today EAO Dublin 2013, 17 Oct

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EAO Annual Scientific Congress 2013 · Dublin · 17–19 October, 2013 Independent news for visitors and exhibitors

16
17
18
“Prosthodontics is often overlooked”

Limited by financial uncertainty

New products in focus

today international had the opportunity to speak
with congress chairman Dr Brian O’Connell, Professor of Restorative Dentistry at Trinity College
Dublin’s dental school and hospital.

The dental implant market in Europe was valued
€1.18 billion in 2012. Analyst Carmen Chan discusses prospects and why Eastern Europe is
poised for the highest growth.

The 22nd Annual Scientific Congress of the European Association for Osseointegration is an excellent opportunity to see state-of-the-art technologies in the field of dental implantology.

»Page 13

»Page 26

»Page 35

Dublin conference discusses future concepts and trends
in dental implant rehabilitation
Thousands expected this week for 22nd Annual Scientific Meeting of the European Association for Osseointegration
Dental rehabilitation using implants has seen significant advancements in the last decade. Trends for
the future of the specialty will be
discussed when the Convention
Centre Dublin opens its doors this
morning for the 22nd Annual Scientific Meeting of the European Association for Osseointegration (EAO).
According to predictions by the organiser, more than 2,000 dental professionals are expected for the
three-day event, which is being held
in the Irish capital for the second
time. In addition to current issues in
the field, like peri-implantitis and
the challenges linked to the treatment of an increasing elderly population, the congress will reflect on
new developments and methods in
the field, such as computer-assisted
implant rehabilitation and tissue regeneration.

Moreover, a number of sessions
will focus on risk factors, treatment
planning and the possibilities of virtual learning techniques. Up to 70
experts from Europe and around the
globe will be speaking at the meeting. Furthermore, the latest research will be presented in the form
of short oral sessions and poster presentations, which will take place between the scientific sessions.
New products for treatment outcomes that are more predictable and
an improved workflow in dental
practices and laboratories are going
to be presented at the industry exhibition, which is being supported by
87 sponsors this year. Among others,
MIS and Henry Schein have announced that they will be showcasing their latest tools for a complete digital workflow. Further-

more, Danish dental solutions
provider 3Shape will have its recently launched TRIOS intra-oral
scanning system on display. New
and improved implant systems will
be presented by Implant Direct and
a number of other companies.
In 1995, the EAO held one of its
earliest meetings in Dublin. Since
then, the prestigious event has
taken place at 17 locations in 15
countries throughout Europe. Last
year’s anniversary meeting in
Copenhagen saw more than 2,500
professionals participating, the
number expected for the 2013 edition in Ireland.
In addition to the Royal College of
Surgeons in Ireland and the Oral Surgery Society of Ireland, the meeting
has received support from the Irish

Society of Periodontology and the
Prosthodontic Society of Ireland.
“In 1995, implant treatment was
provided by a fairly small number of
specialists and access for patients
was limited,” commented Dr Brian
O’Connell, congress chairman and
Professor of Restorative Dentistry
at Trinity College Dublin’s dental
school and hospital. “Now implant
treatment is available in every part
of the country and is provided by a
wide range of practitioners. As a result, awareness has really grown
among the population.”

and tablet computers that is aimed
at giving visitors quick access to congress-related information. Daily
news updates, interviews and product reviews from the show floor are
available on the Dental Tribune website at www.dental-tribune.com. The
newsfeed can also be accessed by
scanning the QR code below.

More information about the
meeting, scientific sessions and
industry exhibition is available
on the EAO congress website. The association has also recently launched
an application for mobile devices
AD

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news

EAO Annual Scientific Congress 2013 · 17 October

Implant dentistry is rapidly evolving
New technology and surgical techniques help avoid complex interventions
By Dr Amit Patel, UK

Contents
· Implant dentistry is
rapidly evolving
» Page 2
· A dental specialty with
tradition
» Pages 3/4
· Welcome message by the
Lord Mayor of Dublin
» Page 6
· Travel/What’s on in Dublin
» Pages 8/10
· Useful information
» Page 11
· Scientific programme
» Page 12
· Interview with
congress chairman
Prof. Brian O’Connell
» Page 13
· Science & Practice
» Pages 14–19
· News
» Pages 22/24
· Implant market news
» Pages 26/27
· Interview with
Nobel Biocare CEO
Richard Laube
» Page 28
· Floor plan
» Page 30
· List of Sponsors
» Page 32
· Product news
» Pages 35–39

About the
Publisher
Editorial/
Administrative
Office

Phone
Fax
Internet

Dental Tribune
International GmbH
Holbeinstraße 29
04229 Leipzig
Germany
+49 341 48474-302
+49 341 48474-173
www.dental-tribune.com

Publisher
Torsten Oemus
Director of Finance
and Controlling
Dan Wunderlich
Managing Editor
Daniel Zimmermann
Product Manager
Claudia Salwiczek
Production Executive Gernot Meyer
Production
Matthias Abicht
This special edition of today international will appear during the 21th annual congress of the European Association for Osseointegration (EAO),
Dublin, 17–19 October, 2013.

The magazine and all articles and illustrations
therein are protected by copyright. Any utilisation
without prior consent from the editor or publisher
is inadmissible and liable to prosecution. No responsibility shall be assumed for information published about associations, companies and commercial markets.
General terms and
conditions apply, legal venue is Leipzig,
Germany.

“Innovation” and “change” are
words that are often used in dentistry. The issue is how to influence
clinicians to implement innovations
and to make the changes to improve
their practice. Implantology is like
any other field of dentistry: every
year there are new developments
and changes in techniques to help us
as clinicians to give our patients
predicable results. In light of the upcoming EAO congress in Dublin, I
would like to share with you my
thoughts on the changes in implant
dentistry, the ever-expanding digital
technology that is available to us and
the new surgical techniques that
help us avoid complex surgery for
our patients.
For some time now, we as implantologists have had CBCT at our disposal. The 3-D view of a treatment
site provides greater accuracy of implant planning and therefore greater
predictability and success (Fig. 1).
The development of custom-made
surgical stents was another evolution from CBCT scans, again allowing
the clinician greater control to place
implants in a far more restoratively
driven way. Utilising a guided surgical protocol makes placing implants
in very difficult and high-risk sites
easier and far more predictable.
Recently, there have been developments in the use of intra-oral scanners to make taking impressions of
dental implants more accurate and
therefore simpler to restore. There
are many intra-oral scanners on the
market, such as the 3Shape TRIOS
and Invisalign iTero scanners (Fig. 2).
A very good friend of mine, Dr Nick
Fahey, a specialist in prosthodontics,
has been a proponent of the use of
digital technology in implant dentistry and dentistry in general. For
several years, he has been pushing
the boundaries to see how he can use
the new technology to make the
treatment process far more efficient
for his patients.
Nick has trained his staff to use
the intra-oral scanner to scan the
teeth to plan the surgery from a virtual model. Then combining the
CBCT scan and the virtual model allows him to plan a virtual surgical
guide for the implant placement. He
invested in a digital printer to produce the custom-made surgical
guides. When all these processes
have been completed, the patient is
then brought in for a surgical appointment for the placement of an
implant utilising guided surgery if
the implant has good stability—this is
assessed using an implant stability
meter with a high ISQ value. The implant head is scanned at the time of
implant placement, and the data is
transmitted and stored by the dental
technician for construction of the implant crown.
Our patients want a replacement
tooth at the end of day. They usually
want it in the fewest appointments
possible and expect the results to be
good. Nick has found that utilising a
digital workflow and involving all
his staff allow for fewer visits to the

Fig. 1: CBCT scan of lower jaw identifying the inferior alveolar nerve and planning implant placement LR65 (teeth 46 and 45). (DTI/Photo courtesy
of Dr Amit Patel, UK)

Fig. 2: Intra-oral scanning of scan bodies and prepared teeth. (DTI/Photo courtesy of Dr Nick
Fahey, UK)

practice, which makes patients both
happy and willing to spend more because they can see the benefits of the
digital technology he is implementing, as well as the efficiency of the final result (Figs. 3a&b).
Another new developing technology in implant dentistry is the availability of genetically engineered human-derived growth factor. For me,
this is an amazing development. It allows us to avoid creating a second
surgical site, from which to harvest
bone from the ramus or the mental
region to augment a future implant
site, thereby reducing morbidity for
our patients.
It is interesting to think to oneself
how many patients that one performs a block graft would recommend to their friends that they undergo the same procedure? I would
say none. The development of
platelet-derived growth factor
(PDGF) and bone morphogenetic proteins has changed the way I practise
and my patients have been happy to
use these new technologies that are
available. While bone morphogenetic proteins are not available in
the European Union, PDGF, which is
used in a site mixed with either demineralised allograft bone or bovine
bone, is. The PDGF initiates angiogenesis and is mitogenic for osteoblast cells, which means the bone

Figs. 3a & b: Scan of tooth 21 and final restoration. (DTI/Photo courtesy of Dr Nick Fahey, UK)

graft is converted into vital bone
very rapidly.
I recently saw a 72-year-old male
patient who wanted implants to replace teeth 11 and 12. There was an
unerupted tooth 13, which would
have had to have been surgically removed were implants to be considered. No bone buccally or palatally
for the placement of implants was
available. A titanium mesh was fixed
to the buccal aspect and rolled
palatally. A bovine bone graft (BioOss, Geistlich) mixed with PDGF was
placed under the mesh and allowed
to heal for a period of four months.
(Figs. 4a&b) On re-entry, very little
Bio-Oss was found, and the bone was
vital when the implants were placed.

