Implant Tribune U.S. No. 1, 2013
Does your implant training meet the proposed guidelines? / Industry
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[1] =>
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
January 2013 — Vol. 8, No. 1
www.dental-tribune.com
Does your implant training
meet the proposed guidelines?
Recommendations
catch up to legal
standard-of-care
expectations
the direction of the profession in establishing standards and indicative of what
current practitioners of implant therapy
consider the minimum educational requirements.
In addition, although these requirements are not legal requirements, when
a licensing body takes these steps to provide recommendations regarding training, it can be assumed that should an issue arise for a dentist providing implant
therapy, the college and other involved
parties will defer to these recommendations regarding the type and scope of
training that dentist received.
By Ken Hebel, BSc, DDS, MS,
Certified Prosthodontist, and Reena Gajjar,
DDS, Certified Prosthodontist
U
ntil recently, implant dentistry was considered to be a
therapy that was primarily
provided by dental specialists,
and as such, training regulations were
not an issue because most specialties incorporate implant therapy into their residency programs. With implant dentistry
becoming more mainstream and being
incorporated into general practices, educators and licensing bodies are starting
to set training guidelines and parameters
for practice.
Cross-training
One interesting aspect of these proposed
guidelines is that regardless of what phase
of implant therapy you choose to provide
to your patients, you should be trained
in all phases. Dentists providing only
the surgical phase need to be trained in
implant prosthetics, and those providing
prosthetics need to be trained in surgical
considerations. This cross-training is indicative of the complex, integrated nature
of implant therapy and the suggestion
that one is not competent in one aspect of
implant therapy without understanding
all aspects.
Another interesting aspect is the requirement for continued education and
training. Implant dentistry is such a new
and exciting area within dentistry that
Background
Several years ago, the Institute for Dental Implant Awareness (IDIA) released a
document, “Recommended C.E. Training
Protocols to Meet the Legal Standard of
Care for Implant Placement.” Although
not legally enforceable, this document
provided some guidelines for continuing
education programs to meet the standard
of care for implant therapy. These guidelines were based on existing guidelines
in the United Kingdom and reviewed by
many dentists, both general dentists and
specialists.
The release of such a document indicates the awareness by the profession for
guidelines to be established, both for the
protection of patients and the profession.
Many undergraduate dental schools
do not offer a full curriculum in implant
dentistry. As such, many dentists are required to obtain their implant education
through post-graduate continuing education programs.
With the proliferation of implant courses, it is critical to be aware of the training
that is considered adequate by the profession in order to embark on implant
therapy in your practice. It has been established that short-duration programs
(one to three days in length) cannot fulfill
the minimum standard that the profession considers appropriate for training in
implant dentistry.
Regardless of what phase of implant therapy you choose to provide to your patients, you
should be trained in all phases. Fred Michmershuizen/Dental Tribune File Photo
Standard of care
Did you know that although a licensed
dentist can perform any dental procedure, if a general dentist chooses to perform treatments that are not routinely
performed by general dentists, the law
holds all practitioners to the same standard of care that would be provided by
specialists providing similar treatments?
As such, it is imperative that dentists
who are not formally trained in implant
therapy pursue educational programs
that meet and exceed the minimum
guidelines that are proposed by not only
the profession but by their licensing body.
Recently, the Royal College of Dental
Surgeons of Ontario (Canada), the licensing body for dentists in Ontario, released
a draft document proposing minimum
standards of educational requirements
for any dentist performing implant therapy. Although this document applies only
to dentists in Ontario, it is suggestive of
” See TRAINING, page 2B
AD
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“ TRAINING, Page 1B
techniques and products are still changing and advancing. The need for frequent
continuing education is more critical in
this field than in other areas of dentistry.
So what does this all mean for you?
If you are considering incorporating implant dentistry into your practice, or if
you already provide one or both phases
of implant dentistry, we recommend you
follow these steps:
• Review the RCDSO proposed guidelines and review the IDIA training protocols. Both these articles can be found on
our website, www.handsontraining.com,
under the “Downloads” tab.
• Research your licensing body and determine if it has set any minimum standards or guidelines.
• Make sure the training you are considering, or have already taken, fulfills
those minimum standards (or refer to
AD
education
the existing guidelines if your licensing
body has not yet set any guidelines).
• Make sure the training institution that
you choose provides not only a comprehensive training program but also provides tools and resources that allow you
to review, refresh and continue to learn.
