AAID in Arizona: Annual meeting to focus on ‘Technology and Biology’ / AAID courses focus on variety of new trends - techniques and technologies / AAID’s Dental Industry Marketplace helps clinicians seeking to shop online / Welded titanium needle implants in treatment of bone atrophy / Industry
AAID in Arizona: Annual meeting to focus on ‘Technology and Biology’
01 - 02 viewAAID courses focus on variety of new trends - techniques and technologies
04 - 04 viewAAID’s Dental Industry Marketplace helps clinicians seeking to shop online
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[1] =>
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
October 2013 — Vol. 8, No. 9
www.dental-tribune.com
Annual meeting
to focus on
‘Technology
and Biology’
AAID
in Arizona
The AAID’s 2013 annual meeting will take place in Phoenix from Oct. 23–26 at the JW Marriott Desert Ridge Resort.
Photo/Provided by JW Marriott Desert Ridge Resort
place in the Grand Saguaro, Ballroom
Level.
Main podium schedule: Wednesday
• 1:30 p.m.: “Tissue Bioengineering in
Complex Prosthetic Rehabilitation” by
Hector Alvarez-Cantoni, DDS, MSc, PhD
• 2:15 p.m.: “Key Factors on Peri-Implant
Marginal Bone Loss” by Pablo GalindoMoreno, DDS, PhD
• 3:30 p.m.: “Smile Design Incorporating Dental Implants” by Guillermo
Bernal, DDS
• 4:45 p.m.: “An Innovative Technique
for the Management of the Maxillary
First Molar Site with Grafts and Implants”
by Cesar Ortiz-Campos, DDS, MScD
Main podium schedule: Thursday
• 8 a.m.: “Implant Dentists Converge
Dental Tribune America
116 West 23rd St., Ste. 500
New York, NY 10011
T
he American Academy of Implant Dentistry’s 2013 annual
education conference is set for
Oct. 23–26 in Phoenix at the JW
Marriott Desert Ridge Resort.
The AAID’s 62nd Annual Meeting, titled
“Technology and Biology Converge in the
Valley of the Sun,” will explore how biology and technology converge to improve
the treatment options available to doctors to solve ever more difficult and complex issues for patients.
An International Symposium, titled
“International Excellence in Implant Dentistry — The Spanish Connection,” complete with simultaneous translation, will
lead off the main podium programs.
Four live surgery presentations in the
operatory and 19 intensive courses, most
with hands-on components, will be offered as well.
The office team can look forward to two
intensive days of programming on Thursday and Friday. Clinical and hands-on
courses will be included.
One distinction that sets AAID’s meetings apart is the opportunity to interact
directly with its world-class experts and
presenters, according to organizers. You
will be able to text your questions during
the main podium presentations, and the
presenter will be given those questions to
answer live, at the end of the program.
The main podium programs feature
presentations organized into distinct topic areas and cover timely issues facing the
practicing implant dentist. Join 1,000 of
your colleagues as you learn from worldclass experts.
Topic categories include international
excellence in implant dentistry; biology
of osseointegration; clinical; technology;
regeneration and biologics; and management of clinical dilemmas.
All main podium lectures will take
to Provide Humanitarian Aid” by Steven
Hewett, DDS, FAAID, DABOI/ID
• 8:30 a.m.: “Understanding Implant Interface and Bone Physiology in Immediate Extraction Sites” by Mauricio Araujo,
DDS, MSC, PhDf
• 11 a.m.: “The Immediate Implant Does
Not Have to Lose the Buccal Bone”by
Arthur Novaes, DDS, MScD, PhD
• 1:30 p.m.: “Implant Placement Adjacent to Natural Teeth: Prosthetic Strategies for Tissue Preservation” by Stephen
Chu, DMD, MSD, CDT
• 4 p.m.: “Long-Term Evaluation of
Immediately-Loaded Implants in the
Severely Atrophic Maxilla and Mandible”
by Paulo Malo, DDS, PhD
Main podium schedule: Friday
• 8 a.m.: “CAD/CAM Abutment and
Framework Fabrication” by Lyndon
Cooper, DDS, PhD, and Charles Goodacre,
DDS, MSD
• 9 a.m.: “Computer-Assisted Implant
Dentistry and Predictable Success” by
David Guichet, DDS
• 11 a.m.: “CAD/CAM Fabricated Complete Dentures: Benefits and Clinical
” See AAID, page 2
AD
PRSRT STD
U.S. Postage
PAID
Ft. Lauderdale, FL
PERMIT #1117
[2] =>
2
“ AAID, Page 1
Applications” by Charles Goodacre, DDS,
MSD
• 1:30 p.m.: “BMP-2-Induced Alveolar
Augmentation/Osseointegration: A New
Standard?” by Ulf Wikesjö, DDS, DMD,
PhD
• 2:15 p.m.: “Scientific Rationale and
Practical Clinical Applications of PRP,
PRF and Recombinant Growth Factors”
by James Rutkowski, DMD, PhD, FAAID,
DABOI/ID
• 4 p.m.: “Innovations for Esthetic Implant Surgery with Growth Factors” by
Marc Nevins, DMD, MMSc
Main podium schedule: Saturday
• 8 a.m.: “Restoratively Driven Implant
Complications: Implant Dentistry’s
Dirty Little Secret” by Alfonso Piñeyro,
DDS
• 9 a.m.: “Peri-implantitis Etiology and
AD
A AID preview
Free access to dental articles
online via AAID and EBSCO
How would you like access to hundreds of dental publications, including full text articles from more than
200 journals?
