today daily Hinman Dental Meeting March 22, 2013
Show news / Scenes from Thursday / Exhibitors
Table of contents
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[1] =>
!
HINMAN
AT
DAILY
DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition
FRIday, MARCH 22, 2013 — Vol. 5, No. 2
www.dental-tribune.com
scenes from hinman
striving for predictability
Support the troops,
enter a raffle, play a game
of cornhole and check out
some classic cars.
Implant positioning in the
esthetic zone is an ages-old
dilemma. Here is some
modern-day advice.
” pages 4 & 5
” page 6
The next 100 years
By Fred Michmershuizen
Dental Tribune
‘Dr. Rick,’ who moves and
shakes, is for sale. Stop by
Sunrise Dental Equipment
(booth No. 2504) to check out
this life-sized figure.
I
t’s the 101st Thomas P. Hinman Dental Meeting, and Atlanta is abuzz
with excitement for the 23,000 dentists, hygienists, assistants and office staff who are gathering from around
the country here at the Georgia World
Congress Center.
In addition to a comprehensive continuing education program featuring
hundreds of opportunities ranging from
hands-on workshops to all-day educational tracks, there’s the exhibit hall,
where nearly 400 companies are presenting some of the latest and most innovative products and services available
in the dental industry.
This year, meeting attendees are being
invited to fill out a postcard saying thank
you to the men and women who are defending our country overseas. To fill out
a postcard, stop by the “Messages to Our
Military” booth in the 1000 aisle. The
outreach effort is sponsored by Hinman
and Bennett Graphics.
Hinman’s raffle prize program is
Photos/Fred Michmershuizen,
Dental Tribune
” See 100, Page 2
Meeting
attendees take
part in a
course
presented by
Dr. Lee H.
Silverstein on
atraumatic
extraction and
socket grafting
Thursday
morning.
Photo/Fred
Michmershuizen,
Dental Tribune
Education in spades
By Kristine Colker, Dental Tribune
If there is one problem with the 101st
Thomas P. Hinman Dental Meeting, it
would have to be that there are so many
educational opportunities, it is difficult
to know where to look first. With more
than 220 courses, including more than
60 hands-on workshops, there is something for everyone and on every topic
imaginable — from Botox and dermal
fillers to social media and pharmacology.
A highlight on Thursday was the “1-on1 at the 101” sessions with Drs. Lee Ann
Brady, Randy Huffines, Jeffrey Okeson
and Jeffrey Rouse. Attendees were able
to meet with these clinicians and ask
questions, discuss case studies and learn
information not shared during their lectures.
Of special interest today is the return
of Dr. Peter Dawson to the Hinman Dental Meeting. Dawson, along with Dr. John
Cranham, the clinical director of The
Dawson Academy, will present the sixhour course, “Timeless Principles in Restorative Dentistry,” starting at 8:30 a.m.
For more information about all the
educational opportunities available, pick
up the Hinman Dental Meeting official
program.
[2] =>
2
show news
“ 100, Page 1
awarding vintage-inspired jewelry, gas
cards, Delta Air Lines tickets, two resort
vacations and more. Look for the couple
dressed in 1950s attire to turn in your
ticket.
New on the exhibit hall floor is a vintage car show that includes the personal
antique cars of several Hinman Dental
Society members.
Many companies this year are offering
new and noteworthy products.
Shofu Dental Corp. (booth No. 2314) is
launching BeautiCem SA, its latest addition to the Giomer family. This new selfadhesive, dual-cure resin cement incorporates Giomer filler particles, providing
high-bond values across all substrates.
The product is designed to give dentists
extra peace of mind for all cementation
needs, as well as simplified placement
procedures, according to the company.
Ad
The main entrance at the Hinman Dental
Meeting is your doorway to education,
products and networking.
Brasseler USA (booth No. 2423), is offering its EndoSequence BC Sealer, a compo-
Dental Tribune Daily U.S. Edition | March 22, 2013
nent of the company’s complete EndoSequence endodontic obturation system,
which incorporates bioceramic nanotechnology. Brasseler says that since its
introduction in 2009, many positive
studies have established BC Sealer as a
new standard for successful endodontic obturation procedures. Unlike conventional sealers, BC Sealer utilizes the
moisture naturally present in dentinal
tubules to initiate its setting reaction.
