Implant Tribune U.S. No. 11, 2012
News / AAP Annual Meeting / Events / Industry
Table of contents
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[1] =>
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
November 2012 — Vol. 7, No. 11
www.dental-tribune.com
Periodontists meet in L.A.
AAP hosts its 98th
annual meeting
By Sierra Rendon, Managing Editor
T
he American Academy of Periodontology, in collaboration
with the Japanese Society of
Periodontology, hosted its 98th
annual meeting from Sept. 29–Oct. 2 in
Los Angeles.
Courses and topics ranged greatly from
implants and regenerative therapy to
growing your practice to a retrospective
look at periodontal plastic surgery.
Speakers included Drs. Sonia Leziy,
Christopher Church, Stephen S. Wallace,
Kenneth S. Kornman, David W. Paquette,
Yuichi Izumi, George E. Romanos, Richard Goren, Morton C. Rennert, Linda
Vidone, Paul A. Levi Jr. and Eduardo
Marcuschamer, among many others.
The AAP also hosted a post-annual
meeting C.E. symposium. Immediately
following the annual meeting, taking
place Oct. 4–5 at the Resort at Pelican Hill
in Newport Beach, this year’s program
featured two half-day sessions, allowing
attendees to learn in a more focused and
intimate environment.
To see photos from the AAP annual
meeting, see Pages B4 and B6.
Dr. Stephen Wallace speaks on ‘Innovative Sinus and Nasal Elevation Techniques’ at the AAP Annual Meeting in Los Angeles.
Group aims to get word out on connection
between periodontal disease and diabetes
N
ovember is American Diabetes Month, and the New Jersey
Society of Periodontists (NJSP)
is reaching out to patients and
caregivers alike to be aware of the link between periodontal disease and diabetes.
“If you have diabetes, you are at higher
risk for developing infections, including
periodontal disease,” explains Dr. Scott
Zirkin, president of the NJSP.
“These infections can impair the ability
to process and/or utilize insulin, which
may cause your diabetes to be more difficult to control and your infection to be
more severe than a person with the disease,” Zirkin said.
People with diabetes are more likely
to have periodontal disease than people
without diabetes, most likely because
they are more susceptible to contracting
infections. In fact, periodontal disease is
often considered the sixth complication
of diabetes, and those people who don’t
have their diabetes under control are especially at risk.
A recent study in the Journal of Periodontology found that poorly controlled
Type 2 diabetes patients are more likely
to develop periodontal disease than wellcontrolled diabetes patients are. Moreover, research has emerged that suggests
that the relationship between periodontal disease and diabetes goes both ways
— periodontal disease may make it more
difficult for people who have diabetes to
control their blood sugar.
“We are very much aware of the link between periodontal disease and diabetes
and understand the importance of the
collaborative care of a periodontist and a
physician,” said Gina Murdoch, executive
director of the American Diabetes Association, New Jersey Area.
A study was published a few years back
in the Journal of Periodontology that involved patients with both diabetes and
periodontal disease. The study found that
when their periodontal infections were
treated, the management of their diabetes markedly improved.
“The mouth/body connection is very
strong and should not be underestimated by those living with diabetes or their
caregivers,” Zirkin said.
According to Zirkin, severe periodontal
disease can increase blood sugar, contributing to increased periods of time when
the body functions with high blood sugar
levels. This puts diabetics at a higher risk
for diabetic complications. Thus, diabet-
ics who have periodontal disease should
be treated by a specialist to control and/
or eliminate the periodontal infection.
About NJSP
The New Jersey Society of Periodontists
(NJSP) is an organization of New Jersey
dentists who specialize in the art, science
and practice of periodontics, including
implants. The group is dedicated to advancing the knowledge base and understanding of periodontal diseases, as well
as advancing ideas in treatment techniques in implantology. The NJSP seeks to
explore and discuss problems of mutual
interest with those in the practice of periodontics and implant dentistry.
(Source: New Jersey Society of
Periodontists)
[2] =>
news
B2
Implant Tribune U.S. Edition | November 2012
A perfect body or a perfect smile?
C
onsumers say they would pay
to fix their teeth before they
would pay for weight loss help,
according to new research from
the American Academy of Cosmetic Dentistry (AACD).
The findings are good news for cosmetic dentists — they suggest that the
demand for cosmetic dentistry is stronger than ever.
