Dr. Anthony G. Sclar is considered a leader around the world in reconstructive and esthetic dental implant surgery. He completed his Oral and Maxillofacial Surgery and Anesthesiology training at the University of Miami Jackson Memorial Hospital in 1989. A diplomat of the American Board of Oral and Maxillofacial Surgeons, Dr. Sclar maintains an active interdisciplinary referral based dental implant surgery practice in South Miami, Florida. He performs 15-20 advanced and complex implant surgery procedures each week, including hard and soft tissue implant site development and tissue engineering procedures, periodontal plastic procedures, and immediate function procedures for partially and atrophic edentulous patients. He also manages patients presenting with a wide range of implant complications. Dr. Sclar’s patients originate from the Continental U.S., South and Central America, and the Caribbean. They seek out Dr. Sclar not only for his unsurpassed surgical skills but also for his caring and compassionate approach to treatment.Read More
Master Series in Advanced Implant Dentistry
I first started placing dental implants in the fall of 1989 just a few months after joining a private OMFS practice in Miami, Florida with one of my professors, Dr. Steven Holmes, a highly regarded orthognathic surgeon. Our practice primarily focused on performing maxillofacial surgery in a hospital environment including; orthognathic surgery, maxillofacial trauma, TMD/TMJ disorders and treatment of oral pathology with associated jaw reconstruction. As such our office oral surgery practice was very limited.
Although I had experienced some exposure to dental implants in dental school and I was aware of the quality of life improvements that implant dentistry could provide patients suffering from edentulism or failing dentition. During my oral surgery residency training I gained some practical experience placing a few implants. Nevertheless, as the medical insurance environment for hospital based oral surgery was rapidly changing, I became motivated to develop a presence for our office oral surgery practice. Consequently, I wanted to attend an implant course that would provide a solid knowledge base in implant dentistry and provided “hands-on” experience and mentoring beyond the typical scientific and clinical lecture presentations. Eventually, I was fortunate to get a seat in a Branemark course hosted in Boston. My instructor was Dr. Ulf Lekholm, an original member of the Branemark team. In that course, I learned about the instumentation, procedural steps, incisions and flap designs and guidelines for osteotomy preparation and implant placement. Although I gained confidence in my ability to place dental implants and I experienced a a high percentage of osseointegration comparable to that achieved by the Branemark team in both the mandible and maxilla. Nevertheless, I learned very little about diagnosis and treatment planning and adjunctive soft and hard tissue procedures for implant dentistry.
As I began to place more and more implants, I received positive feedback from a local laboratory technician, Mr. Peter Kuch. He visited my office and complimented me on how well I placed the implants in the cases that he was working on thereby simplifying the restorative- laboratory process. He asked me if I had studied prosthodontics in addition to surgery? I responded that I had not, but that I had focused my studies on important concepts of restorative dentistry and occlusion during dental school and my OMFS residency at the University of Miami.
“He responded by telling me that he was sure that I would have a very successful career in implant dentistry and that soon I would have one of the largest implant practices in Miami and possibly the country as a result of my application of restorative knowledge to guide implant placement.”
I continued to focus on our hospital based maxillofacial surgery practice. Despite Mr. Kuch’s high hopes, I did not experience significant growth of my implant practice for the next five years. I concluded that my implant practice was not likely to grow because I was primarily a hospital based maxillofacial surgeon not so closely tied to the dental network other than working closely with orthodontists. In addition there were established specialists in the area who had been placing implants years before I entered practice.
As a result, I decided to try and grow my implant practice by expanding the services that I could provide for my patients to include intra-oral bone grafting. As an oral surgeon, it was natural that I sought out training in bone augmentation procedures for reconstruction of deficient alveolar ridges that would set the stage for successful dental implant rehabilitation. I learned the concepts and procedures for performing guided bone regeneration using barrier membranes, block bone grafts for lateral ridge augmentation and sinus lift bone grafting using a Caldwell Luc lateral window approach.
