Implant Tribune U.S. No. 1, 2012
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[1] =>
ico
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di
tio
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ia
l
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
January 2012 — Vol. 7, No. 1
www.dental-tribune.com
JOI study:
Surgery protocol
for heart
patients shows
positive results
The International Congress of Oral Implantologists is hosting its annual Winter Symposium from Feb. 16–18 in San Diego. Photo/www.sxc.hu
ICOI goes ‘Back to
the Future’ for annual
Winter Symposium
The International Congress of Oral Implantologists (ICOI) will educate attendees at its 2012 Winter Symposium with a
symposium in San Diego, Calif. The venue for this symposium will be the new
Hilton Bay Front Hotel. The dates for the
meeting are Feb. 16-18.
ICOI’s winter symposium, “Back to
the Future of Implantology 2012 and
Beyond,” has been designed by Program
Chairman Dr. Dennis Smiler. As described in his mission statement: “This unrivaled, interactive course will provide you
with the knowledge and understanding
of the integrated surgical and prosthetic
requirement for implant success.
“Whether you are looking to develop a
strong implant practice or want to refine
your skills and expand your existing implant practice, you will benefit from this
comprehensive course.
“Emphasis has been placed on advanced implant placement and in-office
bone graft surgical procedures. The core
curriculum is clinically focused on the
latest research and clinical science to
provide the participant with an understanding of the rationale and scientific
basis for implant and bone-graft success.”
Main podium speakers include the following clinicians: Drs. William Dapper,
Abdelsalam El Askary, Rick Ferguson,
Yvan Fortin, Michele Jacotti, Sonya Leizi, Henriette Lerner, Burt Melton, Carl
Misch, Hari S. Prasad, Devorah Schwartz,
Nicholas Shubin, Dennis Smiler, Yukihito
Takagi, Ilser Turkyilmaz, Natalie Wong,
Hoda Yousef and Andre Zetola as well as
Jeffery Carlson and Renzo Casellini.
The focused lectures will deal with
the areas of solving surgical challenges
for bone-graft success; solving prosthetic challenges of the implant-supported
restoration; applying new key concepts
of bone graft and implant design; mastering concepts that continue to work; and,
finally, mastering concepts of esthetic
implant restoration.
Whether your practice is focused on
surgical or prosthetic disciplines, this
program has something for you.
A full range of sponsored workshops
will be conducted on the Thursday morning (8 a.m. to noon) prior to the commencement of the general session.
Drs. Joel Berger and Ian Aires will hold
a session on “The Use of 3-D Stereolythic
” Continue on Page B2
Cardiac patients who take anticoagulant medications and need a tooth extraction face an increased risk of bleeding that must be addressed by the
treating clinician. Therefore, a protocol
for heart patients is needed that will
avoid significant bleeding after dental
extractions without suspending anticoagulant therapy.
A study reported in a recent issue of
the Journal of Oral Implantology evaluated the use of leukocyte- and platelet-rich fibrin biomaterial. This material is commonly used in dentistry to
improve healing and tissue regeneration. It was tested as a safe filling and hemostatic material after dental extractions in 50 heart patients undergoing
oral anticoagulant therapy.
These heart patients had mechanical
valve substitutions and then were placed
on anticoagulant oral therapy with warfarin. It is not recommended that the anticoagulant be suspended and replaced
with heparin before a minor surgery,
although this substitution may control
the risk of bleeding.
One method of controlling bleeding
without suspending the anticoagulant
is the use of platelet-rich plasma gel
placed in post-extraction tooth sockets.
Although this protocol has been successful, there are barriers to its daily
use. The platelet concentrates are expensive and take a long time to prepare.
Platelet-rich fibrin offers an alternative biomaterial that is simple and
inexpensive to prepare. Blood is collected in tubes without anticoagulant and
centrifuged. It divides into three layers,
creating a strong platelet-rich fibrin
clot in the middle layer. Platelet-rich
fibrin has proved useful in daily dental
practice as filling material for regeneration in order to place implants.
In this study, 50 heart patients following an anticoagulant therapy were
treated with leukocyte- and plateletrich fibrin clots placed into postextraction sockets. Complications of
bleeding were reported in only two patients, and 10 had mild bleeding.
Full text of the article, “Prevention
of Hemorrhagic Complications After
Dental Extractions Into Open Heart
Surgery Patients Under Anticoagulant
Therapy: The Use of Leukocyte- and
Platelet-Rich Fibrin,” Journal of Oral
Implantology, Vol. 37, No. 6, 2011, is
available at www.joionline.org/
(Source: Journal of Oral Implantology)
[2] =>
B2
“ From Page B1
Models in Implant Planning and Fabrication of Surgical Guides and Bone Reduction Guides” as sponsored by Nobel
Biocare.
Dr. Robert Horowitz will explain “Simplified Extraction Socket Augmentation
and Immediate Socket Implants in the
Aesthetic Zone” (lecture and hands-on),
sponsored by MIS.