Members of the American Academy
of Implant Dentistry receive free access to EBSCO’s Dentistry and Oral
Sciences Source™ database. This is an
exclusive arrangement between EBSCO and the AAID.
Go online to bit.ly/181wUQU or click
the QR code at right
to watch a series of
short video tutorials demonstrating the features
of AAID’s newest
member benefit.
To join AAID and
start taking advantage of this and numerous other member benefits, visit
www.aaid.com or click on the QR code.
Implant Tribune U.S. Edition | October 2013
IMPLANT TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief executive Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Managing Editor Implant Tribune
Sierra Rendon s.rendon@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
Treatment — An Evidence-Based Approach” by Hom-Lay Wang, DDS, MS, PhD
• 11 a.m.: “Clinical Realities and Com-
plications of Zirconia-Based Restorations” by Howard Chasolen, DMD, FAAID,
DABOI/ID
Product/Account Manager
Jan Agostaro j.agostaro@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Marketing director
Anna Wlodarczyk-Kataoka
a.wlodarczyk@dental-tribune.com
Education 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 critique
you would like to share? Is there a particular
topic you would like to see featured 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] =>
4
A AID Preview
Implant Tribune U.S. Edition | October 2013
AAID courses focus on variety of new
trends, techniques and technologies
By A AID staff
At its annual meeting, the AAID
will offer the following corporatesponsored courses to give attendees the
opportunity to learn about the latest innovations in implant dentistry directly
from those developing the newest techniques and technologies.
Although the sessions for the following “New Trends, Techniques and Technologies” program are provided through
grants from various companies, the pur-
pose is to provide significant educational
content and value and not to simply
promote the companies supporting the
program.
All corporate-sponsored courses take
place in the Grand Saguaro, Ballroom
Level.
Corporate-sponsored courses:
Wednesday
• 8:20 a.m.: “Short Implants and MetalFree Restorations” by Drauseo Speratti,
DDS
• 8:40 a.m.: “Technological Advances
for Everyday Private Practice” by Barry
Franzen, DDS
• 9 a.m.: “Replacing Those Missing
Single-Teeth in Your Practice” by David
Dalise, DDS, AFAAID
• 9:20 a.m.: “Hey, Do You Do Block
Grafts?” by David Resnick, DDS, FAAID,
DABOI/ID
• 9:40 a.m.: “From Temporary to
Final – Simplifying the Restoration on
Edentulous Patients” by Gordon Leonard, DDS
• 10 a.m.: “Evolution of Internal
Conical Connection Implants” by Gerald
Niznick, DMD, MSD, FAAID
• 10:40 a.m.: “Simplicity in ComputerGuided Implantology: The MGUIDE
MORE System” by Andrew Spector, DMD
• 11 a.m.: “Closing the Window of Negative Opportunity … Quickly” by Scott
Ganz, DMD
• 11:20 a.m.: “Bi-Phasic Calcium Sulfate
(BondBone®): Biology and Application”
by Daniel Brunner MD, DDS
• 11:40 a.m.: “Innovations in Periimplant Tissue Manipulation and the
Maxillary Sinus” by Jin Kim, DDS, MPH,
MS, FAAID
AD
AAID’s Dental
Industry
Marketplace
helps clinicians
seeking to
shop online
By A AID staff
The American Academy of Implant Dentistry’s online Dental
Industry Marketplace is the profession’s leading source of information for practitioners seeking to
purchase services or supplies.
Available from a link on the
AAID homepage (www.aaid.com),
the Dental Industry Marketplace
features industry-specific product
and service listings designed to aid
AAID members and the implant
dentistry community with their
purchasing decisions.
The 2013 edition of the buyers’
guide includes request for information (RFI) functionality that allows
users to contact participating suppliers with a click of their mouse.
With a downloadable desktop
search application available, visitors also have the ability to search
for items directly from a small
search window on their desktops
– making the search process convenient and time-efficient.
There is even an app for your Apple device so that you can access the
Dental Industry
Marketplace on
the go. Visit the
Apple Store to
download the
AAID
mobile
app or scan the
QR code at right.
For more information, visit www.
dentalindustrymarketplace.com or
www.aaid.com.
