Report encourages periodontists and cardiologists to join forces / ICOI alliances reach far and wide / Pierri: Embrace - incorporate technology / AAP to host meeting in Boston / E-Woo offers 2-in-1 solution / Nobel Biocare celebrates 10 years of enhanced osseointegration
Report encourages periodontists and cardiologists to join forces
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ITUS_Title_MS
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
AUGUST 2009
www.implant-tribune.com
VOL. 4, NO. 8
Embracing technology
AAP heads to Boston
Industry news
Dr. Lynn Pierri explains
how she keeps her focus
More than 5,000 expected
to attend annual meeting
Check out the latest from
E-Woo, Osteogenics
Page
Webinars
provide a
chance to
‘get started’
The following upcoming Webinars offer participants a chance to
get started in a new field or aspect
of dentistry:
Started
in
• “Getting
Digital Imagery”
On Oct. 24, DTSC will offer a
full-day program that will provide
an overview for those who are
interested in “getting started in”
digital imaging. Includes a onehour presentation, followed by a
live Q&A session. 7 C.E. credits.
• “Getting Started in Laser
Dentistry”
On Nov. 7, DTSC will offer a
full-day program that will provide
an overview for those who are
interested in “getting started in”
laser dentistry. Includes a onehour presentation, followed by a
live Q&A session. 7 C.E. credits.
• “Getting
Started
in
CAD/CAM Technology”
On Nov. 21, DTSC will offer a
full-day program that will provide an overview for those who
are interested in “getting started
in”
CAD/CAM
technology.
Includes a one-hour presentation, followed by a live Q&A session. 7 C.E. credits.
Details and registration at
www.DTStudyClub.com. IT
Page
7B
Page
12B
Report encourages periodontists
and cardiologists to join forces
JOP and cardiology
journal develop clinical
recommendations for
treating periodontitis,
cardiovascular disease
Cardiovascular disease (CVD), the
leading killer in the United States, is
a major public health issue contributing to 2,400 deaths each day.
Periodontal disease affects nearly
75 percent of Americans and is the
major cause of adult tooth loss.
While the prevalence rates of
these disease states seem grim,
research suggests that managing
one disease may reduce the risk for
the other.
A consensus paper on the relationship between heart disease and
gum disease was recently developed
by the American Academy of Periodontology (AAP) and The American
Journal of Cardiology (AJC).
The paper is published concur-
rently in the online versions of the
AJC, a peer-reviewed journal circulated to 30,000 cardiologists, and the
Journal of Periodontology (JOP), the
official publication of the AAP. Developed in concert by cardiologists and
periodontists, the paper includes
clinical recommendations for both
medical and dental professionals to
use in managing patients living with,
or who are at risk for, either disease.
As a result of the paper, cardiologists
IT page 2B
ICOI alliances reach far and wide
By R. Craig Johnson, ICOI Executive Director
No area of dentistry is growing at
the pace of oral implantology. Benefits to the consumer and the incredible improvements in the science of
implant therapy have resulted in this
exponential growth.
The consumer is demanding
implant treatment and the industry is
responding. Double-digit increases
in implant placement and restoration
will be the norm during the next several years. Obviously, keeping up
with the ever-changing science and
clinical techniques is a challenge
IT page 4B
Game teaching implants?
A realistic computer game will
soon be used to help dental students
worldwide learn and reinforce dental implant procedures.
The Virtual Dental Implant Training Simulation Program is designed
to help students in diagnostics, decision making and treatment protocols.
It was designed by Medical College of Georgia School of Dentistry
faculty and students and BreakAway,
Ltd., a developer of game-based
technology for training, experimen-
10B
tation and decision-making analysis.
The implant simulation game
uses clinical scenarios that can be
randomly selected, letting students
interact with virtual patients by asking about their medical history,
examining them and arriving at a
diagnosis.
For more information, see
https://my.mcg.edu/portal/page/port
al/News/archive/2009. IT
(Source: Medical College of
Georgia)
Vancouver,
Canada, is the site
for ICOI World
Congress XXVI,
12th Annual IPS
Symposium and
12th Congress of
Asia Pacific Section
from Aug. 20–22.
AD
[2] =>
ITUS_Title_MS
2B
IMPLANT TRIBUNE | AUGUST 2009
News
IT page 1B
may now examine a patient’s mouth,
and periodontists may begin asking
questions about heart health and
family history of heart disease.