It is critical to emphasize that even with
continued education, a general dentist
should only practice in accordance with
his or her training and experience. As such,
patients who present with complex treatment situations — or a level of difficulty
beyond the practitioner’s training and skill
set — should be referred to a specialist.
In any profession, guidelines are set
to not only protect the providers within
that profession but to protect the interests of the public. Without proper guidelines, the standard of care is diminished,
and in many situations, a low standard of
care not only affects treatment outcomes
but also establishes a damaging reputation for that particular therapy.
Guidelines within implant dentistry
are long overdue, and the establishment
of educational recommendations will
serve to raise the standard of implant
therapy provided and improve treatment outcomes to protect both the public and the profession.
About the authors
Ken Hebel, BSc, DDS, MS, Certified Prosthodontist, earned his undergraduate degree at the
University of Western Ontario in 1979 and then completed a surgical internship program. He completed
the prosthodontic graduate program at the Eastman
Dental Center in 1983, along with his master’s degree in anatomy.
As a specialist in prosthodontics with an extensive
background in computer graphics and imaging,
Reena Gajjar, DDS, Certified Prosthodontist,
is a co-founder of the Hands On Training Institute.
Gajjar earned her undergraduate dental degree at
the University of Western Ontario in 1988.
Implant Tribune U.S. Edition | January 2013
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
Managing Editor Implant Tribune
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Robert Selleck, r.selleck@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Product/Account Manager
Charles Serra c.serra@dental-tribune.com
Marketing director
Anna Wlodarczyk-Kataoka
a.wlodarczyk@dental-tribune.com
C.E. DIRECTOR
Christiane Ferret c.ferret@dtstudyclub.com
Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
Fax (212) 244-7185
Published by Tribune America
© 2013 Tribune America, LLC
All rights reserved.
Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Sierra Rendon at
s.rendon@dental-tribune.com.
Tribune America cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.
Editorial Board
Dr. Pankaj Singh
Dr. Bernard Touati
Dr. Jack T. Krauser
Dr. Andre Saadoun
Dr. Gary Henkel
Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
Dr. Axel Zoellner
Dr. Glen Liddelow
Dr. Marius Steigmann
Corrections
Implant Tribune strives to maintain the
utmost accuracy in its news and clinical
reports. If you find a factual error or
content that requires clarification, 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.
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events
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Implant Tribune U.S. Edition | January 2013
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Implant Tribune U.S. Edition | January 2013
industry
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[6] =>
B6
Industry
Implant Tribune U.S. Edition | January 2013
Sterngold assumes the U.S.
operations of Cendres+Métaux
Sterngold recently signed an agreement in which it assumed the U.S. operations of Cendres+Métaux. Sterngold
has had a long-standing relationship
with Cendres+Métaux offering selected
products, and Sterngold is now pleased
to offer Cendres+Métaux’s complete line
of alloys, attachments and consumables
within the United States.
Cendres+Métaux manufactures bars
and retentive elements for fixed and removable restorations. It also produces the
innovative SFI-Bar®, the Dalbo® and the
Dolder® bar systems, and it offers a wide
AD
range of premium noble-metal alloys for
casting and ceramic veneering.
This partnership unites two dedicated,
experienced and well-respected companies in the dental industry, and both have
been synonymous with quality and innovation, according to the company.
“We are very excited about this U.S.
partnership with Cendres+Métaux,” said
Gordon Craig, vice president and general manager of Sterngold Dental. “Our
organizations share the commitment
to providing customers with highquality products combined with excel-
lent customer service, and this union
will strengthen those core initiatives.”
Starting now, customers can contact
Sterngold directly for ordering and product information needs. For more information, contact Sterngold’s customer service
department at (800) 243-9942.
About Sterngold Dental
Founded in 1897, Sterngold Dental, LLC,
is a world leader in dental products and
specializes in alloys, attachments, implants and restorative systems. Examples
are the Stern ERA family of resilient den-
tal attachments and the Natural Profile
Abutment System for esthetic restoration
of implants. For more information, visit
www.sterngold.com.
About Cendres+Métaux
Cendres+Métaux roots date back to 1885
when Louis Aufranc founded a small precious metal smelter in Biel/Bienne (Switzerland) for the purpose of processing
precious metal melting stock. Today, the
Cendres+Métaux Group operates on a global scale and has more than 450 employees.
For more information, visit www.cmsa.ch.
PhotoMed
G12 offers
quality,
simplicity
Built-in color monitor,
built-in flash and custom
close-up lighting makes
dental images a snap
The PhotoMed G12 Digital Dental Camera is specifically designed to allow you
to take all of the standard clinical views
with “frame and focus” simplicity.