Of the 80 percent of American adults
who in a recent poll admitted they would
spend money to hide or correct aging
flaws, 62 percent said they would pay to
fix the quality of their teeth, compared
with 48 percent who said they would invest in weight loss help.
Women are more likely than men to
invest in such improvements (84 percent
AD
versus 75 percent).
Nearly half (45 percent) of Americans
think a person’s smile can defy aging’s
effects while eyes come in a distant second (34 percent). In comparison, very
few adults find the following features
less likely to age well:
• Body shape (10 percent)
• Hair (6 percent)
• Legs (5 percent)
Perhaps speaking from experience, 54
percent of Americans older than 50 attest that a smile can overcome decades
of birthdays in contrast to only 38 percent of 18- to 29-year olds.
“A great smile is always in style, and
these results prove it,” said AACD Presi-
dent Dr. Ron Goodlin. “Cosmetic dental
professionals can rest assured that their
services will always be needed.”
The AACD’s research was completed
through a survey with Kelton Global in
recognition of Healthy Aging Month,
which takes place in September. Kelton
Global polled 1,018 American adults ages
18 and older questioning them about
their attitudes related to aging and
beauty.
The AACD Smile Survey was conducted between Aug. 17 and Aug. 23 among
1,018 nationally representative Americans ages 18 and older, using an email
invitation and an online survey. Margin
of error is plus/minus 3.1 percent.
(Source: AACD)
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
Account Manager
Humberto Estrada h.estrada@dental-tribune.com
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
Dental Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
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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!
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[3] =>
[4] =>
A AP annual
X X X Xmeeting
X
B4
An AAP attendee stops by the Anatomage booth to learn
more about the company’s products.
Impladent President Maurice Valen shows off the company’s
prefabricated immediate implant splinting system.
Implant Tribune U.S. Edition | November 2012
Attendees visit the Implant Direct booth to learn more about
the company’s vast implant options.
AD
The folks from Dentatus show attendees how
its Anew Implant can fit where no others can.
DoWell offers innovative products such as
the PiezoART, an ultrasonic bone-cutting
system, driven with piezoelectric technology.
Visit Booth #1623 at the Greater NY Dental Meeting
AAP attendees stop by the ACE Surgical
Supply booth. The company says it continues
to develop and manufacture the highest
quality, state-of-the-art products.
Photos/Sierra Rendon,
Managing Editor
[5] =>
[6] =>
B6
Dr. Nicholas Caplanis moderates a session at the AAP annual
meeting.
A AP annual meeting
Glidewell Laboratories shows off its products, such as the
Inclusive Implant System.
Implant Tribune U.S. Edition | November 2012
AAP attendees head to the Hiossen booth to hear a speaker on
the exhibit hall floor.
AD
The Los Angeles Convention Center was the
site of the AAP’s annual meeting.
Attendees flock to the Materialise booth to
hear more about its products.
Piezosurgery empowers surgeons to perform
procedures that simply aren’t possible using
more traditional instruments, the company
says.
PhotoMed can meet all your dental photography needs.
[7] =>
Implant Tribune U.S. Edition | September 2012
news
c7
[8] =>
[9] =>
[10] =>
B10
eventS
Implant Tribune U.S. Edition | November 2012
Congress on 3-D imaging features new
opportunities for diagnosis, implementation
Imaging Science’s International Congress returns for its sixth year with new chances
for clinicians to explore cone-beam options in today’s dental practice
Imaging Sciences International and
Henry Schein Dental, the U.S. dental
business of Henry Schein, one of the
world’s largest providers of health-care
products and services to dental, medical
and animal health office-based practitioners, hosted its 6th International Congress on 3-D Dental Imaging in Denver
from Oct. 26-27.
At this event, experienced dental clinicians and professionals shared their
vast expertise of the many dimensions
of 3-D imaging — and its applications for
implants, orthodontics, TMJ and airway
diagnosis, oral and maxillofacial surgery
and periodontics.
These leaders also offered their expertise on the practical applications
of this dynamic technology — creating a perfect opportunity to meet other
3-D dentists and discuss treatment planning and utilization possibilities.
The many benefits seen from using 3-D
technology continue to grow from treat-
AD
ment planning to implementation.
Already known as a valuable tool in
diagnosis, 3-D technology continues to
build a strong reputation for facilitating
efficiency, accuracy and detail in treatment implementation as well as new applications that are evolving in conjunction with other treatment modalities
such as CAD/CAM, the creation of surgical guides and customized robotic arch
wires.