Specific clinical recommendations include:
• Patients with periodontitis who
have one known major atherosclerotic CVD risk factor such as smoking, immediate family history for
CVD or history of dyslipidemia
should consider a medical evaluation if they have not done so within
the past 12 months.
• A periodontal evaluation should
be considered in patients with atherosclerotic CVD who have: signs or
symptoms of gingival disease; significant tooth loss, and unexplained
elevation of hs-CRP or other inflammatory biomarkers.
• A periodontal evaluation of
patients with atherosclerotic CVD
should include a comprehensive
examination of periodontal tissues,
as assessed by visual signs of inflammation and bleeding on probing; loss
of connective tissue attachment
detected by periodontal probing
measurements; and bone loss
assessed radiographically. If patients
have untreated or uncontrolled periodontitis, they should be treated with
a focus on reducing and controlling
the bacterial accumulations and
eliminating inflammation.
• When periodontitis is newly
diagnosed in patients with atherosclerotic CVD, periodontists and
physicians managing patients’ CVD
should closely collaborate in order to
optimize CVD risk reduction and
periodontal care.
The clinical recommendations
were developed at a meeting held in
early 2009 of top opinion leaders in
both cardiology and periodontology.
The consensus paper also summarizes the scientific evidence that
links periodontal disease and cardiovascular disease and explains the
underlying biologic and inflammatory mechanisms that may be the basis
for the connection.
According to Kenneth Kornman,
DDS, PhD, editor of the Journal of
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
Periodontology and a co-author of
the consensus report, the cooperation between the cardiology and
periodontal communities is an
important first step in helping
patients reduce their risk of these
associated diseases.
“Inflammation is a major risk factor for heart disease, and periodontal
disease may increase the inflammation level throughout the body. Since
several studies have shown that
patients with periodontal disease
have an increased risk for cardiovascular disease, we felt it was important to develop clinical recommendations
for
our
respective
specialties. Therefore, you will now
see cardiologists and periodontists
joining forces to help our patients.”
While additional research will
help identify the precise relationship
between periodontal disease and
cardiovascular
disease,
recent
emphasis has been placed on the
role of inflammation — the body’s
reaction to fight off infection, guard
against injury or shield against irritation.
While inflammation initially
intends to have a protective effect,
untreated chronic inflammation can
lead to dysfunction of the affected
tissues, and therefore to more severe
health complications.
“Both periodontal disease and
cardiovascular disease are inflammatory diseases, and inflammation
is the common mechanism that connects them,” said David Cochran,
DDS, PhD, president of the AAP and
chairman of the Department of Periodontics at the University of Texas
Health Science Center at San Anto-
nio. “The clinical recommendations
included in the consensus paper will
help periodontists and cardiologists
control the inflammatory burden in
the body as a result of gum disease
or heart disease, thereby helping to
reduce further disease progression,
and ultimately to improve our
patients’ overall health. That is our
common goal.” IT
NOTE: A copy of “The American
Journal of Cardiology and Journal of
Periodontology Editors’ Consensus:
Periodontitis and Atherosclerotic
Cardiovascular Disease” can be
viewed
at
www.joponline.org
/toc/jop/0/0. For more information,
contact the AAP Public Affairs
Department at (312) 573-3242.
(Source: American Academy of
Periodontology)
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Published by
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© 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.
Editorial Advisory Board
Dr. Sascha Jovanovic, Editor in Chief
Dr. Bernard Touati
Dr. Jack T. Krauser
Dr. Andre Saadoun
IT
Dr. Gary Henkel
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
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Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
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Dr. Glen Liddelow
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4B
ICOI Preview
IT page 1B
which has been embraced by industry, academia and professional associations. Now is the time to invest in
your practice.
The International Congress of Oral
Implantologists (ICOI) has achieved
the status of the world’s largest professional dental implant association
by providing unsurpassed implant
education with the cooperation of
individual members, its many component and affiliate societies and in
alliances with both the academic and
corporate world.
The ICOI and its component/affiliate societies around the
world hold multiple implant symposia
and courses annually.
In addition, the ICOI co-hosts with
universities/dental colleges and several symposia in the United States and
abroad.
And the ICOI has coupled with
industry leaders such as BioHorizons
Implant Systems, Keystone Dental,
MIS Implant Technologies, Nobel Biocare, PreXion, BIOMET 3i, ChaseHealthAdvance Financing Options,
Dentsply Tulsa Dental Specialties,
EBI Implant Systems, Misch International Implant Institute, Osteohealth,
Zimmer Dental, Dentatus USA, Harvest Technologies, IMTEC, Materialise Dental, J. Morita, OCO Biomedical, Piezosurgery, Riemser, Root
Laboratory, Salvin Dental Specialties,
Sybron Implant Solutions, etc., to pro-
AD
vide extended courses around the
world as well as sponsor ICOI’s Glossary of Implant Dentistry II.
