Implant Tribune U.S.
Stem cells may improve the adaptability of dental implants / Miniscrews: a focal point in practice / SimPlantWorld Congress focuses on 3-D in Monterey / 7 questions of implant success
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ITUS_Title_MS
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
JULY 2009
www.implant-tribune.com
VOL. 4, NO. 7
AAP headed for Boston
Materialise in Monterey
Want success?
Clinicians, companies
convene on Pacific coast
Clinicians, companies
convene on Pacific coast
Here are the 7 questions
you need to ask yourself
Page
ICOI
headed to
Vancouver
The International Congress of Oral Implantologists
will host its World Congress
XXVI from Aug. 20-22 at the
Vancouver Convention Centre in Vancouver, Canada.
Here is just a small sampling of speakers and topics
to be featured at this event:
• Dr. Lyndon Cooper:
“Dental Implant Function
and Occlusion – Risk and
Benefit”
• Dr. Scott D. Ganz: “The
Impact of Digital Dentistry
on Prosthetic Paradigms”
• Dr. Jack Krauser:
“Guided Implant Surgery –
The Good, The Bad and The
Ugly”
• Dr. Edwin A.
McGlumphy: “How Fast Can
We Go? Ohio State Implant
Clinical Trials: What We
Have Learned About Early
and Immediate Loading”
For more information
about the event, see
www.icoi.org, where you can
register online and learn
more information about
schedule and hotels. IT
Page
9B
A procedure using stem cells may
provide a more thorough regeneration of periodontal tissue around
dental implants, according to a new
report published in the Journal of
Oral Implantology.
Dental implants closely resemble
natural teeth, but an implant’s ability to react to patient growth, pressure from chewing and future orthodontic work is diminished if it is not
surrounded by sufficient periodontal
tissue. In this study, the authors
engineered this periodontal tissue in
14B
a fresh socket of a goat animal
model.
Each of five goats was fitted with
two titanium implants immediately
after tooth removal. A poly DL-Lactide-co-Glycolide scaffold was fitted
around each implant, but the control
received only the scaffolding. The
experimental implant received scaffolding seeded with bone marrow–derived mesenchymal stem
cells (BMDSCs). All implant sites
showed some level of tissue development at 10 days after the opera-
tion. At one month after, the control
side showed no signs of tissue development, whereas the experimental
side had developed cementum, bone
and periodontal ligament, the three
tissues required for regeneration of
periodontal tissue.
Past studies have demonstrated
positive results with BMDSCs in
periodontal defects around natural
teeth. Others have shown promising
results without BMDSCs, using pro IT page 2B
Miniscrews: a focal point in practice
Part two in a six-part series
By Dr. Björn Ludwig, Dr. Bettina Glasl,
Dr. Thomas Lietz and Prof. Jörg A. Lisson
Basic information on the
insertion of miniscrews
Preparing for insertion
The insertion of a miniscrew is a
very simple and rapid therapeutic
measure. Although there are several methods that will yield good
results,
successful
insertion
requires adherence to a few import IT page 4B
INDUSTRY TRENDS
Avoiding the pitfalls of
implants with 3-D imaging
Once only a solution for the rich
and famous, dental implants have
become a popular option for people
across all economic categories.
Along with the popularization of this
procedure, while implants were usually delegated to specialists, technology, such as in-office cone-beam
Page
Stem cells may improve the
adaptability of dental implants
(Source: ICOI)
By Terry Myers, DDS
11B
scans and digital imaging allow general practitioners to offer this type of
service while also avoiding the pitfalls that result from a lack of precise
information.
Research illustrates both the
growing popularity of implants and
the increasing desire of general den IT page 2B
Fig. 1: X-ray positioning aid
(X-ray pin,
FORESTADENT)
shown in situ in
relation to the
adjoining tooth
axes.