Drs. Jin Kim, Sang H. Park, Brody Trejos, Tony Vo, Edward Choi and Hyung Ick
Kim will present a full program on “Ad-
News
vanced Surgical Techniques in Soft- and
Hard-Tissue Manipulation.” This course
is sponsored by Dentis.
Dr. Hisham Nasr and MegaGen will
discuss “The Any Ridge Implant System”
(lecture and hands-on).
Dr. Ara Nazarian and his sponsor,
OCO Biomedical, will focus on “Clinical
Tips for Incorporating Grafting ShortImplants and Over-Dentures into Your
Practice.”
Dr. Hom-Lay Wang’s hands-on workshop will deal with “Socket Augmentation for Minimizing Buccal Bone Resorp-
Implant Tribune U.S. Edition | January 2012
tion and Improving Implant Esthetics.”
This course is brought to you by Osteogenics Biomedical.
Dr. Carl E. Misch and the Misch International Implant Institute will cover “Esthetics Maxillary Anterior Implants.”
Additionally, the Association of Dental Implant Auxiliaries, a component of
ICOI, will hold a 2½-day program in tandem with the doctors’ program. All staff
members are encouraged to attend.
For more information on the Winter
Symposium in San Diego, visit ICOI’s web
site, www.icoi.org.
Implant Tribune
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Editor in Chief IMPLANT Tribune
Sascha A. Jovanovic, DDS, MS
sascha@jovanoviconline.com
Managing Editor Implant Tribune
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Times of crisis bring new plans
for craniofacial medical care
Medical care for cleft lip or palate is
typically offered in stages, with carefully timed surgeries and long-term comprehensive care provided by a team of
professionals. When a crisis occurs, such
as a natural disaster or political unrest,
this standard of care is disrupted. There
is a need to establish standards for continuing care for children with craniofacial
anomalies during times of upheaval.
Several articles in the November 2011
issue of Cleft Palate–Craniofacial Journal
address issues surrounding this topic.
One article centers on craniofacial care in
locations where disaster and unrest have
created difficult conditions. Another
addresses an emerging trend of a higher
incidence of craniofacial anomalies after
a disaster. A third article suggests that
guidance is needed for domestic and global crisis relief programs.
When Hurricane Katrina struck New
Orleans, in 2005, Children’s Hospital
housed one of the two craniofacial teams
in the city. Lessons learned during the
hurricane’s aftermath have led to new
policies for the hospital. When evacuating its facility became necessary, the
hospital set up a temporary location at a
Baton Rouge, clinic 80 miles away and a
satellite clinic in Lafayette, La., two hours
away. The hospital has continued to work
with these locations as satellite sites in
case future evacuations are required.
Communications with patients were
found to be lacking after Hurricane Katrina. Hospital staff were unable to contact
many patients’ families to inform them
when and where they could expect medical care for craniofacial anomalies.
Before this disruption, the mail had
served as the primary means of communication. Now mobile phone numbers
and e-mail addresses are collected as part
of routine patient information.
Researchers report in another article
that the number of new cleft cases showed an increase in greater New Orleans
about nine months after Hurricane Katrina. This study found that the increase,
particularly among African-Americans,
could be attributed to higher levels of teratogenic agents or elevated stress levels
following the hurricane.
Hurricane Katrina and other catastrophic events in recent years have shown
a need for guidance in crisis relief programs. No such standards currently exist
for cleft and craniofacial care. As presen-
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Robert Selleck, r.selleck@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
Christiane Ferret c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd St., Suite 500
New York, N.Y. 10011
Phone (212) 244-7181
Fax (212) 244-7185
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
Dental 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 Sierra Rendon at
s.rendon@dental-tribune.com.
Dental 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 Dental Tribune
America.
Editorial 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
Corrections
Photo/Provided by www.stivesrotary.org
ted in another article in this issue, principles set forth by the American Cleft
Palate–Craniofacial Association may provide precisely such guidance.
The authors recommend using this document as a template for international
clinical care programs. This would provide standards for examining the conduct
of relief programs and ensuring that medical teams are effective, ethical and culturally sensitive.
Full text of “Flood, Disaster, and Turmoil: Social Issues in Cleft and Craniofacial Care and Crisis Relief,” and other
articles in this issue of Cleft Palate–
Craniofacial Journal, Vol. 48, No. 6,
November 2011, published by Allen Press, are available at http://
cpcj.allenpress.com/cpcjonline.
About Cleft Palate–Craniofacial
Journal
The official publication of the American Cleft Palate–Craniofacial Association (ACPA), the Cleft Palate–Craniofacial
Journal is a bimonthly international,
interdisciplinary journal on craniofacial
anomalies.
The journal explores and reports on
the study and treatment, including experimental and proven surgical procedures,
of cleft lip/palate and craniofacial anomalies. It also keeps readers in touch with
the latest research in related laboratory
sciences. To learn more about the society,
visit www.acpa-cpf.org.
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.
