Implant Tribune U.S. No. 4, 2012

News / Trinon Collegium Practicum: practical implantology courses for clinicians / AAID Research Foundation awards more than $165 - 000 for research projects / Dental occlusion/temporomandibular joint and general body health / Gear up for charitable Bike Ride / DENTSPLY International launches new global business - DENTSPLY Implants / A few reservations still available for CAMLOG Congress in Switzerland

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Table of contents

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

April 2012 — Vol. 7, No. 4

www.dental-tribune.com

ICOI takes Toronto
Spring Implant Symposium
takes place in late April
By Sierra Rendon, Managing Editor

The ICOI will be holding its Spring
Implant Symposium at the Sheraton
Centre in downtown Toronto, Canada,
from April 27–29.
The Sheraton Centre hotel is located
in the heart of Toronto, cheek-by-jowl
to the financial and theater districts
and sits on top of Toronto’s famous
massive underground shopping mall,
the PATH.
The Sheraton is conveniently located
near museums and Toronto’s professional sports arenas.
The scientific program was designed
by Dr. Natalie Wong with assistance by
her committee members, Drs. Blake
Nicolucci and Yvan Poitras. The full 2½” See ICOI, page C2

Photo/www.sxc.hu

Research: New coating appears to
accelerate the fixation of implants
By Dental Tribune International

Researchers from Linköping University
in Sweden have successfully tested a new
drug coating on humans that allows titanium implants to adhere to the bone better
and more rapidly. The findings could benefit patients with difficulty chewing after
dental treatment.
After the dental implant placement,
many patients are unable to chew food
as before. Using the current technology,
it may take four to six months before the
bone surrounding the implant has healed
and is strong enough for the patient to truly begin to benefit from surgery.
The new coating consists of a
nanometre-thin layer of protein that adheres to the metal surface. Attached to the
protein is a drug belonging to the class of

Linköping University in Sweden
Photo/www.sxc.hu

bisphosphonates, usually used to treat osteoporosis.
Now, for the first time, this method has

been tested on humans. The study involved 16 patients. Each of them received
two implants — one ordinary implant and

one surface-treated implant as described
above.
Neither the patient nor the dental surgeon knew which was which. After six
months, it was noted that for 15 of the 16 patients, the surface-treated screw was much
better established. After only two months,
X-ray images showed positive changes in
the tissue surrounding the surface-treated
implants. According to the researchers, no
complications occurred.
“It is the first time ever anyone has succeeded in reinforcing the bone around an
implant with localized medication,” said
study leader Per Aspenberg, professor of
orthopaedics, who devised the method of
using bisphosphonates Linköping University in Sweden the method.
The study was published online in the
Bone journal.

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news

C2
“ ICOI, Page C1

ses and fabrication of temporaries; and laboratory considerations.

day program is as follows:

Friday, April 27
“When Do We Use Digital Imaging to Enhance Implant Therapy?”
Session host: Dr. Blake Nicolucci
1 to 1:15 p.m.: Drs. Ken Judy, Carl Misch and
Blake Nicolucci, Opening Ceremony
1:15 to 2:15 p.m.: Dr. Michael Pikos, “Cone
Beam CT: The Value of Pre- and Post-Graft
Scanning for Implant Reconstruction”
2:15 to 3:15 p.m.: Dr. George Mandelaris,
“Clinical Myths and Realities of ComputerGuided Implant Therapy”
3:15 to 3:45 p.m.: Break with exhibitors
3:45 to 4:45 p.m.: Dr. Richard Nejat,
“Computer-Guided Surgery and CAD/CAM
Technology: Computer-Generated Surgical
Guides with Extractions and Immediate
Provisionalization”
4:45 to 5:45 p.m.: Dr. Natalie Wong, “Destination … Digital! From Plans, Scans and Now
Digital Impressions”
6 to 7:30 p.m.: Tabletop and Poster Presentations and Welcome Reception

Saturday, April 28: morning session
“What a Restorative Dentist Should Know
About Implant Surgery”
Session host: Dr. Scott Ganz
8:30 to 9:30 a.m.: Dr. Bach Le, “Avoiding
and Managing Esthetic Complications Associated with Implant Therapy”
9:30 to 10:30 a.m.: Dr. Avi Schetritt, “Implant Design: Healing Prosthetic Consequences”
10:30 to 11 a.m.: Break with exhibitors
11 a.m. to 12 p.m.: Dr. Carl Misch, “Sequence
of Treatment for Esthetics in the Pre-maxilla of Implant Prostheses”
12 to 1 p.m.: Lunch with exhibitors