[5] =>
Dentsply
[6] =>
clinical
6
Implant Tribune U.S. Edition | October 2013
Welded titanium needle implants
in treatment of bone atrophy
Indications, techniques and statistics
By Luca Dal Carlo, DDS, Venice, Italy,
Marco E. Pasqualini, DDS, Milan, Italy,
Pier Maria Mondani, DDS, Genova, Italy,
Franco Vannini, DDS, Rome, Italy and
Michele Nardone, Medical Officer, Ministry
of Health, Rome, Italy
T
he needle implants were designed and presented in the
early 1960s by the French dentist Scialom. He understood that,
using biomechanical properties related
to implant divergence, thin cylinders of
metal could ensure implant prosthetic
structure reliability.
Initially, needle implants were made of
tantalium. In 1972, thanks to Paoleschi,
titanium became the material of choice
for needle implants.
” See NEEDLE, page 8
Fig. 1: Needle implant 1.3 mm wide with its
proper mandrel.
AD
Fig. 2a: Scheme of intra-oral welding of a
three-needles implant.
Fig. 2b: Picture after 20 years of a clinical
case treated in the esthetic zone.
Fig. 2c: X-ray after 20 years of a clinical case
treated in the esthetic zone.
[7] =>
Glidewell
[8] =>
8
clinical
Implant Tribune U.S. Edition | October 2013
“ NEEDLE, Page 6
Figs. 3a-c: From left, the scheme and clinical case of three-needles implant used to treat D4 quality bone in zone 4.6; the five-year picture; and
the seven-year X-ray.
AD
Needle implants are cylinders of titanium provided with a tip that ends with
an obtuse angle, as to gently enter the
bone tissue (Fig. 1). They are mainly used
in diameters between 1.2 and 1.5 mm and
lengths from 25 to 40 mm.
At the coronal end, there are two fins
used for mounting on the mandrel that
must be mounted on the surgical handpiece. The mandrel is provided with two
grooves through which the fins of the
needle enter. Needle implants go inside
the bone tissue with a slow, swirling motion, using a surgical handpiece at low
speed (double green ring, 25-30 rpm).
The descent into the bone tissue is completed with a concave surgical chisel and
hammer, stopping as soon as one hears
the typical sound of the cortical bone
reached in depth.
Needle implants require reliable
means, which allow them to join together stably. During the ’70s, Pier Luigi
Mondani invented the intraoral welding machine, that allows an immediate
connection of titanium implants. This
apparatus was conceived to weld needle
implants but can be successfully used as
well to connect any titanium implant:
emerging, submerged, endosseous or
subperiosteal. The connection can be
made either by welding a titanium bar
to the implants or welding the implants
directly to each other.
Indications
Welded titanium needle implants have
some specific indications in cases of
bone deficit, where the residual bone is
sparse and therefore the stability of the
implant system is entrusted to the cortical anchorage. The stability provided
by anchoring to the cortical bone allows
immediate loading. In particular, welded
needle implants give very good results in
the following situations of bone defect:
• upper anterior esthetic zone, as immediate postextraction implants (Figs.
2a-c);
• posterior inferior district characterised by rarefied bone (D3-D4) (Figs. 3 and
4);
• area below the maxillary sinus, exploiting the space between palatal and
sinusal cortex (Fig. 5);
• as a support to other implants.
Statistical data
Between January 1996 and December
2012, we used 351 bicortical needle implants (ø 1.3 mm) in the posterior (behind
the fourth) atrophic lower sector, during
77 surgical interventions, with immediate welding and loading. The implants
were inserted in atrophic ridges of the
D3 -D4 bone.
In this study, 85.7 percent of the patients were female, while male patients
represented just 14.3 percent of the
group. The average age of patients was
61.4 years, in a range from ages 26 to
83. The first evaluation of the patients
was done using first-level X-ray examinations (intraoral and panoramic). For
safety, we also used a TC to decide the direction of the implants along the side of
the inferior alveolar canal.
After piercing the bone crest surface,
the needle implant was mounted on the
mandrel, and by a slow rotary motion, we
arrived at the deep cortical bone. If you
” See NEEDLE, page 10
[9] =>
OCO
[10] =>
clinical
10
Fig. 4a
Implant Tribune U.S. Edition | October 2013
Fig. 4b
Fig. 4c
Figs. 4a-4d: Clinical case treated in the 36-37 zone:
CT, picture during intervention, scheme of bar
welding and X-ray with definitive prosthesis.
Figs. 5a-c:. Scheme, X-ray and 4-year picture of
prosthetic bridge built on a three-needles implant
embracing the maxillary sinus in the 4th zone and
screw implant inserted in the tuberosity.
Fig. 4d
Fig. 5b
“ NEEDLE, Page 8
are treating the lower back area and need
to go along the inferior alveolar nerve
side, it is advisable to be careful using a
slow rotation (25-30 rpm), reversing the
direction of rotation several times, which
makes the descent of the implant much
smoother and more accurate. When we
arrived at the deep cortical bone, a gentle
percussion allowed for affirmation of the
Fig. 5a
typical “cortex sound,” which gives the
diagnostic confirmation that the implant
has been placed accurately. The correct
implant placement was verified by intraoperative X-ray.