AD
[2] =>
ITUS_Title_MS
2B
Industry Trends
IMPLANT TRIBUNE | JULY 2009
IT page 1B
tists to provide their patients with
this procedure. A recent survey cites
that 19 percent of general dentists
have placed implants for three years
or less. Many practitioners want to
add this procedure as a response to
requests from their patients. The
study also showed that 77 percent of
general practitioners said the number of patient inquiries about
implants in their practice has
increased during the last three years.
For the general dentist, the proper
technology can reduce stress and
expand the comfort zone, as well as
increase the safety and comfort of
the patient during implant planning
and surgery.
A successful implant surgery is
dependent upon many details, a
majority of which are hidden
beneath the gingiva. A 2-D X-ray or
pan cannot discern certain anatomical conditions of the dentition that
may determine the direction and
scope of the treatment plan. Without
a 3-D scan, the dentist needs to
devise several “just-in-case” options,
to provide for the various possible
scenarios taking place under the
gum tissue. While this may seem to
you like “covering all bases,” it may
decrease the patient’s confidence in
your diagnostic ability.
A comfortable and positive experience will determine whether you
retain a loyal patient or get bad press
among his/her friends.
Beginning an implant without a
3-D scan is like trying to navigate
through a dark room without a flashlight. You are sure to bump into
something that will stop your
progress. A 2-D pan alone cannot
clearly establish the dimensional
shape of the bone. Without the exact
measurements of the width and
height of the bone provided by the
cone-beam image, it is likely that you
may flap back the tissue only to find
insufficient bone to support an
implant. The patient ends up with
pain, stitches, and an additional
appointment to complete the next
stage.
Besides the amount of bone, the
3-D scan avoids other possible obstacles to a successful implant. The
ability to view abnormalities of the
roots, the tooth’s proximity to adjacent teeth, supernumerary teeth and
the proximity to the nerves and sinus
provides valuable insight, avoiding
surprises once the surgery is underway.
The cone-beam scan improves
patient communication, avoiding
misunderstandings and improving
patient acceptance. Back to the survey scene, more than 98 percent of
those surveyed were involved in
patient education on implants. Education is easy with a 3-D image. The
dentist can point out the possible
trouble spots on the 3-D model, slicing, rotating, enlarging and exploring the patient’s dental anatomy from
all angles.
Whether you are a general dentist
or a specialist, no one wants the
stress of a possible failed implant, or
IMPLANT TRIBUNE
The World’s Newspaper of Implantology · U.S. Edition
Publisher
Torsten Oemus
t.oemus@dtamerica.com
President & CEO
Peter Witteczek
p.witteczek@dtamerica.com
Chief Operating Officer
Eric Seid
e.seid@dtamerica.com
Severe buccal destruction easily detected on a 3-D cross-section from Cone Beam
(GXCB-500), and successful implant placement verified by a digital X-ray (DEXIS).
Group Editor & Designer
Robin Goodman
r.goodman@dtamerica.com
Editor in Chief
Sascha A. Jovanovic, DDS, MS
sascha@jovanoviconline.com
Managing Editor/Designer
Implant & Endo Tribunes
Sierra Rendon
s.rendon@dtamerica.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dtamerica.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dtamerica.com
Account Manager
Humberto Estrada
h.estrada@dtamerica.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dtamerica..com
Marketing & Sales Assistant
Lorrie Young
l.young@dtamerica.com
3-D reveals narrow ridges and provides precise measurements for safer placement.
C.E. Manager
Julia Wehkamp
j.wehkamp@dtamerica.com
Dental Tribune America, LLC
213 West 35th Street, Suite 801
New York, NY 10001
Phone: (212) 244-7181, Fax: (212) 244-7185
The undercut
mandible as
seen in 3-D
prior to
surgery.
a disappointed patient.
In conjunction with 3-D imaging,
many surgical guides are available
that provide even more direction
during the surgery, and 2-D digital
images taken during the surgery can
offer a quick check of drill lengths
and placements.