I think it is important that as a profession we should evolve with the
new technologies available to us.
This is the only way we can improve
our skills and give our patients the
best results. I always use this analogy when I speak to my patients on
oral hygiene technique. When I ask
if they use an electric toothbrush the
answer is usually no but when I ask
them if they own a smartphone the
answer is usually yes. I then ask why
they do not have an electric toothbrush. It is important for our profession to accept innovations and to see
how they can help improve and
change our daily practice. I have now

Figs. 4a & b: Surgical removal of unerupted 13.
Titanium mesh placed to reconstruct buccal
wall. Second image shows situation four
months post grafting. (DTI/Photo courtesy of
Dr Amit Patel, UK)

invested in a CBCT and an intra-oral
scanner.
Dr Amit Patel is a
specialist on periodontology and implant dentistry. He
currently works as
an associate specialist in periodontics at the University of Birmingham’s
School of Dentistry in the UK.

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news

EAO Annual Scientific Congress 2013 · 17 October

A dental specialty with tradition
The Irish perspective of the practice of and training for oral rehabilitation with osseointegrated implants
By Prof. David Harris, Ireland
Osseointegrated dental implants
were first used in Ireland in 1983.
This early adoption of the innovative clinical technique occurred
when our own team, based at the
Blackrock Clinic, was invited by
Prof. P.-I. Brånemark to become
one of a small number of pioneer
teams worldwide to introduce his
techniques into clinical practice.
The Blackrock Clinic in Dublin, in
association with Trinity College
Dublin and Prof. Daniel van Steenberghe at KU Leuven in Belgium,
became a centre for the provision

istration in Ireland, does not permit the registration or the use of
the term “implant specialist”. A
view has been taken in Ireland that

the range of competencies required to provide the full spectrum
of treatment, both prosthodontic
and surgical, from straightforward

selected single-implant cases to
full mouth rehabilitation involving
advanced surgical procedures,
such as large autogenous bone

grafts and zygomatic implants, is
too wide to allow for this. The suc-

3Shape TRIOS

Prof. David Harris, Ireland
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of advanced courses given by Prof.
Brånemark, with colleagues from
over 40 countries attending. This
collaboration continued over the
years in the areas of research,
teaching and the treatment of patients with large maxillofacial defects and at the European Osseointegration Training Center based in
Leuven.

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Today, oral rehabilitation by
means of osseointegrated implants is widely available in both
private clinics and academic institutions in the Republic of Ireland.
Specialists, prosthodontists, periodontists, oral surgeons and maxillofacial surgeons are extensively
involved in the provision of basic
and advanced treatments. A small
number of general dental practitioners carry out implant surgery
and a larger number choose to provide restorations on implants
placed by specialists. In the vast
majority of cases, a team approach
is encouraged and favoured, with
only a small number of practitioners carrying out both aspects in
more straightforward cases.
In Ireland, implant dentistry is
not recognised as a specialty in its
own right, nor is there any proposal to do so at the moment. It is
appreciated that in some European countries such a specialty exists and, occasionally, some of
these dentists from the European
Union set up practice in Ireland.
The Dental Council of Ireland, who
is the competent authority for reg-

page 3

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Use TRIOS® with your iPad, laptops, PC’s in your treatment
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We can’t wait to meet you!
We welcome you to our booth at EAO in Dublin, where you can see
live demos, try our products and much more.
Follow us on:

Booth S21

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news

EAO Annual Scientific Congress 2013 · 17 October

nent of the specialty training programmes provided by universities.

page 3

cessful treatment of some patients
will require all the skills and training of collaborating specialists to
provide optimum patient care.

Undergraduates have access to
lectures and demonstrations. They
are also assisted in the treatment of
patients and many may have a supervised opportunity to carry out a
restoration on an implant. The focus is to provide undergraduates
with a thorough understanding of

Training programmes in implant procedures are available
from various sources in Ireland.
Implantology is, however, considered a postgraduate subject. Comprehensive training in implant procedures is an important compo-

Continuing education in dental implantology is centered at Trinity College. (DTI/Photo
Pavel L/Shutterstock)

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the role of implants in dental practice and the range of skills that may
be required for successful diagnosis, treatment and maintenance.
This allows them to understand
what will be involved in continuing
their training after graduation. The
emphasis is always on the value of
a team approach in providing the
best care for patients.
Basic training courses for general practitioners are available as
well. They are often sponsored by
different companies and are provided by specialists. These events
include short courses on restoration and extended courses on surgery. Some practitioners choose to
travel abroad for training, whereas
others prefer to avail of local training with specialists who usually
provide a mentoring service or
membership of a study group to
help with diagnosis and determining the suitability of cases for treatment. This latter approach is particularly helpful to the novice surgeon
or prosthodontist, as it allows for a
gradual, ongoing transfer of knowledge as experience builds up.
Continuing professional development in implantology is well
catered for with the provision of excellent lecture programmes at
Trinity College Dublin, University
College Cork and the Faculty of
Dentistry at the Royal College of
Surgeons in Ireland, often with the
help of a prestigious international
faculty. Additionally, implant dentistry features regularly in the scientific programmes promoted by
the Irish Dental Association and
the various specialist societies.
Many specialists have completed
their training abroad in USA, the
UK and other regions in Europe.
This has greatly enriched the
knowledge pool for teaching and
practice. Irish dentists are also enthusiastic attendees and contributors at the larger overseas implant
meetings in both the USA and Europe, especially the EAO.
Over the years, implant companies have always been encouraged
to support the organisations listed
above rather than providing direct
training courses themselves and
this has worked to the advantage of
all concerned. From time to time,
companies will have open meetings with overseas speakers to promote a new product or technique.
Patients and dentists in Ireland
have benefited from the early involvement in this exciting treatment modality, as well the generous and helpful collaboration with
many of the implant pioneers over
the years. Ireland was among the
first countries to host an EAO meeting and the return of EAO to Dublin
in 2013 is especially welcome. The
training and regulatory structures
outlined above have worked well
for the small country. It has ensured
a high standard of treatment and
care for patients, as well as professional and excellent collaboration
between the various dental professionals and laboratories involved.
Prof. David Harris is the Clinical
Director at Blackrock Clinic Dental
Specialties in Dublin. He also
serves as Scientific Chairman of
this year’s EAO Annual Scientific
Congress.

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travel

EAO Annual Scientific Congress 2013 · 17 October

C Céad Míle Fáilte—A hundred thousand “welcomes”
A welcome message by Oisín Quinn, Lord Mayor of Dublin
I welcome all those attending
the 22nd Annual Scientific Congress of the European Association
for Osseointegration here in the
capital of Ireland and express my
gratitude on behalf of the city to
you for choosing Dublin as the

2013 destination for your prestigious event in the field of dentistry. This important conference
will highlight real and emerging issues for an ageing population, including the long-term maintenance of dental implants. I extend

this welcome to the 70 international speakers and 3,000 delegates who are attending from all
corners of the world. I understand
it may well be the first time that
many of you will be visiting
Dublin. So, in our Irish language I

call out a Céad Míle Fáilte (a hundred thousand “welcomes”) to you
all.
Dublin has changed immeasurably over the past decades. There
has been a dramatic transforma-

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Oisín Quinn, Lord Mayor of Dublin. (DTI/
Photo courtesy of the City of Dublin, Ireland)

tion of the city landscape with a fusion of old and modern architecture. The venue for your congress,
the Convention Centre Dublin, is a
recent addition to our city but has
already achieved iconic status in
the landscape of the city. These
days Dublin ranks among the top
tourist destinations in Europe, and
our vibrant city is a very special
historic and exciting capital city,
renowned for its warm and welcoming people. The medieval,
Georgian and modern architecture
provides an intriguing backdrop to

The Convention Centre Dublin was officially opened in 2010. (DTI/Photo courtesy of
CCD, Ireland)

this cosmopolitan city, famous for
its musical, theatrical and literary
traditions. In July 2010, Dublin became the fourth UNESCO City of
Literature and it is a designation in
which we take great pride. I hope
you have the opportunity to experience all that Dublin has to offer
and enjoy the craic for which we
are world famous.

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I hope that all of you will return
to your respective practices enriched by this congress and your
experience of Dublin. It is a wonderful opportunity to learn about
new products and the latest innovations developed by the top dental implant companies worldwide.
A congress like this provides excellent opportunities to meet, interact
and share views with your peers
from around the world, and I hope
it will prove to be a successful
event for you all.
I know for some of you this conference will also be an opportunity
to present your original research
and clinical developments through
the media of posters, presentations
and research competitions, and I
wish you all the best with your
work. As Lord Mayor, I look forward to welcoming you back to
Dublin and Ireland again.

