Implant Tribune U.S. No. 4, 2011Implant Tribune U.S. No. 4, 2011Implant Tribune U.S. No. 4, 2011

Implant Tribune U.S. No. 4, 2011

International Implantology Week / gIDE implant students halfway to graduation / Industry / Industry Clinical / Industry

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            [1] => 







IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · U.S. Edition

April 2011

www.implant-tribune.com

INDUSTRY CLINICAL

Fig. 1: Preoperative SimPlant planning showing the scan prosthesis.

Vol. 6, No. 4

International
Implantology Week

Immediate
restoration
in the fully
edentulous
maxilla region
By Max J. Cohen, DDS,

This clinical case required optimal implant placement based upon a
restoratively driven treatment plan and
guided surgery. To achieve this goal,
we made use of CT scans, SimPlant
planning software, the new Zimmer
guided surgery instrumentation and
the new Materialise Dental Immediate
Smile model.
The patient was a 49-year-old white
female in good health, completely
edentulous in the maxilla and wearing a complete upper denture. On the
lower, she wore an implant-retained
overdenture.
The planning phase for the case
began with a CT scan utilizing the
i-Cat and the Materialise Dental Dual
Scan protocol. The patient’s existing
denture was transformed into a scan
prosthesis by gluing eight Dual Scan
Markers (Materialise Dental) on the
surface. A radiolucent bite index was
made to secure the prosthesis in the
correct position.
The patient was scanned in the
i-Cat 17-19 while wearing the convert
prosthesis and the bite index. In a
second scan, the convert prosthesis
was scanned alone. The resulting CT
data were loaded into SimPlant, and
the scan prosthesis was superimposed
upon the study using the SimPlant Dual
Scan wizard (Fig. 1).
Using SimPlant, the optimum
implant positions were determined
based upon available bone, a minimum of 3 mm between implants, and
the design of the final restoration (Fig.
2). The resulting treatment plan was
submitted to Materialise Dental for fabrication of a SurgiGuide and a Materialise Dental Immediate Smile model.  
g IT page 11B

Dentists from 28 different countries attend a lecture during a week-long continuing education program at NYU
College of Dentistry. (Photos/Fred Michmershuizen, Dental Tribune)

Dentists from around the world attend
New York University College of Dentistry event
By Fred Michmershuizen, Online Editor

Approximately 300 dentists from
28 countries gathered at New York
University College of Dentistry March
14 to 18 for International Implantology Week, a continuing education
event offering experienced practitioners of dental implantology the
opportunity to further their knowledge and expertise. The program
was organized and hosted by Zimmer Dental and NYU College of Dentistry.
“It is an exciting time to be a dentist and an implantologist,” said Dr.
Hom-Lay Wang, who served as clinical chair for the week-long, interactive event. “Dental implantology
stands poised on a threshold of rapid
change and essential innovation, and

treatment modalities continue to
evolve and upgrade. For us to ensure
future success and the betterment
of our patients, it is imperative to
stay at the forefront of cutting-edge
techniques and technologies through
symposiums such as this one.”
The specific topics, which were
presented by some of the world’s
leading experts, included effective case management, esthetics,
traditional implants vs. one-piece
implants, sinus lift procedures and
recent technological innovations
including trabecular metal and vertical bone techniques and procedures
— in short, all of the kinds of issues
intended to keep participants on the
forefront.
g IT page 2B

Dr. Hom-Lay Wang, clinical chair
of International Implantology Week,
welcomes attendees from around the
world.


