COLIN RICHMAN · 2020-04-14 · PERIODONTICS • ORAL MEDICINE • DENTAL IMPLANTS • SFOT Diplomate, American Board of PeriodontologyDiplomate, American Board of Periodontology

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COLIN RICHMANDMD., BDS., LDS., RCS., H.D.D.

PERIODONTICS • ORAL MEDICINE • DENTAL IMPLANTS • SFOT

Diplomate, American Board of PeriodontologyDiplomate, American Board of Periodontology

programming for all members of the

interdisciplinary dental team

aimed at achieving

comprehensive care consistency

colin richman, dmd



Diplomate, American Board of Periodontology


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page table of contents 3 MinimizingIatrogenicRiskinDentalCarethroughBiotypeModification

Esthetic, Restorative, Orthodontic, and Periodontal Considerations (Surgically Facilitated Orthodontic Treatment, SFOT, aka PAOO or POPA)

4 Periodontitis, the Disease

5 Preventing Bad Things from Happening to Good Implants

6 Achieving Comprehensive Care Consistency (aka Big Case Dentistry)

7A Interactive Hands-On Treatment Planning for the Dental Team Presentation of one case, approximately 2 to 2.5 hours

7B Interactive Hands-On Treatment Planning for the Dental Team Presentation of three or four cases, including a highlights of “Achieving Comprehensive Care Consistency”

8 Contemporary Periodontology and Implant Dentistry: A Clinical Update for 2020 and Beyond

9 A Day of Clinical Discussion SFOT (Surgical Facilitated Orthodontic Treatment, aka PAOO or POPA)

10 Overview of Available Lecture/Seminar Programs

11 Mini CV and Bio

12 Seattle Study Club Awards

13 Testimonials




Target audience is all clinical members of the dental team: Dentist, Dental Specialist, Hygienist


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Minimizing Iatrogenic Risk in Dental Care throughBiotypeModification

Esthetic, Restorative, Orthodontic, and Periodontal Considerations

(Surgical Facilitated Orthodontic Treatment, SFOT, aka PAOO or POPA)

sFot and prepa (pre restorative periodontal augmentation) are innovative technologies combining regenerative periodontal therapy with orthodontic treatment. this enables the dentist to minimize potential iatrogenic risk factors associated with orthodontic therapy (see below). Favorably positioned teeth, plus an enhanced mucogingival complex, facilitate ideal and predictable long-term esthetics and function.

Major positive facets of SFOT and PREPA:

• Treatmentofexistingrecessionandperiodontitislesions.

• Enhancementofthinbiotypes,minimizingtheriskof iatrogenic gingival recession associated with orthodontic treatment.

• Greatestposttreatmentorthodonticstability.

• Lessapicalrootresorption.

• Acceleratedorthodontictreatment,usuallycompletedin six-nine months.

• Lessneedfororthognathictreatmentorextractions.

Topics include:

• Why:Recession/impactions/GBR/SleepDisorders?

• ConceptsofSFOT.

• Limitationsandcomplicationsoforthodontictreatment.

• Minimizingrisk:gingivalrecession,rootresorption,extendedorthodontictreatmenttime,unfavorablefacialprofiles.

• Logisticsofexecutingmulti-disciplinarytreatment.

• Representativeclinicalcasesandevidence.

My most successful program, especially when combined with

the proposed afternoon session of interactive treatment planning,

Seattle Study Club Style. A case utilizing SFOT is presented.






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Periodontitis, the Disease: Diagnosis and Management

Clinical Perspectives for the Dental Team for Long-Term Predicability and Success (including peri-implantitis)

Thisclinicalpresentationdefinesthe“StateoftheArt’’relativetodefinitivecontemporaryperiodontitis and peri-impantitis management.

Topics include:

• Periodontalinfection,inflammation,pathology,andsystemicimplications,fromtheclinicalperspective.

• Impactofperiodontaldiseaseonmulti-rootedteeth.

• Effectivediagnosticrecordstoachievedefinitiveperiodontaltherapy.

• Achievinglong-termtreatmentsuccessthroughdefinitivepocketeliminationtherapy,eitherrespective or regenerative.

