Endo Tribune U.S.
The importance of endo dontics in implant-treatment planning (entry) / News / The importance of endo dontics in implant-treatment planning (part1) / The importance of endo dontics in implant-treatment planning (part2) / Industry
Table of contents
Array
(
[post_data] => WP_Post Object
(
[ID] => 54568
[post_author] => 0
[post_date] => 2010-06-14 16:58:33
[post_date_gmt] => 2010-06-14 16:58:33
[post_content] =>
[post_title] => Endo Tribune U.S.
[post_excerpt] =>
[post_status] => publish
[comment_status] => closed
[ping_status] => closed
[post_password] =>
[post_name] => endo-tribune-u-s-0610
[to_ping] =>
[pinged] =>
[post_modified] => 2024-10-21 15:49:38
[post_modified_gmt] => 2024-10-21 15:49:38
[post_content_filtered] =>
[post_parent] => 0
[guid] => https://e.dental-tribune.com/epaper/etus0610/
[menu_order] => 0
[post_type] => epaper
[post_mime_type] =>
[comment_count] => 0
[filter] => raw
)
[id] => 54568
[id_hash] => 4ff60982f3cc60122c891d659410a9312f319d4cca44372588f94a6d799c994d
[post_type] => epaper
[post_date] => 2010-06-14 16:58:33
[fields] => Array
(
[pdf] => Array
(
[ID] => 54569
[id] => 54569
[title] => ETUS0610.pdf
[filename] => ETUS0610.pdf
[filesize] => 0
[url] => https://e.dental-tribune.com/wp-content/uploads/ETUS0610.pdf
[link] => https://e.dental-tribune.com/epaper/endo-tribune-u-s-0610/etus0610-pdf-2/
[alt] =>
[author] => 0
[description] =>
[caption] =>
[name] => etus0610-pdf-2
[status] => inherit
[uploaded_to] => 54568
[date] => 2024-10-21 15:49:32
[modified] => 2024-10-21 15:49:32
[menu_order] => 0
[mime_type] => application/pdf
[type] => application
[subtype] => pdf
[icon] => https://e.dental-tribune.com/wp-includes/images/media/document.png
)
[cf_issue_name] => Endo Tribune U.S.
[contents] => Array
(
[0] => Array
(
[from] => 01
[to] => 01
[title] => The importance of endo dontics in implant-treatment planning (entry)
[description] => The importance of endo dontics in implant-treatment planning (entry)
)
[1] => Array
(
[from] => 02
[to] => 02
[title] => News
[description] => News
)
[2] => Array
(
[from] => 04
[to] => 04
[title] => The importance of endo dontics in implant-treatment planning (part1)
[description] => The importance of endo dontics in implant-treatment planning (part1)
)
[3] => Array
(
[from] => 06
[to] => 06
[title] => The importance of endo dontics in implant-treatment planning (part2)
[description] => The importance of endo dontics in implant-treatment planning (part2)
)
[4] => Array
(
[from] => 07
[to] => 07
[title] => Industry
[description] => Industry
)
)
)
[permalink] => https://e.dental-tribune.com/epaper/endo-tribune-u-s-0610/
[post_title] => Endo Tribune U.S.
[client] =>
[client_slug] =>
[pages_generated] =>
[pages] => Array
(
[1] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-0.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-0.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-0.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-0.jpg
[1000] => 54568-f438f29a/1000/page-0.jpg
[200] => 54568-f438f29a/200/page-0.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[2] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-1.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-1.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-1.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-1.jpg
[1000] => 54568-f438f29a/1000/page-1.jpg
[200] => 54568-f438f29a/200/page-1.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[3] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-2.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-2.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-2.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-2.jpg
[1000] => 54568-f438f29a/1000/page-2.jpg
[200] => 54568-f438f29a/200/page-2.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[4] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-3.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-3.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-3.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-3.jpg
[1000] => 54568-f438f29a/1000/page-3.jpg
[200] => 54568-f438f29a/200/page-3.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[5] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-4.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-4.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-4.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-4.jpg
[1000] => 54568-f438f29a/1000/page-4.jpg
[200] => 54568-f438f29a/200/page-4.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[6] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-5.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-5.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-5.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-5.jpg
[1000] => 54568-f438f29a/1000/page-5.jpg
[200] => 54568-f438f29a/200/page-5.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[7] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-6.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-6.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-6.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-6.jpg
[1000] => 54568-f438f29a/1000/page-6.jpg
[200] => 54568-f438f29a/200/page-6.jpg
)
[ads] => Array
(
)
[html_content] =>
)
[8] => Array
(
[image_url] => Array
(
[2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/2000/page-7.jpg
[1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/1000/page-7.jpg
[200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/200/page-7.jpg
)
[key] => Array
(
[2000] => 54568-f438f29a/2000/page-7.jpg
[1000] => 54568-f438f29a/1000/page-7.jpg
[200] => 54568-f438f29a/200/page-7.jpg
)
[ads] => Array
(
)
[html_content] =>
)
)
[pdf_filetime] => 1729525772
[s3_key] => 54568-f438f29a
[pdf] => ETUS0610.pdf
[pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/54568/ETUS0610.pdf
[pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/54568/ETUS0610.pdf
[should_regen_pages] => 1
[pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/54568-f438f29a/epaper.pdf
[pages_text] => Array
(
[1] =>
ENDO TRIBUNE
The World’s Endodontic Newspaper · U.S. Edition
June 2010
www.endo-tribune.com
Vol. 5, No. 6
The
importance of endodontics
in implant-treatment planning
By Jose M. Hoyo, DMD
There’s a new vision in dentistry
that is gradually being recognized and
is referred to as the endo-implant algorithm.