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travel

8

EAO Annual Scientific Congress 2013 · 17 October

A true Irish landmark
Once a home for retired soldiers, the Royal Hospital Kilmainham in Dublin is now a centre for the arts
By Daniel Zimmermann, DTI
 At the Royal Hospital Kilmainham in Dublin, military discipline
was strictly observed. When a secret passageway to a nearby pub
was discovered in the Royal Hospital in 1736, it was quickly walled
up, according to contemporary witnesses, preventing the pensioned
soldiers from sneaking a quick pint
between drills. Despite being denied this occasional jaunt, however, life for retired British soldiers
at the hospital was comfortable. In
contrast to the struggles of daily
life in the rest of the Ireland, residents were well fed, and had
proper accommodation and a regular income of two pence a week until the facility ceased operation in
1929.
Since then, the building was
considered for many purposes, including housing the Oireachtas,



(DTI/Photo Gabriela Insuratelu, Romania)

AD

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the Irish parliament, and a school
for creativity by German performance artist Joseph Beuys. Nowadays, it not only houses the Irish
Museum of Modern Art, but is also
regularly used as banquet venue
for corporate events, like the European Association for Osseointegra-

Louis XVI, the building served as a
home for pensioned soldiers who
had helped the Duke and his predecessors maintain English rule in
Ireland until the early 1920s, when
it was finally handed over to the
Irish Free State after the Irish Civil
War had ended. Originally considered for the seat of the newly
formed Irish parliament under
Prime Minister W.T. Cosgrave, it
was decided to leave this role to
Leinster House at Kildare Street, a
former ducal palace in Dublin’s
city centre, which has remained
the seat of Ireland’s parliament until this very day. Although the
Royal Hospital was used as the
headquarters of Ireland’s police
force, An Garda Síochána, during
most of the 1930s to 1940s, it was finally abandoned in the early 1950s
and slowly deteriorated.
From there, it took more than 30
years before it found a new purpose as the new National Centre for
Culture and the Arts. The opening
of the Irish Museum of Modern Art,
which regularly exhibits works by
contemporary artists from Ireland
and around the world, was celebrated in 1991, but not without controversy owing to several structural changes to the building itself
done by the City of Dublin. In recent years, the venue has increasingly been used for concerts and
other cultural events. Among other
ensembles, Britpop band Blur
played here recently, as well as legendary Italian composer Ennio
Morricone. The building’s military

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(DTI/Photo William Murphy, Ireland)

tion’s gala dinner, which will be
taking place tonight in the historical building. The hospital’s name,
which is also the name of the west
Dublin area surrounding the compound, was derived from the Early
Christian Saint Maighneann and
the seventh-century monastery
dedicated to him that was located
at the site before it was demolished
during the Norman invasion of Ireland in order to make place for a
medieval hospital, on which foundations the current building
stands today. Several burial
grounds were also laid out at the
site, including one of Dublin’s oldest cemeteries, where the shaft of a
large tenth-century granite cross
can still be viewed.

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Built for the First Duke of Ormonde, James Butler, an English
nobleman and Lord-lieutenant of
Ireland to King Charles II, at the
city gates of seventeenth-century
Dublin, the classic continental
building complex, which also features a French-style formal garden,
is still considered by many as one
of the most impressive structures
in Ireland. Modelled on the L’Hôtel
national des Invalides, which was
completed a few years earlier in
Paris under the patronage of King

past is still kept alive, as a wreath is
laid in the courtyard every year in
memory of all Irishmen and Irishwomen who have died in past wars
on the National Day of Commemoration, the anniversary of the truce
that ended the Irish War of Independence.
On a lighter note, having a pint
at the nearby Black Lion pub in Emmet Road in Inchicore however is
no longer considered improper behaviour.
While free guided heritage
tours of the premises are only available during the summer season, a
permanent exhibition can be visited all year round. Reopened last
week after refurbishments, the
Irish Museum of Modern Art is
open to visitors all week until
17:30, except on Mondays. Current
exhibitions include those of
British-Mexican surrealist painter
Leonora Carrington and Eileen
Gray, one of the most celebrated
and influential designers and architects of the twentieth century.
Admission is free for those with a
valid Dublin Pass, which can be
purchased online and at the
tourism centre in Suffolk Street
near Trinity College Dublin.

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travel

10

EAO Annual Scientific Congress 2013 · 17 October

What’s on Thursday, 17 October 2013

stage.com Awards, including Best
New Musical, and two BroadwayWorld UK Awards.

Priscilla, Queen of the Desert
(musical)

Save the Last Dance for Me
(musical)

journey to the heart of fabulous.
Starring 1980s’ teen sensation Jason
Donovan in the main role, the show
recounts the heartwarming, uplifting adventure of three friends who
hop aboard a battered old bus
searching for love and friendship
and end up finding more than they
had ever dreamed of. The show has
earned a number of honours recently, including four Whatson-

Time: 18:30
Venue: Bord Gáis Energy Theatre,
Grand Canal Square
www.bordgaisenergytheatre.ie
Playing in Dublin for two weeks
only, this international feel-good musical based on the 1994 Australian
cult movie with the same name is a



The Ambassador Theatre Group Ltd.

AD

CAD/CAM
  



   

Time: 19:30
Venue: The Gaiety Theatre,
South King Street
www.gaietytheatre.ie
“For the first time without their
parents, the siblings embark on a
holiday to the seaside. Full of freedom and high spirits they meet a
handsome young American who invites them to a dance at the local US
Air Force base…But young love and
holiday romance is never as simple
as it sounds, and the sisters soon realise that while the world around
them is still watching itself in black
and white, life and love can be much
more colourful.” (Quotation from the
press release.)
From the creators of the successful Dreamboats and Petticoats, Save
the Last Dance for Me takes the audience back to the early 1960s, when
rock ’n’ roll was becoming a lifestyle.
The soundtrack features the classic
hits of Doc Pomus and Mort Shuman,
who also wrote the title song first interpreted by the Drifters.

Stewart Agnew (music)
Time: 20:00
Venue: The Workman’s Club,
10 Wellington Quay
theworkmansclub.com



(DTI/Photo courtesy of The Workman’s
Club, Ireland)

Irish singer-songwriter Stewart
Agnew will be performing at the
Workman’s Club in Jamestown
tonight as the first stop of his short
Ireland tour. According to his website, he works stylistically in the vein
of classic Americana musicians like
Ryan Adams, Ray LaMontagne, and
the Pernice Brothers. Having just released a new EP, Agnew is expected
to launch his fourth album early
next year.

CRC Comedy Night



Time: 20:00
Venue: The Olympia Theatre,
72 Dame Street
www.olympia.ie

 

I would like to subscribe to CAD/CAM (4 issues per year) for
€44 including shipping and VAT for German customers, €46 including shipping and VAT for customers outside Germany, unless a
written cancellation is sent within 14 days of the receipt of the
trial subscription. The subscription will be renewed automatically every year until a written cancellation is sent to Dental
Tribune International GmbH, Holbeinstr. 29, 04229 Leipzig,
Germany, six weeks prior to the renewal date.

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Séan Nolan, David O’Doherty and
James Walmsley are just some of the
names that have recently made their
mark on the Irish comedy scene.
With over 12 acts on one stage in one
night, the annual CRC Comedy Night
in aid of the Central Remedial Clinic
has hosted some of the biggest
names in Irish comedy over the last
16 years, including Tommy Tiernan,
Ardal O’Hanlon, Des Bishop and
Neil Delamere. With
Naked Camera front
man P.J. Gallagher
in the lead this year,
the show will feature many established and upcoming comedians on the
scene today.


(DTI/Photos courtesy of Lisa
Richards, Ireland)

[11] => Anzeigen Stand DIN A4

travel

EAO Annual Scientific Congress 2013 · 17 October

Useful information
•Opening hours
of the exhibition
Thursday, 17 October:
9:00–19:00
Friday, 18 October:
8:30–19:00
Saturday, 19 October:
8:30–14:00

•On-site registration
The welcome desk is located at
the entrance. Here you can register and/or collect your congress
badge. The normal fee for attending the congress is €770, which
includes admission to all congress sessions, poster areas, the
exhibition and the opening ceremony. Special rates apply to
members of the EAO and national
societies, including the Royal
College of Surgeons in Ireland,
the Prosthodontic Society of Ireland, the Irish Society of Periodontology and the Oral Surgery
Society of Ireland, as well as undergraduate students who present valid identification. Payments can be made in cash, as
well as by cheque or credit card
(VISA and MasterCard).

•Official language of the
congress
The official language of the congress is English.

•News and information
Dental Tribune International will
provide round-the-clock independent coverage of this year’s
Annual Scientific Congress of the
EAO through its print and online
publications. A special daily edition of the today international
congress newspaper will be distributed by hostesses outside the
Convention Centre Dublin. For
more news and updates, you can
access the online newsfeed at
www.dental-tribune.com or scan
the QR code below with your mobile Internet-capable device.

•Internet
Free Wi-Fi, provided by Bespoke
Internet Solution, is available
throughout the Convention Centre Dublin.

•Banking and money
Although there are no ATMs
within the Convention Centre
Dublin, you can find plenty in the
surrounding area. The Bank of
Ireland, for example, maintains
one of its branches in nearby
Mayor Square, which is open
from 8:30 to 16:00 during weekdays. A number of ATMs are also
available at nearby convenience
shops and retail stores, such as
SPAR and MACE, both located in
Mayor Street.

