Implant Tribune U.S.

Computer planned and guided implant surgery / Implant News / Computer planned and guided implant surgery (Continued from page 1) / Patient’s own stem cells are harvested and transplanted into jaw / Technology / About relationship-based dentistry: the 21st century formula for success / SimPlant Academy offers educational courses / BioHorizons to host its Global Symposium / Osteogenics’ symposium focuses on grafting / Industry / Products

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IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition

APRIL 2009

www.implant-tribune.com

Computer planned and
guided implant surgery

VOL. 4, NO. 4

ICOI in Philadelphia

By Pankaj P. Singh, DDS,
Diplomate ICOI and ABOI/ID

Fig. 1: Cross-section view #14 site demonstrating the need for a sinus lift.

In May, the ICOI and Temple University College of Dentistry will co-host a spring implant
symposium at the Downtown Marriott Hotel in Philadelphia.

Event to focus on
‘Implant Restorative
Science: The Good,
The Bad, The Beauitful’

Fig. 2: Galileos by Sirona used to acquire the
scan for implant planning with the patient wearing the scan stent.
guides provide a reasonable estimation of the implant position for the
prosthetic rehabilitation. The major
limitations of these surgical guides
was the surgery was often accom IT page 6

Dental Tribune America
213 West 35th Street
Suite #801
New York, NY 10001

The use of three-dimensional
radiography and imaging (Computed Tomography {CT}, Magnetic Resonance Imaging {MRI}) has been
used for more than four decades in
medicine.
It has aided in increasing the
accuracy of identification of vital
anatomic structures and the
pathologies associated within them.
This advanced technology has
also prompted the development of
protocols whereby surgical intervention can be planned on three-dimensional virtual computer animation or
physical anatomic models. Today,
computer-guided and robotic surgery in the most dangerous parts of
the body such as the brain, spine and
heart are routinely performed with
great success and predictability.
In dentistry, the introduction of
3-D radiography more than a decade
ago has made it easier for the clinician to identify, study and plan a
course of therapy to treat the area of
disease or defect with increased precision (Fig. 1).
In addition, the introduction of
office-based cone beam volumetric
tomographic (CBVT) machines in
1999 came together with the
advances in surgical planning software. This software comes either as
a third party or as native to the
image acquisition and viewing software included with the imaging
hardware and has made implant
therapy predictable and accurate
(Fig. 2).
Traditional model-based surgical

From May 7–9, the International Congress of Oral Implantologists (ICOI) and Temple University College of Dentistry will co-host
a spring implant symposium at
the Downtown Marriott Hotel in
Philadelphia.
The theme for this meeting, as
designed by Dr. John T. Green of
Dayton, Ohio, is “Implant Restorative Science: The Good, The Bad,
The Beautiful.” The symposium is
also being hosted by ICOI’s Component Auxiliary Society, the
Association of Dental Implant
Auxiliaries (ADIA).

Topics to be covered in the general session are: how to manage
the gap; minimally invasive surgery; analysis of tooth size; space
size issues; gingival architecture
solutions; improvement of doctor/patient/lab communications;
implant maintenance issues;
i-Cat analysis; treatment for
peri-implantitis; ortho-implant
realities; immediate provisionalization; CAD/CAM realities; occlusion; abutment selections and
complications.
Here are some highlights of the
program:
• Dr. William Becker: Implant
Restorative
• Dr. Ernesto A. Lee: Implant
Supported vs. Tooth Supported
IT page 24

PRSRT STD
U.S. Postage
PAID
Permit #198
Mendota, IL

[2] => ITUS_Title_MS

Implant News

IMPLANT TRIBUNE | April 2009

AAID hails Florida court verdict allowing
advertising of bona fide dental credentials
A Florida judge has ruled that a
state law restricting how dentists
can advertise credentials issued by
bona fide professional organizations
is unconstitutional and violates the
First and Fourteenth Amendments of
the U.S. Constitution.
The American Academy of
Implant Dentistry (AAID) said today
the verdict is a victory for consumers
evaluating the qualifications and
experience of dentists who perform
implant procedures and for practitioners entitled to promote their credentials to the public.
“We are very pleased with this
decision recognizing the rights of
dentists with bona fide credentials to
advertise them to the public without
negative disclaimers and offer consumers valid information from
which they can evaluate qualifications of dentists in their communities,” said AAID President Beverly
Dunn, DDS. “Also, the decision
noted that AAID and other dental
organizations provide substantial
training that enhances proficiency
and competency and benefits consumers as well.”
At issue was a Florida statute pre-

venting advertising of membership
in or credentials earned from any
dental organization not recognized
by the Florida Board of Dentistry
(FDB). Florida’s dental board only
recognizes specialty credentials
issued by the American Dental Association (ADA).
Therefore, implant dentists who
wanted to advertise their AAID credentials had to include an onerous
disclaimer that implant dentistry is
not a recognized specialty of ADA or
the FDB and that AAID is not a recognized specialty accrediting organization.
The case stemmed from multiple
challenges to the constitutionality of
the Florida statute by dentists with
credentials from AAID, the Academy
of General Dentistry and the American Academy of Cosmetic Dentistry.
Circuit Court Judge Frank E.
Sheffield ruled in favor of the plaintiffs on April 3.
“The Court found that these
advertising restrictions were unconstitutional on many grounds. They
violated the Florida constitution’s
guarantee of the right to be rewarded for industry or professional

achievement and First and Fourteenth Amendment rights of free
speech and equal protection of the
law,” said Frank. R. Recker, DDS, JD,
AAID’s chief counsel.
Dunn added that the Florida decision establishes a strong precedent
that could form the basis for challenging advertising restrictions in
other states, if necessary.
“Demand for dental implants is
rising, and more dentists need comprehensive training to become highly skilled at implant procedures,”
Dunn said. “Attending a weekend
course isn’t enough. There is a higher level of risk with the procedure if
the dentist has limited experience.”
AAID offers a rigorous implant
dentistry credentialing program that
requires at least 300 hours of postdoctoral instruction in implant dentistry, passing a comprehensive
exam and presenting to a group of
examiners successful cases of different types of implants.
It is one of the most comprehensive credentialing programs in dentistry.
(Source: AAID)

IMPLANT TRIBUNE
The World’s Newspaper of Implantology · U.S. Edition

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Torsten Oemus
t.oemus@dtamerica.com
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Robin Goodman
r.goodman@dtamerica.com
Editor in Chief
Sascha A. Jovanovic, DDS, MS
sahara@jovanoviconline.com
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s.rendon@dtamerica.com
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Fred Michmershuizen
f.michmershuizen@dtamerica.com
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k.colker@dtamerica.com
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Dental Tribune America, LLC
213 West 35th Street, Suite 801
New York, NY 10001
Phone: (212) 244-7181, Fax: (212) 244-7185

Published by Dental Tribune America
© 2009, Dental Tribune International
GmbH. All rights reserved.

Dental Tribune makes every effort to
report clinical information and manufacturer’s product news accurately, but
cannot assume responsibility for the
validity of product claims, or for typographical errors. The publishers also
do not assume responsibility for product names or claims, or statements
made by advertisers. Opinions
expressed by authors are their own
and may not reflect those of Dental
Tribune International.

Editorial Advisory Board
Dr. Sascha Jovanovic, Editor in Chief

Dr. Bernard Touati
Dr. J.T. Krauser

Dr. Andre Saadoun

Corrections

Implant Tribune strives to maintain
the utmost accuracy in its news and
clinical reports. If you find a factual
error or content that requires clarification, please report the details to
Managing Editor Sierra Rendon at
s.rendon@dtamerica.com.