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 e-mailing
feedback@dentaltribune. com. We look
forward to hearing from you! 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. Also, please note that
subscription changes can take up to six
weeks to process.
[3] =>
Ace
[4] =>
Trinon
[5] =>
B5
education
Implant Tribune U.S. Edition | January 2012
Trinon Collegium Practicum: practical
implantology courses for clinicians
Continuing education in dental implantology has traditionally focused on
theoretical aspects. However, since 2003,
the Trinon Collegium Practicum has organized practice-orientated dental implantology courses based on the model of
surgeon training in European hospitals,
enabling dentists to have a firmer grasp of
implantology.
Entering implantology can be difficult
for dentists to achieve successfully. It is
not a subject of university education, and
with international universities and courses being focused largely on theoretical
orientation, it proves a time-consuming
endeavor. Furthermore, in international
education and training programs, the
dentists almost never work on patients or
might work on phantom cases, classified
as hands-on.
This, according to Prof. Rainer Valentin,
board member of the German Society for
Dental Implantology (DGZI), led to education in implantology placing an increasing emphasis on theoretical training,
which then results in a neglect of practical experience and, most importantly, the
proof thereof.
This phenomenon is repeated globally
and results in dentists often lacking in
confidence and developing a fear of complicated cases, which essentially leads to
long pauses between individual implants
and a limited learning curve.
Learning by doing
The Q-Implant Marathon is one reaction to this situation in the continuouseducation sector. Started in 2003 in
Cuba, and since conducted more than
70 times in four countries worldwide, the course is designed to be purely
hands-on with a real patient experience
under strict supervision from international surgeons and university hospitals.
Participants with a strong theoretical
foundation in implantology spend five
days assisting in and performing surgery, placing approximately 30 implants
within this short period.
“One only is confident doing what one
knows,” said Dr. Harald Glas from Vienna,
summarizing the positive effect of practical education. During the Q-Implant Marathon, Glas worked with international
peers and supervisors on several cases a
day. Every case is discussed beforehand
with the supervising tutor and assisting
surgeon; furthermore, even during the
surgery, questions about surgical treatments are addressed.
Patients are prepared and followed-up
by the resident team of the university
hospital and, in most cases, are immediately provided with long-term temporary
restorations so participants can see the result of the treatment and complete their
photographic documentation.
The phased approach of the Q-Implant
Marathon, which accounts for 45 dental
CME points, divides participants in three
levels: Beginner, Advanced I and Advanced II.
This gives dental practitioners an opportunity to learn the relevant practical
The Q-Implant Marathon team with participants in Santo Domingo. Photos/Provided by Trinon Collegium Practicum
knowledge they require at their home clinics.
Beginners’ courses are working on basic implant cases whereas surgeons with
considerable experience can venture into
more complicated cases with the knowledge and safety of having a supervisor to
discuss the case and assist during surgery.
The concept of hands-on courses has
been influenced by surgeon training in
European hospitals where emphasis on
practical surgical training of young doctors is at the center from day one. The experienced surgeon guides the hand of the
assistant physician and gives him the feeling for working on patients while in a safe
and controlled environment.
“Learning by doing is the most successful way to gain experience in implantology
and that is why we do it that way,” said Dr.
Alfredo Valencia, the scientific director of
the Q-Implant Marathon program.
A focus on the United States
Today, the concept has been rolled out
throughout three permanent locations
worldwide with one in Dominican Republic and two courses in Asia. In the last
eight years, the Trinon Collegium Practicum has seen more than 2,000 dentists
participate in the Q-Implant Marathon
with more than 12,000 patients treated
and more than 30,000 implants placed.
The decision to conduct these handson courses in Dominican Republic stems
from the rising number of dental implantologists in the United States and its surrounding regions, a growing number of
patients demanding a high level of care
and the overall lack of practice-orientated
courses in close proximity to American
dentists. The course in Dominican Republic is based in Santo Domingo and has been
conducted more than 26 times. This course
collaborates with private clinics, where
the clinic equipment is comparable to U.S.
standards; similarly, the infrastructure is
more or less comparable to the situation in
the United States. All of the Trinon Collegium Practicum courses have ensured that
conditions under which surgeons work
have appropriate standards including surgical equipment, professional tooth scaling for patients, digital X-ray equipment
and modern dental treatment chairs.
The head instructor for the Q-Implant
Marathon in Santo Domingo is Valencia,
who studied human medicine at the Oviedo University in Spain and specialized in
stomatology, oral-maxillofacial surgery
and implantology over the years. Valencia
is supported by a team of assisting tutors,
whom he personally recruited. Most of
these tutors have learned implantology
from him.
“So I know them well and it is easy for me
to work with them,” Valencia said.
The atmosphere is harmonious: even after 12 hours in the surgery room, the groups
still like to meet for an evening meal. Cour-
Q-Implant Marathon participants in Santo
Domingo working in a team.
ses in Santo Domingo have developed even
further over time with regard to patient
care and technical aspects of surgery. One
of the most important improvements has
been patient selection. The local team is
now able to assign patients to suit the ability and the needs of participants.
