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Implant Tribune U.S.

Facing the facts (entry) / Waasdorp awarded fellowship / Facing the facts / Sirona launches ‘InEos Blue’ scanner / Straumann partners with Cadent

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

January 2010

www.implant-tribune.com

Waasdorp
awarded
fellowship
BIOMET 3i is pleased to
announce that the American Academy of Periodontology Foundation
(AAPF) awarded the 2009 Richard
J. Lazzara Fellowship in Advanced
Implant Surgery to Dr.
Jonathan
Waasdorp.
The Richard J. Lazzara
Fellowship
in Advanced
Implant Surgery
is
a
12-month
award intended to provide
Dr. Jonathan
educational
Waasdrop
and clinical
experiences that reflect the most
current techniques in implant
dentistry. The hosting institution
must provide the fellow with clinical learning experiences in the
surgical management of advanced
implant cases. These learning
experiences include implant site
development and oral plastic surgery procedures aimed at restoration, clinical research leading to
the development of an implantrelated research paper suitable for
publication and teaching experiences.
In addition, the current fellow is
invited for two visits to BIOMET 3i,
at both the beginning and conclug IT page 2B
AD

Vol. 5, No. 1

Facing the facts
The differences between dental CBCT and medical CT scans
By Dr. Bruce Howerton

Before a practitioner performs
surgery, he or she should be
equipped with up-to-date knowledge regarding the possible conditions located under soft tissue within the oral cavity.
Three-dimensional data generated by cone-beam computed tomography (CBCT) technology offers a
“surgical view” or slices of the entire
field of view from the front, side and
under the patient. Cone-beam scans
assist with determining bone structure, tooth orientation, nerve canals
and pathology; in some cases it may
preclude the necessity for a surgical
procedure.
In the past few weeks, various
media sources have published articles regarding high exposure of
radiation from medical CT scans.
Unfortunately, these have generated misconceptions about the dental
CBCT, or 3-D cone-beam computed
tomography scans.
The dental CBCT imaging
method allows dentists to obtain
vital three-dimensional information without exposing patients to
high levels of radiation that come
from medical CT scans. An in-office
imaging method is more convenient; it saves the patient travel time
to and from the hospital and for
follow-up examinations after treatment.
Dentists and other medical professionals ascribe to the ALARA (as

low as reasonably achievable) protocol concerning radiation levels.
This protocol guides practitioners to
expose patients to the least amount
of radiation possible while still gaining the most pertinent information
for proper diagnosis.
For example, for dentists placing
implants, having this information
beforehand is imperative to determining anatomical variations that
can affect the procedure’s success
or failure.
The differences between dental
and hospital scans derive, in part,
from the method of capturing the
information. The average medical
CT scan of the oral and maxillofacial
area can reach levels of 1,200-3,300
microsieverts, the measurement of
radiation absorbed by the body’s
tissue. These significant levels are
attributed to the method of exposing
tissues to radiation. With the hospital scan, the anatomy is exposed in
small fan-shaped or flat slices, as the

machine makes multiple revolutions
around the patient’s head.
To collect adequate formation,
there is overlapping of radiation. In
contrast, the dental scan captures
all the anatomy in one single coneshaped beam rotation, decreasing
the exposure to the patient of up to
10 times less radiation.
For example, radiation exposure
using the standard full field of view
from an i-CAT® CBCT machine
(Imaging Sciences International) is
36 microsieverts. These machines
are also available in different fields
of view, thereby reducing radiation
exposure even more, depending
upon the needs of the patient.
For other comparisons of exposure, consider that a typical 2-D full
mouth series runs 150 microsieverts
while a 2-D digital panoramic image
ranges between 4.7-14.9 microsieverts.
g IT page 4B
AD


[2] =>
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News

f IT page 1B

sion of the fellowship; to become
familiar with the company’s facilities and employees, to provide feedback on products and to debrief on
the experience as a Lazzara Fellow.

Implant Tribune | January 2009
This $50,000 fellowship is funded
by BIOMET 3i. According to. Waasdorp, currently in training at the
University of Maryland: “It is an
honor to receive the award. The
fellowship will facilitate advanced
training in all aspects of implantol-

ogy while affording me the opportunity to perform clinical research
and further develop my skills as an
educator.”
For more information about
the AAPF’s Lazzara Fellowship in
Advanced Implant Surgery, visit the
AAPF Web site at www.perio.org/
foundation/foundation.html. IT

AD

(Source: BIOMET 3i)

IT

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@dental-tribune.com.