The Glossary II has more than
1,400 terms and is a practical aid for
every specialist and generalist in the
rapidly expanding field of implant
dentistry.
The Glossary’s accompanying
searchable CD-ROM serves everyone
by providing an easy look-up feature
and portability. All of these efforts
result in the education of thousands of
dentists annually.
Introductory, intermediate,
advanced: all levels of education
Indeed, look at ICOI’s Web site
(www.icoi.org) and under “Meetings”
you will discover a wide range of symposia sponsored by the ICOI and its
component and affiliate societies.
It also lists the myriad independent
courses that can be university based,
private or manufacturer-sponsored.
Courses are designed for various levels of competence in placement and
restoration of dental implants.
Every facet of oral implantology/implant dentistry is covered by
courses today and these listings keep
growing as interest in dental implants
increases at such a rapid rate.
Location, location, location
With the wide array of courses/symposia being offered by associations as well as private and corporate
enterprises, doctors can now virtually
travel the globe and obtain continuing
IMPLANT TRIBUNE | AUGUST 2009
education credits in dental implantology specific to their individual needs.
Take the ICOI’s meeting schedule for
the next two years, for example. All of
these symposia provide well-known
international faculties and offer C.E.
credits for attendees.
ICOI fully sponsored symposia
2009 (September through December)
• Karlsruhe, Germany, European
Congress
• New York, N.Y., Implant Symposium with NYU College of Dentistry
2010
• New Orleans, Spring Implant
Symposium
• Istanbul, Turkey, European Congress
• Hamburg, Germany, World Congress XXVII
• New York, N.Y., Implant Symposium with NYU College of Dentistry
2011
• Las Vegas, Winter Symposium
• Chicago, Implant Prosthodontic
Symposium
• Seoul, South Korea, World Congress XXVII
• New York, N.Y., Implant Symposium with NYU College of Dentistry
Don’t forget the team
One of ICOI’s most important component societies is the Association of
Dental Implant Auxiliaries (ADIA).
This association, under the leadership of Executive Director Lynn
Mortilla, RDH, has a mission to
advance the field of implant dentistry through education of the office
team.
The ADIA has developed criteria
and training but also has an established network that provides dental
offices with updated and consistent
information on daily practice challenges.
It holds semi-annual meetings
with the ICOI, providing one- or twoday didactic programs given by the
doctors and one full day devoted to
comprehensive certification programs for hygienists, assistants and
front office staff.
All members of the office team are
“brought up to speed” in the education process. Parallel implant education for both the doctor and team
helps to create a seamless administrative function within the practice.
The result is practice growth.
The ADIA’s certification programs
have been recognized by the industry
as a viable means of implant education.
Several manufacturers sponsor
ADIA certification programs — locally, regionally and nationally in North
America. And the ADIA is growing
internationally, now giving programs
in Europe and the Far East.
For more information, visit the
ICOI Web site at www.icoi.org. IT
(Source: ICOI)
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IMPLANT TRIBUNE | AUGUST 2009
Interview 7B
Pierri: Embrace, incorporate technology
Lynn Pierri, DDS, MS, was a
speaker at the SimPlant® Academy
World Conference held during June
in Monterey, Calif. Here, she
answers questions for Implant Tribune:
Can you tell me about your
background?
I am a board-certified oral and
maxillofacial surgeon who received
my surgical training at NYU-Bellevue
Hospital Center in Manhattan, New
York. Following completion of my
residency, I went to Edinburgh, Scotland for a surgical fellowship before
coming back to the States to open up
my solo private practice of 22 years.
My undergraduate dental degree
was obtained at the State University
of New York at Stony Brook School of
Dental Medicine, where I was the
only female in my class! Prior to that,
I received a certificate from Dental
Laboratory Technology School in
preparation for dental school and
had received a dual master’s of science in microbiology with permanent New York State teaching certification in education. My bachelor’s
degree is from the State University of
New York at Stony Brook with dual
certification in medical technology.
Is your practice solely implant
dentistry?
My favorite niche of oral and maxillofacial surgery is implant dentistry.
More than 20 years ago, I saw it
emerging for what it is: a driving force
in our profession, and not just a passing fancy.