This new approach considers the
role of the endodontist as critical
in considering whether a tooth can
be saved or whether extraction and
replacement with a dental implant is
the correct treatment protocol.
An endodontist is in the unique position to evaluate critical factors leading
to endodontic failures in order to determine whether another endodontic procedure will lead to a predictable and
successful outcome. Should the outcome not be favorable, then extraction
and replacement with a dental implant
would be the protocol to follow.
In considering the ideal treatment
plan, it is imperative to provide the
patient with all treatment options, as
well as the financial cost and procedures associated with each treatment
option. The patient is thus given the
opportunity to make an educated decision as to the best treatment protocol
for him or her. The information presented to the patient should include
the endodontist’s opinion regarding
which treatment option is more practical and predictable.
Case study
A patient with a non-contributory medical history was referred to my office
for evaluation of the maxillary left first
molar. The patient was asymptomatic,
and the tooth had been endodontically
treated by a general dentist approximately seven months prior to the consultation and had never been restored.
Clinically, it presented extensive
decay, probing depths of 3 mm all
around, exposure of the obturation
material to the oral cavity and no temporary restoration. Radiographically,
no peri-apical lesions were detected,
and the bone levels around the tooth
were adequate (Fig. 1).
g ET page 4B
Fig. 1: Pre-op radiograph prior to extraction.
Volunteer endodontists save teeth on site at AAE
The American Association of Endodontists (AAE) held its first Access to
Care Project in conjunction with its
recent annual session in San Diego. The
volunteers
performed root canals
on 54 underserved
See Page 2
patients in the San
for more
Diego community,
AAE news
providing approximately $85,000 of
free endodontic treatment to those who
could not otherwise have afforded it.
“The patients treated in San Diego
likely would have had extractions if
we weren’t able to help,” said the
AAE’s Immediate Past President Dr.
Gerald N. Glickman. “The services we
provided will help these patients keep
their natural teeth for a lifetime.”
Glickman was the driving force
behind the Access to Care Project,
conceiving of the idea as part of the
association’s commitment to educating
and serving all patients, and improving
access to high-quality dental care.
“It was awesome,” patient Alisa
Norrup said after her root canal. “I
didn’t feel any pain at all … I thought it
was going to hurt, but it didn’t.”
Chrystal Stroud also had a root
The lead organizers of the Access to Care Project include, from left, Drs.
Thomas A. Levy, undergraduate endodontics program director at USC
School of Dentistry; Gerald N. Glickman, AAE immediate past president;
Alan H. Gluskin, professor and chair of the department of endodontics at the
University of the Pacific School of Dentistry; Marjorie Domingo, USC Mobile
Clinic director; and Santosh Sundaresan, USC assistant professor of clinical
dentistry. (Photo/Provided by AAE)
canal and admitted to being nervous
beforehand, but said she felt much better once she met her endodontist.
“He was so nice and professional
and before he did anything he told
me exactly what he was going to do
so I was prepared,” she explained. “I
thought it was going to hurt, but it really
wasn’t that bad at all, and I’m relieved
that it’s done.”
The patients treated at the Access
to Care Project were prescreened by
community health clinics throughout
the San Diego area. They were referred
back to the clinics for restorative work
and follow-up care.
