Implant Tribune Canada No. 4, 2013Implant Tribune Canada No. 4, 2013Implant Tribune Canada No. 4, 2013

Implant Tribune Canada No. 4, 2013

Does your implant training meet the new guidelines? / The future is now at OCO Biomedical / Implants training set apart by its small classes and complex - hands-on surgery

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IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · Canada Edition

October/november 2013 — Vol. 1, No. 4

www.dental-tribune.com

Does your implant training
meet the new guidelines?
Protocols finally catch up to legal-standard-of-care
expectations for general dentists placing implants
By Ken Hebel, BSc, DDS, MS,
Certified Prosthodontist, and Reena
Gajjar, DDS, Certified Prosthodontist

U

ntil recently, implant dentistry
was considered to be a therapy
that was primarily provided
by dental specialists, and as
such, training regulations were not an
issue because most specialties incorporate implant therapy into their residency
programs.
With implant dentistry becoming more
mainstream and being incorporated into
general practices, educators and licensing
bodies are starting to set training guidelines and parameters for practice.

Background
Several years ago, the Institute for Dental
Implant Awareness (IDIA) released a document, “Recommended C.E. Training Protocols to Meet the Legal Standard of Care for
Implant Placement.” Although not legally
enforceable, this document provided
some guidelines for continuing education
programs to meet the legal standard of
care for implant therapy.
These guidelines were based on existing
guidelines in the United Kingdom and
reviewed by many dentists, both general
dentists and specialists. The release of
such a document indicates the awareness
by the profession for guidelines to be established, both for the protection of patients and the profession.
Many undergraduate dental schools
do not offer a full curriculum in implant
dentistry. As such, many dentists are required to obtain their implant education
through post-graduate continuing education programs. With the proliferation of
implant courses, it is critical to be aware
of the training that is considered adequate
by the profession in order to embark on
implant therapy in your practice. It has
been established that short duration programs (one to three days in length) cannot
fulfill the minimum standard that the
profession considers appropriate for training in implant dentistry.

Standard of care
Did you know that although a licensed
dentist can perform any dental procedure,
if a general dentist chooses to perform
treatments that are not routinely performed by general dentists, the law holds
all practitioners to the same standard of
care that would be provided by specialists
providing similar treatments?
As such, it is imperative that dentists
who are not formally trained in implant
therapy pursue educational programs
that meet and exceed the minimum
guidelines by not only the profession, but
by their licensing body.
In May, the Royal College of Dental Surgeons of Ontario (Canada), the licensing
body for dentists in Ontario, released finalized guidelines prescribing the minimum
standards of educational requirements for
any dentist performing implant therapy.
Although this document applies only to
dentists in Ontario, it is suggestive of the
direction of the profession in establishing
standards and indicative of what current
practitioners of implant therapy consider
the minimum educational requirements.
In addition, although these requirements are not legal requirements, when a
licensing body takes these steps to provide
recommendations regarding training, it
can be assumed that should an issue arise
for a dentist providing implant therapy,
the college and other involved parties
will defer to these recommendations regarding the type and scope of training
that dentist received.

Cross-training
One interesting aspect of these guidelines
is that regardless of what phase of implant
therapy you choose to provide to your patients, you should be trained in all phases.
Dentists providing only the surgical phase
need to be trained in implant prosthetics,
and those providing prosthetics need to
be trained in surgical considerations. This
cross training is indicative of the complex,
integrated nature of implant therapy, and
the suggestion that one is not competent
in one aspect of implant therapy without
understanding all aspects.

Even with continued education, a general dentist should practice only in accordance with his
or her training and experience. Fred Michmershuizen/Dental Tribune File Photo

Another interesting aspect is the requirement for continued education and
training. Implant dentistry is such a new
and exciting area within dentistry that
techniques and products are still changing
and advancing. The need for frequent continuing education is more critical in this
field than in other areas of dentistry.