The needle implants were put immediately in retention after insertion by intra
oral welding of a titanium wire o bar.
Actually, the welding of a series of deep
bicortical needle implants guarantees
immobility of the prosthesis on implants
Fig. 5c
also when the bone is rarefied (Fig. 4).
Overall success of the implants studied during the 1996-2012 time period
was 97.1 percent (341/351). Five-year success rate was 99 percent (296/299) and
10-year success rate was 95.8 percent
(138/144).
Conclusions
The titanium needle implant is a valid
therapeutic device, useful for dealing
with immediate loading cases of atrophy
in the esthetic zone, in the lower back
area, in the seat below the maxillary sinus and as a support to other implants.
Mandatory requirement is that all the
implants are bi-cortical and connected to
each other by intraoral welding. They are
not the first choice when the bone crest is
thick and deep. This technique is suitable
for cases in which bone is not particularly dense.
‘The titanium needle implant is a valid therapeutic device, useful for dealing
with immediate loading cases of atrophy in the esthetic zone, in the lower back area,
in the seat below the maxillary sinus and as a support to other implants.’
[11] =>
Implant Tribune U.S. Edition | October 2013
industry
11
CopiOs Extend
Membrane can be
used in guided
tissue regeneration
and guided bone
regeneration
Photo/Provided by Zimmer Dental
Zimmer Dental offers space-maintaining
resorbable porcine membrane
CopiOs Extend Membrane from Zimmer Dental can
be used in a variety of dental surgical procedures,
including guided tissue regeneration and guided
bone regeneration.
By Zimmer staff
AD
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 CopiOs Extend™ Membrane — a
biocompatible and resorbable, collagenbased membrane, derived from porcine
dermis — for use in a variety of dental
surgical procedures, including guided
tissue regeneration (GTR) and guided
bone regeneration (GBR).
CopiOs Extend Membrane offers clinicians the synergy of space and time
— promoting optimum resorption and
space maintaining conformance. Lasting six to nine months, the membrane’s
extended resorption profile is designed
to allow implant placement while subsequently providing ample time for unhindered regeneration. In addition, CopiOs
Extend Membrane has been designed
to conform to the defect with enough
structural integrity for necessary space
creation. Its cell occlusive nature allows
nutrients to permeate while blocking epithelial cells, thereby creating an environment more suitable for successful GTR
and GBR procedures, for example.
Clinicians can feel confident in the
safety and performance of the easy-touse CopiOs Extend Membrane. The biocompatible membrane is comprised of
highly purified, intact dermis. Supplied
sterile, it can be implanted dry or slightly
hydrated. Once applied, the membrane is
malleable and easy to reposition.
“Zimmer Dental continues to demonstrate a strong commitment to improving patients’ lives and providing clinicians with safe and effective products,”
said Harold C. Flynn Jr., Zimmer Dental
president. “With the launch of CopiOs
Extend Membrane, we have further expanded our industry-leading regenerative portfolio, which complements our
innovative dental implants and triedand-true restorative offerings. Clinicians
can rely on this long-lasting, resorbable
membrane for a range of oral surgical
procedures — from localized ridge augmentation and alveolar ridge reconstruction to filling bone defects, GBR and GTR
— for manageable and predictable regenerative outcomes.”
For more information regarding this
regenerative option, contact a Zimmer
Dental sales consultant or customer
service at (800) 854-7019, or visit www.
zimmerdental.com.
[12] =>
Implant Direct
[13] =>
2-page spread
[14] =>
industry
14
Implant Tribune U.S. Edition | October 2013
Reduce treatment time
with digital dentistry
At AAID
By Dean H. Saiki, DDS, and
Grant Bullis, Glidewell Laboratories
director of implant R&D and digital
manufacturing
A
72-year-old female patient
complained of a loose lower
denture that was painful to
wear and chew with. A routine
examination revealed a pronounced lack
of bone volume in the lower ridge in conjunction with a relatively high floor of
the mouth, making relines ineffective.
The decision was made to proceed with
a screw-retained, provisional fixed denture supported by four implants. The
restorative protocol for this case used
state-of-the-art techniques to improve
the accuracy of implant placement, optimize the function and esthetics of
the provisional, and reduce the time required for treatment.
Treatment objectives
The objective of the treatment plan was
to improve patient comfort and chewing function by replacing the patient’s
existing mandibular denture with a
screw-retained fixed implant bridge. The
provisional denture and final restoration
would be designed with dental CAD software, using the setup from the existing
denture.
Treatment planning
The patient’s existing denture was modified with fiduciary markers to serve as
the CBCT scan appliance. To ensure maximum accuracy of the surgical guide, an
extraoral scan of the denture was then
taken. A CBCT scanner was used to scan
the intraoral lower denture, maxillary
denture and the bite.
From these DICOM datasets, stereolithography (STL) files were extracted.
The bite scan was used to articulate the
scans of the lower denture and the maxillary denture.