Dr. Gary Henkel
Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
Dr. Axel Zoellner
Dr. Glen Liddelow
Dr. Marius Steigmann

[3] => ITUS_Title_MS

[4] => ITUS_Title_MS

Implant News

IMPLANT TRIBUNE | April 2009

Iacono heads slate of AO’s
newly-elected officers
Vincent J. Iacono, DMD, Stony
Brook, N.Y., was elected president of the Academy of Osseointegration (AO) during the organization’s annual business meeting
in San Diego. He succeeds former
Academy President Steven G.
Lewis, DMD, Cincinnati.
Newly elected members of the
AO Board of Directors with Dr.
Iacono are:
• President-elect: Peter K. Moy,
DMD, Los Angeles;
• Vice president: Kenneth F.
Hinds, DDS, Laguna Niguel, Calif.;
• Secretary: Stephen L. Wheeler, DDS, Encinitas, Calif., and;
• Director: Jay P. Malmquist,
DMD, Portland.
Dr. Iacono is distinguished
service professor and chairman,
Department of Periodontology,
School of Dental Medicine, Stony
Brook University. He is also
director of the school’s Advanced
Education Program in Periodontics, and associate dean of Postgraduate Programs.
Iacono co-chaired the academy’s landmark 2006 Workshop
on the State of the Science of
Implant Dentistry. He has served
on the Board of Directors since
2000, including terms as AO president-elect, vice president and
secretary.
Iacono had been active on
many AO committees, including
the Council on Research and the
Predoctoral Education Forum
Committee. He also served on the
Osseointegration
Foundation

Vincent
J. Iacono

Board of Directors. In addition,
Iacono is former president of the
American Academy of Periodontology (AAP).
Iacono completed his dental
degree and earned a certificate in
periodontology and oral medicine at Harvard University School
of Dental Medicine. He then
received
a
certificate
in
immunology from the Forsyth
Institute, Boston.
With more than 6,000 members in 70 countries around the
world, the AO is the world’s leading dental implant organization.
Its goal is to advance the field
of osseointegrated implants by
fostering collaboration between
representatives of different dental disciplines — oral surgery,
periodontics, prosthodontics and
general practice — through clinical and evidence-based research
and education.
For more information, visit
www.osseo.org.
(Source: Academy of
Osseointegration)

Prosthodontist William Laney
receives 2008 Nobel Biocare
Brånemark Osseointegration Award
William R. “Bill” Laney, DMD, MS, terms at the helm. He was named
of Rio Verde, Ariz., received the Nobel AO’s first Fellow in 1991, and was
Biocare Brånemark Osseointegration presented with the Distinguished
Award during the 2009 Annual Meet- Service Award — AO's highest honor
— in 2006.
ing of the Academy of
“The academy was a
Osseointegration (AO)
group effort. That said,
Feb. 26, at the San
Bill Laney pulled it
Diego Convention Centogether,” recalled Dr.
ter.
Charles L. Berman, coThe award recogfounder of the study
nizes an individual’s
group
that
would
impact on, and leaderbecome the AO. “The
ship in, the field of
academy would never
osseointegration. It is
have happened without
presented
by
the
his cohesive leadership.”
Osseointegration FounLaney was also the
dation — AO’s charitaWilliam R. ‘Bill’ Laney
first editor in chief of
ble wing — and funded
by a five-year, $2.5 million donation IJOMI, a position he held for 20
years.
by Nobel Biocare.
In addition to his service to AO,
“The foundation is proud to present this award recognizing Dr. Laney Laney also served as president of the
for his outstanding educational Federation of Prosthodontic Organiresearch contributions, international zations, the Academy of Prosthodonclinical leadership, and distinguished tics, the American Board of Prosthocharacter,” Foundation President Dr. dontics, the American Academy of
Fraya Karsh, New York, N.Y., Maxillofacial Prosthetics and the
American Cleft Palate Association.
explained.
Laney earned his dental degree
“The Nobel Biocare Brånemark
Osseointegration Award is the highest from the University of Oregon Dental
honor bestowed by the foundation. It School, Eugene, Ore., a certificate in
is fitting that Bill Laney, considered by prosthodontics from the VA Medical
many to be the pre-eminent prostho- Center, Iowa City, Iowa, and a masdontist of his generation, is this year’s ter’s of science degree from the Unirecipient,” said Dr. Steven E. Eckert, versity of Iowa.
Recipients of the Nobel Biocare
former AO president and editor in
chief of AO’s journal, The Internation- Brånemark Osseointegration Award
al Journal of Oral & Maxillofacial are selected by a committee composed of the immediate past presiImplants (IJOMI).
Laney played an essential role in dents of both the Academy and
the Academy’s founding in the mid- Osseointegration Foundation, and
1980s. Members elected him AO's osseointegration pioneer Dr. Per-Ingfirst president in 1986, and he is the var Brånemark, Göteborg, Sweden,
only academy member to serve two after whom the award is named.

[5] => ITUS_Title_MS

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Clinical

IT page 1

plished with flaps and the surgeon
didn’t have an accurate estimation of
the hard tissue present, especially
the width, until the bone was
exposed during surgery. This often
led to surprises for both the surgeon
and the patient, resulting in implants
being placed that were under-engineered for the load or implants that
later could not be restored esthetically, leading to compromised results
(Figs. 3–7).
Computer-based implant planning and placement allows for creation of an exact replica of the jawbone on the computer screen,
allowing visualization of all the vital
structures such as nerves, sinuses,
nasal floor, proximal teeth and concavities like the one below the mylohyoid ridge in the posterior
mandible (Figs. 8a, b). Thus, practitioners can safely avoid these structures when planning and ultimately
placing
the
implants
using
CAD/CAM generated surgical guides
(Figs. 9–11).
With computer-guided placement
of dental implants, there is no guesswork or surprises and most surgeries can be performed with a flapless
technique (Figs. 12a–c). In case augmentation procedure has to take

IMPLANT TRIBUNE | April 2009
place, flaps can be reflected to access
those sites and the implants provisionalized immediately (Figs. 13a–c).
This conservative approach drastically diminishes postoperative pain,
recuperation and healing time. The
patient leaves the surgeon’s office
esthetically restored and pleased
with the ease at which such a complicated surgery was accomplished.
The guided surgical treatment is
based on guided keyhole surgery
that is minimally invasive. This
reduces pain and swelling considerably for the patient compared to conventional treatment. This technique
also reduces the number of appointments and chair time for the patient.
For many patients this means a
considerable time and cost savings.
The combination of immediate
esthetic rehabilitation and function
with temporary or final prosthesis
ready at surgery radically shortens
the overall treatment time and
inconvenience to the patient. The
computer-based surgical guides
allow the implant surgeon to implement the planning with high precision and predictability. The use of a
drilling template saves valuable
chair time, and is a significant cost
savings to the patient. The precision
of a drilling template cannot be

Fig. 3: Three short Nobel Biocare implants in
the posterior mandible placed freehand. The
patient was referred to our practice for the
restoration of these implants.

Fig. 4: Occlusal view of the impression copings
attached to the malaligned implants.

Fig. 5: Frontal view of the impression copings.

Fig. 6: Buccal view of the lingual inclination of
the two posterior implants.

Fig. 7: Radiograph of the finished prosthesis.
Because of the severe misangulation of the individual implants as well as in relationship to each
other, margins couldn’t be closed.

Fig. 8a: Implant planning report generated by
Galileos Implant, which can be communicated
and shared with the entire implant team as well
as with the patient. It effectively communicates
the rationale for augmentation procedures and
the anatomy involved.

IT page 8

Fig. 9: Surgical Guide fabricated by SiCat of
Sirona for a single implant.

Fig. 8b: Cross section of the posterior mandible
showing the mylohyoid ridge and the lingual
concavity and the thin buccal alveolar cortex
and atrophy.
Fig. 11: Galileos surgical guide for a fully edentulous lower arch.

Fig. 10: Galileos surgical guide for multiple
implants for a partially edentulous site.

Fig. 12a: Flapless, tissue punch approach for
placement of a BIOMET 3i Osteotite 5.0X13 mm
implant #14 with simultaneous sinus lift.

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8

Clinical

Fig. 12b: Periodontal probe used to
mark the center for the the tissue punch
needed to expose the osseous crest.

Fig. 12c: Flapless approach to placement of implant
#14 and an internal socket sinus elevation with Cerasorb-alloplast grafting material mixed with PRP.

IMPLANT TRIBUNE | April 2009

Fig. 13a: Three Camlog implants were used to
replace missing teeth #18,19. The placement was
guided but flaps were reflected to augment the buccal ridge around the two distal implants using Cerasorb alloplast and Epiguide membrane.

Fig. 13b: Radiograph of the Camlog implants confirming their position.

AD

Fig. 13c: Four Neoss Implants were placed using
a surgical guide; flap was reflected for guided
bone regeneration using Cerasorb alloplast and
Inion membrane to augment the ridge around
the implants.

Fig. 14a: Physical examination to evaluate for
prosthetic restorability and health of the surrounding area.

Fig. 14b: Intra-oral radiographs help rule out
any pathologies present and preliminary space
analysis for implant placement.

Fig. 15a: A stone model of the partially edentulous mandible.