Contact information
The Q-Implant Marathon is conducted
six to eight times a year in the Dominican Republic and Asia. To find out more
about the Q-Implant Marathon, contact:
Optimum Solution Group, Mac Kubiak, call (877) 705-1002, e-mail info@
optimumsolutiongroup.com or see www.
implantologycourses.com
[6] =>
Implant Direct
[7] =>
Implant Direct
[8] =>
B8
events
Implant Tribune U.S. Edition | January 2012
Scenes from the AAP
The American Academy of Periodontology holds its annual meeting in Miami in November
Attendees ask questions
and take advantage of
Impladent Ltd.’s new
membrane product
specials at the AAP
meeting. A hands-on
demonstration works
best for mixing
OsteoGen® Synthetic
Bioactive Resorbable
Graft and the company’s
extensive line of allograft
products.
Astra Tech Dental
aims to provide
dental professionals
with the freedom of
unlimited possibilities when it comes
to implant therapy.
At the AAP,
attendees stop and
hear more about
Astra Tech products.
Photos/Humberto
Estrada, Dental Tribune
Ad
Implant Direct offers 30 years of implant
innovation. To learn more about the
company‘s variety of implant options, see
www.implantdirect.com.
Osteogenics Biomedical representatives
introduce AAP attendees to Vitala, a porcine
derived collagen membrane. Vitala is
biologically cross-linked, eliminating the
need for cross-linking chemicals and agents.
[9] =>
OCO Biomedical
[10] =>
Astra Tech
[11] =>
Implant Tribune U.S. Edition | January 2012
events
B11
Scenes from the AAP
Zimmer Dental representatives introduce
AAP attendees to the availability of the
Zimmer CurV TM Pre-shaped Collagen
Membrane — stemming from an exclusive
distribution agreement with Osseous
Technologies of America (OTA).
What is it worth to you to avoid an implant from failing because of premature restoration?
Nazanin Ghafouri of Osstell AB explains to an AAP attendee how the company‘s technology
can help clinicians objectively and noninvasively judge implant stability. For more information on Osstell AB instruments, see www.osstell.com.
BioHorizons uses science and innovation to
create unique dental implant products with
proven esthetic results. Its implants are
lightweight, strong, biocompatible and
made from titanium, the most widely used
material in implant dentistry. Additionally,
the implants carry a lifetime warranty.
Ad
[12] =>
Industry
B12
Implant Tribune U.S. Edition | January 2012
BioHorizons offers Laser-Lok Technology
Laser-Lok microchannels is a proprietary dental implant surface treatment
developed from more than 20 years of
research initiated to create the optimal
implant surface.
Through this research, the unique
Laser-Lok surface has been shown to elicit a biologic response that includes the
inhibition of epithelial downgrowth and
the attachment of connective tissue (unlike Sharpey fibers). 2,3
This physical attachment produces a
biologic seal around the implant that
protects and maintains crestal bone
health. The Laser-Lok phenomenon
has been shown in post-market studies to be more effective than other
implant designs in reducing bone
loss. 4,5,6,7
Ad
Colorized SEM of
a dental implant
harvested at
six months
post-op, shows
the connective
tissue is
physically
attached and
interdigitated
with the
Laser-Lok surface.
Photo/Provided by
BioHorizons
Unique surface characteristics
Laser-Lok microchannels is a series
of cell-sized circumferential channels
that are precisely created using laser
ablation technology.
This technology produces extremely
consistent microchannels that are optimally sized to attach and organize both
osteoblasts and fibroblasts.8,9 The LaserLok microstructure also includes a repeating nanostructure that maximizes surface area and enables cell pseudopodia
and collagen microfibrils to interdigitate
with the Laser-Lok surface.
Different than other surface
treatments
Virtually all dental implant surfaces on the
market are grit-blasted and/or acid etched.
These manufacturing methods create
random surfaces that vary from point to
point on the implant and alter cell reaction
depending on where each cell comes in
contact with the surface.10 While random
surfaces have shown higher osseointegration than machined surfaces,11 only the Laser-Lok surface has been shown using light
microscopy, polarized light microscopy
and scanning electron microscopy to also
be effective for soft-tissue attachment.2,12
The clinical advantage
The Laser-Lok surface has been shown in
several studies to offer a clinical advantage over other implant designs.
In a prospective, controlled multi-center
study, Laser-Lok implants, when placed
alongside identical implants with a traditional surface, were shown at 37 months
post-op to reduce bone loss by 70 percent
(or 1.35 mm).4 In a retrospective, private
practice study, Laser-Lok implants placed
in a variety of site conditions and followed
up to three years minimized bone loss to
0.46 mm.5 In a prospective, universitybased overdenture study, Laser-Lok implants reduced bone loss by 63 percent
versus NobelReplace™ Select.6
Latest discoveries
The establishment of a physical, connective tissue attachment (unlike Sharpey
fibers) to the Laser-Lok surface has generated an entirely new area of research and
development: Laser-Lok applied to abutments.
