, while ceramic restorations were provided for the posterior teeth by a prosthodontist.
The treatment course and its clinical significance, including functional, esthetic, and psychological recovery, will be presented. In addition, this case will be discussed from the perspective of minimally invasive intervention as one that prompts reconsideration of the possibility of preserving vital teeth even in the presence of severe coronal destruction.
 

Lecturer  

Aesthetic Dentistry: small additions, big changes - the use of direct composite to enhance harmony and balance

  • Smile parameters for maximum impact
  • Layering strategies to augment and enhance natural tooth structure
  • Key considerations in controlling optical results
Aesthetic dentistry is often associated with complex, invasive procedures, yet some of the most impactful smile transformations can be achieved through small, strategic additions. This lecture explores how direct composite resin can be used conservatively to enhance dental harmony, balance, and proportion while preserving natural tooth structure.
Through clinical case examples and step-by-step workflows, participants will learn how to identify aesthetic discrepancies related to tooth size, shape, symmetry, and spatial relationships, and how additive composite techniques can predictably address these concerns. Emphasis will be placed on diagnosis, smile design principles, material selection, layering strategies, finishing and polishing protocols, and long-term maintenance.
The session will also discuss patient selection, communication strategies, and the role of minimally invasive dentistry within contemporary aesthetic practice. Attendees will gain practical insights that can be immediately implemented in daily clinical workflows to deliver meaningful aesthetic improvements without aggressive preparation, improving patient confidence and satisfaction.
Dentistry within contemporary aesthetic practice. Attendees will gain practical insights that can be immediately implemented in daily clinical workflows to deliver meaningful aesthetic improvements without resorting to aggressive preparation.
Small additions, when executed thoughtfully, can create remarkably big changes in patient confidence and clinical outcomes.
 

Lecturer  

Cracking the Code: Creating Natural Harmony in Direct Restorations

Cracking the Code: Creating Natural Harmony in Direct Restorations

  • Deciphering the Optical Code: Understanding the interplay of opacity, translucency, and chroma to demystify complex layering protocols.
  • Restoring Harmony: Techniques for achieving seamless integration between the restoration and the natural dentition, respecting biology and aesthetics.
  • From Complexity to Predictability: Simplifying the workflow to allow for consistent, high-level artistic results in daily practice.
Achieving the "invisible" restoration in the anterior zone remains one of the ultimate challenges in restorative dentistry. For many clinicians, replicating the intricate interplay of color, opacity, and translucency found in natural teeth feels like a challenge. This lecture aims to "crack the code" of direct layering, transforming complex optical theories into a predictable clinical reality.
We will explore a simplified, evidence-based approach to emulate nature, moving beyond rigid recipes to a logical understanding of material behavior. By mastering the balance between chromatic dentin and translucent enamel, clinicians can master the technical steps that define natural-appearing restorations.
Attendees will navigate modern composite layering techniques, managing morphology and texture to achieve seamless integration. This session invites the next generation of dental leaders to embrace a workflow that blends scientific precision with artistic intuition for consistent, high-level aesthetic outcomes.
 

Lecturer  

Let’s start with the Temporomandibular Joint and Finish with a Big Smile

Let’s start with the Temporomandibular Joint and Finish with a Big Smile

  • Analyze and Apply Occlusal Principles: Identify the key components of a functional occlusion (such as centric relation and anterior guidance)
  • Master the Sequencing Workflow: Develop a step-by-step protocol for complex cases, moving logically from biological stabilization to functional design and final esthetic execution.
  • Integrate Form with Esthetics: Utilize "Facially Generated" treatment planning to determine ideal tooth position, ensuring that the restorative "Form" supports both facial harmony and function.
  • Diagnostic Troubleshooting: Recognize "red flag" clinical signs—such as wear patterns or muscle pain—that require functional intervention before the esthetic phase begins.
  • Communication & Case Acceptance: Enhance the use of diagnostic wax-ups and provisional restorations as "blueprints" to communicate expected outcomes clearly to both the patient and the laboratory.
In dentistry, the challenge often lies in knowing how to sequence a complex case from start to finish. Let’s make it simple and bring it all together by deconstructing TMJ anatomy and muscle physiology to understand how joint stability manifests in predictable restorative outcomes, and how we use the information to create smiles.
We will begin by learning how to use Splint Therapy not only as a treatment for Temporomandibular symptoms but as a vital diagnostic tool to find a stable, repeatable treatment position. By bridging the gap between appliance therapy, occlusal equilibration, and facially generated design, we will demonstrate a systematic workflow to restore Form, Function, and Esthetics with total predictability.
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