“It’s nice to know that there are
organizations like yours [that] are willing to help people like me in this
hard economy,” said patient Katrina
Leffingwell. “Without this program,
I would not have been able to afford
treatment.”
“As a specialty, we have to be
involved in helping people who may
not be able to afford endodontic care,”
Glickman said. “The AAE’s first Access
to Care Project is a very heart-warming
example of what our members can do,
but all dentists need to continue to provide that charitable care and improve
access year-round.”
Approximately 40 AAE members
and faculty and residents from the
School of Dentistry of the University of
Southern California participated in the
event, which received support from
Henry Schein Dental/Henry Schein
Cares. ET
(Source: AAE)
[2] =>
2B
News
Endo Tribune | June 2010
AAE announces new
officers and directors
The American Board of Endodontics named new officers and
confirmed two members to its
board of directors during the American Association of Endodontists
recent annual session in San Diego.
Dr. Ashraf F. Fouad was elected president. Dr. Stephen J. Clark
was elected secretary. Dr. Alan S.
Law was reappointed to the ABE,
and Dr. Donna M. Mattscheck was
selected as a new director.
• Ashraf F. Fouad, DDS, MS, of
Baltimore, Md., has been a diplomate of the ABE since 1995 and a
member of the board since 2006.
He has been an active member of
several AAE committees, including
serving as chair of the Research
and Scientific Affairs Committee
and associate editor on the Journal
of Endodontics Editorial Board.
• Stephen J. Clark, DMD, of Louisville, Ky., has been a diplomate of
the ABE since 2001 and a member
of the board since 2007. A member
of the AAE since 1973, Clark is a
Dr. Ashraf Fouad is the new president of the AAE. (Photo/University
of Maryland
member of the scientific advisory
panel of the Journal of Endodontics
and previously served on the AAE
Educational Affairs Committee. He
serves as a member of the Com-
mission on Dental Accreditation
Endodontic Review Committee, is
a past president of the Kentucky
Association of Endodontists and is
active in the Louisville Dental Society.
• Alan S. Law, DDS, PhD, of
Minneapolis, Minn., earned his
diplomate status in 2000 and was
first elected to the ABE board in
2007. A private practice endodontist in Minneapolis, Law is an active
member of the AAE and currently
serves as chair of the Regenerative
Endodontics Committee and is a
member of the scientific advisory
panel of the Journal of Endodontics.
• Donna M. Mattscheck, DMD, of
Billings, Mont., is a newly elected
director of the ABE. A diplomate
since 2000, Mattscheck served as
treasurer of the AAE Foundation
Board of Trustees and also participated in the regenerative endodontics and educational affairs committees. ET
AAE Foundation announces new trustees
The American Association of
Endodontists Foundation named
three new members of its board of
trustees during the AAE’s recent
Annual Session in San Diego.
• Jack Burlison leads the endodontics
division for Brasseler USA, a
company he has
been with since
1986. A public
sector member
of the foundation board of
trustees, Burlison received his Jack Burlison
bachelor of science degree in biology from Gonzaga University in 1984. He and
his wife reside in Dallas and have
three children.
• David C. Funderburk, DDS,
MS, is a private practice endodontist in Greeley, Colo. An AAE member since 1981, Funderburk served
ET
on the association’s board of
directors
and
has participated
in several AAE
committees,
including professional conduct and ethics
and
resident
and new prac- David C.
titioner. He is Funderbunk
a member of
the American Dental Association,
Colorado Dental Association, Weld
County Dental Society, American
College of Dentists and International College of Dentists. Funderburk received his DDS and certificate in endodontics from the
West Virginia University School of
Dentistry.
• James C. Kulild, DDS, MS, is
a professor and director of the
advanced specialty education
program for endodontics at the
Corrections
Endo 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@
dental-tribune.com.
Tell us
what
you
think!
University
of
Missouri-Kansas City School
of Dentistry. An
AAE member
since 1981 and
a diplomate of
the American
Board of Endodontics, Kulild
is
also
vice James C.
president of the Kulild
organization’s
board of directors. He recently
served as board liaison to the editorial board of the Journal of Endodontics and on various AAE committees, including research and
scientific affairs, distance learning
and educational affairs. He chaired
the corporate relations committee, was a member of the ad hoc
committee on workforce, numerous other special committees, and
currently serves on the scientific
advisory board of the JOE. ET
Do you have general comments or criticism
you would like to share? Is there a particular topic you would like to see more articles
about? Let us know by e-mailing us at
feedback@dental-tribune.com. If you would
like to make any change to your subscription
(name, address or to opt out) please send us an
e-mail at database@dental-tribune.com and
be sure to include which publication you are
referring to. Also, please note that subscription
changes can take up to 6 weeks to process.