•Food and beverages
The EAO will serve lunch and coffee for registered delegates inside the exhibition and the poster
presentation area.

(DTI/Photo Bartkowski/Shutterstock)

will help you with information on
sights, tours and accommodation. You can also purchase a
Dublin Pass there, which starts at
€19 and gives you free access to
30 attractions in the Irish capital
for a limited period, as well as a
one-way trip to the airport by
coach.
The Centre can be also reached
by phone at +353 1 605 7700.

•Tourist information
Located in Suffolk Street near
Trinity College Dublin, the
Dublin Discover Ireland Centre

•Emergency numbers
Police, fire and ambulance:
112 or 999
AD

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12

science & practice

EAO Annual Scientific Congress 2013 · 17 October

Congress programme of the
nd
22 Annual Scientific Meeting of the EAO
Thursday, 17 October

Poster Presentation
(Poster Area)

13:45–16:30
Planning for Success—
How to Make it All Go Right
(Plenary Session, Auditorium)
– Minimising errors in implantology: prevention vs. intervention
Mark Pinsky, USA
– Simple methodology for successful planning in implant dentistry
David Sarment, USA
– Can we depend on generally held
beliefs in implant dentistry
Anselm Wiskott, Switzerland
Emerging technologies in tissue
regeneration that can enhance
patient care
(Parallel Session, Liffey B)
– The future of stem cells and tissue engineering
Ivo Lambrichts, Belgium
– Future developments in implant
surfaces: can they enhance clinical outcomes?
Peter Thomsen, Sweden
– Recent developments in bone
substitutes and membranes
Simon Storgard Jensen, Denmark
– Should implants have a periodontal ligament?
Philippe Gault, France
– 3-D tissue regeneration: is it fantasy or reality?
Isabella Rocchietta, Italy



(DTI/Photo Annemarie Fischer, Germany)

14:00–16:30
Short Oral Communications
(Wicklow)

Friday, 18 October
8:30–10:00
Learning and sharing clinical
dentistry in a virtual world
(Parallel session, Liffey B)
– Application of today’s technology towards e-learning
Brian Millar, UK
– Future trends of dental education
Nikos Mattheos, China
– Digital platforms from a developer’s point of view
Florian Schober, Switzerland
– Privacy and E-Health –
Legal aspects
Yvo Vermylen (Belgium)

09:00–12:30
Peri-implantitis—
A growing problem or a
manageable complication
(Plenary Session 2, Auditorium)
– Rethinking implants as foreign
bodies
Torsten Jemt, Sweden

– Physiological bone remodelling—
systemic and local risk factors
Reinhard Gruber, Switzerland
– Peri-implant diseases-systemic
and local risk factors
Stefan Renvert, Sweden
– Peri-implant bone loss related to
cement -and screw-retained prostheses
Paolo Vigolo, Italy
– Can soft tissue augmentation minimise the risk of peri-implantitis?
Gerhard Iglhaut, Germany
Short Oral Communications
(Wicklow Hall)

11:00–12:30
Risk Factors in
Implant Dentistry
(Parallel session, Liffey B)
– Surgical Causes of Neuropathic
Pain
Keith Smith, UK
– Does mechanical loading affect
implant prognosis?
Joke Duyck, Belgium
– Update on Bisphosphonate Therapy and Implant Surgery
Carlos Madrid, Switzerland
– Is Smoking Still a Risk Factor?
Raffaele Cavalcanti, Italy

14:00–16:30
Treating the partially edentate

resorbed posterior maxilla
(Plenary session, Auditorium)
– Restorative Options for the Posterior Maxilla: Possibilities and
Limitations
Henny.J. Meijer, The Netherlands
– The Lateral Osteotomy Approach
in Sinus Augmentation: Possibilities and Limitations
Friedrich W. Neukam, Germany
– The Transalveolar Approach in
Sinus Augmentation: Possibilities and Limitations
Marc Quirynen, Belgium
– Are Short Implants a Reliable Option? Possibilities and Limitations
David Nisand, France
– The Role of Zygomatic Implants:
Possibilities and Limitations
Ruben Davo, Spain
Replacing a missing incisor
(Parallel session, Liffey B)
– Clinical Techniques for Predictable Results
Franck Bonnet, France
– Management of Gingival Recession on Adjacent Teet
Markus Hurzeler, Germany
– Is Immediate Implant Placement
Worth the Risk?
Mariano Sanz, Spain
– The role of Socket Preservation
Mauricio Araujo, Brazil
– Restorative Options for Aesthetic
Defects
Irena Sailer, Switzerland

Short Oral Communications
(Wicklow)

Saturday, 19 October
9:00–12:20
Implants in an ageing
population
(Plenary session, Auditorium)
– Twenty First Century Science
and the impact of Global Ageing
Rose Anne Kenny, Ireland
– Is Old Age Compatible with Oral
Health?
Angus Walls, UK
– Surgical Challenges in the Treatment of the Elderly
Tara Renton, UK
– Simplification of Surgical Procedures: The Immediately Loaded
Single Implant-Retained Mandibular Overdenture: A 9–10 Year
Review of a Prospective Study
Glen Liddelow, Australia
– Simplification of Prosthetic
Treatment: Options and Complications
Frauke Muller, Switzerland
Emerging technologies in
computer assisted implant
rehabilitation
(Parallel session, Liffey B)
– Digital Planning and CAD/CAM
Materials in Implant Prosthodontics
Petra Guess, Germany
– Developments in Digital Implant
Impressions
German Gallucci, USA
– Advances in CAD/CAM Technologies
Vincent Fehmer, Switzerland
– Extending the Boundaries of
Computer Assisted Rehabilitation
Lawrence Brecht, USA
– Emerging Developments in 3-D
Imaging and 3-D Printing Technologies
Andrew Dawood, UK
– A view of the Future: Closing remarks
Matts Anderson, Sweden)
Short Oral Communications
(Liffey Hall 2)

13:30–15:00
Extended Defects in the
Aesthetic Zone—Dreams, Nightmares, Reality
(Plenary session, Auditorium)
– Is Hard and Soft Tissue Grafting
the Key to Success?
Ronald E. Jung, Switzerland
– Clinical Procedures to Achieve
Predictable Aesthetics
Stefano Gracis, Italy
– Designing Restorations to
Improve Aesthetic Outcomes
Mauro Fradeani, Italy
– How to Deal with Aesthetic Complications
Ueli Grunder, Switzerland
Dates and times are subject to
change. Last update was 7 October,
2013.

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EAO Annual Scientific Congress 2013 · 17 October

science & practice

“Prosthodontics is often overlooked”
An interview with congress chairman Prof. Brian O’Connell, Ireland
In the 1990s, Dublin was one of
the first cities to ever host the Annual Scientific Congress of the EAO.
This year marks not only the return
of the prestigious dental event, but
will also provide an interim window to the developments in dental
implantology over the last 18 years.
today international spoke with congress chairman Dr Brian O’Connell,
Professor of Restorative Dentistry
at Trinity College Dublin’s dental
school and hospital, about public
awareness of dental implants in Ireland, his expectations for the event,
and what attendees will be able to
take home from it.
today international: The EAOcongress in Dublin is expected
to be as well attended as last
year’s congress in Denmark.
How has registration been going
so far?

plant surgery, and is this small
number relevant to the congress whatsoever?
The number of dentists in Ireland providing implant treatment
has grown quickly in the past ten
years or so. Now several hundred
practitioners are involved in implant treatment and many have
gained further qualifications in
the field. There has always been
significant demand for training
and learning here, and so attending
conferences like EAO is seen as a
great opportunity to meet colleagues and see the latest developments. Irish dentists will not be the
largest group at EAO but I assure
you they will be the most enthusiastic.
This year will be the second
time that the EAO Annual Scientific Congress will be held in the

every part of the country and is
provided by a wide range of practitioners. As a result, awareness has
really grown among the population—many patients ask about
“screw-in teeth”.
This year’s scientific programme focuses primarily on
future trends in implantology.
What are the most important
developments besides digitalization of treatment processes,
and in your opinion at what
stage is the field with regard to
implementing them in daily
practice?
Particularly from a prosthodontic point of view, the development
of a completely digital workflow is
very interesting, but I think it will
need to be refined before it is
widely applicable and really motivates practitioners to switch over.