I achieved excellent results with dental implants placed simultaneous or delayed following sinus lift bone augmentations with very few complications. Nevertheless, our results with lateral ridge augmentations with autogenous particulate and block bone grafts were not favorable and resulted in an unacceptable number of early and late complications characterized by graft shrinkage and/or failure, implant exposure or accelerated loss of crest peri-implant bone.
“Furthermore, as a result of these poor outcomes, I now had fewer implant referrals and patients and numerous implant complications to take care of.”
Then I had my first AHA moment ! It was a momentary insight that changed everything and re-directed my approach to reconstruction of deficient alveolar ridges for implant dentistry. I realized that all I had to do to be successful was extrapolate and apply the principles of soft and hard tissue maxillofacial reconstruction that I learned under my professor, Dr. Bob Marx, to implant site development. We performed jaw reconstructions with allogenic cribs filled with trabecular bone harvested from the posterior hip with simultaneous rotation of a myocutaneous flap to provide optimal coverage over the bone graft. Doing so supplied the necessary bulk of healthy vascularized soft tissues to enhance the incorporation and maintenance of the bone grafts virtually eliminating bone graft exposures or failures.
Then I had my second AHA moment! When analyzing my implant complications at recall visits, I realized that the majority of these patients had thin gingival and mucosal tissues with insufficient vascularity failed to nourish underlying peri-implant crestal bone or to aid with incorporation and volume maintenance of autgogenous bone graft during remodeling. I think we can all agree that failures and complications provide the greatest learning opportunities! Fortunately the majority of these patient’s complications were resolved by staged soft tissue grafting to re-submerge the implants followed by additional bone grafting performed 3-4 months later. After abutment connection I learned that the soft tissue grafts should have been performed prior to or simultaneous with the bone graft and implant placement. Using this biologic approach to surgery we were able to successfully treat the complications and the patients wound up with stable, healthy and maintainable implant restorations.
Then I had the third AHA moment! Upon reflecting on the above experience, it occurred to me that the sequence of my implant educational experiences was not conducive to achieving my primary goal of successfully providing bone augmentation procedures for patients presenting with deficient alveolar ridges. I first attended numerous bone grafting courses followed by a soft tissue grafting course when the soft tissue training should have preceded the bone graft augmentation courses. This played a big role in the number of unnecessary complications that my implant patients had experienced. Despite having prior knowledge of the important biologic role that soft tissues play in ensuring optimal bone graft healing in maxillofacial jaw reconstructions, I initially failed to apply this important principle when treating my early dental implant patients. Although, these principles were never discussed in any of the numerous dental implant and bone grafting courses that I attended, I failed to apply my maxilofacial reconstructive knowledge base in the treatment of these early implant cases.
Once again, the importance of developing adequate soft tissue volume to enhance underlying bone graft healing or to maintain peri-implant crestal bone is one of the most important concepts for achieving long term success of implant restorations!
As such, I sought out periodontal plastic surgery training and revisited and revised my bone augmentation procedures to be based on the biology of alveolar bone regeneration and bone graft healing. This always included development of an ideal soft tissue envelope to nurture and maintain bone graft volume under function. Since then, I learned to properly sequence soft tissue augmentation prior to or simultaneous with alveolar ridge bone augmentation procedures thus achieving tremendous success for our patients. Despite treating a high number of complex bone augmentation and esthetic implant cases we reduced our complication rate to less than 2 %,
As a result of learning from our early implant case complications, I experienced exponential growth of my implant practice beyond what I could imagine. I gained recognition as the expert implant surgeon in my region and developed one of the most successful implant practices in the US and abroad.
Then I had a Fourth AHA moment! Upon reflecting about what I had learned from our early failures and how important it was to think about biologic principles when treatment planning for implant dentistry, I realized that I must share my knowledge and skills with my colleagues to empower them to learn and apply much of what I have learned along my personal implant educational journey.
This inspired me to develop the Sclar Center Master Series in Advanced Implant Dentistry that provides a series of unmatched educational experiences for the doctors who have intermediate to advanced knowledge and experience with dental implant surgery but are looking to master the knowledge and skills required to successfully implement advanced soft and hard tissue grafting procedures for implant site development. This series should lead my colleagues to further leverage the knowledge and surgical skills they gained to successfully treat some of the most challenging implant cases including esthetic implant therapy and full arch immediate function implant.