Once the datasets were accurately
merged in the treatment-planning software, the implants were virtually selected and placed at the optimal positions
and angulations for the available bone
volume and prosthesis support. Multiunit abutments were used to correct the
angle of the two posterior implants and
to provide a common restorative platform across all implant sites (Fig. 1).
The DICOM data was segmented for
density, and models of the patient’s
To learn more about Glidewell Laboratories products, please visit booth No. 815 at the AAID annual
meeting.
Fig. 1: After digitally evaluating the quality and quantity of mandibular bone, implants and
multi-unit abutments were virtually placed with the appropriate angling and depth for the
bone morphology of the patient. (Photos/Provided by Glidewell Laboratories)
acrylic was used to fix the prosthesis to
the multi-unit temporary cylinders. After curing, the prosthesis was removed
and finished extraorally.
Final restoration
Fig. 2a
Fig. 2b
Fig. 2c
Fig. 2a-2c: The DICOM data was segmented for density, and models of the patient’s mandibular arch, provisional denture and surgical guide were 3-D printed and articulated, so the entire
surgical and prosthetic stack could be examined and a surgical index fabricated on the
articulated model between the guide and maxillary cast.
Fig. 3a
Fig. 3b
Fig. 3c
Fig. 3a-3c: From left, a surgical index was used to help ensure accurate positioning of the
surgical guide; the provisional prosthesis in place; and, finally, the framework and setup were
processed into acrylic at the lab to produce the final denture.
Fig. 4a
Fig. 4b
Fig. 4c
Fig. 4d
Fig. 4a-4d: From left, the digital impression; printed try-in prosthesis model; the setup on the
milled bar; and the final prosthesis.
mandibular arch, provisional denture
and surgical guide were 3-D printed and
articulated, so the entire surgical and
prosthetic stack could be examined and
a surgical index fabricated on the articulated model between the guide and maxillary cast (Figs. 2a-c).
Implant placement
After administering mandibular anes-
thesia, the surgical guide was placed with
the aid of the surgical index.
The surgical guide was used to prepare
the osteotomies and guide the placement of four 4.7 mm implants. Primary
stability of all four implants was acceptable, and multi-unit abutments were
mounted on top of the implants.
The temporary prosthesis was held in
place with a luting index, and cold cure
The final restoration protocol made use
of intraoral scanning, dental CAD/CAM
and 3-D printing to deliver the final prosthesis in just three appointments.
• First appointment: The patient’s provisional prosthesis was used to guide the
design of the final restoration. First, a
scan was taken of the provisional in the
mouth, taking care to capture adjacent
anatomical landmarks. Next, the opposing denture was scanned extraorally.
Two additional scans were taken of the
lower denture seated in the mouth as
well as the edentulous arch. At the laboratory, technicians used the scan data to
design the final prosthesis, which included the milled titanium bar.
• Second appointment: The denture
setup was placed with one screw tightened on the milled bar, and radiographs
were taken to verify passive fit of the substructure. After making a minor fit adjustment, the provisional was reinstalled
and the verified denture setup was sent
back to the lab.
• Third appointment: The lab processed
the denture to the titanium bar with
acrylic to finish the final prosthesis (Figs.
3a-c). The provisional was removed and
the final fixed implant denture was delivered (Figs. 4a-d).
Conclusion
Guided surgery and dental CAD/CAM are
complementary technologies that can
make the surgical and restorative phases
of implant therapy more efficient and
predictable. Because we can predict the
implant position using guided surgery,
prosthesis design can be done presurgically.
Advanced treatment protocols that
leverage digital impressions, treatment
planning, guided surgery and dental
CAD/CAM technology are transforming
implant therapy, shortening treatment
times and improving prosthetic outcomes.
‘Guided surgery and dental CAD/CAM are complementary technologies
that can make the surgical and restorative phases of implant therapy
more efficient and predictable.’
[15] =>
Implant Tribune U.S. Edition | September 2013
industry
Springstone
15
[16] =>
industry
16
Implant Tribune U.S. Edition | October 2013
Leveraging ATLANTIS patient-specific
CAD/CAM solutions for your
implant-supported restorations
By DENTSPLY Implants staff
T
he continued advancements in
technology and product design
further reinforce the simplicity and effectiveness of implantsupported restorative therapy. An excellent example of this is the ATLANTIS™
brand of patient-specific, CAD/CAM solutions, which includes cement-retained
and single-tooth, screw-retained abutments, as well as the latest ATLANTIS
ISUS suprastructures, including bars,
hybrids and bridges for fixed and removable implant-supported prostheses for
partially- and fully-edentulous patients.
Available for all major implant systems, ATLANTIS abutments are designed
and produced for the specific edentulous spaces in relation to the surrounding teeth and soft tissue, taking biology,
anatomy and engineering principles into
consideration. Unlike traditional prefabricated abutments that are circular in
shape, the unique anatomical shape and
emergence profile of ATLANTIS Abutments for cement-retained restorations
help to promote long-term soft-tissue
management and provide optimal support and retention of the final restoration, the company says.