At PhotoMed (booth No. 1218), you
can learn about polar_eyes, a crosspolarization filter that makes it easy to
eliminate unwanted reflections that are
caused by a flash.
This is just a small sampling of the new
technology, equipment, products and
services for the entire dental staff available here in Atlanta.
The exhibit hall is open today from
8 a.m. to 6 p.m., and tomorrow from 9
a.m. to 3 p.m.
DENTAL TRIBUNE
The World’s Dental Newspaper · US Edition
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 Dental Tribune
Dr. David L. Hoexter d.hoexter@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
Sierra Rendon s.rendon@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
Product & Account Manager
Mara Zimmerman
m.zimmerman@dental-tribune.com
Marketing director
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com
Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
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 Kristine Colker at k.colker@
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. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
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 Dental Tribune?
Let us know by e-mailing feedback@
dental-tribune.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), 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
six weeks to process.
[3] =>
[4] =>
scr apbook
4
Dental Tribune Daily U.S. Edition | March 22, 2013
Scenes from Thursday
Meeting attendees take advantage of an
educational opportunity in a glass classroom
on the exhibit hall floor.
Tom Batz of Aribex (booth No. 923) with the NOMAD handheld X-ray
machine.
Bill Turner, left, and Brian Logan of Shofu Dental Corp.
(booth No. 2314).
The folks at NSK Dental are your handpiece
experts (booth No. 1557).
Be sure to stop by and see Pat Solomon, left, and Jack Solomon about sending a message to our troops. Their table is on the exhibit hall floor.
You can play the cornhole game at Nobel
Biocare (booth No. 2641).
Photos by
Fred Michmershuizen
Dental Tribune
Meeting
attendees stroll
the aisles of the
exhibit hall
Thursday
morning.
Carla Camargo of Palisades Dental
(booth No. 2029).
Dr. Fred Weinstein of Vancouver, British Columbia, from left, with Sue DeNitto and Jack
Burlison of Brasseler USA (booth No. 2423).
[5] =>
Dental Tribune Daily U.S. Edition | March 22, 2013
5
scr apbook
Tyran
Matthews,
left, and
Brent
Headley
of Mudlick
Mail (booth
No. 2643).
Katherine White of Glidewell Laboratories
(booth No. 1022).
Greg Sconce, left, and Faye Sconce of InfoStar (booth No. 1101).
Karen Scales, left, and Emily Fink are
serving up Green Mountain Coffee at Keurig
(booth No. 950).
These classic cars are on display in the exhibit hall.
Jen McGuire of Henry Schein Dental invites
meeting attendees to stop by the Total Care
booth (No. 1017), where free oral cancer
screenings are being offered.
Nadine Bondhus, left, and Joe Mayne
of DentaPure (booth No. 2724).
Meeting attendees learn more about products for oral hygiene at Crest Oral-B (booth No. 1507).
You can give
your raffle
ticket entry
to this couple
dressed in
1950s attire.
Good luck!
Rex Koskela, left, and Tony Aguilar of
PhotoMed International (booth No. 1218).
The exhibit hall floor on Thursday morning.
[6] =>
exhibitors
6
Dental Tribune Daily U.S. Edition | March 22, 2013
Implant position
in the esthetic zone
By Siamak Abai, DDS, MMedSc
Since the advent of modern root form
osseointegrated implant dentistry in
1952, clinicians have strived for improvements in implant positioning in the esthetic zone to achieve predictable restorative and esthetic results.
Years of clinical experience in congruence with controlled clinical studies have helped establish parameters as
a guide for these results. Establishing a
treatment plan and clinical protocol prior to implant placement is paramount.
Treatment planning traditionally begins with comprehensive medical and
dental evaluations, articulated diagnostic casts, radiographs, cone-beam computed tomography (CBCT) scans and
a diagnostic wax-up. Patient demands
must be taken into consideration prior to
surgery, and pre-surgical mockups may
be necessary to convey the information
to the patient.
The advancement of CBCT technology
has led dentistry into a new realm of
dimensional accuracy. In combination
with the use of a surgical or guided stent,
proper 3-D positioning of an implant has
led to more accurate clinical results.