Saturday, April 28: afternoon session
“What a Surgeon Should Know About Implant Prosthetics”
Session host: Dr. Natalie Wong
1 to 2 p.m.: Dr. Scott Ganz: “The Impact of
Implant Placement on Abutment Design for
Screw-Retained and Cementable Restorations: Who Makes the Decisions?”
2 to 3 p.m.: Dr. Joseph Kan, “Prosthetic
Driven Esthetic Anterior Implant Surgery”
3 to 3:30 p.m.: Break with exhibitors
3:30 to 4:30 p.m.: Dr. Barry Goldenberg,
“The Ideal Partnership to Successful Implant Prosthodontics: Each One’s Role
from Diagnosis to Treatment Through
Maintenance”
4:30 to 5:30 p.m.: Dr. Ken Hebel, “Effective Comprehensive Treatment Planning
and Consultation for Restorative and Implant Dentistry”
6 to 7 p.m.: Awards ceremony

Sunday, April 29: morning session
“Emerging Surgical Techniques to Enhance
Treatment Outcomes”
Session host: Dr. Yvan Poitras
8:30 to 9:30 a.m.: Dr. Blake Nicolucci,
“Pre-implant Bone Manipulation”
9:30 to 10:30 a.m.: Dr. Yvan Poitras, “Alternate Treatment Plans and Their Prognosis in Implant Dentistry”
10:30 to 11 a.m.: Break with exhibitors
11 a.m. to 12 p.m.: Dr. Stephen Wallace,
“Changing Paradigms in Maxillary Sinus
Elevation”
12 to 1 p.m.: Lunch with exhibitors

Sunday, April 29: afternoon session
“Emerging Prosthetic Techniques/Procedures to Augment Implant Outcomes”
Session host: Dr. Dwayne Karateew

Dr. Natalie Wong helped create the program
for the ICOI’s Spring Symposium.

1 to 2 p.m.: Dr. Murray Arlin: “Surgical Risk
Factors and Complications — How to Treat
and How to Avoid Them”
2 to 3 p.m.: Dr. Jamie Lozada, “Benefits of
Provisional Restorations for Immediate
Loading Protocols”
3 to 3:30 p.m.: Break with exhibitors
3:30 to 4:30 p.m.: Dr. Dwayne Karateew,
“Prosthetic Strategies to Enhance Peri-Implant Soft Tissue Esthetics”

ADIA program
ICOI’s component society, the Association
of Dental Implant Auxiliaries (ADIA), will
be holding a 1½-day program for hygienists,
dental assistants and front office staff members. In addition to the Friday afternoon
program, the ADIA will on Saturday give certification courses for these three areas of the
dental practice. The program is as follows:

Friday, April 27
1 to 1:15 p.m.: Introductions
1:15 to 2:15 p.m.: Carla Fray, “Transforming
and Growing Your Dental Team”
2:15 to 3:15 p.m.: Gisèle Choquette: “Successful Lifelong Oral Hygiene with iTOP Technique”
3:15 to 3:45 p.m.: Break
3:45 to 4:45 p.m.: Yva Khalil, “Aesthetics Perceptions”
4:45 to 5:45 p.m.: Audree Beaudin, “Understanding Biomaterials”

Certification programs
Saturday, April 28
(Please choose one program.)
Programs are conducted simultaneously
in three different rooms. (10 a.m. to 10:30 a.m
break; 12:30 to 2:30 p.m lunch; and 3:30 to 4
p.m. break)
8 a.m. to 6 p.m.: Audree Beaudin and Yva
Kha, “Dental Hygiene Implant Certification
Program” (DHICP)
Includes: rationale for dental implants;
classification and definitions of dental implants; contraindications; implant/tissue
interfaces; assessment, diagnosis and treatment planning; implant surgical and prosthodontic procedures; maintenance and evaluation procedures; management of implant
complications and failures.
8 a.m. to 6 p.m.: Vavi Bohbot and Carla Frey,
“Dental Assisting Implant Certification Program“ (DAICP)
Includes: classification and definitions of
dental implants; indications and contraindications; biomechanics and biomaterials;
client evaluation, assessment and selection;
treatment planning, site selection and implant selection; implant complications and
failures; surgical templates and stents; pharmacology and sedation; surgical preparation
and infection control; surgical procedures;
sinus lifts, bone grafts, tissue regeneration;
prosthetic procedures; provisional prosthe-

8 a.m. to 6 p.m.: Karen Young, “Practice
Management Implant Certification Program” (PMICP)
Includes: terminology and definitions;
case presentation and handling objections;
commonly asked questions and appropriate responses; fee presentation; financial options and arrangements; risk management,
documentation and record keeping; practice
plans and marketing; referrals; intra/interoffice communications.
C.E. credits will be given to both the clinicians and auxiliary attendees.
On Friday morning, April 27, Nobel Biocare and the Misch Institute will give presymposium workshops. Details of these two
workshops appear below.