The built-in color monitor allows you
to precisely frame your subject. Then focus and shoot. It’s that easy.
Proper exposure and balanced even
lighting are assured. By using the camera’s built-in flash, the amount of light
necessary for a proper exposure is guaranteed, and PhotoMed’s custom close-up
lighting attachment redirects the light
from the camera’s flash to create a balanced, even lighting across the field.
For more information, please visit
www.photomed.net or call (800) 9987765.
PhotoMed offers the G12 Digital Dental
Camera which is specifically designed for
clinical dental photos.
Photo/Provided by PhotoMed
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Dentsply (Astra)
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industry
Implant Tribune U.S. Edition | January 2013
ZEST Anchors introduces a new narrow-diameter
implant system featuring overdenture attachment
Until now, choosing a narrow-diameter
implant could often mean a sacrifice in
attachment performance and, ultimately, patient satisfaction.
ZEST Anchors responds to that need by
introducing the LOCATOR® Overdenture
Implant System (LODI), featuring a new
narrow-diameter implant combined with
the world-leading LOCATOR Attachment,
providing clinicians with solutions to the
attachment limitations often found with
O-ball mini implants.
The ZEST Anchors LOCATOR Overdenture Implant System features critical
elements that optimize patient satisfaction, the company says. The LOCATOR
Attachment is seated after the implant
is placed, making case planning, implant
surgery and restoration easier. In addition, its unique two-piece design allows
for attachment replacement should wear
occur throughout time.
LODI is available in narrow diameters
of 2.4 and 2.9 mm and is ideal for those
patients with very narrow ridges who
refuse the additional appointments and
the cost often associated with grafting
procedures. Made from the strongest titanium available, LODI features a proven
RBM surface and is designed to provide
primary stability when immediate loading is indicated, the company says.
LODI is packaged with the LOCATOR
Attachment so it incorporates all of
LOCATOR’s sought-after features including its patented pivoting technology and
customizable levels of retention, all while
maintaining a dramatically reduced vertical height as compared to O-ball mini
implant designs.
“The LOCATOR Overdenture Implant
System is the result of a collection of
inputs from market demands and clinicians expressing their needs,” said
Steve Schiess, CEO of ZEST Anchors. “To
the many clinicians who asked us why
a trusted leader in overdenture attachments that has a proven, 40-year track
record of continuous innovation doesn’t
make a narrow diameter implant for
overdentures, I can finally say here is
LODI.”
For more information about the Locator Overdenture Implant System
from ZEST Anchors, call (855) 868-LODI
(5634) or visit the new website at www.
zestanchors.com.
Photo/Provided by ZEST Anchors
DENTSPLY Implants and 3Shape jointly
release new lab-based scanning solution
3Shape, a technology leader in 3-D
scanning and CAD/CAM software for
dental applications, and DENTSPLY Implants, a market leader in the field of
implant dentistry and CAD/CAM abutments, have announced the joint release
of a new software interface solution
linking 3Shape 3-D dental scanners and
ATLANTIS™ VAD™ (Virtual Abutment
Design) software.
With a single click, 3Shape scanner users
in the many dental labs all over the world
can now transfer digital scan information,
containing the patient’s oral geometry
with implant positions, straightaway into
DENTSPLY Implant’s ATLANTIS design
and manufacturing facilities. For labs
working with ATLANTIS abutment design
services, this direct new connectivity reduces costs, eliminates the shipping of
physical models and reduces turnaround
time.
The solution gives users additional
choices when providing customized abutments for their customers. It is available
as an option for all users with 3Shape’s
powerful Abutment Designer™ module
— an add-on to 3Shape’s user-acclaimed
Dental System™.
For customers without the Abutment
Designer module, 3Shape has recently
announced the coming release of CAD
Points — a new and flexible service that
allows 3Shape users to access scanning
3Shape and
DENTSPLY Implants
have announced the
joint release of a new
software interface
solution. Photo/
Provided by 3Shape
and designing modules, such as Abutment Designer, on a pay-per-case basis.
“3Shape is always seeking new ways to
provide maximum flexibility and a wide
range of options to dental labs who are
using 3Shape scanners and software,”
said, 3Shape President and CEO Flemming
Thorup. “We are very happy that this collaboration between DENTSPLY Implants
and 3Shape makes it possible for many
laboratories to benefit from the unique
strengths of our respective products and
companies.”