[2] =>
2B

News

Implant Tribune | April 2011

f IT page 1B

Dr. Philippe Russe offered the keynote lecture on navigating narrow
spaces in the esthetic zone. Other
lecture highlights included Dr. Zeev
Ormainer on the Tapered ScrewVent Implant; Dr. Maurizio Tonetti on
mucogingival tissue management in
periodontal and implant therapy; Dr.
Richard Kraut’s presentation on vertical bone augmentation; and Wang’s
presentation on recent advances in
sinus lift augmentation.
Also speaking were Dr. Joseph
Massad on treatment options for the
edentulous patient; Dr. Henry Salama
on abutment protocol in implant therapy; Dr. Edgard El Chaar on advanced
socket-preservation techniques and
materials; Dr. Katya Archambault on
advanced tissue grafting techniques;
Dr. Paul Petrungaro on localized ridge
augmentation with allogenic block
grafts; and Dr. Markus Schlee on early
clinical experience with a new porous
material.
The audience for the event was
composed primarily of practicing clinicians from around the world —
those who already possessed established competencies in implantology
but who were seeking to further their
skills and expertise.
Of course, no advancements in the
ability to treat patients would be possible without the best possible equipment. That’s why, between lectures,
meeting participants visited tables in
the lobby displaying Zimmer Dental’s various offerings, which cover
the gamut from surgical products to
regenerative materials to restorative
tools.
According to Michael Collins, vice
president of research, development
and education for Zimmer Dental, the
symposium offered participants an
opportunity to experience new products and see where things are going.
Even more importantly, he said, the
week offered attendees the opportunity to stay on the cutting edge.
“If it weren’t for International Implantology Week, it would be
impossible to find this kind of education all in one place,” Collins said.  
Wang said that in addition to offering an unparalleled learning opportunity, the event also offered attendees
the chance to expand their horizons
by making global contacts.
Attendees were able to bond with
each other during breaks for meals,
and during the welcome reception
and opening dinner at the Sheraton
Ballroom.
The week concluded with a closing
dinner at Brasserie 8 ½ in Midtown
Manhattan. IT

IMPLANT TRIBUNE
The World’s Newspaper of Implantology · U.S. Edition

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief
Sascha A. Jovanovic, DDS, MS
sascha@jovanoviconline.com
Managing Editor/Designer
Implant, Endo & Lab Tribunes
Sierra Rendon
s.rendon@dental-tribune.com

Between sessions at International Implantology Week, meeting attendees
were able to view exhibits of products available from Zimmer Dental.

Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Marketing & Sales Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia Wehkamp
j.wehkamp@dental-tribune.com
International C.E. Sales Manager
Christiane Ferret
c.ferret@dtstudyclub.com

Dental Tribune America, LLC
116 W. 23rd St., Suite #500
New York, NY 10011
Phone: (212) 244-7181, Fax: (212) 244-7185

Dr. Philippe Russe presents his keynote lecture on navigating narrow spaces
in the esthetic zone.

Published by
Dental Tribune America
© 2011 Dental Tribune America.
All rights reserved.

Dental Tribune makes every effort
to report clinical information and
manufacturer’s product news accurately, but cannot assume responsibility for the validity of product
claims, or for typographical errors.
The publishers also do not assume
responsibility for product names
or claims, or statements made by
advertisers. Opinions expressed by
authors are their own and may
not reflect those of Dental Tribune
International.

Editorial Advisory Board
Dr. Sascha Jovanovic, Editor in Chief

Meeting attendees network with colleagues between lectures.

Dr. Bernard Touati
Dr. Jack T. Krauser

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 more articles about? Let us know
by e-mailing us at feedback@dental-tribune.com.
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 6 weeks to process.

IT

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.