ENDO TRIBUNE
The World’s Endodontic Newspaper · U.S. Edition
Publisher & Chairman
Torsten R. Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
Chief Operations Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Endo Tribune
Frederic Barnett, DMD
BarnettF@einstein.edu
International Editor Endo Tribune
Prof. Dr. Arnaldo Castellucci
Managing Editor/Designer
Implant & Endo Tribunes
Sierra Rendon
s.rendon@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Marketing Manager
Anna Wlodarczyk-Kataoka
a.wlodarczyk@dental-tribune.com
Marketing & Sales Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia Wehkamp
j.wehkamp@dental-tribune.com
Dental Tribune America, LLC
213 West 35th Street, Suite #801
New York, NY 10001
Tel.: (212) 244-7181
Fax: (212) 244-7185
Published by Dental Tribune America
© 2010 Dental Tribune America, LLC
All rights reserved.
Dental Tribune America 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 America.
Editorial Advisory Board
Frederic Barnett, DMD (Editor in Chief)
Roman Borczyk, DDS
L. Stephen Buchanan, DDS, FICD, FACD
Gary B. Carr, DDS
Prof. Dr. Arnaldo Castellucci
Joseph S. Dovgan, DDS, MS, PC
Unni Endal, DDS
Fernando Goldberg, DDS, PhD
Vladimir Gorokhovsky, PhD
Fabio G.M. Gorni, DDS
James L. Gutmann, DDS, PhD (honoris
causa), Cert Endo, FACD, FICD, FADI
William “Ben” Johnson, DDS
Kenneth Koch, DMD
Sergio Kuttler, DDS
John T. McSpadden, DDS
Richard E. Mounce, DDS, PC
John Nusstein, DDS, MS
Ove A. Peters, PD Dr. med dent., MS, FICD
David B. Rosenberg, DDS
Dr. Clifford J. Ruddle, DDS, FACD, FICD
William P. Saunders, Phd, BDS, FDS, RCS Edin
Kenneth S. Serota, DDS, MMSc
Asgeir Sigurdsson, DDS
Yoshitsugu Terauchi, DDS
John D. West, DDS, MSD
[3] =>
ENDO Tribune | June 2010
x 3B
[4] =>
4B
Clinical
Endo Tribune | June 2010
f ET page 1B
In order to determine the integrity
of the tooth structure, some excavation
was performed using 4.5x magnification and supplementary illumination,
provided by a fiber-optic headlight,
with a dental rubber dam for isolation.
After the removal of some decay, a
bitewing X-ray was taken (Fig. 2) and
the following was determined:
a) the floor of the pulp chamber was
too shallow;
b) it was too close to perforation and
c) the peri-radicular dentine was
insufficiently strong to support a permanent restoration.
These critical factors, in my opinion, rendered the tooth non-restorable.
A cotton pellet and Cavit were placed
in the access cavity and a follow-up
call with the referring dentist was
conducted in order to update him on
the condition of his patient and to
determine what recommendations
should be given regarding the tooth.
It was recommended to the patient
that the tooth be extracted and the
socket preserved through a minor
grafting procedure.
This would allow for an ideal
amount of bone to receive a dental
implant approximately four to six
months later.
It was also recommended that he
receive some orthodontic treatment
prior to the placement of the implant so
that all the diastemas would be closed
and the dentition properly aligned for
this procedure.
The patient clearly understood the
concept and the logistics of the orthodontic treatment recommended but
expressed no interest in this approach.
Fig. 2: Bitewing X-ray after decay had been removed.
Fig. 6: Guide pin in osteotomy following use of 2 mm pilot
drill.
Fig. 3: Grafted socket following extraction.
The bigger picture
It is very important in evaluating treatment using implants to consider the
entire dentition and not just the space
or tooth in question.
It should be borne in mind that
implants, unlike teeth, do not move,
so if there are any misalignments in
the dentition, orthodontic treatment
prior to implant therapy is imperative
should the patient proceed with the
dental implant at a later stage. If the
treatment plan is not in this sequence,
the dental implant could become a
challenging obstacle during the orthodontic treatment.
The patient was prescribed Amoxicillin 500 mg (one every six hours,
beginning two days before the next
appointment) and chlorhexidine rinses (three times a day, also beginning
two days before the next appointment).