At Sclar Center; Your Success is Our Inspiration!
The Key to Building the Implant Practice of Your Dreams Lies Below:
Sclar Center Master Series Immersion™ Courses in Advanced Implant Dentistry
Immerse yourself and enjoy our unique interdisciplinary education with ground breaking teaching methodologies that support a highly interactive, effective, and confidence boosting learning environment uniquely recognized as a Sclar Center Immersion™ Course Experience
Sclar Center limited attendance immersion course are designed for 16 clinicians who desire to achieve mastery of: The clinical and scientific knowledge, diagnosis, treatment planning, patient consultation/case presentation methods and surgical skills required to successfully implement Advanced Implant Dentistry procedures in your practice. Each course features;
1. Interdisciplinary scientific & clinical presentations bolstered by extensive edited procedure videos
2. Case treatment planning sessions to help you select the best treatment approach in every case
3. Intensive hands-on training to improve your surgical skills in our state-of-the-art simulation lab with one to one mentoring by Dr. Sclar and his team
4. Interactive live procedure observations captured by quad robotic HD video cameras and broadcast to our ultra-comfortable multimedia classroom where participants enjoy procedural details and nuances from multiple viewing angles emulating the operating surgeon’s point of view.
5. In addition to attending the general sessions, team member who attend the course receive additional training on the course topics thereby facilitating immediate procedure implementation in your practice
Sclar Center Master Series Immersion™ Courses in Advanced Implant Dentistry
3. 4 Day Esthetic Implant Therapy Immersion:
Surgical,Restorative & orthodontic Implant Site development Protocols
Surgical, Restorative & Laboratory Treatment Protocols
In Memory of Professor Per-Ingvar Brånemark
Today millions of men and women can smile with pride thanks to Professor Brånemark − what a legacy. Upon hearing the news of his passing, I felt a great loss both professionally and personally. My sincere condolences go out to the Brånemark family. Although we are saddened, we must celebrate this exceptional man for his innovative mind and his tireless work that forever changed the course of dentistry worldwide. Professor Brånemark literally ushered in the age of “Implant Dentistry” by legitimizing the once maligned therapy through scientific studies that accurately documented the benefits of “Osseointegration” in oral rehabilitation. I first met Professor Brånemark at an oral surgery symposium in Canada in the late 1990’s where he gave a presentation in the morning and I followed with a presentation in the afternoon. I was beyond honored and my wish was to meet Professor Brånemark and get a photograph with him if possible. We briefly shook hands, but nothing more. A few years later, our paths crossed at an author’s dinner hosted by Quintessence publishing. I did not expect Professor Brånemark to remember me, but he did. He asked me and my wife to join him at his table. He said he wanted to make up for not having any time to talk in Canada. And so I learned – not only a brilliant doctor and accomplished researcher, but a true gentleman as well. In short order, he began to quiz my knowledge regarding the science and clinical applications of osseointegration. He corrected me when I used the term “Implant” instead of “fixture” and that implants were synonymous with tissue grafts. I shared with him how osseointegration had allowed me to help so many suffering patients and how this work had profoundly added purpose to my life. I was inspired by both Professor Brånemark’s genius and his humbleness. I believe that his spirit will forever guide those who continue to apply his scientific innovations. His ground-breaking work will live on for generations and for that we are all deeply grateful.
Anthony G. Sclar OMFS
Specialists, general dentists, dental technicians and auxiliary team members striving to stay at the forefront of the implant dentistry services that today’s patients demand!
As a result of increasing patient awareness and demands for immediate function and esthetic implant procedures, our symposium topics are of great interest and importance to clinicians who desire to stay at the forefront of implant dentistry. Those clinicians who gain the knowledge will be best prepared to experience practice growth by offering the leading-edge procedures learned at this year’s symposium.