Dr. Andre Saadoun
Dr. Gary Henkel
Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
Dr. Axel Zoellner
Dr. Glen Liddelow
Dr. Marius Steigmann


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[4] =>
4B

Education

Implant Tribune | April 2011

gIDE implant
students halfway
to graduation
Dr. Egon Euwe leads gIDE Implant Master Program students during a handson soft-tissue grafting workshop in Athens, Greece. (Photo/Provided by gIDE)
AD

The Global Institute for Dental
Education’s (gIDE’s) one-year master
clinician program in implant dentistry
just wrapped up its second session  
in Athens, Greece, where students
spent four days learning all aspects
of soft-tissue management and grafting before, during and after implant
placement. Leading the lectures and

hands-on workshops was gIDE’s faculty, Dr. Egon Euwe and Dr. Stavros
Pelekanos.
Day one of the session covered
topics ranging from periodontal considerations to minimally invasive softtissue techniques.
Euwe
demonstrated
optimal
implant placement during the live surgery on day two. The students got their
feet wet on day three with a hands-on
workshop in upper porcine models
highlighting different soft-tissue management and grafting procedures.
The session came to a close on day
four with Pelekanos conducting the
final workshop on framework fit.
As a program requirement, the students each presented a case out of
their practice on an implant treatment
plan for the posterior zone with minimum of one implant placement.
At gIDE’s next session, the third,
students will present an additional
case on a treatment plan for the anterior zone with minimum of one implant
placement and moderate bone and/or
soft-tissue grafting.
This master program in Greece is
just one of six programs gIDE conducts each year in implant dentistry.
Another session two began the first
week of March in Tokyo, Japan, led
by LLU Professor in Restorative and
Implant Dentistry Dr. Joseph Kan, Dr.
Y Matsushita and Dr. Sascha Jovanovic via live broadcast, and the following week in Beijing, China, with
Professor Paul Lin and Dr. Keng Mun
Wong. At the end of March more second sessions occurred in both Australia with Euwe and Dr. Glen Liddelow,
and North America with Jovanovic
and Dr. Harel Simon.
All six programs will come together
in September for a final week at UCLA
in California. Students will receive a
gIDE Master Program Certificate and
a UCLA Certificate in Implant Dentistry for all their hard work.  
gIDE was founded in 2003 as a private dental institute blending online
digital education with hands-on learning. Its founders, world-renowned
implant dentist, Jovanovic and colleagues, are dedicated to the advancement of clinicians and the healthcare of their patients worldwide. It is
the No. 1 academically ranked online
dental education institute with an
elite group of 102 faculty members
published in more than 2,000 peerreviewed journals. gIDE is a certified provider of ADA CERP continuing
education credits.
For more information regarding
gIDE’s one-year master clinician programs, visit www.gidedental.com or
call (310) 696-9025. IT
(Source: gIDE)


[5] =>
Implant Tribune | January 2011

IT

Digital Imaging 5B


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6B

Clinical

Implant Tribune | December 2010

Old Osstell


[7] =>
Implant Tribune | April 2011

Industry 7B

Henry Schein Dental,
ACE Surgical launch
miniMARK miniature
dental implant system
ACE Surgical Supply and Henry
Schein Dental recently introduced the
miniMARK™ Miniature Dental Implant
System. This is the first mini implant
system on the market that includes the
renowned LOCATOR® Attachment, a
trusted name in securing implant-fixed
dentures.
The miniMARK system is available
as a mini implant Ø2.3 mm, a standard
body Ø3.25 mm, or as a one-piece
Ø2.3 mm with a prepable head that can
be used for mandibular anterior single
tooth applications.
The miniature implant system offers
clinician proficiency and patient satisfaction thanks to the incorporation of
the renowned LOCATOR attachment
by Zest Anchors — a trusted name in
securing implant-fixed dentures. The
LOCATOR product line is known as a
premier over-denture attachment in
the dental industry.
“The miniMARK implant system
enables dentists to provide denture
stability with a minimally invasive procedure, all within the comfort of their
dental office,” said the company’s vice
presdient of marketing, Chris Carchidi.  
Ace Surgical Supply is supporting new miniMARK system users
with live training and 7 C.E. credits through a multi-city series of
hands-on seminars that will provide
the skills needed to place, restore
and market the procedures. For
more information, including educational opportunities, visit www.mini
markimplant.com