“…the development of a completely
digital workflow is very interesting…”
Prof. Brian O’Connell: We are
very happy with the early registration for the congress, which is similar to recent years. We expect at
least 2,000 delegates to come to
Dublin, and it is not too late for
those who have not yet decided to
attend the event.
Of all past host countries, Ireland probably has the smallest
dental work-force. Are there
any statistics on how many dentists in the country perform im-

Irish capital. Do you remember
the first event in 1995, and in
what way has the field evolved
in the last 18 years?
It was largely due to my colleague David Harris that the EAO
conference came to Ireland in
1995, as he was a founding member
and is an active contributor to the
association. At that stage, implant
treatment was provided by a fairly
small number of specialists and access for patients was limited. Now
implant treatment is available in

On the surgical side, there will no
doubt be continued developments
in tissue engineering, with improved grafting materials and
techniques, and further improvements in providing implants in the
more challenging clinical situations.
Statistics from the EAO show
that almost two in three attendees perform both implant surgery and prosthodontics. Did
you consider this when you

were developing the
programme?
This was very much
on our minds and we
tried to have a restorative input in each session, rather than treat
it as a stand-alone
topic. This aspect is often overlooked and so
we have included presentations on restorative planning, aesthetProf. Brian O’Connell, Ireland (DTI/Photo courtesy of Trinity
ics, risks, and compli- College,
Ireland)
cations. I hope that
those who are not involved in prosthodontics will also What will be the main concepts
take the opportunity to learn about that delegates can expect to
these aspects. Attendees will learn take home from this year’s conabout the restorative considera- gress?
tions in relation to the various surWe hope that delegates will see
gical situations.
an integrated assessment of specific clinical situations, including
This Saturday, a plenary session missing incisors, aesthetic dewill be dedicated to implants in fects, and the edentulous postean ageing society. Why did you rior maxilla, that they can directly
choose this particular subject, apply to their own practice. Some
and what are the main chal- very talented clinicians will be
lenges for clinicians in this re- sharing their expertise in managgard?
ing these difficult cases. AttenEurope has a generally ageing dees will also learn about the latpopulation, who may have the est evidence on risk factors and
greatest demand and need for den- complications of implant treattal implant treatment in the future. ment.
Evidence suggests that the majority remain healthy and active for
New developments in technolmuch longer than we may have be- ogy will be highlighted, so we will
lieved. We need to learn much have a glimpse of tomorrow’s pracmore about the specific require- tice. Most of all, we hope that delements of the older population and gates will enjoy the interaction
be aware of the risks as well. Often with speakers and colleagues,
assumptions about older people make some new friends and exare inaccurate. Although they may plore our wonderful city.
less demanding about their needs,
they frequently respond well to im- Thank you very much for this
plant treatment.
interview.

Creating a new paradigm
Three-dimensional tissue regeneration could soon be clinical reality
By Dr Isabella Rocchietta, Italy
It is an undeniable fact that implant treatment has modified treatment planning and outcomes dramatically. Implant treatment has
been modified over the years, from
surgical techniques to material, all
of which aim at a theoretical perfection of treatment. However, one of
the major endeavours in implant
dentistry is still the aesthetic result
of the final prosthetic restoration.
Therefore, implant positioning is
now driven by prosthetic demands
and requirements rather than the
quality, quantity and morphology of
the available bone.
In view of this, a correct diagnosis
based on a multidisciplinary approach, including periodontal, prosthetic and surgical parameters, is
crucial, as well as the assessment of
the anatomical site where the implants will be placed. We are faced
with a high number of alternatives
when it comes to treatment planning and often we find ourselves
confronted with the dilemma of

whether the treatment plan should
contemplate bone regeneration after a meticulous diagnosis. If we decide on it, questions about the appropriate technique and material remain. This is particularly applicable
to border-line cases, where the final
aim may be achieved via a more
pragmatic approach than bone regeneration. However, there are clinical conditions or anatomical sites
where an adequate volume of bone
is mandatory in order to allow implant treatment. Such areas include
the maxillary molar and premolar
region, where only a reduced alveolar process may separate the maxillary sinus from the oral cavity, and
the corresponding mandibular region, with its mandibular nerve
canal.
Moreover, a large inter-arch
space alters coronal length and
form, and produces an unfavourable
crown-to-root ratio in the final prosthetic reconstruction. The latter
may result in an aesthetically unac-

ceptable final prosthetic restoration, and/or lead to difficulties in performing adequate oral hygiene
regimes, hence potentially jeopardising the long-term prognosis.
In the past decade, many predictable techniques have been proposed in the literature to augment
deficient alveolar ridges both horizontally and vertically, and/or to enhance bone deformities in conjunction with or prior to implant placement. Bone regeneration has been
further improved through the introduction of barrier membranes that
are more effective and osteoconductive/osteoinductive biomaterials
and the development of new surgical procedures. However, predicable bone regeneration in challenging cases still remains unsolved.
Bone regeneration has embraced tissue engineering to overcome demanding cases. The concept lies in having a 3-D scaffold that
holds specific signalling molecules

in situ, which attract
the host cells that form
the tissue, that is, bone.
It has been demonstrated that alveolar
bone regeneration is
possible following this
concept. The principal Dr Isabella Rocchietta, Italy
aim in hard-tissue regeneration would be to eliminate association with digital technology
the need for autogenous bone har- and its application to clinical surgivesting and possibly eliminate the cal procedures will soon create a
non-resorbable membrane, which new paradigm.
consequentially leads to a less demanding surgical procedure and a Dr Isabella Rocchietta is currently
significant improvement in patient performing clinical work in periodontics and implant dentistry in London
morbidity.
in the UK. She is also affiliated with
Moreover, the advent of digital the Institute for Clinical Sciences’ Detechnology in the form of 3-D print- partment of Biomaterials at the
ing has aroused the enthusiasm of Sahlgrenska Academy of the Univerclinicians and researchers, who are sity of Gothenburg in Sweden. This afin the process of assessing its poten- ternoon, she will be presenting a lectial application to tissue regenera- ture titled “3-D tissue regeneration: Is
tion. Currently, it is used as a diag- it fantasy or reality?” during the parnostic and surgical tool to improve allel session as part of the conference
overall surgical performance. The programme of the 22nd Annual Scienmaturation of tissue engineering in tific Meeting of the EAO in Dublin.

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science & practice

EAO Annual Scientific Congress 2013 · 17 October

Periodontally integrated implants: Reality or fiction?
By Dr Philippe Gault
The periodontal ligament (PDL)
is the natural connection between
the tooth root, the alveolar bone
and the gingiva. It has several biomechanical characteristics that osseointegrated implants do not
have. For example, its flexibility
provides a damping effect, which

protects the enamel from occlusal
shocks. Furthermore, the PDL
helps to avoid overloading by distributing the masticatory pressure
over groups of teeth. When overloading occurs, its proprioception
blocks the muscular action by a
neuronal reflex.

Periodontal cells possess the
best capacities for physiological
tissue remodelling of all structural
tissue cells. This characteristic is
important to adapt the position of
teeth during growth or orthodontic
treatment continuously, as well as
for compensation of occlusal and

proximal enamel attrition over the
entire lifetime. Histological studies
about tooth orthodontic displacement and tooth transplantation
have demonstrated the biological
dynamism of the PDL. The tissue
can be destroyed and rebuilt in
three weeks. Tooth transplanta-

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Dr Philippe Gault

tion with double PDL stimulation is
one of the best examples of its healing capacity. Fourteen days before
the transplantation, the donor
tooth is extracted and immediately
replanted in its original alveolus.
This deliberate trauma triggers a
healing process within the PDL,
which includes cell proliferation
and differentiation. The in vivo cell
culture reaches its peak of activity
after 14 days, after which the trans-

plantation of the tooth can be performed with millions of cells in full
activity attached to its root by new
Sharpey’s fibres.
The success rate of tooth transplantation with double PDL stimulation is 95 % after ten years. With
the activated cell population holding great capacity for the regeneration of bone and gingival attachment around the transplanted
tooth, this surgical procedure fulfils all the criteria for good tissue
engineering. Using this model in its
biological and clinical aspect, we
think it is now possible to obtain a
similar cell culture around an artificial root using tissue engineering
techniques. These cells are easy to
sample from the root surface of a
compromised and extracted tooth,
as well as to harvest in vitro. The
cells used are autologous and each
implant with its own cell population is prepared in a laboratory.
The cell culture needs about four
weeks to grow, and enables the
alveolus of the tooth to be replaced.
A preliminary experiment on
athymic mice with human PDL
cells around porous hydroxyapatite blocks in subcutaneous localisation demonstrated that the har

page 16

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One? Or two stage?
Immediate?
Early? Or delayed loading?
Resonance Frequency Analysis as a technique to
measure implant stability and osseointegration is
fast becoming a global diagnostic standard. With
more than 500 articles published in scientiﬁc journals it is a proven scientiﬁc method as a guide to
predictable surgical and restorative protocols.

Manage implants at risk
You’ll ﬁnd Osstell ISQ especially valuable for
achieving more predictable outcomes when treating higher risk patients and implants at risk for
failure due to poor integration. Osstell gives you
an early warning, as a decreased ISQ value, if
osseointegration isn’t progressing as expected.
It can help you avoid costs of an implant failure
or redoing a crown due to premature loading.
Osstell can also assist you in being more conﬁdent

about treating patients with risk factors, more
predictably.

