Implant Tribune U.S. No. 3, 2013
Implants featured at Chicago Midwinter / Product review: Using SonicPin Rx / Scenes from the Chicago Midwinter / Industry
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[title] => Implants featured at Chicago Midwinter
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[title] => Product review: Using SonicPin Rx
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[title] => Scenes from the Chicago Midwinter
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[1] =>
IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition
March 2013 — Vol. 8, No. 3
www.dental-tribune.com
Product review
Implants featured at Using
Chicago Midwinter SonicPin
Rx
Dissolving the need
for metal fixation
screws in implant
site development
By Lewis Cummings, DDS, MS
Dozens of implant companies brought new and innovative products to the Chicago Midwinter meeting in February. Below, Harrison Song, left,
and James Lee of Hiossen. Photos/Sierra Rendon, Managing Editor, and Fred Michmershuizen, Dental Tribune
Annual February show is a must for launching
new products in the dental implant industry
In this ever evolving age of dental
technology, the practice area of implant site development has benefitted
from a technologic innovation and a
new era of resorbable fixation devices
and membranes. Traditionally, various metal fixation screws have been
utilized for stabilization with the primary drawback being the need for
eventual reentry for removal. Now,
the necessitation of fixation device
removal has been eliminated with
the introduction of the SonicWeld
Rx™ system of resorbable fixation devices and membranes.
A 42-year-old male presented with
a significant buccal osseous defect
resulting from the long-standing
loss of the maxillary right first premolar (Fig. 1). A single tooth implantsupported restoration was planned
” See SONICPIN, page B2
AD
H
undreds of companies, including a bevy of implant
companies, headed to the
Chicago Midwinter Meeting to present the latest and greatest in
products and technology.
Nearly 30,000 dentists, hygienists,
dental students and others attended
the 148th annual meeting, presented
by the Chicago Dental Society, at the
McCormick Place West Building in
Chicago.
The next Chicago Midwinter Meeting
will take place Feb. 20-22, 2014. Mark
your calendars now!
For more photos, see page B8.
[2] =>
B2
product review
“ SONICPIN, Page B1
as the final prosthesis. Given the volume
of bone loss in the first premolar site and
the desire to minimize post-operative
morbidity, an allogenic block bone graft
was chosen for defect regeneration.
Though the predictability of allogenic
block graft material is well-documented,
complete graft immobilization is imperative for success.1
The SonicWeld Rx process of onlay
block graft fixation utilizes an ultrasonic
vibrating handpiece to deliver a polymer
pin through the graft and into the host
bone. The SonicPin Rx travels into a specially prepared hole with variable diameters, similar to a lag method.
The SonicPin Rx is designed to engage a
minimum of 5 mm of host bone at its tip.
The final length determination of the pin
is an addition of this length plus the graft
thickness. Given this consideration, the
typical SonicPin Rx clinical length is 9 or
AD
Implant Tribune U.S. Edition | March 2013
IMPLANT TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Fig. 1a: Pre-operative photo of ridge defect.
Photos/Provided by Dr. Lewis Cummings
Fig. 1b: Without temp.
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Managing Editor Implant Tribune
Sierra Rendon s.rendon@dental-tribune.com
11 mm and the diameter is 2.1 mm (Fig. 3).
For bone fixation, a specially designed
drill is utilized to prepare an insertion
site through the onlay graft and into the
host bone.
The SonicPin Rx is then loaded onto
the sonic handpiece tip and inserted into
the preparation without sonic activation. The pin should advance passively
through the graft portion until engaging
host bone at the distal aspect of the preparation. This distal portion has a special
geometry allowing the tip of the pin to
be seated snugly prior to activation of the
welder. Once seated, forward orthogonal
pressure is placed on the SonicPin Rx
and the SonicWelder is activated, initiating sonic vibrations that travel down
the shaft of the pin, ultimately creating
friction heat against the bone at the site
of bone-pin contact. The user translates
a consistent level of energy with steady
” See SONICPIN, page B6
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
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 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
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subscription changes can take up to six
weeks to process.
[3] =>
[4] =>
4
AO Annual
meeting
XXXX
X
Implant Tribune U.S. Edition | March 2013
[5] =>
Implant Tribune U.S. Edition | February 2013
industry
5
[6] =>
product review
B6
Implant Tribune U.S. Edition | March 2013
“ SONICPIN, Page B2
forward pressure on the handpiece before and during the activation.2
Within moments of activation, the
outer surface of the SonicPin Rx liquefies,
leading to a narrowing of the shaft that
allows for subsequent insertion into the
full depth of the pilot hole. Ultimately,
the larger head of the SonicPin Rx partially inserts into the narrower proximal
hole, forcing polymer into this external
bony wall as well. Once fully seated, the
SonicWelder is deactivated and removed
from the pin after a brief cooling period.