Users who wish to benefit from this opportunity should contact their 3Shape reselling partner for explicit information
about availability of the interface for their
system.
About 3Shape A/S
3Shape A/S is a Danish company specializing in the development and marketing
of 3-D scanners and CAD/CAM software
solutions designed for the creation, processing, analysis and management of
high-quality 3-D data for application in
complex manufacturing processes.
3Shape envisions the age of the “full
digital dental lab,” and its more than 130
developers provide innovation power
toward reaching this goal. 3Shape’s
flexible solutions empower dental professionals through automation of real
workflows, and its systems are applied
in thousands of labs in more than 90
countries worldwide, putting 3Shape
technologies at the peak of the market
in relation to units produced per day by
dental technicians.
3Shape boosts its first-line distributor
support network with a second-line support force of more than 30 in-house experts placed in five support and service
centers strategically placed around the
globe.
3Shape is a privately held company
headquartered in Copenhagen, with the
market’s largest team dedicated to scanner and software development for the
dental segment based in Denmark and
Ukraine, production facilities in Poland
and business development and support
offices in New Jersey and Asia. For more
information regarding 3Shape, visit
www.3shapedental.com.
[9] =>
Implant Tribune U.S. Edition | January 2013
industry
B9
Glidewell Laboratories announces the Open
Platform Inclusive Tooth Replacement Solution
Glidewell Laboratories, an industryleading provider of digital dental laboratory products and services, announced
recently the expansion of the Inclusive®
Tooth Replacement Solution to accommodate a number of popular implant
systems including DENTSPLY Implants,
BIOMET 3i, Nobel Biocare, Straumann
and Zimmer.
“Clinicians who want to take advantage
of this restorative-driven solution featuring custom tissue management but who
prefer to place their existing implant
system can now prescribe the Open Platform Inclusive Tooth Replacement Solution,” said Glidewell Laboratories Chief
Operations Officer Greg Minzenmayer.
The expanded solution includes all of
the same components as the original Inclusive Tooth Replacement Solution with
the exception of the surgical drills required for placing the implant of choice
(supplied by the prescribing dentist).
Glidewell Laboratories will provide
the prosthetic guide, custom temporary
components, custom impression coping and final CAD/CAM restoration, all
designed around the clinician’s chosen
implant platform.
Additionally, an Inclusive Tapered Im-
Glidewell Laboratories has expanded its
Inclusive Tooth Replacement Solution to
accommodate a variety of popular implant
systems. Photo/Provided by Glidewell
plant (with corresponding final surgical
drill) is included, as a replacement for the
clinician’s implant if needed.
Temporization sets the tone for the final esthetic outcome, with parameters
unique to each patient. Only the Inclusive Tooth Replacement Solution promotes patient-specific temporization
and contoured healing through the use
of custom temporary components rather
than generic components, according to
Glidewell.
Clinicians can provisionalize a case
with the custom temporary abutment
and accompanying BioTemps® provisional crown or place the custom healing
abutment for a more conservative approach. Either option affords the opportunity to begin sculpting the soft-tissue
architecture around the implant and
developing the future emergence profile
— in a fraction of the time that would be
required to create custom healing components chairside.
When healing is complete, the gingival
anatomy is maintained and captured
during the impression procedure with
the matching custom impression coping, enabling the laboratory technician
to design the natural emergence profile
required for a predictable, esthetic result. In the same amount of time it would
take to place generic stock components,
patient-specific temporization and softtissue management is provided with this
feature of the Open Platform Inclusive
Tooth Replacement Solution.
The Open Platform Tooth Replacement
Solution is specifically designed as a convenient, all-in-one treatment option that
begins with the final restoration in mind,
incorporating all of the clinical components and laboratory services required
to ensure a successful outcome.
Backed by more than 40 years of experience and a strong commitment to
excellence, Glidewell Laboratories has
the product portfolio, infrastructure and
competency to provide the full spectrum
of affordable custom implant solutions
to dentists, according to the company.
Advanced CAD/CAM processing capabilities ensure precise, esthetic restorations
that require fewer adjustments and remakes, reducing chairtime and leading
to greater overall patient satisfaction.
Now, with Inclusive Scanning Abutments for clinical use, dentists who have
made an investment in digital dentistry
can enjoy the convenience of using their
preferred intraoral impression system to
take digital impressions for digital custom implant solutions that exhibit the
level of precision they have come to expect from Glidewell Laboratories.
For more information, visit www.
inclusivedental.com or call (888) 3033975.
AD
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