• Plaquecontrolandprofessionalmaintenancecare,ascriticalfactorsforlong-termsuccess.






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Preventing Bad Things from Happening to Good Implants

a working knowledge of diagnostic, surgical, prosthetic, and long-term maintenance risk factors should enable the clinician to provide more predictable dental implant care to their patients.

Topics include:

• Theincidenceofperi-implantitisappearstobeincreasingatadramaticrate,resultinginfrustrationandsignificantlossofrevenuestoboththepatientandthedentalteam.

• Itiscurrentlyestimatedthat>1,000,000implantsarebeingexplantedannuallythroughout the world.

• Obviouslypro-activesurgical,prostheticandlong-termmaintenanceiscritivcal for long-term success.

• Riskfactorsassociatedwiththeseissueswillbereviewedindetailfromtheclinicalperspective. strategies will be introduced to enhance implant therapy predicability and reduce risk and unfavorable functional or esthetic outcomes.






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Achieving Comprehensive Dental Care ConsistencyThisfun-filledpresentationwillhelpdentistsplustheirteammembers(includingspecialists)elevatetheirpracticestowardsmore“BigCaseDentistry”andcomprehensivecare:

Topics include:

• Instillingaphilosophyandcultureinyourteamforachievingcomprehensivecare.

• Avoidingmissingopportunitiesforachievingcomprehensivedentalcare.

• Clinicaldatagathering–records,analyses,diagnosis,treatmentplanning,effectivecasepresentation,teamresponsibilities,treatmentdelivery,and‘makingithappen.’

• Theabovedatawillthenbeanalysedrelativetoetiology,diagnosisandtreatmentplanninginthe four categories of periodontal, structural (teeth), myo-functional, and esthetics (as per Kois, speark, roger levine)






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Interactive Hands-On Treatment Planning for All Members of the Interdisciplinary

Dental TeamOne case, approximately 2 to 2.5 hours

Topics include:

• Dentists,hygienists,andattendingspecialistsworkingtogetherwillbeprovidedwithcomprehensive records of a patient presenting with complex dental problems.

• Asteams,eachgroupwillestablishatreatmentplanusingvaryingscenarios,e.g.,noorthodonticsorlimitedfinances,SeattleStudyClubStyle.

• Aspokespersonfromeachgroupwillthenpresenttheirhypotheticaltreatmentplantotheaudience.

• Usinginformationreviewedinthemorningprogramsession,Dr.Richmanwillpresenttheactual treatment provided.

• Thesesessionsprovokemuchthoughtanddebatewithlivelydiscussionandfunforallmembers of the team, especially ancillary staff and hygienists.

• Theroleofthehygienistinfacilitatingpatientacceptanceorcomprehensivecarewillbestressed.Thisincludeshis/herroleintheInterdisciplinarydentalteam,strivingtoachievecomprehensive esthetic and functional dental care consistency.






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Interactive Hands-On Treatment Planning for All Members of the Interdisciplinary

Dental TeamAll-day session including a synopsis of the program,

“Achieving Comprehensive Care Consistency”

Threeorfourvaryingcaseswillbepresented:onecaseeachofimplants,esthetics,SFOT,andcomprehensive interdisciplinary treatment. this case presents with a 25-year follow up. the same format as the previous 2-to-2.5-hour session will be followed. in addition, one case will also be presentedbyoneoftheStudyClub’sgroupmembesforcomprehensiveanalysisandreview.

Topics include:

• Dentists,hygienists,andattendingspecialistsworkingtogetherwillbeprovidedwithcomprehensive records of a patient presenting with complex dental problems.

• Asteams,eachgroupwillestablishatreatmentplanusingvaryingscenarios,e.g.,noorthodonticsorlimitedfinances)SeattleStudyClubStyle.

• Aspokespersonfromeachgroupwillthenpresenttheirhypotheticaltreatmentplantotheaudience.

• Usinginformationreviewedinthemorningprogramsession,Dr.Richmanwillpresenttheactual treatment provided.

• Thesesessionsprovokemuchthoughtanddebatewithlivelydiscussionandfunforallmembers of the team, especially ancillary staff and hygienists.