Nobel Biocare course

Implant Tribune U.S. Edition | April 2012

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
Editor in Chief IMPLANT Tribune
Sascha A. Jovanovic, DDS, MS
sascha@jovanoviconline.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

Time/day: 8 a.m. to noon Friday
Course fee: Free
Attendance is limited. First come, first
served.
Dr. Anastasia Cholakis: “Delayed Implant
Treatment Complications — Prevention
and Treatment”
This seminar will review some delayed
implant treatment complications such as
hard- and soft-tissue loss. Peri-implant mucositis, soft-tissue recession or dehiscences
and peri-implantitis will be discussed as
well as preventive measures and treatment
modalities. An in-office implant maintenance protocol will be outlined to assist in
the monitoring of the peri-implant tissues.
At the end of this seminar, the participant should be able to :
• Identify soft- and hard-tissue complications
• Adopt preventive strategies
• Have an understanding of some current
treatment modalities
• Implement an in-office peri-implant
maintenance program

Account Manager
Humberto Estrada h.estrada@dental-tribune.com

Misch Implant Institute course

Editorial Board

Time/day: 9 a.m. to noon Friday
Course fee: $395
Attendance is limited. First come, first
served.
Dr. Carl E. Misch: “Key Implant Position
and Implant Number for Fixed Prostheses”
In every treatment plan for missing multiple teeth there are key implant positions,
which are more important, related to biomechanics. There are four guidelines to determine these positions:
• No cantelivers
• No three-adjacent pontics
• The canine and first molar rules
• Arch dynamics

Dr. Sascha Jovanovic, Editor in Chief
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
Dr. Pankaj Singh

Cantilevers are force magnifiers. Three
adjacent pontics not only overload the adjacent abutment, the flexure of the metal
is 27 times the flexure of a one-pontic prosthesis. The canine and first molar are key
positions for an arch and, whenever missing, should be replaced with an implant
(rather than a pontic). Arch dynamics (especially for a maxilla) require the structure
to be considered as a five-sided open pentagon. At least one implant in each section is
required for each edentulous segment.
Once these key positions are determined,
the additional implants required to restore
the patient are considered based upon patient force factors and the bone density in
the edentulous sites.
Delegates to this symposium should take
advantage of these pre-symposium courses for additional C.E. credits.

Marketing Manager
Anna Wlodarczyk-Kataoka
a.wlodarczyk@dental-tribune.com
Marketing & SALES Assistant
Lorrie Young l.young@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
Fax (212) 244-7185
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
Dental 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 contact Managing Editor Sierra Rendon at
s.rendon@dental-tribune.com.
Dental Tribune 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 Dental Tribune America.

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

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
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to process.

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news

Implant Tribune U.S. Edition | April 2012

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Education

Implant Tribune U.S. Edition | April 2012

Trinon Collegium Practicum: practical
implantology courses for clinicians
Continuing education in dental implantology has traditionally focused on
theoretical aspects. However, since 2003,
the Trinon Collegium Practicum has organized practice-orientated dental implantology courses based on the model of
surgeon training in European hospitals,
enabling dentists to have a firmer grasp of
implantology.
Entering implantology can be difficult
for dentists to achieve successfully. It is
not a subject of university education, and
with international universities and courses being focused largely on theoretical
orientation, it proves a time-consuming
endeavor. Furthermore, in international
education and training programs, the
dentists almost never work on patients or
might work on phantom cases, classified
as hands-on.
This, according to Prof. Rainer Valentin,
board member of the German Society for
Dental Implantology (DGZI), led to education in implantology placing an increasing emphasis on theoretical training,
which then results in a neglect of practical experience and, most importantly, the
proof thereof.
This phenomenon is repeated globally
and results in dentists often lacking in
confidence and developing a fear of complicated cases, which essentially leads to
long pauses between individual implants
and a limited learning curve.

Learning by doing
The Q-Implant Marathon is one reaction to this situation in the continuouseducation sector. Started in 2003 in
Cuba, and since conducted more than
70 times in four countries worldwide,
the course is designed to be purely
hands-on with a real patient experience
under strict supervision from international surgeons and university hospitals. Participants with a strong theoretical foundation in implantology spend
five days assisting in and performing
surgery, placing approximately 30 implants within this short period.
“One only is confident doing what one
knows,” said Dr. Harald Glas from Vienna,
summarizing the positive effect of practical education. During the Q-Implant
Marathon, Glas worked with international peers and supervisors on several cases
a day. Every case is discussed beforehand
with the supervising tutor and assisting
surgeon; furthermore, even during the
surgery, questions about surgical treatments are addressed.
Patients are prepared and followed-up
by the resident team of the university
hospital and, in most cases, are immediately provided with long-term temporary
restorations so participants can see the result of the treatment and complete their
photographic documentation.
The phased approach of the Q-Implant
Marathon, which accounts for 45 dental CME points, divides participants in
three levels: Beginner, Advanced I and
Advanced II.
This gives dental practitioners an opportunity to learn the relevant practical