[9] => ITUS_Title_MS

Clinical

IMPLANT TRIBUNE | April 2009
IT page 8

reproduced with the freehand
method whether the task involves
restorations of individual teeth or
more extensive and elaborate
implant planning.
Obtaining maximum certainty
and safety through exact planning
and precise implementation with a
computer-based keyhole drilling
template is both judicious and good
patient care.
There are several implant planning software programs available,
including: Galileos Implant from
SiCat of Sirona, Procera from NobelBiocare and SimPlant from Materialise Dental, among others. All systems utilize a double scan technique
for the evaluation of the implant site,
planning the surgery and fabrication
of the surgical guides.
When the patient consents to
implant therapy, the restorative or
surgical doctor first clinically evaluates the surgical area (Figs. 14a, b)
and then refers the patient. If the clinician feels that there is adequate
bone volume present to place the
implant/implants in the proper position for acceptable esthetic and functional load, then an initial scan is not
required.
Once the scan has been acquired,
the preliminary implant planning

Figs. 15b, c: Prosthetic mockup in acrylic mixed with 25 percent barium sulfate of a partially edentulous mandible (left) and a single tooth edentulous site (right).

Figs. 15d, e: Radiographic scan guide for implant planning of a partially edentulous mandible
(left) and a single tooth edentulous site (right).
can begin. The scan will aid in determining the amount of bone volume
present to achieve primary implant
stability, and the grafting required to
augment the surgical site at the time

of surgery. The implant planning can
be easily shared with the entire
implant team, including the patient,
with the visual aid of the scan and
computer. If it is determined from

the scan that there is not enough
bone volume to place the implant,
then significant alteration in the
existing anatomy is required prior to
implant placement.
After implant planning, the
patient is ready for a workup for the
surgical guide fabrication. Study
models are made (Fig. 15a) and the
prosthetic laboratory will wax-up
anatomically accurate teeth or a
prosthesis as per the treatment plan.
The technician will then convert the
wax-up into an acrylic prosthetic
replica of the final restoration made
of a 25 percent barium sulfate and
acrylic mixture and embed the replica in a clear retainer (Figs. 15b, c)
attached to a scan template (radiographic or scan guide) (Figs.
15d, e) to be worn by the patient during a scan to be used for the final
implant planning (Fig. 16a).
The scan template has fiduciary
radiopaque markers that allow for
accurate mounting of the stone
model with the scan guide into the
CAD/CAM milling machine that
marks, drills and inserts the key hole
sleeves into the scan guide, converting it into a surgical guide (Fig. 16b).
Following the simple process of
marking the nerve canal and identifying vital proximal structures, the
IT page 10
AD

[10] => ITUS_Title_MS

Clinical

IMPLANT TRIBUNE | April 2009
IT page 9

Fig. 16a: Intra-oral positioning of the radiographic scan guide in the patient’s mouth.
AD

software offers the possibility of
selecting from a wide variety of realistic implants from most implant
manufacturers, and in a situation
where a manufacturer has not provided the appropriate codes to the
software company, the clinician can
select a generic implant body and
define the length as well as the apical and occlusal diameters.
The implant planning report
along with the virtual implant placement, recorded on a CD-ROM, and
the cast of the jaw where the
implants are going to be placed are
sent to the surgical guide manufacturer who will utilize CAD/CAM to
fabricate a surgical guide with the
appropriately sized sleeves embedded in the exact locations of the

Fig. 16b: Panoramic view of the scan guide in
place with a virtual implant placed in the area
of the missing tooth #14. Notice the radiopaque
fiduciary round markers occupying the interocclusal space.

planned implants to accommodate
the initial pilot drill of the implant
system that will be used or with
the sleeve-in-sleeve design for the
entire surgery, including the insertion of the implant through the
guide. The process is usually
uneventful and the postoperative
recovery is speedy.
By easily integrating the intuitively designed implant planning software into your implant practice, and
utilizing a computer-generated surgical guide, the implant surgeon can
achieve an easy, safe and predictable
approach to implant planning and
implant surgery.
The author wants to thank Dr.
Jerome Kaufman, DDS (Pros.), of
LeVisage Cosmetic & Implant Dentistry for his invaluable input and
contribution toward the development
of this article.

About the author

Dr. Pankaj Singh is the founder of Arch
Dental Associates and Le Visage Cosmetic & Implant Dentistry with offices
in New York City, Huntington, N.Y., and
Garden City, N.Y. A graduate of New
York University’s School
of Dentistry,
he received
ad-vanced
training in
dental
implants at
Brookdale
Hospital and
NYU. Singh
has been in
private practice for more than 15 years, specializing in implant, sedation and sleep dentistry. He is a diplomate of the
International Congress of Oral Implantology and the American Board of Oral
Implantology. Singh received advanced
certification in I.V. and oral sedation
from Albert Einstein School of Medicine & Montifiore Medical Center. He is
a clinical instructor of advanced dentistry at New York University’s School of
Dentistry and a faculty member of the
NYU/AAID New York Maxi Course.
Singh lectures nationally and routinely
conducts live surgical courses and
workshops. Singh is the author of the
third edition of Atlas of Oral Implantology, published by Elsevier and scheduled for release in November.

[11] => ITUS_Title_MS

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Patient’s own stem cells are harvested
and transplanted into jaw
12

Clinical Interview

IMPLANT TRIBUNE | April 2009

By Fred Michmershuizen, Online Editor
Dr. Ivan Ho, a Southern California-based dentist and founder of
Platinum Dental, recently performed
a concentrated stem cell transplant
for one of his patients who is in need
of implants.
The innovative procedure, called
a bone marrow aspirate concentration (BMAC), is reported to be the
first on the West Coast and only the
second in the United States to be performed. Ho harvested and transplanted stem cells from the patient’s
own bone marrow into the jawbone
to create a dense bone structure to
which a dental implant can later be
permanently set.
The procedure was conducted on
March 23 at Platinum Dental in Rancho Santa Margarita, Calif.
The process involved the harvesting of the stem cells through a small
incision in the hip bone of the
patient, Jason Morgan, the morning
of the procedure. Using a centrifuge,
Ho isolated and concentrated Morgan’s stem cells from the plasma and
transplanted them into the patient’s
jaw and then added an allograft.
During a telephone interview with
Dental Tribune after the procedure,
Ho explained that the stem cells will
work with the surrounding tissue to
eventually generate healthy, dense
bone tissue to which the dental
implant can be permanently
attached.
The ultimate goal with this procedure, Ho explained, is to find better,
new ways of growing bone.
“The stem cells will allow for better quality bone growth and better
healing,” he said.
Stem cells have been used for
many years by neurosurgeons and
orthopedic surgeons to generate
bone for procedures such as spinal
and tibia fusions. Now, Ho is applying
the stem cell transplant procedure to
dental applications to provide an
option for patients who may not have
previously been candidates for a
tooth implant because of poor jawbone density.
Ho described the outpatient procedure as minimally invasive and
relatively painless and said that it
takes between one and three hours
to perform. He said it should provide
faster healing, less pain and better
results than other implant procedures.
“This minimally invasive procedure is an innovative, advanced longterm alternative to existing tooth
replacement options such as dentures, bridges and even traditional
bone grafting procedures,” Ho
explained. “In addition to providing
better and faster healing, the transplantation of the patient’s own stem
cells enables the body to increase

bone growth in the jaw through
angiogenesis to permanently support
the dental implant.
“Because the use of dentures and
bridges carry a high risk of problems
in many cases resulting in gum disease, tooth decay and the loss of
viable teeth, additional costly surgical procedures are necessary, where
dental implants are the most natural
solution and provide the best longterm results.”
For more than 18 years, Ho has
been practicing dentistry out of his
Platinum Dental offices in California.
He has been described as a pioneer
in improving the present state of

dentistry, primarily by using the most
sophisticated, patient-friendly ways
of delivering advanced dental care.
Ho received his degree in dentistry from the University of Southern
California and is a member of more
than 10 professional dental societies.
He achieved diplomat status from the
International Congress of Oral
Implantology, graduated from the
MISCH Implant Institution, and
received mastership training at the
Las Vegas Institute (LVI) for
Advanced Dental Studies. Ho is also a
fellow in the American Academy of
Implant Dentistry. He offers the latest
technology to his patients, and he is

one of the few dentists in Orange
County, Calif., to offer the PRP
(platelet rich plasma) procedure.
Platinum Dental, with two locations in South Orange County, Calif.,
is a dental practice consisting of a
team of highly trained and skilled clinicians devoted to restoring and
enhancing the natural beauty of
smiles using state-of-the-art procedures. Platinum Dental provides
comprehensive treatment planning
and uses restorative and cosmetic
dentistry to achieve optimal dental
health for its patients.
For more information, visit
www.platinumdental.net.