The use of tartar-control toothpaste
was also recommended in order to
avoid staining of teeth. On the day of
surgery, the patient’s blood pressure
was 119/73 with a heart rate of 76.
Under local anesthetic (Lidocaine
2 percent HCl with epinephrine
1/50,000 x 2 cpl) and using a dental rubber dam, magnification loupes
and supplementary illumination, the
tooth was sectioned into three pieces.
The rubber dam was removed, and
using PDL-Evator elevators (Salvin),
all three roots were extracted without
any complications. Spoons were used
to curette the socket in order to clean
any granulation tissue and engage the
Fig. 4: Peri-apical film showing healing of grafting material after four months.
Fig. 7: Radiograph showing XiVE osteotome in place during the osteotomy.
Fig. 5: Pre-op film on the day of surgery.
cancellous bone.
This crucial step results in
some bleeding and thus promotes
angiogenesis. The crest of the interradicular bone was engaged with the
socket cupped part of a XiVE osteotome
(DENTSPLY Friadent), and a sinus lift
was performed using the Summer’s
technique.
There were no signs of a sinus perforation based on the Valsalva test. The
sockets and sinus-lift area were then
grafted with a mixture of DBX and
MCP using a marshmallow technique.
This grafting mixture helps the site
produce its own bone in terms of min-
eral and collagen from the DBX, and it
provides a better scaffold effect from
the MCP. The area was covered with
a PTFE membrane, slightly tucked
under the periosteum (not more than
2 mm). Sutures were done with polyglycolic acid using a criss-cross fourx corner technique (Fig. 3).
Removing the sutures
The sutures were removed two weeks
later. Two weeks after suture removal,
g ET page 6B
[5] =>
ENDO Tribune | June 2010
Opinion 5B
[6] =>
6B
Clinical
Endo Tribune | June 2010
f ET page 4B
the patient was seen again for the
removal of the membrane.
This was done by gently picking at
the membrane with cotton pliers and
exerting pull on it — there is often no
need for anesthesia.
The benefit of using this allograft
cocktail is that the waiting period for
re-entry was approximately four to
six months versus six to nine had a
xenograft been used. The quantity and
the quality of the bone appeared to
be much better with the use of this
allograft cocktail.
At the time of re-entry, the patient’s
blood pressure was 113/69 with a heart
rate of 64 (Figs. 4, 5). Under local anesthetic (Lidocaine 2 percent HCl with
epinephrine 1/50,000 x 2 cpl), a tissue
punch access was done using a 3.8
tissue punch XiVE drill (DENTSPLY
Friadent).
The pilot drill from the ANKYLOS
implant system (DENTSPLY Friadent)
was then used to drill 6 mm, just short
of the sinus floor (Fig. 6). A series of
XiVE osteotomes, from size 2.0 up to
3.4, were used to perform a sinus lift
using the Summer’s technique. The
osteotomy was prepared to a depth of
11 mm (Fig. 7).
A Valsalva test was performed to
ensure that the sinus had not been perforated. An ANKYLOS implant A11 (3.5
mm x 11 mm) was placed and primary
stability was obtained.
The density of the bone perceived
as D-3 during the drilling stage likely
changed to D-2 with the use of the
osteotomes.
The implant-transfer mount was
removed, as was the cover screw that
came pre-mounted inside the implant,
and a 1.5 mm sulcus former (healing
abutment) was placed into the implant
(Figs. 8, 9).
This case clearly demonstrates one
of the reasons endodontists are becoming increasingly involved in implant
dentistry. They are able to provide a
comprehensive evaluation of the tooth
in question, and they are able to present the patient with the best options
based on clinical assessment. ET
ET About the author
Dr.
Jose
M.
Hoyo
graduated
from
the
University
of
Puerto
Rico School
of Dentistry
in 1984. He
received his
certificate
of advanced
graduate
studies in
endodontics from Boston University’s
Henry M. Goldman School of Graduate Dentistry in 1994. Hoyo hosts
seminars to teach endodontists how
to place implants. He practices as a
specialist in endodontics and implant
dentistry in Stoughton, Mass., and
Taunton, Mass., and can be contacted
at drjhoyo@aol.com.
Fig. 8: Radiograph of implant with
sulcus former (healing abutment); the
apical portion of the implant is under
the Schneiderian membrane.
Fig. 9: Bitewing X-ray showing sub-crestal placement of implant with sulcus
former in place.