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

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief
Sascha A. Jovanovic, DDS, MS
sascha@jovanoviconline.com
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
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
Phone: (212) 244-7181, Fax: (212) 244-7185

Published by
Dental Tribune America
© 2010, Dental Tribune America, LLC.
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. 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


[3] =>

[4] =>
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Events

Implant Tribune | January 2009

Register now for the AO
Online registration for the Academy of Osseointegration’s 2010 annual
meeting, “The Formula for Predictable Implant Success,” is available
on the new and expanded meeting
section of the academy's Web site
at www.osseo.org/events/meetings/
index.html.
This site is full of interactive meeting information where you can view
the session descriptions and speakers along with their abstracts to help
assist you in selecting the many
options available while in Orlando.
To further explain this year’s
meeting, check out the new meeting

AD

video, which is available at the link
above.
New at this year’s AO annual
meeting is a full-day workshop,
“Computer-Guided Implant Therapy: A Hands-On Workshop in 3-D
Digital Implant Dentistry,” offered
Wednesday, March 3 and presented
concurrently by six leading companies. Space is limited, so please
register early.
Discounted pre-registration rates
continue through Feb. 8 for the meeting, which will take place March 4–6
at the Walt Disney World Dolphin
Resort in Orlando. IT

f IT page 1B

Researchers who have developed
this technology have achieved the
goal of allowing dentists to achieve
the same information gained from a
medical CT, without the additional
radiation exposure.
Dentists who do not own their
own CBCT machines can take
advantage of this imaging method by
referring patients to imaging centers
to acquire this valuable information.
The knowledge obtained from
capturing 3-D scans has the ability
to influence the effectiveness and
efficiency of dental treatment.
A dental CBCT scan offers the
views and detail needed to perform
the latest procedures, while avoiding the unnecessary higher levels
of radiation emitted from hospital
scans. As the technology continues to
evolve, the possibilities for improved
dental care can only increase.
Increased software compatibility
with surgical guides and orthodontic
applications has made CBCT scanners an imperative for some dental
offices.
As an oral maxillofacial radiologist and an educator, I firmly believe
that with knowledge comes responsibility to provide patients with the
best dental care in the safest way
possible — a dental CBCT accomplishes this goal without the addi-

tional risks involved with hospital
scans. IT

IT

About the author

Dr. Bruce Howerton is a boardcertified oral and maxillofacial radiologist who practices privately in
Raleigh, N.C. He received a DDS
degree from the West Virginia University School of Dentistry in 1985. He
completed a certificate in endodontics
in 1987 from the University of North
Carolina School of Dentistry and practiced surgical and non-surgical endodontics in Asheville, N.C. for eight
years. In 1999, he entered the UNC Oral
and Maxillofacial Radiology graduate
program and completed the master of
science program. Howerton became a
diplomate of the American Academy
of Oral and Maxillofacial Radiology in
2003. For more information, see www.
carolinaomfimaging.com.


[5] =>

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Industry

Implant Tribune | January 2009

Sirona launches ‘InEos Blue’ scanner
Fast, precise and
flexible product
joins the inLab line
Sirona Dental Systems, the company that pioneered digital dentistry
more than 25 years ago and one of
the world’s leading producers of
dental CAD/CAM systems, recently
announced the launch of the inEos®
Blue desktop scanner, an advanced
3-D scanner that allows dental technicians to quickly, precisely and
AD

easily scan dental models.
inEos Blue is built on Sirona’s
innovative blue light-emitting diode
(LED), a.k.a. Bluecam technology,
which is superior in many ways.
Bluecam technology utilizes shortwavelength visible blue light to
facilitate flexible recording options,
resulting in substantially faster
scanning and highly-precise 3-D
digital models.
inEos Blue provides dental technicians more control to determine
what they want to record, allowing the design process of 3-D digital models to be performed with

unprecedented precision and speed.
With the inEos Blue, the technician can now utilize an automatic
image capture function (auto capture) that allows free movement of
the model in any direction, providing complete control of the angle of
the scan.
Thus, the user takes a digital
impression only of the required
treatment area with interactive control and increased flexibility.
The inEos Blue scanner will be
available in February, along with a
dedicated computer and inLab 3-D
software.
The scanner can be utilized as a
standalone unit or in combination
with the inLab® milling unit for
complete in-house production.
In addition, inEos Blue can save
and export scanning data in STL
format, thereby allowing the data
to be processed using third-party
software.
“Our goal for inEos Blue was
to create a scanner that provides
superior optical precision, reliability and speed, while providing the
technician full control of the scanning process,” said Bart Doedens,
vice president dental CAD/CAM
systems. “Through our innovative