The Q-Implant Marathon team with participants in Santo Domingo. Photos/Provided by Trinon Collegium Practicum

knowledge they require at their home clinics.
Beginners’ courses are working on basic implant cases whereas surgeons with
considerable experience can venture into
more complicated cases with the knowledge and safety of having a supervisor to
discuss the case and assist during surgery.
The concept of hands-on courses has
been influenced by surgeon training in European hospitals where emphasis on practical surgical training of young doctors is at
the center from day one. The experienced
surgeon guides the hand of the assistant
physician and gives him the feeling for
working on patients while in a safe and
controlled environment.
“Learning by doing is the most successful way to gain experience in implantology
and that is why we do it that way,” said Dr.
Alfredo Valencia, the scientific director of
the Q-Implant Marathon program.

A focus on the United States
Today, the concept has been rolled out
throughout three permanent locations
worldwide with one in Dominican Republic and two courses in Asia. In the last
eight years, the Trinon Collegium Practicum has seen more than 2,000 dentists
participate in the Q-Implant Marathon
with more than 12,000 patients treated
and more than 30,000 implants placed.
The decision to conduct these handson courses in Dominican Republic stems

from the rising number of dental implantologists in the United States and its surrounding regions, a growing number of
patients demanding a high level of care
and the overall lack of practice-orientated
courses in close proximity to American
dentists. The course in Dominican Republic is based in Santo Domingo and has been
conducted more than 26 times. This course
collaborates with private clinics, where
the clinic equipment is comparable to U.S.
standards; similarly, the infrastructure is
more or less comparable to the situation in
the United States. All of the Trinon Collegium Practicum courses have ensured that
conditions under which surgeons work
have appropriate standards including surgical equipment, professional tooth scaling for patients, digital X-ray equipment
and modern dental treatment chairs.
The head instructor for the Q-Implant
Marathon in Santo Domingo is Valencia,
who studied human medicine at the Oviedo University in Spain and specialized in
stomatology, oral-maxillofacial surgery
and implantology over the years. Valencia
is supported by a team of assisting tutors,
whom he personally recruited. Most of
these tutors have learned implantology
from him.
“So I know them well and it is easy for me
to work with them,” Valencia said.
The atmosphere is harmonious: even
after 12 hours in the surgery room, the
groups still like to meet for an evening

Q-Implant Marathon participants in Santo
Domingo working in a team.
meal. Courses in Santo Domingo have developed even further over time with regard
to patient care and technical aspects of surgery. One of the most important improvements has been patient selection. The local
team is now able to assign patients to suit
the ability and the needs of participants.

Contact information
The Q-Implant Marathon is conducted
six to eight times a year in the Dominican Republic and Asia. To find out more
about the Q-Implant Marathon, contact:
Optimum Solution Group, Mac Kubiak, call (877) 705-1002, e-mail info@
optimumsolutiongroup.com or visit www.
implantologycourses.com

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events

Implant Tribune U.S. Edition | April 2012

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Implant Tribune U.S. Edition | April 2012

research

AAID Research Foundation awards more
than $165,000 for research projects
The future of implant dentistry is
driven by research, and thanks to the
AAID Research Foundation, more than
$165,000 in grants were awarded to dental investigators in the last two years, the
foundation announced.
“The AAID Foundation provides generous grants to post-graduate researchers
for unbiased dental implant research to
further the science of oral implantology
through research and education,” said
Jaime Lozada, DMD, chairman, AAID Research Foundation. “The AAID strongly
advocates evidence-based dentistry, and
grants from the foundation are contributing significantly to the body of evidence in our field.”
Lozada added that the AAID Foundation ranks as the leading grantor for dental implant research, and, overall, it has
funded more than 70 research projects
totaling more than $600,000. Individual
grants range from $2,500 to $25,000.
“The future of implant dentistry will
be built upon the commitments that
the AAID Foundation makes today to
support education, research and the
advancement in the practice of implant

dentistry,” Lozada said.
One $10,000 AAID Foundation awardee, Mahmoud Torabinejad, DDS, PhD,
Loma Linda University, is researching
levels of patient satisfaction and complications during and after root canal treatments and single-tooth implants.
“Dr. Torabinejad’ s research is an excellent example of the cutting-edge work
the AAID Foundation is supporting that
will give practitioners solid scientific
evidence for making treatment decisions
and recommendations to their patients,”
Lozada said.
Another grant recipient, Thomas Dodson, DDS, Massachusetts General Hospital, has worked on a study of implant survival rates and factors most commonly
associated with implant failures.
“Less than 2 percent of implants fail,
but this research should be helpful in determining which types of patient might
be prone to possible implant failure,” Lozada noted.
The AAID Foundation’s awards are
funded by contributions to the AAID
Research Endowment Fund from AAID
members, sponsors and friends. Income