The importance of the implant position can be manifested in the four
dimensionally sensitive positioning
criteria: mesiodistal, labiolingual and
apico-coronal location, as well as implant angulation.1 The ultimate goal is
not only to avoid sensitive structures,
but to respect the established biological
principles to achieve esthetic results.
Mesiodistal criteria
Correct implant position in a mesiodistal
orientation allows the clinician to avoid
damaging adjacent critical structures. A
minimum distance of 1.5 mm between
implant and existing dentition prevents
damage to the adjacent teeth and provides proper osseointegration and gingival contours2–4 (Fig. 1a).
Distances of less than 3 mm between
two adjacent implants leads to increased
bone loss and can reduce the height of
the inter-implant bone crest. A distance
of more than 3 mm between two adjacent implants preserves the bone, giving
a better chance of proper interproximal
papillary height (Fig. 1b).
Labiolingual criteria
An implant placed too far labially can
cause bone dehiscence and gingival recession while an implant placed too far
lingually can cause prosthetic difficulties. A thickness of 1.8 mm of labial bone
is critical in maintaining an implant
soft-tissue profile5 (Fig. 2).
Labially oriented implants compromise the subgingival emergence profile
Here in Atlanta
For more information or to see the Inclusive Tooth
Replacement Solution, stop by the Glidewell Laboratories booth, No. 1022.
development, creating long crowns and
misalignment of the collar with respect
to the adjacent teeth.6
Apico-coronal criteria
Peri-implant crestal bone stability plays
a critical role in the presence of interdental papilla.7 Implants placed too shallow
may reveal the metal collar of the implant through the gingiva. Countersinking implants below the level of the crestal bone may give prosthetic advantages
but can lead to crestal bone loss.
The ideal solution would be the placement of an implant equicrestal or subcrestal to the ridge. However, the existing
microgap at the implant abutment junction leads to bone resorption because of
peri-implant inflammation.8 It is suggested an implant collar be located 2 mm
apical to the CEJ of an adjacent tooth if no
gingival recession is present9 (Fig. 3).
Fig. 1a: Minimum distance of 1.5 mm
between implant and existing dentition.
Photos/Provided by Glidewell Laboratories
Fig. 1b: Minimum distance of 3 mm between
two adjacent implants.
Fig. 5a: Inclusive Tapered Implant
at placement.
Fig. 5b: Inclusive custom healing abutment
in place.
Implant angulation
Implant angulation is particularly important in treatment planning for screwretained restorations. Implants angled too
far labially compromise the placement
of the restorative screw while implants
angled too far lingually can result in unhygienic and unesthetic prosthetic design.
For every millimeter of lingual inclination, the implant should be placed an additional millimeter apically to create an
optimal emergence profile.10 In general,
implant angulation should mimic angulation of adjacent teeth (Fig. 4). Furthermore, maxillary anterior regions require
a subtle palatal angulation to increase
labial soft-tissue bulk.11
Inclusive Tooth Replacement
Solution
Fig. 2: Proper labiolingual placement with
1.8 mm thickness of labial bone.
Fig. 5c: Contoured soft-tissue sulcus after
healing.
Fig. 3: Lateral view of implant placed with
the collar at the level of crestal bone with
adjacent teeth CEJ 2 mm coronal to the collar
of the implant.
The Inclusive® Tooth Replacement Solution was developed by Glidewell Laboratories as a complete, prosthetically
driven method of restoring missing
dentition. The solution is composed of
treatment planning, implant placement,
patient-specific temporization and the
definitive restoration (Figs. 5a–5f).
When utilizing the comprehensive
range of Inclusive Digital Treatment
Planning services, the clinician has absolute and precise control of each step.
The clinician has control of the four dimensions of implant placement in the
esthetic zone, creating a consistently predictable result.
To read the full article, go to www.
inclusivemagazine.com. References are
available from the publisher.
Fig. 5d: Screw-retained IPS e.max® crown
(Ivoclar Vivadent; Amherst, N.Y.) in place.
Fig. 5e: PA to verify seating of crown.
Fig. 4: Proper implant angulation with screw
access in the cingulum area.
Fig. 5f: Buccal view of final restoration at
delivery.
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