• Theroleofthehygienistinfacilitatingpatientacceptanceorcomprehensivecarewillbestressed.Thisincludeshis/herroleintheInterdisciplinaryDentalTeam,strivingtoachievecomprehensive esthetic and functional dental care consistency.






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Contemporary Periodontology and Implant Dentistry: A Clinical Update for 2020 and Beyond

Learning objectives:

• Evidencebasedtreatmentconceptstoachievedefinitiveperiodontaltherapyandassociatedlong-termsuccess.Topicswillincludebenefitsandlimitationsofscalingandrootplanning,perioscopy, respective and regenerative surgical pocket reduction and lanap.

• Goals,objectivesandfactorsguidingthedefinitiveendpointofperiodontitistherapy.

• Adjunctiveperiodontalsurgicaltherapiestofacilitatepredictablerestorativeandorthodontictherapy.

• Contemporarythoughtregardingthestatusofsoftandhardtissuegraftingmodalities.

• Theroleofimplanttherapyincomprehensivecare.

• Implantsversusteeth.(Perhapsimplantsarenotapanacea!).

• Riskfactorsassociatedwithimplanttherapy,includingPeri-implantitistherapies(When,where and why).

• Valueofcomprehensiveinterdisciplinarystrategiestoachievepredictablelong-termtreatmentsuccess,inotherwords,treatmentplanningforthefourthdimension–TIME.

Afternoon session:

• Dr.Richmanwillprovidethegroupwithcomprehensiverecordsofacomprehensivelytreatedinterdisciplinarycase,with>10yearsoffollowup.

• Topicsreviewedinthemorningsessionwillbefeaturedinthepresentation.

• Hands-on,interactivetreatmentplanningusingvariousparameterswilloccurwithallmembersofthedentalteam,especially,includinghygienists,specialistsandfinancialcoordinators.(Examplesofvaryingtreatmentplanningparametersmightinclude,nofinancialrestrictions,modestfinancialabilitiesandnoorthodontictherapy).

• Dr.Richmanwillthenpresentthecase,astreated.Hewillreviewcomplicationsthatoccurredduringtreatmentandsubsequently.

• Finally,hewillreviewdifferenttherapeuticmodalitieswewouldpursuetodaywhentreatingthecase, based on contemporary new knowledge.






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A Day of Interactive Clinical Discussion

Including:

• Aliteraturereviewofimportantclinicaltopics,inpeerreviewedliteratureofthepastthreeyears.ThiswillincludePeriodontics,DentalImplantologyandOralRehabilitation.(Duration:approximately1hours).

• AninteractivesessionofPearl’sandProblems,bothclinicalandadministrative.(Duration:approximately1hour)

• Clinicaldilemmas,bothDr.Richman’sandfromthegroup.(Duration:approximately1hour)

• Intenseinteractivetreatmentplanningsessionofacomplexinterdisciplinarycase.(Duration:approximately 2 hours).





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Overview of Available Lecture/Seminar ProgramsEsthetic, Restorative, and Functional Success Facilitated by SFOTInnovativedentalprocedures–combiningregenerativeperiodontaltherapywithorthodontictreatment–enablethe dentist to minimize potential iatrogenic risk factors associated with orthodontic therapy. Focusing on favorably positioned teeth and an enhanced muco-gingival complex, facilitate ideal and predictable esthetics and function and minimizes the risk of iatrogenic gingival recession associated with orthodontic treatment. the goal is orthodontic stability and ideal tooth alignment with less need for orthognathic treatment or extractions and less apical root resorption, along with accelerated orthodontic treatment. we will discuss the background and concepts of soFt, its limitations as well as the complications of orthodontic treatment and the logistics of executing a multi-disciplinary treatment. representative clinical cases and evidence will be presented.

Periodontitis, the Disease: Diagnosis and ManagementThissessiondefinesthestateoftheartrelativetocontemporaryperiodontalanddentalimplanttherapy.Periodontaltreatmentgoalsarelong-termdentallongevitythroughappropriatecare,resultingindefinitivepocketelimination.Problemstobediscussedincludeperiodontalinfection,inflammation,pathology,systemicimplications,aswellasplaquecontrol,caries,andperiodontaldisease.Wewilldiscusstheessentialroleofcomplete diagnostic records in risk management and successful periodontal therapy.