Reduce treatment time
If the initial mechanical stability is high enough
a one-stage approach is often used together with
immediate- or early loading. By measuring again
before the ﬁnal restoration, and comparing that
value to the baseline value taken at placement, the
decision whether to proceed or not is made quick
and easy.
With Osstell as a part of your quality assurance
system it’s also easier to explain treatment planning and healing time to your patients and
colleagues. Now Osstell brings you and your
patient new certainty.
Your guide to
Predictable surgical and restorative protocols

Welcome to the Osstell Scientiﬁc Symposium!
Manage risk patients and reduce treatment time.
Clinical guidelines and new ﬁndings.
SPEAKERS
Micro-motion, torque, and ISQ – How do
you want to diagnose your primary stability?
Dr. Michael Norton
BDS FDS RCS(Ed) Specialist in oral surgery, UK

Resonance frequency analysis of dental implants
in simultaneous sinus ﬂoor elevation after
eight weeks.
Dr. Ulrike Kuchler
MD, DMD Klinik für Oralchirurgie und Stomatologie
Zahnmedizinische Kliniken der Universität Bern

MODERATOR
Prof. Wilfried Wagner
Department for oral and maxillofacial
Surgery - plastic surgery Medical
Center University of Mainz

Friday Oct 17
7.45 am - 8.45 am
at the EAO in Dublin
Liffey Hall 2

[16] => Anzeigen Stand DIN A4

science & practice

EAO Annual Scientific Congress 2013 · 17 October

“Human error is inevitable”
An interview with EAO presenter Dr Mark Pinsky, USA

As a full-time A330 airline captain
who flies internationally, former
dentist Dr Mark Pinsky from Ann
Arbor in Michigan knows a great
deal about errors and their possible
consequences. Although piloting a
plane and performing dental procedures require completely different

(DTI/Photo argus )

skill sets, they have common
ground when it comes to application of these skills, he says. today international had the opportunity to
speak with him about the sources of
error in implant dentistry and the
tools currently available to minimise the risks.

“The reality is that errors
can occur at any phase
of implant placement.”

Pinsky treating a patient. Situational awareness is a big risk factor in dental implantology,
according to him.

page 14

vested cells retained their capacity
to mineralise and deposit a cementlike layer with anchored fibres.
Numerous biomaterials have
been tested and found to be the most
suitable, among them bioglass, alumina, zirconia, plastics and titanium. Tests have also been conducted on surface preparations. In a
human trial, a regular hydroxyapatite layer was created by crystallisation in a simulated body fluid after thermal treatment of the titanium pins. After primary culturing,
cells were seeded on the conical titanium implants and cultured in a
bioreactor for three weeks.
The objective of this trial was to
evaluate the safety of the process.
Nine Ligaplants were placed in
nine patients with autologous cell

cultures. One patient was not able
to complete the test for personal
reasons. No systemic or local adverse effects were observed during
the trial.
Follow-up trials could give us an
idea about the efficacy of the
process. The hygiene conditions
and control of forces on the Ligaplants is much easier to control in
humans than in animals. However,
Ligaplant healing appears to be
much slower than with tooth transplantations, and the first series of
Ligaplants suffered occasional
overloading, which compromised
their preservation. The last series
received a splint and could be preserved much longer. Failures were
due to luxation or pocket development after one month to seven
years. The hydroxyapatite layer
showed numerous defects on the
lost Ligaplants.

today international: Every dentist placing implants is confronted with the possibility of
errors at some stage. What are
the most common, and at what
procedural stage do they usually occur?
Dr Mark Pinsky: Multiple studies have demonstrated consistently that placing dental implants
is safe, practical and efficient. It is
a very important restorative dental tool. The interesting thing about
this question is that it leads one to
the approach of “If I only do something this way and not that way, I
will have solved the problem”.
When thought of in a prospective
fashion, errors should be considered threats. The common theme
associated with all errors is that,
upon analysis, there is always a human associated with it.
The reality is that errors can occur at any phase of implant placement. They vary in degree of severity and effect on long-term survival, but it is in the constant study
of the elements that make up the
field of human factors related to error that threats will be trapped at a
stage where the long-term consequences of an error are less significant or mitigated.
A US study from 2012 has suggested that errors are more
likely to occur when clinicians
have less than five years of clinical experience. How relevant
are operative procedural errors compared with other errors?
There are actually a number of
studies on error, and experience
should definitely be considered a
component. However, there is a
paradox here, as inexperience may
mean that the operator does not
know what he is doing, or it may
mean that he slows down and is
more careful. Conversely, the experienced operator may know what
he is doing, but be more prone to
certain errors because he is so ingrained in his behavioural patterns that he does not recognise the
error.
New in vitro and canine experimentations were carried out after
the clinical experiments. The objective was to find superior surface
treatments and culturing techniques that would allow a better
differentiation of the cells. Knowledge in cell biology and tissue engineering techniques is showing
rapid development, and the possibility of using periodontally integrated implants could become a
clinical reality within the next ten
years.
Dr Philippe Gault maintains a private practice in Orléans in France.
This morning, he will be presenting a paper titled “Should implants
have a periodontal ligament?” during parallel session 1 as part of the
conference programme of the 22nd
Annual Scientific Meeting of the
EAO in Dublin.

(DTI/Photos courtesy of Dr Mark Pinsky, USA)

“The only way to determine
long-term success
effectively is to identify
which components of
a procedure work and
which do not.”
Human error is inevitable. No
amount of experience or lack of it
can change this fact.
Do you consider behavioural
patterns a significant risk factor?
I would prefer to use the term
“human factors”. One must identify individual behavioural patterns, both good and bad, to deconstruct a procedure into its individual components and identify areas
of risk. Furthermore, one must
look at the surgical implant team
and its dynamics, breaking it down
into small units to aid in potential
risk mitigation.
This is a very dynamic situation;
it is never static. One begins by
looking prospectively, and identifying potential threats. Then one
changes the associated behavioural pattern. Over time, one looks
retrospectively to see if the change
was effective. Meanwhile, the
process continues. It is the establishment of fundamental behavioural patterns that allows for a
safe method to introduce new materials or procedures.
Periodontal disease and lack of
healthy bone structure are
some of the most important risk
factors for implant failure. Are
these still overlooked in your
opinion, and what do we know
at this point about their significance?
Periodontal disease and lack of
healthy bone structure are indeed
important for predicting implant
success. There are potential other

risk factors as well, of which one
must always be aware. They can be
thought about as something determined at the population level and
not at the individual level. For example, a typical risk factor statement would take the following
form: when we looked at x number
of patients that we did y to, we
found z. The individual operator
then can make decisions armed
with this knowledge.
The interesting thing about risk
factors is that there is an implied
uncertainty associated with the
term. Risk cannot exist without uncertainty. It is up to each operator
to ensure that risk is identified and
quantified prior to a procedure,
and then all effort is made to mitigate that risk during a procedure.
This will ensure a more predictable
outcome.
Has there generally been more
focus on prevention of these
risks?
So far, it is intuitively obvious
that prevention is the key, as it minimises the longer-term exposure to
the risk associated with more significant procedures. The logic goes
like this: if you prevent periodontal
disease, you will prevent bone loss,
which will prevent the loss of a
tooth, which will prevent the need
for an implant, which most likely
will, but may not, work. This will
never change. The better the longterm data, the easier it will be to incorporate that information into the
early phases of a well-thought-out

page 18

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[18] => Anzeigen Stand DIN A4

science & practice

page 16

prevention programme prior to the
need for treatment. This clearly
identifies the need for post-operative data to make preoperative decisions to determine risk. The only
way to determine long-term success effectively is to identify which
components of a procedure work
and which do not. Collecting effective long-term data is the next logical step in the process of minimisation of error.

Successful prevention depends
to a large extent on better diagnostics. Are dentists currently
up to date in this field, and what
tools are available to avoid potential errors before treatment
even begins?
I only partially agree with this
assertion. Better diagnostics is simply a group of better informational
tools that presents some aspect of
specific information better than
before to the dentist. Successful
prevention really depends on what

EAO Annual Scientific Congress 2013 · 17 October

the practitioner does with that information. Better information will
only make for improved prevention if there is a system in place to
capture the information and ensure its use every time. How many
of the people reading this have a
drawer somewhere in their office
full of new items that they tried but
no longer use?
tists have access to it. Would you
consider the technology to be
such a system?
The product that CBCT provides

Implant planning with CBCT
has become very popular and
an increasing number of den-

2013 - 2014

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is information. Some of the information corroborates what a dentist
can determine through conventional methods, while some is
unique to CBCT. The ALARA principle dictates that CBCT be used
when the information gleaned
from the radiation exposure outweighs the risk.
The information potential from
a CBCT scan is truly remarkable.
Since CBCT has a risk associated
with it, it should be incorporated
into the overall risk management
strategy. The potential advantages
lie in its proper use of the vast
amount of single-source information it potentially has. The risk is
that CBCT becomes the default
standard for every issue without
proper consideration for each specific case.
Risk assessment protocols are
becoming increasingly important in general dentistry for
identifying and managing oral
diseases like caries. Should the
same principles be applied to
dental implantology as well?
Absolutely. It is through the
identification and subsequent mitigation of risk through robust risk
management strategies that success rates will improve. Risk assessment protocols, like CBCT, are a tool
in the bag of tricks a dentist uses to
narrow the variability and make an
outcome more predictable.
Speaking of risk assessment
protocols, there really is one risk
factor that is more important than
any other with regard to dental implantology. That is how the operator feels at the time she is placing
the implant. This is closely related
to the concept of situational awareness. While this may seem a bit abstract, it is through the loss of situational awareness that one will not
recognise or react inappropriately
to all other risk factors. Examples
include when the operator is in a
hurry, or is tired, or is worrying
about the next case, or anything
else that takes away from the focus
at hand.
How can loss of situational
awareness be minimised?
In an article in the Journal of the
American Dental Association on
which I was lead author, we introduced a universal dental checklist.
No professional pilot would ever
take off or land a plane without using a checklist, no matter how
many times she has done it. The
World Health Organization has promoted a surgical checklist to be
used in hospital operating rooms
with great success. The same
should hold true for dentistry as
well. Consistent use of a dental
checklist is a good start at recognising the human aspect of providing
dentistry, for every patient every
time. No exception.
Thank you very much for the interview.

