Implant Tribune U.S. No. 4, 2011
International Implantology Week / gIDE implant students halfway to graduation / Industry / Industry Clinical / Industry
International Implantology Week / gIDE implant students halfway to graduation / Industry / Industry Clinical / Industry
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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[3] => [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[6] => 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[8] => 00 Folio Implant Tribune | September 2009[9] => [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[15] => [16] => AD Full Page) [page_count] => 16 [pdf_ping_data] => Array ( [page_count] => 16 [format] => PDF [width] => 765 [height] => 1080 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] => [cover] => [toc] => Array ( [0] => Array ( [title] => International Implantology Week [page] => 01 ) [1] => Array ( [title] => gIDE implant students halfway to graduation [page] => 04 ) [2] => Array ( [title] => Industry [page] => 07 ) [3] => Array ( [title] => Industry Clinical [page] => 11 ) [4] => Array ( [title] => Industry [page] => 14 ) ) [toc_html] =>[toc_titles] =>Table of contentsInternational Implantology Week / gIDE implant students halfway to graduation / Industry / Industry Clinical / Industry
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