‘The AAID strongly
advocates
evidence-based
dentistry, and
grants from the
foundation are
contributing
significantly to the
body of evidence
in our field.’
Dr. Jaime Lozada, chairman of the AAID
Research Foundation

generated from the endowment is allocated exclusively to support implant research projects.

AAID Foundation Awardees for 2012
will be announced at the AAID Annual
Scientific Meeting, Oct. 7–11, in Washington, D.C.
AD

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Clinical study

C10

Implant Tribune U.S. Edition | April 2012

Dental occlusion/temporomandibular
joint and general body health
Clinical evidence
and mechanism
of an underestimated
relationship
By Drs. Yong-Keun Lee and
Hyung-Joo Moon

During the treatment of symptoms
originating from disorders of the temporomandibular joint (TMJ) and occlusion, it was found that restoring the TMJ
to its normal condition resulted in a
change of general body health.
In most cases, this change was improved general body health. Owing to
similar reports, a connection between
TMJ status and general body health was
therefore hypothesized. However, the
mechanism of this relationship remains
unclear.
In this article, the relationships between dental occlusion/TMJ status and
general body health are reviewed with

AD

reference to peer-reviewed papers. A conceptual theory is proposed that may explain this mechanism.

TMJ and myofascial pain
Dental occlusion is the relationship between the maxillary and mandibular
teeth when they approach each other.1
The TMJ is the joint of the jaw, which is
unique in that it is the only bilateral joint
that crosses the midline.2 As the treatment of dental diseases aims to achieve
harmony within the entire stomatognathic system, teeth could be literally
considered to be a set of gears anchored
in bone, while the upper and lower jaws
are attached to each other by the TMJ.3
The causes of TMJ disorders can be divided into five categories: dental, trauma,
lifestyle habits, stressful social situations
and emotional factors. 4 Trauma can be
in the form of whiplash, traction appliances and blows to the head, face or jaw. 4
Evidence of significant trauma to the TMJ
has also been found following hyperextension of the cervical spine.5
With regard to habits, bad posture, bad

ergonomics at work, oral and childhood
habits, as well as poor diet and strenuous
activities such as heavy lifting, have been
cited. 4
Myofascial pain, deriving from the hyperalgesic trigger points located in skeletal muscle and fascia, is commonly characterised by persistent regional pain.6
The myofascial component has generally
been considered to be part of pain syndromes that involve TMJ. Trigger points
in masticatory muscles are presumably
caused by malocclusion, misalignment
and habitual para-function of the jaws,
abnormal head and neck postures, or
trauma.6

Relationship between TMJ and
general body health
There have been several studies on the
relationship between occlusion/TMJ and
general body health. Among other findings, it has been found that lesions in the
masticatory muscles or dento-alveolar
ligaments can perturb visual stability
and thus generate postural imbalance.7
The position and functioning of the mandible also have an effect on the centre of
gravity.8, 9
Dental occlusion is associated with
reduced lower extremity strength, agility and balance in elderly people.10 The
proper functional occlusion of natural
or artificial teeth has been shown to play
an important role in generating an adequate postural reflex.11 The subgroups of
general body conditions associated with
TMJ may be divided into the following
three categories:
1) Synchronization of the head and jaw
muscles with other muscles
There is a necessary systematic synchronisation of the head and jaw muscles with the other muscles of the body
to maintain proper body posture. The
functional coupling of the stomatognathic system with the neck muscles is
well known. Patients suffering from occlusal or TMJ disorders have frequently
reported dysfunction and pain in their
neck muscles.12, 13 An imbalance of sternocleidomastoid muscle activity, often
leading to neck pain, can be induced by a
unilateral loss of occlusal support.14
The biomechanical impact on cervical
vertebrae during mastication has been
calculated, which confirmed that vertical
occlusal alteration can influence stress
distribution in the cervical column.15
Possible associations between trunk and
cervical asymmetry and facial symmetry have been reported.16 For example,
it has been found that visual perception
control is most important in orienting
the head in the frontal plane.16 A relationship between dental occlusion and postural control has also been postulated.17
2) TMJ and body stability
Dental occlusion/TMJ condition exerts
an influence on body stability. Human
beings assume a relatively unstable postural state when in the standing position;
therefore, the maintenance of a standing
position is related to fluctuation in the
center of gravity, which is controlled by