While success in any surgical
endeavor cannot be totally guaran-
IT
teed, having all of the facts beforehand does stack the odds in your
favor. With cone-beam technology,
general dentists can keep their existing patients in-house, attract new
patients and expand their dental
horizons. There’s no need to do surgery in the dark because 3-D imaging is available to shed light on all
the pertinent facts. IT
About the author
Dr. Terry Myers completed his residency in
advanced general dentistry and served as an
instructor
in
the
advanced education in
general dentistry residency program and as
director of the faculty
practice at the University
of Missouri-Kansas City
School of Dentistry. He is
a fellow in the Academy
of General Dentistry and
a member of the Acade-
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.
IT page 1B
my of Cosmetic Dentistry
and the Dental Sleep Disorder Society. Myers is on the
board of directors at
Research Belton Foundation
and is a participating
provider for the dental care
program to improve children’s dental care. His private practice, where he utilizes the Gendex GXCB-500
and DEXIS, is in Belton, Mo.
Myers can be reached
by
e-mail
at
office
@keystone-dentistry.com.
genitor cells from the remaining ligament in certain limited situations.
But unlike past studies, this report
demonstrates that using BMDSCs
can ensure a more thorough, adaptable regeneration of periodontal tissue with titanium implants.
To read the entire article, titled
“Experimental
Formation
of
Periodontal Structure Around
Titanium Implants Utilizing Bone
Marrow
Mesenchymal
Stem
Cells: A Pilot Study,” visit:
www.allenpress.com/pdf/ORIM-353-106.pdf. IT
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IMPLANT TRIBUNE | JULY 2009
Clinical
IT page 1B
ant principles. The following text
details those insertion steps that
offer a high degree of safety for both
patient and dentist (see checklist for
insertion on page 8). It should be
noted that this information is generalised and must be adapted to individual circumstances.
General notes on insertion
Accurate pre-operative planning
is a basic requirement for successful
treatment with miniscrews. Such
planning includes a comprehensive
anamnesis and an accurate assessment of the findings. It is essential
that the treatment be thoroughly
explained to the patient.
Proper hygiene must be ensured
throughout the entire operation.
Both the dental chair and the treatment process must be prepared with
this in mind. During the insertion of
a miniscrew, adherence to all
hygiene measures required for an
invasive procedure, such as a sterile
work environment and gloves, must
be ensured.
All instruments required for
insertion must be checked for completeness, functionality and sterility.
The patient may rinse with a disinfectant solution, or a suitable disinfectant can be locally applied. The
patient should then be positioned to
ensure a clear view of the operational area and ergonomically facilitate insertion for the treating dentist.
Pre-operative planning
To function correctly, a miniscrew requires firm anchorage in
the bone (primary stability) and the
positioning of its head in the denser
gingival tissue (gingiva alveolaris).
The selection of the insertion site
must take clinical and para-clinical
findings into account (X-ray image,
model), as well as the goal of the
treatment and the resulting orthodontic appliance. For interradicular
insertion, a bone thickness of at
least 0.5 mm around the miniscrew
is required. This means that for
a miniscrew with — for many reasons — an optimal diameter of
1.6 mm, the roots must be at least
2.6 mm from each other. Thus, the
bone status and the longitudinal axis
of the insertion site must be carefully evaluated.
Basic information regarding this
is obtained by carrying out measure IT page 6B
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Figs. 2a–c: The top image shows the initial
situation. An X-ray pin was inserted into
the first and second quadrants of the upper
jaw (in the 6–5 region) to check the bone
site, followed by the miniscrew. Both
screws were inserted in a manner that is
clinically safe, but the X-ray images show
damage to the adjoining root in the righthand quadrant, indicating a false-positive
initial interpretation of the situation.
Figs. 3a–c: The clinical image shows two
miniscrews inserted into the palate in the
safe zone to the distal side of the transversal line linking the two canines. The
FRS and the PA image confirm the bone
support in the insertion region.