This could provide an opportunity to
use Laser-Lok abutments to create a biologic seal and Laser-Lok implants to establish superior osseointegration9 – a solution
that offers the best of both worlds. Alternatively, Laser-Lok abutments could support peri-implant health around implants
without Laser-Lok. In a recent study, LaserLok abutments and standard abutments
were randomly placed on implants with
a grit-blasted surface to evaluate the differences. In this proof-of-principle study,
a small band of Laser-Lok microchannels
was shown to inhibit epithelial downgrowth and establish a connective tissue
attachment (unlike Sharpey fibers) similar
to Laser-Lok implants.12
This time, however, the attachment was
established above the dental implantabutment connection and even on implants with a machined collar.12 The resulting crestal bone levels were higher than
what was seen with standard abutments
and provides some insight into the role
soft-tissue stability may play in maintaining crestal bone health.
For the complete list of references,
see www.biohorizons.com/documents/
ML0115.pdf
(Source: BioHorizons)
[13] =>
osteogenics biomedical
[14] =>
Industry
B14
Implant Tribune U.S. Edition | January 2012
Differentiate your practice
by offering treatment
in one day with DIEM 2
Solutions for immediate full arch rehabilitation
Photo/Provided by BIOMET 3i
Ad
BIOMET 3i recently announced that the
company now offers an expansion of the
original DIEM® Guidelines that allows
clinicians to deliver fixed provisional
prostheses on four or more implants in as
little as one day* with new DIEM 2.
DIEM 2 consists of innovative products,
expanded treatment guidelines and an
educational continuum designed to provide treatment solutions to the many pa-
tients who seek full arch rehabilitation to
quickly regain their confidence and quality of life.
Clinicians can now help these patients
by offering DIEM 2, solutions for immediate full arch rehabilitation.
DIEM 2 offers a better alternative for
patients and the dental practice:
For patients
• Eliminates dentures for patients with
hopeless dentition
• Eliminates loose fitting or painful
dentures
• Enables patients to return home on
the day of surgery with prostheses that
look esthetically pleasing and function
normally*
• Reduces the number of procedures
and follow-up visits
• Allows for fixed interim prostheses
for immediate patient satisfaction
For the practice
• Decreases surgical morbidity
• Reduces the need for bone augmentation
• Offers an additional innovative procedure for the dental practice
• Allows for implant dentistry access to
a large edentulous or partially edentulous patient population
• Is designed to increase implant treatment acceptance due to a single-day procedure
• Increases practice productivity and
efficiency by reducing chairside visits for
each case
About BIOMET 3i
BIOMET 3i, a division of Biomet, Inc., is
a leading manufacturer of dental implants, abutments and related products.
Since its inception in 1987, BIOMET 3i has
been on the forefront in developing, manufacturing and distributing oral reconstructive products, including dental implant components and bone and tissue
regenerative materials.
The company also provides educational programs and seminars for dental
professionals around the world. BIOMET
3i is based in Palm Beach Gardens, Fla.,
with operations throughout North America, Latin America, Europe and AsiaPacific.
For more information about BIOMET
3i, visit www.biomet3i.com or contact the
company at (800) 342-5454; outside the
U.S. dial (561) 776-6700.
(Source: BIOMET 3i)
* Not all patients are candidates for immediate load procedures.
[15] =>
Dental Implant
Technologies
[16] =>
Industry
B16
Implant Tribune U.S. Edition | January 2012
ChaseHealthAdvance utilizes Facebook Tab
to help clinicians increase case acceptance
The landscape of healthcare and
healthcare financing is changing: consumers are taking more control of their
healthcare decisions. A February 2011
poll by Pew Research Center’s Internet
and American Life Project reported that
80 percent of Internet users search for
health-related information. Consumers
are using the web to look up symptoms,
find and research providers and even explore options to make elective procedures affordable.
ChaseHealthAdvance, a leader in
healthcare financing, has embraced the
growing influence that technology, the
Ad
At ICOI
Visit Booth No. 308 at the show to see
a demonstration of the new ChaseHealthAdvance website and to get a walkthrough of
the ChaseHealthAdvance Facebook Tab.
Internet and social media have had on the
field. As part of its commitment to helping providers increase case acceptance
and improve cash flow, ChaseHealthAdvance has led the market in technological innovation and advocacy.
Since its founding in 2005, ChaseHealthAdvance has worked to be the
most digitally advanced company in the
marketplace. Building a strong online
presence for its products and services,
ChaseHealthAdvance has, more recently,
integrated technological innovations
into its marketing and presentation platforms, all with the goal of making it easier for providers to offer ChaseHealthAdvance financing options to patients.