How long have you been performing implant dentistry and
what systems do you use?
The month I graduated my residency is the same month the first implant
was placed in NYU dental school in
1985. As I looked on, my chief-of-service performed that case, and I remember saying to myself, “This is going to
be something special.” I took the
Brånemark certification course in
Washington, D.C., and the rest is history. I took every course I could get my
hands on, both surgically and prosthetically. My first implant case, eight
implants in the maxilla and six
implants in the mandible, is still in the
patient’s mouth today, a tribute to
implant dentistry. I have tried various
systems during the past 20 years, but
have settled into Straumann, Nobel
Biocare, Astra Tech and BIOMET 3i,
depending on the indication of the site
and available bone; as well as Stern-
gold and Dentatus for provisional
intermediate implants.
What do you think is unique
about your practice?
I have embraced the latest technology and have tried to incorporate it to
improve the end result. All my future
implant patients get everything by the
book, hence our tagline “Caring Without Compromise”™.
Each patient will receive a complete workup including a screening
iCAT cone beam 3-D scan and mock
SimPlant implant workup (Materialise
Dental) to qualify them for treatment,
in addition to dental clinical evaluation and vital signs, written medical
clearance from their physician and
specialists, study models, photographs, panorex/periapicals, joint
consult when indicated with the referring DDS, etc. If a patient agrees to the
proposed treatment plan, then a
scannographic stent or radiographic
guide is fabricated and the final dental
CT with the scan device is obtained
and the final workup is created in the
appropriate software program for fabrication of a prosthetically-driven,
computer-generated drill guide.
Implant integration is checked with an
Osstell radiofrequency device prior to
seeing the restorative DDS for prosthetic fabrication (implant impression
coping and analog are provided) and
the patient is seen immediately following prosthesis placement for radiographs and photographs, then placed
into yearly recall. IT
IT
About the doctor
For
more
than 30 years,
Dr. Lynn Pierri has fulfilled
numerous
academic
and clinical
appointments,
co-authored
six publications, maintained memberships in several professional societies and attended nearly
two dozen continuing education
courses on topics ranging from medical risk assessment to surgical orthodontics to osseointegrated implants.
Pierri also has received honors and
awards from a number of organizations for her academic strides and her
service to the community.
AD
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IMPLANT TRIBUNE | AUGUST 2009
Events
AAP to host
meeting
in Boston
he American Academy
of Periodontology (AAP)
will host its 95th Annual Meeting in Boston
from Sept. 12–15 at the
new Boston Convention and Exhibition Center. Attendee registration is
T
AD
‘This is an exciting
time in periodontics,
so I am thrilled to
invite the dental
community to join us
in Boston.’
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 continuing 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
(Source: AAP)
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IMPLANT TRIBUNE | AUGUST 2009
Industry
E-Woo offers 2-in-1 solution
The PaX-Duo3D
cone-beam
computed
tomography
(CBCT) scanner
from E-Woo
Technology
AD
The PaX-Duo3D cone-beam computed tomography (CBCT) scanner
from E-Woo Technology offers the
most efficient 2-in-1 solution for all
dental specialists by providing highquality panoramic and 3-D images at
an affordable price.
With auto-switching technology, it
allows switching between panoramic and CT sensors, without doing it
manually. PaX-Duo3D allows for the
advanced 3-D scan for patients, but
can quickly rotate for a 2-D scan. A
dedicated sensor for each system
provides superior image quality for
an effective patient treatment plan
and diagnosis through 3-D cross sec-
tional, canal and implant simulation.
PaX-Duo3D also features ALC
(Adaptive Layer Control) technology
that eliminates blurred images of the
incisor and molar, plus a special
scanning mode for scanning incisors, the mandibular canal and maxillary molars.
PaX-Duo3D provides an unprecedented 3-D display to focus on a range
of needs, from temporomandibular
joint and endodontic to using it as the
precise tool for implantology. It provides four multi field-of-view sizes
from 5 x 5 to 12 x 8.5, which save you
time from diagnosis to surgery with
the optimal radiation dose. The scan-
ner also features an LCD window for
patient guidance as well as an imbedded camera for patient positioning.
PaX-Duo3D
is
substantially
lighter and smaller, with better spatial resolution compared to a medical CT.