information from the ocular region, the
three semicircular canals and anti-gravity muscles.18
It has been suggested that occlusion
and head position affect the center of
gravity, resulting in an increased risk of
falling when abnormal.19 Poor or absent
dental occlusion may decrease proprioception in this area, interfering with the
proper stability of the head posture.7 It
is thought that tooth loss is a risk factor
for postural instability.20 Physiologically,
mechanical receptors in the periodontal
membrane control mandibular movements and coordinate masticatory function,21 and this is related to the motor activity of the neck muscles.22
Fluctuation in the center of gravity
caused by altering the occlusal contact
area experimentally was examined experimentally, and the results confirmed
that occlusal contact affects gravity fluctuation and that appropriate occlusion
attained by maintaining even occlusal
contact in the posterior region is crucial
for gravity fluctuation.23
3) TMJ and physical performance
TMJ conditions can influence physical
performance. Trainers often advise athletes to wear occlusal splints or mouth
guards during competitions in order
to increase motor performance.24 It has
also been reported that proper teeth
clenching plays an effective role in the
enhancement of physical performance.25
The relationship between the presence of occlusal support in edentulous
subjects and their capacity for physical
exercise has been investigated, and it
was concluded that reconstruction of
occlusal support holds significance not
only for the restoration of masticatory
function but also for the maintenance of
physical exercise.26

Mechanism of relationship between
the TMJ and general body health
based on the myofascial aspect
It is the first hypothesis of this article
that TMJ and other parts of the body
are connected through fasciae, which is
a connective element between various
anatomical structures,27 very similar to
a three-dimensional network extending
throughout the whole body.28, 29 This network can be stretched by the contraction
of underlying muscles and transmit tension over a distance.30, 31
The fascial tissues are arranged vertically, from head to toe, and four interconnected transverse fascial planes
criss-cross the body. Therefore, should an
injury occur in one part of the body, pain
and dysfunction may occur throughout
the body.32

Mechanism based on qi and the
meridian aspect
The second hypothesis is that the TMJ
and other parts of the body are connected through the meridian system, which
is constituted of the fasciae. Traditionally, acupuncture meridians are believed
to form a network throughout the body,
connecting peripheral tissues to each

[11] =>

Implant Tribune U.S. Edition | April 2012

other.33 Studies that seek to understand
the acupuncture point/meridian systems from a Western perspective have
mainly focused on identifying distinct
histological features that differentiate
acupuncture points from surrounding
tissue.34 One of the histological and anatomical associations with the meridians
is intermuscular or intramuscular loose
connective tissue (fascia).
Ancient acupuncture texts contain
several references to “fat, greasy membranes, fasciae and systems of connecting membranes” through which the qi is
believed to flow.35 In terms of connective
tissue associations, several authors have
suggested that a connection may exist
between the acupuncture meridians,
which tend to be located along the fascial planes between muscles or between
a muscle and bone or tendon, and the
connective tissue.34, 35
In view of experimental evidence, it
has been hypothesized that the network
of the meridians can be viewed as a representation of a network of interstitial
connective tissues.
These findings are supported by ultrasound images showing connective tissue cleavage planes at the acupuncture
points in human beings.34 Rather than
viewing acupuncture points as discrete
entities, it has been proposed that these
points might correspond to sites of convergence in a network of connective tissue permeating the entire body, similar
to highway intersections in a network of
primary and secondary roads.34

clinical study

Photo/Dental Tribune International

Correlation between trigger points
and acupuncture points
Although separated by two millennia,
the traditions of acupuncture and myofascial pain therapies share fundamental
similarities in the treatment of pain disorders.36
Recent reports have suggested substantial anatomic, clinical and physiological
overlap of the myofascial trigger points
and acupuncture points.36 The analogy
between the trigger points and acupuncture points has been discussed since

1977,37 when 100 percent anatomic and 71
percent clinical pain
correspondences for
the myofascial trigger
points and acupuncture points in the
treatment of pain disorders were reported.
A number of similarities between them
were also suggested.
The two structures
have similar locations and needles are
used at either point
to treat pain. The pain
associated with the
local twitch response
at trigger points is
similar to the de qi
sensation, and the referred pain generated
by needling trigger
points is similar to
the propagated sensation along the meridians.
It was pointed out, however, that the
acupuncture points located at the trigger
points are not frequently used by acupuncturists, and do not share the same
clinical indications as the trigger point
therapy.38
It was further argued that the claim
of 71 percent correspondence between
the acupuncture points and the trigger points37 is conceptually impossible.
Furthermore, even putting this concep-

