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
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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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[2] => XXXXX INDUSTRY 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[4] => [5] => [6] => XXXXX INDUSTRY 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)[7] => [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] => [toc] => Array ( [0] => Array ( [title] => Does your implant training meet the new guidelines? [page] => 01 ) [1] => Array ( [title] => The future is now at OCO Biomedical [page] => 03 ) [2] => Array ( [title] => Implants training set apart by its small classes and complex - hands-on surgery [page] => 06 ) ) [toc_html] =>[toc_titles] =>Table of contentsDoes 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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