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IMPLANT TRIBUNE | JULY 2009
Clinical
Figs. 4a and 4b: Injection pen with needle and anaesthetic cartridge,
and injection of anaesthetic.
IT page 4B
ments on the model. It often helps to
mark the vertical axis of the teeth
and the progression of the mucogingival line on the model, based on
the clinical and radiological findings. This will allow for an
improved assessment of the spatial
AD
Figs. 5a and 5b: Superficial anaesthetic device in pen form with cartridge, and application of superficial anaesthetic.
circumstances in combination with
the X-ray image. To assist the
accurate determination of the insertion site, X-ray aids (Fig. 1) are
available.
Although their use facilitates the
selection of the insertion site, they
cannot replace other diagnostic
measures. This is because, depending on the positioning of the X-ray
tube, object, film, and/or sensor, all
types of X-ray devices and images
may yield some optical distortion.
Interpretation of images can thus
lead to false-negative or false-positive results (Figs. 2a–c).
Therefore, the placement of a
miniscrew should always be based
on the clinical findings. If a miniscrew is to be inserted into an area
in which there is no risk of damage
to roots, nerves or blood vessels
Fig. 6: Measuring the thickness of the mucous membrane in the direction of
insertion. (Photo: Dr. Pohl)
(e.g., into the palate just behind the
transverse line linking the two
canines), the position of the screw
may be freely chosen (Figs. 3a–c).
Anaesthetic
During the interradicular insertion of a miniscrew, the sensitivity
of the periodontal tissue of the
adjoining teeth should be retained.
For this reason, the following two
procedures are recommended:
a) a low-dose injection of
approximately 0.5 ml anaesthetic (Figs. 4a and 4b); and
b) the induction of superficial
anaesthesia of the mucous
membrane at the insertion
site, for which a topical anaesthetic gel is suitable (Figs.
5a and 5b). No general anaesthetic is ever required for this
procedure.
Choice of screw
Measuring the thickness of the
mucous membrane (optional)
A pointed sensor with an
attached rubber ring is used to
measure the thickness of the gingival tissue in the direction of insertion (Fig. 6).
This information may be useful
when determining the final length
of the screw and possibly when
inserting the miniscrew.
When choosing the length, the
bone repository and the thickness
of the mucous membrane in the
direction of insertion play a role; in
the retromolar section of the lower
jaw and in the palate, the thickness
of the mucous membrane is often
more than 2 mm.
The part of the miniscrew inside
the bone must be at least as long as
the part outside the bone. The various dimensions must be taken into
account.
The thickness of the bone in the
direction of insertion determines
the required length of the miniscrew:
• bone thickness > 10 mm: miniscrews with a length of up to
10 mm are to be used;
• bone thickness < 10 mm and
> 7 mm: miniscrews with a
length of 8 mm or 6 mm are to
be used; and
• bone thickness < 6 mm: miniscrews cannot be used.
The following guidelines aid in
selecting the length:
• in the buccal region of the
upper jaw: 8 mm or 10 mm;
• in the palatinal region (depending on the region): 6, 8 or
10 mm; and
• in the lower jaw: usually 6 mm
or 8 mm.
[7] =>
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IMPLANT TRIBUNE | JULY 2009
Figs. 7a and 7b: Diagrams showing the thread mechanisms: self-cutting and self-tapping.
Fig. 9: Sterile miniscrew supplied in pinholder (tomas-pin, DENTAURUM).
Determination of the type of thread
Self-cutting miniscrews require
pre-drilling (also known as pilot
drilling) appropriate to the length
and diameter of the screw, as well
as to the quality of the bone.
A self-tapping miniscrew will
find its own way into the bone and
requires no pre-drilling (Figs. 7a
and 7b).
Bone is more or less elastic
Clinical 7B
Figs. 8a and 8b: Pre-drill with a 4 mm long blade and limit stop: Drill
(FORESTADENT) and tomas-drill SD (DENTAURUM).