In addition, for cases where the implant is placed deeper subgingivally, an
ideal margin height can be customized
and individually designed and manufactured for easy and safe removal of excess
cement. ATLANTIS Abutments are available in titanium, gold-shaded titanium
and four shades of zirconia for full versatility to meet all clinical preferences and
patient-specific demands for function
and esthetics.
For single-tooth restorations, where
the flexibility of a retrievable solution is
desired, an ATLANTIS Crown Abutment
is available in five different shades of zirconia, including a translucent option in
white.
All ATLANTIS abutments are supported by the ATLANTIS Abutment BioDesign Matrix™, which consists of four
key features (ATLANTIS VAD™, Natural
Shape™, Soft-tissue Adapt™ and Custom
Connect™) that work together to support
soft-tissue management for ideal functional and esthetic results. Incorporating
ATLANTIS abutments also helps to eliminate the need for inventory management
of stock components and simplify the
procedure for implant-supported restorations, the company says.
With DENTSPLY Implants’ recent introduction of ATLANTIS ISUS suprastructures, the ATLANTIS portfolio is
further expanded to also include a full
range of bar, hybrid and bridge suprastructures for all major implant systems.
ATLANTIS patient-specific abutments. Photos/Provided by DENTSPLY Implants
ATLANTIS ISUS Hybrid case
Fig. 1
Fig. 2
Fig. 3
Fig. 1: CAD design of suprastructures and tooth set-up in ATLANTIS ISUS
Viewer for approval prior to milling.
Fig. 2: Demanding cases, such as those with challenging implant positions,
can also be solved with ATLANTIS ISUS.
Fig. 3: Final prosthesis ready for delivery.
Fig. 4: ATLANTIS ISUS implant suprastructures in place.
Fig. 4
At AAID
For more information on DENTSPLY Implants product and technology, visit booth No. 707 here at the
AAID.
ATLANTIS ISUS suprastructures are produced using the latest developments in
CAD/CAM technologies and supported
by computer-based industrial and medical device expertise. Unlike cast suprastructures, ATLANTIS ISUS suprastructures are milled from a choice of solid
blocks of titanium or cobalt-chrome,
eliminating the potential for a porous
material, according to DENTSPLY.
Moreover, milling strategies have been
optimized to ensure a precise, tensionfree fit. ATLANTIS ISUS offers freedom
(Case and photos/Provided by Dr. Sadia Khan, University of Oslo, Norway,
and Svein Thorstensen, MDT, Dental Studio, Oslo, Norway
and flexibility for restoring partiallyand fully-edentulous arches and can be
designed for attachment to two or more
implants at the implant and/or abutment
level*. Using a wide range of attachment
components, both fixed and removable
prostheses options are available.
Whether it is an abutment or a suprastructure solution needed, incorporating ATLANTIS can be easy for both the
clinician and the dental laboratory.
All a clinician needs to do is to take an
implant-level impression and send it
to his or her laboratory of choice with a
request for ATLANTIS. In addition to its
simplicity, an ATLANTIS solution is often
more cost-effective than a techniciancast or a custom-milled abutment.
For the laboratory, ATLANTIS can also
be cost-effective because there is no need
for investment in materials, hardware or
software, something that is often a requirement of other CAD/CAM systems.
For added peace of mind, all ATLANTIS
solutions are also back by competitive
warranty terms**.
For more information about ATLANTIS
solutions, visit www.dentsplyimplants.
com or contact your local DENTSPLY Implants representative.
* Implant-level placement is not recommended on ASTRA TECH Implant System™ and contraindicated on ANKYLOS®.
Available on abutment-level only in North
America.
** Subject to full terms and conditions.
[17] =>
Implant Tribune U.S. Edition | September 2013
industry
W&H
B17
[18] =>
industry
18
Implant Tribune U.S. Edition | October 2013
Fascinating ergonomics
Surgical straight and contra-angle handpieces
By W&H staff
Photo/
Provided by
W&H
AD
The new W&H straight and contra-angle
handpieces not only make working more pleasant but also more flexible and less tiring, the
company says. And all that with optimal visibility and perfect hygienic conditions.
and contra-angle handpieces has been expanded and particularly impresses with its ergonomics, a Mini LED+ with daylight quality,
flexible cooling with replaceable spray clips, a
scratch-resistant surface coating and the first
surgical contra-angle with a 45-degree head.
All straight and contra-angle handpieces can be
fully dismantled for superior cleaning.
Innovative performance features
Fatigue-free working
The W&H product portfolio for surgical straight
The ergonomic shape makes work less tiring.
The handpieces were specially designed
for a wide range of users, regardless of
whether they are right- or left-handed.
Perfect light with Mini LED+
The surgical straight and contra-angle
handpieces are now equipped with a
Mini LED+. This offers optimal illumination as the Mini LED+ can be integrated
very close to the handpiece tip, thanks to
it being half the size of a normal LED. For
the first time, the WS-56 (1:1), WS-92 (1:2.7)
contra-angle handpieces and the S-9 (1:1)
straight handpieces are now available
with light.