Preventing Bad Things from Happening to Good ImplantsThissessionaddressesthepreventionandifpresent,subsequentmanagementofsurgical,prostheticand maintenance issues. over time, implant complications with associated bone loss are presenting more frequently,occurringbothasshort-termandlong-termcomplications.Wewilldiscusstheneedforpro-activesurgical, prosthetic, and long-term approaches as critical for long-term success.

Achieving Comprehensive Dental Care ConsistencyThisfun-filledinteractivesessionwillhelpdentistsandtheirteammemberselevatetheirpracticestowardsmore“BigCaseDentistry.”Thegoalistoinstillaphilosophyandcultureintheteamforachievingcomprehensive care and avoiding missed opportunities. we will discuss the logistics of data gathering and record-keepinginachievingcomprehensivecareconsistency–analyses,diagnoses,treatmentplanning,casepresentationanddelivery,responsibilities,and“makingithappen”–totheemotionalandfinancialbenefitofthepractice and its team members.

Interactive Hands-on Treatment Planning for the Entire Dental Teamdentists and hygienists, as a team, will be provided comprehensive records of a patient presenting with complex dental problems. the group will establish a treatment plan and a spokesperson will present to the othersthehypotheticaltreatmentplan,followedbyDr.Richman’spresentationoftheactualtreatmentprovidedfor this patient, provoking much thought and discussion. in this session, the role of the hygienist in facilitating patientacceptanceofcomprehensivecarewillbeaddressed,aswellashis/herroleintheinterdisciplinarydental team striving to achieve comprehensive esthetic and functional dental care.

Contemporary Periodontology and Implant Dentistry: A Clinical Update for 2020 and Beyondhands on, interactive treatment planning using various parameters will occur with all members of the dental team,especially,includinghygienists,specialistsandfinancialcoordinators.Finally,hewillreviewdifferenttherapeutic modalities we would pursue today when treating the case, based on contemporary new knowledge.

A Day of Clinical Discussiondiscussion will include review of important clinical topics in peer reviewed literature of the past three years.

SFOT (Surgically Facilitated Orthodontic Treatment, aka PAOO or POPA)





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Mini CV – Colin Richman, DMD

Education and academic appointments

• BornandeducatedinJohannesburg,SouthAfrica

• DentalDegree:Johannesburg,SouthAfrica

• Post-GraduateDentalDegree:London,England,andJohannesburg,SouthAfrica

• GraduatePeriodontics:UniversityofConnecticut

• Faculty:EmoryDentalSchool(previously)

• Currently:AssistantClinicalProfessor,GRU

• PerimeterCollege,SchoolofDentalHygiene

• Privatepractice:PeriodonticsandDentalImplants,Roswell,Georgia

AwardsandAffiliations

• Diplomate,AmericanBoardofPeriodontology

• HonorableFellow,GeorgiaDentalAssociation

• Fellow,PierreFouchardAcademy

• Director,SeattleStudyClubofAtlanta

• Fellow,AmericanCollegeofDentists

• InternationalCollegeofDentists

• Fellow,ITI

Lectures and Presentations

• Presentedover450coursesintheU.S.andabroad





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Seattle Study Club Awardsthe seattle study club is an international network of 375+ professional dental organizations with a combined membership of over 8,000 dentists worldwide. it is recognized as the most advanced continuing education group for dental professionals, and garners enormous respect in the profession. each year this organization recognizes its leaders with a few selected awards. Todate,Dr.Richmanandhisgrouphavebeenawardedthefollowing:

2002: Seattle Study Club, Rookie of the Year Award

2014: The Charlie English Community Education Award

dr. michael cohen, founder of the seattle study club, has recognized dr. richman at therecentannualsymposiumbyexplainingthatthisawardexemplifiestheattributesofadedicatedcontributortotheprofession.Thesequalitiesincludebeingadevotedteacherandan individual who derives greater satisfaction from giving rather than from receiving. he noted that dr. richman, as the recipient of the award, is someone who impacts his chosen profession through his commitment to higher learning, teaching, and giving of his constant support and time to others in the dental profession. in closing, dr. cohen noted that although dr. richman conducts all his efforts under the radar, it was now time for him to receive the recognition he truly deserves.