So what does this all mean for you?
If you are considering incorporating implant dentistry into your practice, or if you
already provide one or both phases of implant dentistry, we recommend that you
follow these steps:
1) Review the RCDSO guidelines and
review the IDIA recommended training protocols (“Recommended Training
Guidelines for Basic Implant Placement”).
Both of these articles can also be found on
our website, www.handsontraining.com,
under the “CE Requirements” tab and “Re-

sources” tab, respectively.
2) Research your licensing body and determine if it has set any minimum standards or guidelines.
3) Make sure the training you are considering, or have already taken, fulfills
those minimum standards (or refer to the
existing guidelines if your licensing body
has not yet set any guidelines).
4) Make sure the training institution
that you choose provides not only a comprehensive training program, but provides tools and resources that enable you
to review, refresh and continue to learn.
It is critical to emphasize that even with
continued education, a general dentist
should practice only in accordance with
his or her training and experience. As
such, patients who present with complex
” See TRAINING, page B2


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B2
“ TRAINING, Page B1
treatment situations — or a level of difficulty beyond the practitioner’s training
and skill set — should be referred to a specialist.
In any profession, guidelines are set to
not only protect the providers within that
profession, but to protect the interests of
the public.
Without proper guidelines, the standard
of care is diminished, and in many situations a low standard of care not only affects treatment outcomes, but also establishes a damaging reputation for that
particular therapy.
Guidelines within implant dentistry are
long overdue, and the establishment of
educational recommendations will serve
to raise the standard of implant therapy
provided and improve treatment outcomes to protect both the public and the
profession.
Ad

Implant Tribune Canada Edition | October/November 2013

About the authors
Ken Hebel, BSc, DDS, MS, Certified Prosthodontist, earned his undergraduate degree at the University

IMPLANT TRIBUNE

of Western Ontario in 1979 and then completed a surgical internship program. He completed the prosthodontic graduate program at the Eastman Dental Center in 1983, along with his master’s degree in anatomy.
He is a diplomat of the American Board of Oral Implantolgoy/Implant Dentistry, a diplomat of the International Congress of Oral Implantology and a fellow of the American Academy of Implant Dentistry. He is an
assistant clinical professor in the Faculty of Dentistry at the University of Western Ontario and consultant to
Nobel Biocare. He is one of the founders of the Hands On Training Institute, started in 1991, where he provides hands-on mini-residency training programs. He maintains a private practice in London, Ontario, where
he provides advanced surgical and prosthetic phases of implant dentistry. Hebel can be reached via the training institute at www.handsontraining.com, or by email at info@handsontraining.com, or at (888) 806-4442.
Reena Gajjar, DDS, Certified Prosthodontist, a specialist in prosthodontics with an extensive background in computer graphics and imaging, is a co-founder of The Hands On Training Institute. She earned her
dental degree at the University of Western Ontario in 1988. After practicing as a general dentist for six years,
she returned to the Eastman Dental Center to complete her specialty certificate in prosthodontics in 1996.
Her practice in prosthodontics focused on reconstructive and implant dentistry. She is a member of several
prosthodontic and implant organizations and has taught at the University of Western Ontario Faculty of
Dentistry. She also has lectured nationally and internationally on technology in dentistry. She is the director
of the Hands On Training Institute and chief creative officer of My Dental Hub, focusing on marketing, business concepts and developing tools for clients and the dental industry. Dr. Gajjar can be reached through the
training institute at www.handsontraining.com or info@handsontraining.com or at (888) 806-4442.

Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Editor in Chief
Dr. Sebastian Saba feedback@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Managing Editor Implant Tribune Canada
Robert Selleck, r.selleck@dental-tribune.com
Managing Editor Implant Tribune U.S.
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Accounting Assistant
Nirmala Singh n.singh@dental-tribune.com
Marketing director
Anna Wlodarczyk-Kataoka
a.wlodarczyk@dental-tribune.com
Education DIRECTOR
Christiane Ferret c.ferret@dtstudyclub.com

Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185
Published by Tribune America
© 2013 Tribune America, LLC
All rights reserved.

Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Robert Selleck at
r.selleck@dental-tribune.com.
Tribune America cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.

Editorial Board
Dr. Pankaj Singh
Dr. Bernard Touati
Dr. Jack T. Krauser
Dr. Andre Saadoun
Dr. Gary Henkel
Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
Dr. Axel Zoellner
Dr. Glen Liddelow
Dr. Marius Steigmann

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, report
the details to managing editor Robert
Selleck, r.selleck@dental-tribune .com.

Tell us what you think!
Do you have general comments or criticism
you would like to share? Is there a particular
topic you would like to see articles about in
Implant Tribune? Let us know by emailing
feedback@dentaltribune. 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.


[3] =>
Implant Tribune Canada Edition | October/November 2013

XXXXX
INDUSTRY

B3

The future is
now at OCO
Biomedical
Next dental implant training course is in Toronto, Nov. 22
According to OCO Biomedical, in the
future, many dental implant systems will
require minimal placement and restorative instrumentation — and need only
one universal implant body to fulfill all
surgical needs.
But the quick follow-up message from
OCO Biomedical is this: The future is here,
so there is no need to wait. According to
the company, these standards for the “future” are already the standard today for
OCO Biomedical dental implant systems,
which the company describes as being
“economical, simple, reliable and versatile
— and able to be used for a variety of implant needs.”
According to the company, the proven
implant body design used in OCO Biomedical’s implant systems enables practitioners to easily progress from mini- to fullsize one-piece or two-stage implants for
virtually any implant indication.
Unlike other dental implants on the
market, OCO Biomedical’s implants are designed for immediate loading — thanks to
dual stabilizationTM, which is a design feature that the company describes as being
unique in the industry because of how it
biomechanically secures the tip and collar
of the implant.
While other implant companies boast of
revolutionary surface treatments, according to OCO Biomedical, its implants immediately “lock” into bone at placement.
The company’s patented Bull Nose
AugerTM tip locks the apex of the implant by
pulling bone up and around the threads —
and the mini Cortic-O ThreadTM locks into
the cortical bone, stabilizing the collar. The
thread pattern and pitch of the implants
are purposely designed to immediately
maximize bone-to-thread contact.

Next training seminar Nov. 22
The next OCO Biomedical dental implant
training seminar is in Toronto, Friday, Nov.
22. According to the company, the course
is the culmination of a long history of
continuously pushing forward in research
and education. After the training session,
each participant will be familiar with and
confident in the principles of placement
and prosthetic restoration with OCO Biomedical dental implants.
To register for the course, you can send
an email to victor@ocobiomedical.com or
to anna@ococanada.com. Participants are
eligible for seven AGD C.E. credits.
Learn more about OCO Biomedical implants at www.ocobiomedical.com or contact the company at (855) 851-8558. OCO
Biomedical implant lines are FDA and
Health Canada Approved.
(Source: OCO Biomedical)

TAD
BOOTH
NO. 729

Some call it evolution, but OCO Biomedical calls its lineup of dental implants ‘Logical Progression.’
OCO Biomedical’s complete line of dental implants covers a wide range of sizes — from 2.2 mm to
6 mm diameters. From left: SDI, 3.0, ISI, TSI, ERI, Engage and Macro. Photo/Provided by OCO Biomedical

Ad


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B6

Implant Tribune Canada Edition | October/November 2013

Implants training set apart by its small
classes and complex, hands-on surgery
MIS Implants Canada sees strong demand for comprehensive course
Since July 2011, the implants training
centre used by MIS Implants Canada has
taught more than 60 Canadian dentists.
During that training, those dentists
placed a total of more than 730 dental
implants and performed more than 140
open sinus lifts for patients who otherwise would not have had access to such
dental care.
The first day of the International Dental Implant Academy course, held in
Bogotá, Colombia, consists of a review
of basic theories and concepts in dental
implantology (anatomy, bone classification, guided surgery, implant design
and sinus lifts). The review is followed
by hands-on work with mandible models using a surgical kit and implant motor. Participants are encouraged to have
already reviewed a training manual
that is provided to them prior to the
course — or to have already received
theoretical teaching in dental implants.