With their integrated generator, the
straight and contra-angle handpieces
can create the energy for the LED light all
on their own. As soon as the straight or
contra-angle handpiece goes into operation, the integrated generator produces
the electricity needed autonomously and
supplies the LED.
Flexible cooling
For the first time, cooling can now be individually adapted with replaceable spray
clips, so the coolant is always in the right
place, the company asserts. The spray clips
(for WS-75, WS-75 LG, WS-56 and WS-56 LG)
allow attachment of the coolant tubes
for external cooling and the internal bur
cooling (Kirschner-Meyer) on the left or
the right.
Perfect hygiene
The new scratch-resistant coating on the
surface of the straight and contra-angle
handpieces offers the optimal basis for
improved cleaning and hygiene, the company says. In addition, the new surgical
straight and contra-angle handpieces can
also be completely dismantled, thermo
washer disinfected and sterilized up to 135
degrees C.
The first surgical contra-angle
handpiece with a 45-degree head
The new WS-91 and WS-91 L G contra-angle
handpieces with a 45-degree head unite
the advantages of straight and contraangle handpieces for the first time. The
45-degree angle allows considerably better access and better visibility of the treatment site. This makes palatinal access to
the maxillary molars much simpler, even
with a small mouth opening.
In contrast, in buccal applications, there
is more space between the cheek and operating site. At the same time, the view is
barely affected.
A ratio of 1:2.7 makes it possible to work
quickly and effectively, allowing rotating
instruments to achieve speeds of up to
125,000 revolutions per minute. A threeport spray guarantees sufficient cooling of
the bur as well as the tooth and bone. According to the company, the contra-angle
handpiece with a 45-degree head is ideal
for surgical extractions of wisdom teeth,
tooth separations and apical resections.
For more information on the all W&H
products, visit www.wh.com/na.
[19] =>
Biolase
[20] =>
20
industry
Implant Tribune U.S. Edition | October 2013
DoWell Dental Products focuses on
quality and customer satisfaction
By DoWell staff
At AAID
For more information, visit www.dowelldental
products.com or stop by the DoWell Dental Prod-
From left, DoWell’s Kevin Kim, Tim Ohlsson, Nick Sanchez and David Fong. Photo/Provided by
DoWell Dental Products
AD
Since 2006, DoWell Dental Products
has been growing rapidly in the dental
industry. With our commitment to quality, many oral surgeons, periodontists
and general dentists have taken notice
and have chosen us to provide them with
the materials and instruments needed
for their practices.
The mindset of our company is to abide
by basic fundamentals, providing quality
products at competitive prices with great
ucts booth Nos. 415/417.
customer support and service.
DoWell Dental Products uses only genuine manufacturer parts; we are obsessed
with quality and attention to detail, and
our products will speak for themselves.
Our products vary from your basic equipment to dentistry’s most popular and traditional instruments.
For instance, we carry the PiezoART
surgical unit. Our PiezoART surgical unit
is a machine that utilizes piezoelectric
vibrations. By adjusting the ultrasonic
frequency of the device, it is possible to
cut hard tissue while leaving soft tissue
untouched by the process. We also carry
biological bone-grafting materials such
as bone, restorable membrane, pericardium and others.
Our instruments are made from the
finest stainless steel by skilled craftsmen
and are subject to strict quality controls
during the inspection process. Our instruments are guaranteed to be free from
defects in workmanship and material.
Any DoWell Dental Product instrument
that proves defective will either be repaired or replaced at our discretion without charge.
The superior quality of our products
did not happen overnight. It came about
because of sheer enthusiasm coupled
with years of experience and an unprecedented passion in dental instrument
manufacturing.
Caring for the future of the dental industry is very important to us, and that
is why we support many colleges and
universities throughout the country with
courses, lectures, continuing education
courses and hands-on workshops. We also
support key clinicians whose techniques
and procedures are considered cutting
edge and innovative in the dental field.
Here at DoWell Dental Products, we
are also keeping up with the dental field
by following new technology and techniques. The industry is always changing,
and we are constantly changing along
with it. Our goal is to specialize in manufacturing the highest quality dental instruments for our customers by employing excellent technicians and utilizing
advanced production and equipment.
We offer an advanced website at www.
dowelldentalproducts.com, where every
item we carry is available to order. You
can also find a variety of live surgery videos to see our products in action.
Our product line is always growing to
cover new areas and procedures while
some existing products are always being
modified for superior use and ease.
Building customer relationships is the
essence of our company’s success. At
DoWell Dental Products, part of delivering great customer service and support
is having knowledgeable representatives
to help you with any questions you may
have.
[21] =>
industry
Implant Tribune U.S. Edition | October 2013
21
The MGUIDE System by MIS goes
beyond the guided surgical procedure
At AAID
By MIS staff
For more information on MGUIDE and other MIS of-
W
ith the MGUIDE Guided Implantology System, only a
single CBCT scan is required
in order to start the planning
immediately.