Through
chasehealthadvance.com,
practices can manage their entire
patient-financing portfolio. Clinicians
and office staff can quickly and easily
submit new patient transactions, track
current open accounts and even produ-
ce custom reports. Not only does this
help practices better manage patient accounts, but it also reduces the amount of
paperwork in the office.
ChaseHealthAdvance was the first
healthcare financing company to recognize the opportunity to use mobile devices in the practice. The ChaseHealthAdvance Present and Apply tool for the
iPad allows practitioners to walk patients
through the case presentation process in
a simple, easy-to-understand visual format. It communicates affordability and
helps remove the cost barrier for the patient. The tool allows the patient to apply
for financing right from the iPad so the
provider can schedule the procedure before the patient leaves the office.
One
innovation
ChaseHealthAdvance has developed recently is its
new Facebook Tab, which lets providers
share ChaseHealthAdvance financing
options with patients through Facebook.
Patients can learn about financing options, estimate monthly payments for
procedures and treatments, and even apply for financing right from the practice’s
Facebook page.
The ChaseHealthAdvance Facebook
Tab is fully customized to every practice.
The page only displays the procedures
and treatments offered at the practice.
Providers also elect which financing options are seen by patients on the page.
Adding
the
ChaseHealthAdvance
Facebook Tab to a provider’s Facebook
page takes only minutes. Providers are
walked through a simple, five-step process that customizes the tab for their
practice and uploads the application to
their practice’s Facebook page.
Providers first enter their practice’s
provider ID and select their field of service, then identify the procedures they
perform and enter the cost range for
each.
Next the provider selects the ChaseHealthAdvance financing options offered by the practice. The last two steps
allow the ChaseHealthAdvance Facebook
Tab to access the provider’s Facebook
page and then add the tab to the page.
Once installation is complete, the tab
is live on the provider’s Facebook page.
Patients can immediately get better acquainted with ChaseHealthAdvance and
its experience in healthcare financing.
They are also able to see the No Surprise FinancingSM options offered by the
practice.
Patients can use the built-in payment
calculator to estimate monthly payments
based on the procedures and pricing set
by the provider during the installation
process. From the calculator, patients can
apply for ChaseHealthAdvance financing
all from the provider’s Facebook page.
The addition of the Facebook Tab is the
latest step in ChaseHealthAdvance’s dedication to use technology, the web and
social media to help providers increase case acceptance and improve their
practice’s cash flow.
You can see the ChaseHealthAdvance Facebook Tab for yourself and install
it on your practice’s Facebook page at
chasehealthadvance.com/facebooktab.
[17] =>
osteogenics biomedical
[18] =>
B18
Industry clinical
Champions Implants:
an ideal solution for
the general dentist
By Armin Nedjat, DDS
Given the great success and ease of
use of the Champions one-piece implant
system, the question of why the development of a two-piece implant system was
Ad
necessary has been raised.
More than 2,000 dentists and clinics
have found the one-piece system provides
great results, particularly when used with
Prep-Caps, which compensate for any in-
sertion divergences. So, why the addition
of a two-piece system?
While it is true that the one-piece Champions implant system represents a major
design breakthrough, the development
Implant Tribune U.S. Edition | January 2012
ARMIN NEDJAT, DDS, is the
general manager and founder of Champions Implants
GmbH in Germany. Nedjat
had his own private clinic
from 1994–2010 near
Frankfurt am Main. He has
been a specialist in Implantology (DGZI) since 1999
and an ICOI diplomat since
2000. Nedjat has inserted
more than 20,000 implants, including prosthodontic work, and has received training from many dental institutions in the world
(including Harvard University in Boston, Jumeira Dental
Clinic Dubai, University in Paris, France). Between 1994
and 2006, he developed Champions Implants system, and
he has been the CEO of Champions Implants since 2006.
of the new two-piece Champions (R)Evolution® allows the implants to be used
on those patients who cannot be treated
with the one-piece system (in some dental
offices the percentage of patients whose
condition is unsuitable for treatment with
the one-piece system may reach as high as
20-30 percent).
Additionally, some dental surgeons, for
whom temporary prosthodontic restorations are not an area of expertise, will find
it easier to work with the two-piece implants, which often make these temporary restorations unnecessary.
The two-piece Champions offer all the
same advantages provided by the onepiece system. Produced in Germany of the
highest quality materials, the new system
remains affordable for dental offices, dental technicians and, most of all, for our
patients!
While traditional two-piece implant systems have had problems with micro-gaps,
which are vulnerable to bacterial penetration, the two-piece Champions (R)Evolution solves this problem with our newly developed, patent-pending inner cone with
its rotation-proof “Hex-adapter.”
The implant has a micro-close gap of
only about 0.6 μm. In addition, these twopiece implant types are suitable for the
minimally invasive method of implantation (MIMI® procedure), which is also used
with our one-piece implants.
With this method, only a few dental
tools are necessary for implantation, greatly reducing dental office expenses. The
temporary prosthodontic restoration,
which is necessary for one-piece implants
for single teeth in the first two to eight
weeks post surgery, is no longer absolutely necessary when two-piece implants are
inserted.