Figs. 10a–d: Preparation of the work rack and removal of the blades.
depending on site, age and structure. However, the screw diameter,
the thickness of the cortical bone,
and the hardness of the bone at the
insertion site limit the extent to
which this method can be used.
Without pre-drilling, the bone
will be strongly compressed during
insertion and thus suffer related
tension stress.
This may result in the cracking of
the bone around the insertion site.
When the screw is screwed into
the bone, it is subjected to high
loads. Depending on the bone quality, the resistance against insertion
and the continuity of the rotational
movement, high torsional forces
can result.
In regions with thick cortical
bone and a much looser bone structure (e.g. the upper jaw), the use of
self-tapping screws is recommended.
In regions where the cortical
bone is thick and the bone structure
is dense (e.g., the anterior lower
jaw), both self-cutting and self-tapping screws may be used, in each
case following perforation of the
compact bone.
IT page 8B
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IMPLANT TRIBUNE | JULY 2009
Clinical
IT page 7B
Checklist for insertion
Pre-operative planning
and preparation:
• planning documentation (X-ray,
situational models);
• marking of the muco-gingival
line and tooth axes on the model;
• determining the site of insertion;
• sterilisation of the instruments
and preparation of the workstation.
Transgingival penetration
The miniscrew must penetrate
through gingival tissue, which must
thus be perforated during insertion.
Two methods are used for the perforation of the gingival tissue:
a) excision of the gingival tissue; or
b) direct insertion of the screw
through the gingival tissue.
There are currently no published
studies that investigate the effect of
these two methods on postoperative
problems, histological effects and/or
the loss rate of miniscrews.
Anaesthetic and assessment
of the insertion site:
• anaesthetic;
• use of X-ray aids;
• control image.
Preparation of the bone site
Selection of the screw:
• measuring of the thickness of the
mucous membrane (optional);
• determination of the length;
• determination of the type of
screw.
Protection of the bone is an important
aspect. Insertion without pre-drilling
results in tensional stress within the
bone, which may lead to postoperative complications. Particularly in the
case of crestally placed screws, bone
displacement may result in a severe
expansion of the periosteum. The
thickness of the cortical bone, especially in the lower jaw, can have a significant effect on the torque of the
screw. To ensure that the screw is not
overloaded during insertion, the
compact bone of the anterior lower
jaw should be perforated by predrilling, as mentioned earlier. Predrilling should be done at a maximum of 1,500 rpm–1, using a short
pilot drill and water-cooling to
reduce the risk of damaging the root
(Figs. 8a and 8b).
Insertion of the miniscrew
The miniscrew must be removed
from its sterile packaging (Fig. 9) or
the work rack (Figs. 10a–d) without
contamination. The thread of the
screw may not be touched. The screw
should be inserted at a constant rotational speed (at approximately
30 rpm–1) and with as uniform a
torque as possible.
Manual insertion
Manufacturers supply various
screwdrivers and blades in several
lengths for the manual insertion of
the screws. Because of their dimensions, long blades pose the risk of
attaining a very high torque during
insertion.
Thus, insertion must be carried
out carefully to avoid breaking the
miniscrew. Torque ratchets are available for use with some systems (e.g.,
Transgingival penetration:
• excision of the mucous membrane or perforation with the
screw.
Figs. 2.11a–f: Preparation of the instruments and insertion of two miniscrews into the
palate by machine.
tomas, DENTAURUM; and LOMAS,
Mondeal), which provide a certain
amount of control over the insertion
torque.
Machine insertion
Machine
insertion
requires
a surgical treatment unit (the torque
of which can be controlled) or at least
a low-rpm dual green handpiece.
Accurate setting of the torque and the
number of rotations is required; the
rotation rate should not exceed 30
rpm–1, and the torque must be
restricted to the maximum load limit
of the screw.
Machine insertion helps to achieve
a consistent torque during insertion
but means that the operator loses
perception of the bone. During manual insertion, it is possible to perceive
the interaction between the screw
and the bone by tactile senses. Insertion by machine is shown in Figures
11a–f.