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science & practice

EAO Annual Scientific Congress 2013 · 17 October

CAD/CAM and growth factors—
Key areas of dental innovation
By Dr Nilesh R. Parmar, UK

Dentistry has come a long way
since our colleagues were forced to
use foot powered drills and mix
amalgam from its bare components. Modern day dental equipment and materials are at the cutting edge of medical and dental
innovation, and it’s trade shows
such as the International Dental
Show (IDS) where the develop-

is now almost universally used in
the fabrication of dental implant
abutments and bars, reducing construction times, designs and fit.
Dentists are now beginning to use
chairside CAD/CAM devices to restore dental implants without the
need for any impressions.

CBCT 3-D scanners and
CAD/CAM integration
Cone beam computed tomography (CBCT) scans are now commonplace in dentistry, particularly in
implant dentistry where Grondahl
(2007) found that 40 per cent of all
CBCT scans were taken for implant
treatment. Where 3-D scans were
reaching a shortfall was in actually
relaying the information obtained
into the mouth during the surgical
procedure. One recent innovation
has been to overlay scans of the patient’s own teeth and soft tissues
onto the CBCT scan data. This gives
an accurate representation of the
hard and soft tissues and their relationship to each other. For exam-

Fig. 1

study model and then wax up the
ideal final restoration contour, ensuring some barium sulfate within
the wax in order for it to show up in
the scan. This was both costly and
time consuming. Recent developments have allowed one to take an

stand the proposed work and its execution.
Taking this one step further,
guided implant surgery now allows us to not only plan implant
placement using ideal restora-

Dr Nilesh R. Parmar

ments of the future are announced.
Modern dentists no longer have
merely a straight probe and a dental drill at their disposal. We now
have scans, 3-D images, growth factors and an almost unlimited
choice of materials available to
use.
In writing this piece, I made a
tough decision to focus on what
I believe to be key areas of dental
innovation. It is in these areas of
imaging, CAD/CAM technology
and growth factors that I believe
are going to be important in the
dental surgery of the future.

“The popularity of chairside CAD/CAM
units has never been greater.”
ple, an implant can be planned in
the implant software with the angulation of the implant taking into
account the ideal position of the final crown, which can also be
shown in the CBCT scan.
In order to do this previously,
the dentist would have to make a

intra-oral scan using a suitable device, such as a CEREC or iTero machine, and overlay this with the
CBCT scan. No models, no wax ups;
the procedure is almost instant and
can be done with the patient in the
chair. As a patient education tool,
this visual format is invaluable, allowing patients to fully under-

tively driven protocols, but actually allows us to make a guided surgical stent, made in-house or by a
lab, and place the implant through
the stent. Studies have found that
this is an accurate treatment
modality that can be reliably executed. Flapless surgery with immediate temporisation has the ability
to revolutionise the patient journey and help us to meet their expectations.

CAD/CAM
Facial scanners

Computer-aided design/computer-aided manufacturing has
had a presence in dentistry for
nearly 20 years. However, it is only
in the last ten years that developments have really made a difference in the reliability, ease of use
and functionality of these devices.
We now have CAD/CAM machines
(e.g., CEREC, iTero, Lava) that can
scan an entire arch, design and fabricate all-ceramic restorations in
the practice. The popularity of
chairside CAD/CAM units has
never been greater. The materials
that we are able to use in conjunction with CAD/CAM scanners have
gone from monolithic, one shade
blocks to multi-layered, all-ceramic, lithium-disilicate constructions that can be sintered and finalised in as little as 15 minutes.
The appearance of these
restorations, although still needing a well-trained (and artistic) dentist, could be said to be on par with
certain lab-based fabrications
whilst maintaining the advantages
of being a chairside single visit
restoration. CAD/CAM technology

A small but rapidly developing
area of digital dentistry is facial
scanners. These are in their infancy at the moment, with a lot of
companies still trying to iron out
the bugs in the machines. Their potential applications in the field of
plastic surgery, facial aesthetics,
orthodontics, implant surgery and
orthognathic surgery are endless.

Fig. 2

I have been fortunate to see a
prototype facial scanner from
Sirona and even managed to have
my face scanned (Figs. 1 & 2). The
detail achievable with these units
is impressive. Once this information is combined with 3-D scans,
teeth scans and jaw articulation, a
fully working and movable representation of the patient’s head can
be compiled on the computer
screen. Allowing for treatment
planning and assessment to be carried out without any need to see the
patient. One application of this
may be in developing countries,
where various experts from
around the world can examine
complicated facial reconstruction

cases without them actually seeing
the patient. As already mentioned,
the opportunities for patient education are huge, and with procedures such as plastic surgery and
orthognathic surgery being so difficult to properly consent for, facial
scanners will greatly aid clinicians.

Growth factors
Available for a long time in medicine and dentistry, growth factors
have been the reserve of PhD students and professors until recently. The resurgence of the usage
of platelet rich plasma (PRP) has
come about with added research
showing that using PRP can
greatly improve osteoblast proliferation (Parmar 2009) and accelerate soft-tissue healing. Companies
are now offering clinical courses
for dentists to make, produce and
use PRP in their own surgeries
within 15 to 30 minutes. The main
advantage of PRP is that it’s free; is
obtained from the patients’ own
blood, thus removing the risk of rejection; and can be made in vast
quantities. As more research is
published, coupled with simpler
production kits, PRP use will increase in all aspects of invasive
dental surgery.
The above is just a short description of what is being developed for
the future. Dentistry has never
been so intertwined with technology. The next ten years will prove
to be exciting and I eagerly await to
hear, see and use the new technologies that are being developed today.
Dr Nilesh R. Parmar runs a successful five-surgery practice close to
London and is a visiting implant
dentist to a central London practice.
His main area of interest is in dental
implants and CEREC CAD/CAM
technology. He can be contacted
at drnileshparmar@gmail.com.
More information can be found on
his website, www.drnileshparmar.
com; Twitter: @NileshRParmar; or
Facebook: Dr Nilesh R. Parmar.

[20] => Anzeigen Stand DIN A4

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implantology news

EAO Annual Scientific Congress 2013 · 17 October

Master of Science in Oral Implantology has booth
in Dublin, announces deadlines for 2014

Students of MOI receiving their Master of Science degree. (DTI/Photos courtesy of Goethe University Frankfurt, Germany)

The tenth intake, consisting of 30
students from 14 countries, for the
Master of Science in Oral Implantology (MOI) recently began their
classes at Goethe University Frankfurt in Germany. The part-time
master’s programme, which has a
stand at this year’s EAO Annual Scientific Congress in Dublin, was established four years ago to offer
practising dentists advanced academic training in the field of oral
implantology, including lectures,
hands-on practice, research work

and treatment of real patients. According to the university, it provides participants with comprehensive and highly specialised theoretical knowledge, as well as excellent practical skills.
A major training objective is the
independent planning, analysis,
and implementation of therapy involving initial complex clinical
situations. Interdisciplinary approaches and the co-ordination of
the various persons involved in den-

tal therapy are also reflected and
discussed. Students are encouraged
to document, share and discuss
their own experiences with their
fellow students. A multidisciplinary and international team of experts is available to mentor the students at all times, the organiser said.
Goethe University Frankfurt’s
MOI programme is independent
and not affiliated with any non-university or corporate institution.
Currently, the students enrolled

Live treatments are an integral part of the programme.

come from over 40 countries and
are dentists who have already
placed implants and wish to improve their skills in order to provide safe and efficient treatment to
their patients. In order to be considered for the MOI programme, applicants must be licensed to practise
dentistry and hold an academic
qualification entitling them to
work as a dentist in their own country. In addition, a minimum of two
years of relevant professional
work experience and proficiency

in English, demonstrated by an adequate TOEFL score for example,
are required. The next course
starts in April 2014, with the first
session scheduled for 4–13 April in
Frankfurt/Main. The university is
currently accepting applications
and the deadline is 15 December
2013, the organisers said. More details about application and the programme are available on the MOI
website, www.moi.uni-frankfurt.
de, or at Booth B51 in the exhibition
hall.

Scientists identify
New nanotechnology may help
provide longer-lasting dental implants predictors of satisfaction
with aesthetic dental work

In order to lower the failure rate
of dental implants, a team of researchers from the US is currently
investigating a new nanomaterial
that may help fight bacterial infections after implant placement and
improve bone healing around the
implant. The researchers believe
that their invention could help dental implants last a lifetime.