The success story of the non-traumatic key-hole surgery MIMI will continue. Dentists will be able to incorporate
the implantation with this Champions
(R)Evolution system in their day-to-day
work in dental offices.
Surgical procedure
After taking the implant out of the box,
this two-piece implant type — like the
one-piece Champions® implant — can be
inserted without the need to touch the
sterile implant. Thus, a contamination of
the implant surface is avoided.
However, we do not just insert the implant itself, but also the integrated “Gingiva-Shuttle,” which is delivered with the
implant and is tightly screwed to the implant at a torque of 5–10 Ncm. In this way,
there is there is no risk of contamination
inside the screw.
” Continue on Page B20
[19] =>
Bradley & Montgomery
[20] =>
B20
industry clinical
Implant Tribune U.S. Edition | January 2012
“ From Page B18
When inserting the Champions (R)
Evolution implant in practice, you
implant the “Gingiva Shuttle” and
… that’s all! There is no closing cap
where
you
see
bleeding
or
gingiva-contaminated inner threads.
It is generally recommended that
you should always begin to implant
with a 3.5 mm-diameter implant to
achieve primary stability, even if an
implant with a bigger diameter might
eventually be suitable for the bone
width.
From a bio-physiological point of
view, it is not recommended that you
begin to implant with a 4.5 mm diameter implant or a 5.5 mm-diameter
implant right away.
The 4.5 mm-diameter or 5.5 mmdiameter Champions (R)Evolution
implants should only be inserted if
primary stability cannot be achieved
with a 3.5 mm-diameter Champion
at a torque of at least of 30 Ncm (in
the D4 bone or sometimes in the D3
bone).
Fortunately, incisions of the mucosa
or bone augmentation can usually be
avoided when you perform an implantation according to the MIMI procedure.
However, this does not mean
that an incision of the mucosa, an open
or closed sinus lift or a bone augmentation will never have to be performed!
Additionally, other healing caps
than those that are delivered with the
implant (with a height of 3 mm) are
available.
Figs. 1–5: The two-piece Champions (R)Evolution implant with the specially designed integrated ‘Trans-Gingiva Shuttle.’ This implant type is
inserted minimally invasively. The ‘Trans-Gingiva Shuttle’ usually stays on the implant. Six weeks post-surgery, the impression coping is then
clipped while the ‘Shuttle’ stays in the mouth. The time-consuming exposure and the screwing and unscrewing of closing caps, healing caps or
impression copings are not necessary. The impression coping is set in the ‘Shuttle’ of the laboratory analog, and the master cast is made with a
gingiva mask. Photos/Provided by Dr. Armin Nedjat.
Figs. 6-8: The minimally invasive implantation method is especially suitable for patients at risk. It is possible to perform the MIMI surgery and
to set the metal matrices of the tulip-headed Champions Implants in an available prosthesis within just one day.
Prosthodontic procedure
Usually, some six weeks post-surgery,
you click the impression coping to the
“Gingiva-Shuttle,“ which stays in the
impression material. With a gingiva
mask and a (two-part) laboratory analog, the master model is created by a
dental laboratory.
The abutments for our implant system have the following design: the abutment have an inner conus with an integrated patent-pending “Hexadapter,“
which ensures rotation protection. The
platform with the inner conus is always
the same for each diameter, whether
you insert a 3.5 mm-diameter (R)Evolution implant, a 4.5 mm-diameter one or
a 5.5 mm-diameter one.
Conclusion
One of the best periimplantitis prophylaxes is an intra-operative flapless implant treatment without a mucoperiosteal (especially buccal) flap.
The very small micro-close gap of less
than 0.6 μm and the screw and abutment design (“Platform Switching“) have
proven successful for years.
Moreover, due to the fact that the total treatment costs are reduced by 50
percent, more patients can afford this
implantation treatment. High prices and
low-quality would mean fewer patients!
The Champions (R)Evolution implant is
one of the first two-piece implants that
can be inserted according to the painless
and uncomplicated “key-hole“ MIMI implantation method.
MIMI will remain the implantation
method of the future. This two-piece implant type will (r)evolutionize the daily
routine of dentists and dental technicians!
For
more
information,
call
(952) 426-3071, e-mail info@champions
innovations.com or you can visit www.
championsinnovations.com.
Fig. 9: The Champions (R)Evolution inner conus with the integrated
‘Hexadapter’ allows the micro-gap to be smaller than < 0.6 μm and the
abutment to be rotation proof.
‘Additionally, some dental surgeons will find it easier
to work with the two-piece implants, which often make
temporary restorations unnecessary.’
[21] =>
MIS
[22] =>
B22
Products
Implant Tribune U.S. Edition | January 2012
Products allow for socket grafting
without primary closure in the
esthetic zone for implant placement
Socket grafting without primary closure
is now predictable in the esthetic zone for
implant placement, with Impladent’s new
CollaForm™ Singles absorbable bovine
collagen and OsteoGen® synthetic bioactive resorbable graft, which has been in the
market for 26 years.