The SonicWeld Rx process is based on
the effect of vibratory frictional heat on
the thermoplastic polymer shaft of the
SonicPin Rx, leading to pin liquefication.
This transformation allows for the subsequent engagement of the liquefying pin
into the ever-narrowing recipient preparation. A minimal elevation in tempera-
Fig. 2: Site preparation for block graft
placement.
Fig. 3: SonicPin Rx 2.1 x 11 mm.
Fig. 4: Graft fixation with two 2.1 x 11 mm
SonicPin Rxs.
Fig. 5: Acellular dermal matrix placement
over graft site for particulate graft containment and soft-tissue augmentation.
Fig. 1c: Occlusal view of buccal ridge defect.
ture is created, but only for very short periods of time where the two hard surfaces
are in contact.
Though the friction of the ultrasonic
vibration translated to the SonicPin Rx
” See SONICPIN, page B8
AD
Fig. 6: Closure with 6.0 polypropylene and
4.0 PTFE suture.
Fig. 7: Four-month healing.
Fig. 8: Four-month healing.
Fig. 9:
Minimal
flap
reflection
to allow for
implant
placement.
[7] =>
Dentsply (Astra)
[8] =>
events
B8
Implant Tribune U.S. Edition | March 2013
Scenes from the Chicago Midwinter
1
2
3
1) Dr. Todd Shatkin of Shatkin F.I.R.S.T.
presents an educational presentation at the
company’s booth at the Chicago Midwinter.
4
2) PhotoMed’s Sean Chappell helps an
attendee at the company’s booth.
5
3) Josh Gall and Jaclyn Belida talk to an
attendee at the Glidewell booth.
4) E4D’s Christopher Binion shows attendees
the benefits of the E4D System at the
Chicago Midwinter.
5) Jody Carleton, a DEXIS instructor, explains
the process of the technology to an attendee
at the company’s booth.
“ SONICPIN, Page B6
is adequate to melt the outer polymeric
core, histologic evaluation has shown no
damage to the receiving bony structures.3
For this case, local anesthetic was administered and removal of the temporary prosthesis was performed to allow
access to the site through a traditional
full-thickness mucoperiosteal flap on
the buccal. Using rotary instruments, an
aggressive slot preparation was created
in the deficient first premolar site for reception of the allogenic-bone block graft
(Fig. 2).
Following rehydration of the graft
and application of platelet-rich plasma,
the graft was inserted into the recipient preparation. To eliminate micromovement of the graft during integration, dual-point fixation was utilized
from the graft into the host bone. Two
2.1 x 11 mm SonicPin Rxs were placed using the SonicWeld Rx protocol (Fig. 4).
Once the block graft was stabilized,
particulated allogenic bone, rehydrated
with platelet-rich plasma, was compacted
around the periphery of the site and the
entire area was covered with an acellular
dermal-matrix graft (Fig. 5).
The dermal matrix, rehydrated with
platelet-rich plasma, was utilized for graft
Fig. 10: 3.8 x 12 mm BioHorizons Internal Hex
Laser-Lok implant in place with cover screw.
containment and augmentation of the
overlying gingiva. Complete and passive
site closure was obtained using a combination of 4.0 PTFE and 6.0 polypropylene
sutures (Fig. 6). A traditional post-surgical
protocol was followed for seven days consisting of anti-inflammatory and antibacterial agents, with the patient being
instructed not to masticate in the area.
Following four months of uneventful
healing (Fig. 7, 8), the site was re-entered
for implant placement. At this time,
the block bone graft was clinically wellintegrated with the host bone and no
signs of mobility were detected (Fig. 9).
Minimal access was necessary at the reentry as the fixation pins did not have
to be removed. 4 An implant osteotomy
was prepared to receive a 3.8 x 12 mm
BioHorizons® Tapered Internal Hex Implant with the Laser-Lok® surface (Fig. 10).
Following insertion, the cover screw was
placed, the site was closed with absorbable suture, and the temporary restoration was replaced.
After an additional four months to allow for proper implant integration, the
healing abutment was placed, and the
final restoration was fabricated. The
SonicPin Rx system was chosen for fixation in the case to eliminate the need for a
subsequent site reentry for screw retrieval. It stays strong while the bone heals,
then it loses strength and resorbs, which
results in less risk and more benefit for
both the patient and the dentist.
References
1)
2)
Petrungaro PS, Amar S. Implant Dent. 2005
Jun;14(2):139–148.
KLS Martin Group. Insert SonicPins Rx.
3)
4)
SonicWeld Rx. www.sonicweldrx.com/insert.html. Accessed [Nov. 20, 2012].