Each year, the congress’ curriculum
has expanded to include relevant topics
ranging from basic information to detailed clinical use and hands-on training
with 3-D planning software programs.
Some of this year’s topics included:
• Advances in 3-D treatment planning
for implants
• 3-D imaging for sleep apnea, TMJ and
airway evaluation
• 3-D for periodontal applications
• 3-D orthodontics
• 3-D dentistry: Information on tech-
nology integration and future 3-D applications.
During the two-day congress, attendees also explored options for various
specialties, participated in hands-on
training and live 3-D scan sessions and
experienced many real-life case examples demonstrating before-and-after 3-D
images.
In addition to the clinical applications,
practical sessions discussed related topics such as successful reimbursement
strategies.
A vendor showcase displayed supporting 3-D products for imaging, implant,
restorative systems, orthodontics and
3-D treatment-planning software.
Speaker Dr. Juan Carlos Quintero noted: “3-D scans give specialists and general practitioners a view of dental anatomy that gives us a clinical advantage. I
have seen firsthand that my i-CAT is an
integral part of both diagnosis and treatment. That makes it even more satisfying
that I can share the benefits that I have
witnessed with my colleagues and help
them to improve dental care for their patients as well.”
Imaging Sciences’ Business Unit Director Mark Hillebrandt added: “This
dynamic technology offers dentists the
opportunity to treat their patients more
efficiently and grow their practices. Imaging Sciences International and Henry
Schein Dental are proud to co-sponsor
this popular educational event.”
The International Congress on 3-D
Dental Imaging provided valuable insights to practitioners starting to think
about 3-D dentistry as a future direction
for their practice as well as practitioners
who are already advanced 3-D users. Attendees received 16 C.E. credits for attending the event.
For more information on Imaging Sciences or the 6th International Congress,
call (800) 205-3570 or visit www.imaging
sciences.com/events/live-3d-events.
[11] =>
Implant Tribune U.S. Edition | November 2012
industry
B11
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
AD
[12] =>
Industry
B12
Implant Tribune U.S. Edition | November 2012
The Hiossen ETIII Implant System:
A coordinated approach to esthetic restorations
By John DiPonziano, DDS, MAGD,
DICOI, CDT
I
n 28 years of placing and restoring
implants, I have seen that three
key factors need to be present to
achieve esthetic implant restorations: good implant positioning, accurate impressions and proper abutment
design.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Implant positioning
The facial aspect of the implant cannot
be placed too far labially, or it may cause
loss of the alveolar facial plate of bone
AD
and implant thread or abutment exposure. In addition, too labial a positioning
can decrease the volume of gingiva, pre-
venting an adequate emergence profile of
the final restoration.
In maxillary anterior cases, the im-
plant/abutment interface needs to be at
least 2.5 mm apical from final gingival
margin of the restoration to give the restoration enough “gingival drape” for an
esthetic emergence profile.
Hiossen implants are available in eight
diameters from 2.5 mm to 7 mm. This variety allows the clinician to choose an implant that will not compromise esthetics
due to encroachment on the facial bone.
Impression and master model
The Hiossen impression copings, whether the pick-up or transfer type, are designed so it is clear where the coping is
positioned in the impression. The copings also come in a variety of heights and
diameters, which coordinate with the
healing abutments. This aids in developing proper emergence profile of the restoration.
In addition, when a soft-tissue simulation material is used as part of the
master model, the technician can create a restoration that emerges from the
gingiva with a highly esthetic, life-like
appearance.
Abutment design
An abutment needs to be kept small
in diameter so as to allow good tissue
health in the critical subgingival area.
An abutment that is too large can compromise the gingival blood supply, which
leads to recession and/or an abnormal
tissue color.
From a prosthetic standpoint, a smaller
abutment allows for a greater amount of
porcelain for the restoration, which optimizes esthetics.
The Hiossen ETIII system has a wide
range of stock abutments in various gingival and coronal heights and diameters.
In cementable restorations, it is crucial to
select the proper gingival height to position the crown margin no greater than
2 mm subgingival. This allows access for
cement removal and aids in the maintenance of biologic health.
A 17-degree angled abutment is available that is ideally suited for the premaxilla area. This angled abutment is gold in
color and very narrow, which preserves
gingival health and, as mentioned above,
provides ample room for porcelain (Figs.
1, 2). Zirconia stock abutments are also
available, which can be customized as
needed.
In situations that call for a custom
abutment, Hiossen has a “GoldCast”
abutment that can be waxed to the desired shape and cast in precious metal.