Hands-on surgeries: implant
placement and sinus lift
The next three to four days comprise
hands-on surgeries, during which each
participant will place 20 implants and
assist a partner in placing another 20.
That means that in total, each participant will be involved in the placement
of 40 implants in the operatory — directly placing 20 and assisting with 20.
Participants will be guided under
the helpful supervision of one of the
institute’s English-speaking faculty instructors, a group comprising some of
the top periodontist and maxilla facial
surgeons in Colombia.
Part of the mission of the training
centre is to provide dental implant care
to underserved patients whose needs
might otherwise never be addressed.
Because of that, the cases that present to
course participants are often complex.
Prospective students should expect
the level of complexity in their cases to
range from medium to high.
Participants can expect to undertake
the following procedures:
• Multiple implant placements in the
mandible or maxilla.
• Closed sinus lift with implant placement.
• Extraction with immediate implant
placement.
• Ridge expansion of the mandible with
implant placement.
• Implant placement with bone grafting.
• Treatment planning using a CT scan
and guided-surgery software.
• Open sinus lift (available in advanced
course).

Surgical days are extensive
Participants can expect the surgical
days to be extensive, running from
8 a.m. to 7 p.m. The instructors work
with participants in a one-on-one setting, showing and demonstrating procedures that can be effectively taught

only through hands-on surgeries.
After participating in the training
program, participants should have the
confidence and knowledge to return to
their practice and immediately be able
to provide implant surgery to their patients.
With regard to the perception that
many North Americans might have
about Colombia, MIS Implants Canada
representatives note that the country
is re-establishing itself as one of the
strongest economies and safest destinations in Central and South America.
Based on comments from past Canadian participants, most attendees
leave with a completely different perception of Colombia than they had prior
to the course. Their revised perspective
is influenced by Bogotá’s vibrant nightlife, hospitable people and boundless
cultural opportunities.

Top left, two
participants
with a patient
during an MIS
Implants Canada
course.
Above, one of
the fully equiped
operatories in
the training
clinic.
Left, photos of
work performed
by course
attendees on
two different
patients during
the intensive
hands-on
training. Course
attendees can
expect to
directly place 20
implants, some
involving highly
complex cases,
and assist in the
placement of
another 20.

Beautiful Bogotá
The associated clinic and hotel facilities
are located in the most affluent areas of
the city. The hotel Cite Bogotá is highly
rated and has won numerous awards
from Tripadvisor. The hotel serves a
continental buffet and offers numerous amenities, including a full-service
spa and a rooftop terrace/patio (with
heated pool) overlooking the city. Also
available is daily membership to a private gym.
The hotel is within walking distance
of some of Bogota’s trendiest and most
tourist-friendly areas: Zona T, Parche 93,
Usaquen and Zona G.
Each training class is accompanied
in Bogotá by Frank Loggia, co-owner of
MIS Implants Canada. Loggia has been
to Colombia numerous times and has
accompanied Canadian dentists to Colombia for these courses many times.
His knowledge of Bogotá and the local
Spanish dialect helps each course participant experience an unforgettable
cultural journey.
Loggia will arrange ground transportation during your stay, accompany
you every morning along with the MIS
Implants Canada private driver — and
even document your cases with photos
and pre- and post-op X-rays for you to

Photos/Provided
by MIS Implants
Canada

keep for your personal records.
Loggia also accompanies the group
every evening for the complimentary
diner held at various restaurants in the
city.
According to MIS Implants Canada,
demand for the courses is high, thanks
to the program’s strong reputation and
its use of small class sizes.
In response, MIS Implants Canada has

added five courses for 2014 to accommodate as many participants as possible. Organizers advise interested participants to register at least two months
prior to a scheduled course date.
For more information, you can call
Nadia Villa at (877) 633-0076 ext: 123 or
email her at nadia@mis-implants.ca.
(Source: MIS Implants Canada)


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