[13] => ITUS_Title_MS

[14] => ITUS_Title_MS

Technology

IMPLANT TRIBUNE | April 2009

BIOMET 3i introduces zirconia abutment
Clinicians can now provide beautiful, all-ceramic restorations with
BIOMET 3i’s new Encode Zirconia
Abutment.
Offering the translucency desired
for the esthetically demanding
anterior region of the mouth, the
Encode Zirconia Abutment can
be used for single and multiunit, cement-retained, all-ceramic
restorations.
Instead of an implant level
impression, clinicians make a direct
impression of the Encode Healing
Abutment. Codes embedded on the
occlusal surface of the healing abutment communicate the implant
depth, hex orientation, platform
diameter and interface.
An impression of the Encode
Healing Abutment and the opposing
arch, along with a bite registration
and the shade selection, are the only
information the laboratory needs to
deliver a patient-specific final
restoration.
The laboratory prepares the case
and ships it to BIOMET 3i’s
ARCHITECH PSR ® Department,
where dental technicians design
and mill the final Encode Zirconia
Abutment to the desired specifications.
Simultaneously, design data is
AD

BIOMET 3i’s new Encode
Zirconia Abutment

APRIL

Endodontic Instrumentation at the
Speed of Thought
Dr. John T. McSpadden

Thursday, April 23, 2009 7:00 – 8:30 pm EST
Learn to design and accomplish root canal
LQVWUXPHQWDWLRQ LQ WKH PRVW HIÀFLHQW PRVW
effective manner with the least risk for
instrument failure.

The Anatomy of a Patient-Friendly
Website (Part 3 of 6)

07 Mary Kay Miller
MAY

Thursday, May 07, 2009
7:00 – 8:30 pm EST
Attract, Engage, and Direct Prospective New
Patients To Your Front Door.

sent to the Robocast Center for
robotic analog placement and

creation of the gingival emergence in the original Encode
Cast.
The abutment margin, contour,
taper and emergence profile are
custom crafted with consideration to
the surrounding gingival architecture and dental structures. The
result is a custom-milled, anatomically designed, final Encode Zirconia Abutment.
After receiving the case from BIOMET 3i, the laboratory places the
abutment onto the Robocast, fabricates the restoration using the allceramic system of choice and
returns the case to the clinician for
delivery.
The Encode Zirconia Abutment
offers angle correction up to 30
degrees and is available in MicroMiniplant™, 4.1 and 5 mm Certain®
Implant restorative platforms.

About BIOMET 3i
BIOMET 3i is a leading manufacturer of dental implants, abutments
and related products. Since its
inception in 1987, BIOMET 3i has
been at the forefront in developing,
manufacturing and distributing oral
reconstructive products, including
dental implant components and
bone and tissue regenerative materials.
The company also provides educational programs and seminars for
dental professionals around the
world. BIOMET 3i is based in Palm
Beach Gardens, Fla., with operations
throughout North America, Latin
America, Europe and the Pacific
Rim.
For more information, call
(800) 443-8166 or (561) 776-6700, or
visit the company’s Web site at
www.biomet3i.com.
(Source: BIOMET 3i)

Death of a Sales Man;
Birth of The Helping Professional

Barry, C.M.C., R.R.D.H.
12 Peter
Tuesday, May 12, 2009 7:00 – 8:30 pm EST
MAY

Discover new strategies for communicating
with your patients in a more buyer-based,
service-focused and solution driven way. Boost
your ability to inspire patient interest in our
services; by learning to more effectively speak
our patient’s language.

Increase Net Revenue, Foster
(PSOR\HH &RQÀGHQFH

19 Michael Moore
MAY

Tuesday, May 19, 2009
7:00 – 8:30 pm EST
The Five Keys to Effective Employment
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Video – Today’s Most Powerful
Patient Magnet (Part 4 of 6)
Kay Miller
09 Mary
Tuesday, June 09, 2009
JUNE

7:00 – 8:30 pm EST
Video not only entertains, it fully engages
your target audience when educating patients
and delivering your marketing message both
LQWHUQDOO\ LQ WKH RIÀFH DQG RQOLQH WR WKH
community.

Web 2.0 Marketing (Part 5 of 6)

02 Mary Kay Miller
JULY

Thursday, July 02, 2009
7:00 – 8:30 pm EST
What Is It… and Is Social Networking The Right
Marketing Tool For You?

[15] => ITUS_Title_MS

Sterngold’s Mini ERA Implant System

IMPLANT TRIBUNE | April 2009

The ERA Implant System for provisional and permanent applications
combines the extremely popular ERA
Overdenture Attachment with a narrow
diameter (2.2 mm or
3.25 mm), self-tapping implant used to
protect an osseous
graft site and to
immediately stabilize a complete denture on a temporary
or permanent basis.
Patients’ desire for shorter treatment
periods have stimulated clinicians to
explore immediate loading of dental
implants. The loss of natural dentition
and conversion to a removable prosthe-

Nobel
now on
iTunes U
Nobel Biocare announced it is
now making free training and educational material available to dentists, dental specialists, students and
patients on its new site found on
iTunes U on the iTunes Store. Nobel
Biocare is the first med-tech company to have its own presence on
iTunes U.
T&E (Training & Education) is
one of Nobel Biocare’s main
strengths. One of the key trends in
education on which Nobel Biocare
wants to continue to build its reputation is the rapid development of elearning.
Found in the “Beyond Campus”
section of iTunes U, Nobel Biocare’s
Training & Education program will
provide easy, state-of-the-art ondemand e-learning. Beginning now,
users can search and download
training and education material
directly from the site, and then
experience it on their Mac or PC, or
sync with iPod or iPhone to learn
anywhere, anytime.
Nobel Biocare already maintains
T&E partnership agreements with
24 leading dental universities
worldwide through its University
Partner Program, a peer-to-peer
collaboration that assists academic
dental institutions to integrate the
latest crown, bridge and implant
coursework into their undergraduate programs.
Domenico Scala, CEO Nobel Biocare: “Nobel Biocare on iTunes U
demonstrates our commitment to
sharing our broad experience in
T&E with the next generation of
dental professionals. iTunes U provides an innovative way for us to
engage millions of students and
dental professionals with state-ofthe art dental education.”
(Source: Nobel Biocare)

sis supported by implants requires a
healing and/or accommodation phase,
which can be psychologically and physically stressful. Providing patients with
stable, esthetic and functional overdentures that are supported by transitional
implants can help to alleviate many of
these issues and allow for the surgically altered jaw to heal in an uncomplicated process.
This new concept using the ERA
Implant System enables the clinician to
provide an immediately stabilized and
loaded prosthesis on the same day as
implant placement, giving the patient
both function and esthetics.
It is particularly useful on a temporary basis when placed between tradi-

Technology 15

tional implants to stabilize a denture
and provides a vertical stop while function occurs during the healing period to
protect an osseous graft site.
The 2009 Mini ERA Implant lecture
and hands-on series will take place in
various cities across America. This program will include clinical work demonstrating many of the varied uses of
the ERA Implant System; from immediate to delayed loading, on a temporary
basis, using the 2.2 mm and the
3.25 mm ERA implants.
For more product and training
course information, call (800) 243-9942
or visit www.sterngold.com.
(Source: Sterngold)