About ACE Surgical Supply
For more than 35 years, ACE Surgical
Supply (www.acesurgical.com) company has been known for developing and
manufacturing high-quality, state-ofthe-art products for bone regeneration,
bone surgery/collection and wound
dressing. Most recently, the company introduced the miniMARK Miniature Dental Implant System, which
is designed to restore dental function

Send us your case study
Have an interesting implant case
you would like to share with
15,000 of your peers? To have
your case study considered for
publication in Implant Tribune,
send your 800- to 1,200-word
case study and up to 12 highresolution photos to Managing Editor Sierra Rendon at
s.rendon@dental-tribune.com.
Authors will be notified of publication and have an opportunity
to review the designed case study
prior to final publication. Cases
will be published pending editor
approval and space availablility.

with a minimally-invasive, same-day
procedure.
For more information, including educational opportunities, visit
www.minimarkimplant.com.
The
miniMARK Dental Implant System is
available exclusively through Henry
Schein Dental. To place an order, call
(877) 537-8862. IT

(Photo/
Provided
by ACE
Surgical)

AD


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Folio

Implant Tribune | September 2009


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[10] =>
10B

Industry

Implant Tribune | March 2011

IT


[11] =>
Implant Tribune | April 2011

Fig. 2: Pre-operative SimPlant planning showing Virtual Teeth.

Fig. 3: Immediate Smile model with
analogs inserted.

Fig. 4: Immediate Smile denture
used to mount case.

Industry Clinical 11B

Fig. 5: SurgiGuide orientation and
registration on articulator.

Fig. 7: Tissue punch.

Fig. 6: Pre-operative occlusal view of
the maxilla.

Fig. 8: View of the punched maxilla
after tissue removal.
AD

f IT page 1B

I received the Immediate Smile
model, which contained a duplicate
of the scan prosthesis, a bone model
with a silicone soft tissue, and a mucosa-supported SurgiGuide. The bone
model came with eight openings corresponding to each of the eight implant
positions as designed in the SimPlant
plan and corresponding exactly in size
to the dimensions of Zimmer analogs.
The bone model comes with a screw
fixation system, which allows me to
recover the analogs. The silicone soft
tissue on the model also corresponds to
the realistic soft tissue. I also received
written drilling instructions and a prolongation report detailing the depth
and size of each osteotomy.
Zimmer analogs were placed in the
Immediate Smile model (Fig. 3). The
duplicate of the scan prosthesis was
used to mount the bone model with
the soft tissue on an articulator (Fig. 4),
giving correct orientation and vertical
dimension. This made it possible to
fabricate a provisional that would be
used for immediate loading following
implant placement.
The mounted model was then used
to create an orientation jig for the
SurgiGuide (Fig. 5). The jig assures
that the SurgiGuide is positioned in
the mouth exactly the same way as the
scan prosthesis was positioned in the
mouth.
This is a very important step for
a mucosa-supported SurgiGuide
because of the flexibility of the soft
tissue (mucosa). Both the duplicate of
the prosthesis and SurgiGuide fit perfectly onto the Immediate Smile model,
allowing for fabrication of an accurate
orientation jig on an articulator.
The surgical guide was placed in
the patient’s mouth, and the tissue
was punched utilizing a tissue punch
(Figs. 6–8). Then the surgical guide
was again oriented in her mouth with
the orientation jig created on the articulator and stabilized with three SurgiGuide fixation screws (Fig. 9). Utilizing
the Zimmer Guided Surgery Instrumentation and guided surgery drills
(Fig. 10), all eight osteotomies were
created and completed using minig IT page 13B


[12] =>
12B Industry

Implant Tribune | January 2011


[13] =>
Implant Tribune | April 2011

Fig. 9: SurgiGuide orientation in the
patient’s mouth.

Industry Clinical 13B

Fig. 13: Occlusal view of the implants
and abutments. Note the heads on the
two implants with sinus lifts.

Fig. 15: Provisional with bite registration for alignment in mouth.