The inEos Blue desktop scanner
allows for quick, precise scanning.
Bluecam technology, we are now
able to bring the best digital dental
scanning capabilities to our valued
laboratory clients.”
For more information on inEos
Blue, and on all Sirona Dental Systems’ inLab services, please call
(800) 873-7683, contact your local
Patterson Dental representative or
log onto www.Sirona.com. IT


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Industry

Implant Tribune | January 2009

Straumann partners with Cadent
Straumann, a global leader in
regenerative, restorative and replacement dentistry, and Cadent, a provider of 3-D digital solutions for the orthodontic and dental industries, recently
announced they have established an
agreement that makes Straumann
the exclusive European distributor
of Cadent’s iTero digital impression
systems with immediate effect.
The agreement provides Cadent
with access to the highly attractive
European dental market through the
Straumann sales network and brand.
It also enables Straumann to offer
European customers leading intraoral scanning technology as part of
an integrated range of tooth replace-

AD

ment and restoration solutions.
The deal follows a data-sharing
agreement between the two companies, which was announced in August
and connects the iTero system into
the Straumann CAD/CAM workflow.

Partners of choice
“We are privileged to be Cadent’s
exclusive distributor in Europe,” said
President and CEO of the Straumann
Group Gilbert Achermann. “The
iTero technology complements our
in-lab scanning solutions, offering
customers the option of fast, precise
and convenient in-chair scanning
connected directly to our integrated
digital workflow. Dentists, labs and

patients all stand to benefit from the
time and cost savings in addition to
the added convenience and comfort.”
Tim Mack, CEO of Cadent, added:
“Straumann is a powerful brand in
dentistry that will leverage and drive
our penetration of the highly attractive European market. The breadth
and quality of Straumann’s dental
solutions together with its strength in
sales and service make it the partner
of choice — not just for us but also for
dentists and labs.”

Intra-oral scanning: shaping the
future of dentistry

Intra-oral scanning is an established
but still emerging technology that

promises to have substantial impact
on the future of dentistry. Its main
advantage is it enables the dentist to
create a 3-D image of the patient’s
teeth using a miniature digital scanner/camera inside the mouth. This
avoids the slower — and potentially
less reliable — conventional process
of impression-taking in the dental
practice, followed by model casting
in the laboratory. In addition to high
precision, there are considerable
time and cost savings for both the lab
and the dental practice.

About iTero
Cadent’s iTero system uses a groundbreaking powder-free laser scanner
that produces a precise 3-D digital
impression, or model, of the prepared tooth or implant abutment. The
model includes the opposing dentition
and the bite in occlusion, which will
enable the technician to ensure the
new prosthetic tooth or teeth fit precisely with the opposite teeth during
biting/chewing. The model is magnified and displayed on a chairside
computer screen while the patient is
still in the chair. This enhanced visualization, plus real-time analytical
tools, allows the dentist to make any
necessary adjustments simply and
quickly before completing the scanning process. The data is then sent
electronically to a dental laboratory
equipped with the respective design
software. After processing, the data
are forwarded to a Straumann manufacturing facility, where the prosthetic is milled and then sent to the
laboratory, together with a model of
the patient’s teeth, for finishing. The
highly esthetic, precise-fitting restoration is then delivered to the dentist.

About Cadent
Headquartered in Carlstadt, N.J., with
R&D and operations in Israel, Cadent
is a leading provider of 3-D digital
solutions for the orthodontic and dental industries. The company services
thousands of cases each day for a
rapidly expanding customer base.
Cadent’s offerings improve the efficiency and effectiveness of orthodontic
and dental treatments while increasing the revenue of dental health-care
providers. More information is available at www.cadentinc.com.

About Straumann
Headquartered in Basel, Switzerland, the Straumann Group is a
global leader in implant and restorative dentistry and oral tissue regeneration. In collaboration with leading clinics, research institutes and
universities, Straumann researches,
develops and manufactures dental
implants, instruments, prosthetics
and tissue-regeneration products
for use in tooth replacement and
restoration solutions or for preventing tooth loss. Straumann currently
employs about 2,200 people worldwide; its products and services are
available in more than 70 countries
through its broad network of distribution subsidiaries and partners. IT


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