The dimensions are no larger
than a panoramic/cephalometric Xray, making it ideal for private dental
offices or radiology centers. PaXDuo3D reduces the space requirement of multiple X-ray units while
increasing case acceptance and
operating efficiency. IT
(Source: e-Woo Technology)
Osteogenics
announces
partnership
with META
Micross, Safescraper
bone scrapers offer
latest in autogenous
bone grafting
Osteogenics Biomedical has
signed an agreement with Italianbased medical device manufacturer
META Advanced Medical Technology, giving Osteogenics exclusive
distribution rights in the United
States to the Micross autogenous
bone scraper. Osteogenics has also
obtained rights to distribute META’s
Safescraper® Twist. Both are now
available for purchase.
The distribution agreement gives
Osteogenics Biomedical the opportunity to distribute the autogenous
bone scrapers alongside its line of
Cytoplast® barrier membranes and
PTFE suture.
“META brings us the latest
advancements in manual autogenous bone harvesting. The Safescraper Twist incorporates several
improvements to first- and secondgeneration bone scrapers, and the
Micross is the first bone scraper
designed to be used in a flapless
procedure. We are excited to help
bring this technology to the U.S. and
add it to our growing line of bone
grafting products,” said company
president Shane Shuttlesworth.
The disposable Micross cortical
bone collector is a minimally invasive option for obtaining autogenous bone.
For more information about
Micross and Safescraper Twist bone
scrapers, contact Osteogenics Biomedical by calling (888) 796-1923,
or visit www.cytoplast.com. IT
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IMPLANT TRIBUNE | AUGUST 2009
Nobel Biocare
celebrates 10 years
of enhanced
osseointegration
Nobel Biocare is commemorating
the 10th year of using a specially
developed, high-performance titanium in its entire dental implant offering, which includes small diameters
(< Ø3.5 mm). Since being introduced
to the market, following extensive
material and pre-clinical testing,
Nobel Biocare’s proprietary coldworked, commercially pure Grade 4
(CP4) titanium and patented TiUnite®
surface have been documented as
exceptionally strong and clinically
proven to enhance osseointegration.
Due to its unique biocompatibility
and corrosion resistance, standard
titanium has become the gold standard for dental implants, and its efficacy has been proven in millions of
patients. Commercially pure (c.p.)
titanium is one of the most documented and preferred biocompatible
materials used in implant treatment
procedures today because it has been
shown to be extremely well tolerated
in the human body with a very low
incidence rate of adverse biological
reactions. Nobel Biocare has used c.p.
titanium in the manufacturing of its
implants for more than 20 years since
Prof. PI Brånemark discovered that
c.p. titanium integrates with living
bone (“osseointegration”).
To solve the functional material
limitations of standard titanium —
especially in small implant diameter
use — Nobel Biocare worked closely
with titanium manufacturers to create a high performance variant of c.p.
titanium with enhanced material
properties. In ongoing, extensive
external and internal material testing, proprietary Nobel Biocare coldworked CP4 titanium continues to
demonstrate substantial gains in
yield, tensile and fatigue strengths
over those of standard titanium.
This year also marks the ninth
successful year for Nobel Biocare in
offering successful, highly esthetic
and less invasive dental implant solutions for patients with narrow bone
ridges and limited space between
teeth, using its proprietary coldworked CP4 titanium. The journey
began in 2000 when Nobel Biocare
introduced a two-piece, 3.3 mm
diameter, external hex connection
implant.
Building on the success of its twopiece implant, Nobel Biocare expanded its small diameter portfolio in 2004
with a one-piece, 3 mm diameter
implant that offered significant
advantages when restoring teeth with
restricted in-between space — so
called mesiodistal clearance. The
one-piece implant was designed for
restorations with exceptionally steep
emergence angles, for excellent final
Industry 15B
AD
esthetics in narrow spaces.
Currently, Nobel Biocare is evaluating new modular implant concepts
for its extra short- and small-diameter products, with the intention of
creating more versatile and less invasive treatment possibilities. IT
(Source: Nobel Biocare)
AD
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-
Report encourages periodontists and cardiologists to join forces
01 - 02
view
-
ICOI alliances reach far and wide
04 - 04
view
-
Pierri: Embrace - incorporate technology
07 - 07
view
-
AAP to host meeting in Boston
10 - 10
view
-
E-Woo offers 2-in-1 solution
12 - 12
view
-
Nobel Biocare celebrates 10 years of enhanced osseointegration
15 - 15
view
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/ ICOI alliances reach far and wide
/ Pierri: Embrace - incorporate technology
/ AAP to host meeting in Boston
/ E-Woo offers 2-in-1 solution
/ Nobel Biocare celebrates 10 years of enhanced osseointegration
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