With the introduction of the “Tooth
Extraction Kit”, CollaForm Singles and
OsteoGen, averaging $55 per extraction,
socket preservation is cost effective and
a key principle for successful grafting
restoration. CollaForm (12 mm by 20 mm
by 3 mm thick) features handling advantages of soft non-sticky, exceptionally
flexible and compressible in nature for
ease of adaptability.
After tooth extraction or removal of
any and all root fragments (Fig. 1a), debride and enucleate all fibrous tissue to the
lamina dura (Fig. 1b). Medullary blood
from the marrow works best for remodeling/modeling of new bone formation.
Perforate lamina dura anatomically
correct and collect blood to mix with
OsteoGen resorbable bone graft. Control
bleeding.
Pack OsteoGen synthetic bioactive resorbable bone graft into the extraction
site. Note that the graft is radiolucent on
day of placement (Fig. 1c).
Place a CollaForm Singles wound dressing over the graft and crisscross suture.
Take an X-ray after grafting to compare
with X-ray after six months.
Depending on the defect site, patient’s
age or metabolism, an X-ray can be taken
five or six months after surgery to show
radiopaqueness as OsteoGen converts to
new bone formation (Fig. 1d).
The mechanical properties of OsteoGen are less than trabecular bone and
will not compromise the host bone chemically or mechanically, making it an
ideal graft material for implant placement (Fig. 1e).
For more product information and promotional discounts, contact Impladent Ltd.
at (800) 526-9343, (718) 464-9620 fax or visit www.impladentltd.com
Photos/Provided
by Impladent
Zimmer Dental’s Angled Tapered Abutment
expands restorative options for implantologists
Zimmer Dental Inc., a leading provider
of dental oral rehabilitation products and
a subsidiary of Zimmer Holdings, Inc., is
pleased to announce the availability of
the Zimmer Angled Tapered Abutment —
a line extension that provides clinicians
with the flexibility to place implants offaxis (i.e., tilted) and choose from multiple
surgical protocols, including immediate
load, screw-retained restorations to best
meet the specific restorative needs of
their patients.
Available in 15- and 30-degree angle
configurations, the Zimmer Angled Tapered Abutment promotes angulation correction for off-axis implant placement,
repositioning the restorative platform to
facilitate insertion of the prosthesis.
The abutment’s
1.2
mm
lowprofile cone is ideal for use in cases
with limited interocclusal space,
while the cone’s
15-degree
taper
Photo/Provided by
allows for additiZimmer Dental
onal angulation
correction. The
ability to place implants off-axis aids in
maximizing the use of available bone,
avoiding the alveolar nerve and sinus,
and minimizing the cantilevers for the
prosthesis in multi-unit, partially and
fully edentulous screw-retained restorations.
The user-friendly Zimmer Angled Tapered Abutment’s multiple cuff heights
enable the clinician to select the size that
best meets the patients’ soft-tissue measurements. Furthermore, this new abutment has exhibited exceptional strength
and durability in testing compared to
other popular brands, according to Zimmer Dental, and is fully compatible with
Zimmer Dental’s existing restorative
components and the renowned Tapered
Screw-Vent® Implant System, for greater
convenience.
“These new angled tapered abutments
broaden our restorative portfolio and
give clinicians even more flexibility in
choosing surgical protocols to best meet
the needs of their patients, restore their
mouth function and enhance their quality of life,” said Harold C. Flynn, Jr., Zimmer Dental president. “At the end of the
day, our focus, first and foremost, is on
giving our customers the tools they need
to improve their patients’ lives.”
For decades, Zimmer Dental has gained
the trust of thousands of clinicians worldwide who count on its comprehensive
line of products to deliver successful patient outcomes, according to the company.
For more information on integrating the
Zimmer Angled Tapered Abutment into
your practice, contact a Zimmer Dental sales consultant at (800) 854-7019, (760) 9294300 (for outside the U.S.), or visit www.
zimmerdental.com.
[23] =>
Impladent
[24] =>
B24
products
Endo Tribune U.S. Edition | January 2012
American Eagle
launches implant
instruments
American Eagle Instruments has recently introduced its new implant instruments, made from
medical-grade titanium. Photos/Provided by American Eagle Instruments
American Eagle Instruments is excited
to announce its long-awaited, all-new implant instruments.
Made out of medical-grade titanium, these implant instruments will not
scratch or damage titanium implants and
are 100 percent manufactured at American Eagle Instruments in Missoula, Mont.
American Eagle’s unique patterns in-
clude scalers with rounded toes enabling
safe access to sub-gingival areas.
Made exclusively in the lightweight EagleLite handle, these instruments will reduce hand fatigue, making them a significant upgrade compared to other implant
instruments currently on the market.
For more information, see www.
am-eagle.com.
Ad
A sampling of the new implant instruments
by American Eagle Instruments.
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