Attaching the orthodontic linking
elements
As no healing phase is required,
load may be placed on the miniscrew
Fig. 12: Linking of the miniscrew to the orthodontic appliance.
immediately after insertion. The
selected linking element must be prepared accordingly and attached to the
head of the screw (Fig. 12).
To avoid damage to the teeth to be
moved, the load on the linking element should be between 0.5 and 2 N
(about 50 and 200 g).
Basic postoperative care
The healing of the gingival tissue
and hygiene status after insertion
must be regularly reviewed during
the entire time that the miniscrew
remains in place. The patient must be
informed that any manipulation of
the screw head with the fingers,
tongue, lips, and/or cheeks should be
avoided, otherwise the screw may be
prematurely lost.
Removal of the miniscrew
A miniscrew can be removed under
local anaesthetic. After the linking
elements have been removed, the
miniscrew may be removed with the
same tools used for insertion. The
resulting wound requires no special
care and usually heals within a short
time. IT
Preparation of the bone site:
• optional marking of the bone;
and
• perforation of the cortical bone
or deep pilot drilling, depending
on the type of screw.
Insertion of the miniscrew:
• manually or by machine.
Start of orthodontic measures:
• attaching and fixing of the linking elements.
Postoperative care:
• notes on care and behaviour;
• check-up dates.
Removal of the miniscrew:
• removal of the linking elements;
• removal of the miniscrew.
Contact information
Dr. Björn Ludwig
Am Bahnhof 54
56841 Traben-Trarbach
Germany
Tel.: +49 65 41 81 83 81
Fax: +49 65 41 81 83 94
E-mail: bludwig@
kieferorthopaedie-mosel.de
Figs. 13a–c: Miniscrew in place, after removal, and following a four-week healing period.
[9] =>
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IMPLANT TRIBUNE | JULY 2009
Events 9B
AAP to host meeting in Boston
The American Academy of Periodontology (AAP) will host its 95th
Annual Meeting in Boston, Mass.,
from Sept. 12–15 at the new Boston
Convention and Exhibition Center.
Attendee registration is now open, and
dental professionals from all specialties are encouraged to register to learn
about the latest advancements in periodontology. More than 5,000 dental
professionals and participating vendors are expected to attend.
The four-day meeting will include a
variety of educational and scientific
sessions in seven distinct program
tracks, covering topics such as dental
implants, periodontal-systemic relationships, practice development and
management, and regeneration and
tissue engineering. Traditional contin-
uing education courses, as well as
hands-on workshops and clinical
technique showcases will be offered.
In total, more than 50 educational and
scientific sessions will be offered.
Of particular note is this year’s
Opening Ceremony, which will officially kick off the meeting on Sept. 12
with welcome remarks from the 2009
AAP President, David Cochran, DDS,
PhD. The academy is also pleased to
announce Paul M. Ridker, MD, as the
opening ceremony’s keynote speaker.
Ridker is a leading researcher in
inflammation and cardiovascular disease, and was an important contributor to the recent joint consensus paper
on cardiovascular disease and periodontal disease published by The
American Journal of Cardiology and
the Journal of Periodontology.
“This is an exciting time in periodontics, so I am thrilled to invite the
dental community to join us in
Boston,” Cochran said. “It has become
critical that all dental professionals
understand the connection between
periodontal disease and other chronic
diseases of aging, such as cardiovascular disease, and especially the role
inflammation plays in this connection.
Our 2009 Annual Meeting offers an
exciting and informative forum to
learn
about
these
important
advances.”
For more information or to
register for the Annual Meeting,
visit www.perio.org/meetings or call
(312) 573-3216 or send an e-mail to
angela@perio.org. IT
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IMPLANT TRIBUNE | JULY 2009
Events 11B
SimPlant World
Congress focuses
on 3-D in Monterey
Materialise Dental event featured leading experts
By Sierra Rendon, Managing Editor
The 2009 SimPlant® Academy
World Conference, held at the Monterey Marriott in coastal Monterey,
Calif., from June 25–27, concluded
with many high points regarding the
advancement of implant dentistry for
the several hundred periodontists, oral
surgeons, restorative specialists and
general practitioners in attendance.