Despite the overwhelming success of the 2014 Leading Edge Implant Symposium, The Sclar Center’s educational committee found a way to further improve the educational content and interdisciplinary collaboration for a uniquely empowering educational experience for surgical and restorative specialists, general dentists, dental technicians and auxiliary team members alike. This two day cross disciplinary program will provide a wealth of scientific and clinical information related to all aspects of All-on-4® Treatment Concept for Full Arch Immediate Function and State-of-the-Art Implant Esthetics.
2015 Leading Edge Symposium’s
World Class Cross-Disciplinary Educational Team:
Anthony Sclar DMD, OMFS
Joseph Kan, DMD, MS, Prosthodontist
Juan Diego Cardenas, DDS, CAGS, Prosthodontist
Larry Grillo, DMD, Restorative Dentist,
Rafael Santrich, CDT
Chuck Genco, CDT
Do Not Miss the Opportunity to advance you knowledge at the The 2015 Leading Edge Implant Symposium, at the Ritz-Carlton Grande Lakes Resort, Orlando, Florida on Saturday and Sunday February 21-22, 2015. This is a delightful time of year in Florida and may be an ideal time to travel with your family. The Grande Lakes Ritz-Carlton is located in the heart of all the Orlando attractions—just minutes away from SeaWorld and the Walt Disney Resorts. It’s also surrounded by 500 acres of lush gardens with bass stocked lakes, a top ranked Greg Norman Golf Course and a 40,000 square foot Spa second to none; there is something for everyone. The resort offers breath taking views and a thoughtful array of amenities with world renowned Ritz hospitality. Come for the education and stay for a vacation at the special conference rate of $269 per night single or double occupancy.
Day 1 Learning Objectives: All-on-4® Full Arch Immediate Loading
• Discuss the scientific and clinical basis, case selection criteria, biomechanical concepts and diagnostically driven clinical, radiologic and model based treatment planning and methods for successful execution for All-on-4® treatment concept full arch immediate loading restorations.
• Comprehend the surgical, prosthetic and laboratory procedures and teamwork required for successful delivery of the All-on-4® full arch immediate provisional prosthesis using direct and indirect denture conversion techniques
• Grasp the steps required for fabrication and delivery of All-on-4® definitive prosthesis including: restorative and lab procedures, bar design, restorative material selection, prosthesis design options and successful occlusal schemes
• Avoid, identify and treat All-on-4® surgical, restorative and laboratory complications.
• Understand the benefits of CT Guided workflow required to minimize complications and successfully deliver CT Guided full arch immediate function
Day 2 Learning Objectives: State-of-the-Art Implant Esthetics
• Perform an esthetic patient evaluation and identify prognostic keys for predictable results and risk factors for esthetic complications
• List the indications, advantages and pitfalls of immediate, delayed and early esthetic implant placement
• Understand the indications and procedures for successful immediate implant placement and provisionalization in the esthetic zone.
• Discuss the indications and procedure details for socket gap management and soft tissue augmentation in the esthetic zone.
• Understand the etiology of Implant gingival recession and eﬃcacy of available treatment solutions
• Fully understand conventional and CT based diagnostically driven esthetic implant treatment planning and surgical execution protocols
• Distinguish between esthetic case scenarios that are amenable to simultaneous implant placement and grafting from those that require pre-implant site development procedures.
• Select and sequence State-of-the-Art surgical and restorative site development procedures as part of interdisciplinary management of single, multiple gap and full arch esthetic implant reconstructions
• Understand restorative soft tissue site development at implant sites using interim restorations; custom healing abutments and esthetic implant provisional restorations.
• Understand the importance of restorative material selection and applications of advanced technologies and techniques to achieve seamless integration of esthetic implant restorations with adjacent virgin and/or restored natural teeth.
• Avoid, identify and treat common to complex esthetic implant complications.
Don’t wait, space is limited (this course sold out last year) and the Early Registration period expires November 1, 2014.We encourage you to make your plans to attend now!
Dr. Anthony G. Sclar DMD
Director of Education
Sclar Center for Empowered Dental Implant Learning