The stone model and diagnostic wax-up
of the patient can be displayed digitally
on the CBCT scan data within the implant
planning software. This allows us to see
the current soft-tissue contour, the future
prosthesis plan, the patient’s bone volume,
the implants and even the abutments. With
this information, we can now create the
ideal treatment plan.
In fact, by using the surgical template, we
can create a model of the post-operative
condition, complete with analogs, prior to
the surgery.
By doing this, we can fabricate temporary
components to be immediately loaded after implant placement, so the patient can
go home having his or her teeth.
The surgical template is printed with the
latest 3-D printing technology without any
ferings, please visit the MIS booth No. 501.
human intervention. It features a unique
open design, which allows an optimal line
of sight, as well as excellent irrigation.
Within a few days, we can have the surgical
template in your practice, ready for surgery.
Case planning
The latest CBCT scan data is used for case
planning, allowing the location of the implant to be positioned with the precision
of one tenth of a millimeter. This reduces
the risk of error tremendously, and also the
risk of damaging any proximal anatomical
structures.
Because of the precise orientation, any
bone replacement may be avoidable. In situations where bone grafting is unavoidable,
then the primary fixation of the implant
can be strengthened with correct placement in the existing bone. Clinical deci” See MIS, page 22
MGUIDE Implantology System. (Photos/Provided by MIS)
AD
[22] =>
22
industry
Implant Tribune U.S. Edition | October 2013
“ MIS, Page 21
The MGUIDE Guided Surgical Kit and Tools Kit.
sions such as this can be thoroughly discussed during the treatment planning.
Planning for implant placement with our
system allows informed decisions to be
made prior to the surgical procedure. This
preparation helps ensure that the implant
survival rate remains extremely high. By
way of prosthetic-driven planning, actual
surgery time can be reduced, and optimal
implant placement results in simpler prosthetic work. Why? Because you can analyze
the bone, the soft tissue and the proposed
tooth placement during the planning
stage. The ideal solution can be realized
right from the beginning.
In overdenture cases, the axial positioning of the implants can be automatically
made parallel. This allows better fixation of
the prosthesis, resulting in better comfort
and durability.
Surgery
AD
Our newly designed MGUIDE Guided Surgical Kit and Tools Kit work seamlessly
within our system. Unlike traditional guided surgical kits, our system has eliminated
the need for guidance keys or spoons.
The drills and sleeves work together to
center and stop at the precise depth and
positioning that was planned. Our innovative drills are sequenced according to our
implant lengths, so sleeve heights are not
required to be raised or lowered to achieve
accurate depth. These features not only allow you to change implant lengths at the
time of surgery, but also ensure that clearance is never a problem.
Raising the flap is not required, as tissue
punches are provided to perform minimally-invasive procedures. This means
minimal or no suturing, faster healing
time and esthetically pleasing restorative
results, all of which lead to greater patient
and clinician satisfaction.
The MGUIDE System goes beyond the
guided surgical procedure, providing you
with tools specifically designed to place
the implants through the template. This
ensures that the actual treatment goes
precisely as planned, from pilot drilling to
placement.
What makes the MGUIDE so special?
We have created a system that simplifies
the workflow for everyone involved. The
clinician now has the ability to responsibly
plan his or her case using all of the resources available. Bone quality, tissue height and
prosthetic plan information aid us in treatment planning, taking most of the guesswork out of the surgical procedure.
We know going in what the final outcome
should resemble, and from that knowledge, we create a precise and safe surgical
plan that can be executed with the utmost
ease. Our tools are designed to allow you
the most comfort and control during the
procedure, vastly shortening the actual
surgery time.
This can allow greater patient satisfaction, minimal pain and the opportunity
to treat more patients in one day. Shorter
chair time equals more turnaround. Being
able to conceptualize the treatment plan
and present it to your patients allows you
to keep them informed about what is going to happen. This increases their comfort
and enables them to be on board.
Our system allows you to map out the
road to success. The collaborative efforts of
MCENTER USA, the clinician and his or her
lab allows all avenues to be explored and
agreed upon with precise knowledge.
[23] =>
Meisinger
[24] =>
B24
industry
MIS
Implant Tribune U.S. Edition | September 2013
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[title] => AAID in Arizona: Annual meeting to focus on ‘Technology and Biology’
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[page] => 04
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Table of contents
-
AAID in Arizona: Annual meeting to focus on ‘Technology and Biology’
01 - 02
view
-
AAID courses focus on variety of new trends - techniques and technologies
04 - 04
view
-
AAID’s Dental Industry Marketplace helps clinicians seeking to shop online
04 - 04
view
-
Welded titanium needle implants in treatment of bone atrophy
06 - 10
view
-
Industry
11 - 22
view
[toc_titles] => AAID in Arizona: Annual meeting to focus on ‘Technology and Biology’
/ AAID courses focus on variety of new trends - techniques and technologies
/ AAID’s Dental Industry Marketplace helps clinicians seeking to shop online
/ Welded titanium needle implants in treatment of bone atrophy
/ Industry
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