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[19] => ITUS_Title_MS

IMPLANT TRIBUNE | April 2009

Practice Management 19

About relationship-based dentistry:
the 21st century formula for success
By Peter Barry
The 21st century is such an amazing time to be in our wonderful profession. From a technical standpoint
we’ve got better diagnostic tools, better materials, and greater clinical and
theoretical knowledge. Today, we are
a much more experienced profession
with diversely trained clinicians.
Compare this to how society saw us
just 25 years ago when the services
patients expected to receive could be
grouped into one of five most common categories — drill, fill, pull, dentures, cleaning. In those days, the use
of dentistry generally occurred when
someone was experiencing a problematic dental condition that he or
she could no longer ignore or live
with.
The interaction in the office tended
to be very generic, subservient and
somewhat routine: Patients walked
into the office clutching their wallets
tightly while waving the almighty
insurance booklet in the air. “Here’s
my problem, Doc, what is the minimal
thing you can do to fix it that will be
covered by my insurance? And could
you please keep the pain down to a
minimum?”
This preamble was usually followed by the patient reluctantly passing the baton to the dental practitioners, at which point we proceeded to
put the patient through a very clinical
and somewhat routine system of diagnoses and treatment delivery. It was a
very technical, un-emotional and
generic process that locked dentistry
into an insensitive, disconnected and
reparative image.
The good news today is dentistry is
undergoing a major transformation in
the way we do business and serve our
patients. The entire dental community — including labs, distributors, manufacturers and service companies —
are one by one re-packaging (rebranding) their products and services
into a more customer friendly, human
touch experience. Today, we live in a
service-based economy. Business
begins and ends with people. The
average dental consumer expects
quality and service delivered in an
honest, caring and compassionate
environment.
When people make a decision to
accept your dental care they are actually making a decision to accept you.
“You” the person, not “you” the dentist. The patient’s relationship with
you and your entire team is the most
important element in a successful
practice.
Patients are committed to us, not to
our facilities, our clinical procedures
or our instruments. The difference
between good dentistry and great
dentistry will never be as clear to
them or impress them as much as a
good relationship with you will.
Their commitment to your busi-

ness will primarily be based on how
you make them feel while they are in
your presence receiving your care.
Simply put, people may forget what
you said and what you did, but people
will never forget how you made them
feel, and this memory will linger long
after they have forgotten which tooth
you crowned.
Let’s face it, as people and as dental patients it is our basic human
nature to want to feel genuinely
respected and cared for, especially
when it comes to placing our health

and quality of life in the hands of professionals. The challenge for our profession is that with all the technical
learning and training dentists receive,
something begins to get lost and fade
away. While vigorously pursuing clinical excellence, is it possible that we
begin losing sight of the person
attached to the teeth?
After years of coaching (consulting) dental teams and individual clinicians, it is my experience that our
communication can very often appear
cold and disconnected to people

because it is delivered in a very technical manner devoid of emotion and
humanity.
As a profession, if we are to succeed in altering the old-school negative paradigms society holds about
dentistry then we must begin to look
beyond the instruments we are holding in our hands.
In our hands, we are in fact holding
the life and feelings of the person
attached to the teeth. Patients are fil IT page 20
AD

[20] => ITUS_Title_MS

Attend Peter Barry’s Webinar!
At 7 p.m. (EST) May 12, Peter Barry will offer a
one-hour Webinar, Death of The Sales Man, Birth
of The Helping Professional, followed by a realtime question and answer session. This exciting
seminar will walk you through strategies step-bystep for inspiring patient interest in the services you
provide. It is filled with revealing concepts and practical strategies that will enable you to engage your
patients’ hearts and imagination in a deeper way.
Discover new strategies for communicating with
your patients in a more buyer-based, service-focused
and solution-driven way. Attendees will leave with
an enhanced ability to inspire patient interest in their
services by learning to more effectively speak their patients’ language.
Take advantage of this opportunity to earn a unit of continuing education by
logging onto www.DTStudyClub.com and click on Online Courses to register.
Live attendees not only receive one C.E. credit, but also the benefit of being able
to review the archived presentation for the following 30 days. The Webinar fee is
$95 (USD).

IMPLANT TRIBUNE | April 2009

Practice Management
IT page 19

tering all decisions they make
through their feelings and personal
life circumstances. The time we take
to build strong personal relationships
with our patients will have a huge
impact on our overall ability to sell the
full scope of our services.
Relationships strengthen your likeability and likeability leads to case
acceptance. If I like you and show you
that I do, you’re going to have a tendency to like me in return. If you like
me, you will have a tendency to trust
me. If you trust me, you’ll have a tendency to believe the things I say. And
if you believe the things I say, you’ll
have a greater tendency to accept my
treatment advice. Likeability leads to
case acceptance and likeability can
only be developed by building strong

personal relationships with each one
of our patients. A people-centered
business feels and sounds much different from the traditional, generic,
transaction-oriented business.
We should all take a closer look at
our own practice to explore where we
stand in our human relations effectiveness. Are you merely processing
your patients through a series of
generic transactions or are you taking
the time to get to know your customers, their beliefs, their desires and
their fears? Two people can only
achieve a strong relationship by
reaching beyond the boundaries they
usually maintain between themselves
and strangers. When we reach out to
patients we begin delivering a more
connected, caring experience.
There is a buzz word being used
today to describe what we are talking
about: it is called “emotional intelligence” (EI). In our highly technological world, raising our emotional intelligence is becoming more and more
important so as to not dehumanize
the value of dentistry. Human talk, not
dental jargon, is the language your
patients will understand and feel
inspired by most.
The following is a list of things we
can do to strengthen our personal
connection and overall ability to lead
our patients:
• Before seeing your next patient,
take a brief moment to clear any clutter from your heart and mind.
• When scheduling procedures
always factor “patient connection
time” into your estimated appointment length (reconnect with your
patient on a personal level).
• Relationship building is a twoway process, which means that it’s all
right to share personal stories that
enable patients to get to know who
you are as a person.
• Be genuinely curious and interested in patients, and avoid insincere
dialogues (baby talk, overly sweet
niceness, counterfeit sincerity, superficial pleasantries, etc.).
• At the end of each patient visit
briefly ask yourself, “How connected
was my last patient to me?” To find the
answer, look into your own heart: “As
connected as I felt to them and not
much more.” Patients can feel our
sincerity and this will be mirrored
back to us through their feelings.
“Customer relations” is the main
area where we can shine in our
patient’s hearts, thereby cultivating
intense loyalty. It is the new yard stick
that will differentiate us in our
patients’ hearts. Remember, no two
practices can be virtually identical in
the people they attract, the work they
inspire, the information they pass on
or the emotions and feelings they create. It is impossible! Human beings
are too different and their interactions
in different environments only magnify those differences. We all have
walked into a company and immediately detected these forces at work.
Remember, we are not in the dentistry profession serving people; we
are in the people business providing
dentistry. Your dentistry gets you into
a game where relationships win.
Grow your business one relationship
at a time.

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[22] => ITUS_Title_MS

22

Events

IMPLANT TRIBUNE | April 2009

SimPlant Academy offers educational courses
SimPlant Academy, the educational wing of Materialise Dental, is
offering computer-guided implant
dentistry hands-on training sessions
for beginners and more advanced
users on April 24, May 29, July 24
and July 31.
Courses take place at the Materialise Dental office in Glen Burnie,
Md. There is also the opportunity to
sign up for one of the training sessions at the SimPlant Academy
World Conference in Monterey,
Calif., from June 25–27.
From scan to plan to guide, to the
ultimate Immediate Smile, the SimPlant Academy training courses
show dental professionals step-byAD

SimPlant Academy World Conference will be
held in Monterey, Calif., from June 25-27.

step how to plan and place implants
with ease and confidence thanks to
SimPlant and SurgiGuide drill
guides.
SimPlant CompatAbility means
predictable and accurate dental
implant treatment, resulting in a
more efficient and stress-free practice.
It gives dental professionals the
opportunity to plan their surgery
time more resourcefully, accept
more referrals and enjoy a higher
revenue on even the most complex
cases.
It also allows clinicians to continue working with the implant brands
and scanning equipment they

already know and use.
Phillip VanMeter, DMD, says:
“One great thing about Materialise
Dental USA is that once a month onsite training is offered at the Glen
Burnie, Md., location. I brought one
of my cases to the training session
and several doctors helped with
ideas of planning one of my first
cases with SimPlant.”
For more information and regiscall
(888)
327-8202,
tration,
ext. 117, or send an e-mail
to
matt.tedrow@materialise.be.
Information is also online at
www.materialisedental.com.
(Source: Materialise Dental)

IT

Upcoming Implant Events

April 28–30
25th Annual Session of American
Academy of Cosmetic Dentistry
Honolulu, Hawaii
www.aacd.com
May 7–9
ICOI/Temple University Spring
Symposium
Philadelphia
www.icoi.org
May 23–26
Journées dentaires internationales
du Québec (JDIQ)
Ordre Des Dentistes Du Quebec
Palais des congrès de Montréal
www.odq.qc.ca
June 11–14
American Academy of Implant
Dentistry: Northeast District
Boston, Mass.
aaidne.org
Aug. 20–22
26th Annual Meeting of ICOI
Vancouver Convention Centre
Vancouver, Canada
www.icoi.org
Sept. 12–15
American Academy of
Periodontology Annual Meeting
Boston, Mass.
www.perio.org
Oct. 12–17
American Association of Oral
and Maxillofacial Surgeons
Annual Meeting
Metro Toronto Convention Centre
Toronto, Ontario
www.aaoms.org
Nov 4–7
American College of Prosthodontists
39th Annual Session
Manchester Grand Hyatt, San Diego
www.prosthodontics.org
Nov. 10–15
American Academy of Implant
Dentistry Annual Meeting
New Orleans, La.
www.aaid.org