C11
tual problem aside, no more than 40
percent of the acupuncture points correlated with the treatment for pain and,
more likely, only approximately 18 to 19
percent of the points are actually correlated.39 The correlation between the trigger points and the acupuncture points
clearly need to be further investigated in
the future.
The fascial connection theory we propose can explain the functional connection between dental occlusion/TMJ and
other parts of the body based on either
myofascial release or the qi and meridian system, or a combination of the two.
Therefore, dental occlusion should be
built up and maintained in a normal
natural condition, while causes for deterioration of the TMJ status should be
treated in an effort to restore the natural
condition.
Editorial note: This article first appeared
in Dental Tribune Asia Pacific 03/2012.
This article is a summary of two review papers recently published in the Journal of Alternative and Complementary Medicine 17
(2011): 995–1000 & 1119–24. A complete list
of references is available from the authors.

About the authors
Drs Yong-Keun Lee and Hyung-Joo Moon
are practicing dentistry at the Moon
Dental Hospital and ICPB in Seoul in South
Korea. They may be contacted at ykleedm@
gmail.com.

AD

[12] =>

C12

industry

Implant Tribune U.S. Edition | April 2012

Gear up for
charitable
Bike Ride
Join MIS Implants for its charitable Bike Ride, taking place July 29. The ride will benefit Ninos
de la Luz, an organization that aids children in the Dominican Republic. Photo/ www.sxc.hu

MIS Implants Technologies, based in
Fair Lawn, N.J., will be holding its second
Bike Ride on July 29.

This year, participants will be riding for Ninos de la Luz (Children of the
Light), an organization that funds an
orphanage for the “lost boys” of the
Dominican Republic. This organization
shelters boys who have been living on
the streets, often abandoned by their
families, giving them a place to live,
schooling and life skills to eventually
live on their own and be a solid member
of society.
The 2012 Bike Ride will be 40 miles in
length and go through part of the lower
Hudson Valley —starting in Park Ridge,
N.J., and ending in Piermont, N.Y. A light
breakfast will be served prior to the
ride as well as replenishing snacks after. There will be one planned rest stop
along the route.
Motti Weisman, CEO of MIS Implants
Technologies, visited the orphanage. He
was touched and impressed by the commitment of the people running this facility and immediately wanted to help
in a substantial way. He was able to meet
and dine with some of the boys and was
intrigued by their stories.
“The work being done here is remarkable, and I have committed to provide
the funding for a media center to help
with the boys’ computer skills and ultimately make them current with today’s
workplace,” Weisman said. “The boys
are able to stay at the facility, known as
‘The Ranch,’ until they are 18. The success stories from this group are truly
heartwarming, and I foresee having a
long-term relationship with this organization to continue to help.”
There is no government funding available for social needs such as this. Private
funding is crucial to give these boys an
environment where they can turn their
lives around and thrive.
Registration is now open for the 2012
MIS Charitable Bike Ride. For more information, visit www.miscyclingteam.
com or call (201) 710-6217. There are different registration packages available.
All proceeds from this event will be directly donated to impact international
health and earmarked for Ninos de la
Luz. Registration fees are tax deductible.
To learn more about the orphanage,
visit ninosdelaluz.org.

‘The work
being done here is
remarkable ...’

[13] =>

[14] =>

C14

industry

Implant Tribune U.S. Edition | April 2012

DENTSPLY International launches new
global business, DENTSPLY Implants
Company begins
marketing, selling
in North America
this month
Following its Aug. 31 acquisition of
Astra Tech AB, which operated the
No. 3 player in the global dental implant market (Astra Tech Dental),
AD

DENTSPLY International Inc. (NASDAQ:
XRAY) now unites its innovative and
growing dental implant-related business-

es (DENTSPLY Friadent and Astra Tech
Dental) into a new company, DENTSPLY
Implants.

The newly created business will actively
market and sell products as DENTSPLY Implants in North America, beginning this
month.
DENTSPLY Implants offers a portfolio
that is unique in its freedom to create predictable and lasting patient-specific implant solutions with an extensive line of
dental implants, bone regenerative products, digital technologies and professional
development tools.
The portfolio includes: ANKYLOS®, XiVE®
and ASTRA TECH Implant System™. It
also includes ATLANTIS™ — patient specific CAD/CAM abutments, as well as 3-D
virtual surgical planning and surgical
guides.
Jim Mosch, executive vice president of
DENTSPLY International and group president of DENTSPLY Implants, said: “The
solid history of both Astra Tech Dental
and DENTSPLY Friadent, in combination
with the strength of DENTSPLY International, creates a new, unique global foundation to exceed the expectations of today’s knowledgeable, demanding dental
professionals.
“Current DENTSPLY Friadent and Astra
Tech Dental customers can rest assured
knowing that the world-class products
they know and trust will continue to be
supported and developed. We remain
strongly committed to innovation and
clinical research, and our shared vision
continues — to increase the quality of life
for patients worldwide.”
DENTSPLY Implants builds upon the
fundamental values of a thorough scientific approach, a dedication to long-term
clinical evidence and a strong customer
focus. The new global DENTSPLY Implants
business model has begun to take form
this month, beginning with North America.
“By joining Astra Tech Dental and the
implant business from DENTSPLY Tulsa
Dental Specialties in North America,
we will have a unique product portfolio
gathered in one company and supported
by one sales force. We look forward to
this great opportunity to build upon our
partnership with dental professionals in
providing optimal care to their implant
patients,” said Scott Root, president of
DENTSPLY Implants, North America.