“Materialise Dental is thrilled to
offer a fantastic program at the SimPlant Academy World Conference,”
said John Thomas, General Manager
of Materialise Dental USA and Canada.
“We assembled the finest group of
implant dentistry experts and industry
patrons one could imagine, and those
in attendance have been treated to
three days of unsurpassed education
in our never-ending quest to make
implant surgery even more successful.”
Just a sampling of the speakers at
the event include Drs. Lyndon Cooper,
Mazen Dagher, Doug Erickson, David
Guichet, Randolph Resnik and many
more.
The conference’s mission was to
provide a comprehensive understanding of the use of 3-D digital dentistry in
order to improve implant treatment
planning services.
Clinicians who had limited knowledge about SimPlant and SurgiGuide®
drill guides congregated to take their
knowledge of this state-of-the-art technology to the next level.
Delegates participated in intensive
hands-on SimPlant software training
workshops, high-quality lectures by
renowned speakers in the field and
hands-on laboratory sessions where
participants learned how to use
SurgiGuide drill guides and create all
types of scanning prostheses.
“I can say without reservation that
the quality of the guest lecturers and
their presentations was absolutely topshelf, and I’ve taken home many
‘pearls’ that I will be able to put into
immediate use in my implant practice,” said Dr. Lynn Pierri, a board-certified oral and maxillofacial surgeion
from Long Island, N.Y.
“It was extremely rewarding to
exchange experiences, both surgically
and prosthetically, with Materialise
Dental users in the international
implant community in a common
effort to take our practices to an unparalleled level of precision in both planning and execution.”
Software training was available for
all levels of participants. Participants
were also offered rotating workshops,
in which everyone had the chance to
learn about all of the components that
go into CT Guided surgery, including:
dental laboratories, CBCT, SurgiGuide
selection and design and SurgiGuide
functionality using CT-guided surgical
kits.
Also at the conference were 12
IT page 13B
Dr. Doug Erickson hosts a very interactive group discussion on ‘CT Data and Processing Cases on the Fast Track’ at the SimPlant Academy World Conference in
Monterey, Calif., from June 25–27.
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IMPLANT TRIBUNE | JULY 2009
Events 13B
IT page 11B
exhibiting companies, including Astra
Tech
Dental,
BIOMET
3i,
PreXion 3-D, Straumann, iCat and several others, all there to show support
of this technologically advanced dental
concept.
Implant manufacturers, CBCT
manufacturers and surgical supply
companies gathered to show the delegates how their companies could help
improve their CT-guided implant practices.
New product highlights
Dr. David Guichet speaks on ‘Computer-Guided Treatment and the Immediately Loaded Prosthesis’ in a Plenary
Session at the SimPlant Academy
World Conference.
An attendee gets some information at
the PreXion booth during a refreshment break at the SimPlant Academy
World Conference. A total of 12 companies supported the event and exhibited products on site.
Dr. Lyndon Cooper discusses ‘Data In
— Data Out: How Careful Case
Preparation Can Influence the Scan,
the Plan, the Guide and the Lab Fabrication for Esthetic Restoration.’
Chief among the highlights of the
event was the launch of the Universal
SurgiGuide and surgical kit. Expanding on the SimPlant CompatAbility
model, the Universal SurgiGuide system allows you to continue to use your
standard surgical drills and the
Materialise Dental launched the Universal SurgiGuide® at the World Conference.
implant brand of your choice, while
making the drilling sequence easier.
One guide that can be fixated into
place is used in conjunction with a
series of drill keys in order to account
for the increase in diameter as you
drill to create an osteotomy.