[23] => ITUS_Title_MS

IMPLANT TRIBUNE | April 2009

Events 23

BioHorizons to host its Global Symposium
Educational event takes place this month in Chicago
BioHorizons will host its 2009
Global Symposium from April 30
through May 2 at the Hilton Chicago.
This educational event will focus
on recent advances in digital dentistry, treatment planning, implant
surface treatments, tissue regeneration and implant specific restorations.
Scientific sessions will bring
together the outstanding and
diverse expertise of top dental clinicians such as Drs. Carl E. Misch,
Michael A. Pikos, Maurice Salama,
Edward P. Allen and Scott Ganz to
provide insight into today’s most
challenging implant and regeneration topics, including technical
advances in diagnostic threedimensional imaging and treatment
planning software.
Each clinician-moderated session
will feature a panel discussion of
audience-submitted questions that
fosters a highly interactive learning
environment. The three days of continuing education will include
hands-on training sessions and dedicated educational tracks for auxiliary and office staff.
Presenters
and
moderators
include Drs. Misch, Salama, Pikos,
Ganz, Allen, David Garber, Jack
Ricci, Natalie Wong, Ray Yukna,
Michael Reddy, Hamid Shafie, Jay
Malmquist, Michael Klein and Murray Arlin.
BioHorizons continues to be one
of the fastest growing dental implant
companies in the industry because
of unique offerings such as LaserLok® microchannels, VIP 2.1 treatment planning software and goldhued esthetic abutments provided
with every bone level implant system. Symposium presentations will
illustrate the unique position of BioHorizons to assist dental clinicians
throughout the continuum of care.
“Each year, the BioHorizons
Global
Symposium
stimulates
invaluable interaction within the
dental implant community,” said
Steve Boggan, BioHorizons president and CEO. “In the current global economic climate, it is important
to develop advanced knowledge and
strong relationships to achieve
superior esthetic results for patients
and generate new opportunities for
dental practices.”
To register and view schedules,
detailed
session
topics
and
hotel
information,
go
to
www.biohorizons.com,
or
call
(866) 872-9785.
Register early; attendance will be
limited to maintain an environment
conducive to learning. This event
will offer up to 20 C.E. credit hours.

About BioHorizons, Inc.
BioHorizons is a leading oral
reconstructive device company at
the forefront of digital dentistry. The

company has a broad product offering, including dental implants, surgical planning software, regenerative products, CAD/CAM and
traditional dental restorations. BioHorizons has a direct sales force in
the United States, Canada, Germany,
Spain, United Kingdom, Australia,
Mexico and Chile. Products are distributed in the rest of the world via a
network of independent distributors.
(Source: BioHorizons)

BioHorizons is hosting its 2009 Global Symposium April 30–May 2 at the Hilton Chicago.
AD

[24] => ITUS_Title_MS

Events

IT page 1

Prosthesis: Evidence Based Decision
Making in the Esthetic Zone
• Dr. J. Terry Green: Integrating
Occlusion and Dental Implants
• Dr. Jon Suzuki: Bisphosphonates and Periodontal and Implant
Surgery
• Dr. Carl Misch: Extract and
Immediate Implant Insertion: Risk
and Benefits
• Dr. Hom-Lay Wang: Management of Implant Complications and
Peri-implantitis
• Dr. Robert Margeas: Immediate
Extraction, Implant Placement and
Provisionalization in The Esthetic
Zone Using the Patient’s Natural
Tooth
• Dr. Brad Potter: Imaging for
Implant Dentistry (Life in the
AD

IMPLANT TRIBUNE | April 2009
CBCT World)
• Drs. Steve Chu and Joseph
Greenberg: Treatment Planning
Strategies for the Anterior Dentition:
Biometric Determinates for Teeth
and Implants
• Dr. Alan Sulikowski and Aki
Yoshido, CDT: Implant Esthetics,
How You Plan for Restorative Success with Your Laboratory
• Dr. Ariel Raigrodski: Abutment
Selection in the Esthetic Zone: Current Concepts of Materials and
Design
• Dr. Ward Smalley: Implant Position and Restorative Solutions
• Mark Marinbach, CDT: Custom
Abutments | To Use or Not to Use |
That is the Question
While the general session begins
at 1 p.m. on Thursday, earlier that
morning, a number of sponsored
pre-symposium workshops will be

held. IMTEC is sponsoring a course
by Dr. Gregory Sawyer and his
“Introduction to Mini Dental
Implants;” Nobel Biocare and Dr.
Bernard Krupp are running a complimentary course on “NobleActive
— A New Direction for Implants;”
PreXion is sponsoring a course on
“Cone Beam at a Glance.”
Additional courses are being
given by Dr. Carl Misch, “Two Stage
vs. One Stage: Immediate Load
Indications;” and Dr. Donald Callan
on “Criteria for Selecting a Dental
Implant;” and finally, Drs. Dennis
Smiler and Muna Soltan will provide
a “Prescription for Bone Graft Success.”
The ADIA’s program is equally
ambitious. Partially sponsored by
ChaseHealthAdvantage, the educational objectives for its 2½-day program are:

• Develop an appreciation for the
role of dental implants in the maintenance of oral health;
• Discuss the role of each member of the implant team;
• Develop procedures to ensure
the “flow” of patients through the
implant practice;
• Identify potential medical and
medicinal complications related to
implant dentistry;
• Review pharmacology and its
role in dentistry;
• Understand the role of herbal
therapies during patient care;
• Understand the causative factors of bone loss around implants;
• Describe important techniques
for effective case presentation;
• Understand how to discuss
treatment fees and present financial
options;
• Review the techniques and
skills involved in implant maintenance.

May 9
Attendees choose one program;
certification programs are conducted simultaneously in three different
rooms:
8 a.m. to 5 p.m. — Dental
Hygiene Implant Certification Program (DHICP), Lynn Mortilla
Rationale for dental implants;
classification and definitions of dental implants; contraindications;
implant/tissue interfaces; assessment,
diagnosis and treatment planning;
implant surgical and prosthodontic
procedures; maintenance and evaluation procedures; management of
implant complications and failures.
8 a.m. to 5 p.m. — Practice Management Implant Certification Program (PMICP), Karen Young
Terminology and definitions; case
presentation and handling objections; commonly asked questions and
appropriate responses; fee presentation; financial options and arrangements; risk management, documentation and record keeping; practice
plans and marketing; referrals;
intra/inter-office communications.
8 a.m. to 5 p.m. — Dental Assisting Implant Certification Program
(DAICP), Kathi Carlson
Classification and definitions of
dental implants; indications and contraindications; biomechanics and
biomaterials; client evaluation,
assessment and selection; treatment
planning, site selection and implant
selection; implant complications and
failures; surgical templates and
stents; pharmacology and sedation;
surgical preparation and infection
control; surgical procedures; sinus
lifts, bone grafts, tissue regeneration;
prosthetic procedures; provisional
prostheses and fabrication of temporaries; impressions; laboratory considerations.
To register for this implant symposium, go to the ICOI Web site at
www.icoi.org or contact the headquarters by phone at (800) 442-0525
or e-mail icoi@dentalimplants.com.
(Source: ICOI)

[25] => ITUS_Title_MS

Events 25

IMPLANT TRIBUNE | April 2009

Osteogenics’ symposium focuses on grafting
Inaugural Global Bone
Grafting Symposium
focuses on group learning,
hands-on activities
The latest research and techniques
in bone grafting, along with interactive learning activities, took center
stage earlier this month at Osteogenics’ Inaugural Global Bone Grafting
Symposium.
160 clinicians from three continents and six countries attended the
symposium held April 3-4 at the Westin Kierland Resort & Spa in Scottsdale, Ariz.
During the two-day symposium, an
expert panel of speakers shared techniques and evidence-based strategies
to achieve predicable results in a variety of bone grafting procedures. The
clinicians also participated in a
hands-on ridge augmentation workshop, as well as daily interactive
treatment planning sessions featuring
real-time treatment planning discussions among the panelists.
Company president Shane Shuttlesworth said the goal for the symposium was to create an open, interactive environment conducive to group
learning.
This was achieved by allowing
speakers ample time to present indepth discussions featuring complications and appropriate management,
creating an interactive learning environment between the expert panel
and the audience, and keeping unbiased education a focus of the symposium.
This year’s symposium faculty
included Dr. Henry Greenwell, Dr.
Eiji Funakoshi, Dr. Daniel Cullum,
Dr. Jeffrey Lemler and Dr. Barry Bartee. Dr. Thomas Wilson served as the
lead panelist.
Greenwell presented clinical data
from numerous studies comparing
various socket grafting techniques
and materials, as well as ridge aug-