” See HIOSSEN, page B14
[13] =>
Implant Tribune U.S. Edition | August 2012
xxxxx
xx
[14] =>
B14
industry
SimPlant GO for guided implant surgery
M
aterialise
Dental
just
launched a new userfriendly implant planning
solution. With SimPlant
GO, there are no surprises during surgery
because you have optimally planned the
implants in the bone — and with SurgiGuide, this planning is then transferred
into a fully predictable surgery.
SimPlant GO’s intuitive navigation, 3-D
images and simple four-step process is so
straightforward that you can learn it over
lunchtime, during a break or in-between
appointments, the company said.
This software is made for dentists who
have only a few minutes to become familiar with this easy-to-use 3-D implantplanning software.
SimPlant has been hugely successful
AD
during the past 20 years in addressing
the needs of the implant specialists, the
company said.
However, some dentists who were placing implants less frequently felt overwhelmed by the amount of flexibility
that SimPlant has offered. SimPlant GO
has been designed to specifically address
their needs.
The solution has been specifically designed for dentists without a cone-beam
scanner in their office.
“Although cone beam is the way of the
future, not everybody is willing to invest
in it yet. And now dentists have a great,
low-threshold solution to start with computer-guided implantology,” said Bert
Van Roie, SimPlant product manager for
Materialise Dental.
SimPlant GO by Materialise Dental.
Photo/Provided by Materialise Dental
Find out more information at www.
simplantgo.com.
Implant Tribune U.S. Edition | November 2012
“ HIOSSEN, Page 12
This abutment is also used for one-piece,
screw-retained restorations, which use
an occlusal access opening.
Another feature of the Hiossen system,
which helps simplify abutment selection, is that the five “regular” size implants — from 4 mm to 7 mm in diameter — share the same abutment platform,
and all five can use the same abutments
interchangeably.
The 3.5 mm diameter “mini” implant
has its own group of abutments that are
just as extensive as the “regular” sized
implants. The “mini” implant is useful in
situations with minimal ridge width and
is strong enough to be used in posterior
areas with confidence.
Hiossen ETIII implants are designed
with built-in platform switching — the
abutment diameter is slightly smaller
than the implant diameter — and a selfsealing 11-degree Morse taper that joins
the implant to the abutment.
This hermetic sealing of the implant/
abutment interface not only eliminates
screw loosening, but also prevents the
percolation of saliva and bacteria because there is no micro-movement of
the abutment in function and, therefore,
no micro-gap to entrap oral fluids (Fig.
3, 4). Studies have shown that bacterial
percolation can cause bone loss at the
coronal portion of the implant where it
meets the abutment.1-4
In summary, the Hiossen ETIII Implant
System is an organized, systematic approach to esthetic implant dentistry. It is
user-friendly, cost-effective and provides
the clinician with a broad range of surgical and prosthetic components to meet a
wide variety of clinical situations.
References
1)
2)
3)
4)
Canay, S, Akca K. Biomechanical aspects of
bone-level diameter shifting at implantabutment
interface.
Implant
Dent.2009;18:239–244.
Cappiello M, LuongoR, Di Lorio D, et al.
Evaluation of peri-implant bone loss
around platform-switched implants. Int J
Perio Rest Dent. 2008;28:347–355.
Todescan FF, Pustiglioni FE, Imbronito AV,
et al. Influence of the microgap in the periimplant hard and soft tissues; a histomorphometric study in dogs. Int J Oral Maxillofac Implants.2002;17:467–472.
Hermann JS, Schoolfield JD, Schenk RK, et
al. Influence of the size of the microgap on
crestal bone changes around titanium implants. A Histometric evaluation of unloaded non-submerged implants in the
canine
mandible.
J
Periodontol.2001;72:1372–1383.
About the author
John DiPonziano, DDS,
MAGD, DICOI, CDT, has
been placing and restoring
implants since the mid1980s. He is a master of the
Academy of General Dentistry, a diplomate of the
International Congress of
Oral Implantologists and a
certified dental technician.
He is past president of the
New Jersey Academy of General Dentistry and
chaired the AGD Implantology Task Force, which
formulated dental implant educational guidelines
in 2009. DiPonziano lectures nationally on surgical
and restorative implantology and maintains a fulltime private practice in San Leandro, Calif.
[15] =>
Implant Tribune U.S. Edition | August 2012
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industry
Implant Tribune U.S. Edition | September 2012
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