The new Era in Resorbable Craniofacial Osteosynthesis Endobrow Fixation SonicWeld
Rx™ Suture Anchor System [brochure]. KLS
Martin Group; Oct. 13, 2009. www.sonicweldrx.com/pdfs/browlift.pdf.
Accessed
Nov. 26, 2012.
Pilling E, Meissner H, Jung R, Koch R, Loukota R, Mai R, Reitemeier B, Richter G,
Stadlinger B, Stelnicki E, Eckelt U. Br J Oral
Maxillofac Surg. 2007 Sep;45(6):451–456.
Epub 2007 Feb 1.
About the author
Lewis Cummings, DDS, MS, received his dental degree from the University of Texas Health Science
Center at San Antonio. He did his residency at the
University of Nebraska Medical Center in Lincoln,
where he completed a master’s degree in oral biology and received his certificate in periodontics.
While in Lincoln, Cummings began to research tissue engineering and has since lectured internationally on the topic. Currently, he holds associate professor positions with both the University of Texas
Dental School at Houston and the University of Nebraska Medical Center in Lincoln, teaching softtissue grafting and dental implants in the postgraduate programs. He is also an instructor with
the Center for Advanced Dental Education in Dallas
and the Rocky Mountain Dental Institute in Denver.
[9] =>
Implant Tribune U.S. Edition | February 2013
industry
9
[10] =>
B10
industry
Implant Tribune U.S. Edition | March 2013
Anatomage to host users event
Anatomage provides award-winning
software and industry-leading surgical
guides for implant planning. We invite
you to join us at our annual users group
meeting April 5 and 6 in Napa, Calif., for
high-quality training and education.
This year, Dr. Michael Sodeifi will be
live webcasting a surgery from his private practice in San Francisco. This webcast will provide insight into the surgical
protocol for Anatomage Guided Surgery
for clinicians who have yet to perform
a guided case; for our guided surgery
veterans, Sodeifi will also be answering
questions regarding the more advanced
techniques.
AD
During the second day, Dr. William Arnett and Dr. David Way will lecture on
the orthognathic and orthodontic functionality, respectively. They will also be
participating in a panel focusing on the
synergy between orthognathic and orthodontic cephalometric treatment planning.
Case debate
Advanced Invivo Dental
The first moderated Anatomage Users Group Debate will feature perspectives from speakers of different clinical
backgrounds: an oral surgeon, a general
dentist and a periodontist. The debate
participants will be given the same case
and will deliver opening statements, rebuttals and closing arguments. The focus will be providing the best treatment
plan, how to use the Invivo software to
assess and present the plan and surgical
considerations for the case. The audience
can look forward to a discussion encompassing multiple disciplines with the
goal of tackling clinical cases with multiple perspectives.
This session is tailored for the very advanced users. Instruction will be focused
on techniques to maximize image quality and navigating advanced tools. Users
will also be exposed to underutilized
tools to improve workflow and increase
presentation value.
Anatomage Guide tips
This instruction will be geared toward
optimizing workflow in your practice
and achieving repeatable surgical success with Anatomage Guide. The trainers
will cover commonly made mistakes, potential sources of error and ways to avoid
them. Integration with intra-oral scans
as well as a brief overview of STL import
and registration comparison of several
manufacturers will be discussed. Advanced applications such as immediate
denture fabrication and bone reduction
guide design will be covered as well.
The material will aid clinicians planning complex surgical cases and discuss
specific Invivo tool applications. Examples will include planning immediate provisional cases, fully edentulous
arch planning and multiple implant
treatment options. The instruction will
be focused on software technique used
to maximize surgical guide accuracy as
well as prosthetic outcome.
To register for this event, call (408)
885-1474.
PhotoMed
Canon Rebel
T4i system
The Canon Rebel T4i is the first
Canon SLR camera to feature a touchscreen LCD. The
LCD works like
many smartphones
— you can swipe
left or right to move
through
images
and menus as well
as “pinch to zoom” and move around
images. The T4i also features a wireless flash transmitter.
This feature was previously reserved for higher end, professional
cameras and allows the T4i to work
with modern wireless macro flashes.
Doing away with the flash power pack
and cord results in a lighter, more balanced camera.
The Rebel T4i is an 18 megapixel digital camera that features an articulating LCD screen and a 1080p HD video
mode. PhotoMed offers two wireless
flash options for the T4i as well as two
traditional macro flashes and four
macro lens options.
More information is available at
www.photomed.net or by calling (800)
998-7765 .
Photo/Provided by PhotoMed
By Anatomage staff
[11] =>
Implant Tribune U.S. Edition | March 2013
industry
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