More than 160 clinicians from three continents and six countries attended Osteogenics’ first Global Bone Grafting Symposium in Scottsdale, Ariz.

mentation trials conducted at the University of Louisville’s Department of
Periodontics. Lemler’s presentation
focused on horizontal and vertical
ridge augmentation of the atrophic
edentulous ridge using allograft bone
matrix and guided tissue regeneration membranes. Bartee’s presentation examined six myths associated
with socket grafting and used current
scientific evidence to disprove these
commonly held beliefs. Cullum discussed minimally invasive sinus lift
techniques and lectured about a ridge
expansion technique using customized instrumentation. Funakoshi
reviewed his innovative technique of
vertical and horizontal ridge augmentation utilizing an open barrier membrane technique with titanium-reinforced
high-density
PTFE
membranes, allograft bone matrix
and enamel matrix proteins.
Bartee and Cullum conducted a
ridge augmentation workshop featuring the use of Cytoplast® high-density
PTFE membranes and Regeneform®
Allograft Paste. A predictable membrane fixation using a unique selfdrilling screw system, rather than
tacks, was also demonstrated. Atten-

dees were able to perform these procedures on models, allowing for a
hands-on experience.
In the daily treatment planning
sessions, Wilson and Cullum served
as moderators and led lively discussions among the panelists.
Using actual clinical cases, panel
members were asked to diagnose,
treatment plan and manage potential
complications, all in a real-time environment. The pros and cons of the
various augmentation techniques and
approaches were openly discussed
among the panelists until a consensus
was reached on the appropriate clinical approach to the problem at hand.
To further encourage interactive
learning, clinicians were invited to
submit questions and have the panel
discuss hot topics in bone grafting.
The program’s unique structure
also allowed time for individual interaction and peer-to-peer learning. In
addition to the group learning activities, clinicians had the opportunity to
interact with their peers during meals
and during a cocktail reception held
on Friday evening.
Plans are already being made for
next year’s symposium.

Dr. Daniel Cullum leads a hands-on ridge expansion
demonstration following his lecture.

“The response to our first global
bone grafting symposium was excellent, especially in these challenging
economic times,” Shuttlesworth said.
“The feedback from attending clinicians was overwhelmingly positive.
The speakers did an outstanding job
presenting the latest research and
surgical techniques on a variety of
bone grafting procedures, and I think
the audience really enjoyed the interactive format. This is definitely something that we will do each year, and
we will continue to bring exceptional
speakers on a variety of interesting
and relevant bone grafting topics.”
(Source: Osteogenics)
AD

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Industry

IMPLANT TRIBUNE | April 2009

Straumann, Ivoclar Vivadent partnering to
provide solutions for restoration, replacement
Straumann and Ivoclar Vivadent
recently announced a partnership
agreement that will enable them to
offer highly esthetic solutions for
tooth replacement and restoration.
Under the agreement, Ivoclar
Vivadent will supply its proprietary
high-performance IPS e.max ceramic technology to Straumann for use
in the latter’s dental prosthetic solutions, both implant and tooth borne.
The first combined product, the
Straumann Anatomic IPS e.max
Abutment was launched at the
International Dental Show (IDS) in
March and will be available in
AD

Europe next month and in North
America from June onward.
A range of Straumann CAD/CAM
prosthetics in IPS e.max lithium disilicate ceramics will also be
launched in the coming months.

IPS e.max ceramics
The strength and machining
characteristics of Ivoclar’s IPS e.max
zirconium dioxide ceramic make it

tions on implant abutments or on
natural teeth.
Strength, quality and durability
combined with translucence and
natural vitality are the distinguishing properties that make it a material of choice for highly esthetic
results that are virtually indistinguishable from natural teeth.
ideal for the fabrication of durable,
high-precision implant prosthetics
(abutments). Being ceramic, it provides an excellent foundation for a
highly esthetic final restoration.
The IPS e.max lithium disilicate
ceramics are used for final restora-

Anatomic abutments
Straumann offers a broad range
of standard and custom implant
abutments in a range of materials,
including anatomic abutments in
titanium.
Anatomic abutments are preshaped, standardized implant prosthetics that can be modified both in
the dental laboratory and the practice. The new Straumann Anatomic
IPS e.max abutment offers a flexible, “off-the-shelf” solution. It
comes in two gingival heights, two
shades and two configurations
(straight and angled).
In its sintered state, IPS e.max
can be easily shaped by grinding.
Like the customized CAD/CAM
ceramic abutment, it takes ceramic
down into the bone and provides a
natural-looking tooth base for an
all-ceramic restoration. Straumann
is the only company to offer an allceramic abutment made from the
IPS e.max (zirconium dioxide)
material.
Designed for use with Straumann’s new-generation Bone Level
Implant range, the new abutment
features the innovative CrossFit
connection for convenient handling,
optimal pressure distribution and
precise tight fit. It also makes use of
the Bone Control Design concept
and the existing Straumann planning and instrument set.
Flexible and efficient abutments
made from enhanced materials
offer multiple advantages to dental
professionals and patients including
enhanced esthetics, greater efficiency and added predictability in the
final restoration.

Super esthetic restorations
Straumann supplies CAD/CAM
copings, crowns and bridges in a
range of modern materials including zerion (ceramic), ticon (titanium), coron (cobalt chrome) and
polycon (polymer).
The addition of IPS e.max lithium
disilicate ceramics enables the company to offer super esthetic crowns,
inlays, onlays and veneers in various shades and translucencies along
with all the advantages of the Straumann CAD/CAM solution. The first
lithium disilicate ceramic products
(copings and crowns) will become
available in Austria, Germany, and
Switzerland in June, followed by the
full range throughout Europe by
year end.
(Source: Straumann)

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Industry 27

IMPLANT TRIBUNE | April 2009

Materialise in full force at AO annual meeting
At the 2009 Academy of Osseointegration Annual Meeting in San Diego,
Calif., Materialise Dental was there in
full force with a booth displaying the
SimPlant® CompatAbility business
model. Booth visitors were invited to
satisfy their quest for knowledge on
3-D digital dentistry while enjoying a
3-D digital gaming experience with
the possibility to take home their very
own Nintendo Wii with the purchase
of a SimPlant Package.

Versatility for all levels of users
Materialise Dental focuses on 3-D
digital dentistry, offering a range of
products and services to implant professionals and their patients. From

Crescent can
help make
your clients
comfortable
How often have your patients
experienced neck or back problems
during their visit to your practice?
How often have you experienced discomfort because the patient is not
positioned in the dental chair properly? If either of those questions
brings a common scenario to mind,
you will be pleased to know that
there is a very simple, inexpensive
solution for you.
Crescent Products, Inc., developed a memory-foam comfort product line specifically for the dental
chair.
These products enable
patients to experience comfort
unlike any they’ve ever had in a dental chair, and they enable you to
properly position the patient for
treatment — making your job easier.
The dental headrest, dental backrest and premium chair pads are
made with memory foam, allowing
patients to conform to the product,
providing them much needed support and eliminating tension during
their procedure.
The headrest allows the patients’
heads to angle back, bringing their
chins upward and allowing for easier access for their treatment. The
backrest is a memory foam pillow
that supports the lumbar area, eliminating strain to the lower back. In
conjunction with the headrest and
backrest, the patients receive additional hip and lower back pain relief
with the Crescent Products Knee
Support. When the knees are elevated, the tension is immediately eliminated in those areas.
If you haven’t yet tried these products, it is time to experience them
today! View all the products at
www.crescentproducts.com/dental
.htm. You can reach Crescent Products at (800) 989-8085.

scanning and planning, to drilling and
implant placement, to the ultimate
Immediate Smile®, the company’s
SimPlant technology offers clinicians
a comprehensive 3-D system for accurate and predictable implant treatment. The SimPlant system is costeffective, user-friendly and uniquely
compatible with the brands and
equipment that clinicians already
know and use.