AD
[7] =>
Industry 7B
ENDO Tribune | June 2010
Getting docs out of tight spots
Roydent presents the
Endo-Extractor System
as ideal replacement
for former I.R.S. users
Roydent Dental Products announces steady sales growth for its EndoExtractor System, most notably since
discontinuance of one of its main
competitors.
According to recent distributor
data, Endo-Extractor System’s quarterly sales volume doubled from
fourth quarter 2008 through fourth
quarter 2009. One of its main extrac-
Ultradent
offering
seminars
Ultradent will present five
one-day seminars for C.E. credit:
• “Practical Approaches to
Composite Resin Bonding with
Exquisite Results” by Dr. Jaimee
Morgan and Dr. Stan Presley:
July 30 (Omaha, Neb.), Aug. 13
(Cincinnati, Ohio) and Oct. 8
(Portland, Maine).
Topics include gingival recontouring, tooth whitening and
pre-prosthetic treatment options
to include in your overall plan;
integrating exquisite optical
dimension into your composite
restorations; predictable shade
matching and mastery of the
simplified layering technique;
and invisible margins and avoidance of intra-oral show-through.
• “Achieving Predictable Esthetic Results With Direct Anterior and Posterior Composites”
by Dr. Nasser Barghi: Aug. 13
(Jacksonville, Fla.) and Oct. 8
(Las Vegas).
Topics include rethinking traditional concepts for placement
of direct esthetic restorations;
efficiently achieving esthetics
and function with minimally
invasive dentistry; eliminating
the show-through effect associated with direct esthetic restorations; utilizing the concept
of translucency, with minimal
tooth preparation, on anterior
composite veneers; anterior
Class III, Class IV and Class V
restorations; posterior direct
esthetic restorations; establishing proper inter-proximal contacts with composite resin; and
achieving more polished, more
lustrous composite resin in less
chair time.
For more information, call
(800) 520-6640 or see www.
ultradent.com. ET
The EndoExtractor System
(Photo/Roydent)
tion competitors had been Instrument
Removal System (I.R.S.), which is no
longer manufactured or distributed
in the United States as of early 2009.
Since then, Roydent has been positioning the Endo-Extractor System
as an ideal replacement for former
users of I.R.S., as well as a necessary
tool for any dental office performing
root canal therapy.
Roydent’s Endo-Extractor provides
an easy-to-use system for the rapid
and controlled retrieval of silver
points, separated instruments, carrier-based obturators, etc. The EndoExtractor System includes one trepan
tube drill (.80 mm internal diameter)
and three specially designed extractors of various sizes that use chuck
devices to seize and retrieve embedded articles.
A clinician may use the hollow
trepan drill with extremely narrow
shank to widen the root canal as
necessary and/or to reduce the diameter of the embedded article. Next,
the clinician selects the appropriately
sized extractor, engages it against the
exposed article and manually locks
its chuck upon the article with equal
force all around, requiring minimal
pressure.
The stainless steel Endo-Extractor System can be sterilized using
standard methods such as autoclave,
chemclave or dry heat. Extractors are
color-coded per internal diameter:
.30 mm (white), .50 mm (yellow) and
.70 mm (red.)
Roydent distributes Endo-Extractor System in the United States
through a network of qualified dealer
partners. Individual components are
also made available separately as
replacements. ET
AD
[8] =>
)
[page_count] => 8
[pdf_ping_data] => Array
(
[page_count] => 8
[format] => PDF
[width] => 765
[height] => 1080
[colorspace] => COLORSPACE_UNDEFINED
)
[linked_companies] => Array
(
[ids] => Array
(
)
)
[cover_url] =>
[cover_three] =>
[cover] => ![Endo Tribune U.S.]()
[toc] => Array
(
[0] => Array
(
[title] => The importance of endo dontics in implant-treatment planning (entry)
[page] => 01
)
[1] => Array
(
[title] => News
[page] => 02
)
[2] => Array
(
[title] => The importance of endo dontics in implant-treatment planning (part1)
[page] => 04
)
[3] => Array
(
[title] => The importance of endo dontics in implant-treatment planning (part2)
[page] => 06
)
[4] => Array
(
[title] => Industry
[page] => 07
)
)
[toc_html] =>
Table of contents
[toc_titles] => The importance of endo dontics in implant-treatment planning (entry)
/ News
/ The importance of endo dontics in implant-treatment planning (part1)
/ The importance of endo dontics in implant-treatment planning (part2)
/ Industry
[cached] => true
)