2016: Vincent Kokich Seattle Study Club of the Year Award

Criteriausedinselectingtheawardwinnerinclude:

• Thelevelofenergyandenthusiasmgeneratedwithintheclubandtheoverallcommitmentto the club by its members.

• ContributionsbytheDirectorandclubtowardthebettermentofournetwork,i.e.,articlesforournewslettersorcasesfortheJournal.

• EffectivenessandcontributionsmadelocallybytheDirectorandstudyclubcoordinatorwhich have resulted in a stronger, more vital club.

• Creativeandinnovativeprogrammingthatkeepsthecurriculumfreshandhighlyrelevanteach year.

• Reportsfromourspeakersinthefieldrelatedtotheirperceptionoftheenthusiasmoftheclub.

• TheleadershipabilityoftheDirector.





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Testimonialsfrom Study Club Directors, meeting planners and program chairpersons

thank you so much for giving your great program to the residents. they all loved it and the feedback waswonderful.ForthefirsttimeIunderstandmuchbetterwhatit(PAOO)isaboutandIamverymuchimpressedbyyourexperienceandmasteryofthesubject.Itisfascinatinghowmuchyoucanexpandwith buccal bone grafting when the tooth mass exceeds the original ridge size. thank you again for a wonderful evening and for taking the time to lecture us.

Warmest Regards, Gerry Chiche, DMDDirector Esthetics Continuum, Georgia Regents University

IfoundColin’s[Dr.Richman’s]presentationonPOPAtobeaveryinsightful,educational,andgame-changingexperiencethatwillresultinaparadigmshiftfortreatingspecifictypesofalveolarbonedeficiencies.

Mike Pikos, DDS

everyone i have spoken to has told me how wonderful the experience was. they said that they came away with some pearls. nancy did tell me that the afternoon session was thought-provoking and interactive.Againthankyouverymuchforyourefforts.Believemetheywerewellreceived!

Frank R. L. Frishkey, DDSDirector Knowledge Bank (Seattle) Study Club

i want to express my appreciation for your excellent presentation to my implant study club group. Your lecture,“Recession,Abrasion,AbfractionandErosion–MinimizingRisk,”wasfirst-rate,interestingandveryinformative.Yourknowledge,expertiseandsuperiorspeakingskillsheldthegroup’sinterestandgenerated positive feedback. sincere thanks for your commitment to clinical excellence and for sharing your wisdom and experience with enthusiasm.

Robert A. Levine, DDS, Director, ITI Study Club, Philadelphia, PA

Incredible–areactivationofmydentalenthusiasm.Clinic Captain, Big Apple Dental Meeting

i want to sincerely thank you for taking precious time to visit augusta and share your expertise. we enjoyedyourpresentationanditwasperfectforourEstheticContinuum.Weadmireyourdedicationtoour profession.

Eladio DeLeon, DMDDirector Graduate Orthodontics; Director, American Board of Orthodontics

i felt compelled to write after your informative, engaging presentation to our seattle study group here in chicago. the information you shared with us was something that many of our members are still talking about. the paoo information shed light on a treatment option that we can offer patients that Ifeelwillbenefittheminthelongterm,anditwassomethingthatwecantakebacktotheofficeandapplyrightaway.Manytimes,presentationsaren’taspractical.Thankyouforsharingyourdaywithushere in chicago; and we look forward to the possibility of having you visit our group again some time.

Franz Weyandt, DMD, CE Coordinator, Contemporary Dental Forum

I’mwritingtoexpressmyappreciationforyourexcellentpresentationtotheperioandorthoresidentsand faculty on march 23rdatMCG(GHSU).Everyonewhowasinattendancebenefitedfromyourexpertise in the area of long-term outcomes for accelerated tooth movement.

Glen Maze, Director Advanced Ed. Periodontics





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Testimonialsfrom Study Club Directors, meeting planners and

program chairpersons, continuedit is with pleasure that i write this recommendation for dr. colin richman. he gave an excellent presentation to our dental study club. during his three-hour lecture he presented a plethora of complex cases, and demonstrated superior knowledge of wound healing. the cases consistently displayed pride in his work, a meticulous attention to detail, and superior treatment skills. his superlative effort made him an invaluable asset to the study club, and earned him the highest accolades from the members.Dr.Richman’sintellectualacumenandamicablepersonalitywillallowhimtoenhancetheknowledge of any group that he might lecture to. it is therefore with greatest pleasure that i give him this recommendation.