About DENTSPLY International
DENTSPLY International Inc. is a leading
manufacturer and distributor of dental
and other healthcare products. The company believes it is the world’s largest manufacturer of professional dental products.
For more than 110 years, DENTSPLY’s
commitment to innovation and professional collaboration has enhanced its
portfolio of branded consumables and
small equipment. Headquartered in the
United States, the company has global
operations with sales in more than 120
countries. Visit www.dentsply.com for
more information about DENTSPLY and
its products.
(Source: DENTSPLY International)

[15] =>

Implant Tribune U.S. Edition | Month 2012

Industry

C15

A few reservations still available
for CAMLOG Congress in Switzerland
By Dental Tribune International

CAMLOG Foundation, an organization
established by scientists under Swiss
law, has reported that its fourth International CAMLOG Congress in Lucerne has
attracted great attention. It announced
that a number of workshops are already
fully booked, though a few registrations
can still be accepted.
The CAMLOG Foundation engages in
targeted support of gifted young scientists, the promotion of basic and applied

‘Take Five with
Marty’ web
video series
launches
Marty Jablow, DMD, nationally known
dental industry thought leader, author and
lecturer, has officially launched his web
video series, titled “Take Five with Marty.”
Jablow is a full-time practicing dentist
who is known for his “tell-it-like-it-is” evaluations, explanations and demonstrations
of new dental products, ranging from advanced dental technology to the latest dental materials.
The format of the program consists of
feature reports on dental research and
news, interviews and clinical spotlights
– all in five minutes or less. In April, “Take
Five with Marty” will feature a two-part
interview with Eva Grayzel, an oral cancer
survivor who has dedicated her life to informing dentists and patients alike on the
importance of a thorough “Six-Step Screening” to detect oral cancer early, when it is
most easily treated.
According to Jablow: “Eva is a non-smoker
who was diagnosed with late-stage oral cancer 13 years ago at age 33 because her dentist
missed the early signs of the disease. She
knows firsthand that a thorough six-step
screening may have saved her from undergoing the radical and painful treatment
that took a third of her tongue, her entire
left sternocleidomastoid muscle and most
of her salivary glands. Her story is compelling, and her mission is inspirational.”
During the past few months, Jablow has
been in the studio or on Skype to conduct
interviews with a who’s who of dentistry,
including Dr. John Flucke (cone-beam
radiography), Lisa Wadsworth, RDH (implant assisting and ergonomics), Dr. Anthony Stefanou (opportunity beyond the
operatory), Dr. Paul Feuerstein (digital impressions) and Dr. Ryan Swain (short-term
orthodontics).
To view the program, visit www.TakeFivewithMarty.com. For more information
on how to become a guest or clinical tip
expert, send an e-mail inquiry to info@
takefivewithmarty.com. You can also follow
“Take Five with Marty” on Twitter, Facebook
and YouTube.

research and continued training and
education to promote progress in implant dentistry and related fields in order
to better serve the patient. As part of its
scientific mission, the foundation has
assumed patronage of the International
CAMLOG congresses.
As reported by CAMLOG, the conference has already received great attention
in the months leading up to the event. All
pre-conference workshops on Mount Pilatus are already fully booked. However,
participants can still register for other

presentations, as well as for the Saturday,
May 5, CAMLOG party, the organization
said.
Under the motto, “Feel the pulse of
science in the heart of Switzerland,” the
event will take place in Lucerne’s architecturally impressive Culture and Congress Centre, located on the edge of Lake
Lucerne, from May 3-5.
Many well-known speakers will present on a variety of scientific and technical topics with regard to state-of-the-art
implant dentistry.

The papers will cover such topics as innovations in implant-abutment connections, long-term clinical experience with
platform switching, the demographic
shift and aging patients, and current
trends in digital dentistry. In conclusion
of the congress, complex cases with compromised and demanding patients will
be debated in a “Meet the Experts” panel
discussion.
Registration for the congress is still
open. Participants can register at www.
camlogcongress.com.

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[cover] => Implant Tribune U.S. No. 4, 2012

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