3-D digital dentistry & 3-D digital gaming
The Materialise Dental booth
was full of members, faculty, speakers, industry patrons and students
throughout the breaks, lunches and
reception on Thursday. Its theme “3-D

Digital Dentistry meets 3-D Digital
Gaming” was on display as they entertained passers-by with their Nintendo
Wii promotion.
This year’s annual meeting theme
was “A New Wave in Implant Therapy,” and one couldn’t help but notice
an underlying tone to that theme during all of the main podium lectures,
corporate forums and breakout sessions — (CB) CT guided treatment
planning using three-dimensional
tools. In the AstraTech Dental corporate forum, Dr. Scott Ganz talked
about the integration of technologies
including Facilitate and Atlantis abutments to reach an optimal esthetic
and prosthetic result. Dr. Alan Rosen-

feld spoke about “The art of computer-guided navigation for implant
placement and immediate provisionalization” while Dr. Michael Block
spoke about “Patient selection criteria
and avoidance of CT guidance related
complications” during the BIOMET 3i
corporate forum. Other implant companies, such as Straumann, also hosted corporate forums and included
the importance of computer-guided
implant dentistry. Throughout the
entire meeting, immediate loading
using guided surgery was a large
topic of interest for both speakers and
participants.
(Source: Materialise Dental)

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Industry 29

IMPLANT TRIBUNE | April 2009

Nobel globally launches system at IDS
At the 33rd International Dental
Show (IDS), Nobel Biocare globally
launched its state-of-the-art NobelProcera™ system with new prosthetic
products and materials. It also extended the successful Nobel-Active™
launch by introducing a complete
NobelActive prosthetic assortment
and presented updated long-term TiUnite® data on the most widely-used
osseoconductive biomaterial.
With these latest introductions,
together with the long-term success of
its clinically proven implant surface,
Nobel Biocare is reinforcing its commitment to the market and to dental
professionals by offering solutions
that are exclusively science-based
and focus on exceeding clinical and
esthetic patient requirements.
The new NobelProcera system
includes an innovative new optical
scanner and a prosthetic design software package as well as an extended
material and product offer, which will
set new standards in the CAD/CAM
development, design and manufacturing of dental prosthetics, especially for
fully edentulous indications. With this
new NobelProcera system, laboratories and clinicians can expect a vast
improvement in their design and production efficiency and precision with
the full range of Nobel Biocare treatment options.
• New innovative optical scanner.
The new NobelProcera optical scanner uses the patented conoscopic
holography technology, which offers
precision, speed and accuracy as well
as new scanning ability. Conoscopic
holography technology was developed
by Optimet and has been well-proven
in the aerospace and automotive
industries. This is the first application
of conoscopic holography in dentistry,
and Nobel Biocare owns the exclusive
rights to this application. The new
optical scanner provides clear advantages for dental laboratories: ease of
use, highly precise measurements
and an intuitive holder design that
enables fast batch scanning.
Most important, conoscopic holography enables scanning of steep angulations and undercuts, thereby opening up new opportunities such as
impression scanning.
• New cutting-edge prosthetic software. Supporting the new optical
scanner, Nobel Biocare is now introducing cutting-edge 3D prosthetic
design software. The software has
been developed by the Canadian company BioCad, which Nobel Biocare
acquired in 2008. The software significantly simplifies the prosthetic design
process. With excellent visual guidance through each step of the design
workflow, the software allows laboratories to design prosthetics more
effectively and precisely than before.
Technicians are able to click on a button to choose the desired material,
define prefabricated retentive elements and select automated CAD
options for customized crowns and
bridges. And in the near future, telescope abutments, crowns and bars
will also be available.

The new NobelProcera software
offers technicians a highly advanced
CAD dentistry tool with nearly unlimited design possibilities and features
such as an anatomic tooth library,
automatic cut-back functions, automatic setting of the finish line, a margin-setting function and a morphologic connector design.
• Launch of full shaded zirconia
assortment. Following the success of
the shaded NobelProcera Crowns Zirconia, Nobel Biocare has launched the
full assortment of shaded zirconia at
the IDS, including abutments, copings, bridges and implant bridges. In
contrast to immersion dyeing, the
unique coloring process for NobelProcera Zirconia ensures color homo-

geneity throughout each restoration,
while maintaining superior flexural
strength (1080MPa), an excellent
marginal fit and optimal translucency.
External studies (Nordic Institute of
Dental Material NIOM NobelProcera
Zirconia testing: S306269B, S306205B)
have shown no degradation in
strength compared to white zirconia.
The new NobelProcera launch
includes shaded zirconia solutions for
natural-tooth retained (4-unit anterior
and 3-unit posterior) and implantsupported long span bridges (5–14
units) in both white and shaded zirconia.
• Launch of new materials for costeffective solutions. The introduction of
the NobelProcera system will enable

the use of new materials and products
that complement today’s comprehensive material range consisting of alumina, zirconia and titanium. These
new materials will include cobaltchrome for crowns and bridges, and
acrylics for different indications.
These additions, coupled with the
new optical scanner and software,
will make for a complete, state-of-theart system for laboratories, allowing
lab owners to streamline their model
and fix departments. Nobel Biocare
has created the basis for the most
complete, best quality oral rehabilitation platform available in dentistry
today.
(Source: Nobel Biocare)
AD

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Products

IMPLANT TRIBUNE | April 2009

Astra Tech Implant System:
setting new standards
The unique Astra Tech
BioManagement Complex™
design of the Astra Tech system helps to optimize marginal bone maintenance
with results that are at least
four times superior to the
current standard norm.
The standard norm
regarding dental implant
treatment success from 1986
accepts a marginal bone loss
of up to 1.5 millimeters.
However, it has been proven
in study after study, and documented in more than 40
articles, that with the Astra
Tech Implant System™ the
mean marginal bone level
reduction is only 0.3 millimeters over five years.
Astra Tech encourages
dental professionals to challenge the
current standard norm and demand
more from their implant system, both in
terms of documentation and results, all
for the long-term benefit of their
patients. When every millimeter counts,
there is no reason why any clinician or
his or her patients should accept a marginal bone loss of up to 1.5 millimeters.

Count on optimal marginal bone maintenance with the Astra Tech Implant
System. Why settle for less?
To learn more about the Astra Tech
Implant System and the supporting
scientific documentation, check out
www.astratechdental.com or call
(800) 531-3481.

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RIEMSER, Inc., a leading supplier of
bone regeneration products, will begin
distributing the Bacterin family of dental
allograft products to general dentists,
periodontists, and oral and maxillofacial
surgeons. Processed in Bacterin’s fully
AATB-accredited facilities, the Backterin
line includes:
• OsteoSponge® Block, a novel, cancellous demineralized bone matrix
(DBM) that can absorb its weight in fluid
and has the malleability and elasticity to
be compressed into any void, while
forming a strong biological scaffold.
• OsteoSponge® Filler, a unique demineralized particulate allograft that provides excellent osteoinduction.
• D-Block, a novel sterilized block
allograft for alveolar defects.
• OsteoWrap®, a flexible 100 percent
human cortical bone product that offers
unique malleability, while acting as a
barrier membrane.
These products are indicated for

The cordless curing
light Crystal 700 developed by Zurich Dental
has the latest LED
technology. Less heat
generation than halogen curing lights
means there is no
need to replace the
light bulb. The large
LCD display makes
operation easier and
more convenient than
before. The 10 second
time is usually enough
to cure most composite resins up to 4
mm, which saves significant time for
dental clinicians. The curing time is preset to 5, 10, 20, 30 or 40 seconds. No need
to worry about the battery anymore
because Crystal 700 Wire/Wireless
interchangeable can operate directly
with a power adapter or wirelessly.

USED ITEM
FOR SALE

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newsletters filled with info about events, products, technology and general news.

ridge augmentations, sinus elevations
and repair of other bony defects where
allograft products can enhance bonegrafting procedures. U.S. surgeons have
been using the Bacterin line successfully in dental, spinal and orthopedic procedures for the past five years.
RIEMSER Inc., based in Research
Triangle Park, N.C., has a product portfolio that also includes Cerasorb® M
grafting material, EpiGuide® membrane
and REVOIS® implant products.

Cordless curing light Crystal 700
developed by Zurich Dental

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RIEMSER introduces Bacterin line of
allograft products to U.S. dental market

NewTom 3G, variable fields of
view (6, 9, 12 inches) in excellent
condition and recently updated
with two work stations, low number of total scans taken. Selling
practice and liquidating equipment. Price: $85,000.
The unit is perfect for orthodontists as well as implant practices.
For more information, call
(941) 870-2700.

Another excellent feature of the Crystal
700 is that it has built-in radiometer that
can measure the intensity of the light, so
there is no need to purchase a separate
radiometer.
For more information, please
visit www.zurichdental.com or call
(800) 553-8710.

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