Ben Hanson, DDS, Study Club Director

a tremendous thanks to you for the wonderful program you put on for accelerated dental studies. Ihavealreadyhadnumerouscommentsastothequalityandintegrityofyoursubjectmatter.Thegenesisofyourmaterialisthatthesetypesofprogramsaredifficulttofindforourmembers,andIfeelyou have provided a most needed service to all of our members. the fundamental teamwork concepts that you presented and reviewed with the members helped them clarify and redirect the mission of the members’respectivepractices.Yourinformationshouldbeanecessaryfoundationforeveryentry-levelstudyclubintheSeattleStudyClubnetwork.Itwillalsoserveotherclubsaswellasa‘refresher’tutor for the foundational concepts many club members tend to lose with time and practice maturity.

P. L. Parham, Jr., DDSMS Director, Accelerated Dental Studies Study Club

IreallyenjoyedyourlectureattheNDDSmeetinglastWednesday,astheinformationyoupresentedwasverythoroughandtothepoint.Iwouldliketoinquireaboutyouravailabilityandinterestinpresenting the same lecture to the chattahoochee study club.

P. Nagode, DDS Program Chair

Testimonialsfrom Dentists and Hygienists

Colin,yourpresentationofPAOOgetsbettereveryyear!KUDOS!VB, Orthodontist

Theprogrammetmyexpectations.WellDone!RW, General Dentist

what an absolutely stimulating program you gave us on saturday; well organized, great slides and photography and thought-provoking commentary. this was the best new idea i have seen over the past ten years.

JD, Orthodontist

JustanotetoletyouknowIreallyenjoyedthepresentationlastnight.Itwasveryinformativeandinteresting.

LP, General Dentist





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Testimonialsfrom Dentists and Hygienists, continued

Reallyinterestinginformation–willseewhereIcanincorporateitinpractice.MO, General Dentist

BestdinnermeetingI’vebeentoforages.Reallygotmethinking.TL, Periodontist

the information is much appreciated and well presented.HE, General Dentist

the program exceeded my expectations. great presentation. something actually new.WW, General Dentist

WOW!Openedmyeyestotheortho/perio/recessiondilemma.KM, Hygienist, Virginia

Allnewtome,soveryinteresting.Verywellpresented.Asahygienist,Ifeltyourpresentationwasverycomprehensive,easytofollowandthefirsttimeinmanyyearsthatIhavecomeawaywithawholeday of new information.

MC, RDH

Thanksforanenjoyableandveryinformativeday–subjectconceptswereenough,wherecomemonday morning, Icanbegintoincorporatetheseideasintothewaywepractice,forourpatients’benefit.

LP, RDH, Minneapolis

Subjectwasveryinteresting–gavememuchforthought.RDH, Ohio

i liked the treatment planning session; it was invaluable.RDH, Atlanta

Enjoyedtheinformationpresented.Itwasnewtousandisveryimportant.Theafternoontreatmentplanningsessionshowedusjusthowharditistofindtherightoptions.

JL, RDH, Seattle

excellent presentation, lots of useful information, especially wilkodontics. thank you.RDH, Atlanta

thank you for an exciting and informative course. You kept my attention all day and i felt i learned a lot today. You make it easy to understand.

MS, RDH, Minneapolis

Notyourfault,butIamahygienistwhocamewithouthergeneraldentist.Weallneedtobeonboard!Ishouldbeabletoworkwithselectedpatientsongettingthemtotheperiodontistandorthodontist–Iworked for a periodontist for 5 years.

CG, RDH, Minneapolis

great speaker, excellent material, very enlightening, very informative. program exceeded my expectations.

HT, RDH

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COLIN RICHMAN · 2020-04-14 · PERIODONTICS • ORAL MEDICINE • DENTAL IMPLANTS • SFOT Diplomate, American Board of PeriodontologyDiplomate, American Board of Periodontology