Fig. 10: Zimmer guided-surgery drill
keys.
f IT page 11B

Fig. 14: Provisional hollowed out to
fit over the temporary abutments.

mally invasive flapless surgery (Figs.
11, 12). The Zimmer guide is a SAFE
system, accurately providing for depth
as well as size.
The right and left molar (#3 and
#14) osteotomies were created short
of the maxillary sinus. Then using the
new Zimmer Sinus Crestal Approach
(SCA) sinus lift kit, I extended these
two osteotomies into the left and
right maxillary sinuses. Alloplas-

tic bone (Puros) was placed into the
sinus cavity through the osteotomy
and spread using the paddle-shaped
spreading bur. Then all eight implants
were placed. Each had initial stability
exceeding 35 ncm.
The decision was made to immediate load only the six implants that did
not involve the sinus cavity. Therefore, healing heads were placed on

Fig. 11, 12: Creating guided osteotomies.

Fig. 16: Acrylic in impression syringe
to connect the provisional to the titanium abutments.
implants #3 and #14, and non-engaging titanium temporary cylinders were
placed on #5, #6, #8, #9, #11 and #12
(Fig. 13). The provisional, which the
laboratory fabricated, was attached to
the titanium cylinders using cold cure
acrylic, thus creating a screw-retained
provisional (Figs. 14, 15).
g IT page 14B
AD


[14] =>
14B Industry

Implant Tribune | April 2011

Atlantis offers patient-specific abutments
for all of the major implant systems
Regardless
of the implant
system(s) you use
in your practice,
whether it is Astra
Tech, Nobel Bio- Atlantis abutments.
care, Straumann, (Photo/Provided
Biomet 3i or Zim- by Atlantis)
mer Dental, just
to name a few, Atlantis™ is a leading
cement-retained solution for implant
restorations. Available in titanium, goldshaded titanium and four shades of
zirconia for true flexibility, and backed
by more than 10 years of clinical use

AD

and the most comprehensive warranty
on the market, Atlantis continues to set
the standard in the area of CAD/CAM
implant dentistry, the company asserts.
Incorporating Atlantis into your
implant practice brings simplicity
and flexibility, eliminates the need for
inventory management of stock components and requires no investment
in hardware or software.
Features include:
• The anatomically optimal emergence profile of the abutment supports outstanding function and esthetics — as close to natural prepped

teeth as you can get.
• Simple restorative procedure
with reduced chairtime — just take an
implant-level impression and send the
impressions to your dental laboratory.
• Margins can be designed at an
ideal level for safe and easy cement
removal.
The latest Atlantis Abutment
interface options include Astra Tech
OsseoSpeed™ TX Profile and Keystone
PrimaConnex™.
Complete information on implant
compatibility can be found at www.
atlantisabutment.com.

f IT page 13B

Fig. 17: Completed screw-retained
provisional.

Fig. 18: Postoperative CT scan.

A postoperative CT scan showed
how accurately the eight implants
were placed in the bone using a
mucosa-supported SurgiGuide with
orientation jig (made on the Immediate Smile model) (Figs. 16–18).
The accuracy and success of this
case was achieved through CT scanning, SimPlant planning with restorative model overlay, the Zimmer Guided Surgery Instrumentation and the
Materialise Dental Immediate Smile
model.
The surgical guide allowed for
minimally invasive surgery and greatly
reduced time of surgery. The Immediate Smile also reduced chair time by
allowing for fabrication of the temporaries well in advance of surgery. IT

Acknowledgements
Laboratory procedures and photography: Dr. Marcelo Silva c/o Max Cohen,
DDS.

IT

Contact

Max J. Cohen, DDS, private practice.
4700 Chamblee Dunwoody Road,
Dunwoody, Ga. 30338
Phone: (770) 457-1351
Fax: (770) 458-0890
www.DrMaxCohen.com
MaxJCohen@hotmail.com


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AD
Full Page


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