A sneak preview of the SimPlant 13
and DentalPlanit, an upgraded version
of
world’s
first
interactive
3-D implant planning system and
online communication portal that are
scheduled to come out later 2009, were
also on display.
“I find Materialise Dental a leader
in computer-guided treatment planing
for implants,” said attendee Dr. Faisal
Aldujaili.
“If you are placing implants, you
must have them on your side. I highly
recommend the software; it’s userfriendly and their support is always
there. The Materialise Dental World
conference was a great educational
experience for me in beautiful Monterey with an exceptional organization.”
For more information on SimPlant
Academy events and courses, visit
www.simplantacademy.org.
IT
(Matt Tedrow of Materialise Dental
contributed to this report.)
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14B
Practice Management
IMPLANT TRIBUNE | JULY 2009
7 questions of implant success
By Roger P. Levin, DDS
What defines a successful relationship between an implant practice and
a referring office? That’s simple —
interdisciplinary teamwork! A strong
systemized relationship with referring
offices is essential to your continued
success. In an uncertain economy, you
must do everything necessary to grow
your implant practice, and interdisciplinary teamwork will be key to that
growth. Adding value and support is
critical to your future.
Getting in sync
At a recent Total Practice Success™
seminar where I was speaking to several hundred restorative doctors, I
pointed out that motivation — any sort
of motivation — lasts about one week.
For that reason, all new patients and
big cases should be scheduled within
seven to 10 days. Doing so greatly
increases the likelihood of case
acceptance.
At this seminar, a restorative doctor
shared with me a problem he was having with his referring oral surgeon.
This general dentist liked restoring
implant cases, but the oral surgeon
couldn’t see implant consults for about
six weeks. The dentist found the waiting period was simply too long. By the
AD
time his patients were seen by the oral
surgeon, motivation had waned and
case follow-through was quite low.
Shortly after the seminar, I spoke
with several oral surgeons about this
subject. These doctors all acknowledged that the implant consults should
occur as quickly as possible. For a
team approach to work, both restorative and surgical practices must be on
the same page.
A better implant team
To strengthen relationships with referring dentists, clear communication is
essential. Remember, just because a
surgical practice has been managing
the implant process the same way for
years, doesn’t mean it’s the most effective method. There’s always room for
improvement. Levin Group recommends that restorative doctors and
specialists reach agreement on these
seven questions regarding interdisciplinary care:
• Who will provide patient care
during each step of the implant
process?
• How soon can the surgical practice see a referred patient for an
implant consultation?
• Who will provide case planning
input?
• How will communication occur
between the restorative practice and
the implant surgical practice?
• Who will present fees to the
patient?
• When the situation is appropriate, who will arrange financing for
patients?
• How soon can the patient expect
to start implant treatment when a case
is presented and accepted?
While there are many other issues
to consider as well, finding answers to
these seven questions will give you an
excellent starting point for establishing a solid, productive and hopefully
long-term relationship with referring
offices. Bridge the communication gap
and cross over into more success! IT
Want to learn more about building
superior relationships with referring
offices? Make plans to attend Dr.
Levin’s latest Total Implant Success™
seminar Sept. 24–25 in Baltimore.
Implant Tribune readers are entitled to
receive a 20 percent courtesy on this
seminar. Call (888) 973-0000 and mention “Implant Tribune” or e-mail
customerservice@levingroup.com with
“Implant Tribune” in the subject
line. For more information, visit
www.levingroupimplant.com.
IT
About the author
Dr. Roger P. Levin is founder and chief
executive officer of Levin Group, a leading implant practice management firm.
Levin Group provides Total Implant Success™, the premier comprehensive consulting solution for lifetime success to
implant clinicians in the United States
and around the world. For more than two
decades, Dr. Levin and Levin Group have
been dedicated to improving the lives of
implant clinicians.
Levin Group
10 New Plant Court
Owings Mills, Md. 21117
Tel.: (888) 973-0000 or (410) 654-1234
E-mail:
customerservice@levingroup.com
www.levingroupimplant.com
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