In collaboration with dental experts from the University of Illinois
at Chicago, Dr Tolou Shokuhfar, assistant professor at Michigan Technological University’s Department
of Mechanical Engineering–Engineering Mechanics, is currently
working on an inexpensive and
easy-to-produce dental implant
surface made of titanium dioxide
(TiO2) nanotubes.
She has been researching the
use of the nanomaterial for several
years and has demonstrated that
bone cells growth faster and adhere better to titanium coated with
TiO2 nanotubes than to conventional titanium surfaces.
Her research has also shown
that nanotubes can be used as a
drug delivery system to release
naproxen sodium, an anti-inflammatory drug, gradually after surgery, reducing the risk of the unpleasant side effects that arise
when drugs are injected orally.

Left: A bone cell anchoring itself to the surface of titanium dioxide nanotubes. Right: A cutaway
view of a titanium dioxide nanotube reveals the drug naproxen sodium inside. (DTI/Photo courtesy of Michigan Technological University, USA)

In another study conducted by
Shokuhfar involving orthopaedic
and dental implants, TiO2 nanotubes were laced with silver
nanoparticles. Owing to the antimicrobial properties of silver, the material proved to be effective in preventing biofilms, which are increasingly recognized as an important issue in dental health care, as they
can cause serious infections, particularly around medical implants.
As the material is transparent, it
also holds cosmetic advantages.
Furthermore, Shokuhfar expects
that TiO2 nanotube implants will be
easily accepted on the market because they would have the same
appearance as conventional titanium implants. “A surgeon would
not have to do anything different,”
she said.

According to a press release issued by Michigan Technological
University, the researchers have
received a provisional patent and
are currently working with two
hospitals to develop the technology further.
The research article, titled “Intercalation of Anti-inflammatory
Drug Molecules within TiO2 Nanotubes,” was published in the October issue of the RSC Advances
journal. The article “Biophysical
Evaluation of Osteoblasts on TiO2
Nanotubes” is currently under revision for the Nanomedicine:
Nanotechnology, Biology, and
Medicine journal. The paper “Survivability of TiO2 Nanotubes on the
Surface of Bone Screws” has been
accepted by the Surface Innovations journal.

A new study conducted by researchers at the Department of
Dental Public Health at King’s College London has found that some
dental patients may need to consult a psychologist before undergoing treatment. In a study with 60
participants, the researchers
found that higher satisfaction with
appearance before dental aesthetic treatment affected patients’
satisfaction after treatment significantly.
For the study, all participants
were asked to assess satisfaction
with their appearance before and
after dental work according to a
predefined scale. Additionally,
they completed a personality test
prior to the procedure.
Among other findings, the researchers found that participants who were most satisfied
with their appearance before
receiving dental aesthetic
treatment were also the happiest patients after treatment. On the other hand, neuroticism seemed to persist after
treatment in those patients who
were rather dissatisfied before.
“We found that it is in patients’ and dentists’ inter-

est to ensure that patients receiving aesthetic dental work start
from as high a point of satisfaction
with their current appearance as
possible. This will enhance the
chances that they will be satisfied
with the result of the treatment,”
the researchers concluded.
The findings were presented on
Wednesday at the British Psychological Society’s Division of Health
Psychology Annual Conference,
which was held from 11 to 13 September in Brighton.

[23] => Anzeigen Stand DIN A4

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implantology news

EAO Annual Scientific Congress 2013 · 17 October

Dental professionals in Europe
targeted by perio awareness campaign
Periodontal disease is a major
public health issue that should be
addressed increasingly by the
medical and dental communities,
the European Federation of Periodontology (EFP) and the American Academy of Periodontology
AD

(AAP) have stated in a joint manifesto. In order to convey this message to more dentists, the EFP recently launched an international
awareness campaign aimed at
more than 300,000 professionals in
Europe.

Kicked off at the recent international symposium of the Swiss Osteology Foundation in Monaco in
May, the Outreach Campaign aims
to highlight both the relationship between periodontal and systematic
diseases, as well as the importance

of periodontitis prevention. According to the manifesto, which has been
available on the organisation’s website since March, there is convincing
evidence from a large number of
studies that periodontitis may increase the risk of developing dia-

Profs. Niklas Lang, Mariano Sanz and
Maurizio Tonetti discussing the results of the
EFP/AAP workshop in Monaco.

betes or cardiovascular disease, and
may lead to adverse pregnancy outcomes, such as preterm birth or low
birth weight. Other systemic conditions such as rheumatoid arthritis or
certain kinds of cancers are also
thought to be influenced by periodontal inflammation.
In light of this evidence, dental
professionals will have to fundamentally change the perception of their responsibilities as
providers of general health, the
manifesto states. Multidisciplinary
approaches through collaboration
between dental and medical communities, as well as within the dental communities, will have to be
developed further to meet future patients’ needs.
The content of the manifesto is
based on recommendations made
during a joint EFP/APA workshop,
which took place in Spain in November last year and drew 80 experts in
the field. The workshop was held under the leadership of Profs. Mariano
Sanz from Spain, Maurizio Tonetti
from Italy, and Niklas Lang from the
University of Hong Kong’s Faculty of
Dentistry. Among other measures, it
recommends thorough periodontal
evaluation of patients presenting
with signs of systematic diseases by
dentists. It also calls for more clinical
trials and studies researching the effects of periodontal therapy on several disease factors in different populations in order to obtain additional
reliable scientific data on these issues.
Besides the manifesto, the campaign will provide information
through regularly updated online
dossiers, video documentaries and
other promotional activities. A
seven-minute clip was presented to
the public in Monaco and is already
available on video-sharing platforms like YouTube.
In addition to the EFP member
associations, the campaign has
received support from dental
con.sumables provider ColgatePalmolive’s GABA and other professional dental bodies. Owing to these
partnerships, the campaign will be
presented at most of the national
member events throughout the
year, the organisation said. More information about the Outreach Campaign is available on a dedicated
website at perioworkshop.efp.org.
The EFP currently consists of
28 national periodontal associations
that boast a combined membership
of over 13,000 professionals. Besides
publishing the Journal of Clinical
Periodontology, it hosts the triannual EuroPerio congress. The next
edition of this event will take place
in London in 2015.

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Online registration opens in September 2013

APRIL 4 - 6, 2014
Pre-Congress Day: April 3, 2014
IDEM Singapore is a “must-attend” for dental practitioners and professionals in the Asia-Pacific looking for the latest cutting edge
technology and innovations in dental solutions and services, showcased by close to 450 international exhibitors from over 35 countries.
Attracting top names from across the globe in the largest single networking and knowledge gathering platform, the IDEM Singapore
2014 Scientific Conference will focus on the theme of “Dentistry - The Future Is Now” where future challenges in various fields of
dentistry will be addressed.
Planned topics include:
Regenerative Endodontics • Making “Real World” Dentistry Productive and Enjoyable • Future of Dental Implants • Developing your
Ideal Practice • Multidisciplinary Approach to Periodontal Therapy • Adult Orthodontics Today
Featured Speakers:

Gordon J. Christensen

Ray Williams

Founder and Director of Practical
Clinical Courses (PCC) and
Chief Executive Officer of
Clinicians Report Foundation (CR)

Professor of Dental Medicine and
Dean of the Stony Brook University
School of Dental Medicine,
USA

Ken Hargreaves

Derrick Setchell

Professor and Chair of Endodontics,
University of Texas Health
Science Center,
USA

Hon. Professor of UCL and
Hon. Consultant,
Eastman Dental Hospital,
UK

Dean Morton

John O Burgess

Professor, University of
Louisville School of Dentistry,
USA

Professor, Asst. Dean of Clinical
Research, University of Alabama
at Birmingham,
USA

For list of speakers and their topics, visit www.idem-singapore.com

Sessions for Dental Technicians, Oral Health Therapists and Dental Hygienists.
Details will be available in September 2013!
Endorsed By

Supported By

Held In

In Co-operation With

Co-organizer

Singapore Dental Association

Koelnmesse Pte Ltd
Andrea Berghoff
Tel: +65 6500 6706
a.berghoff@koelnmesse.com.sg

[26] => Anzeigen Stand DIN A4

business

European dental implant market
limited by financial uncertainty

EAO Annual Scientific Congress 2013 · 17 October

Mikhail Markovskiy/Shutterstock.com

Countries in Eastern Europe poised for highest growth
By Carmen Chan, Canada
The dental implant market, consisting of implants, abutments, and
other devices, in Europe was valued
AD

at approximately US$ 1.6 billion in
2012. Until the end of the year, the
market will continue to contract
slightly. It is expected to recover,
however, and reach a value of just
under US$ 2.3 billion by 2021.
Germany reigns as the largest
market, worth over US$ 300 million in 2012—almost the equivalent
of France and Spain combined.
Overall, these two countries have
the lowest growth rates, with both
suffering from either low GDP
growth or high unemployment
rates along with overall concerns
regarding unsustainable national
debt levels.
Demand for dental implant
treatment continues to be fuelled
by the ageing population. The US
Census Bureau forecasts that the
population aged 65 and older in Europe’s seven key markets will grow
at an average compound annual
growth rate of approximately 1.5 %
until 2021, whereas the total population will only grow at approximately 0.3 % per year. As people
age, their oral health tends to deteriorate, resulting in edentulism, for
which implant restoration is increasingly becoming a recommended treatment option.
For most European patients,
dental implant procedures are considered elective and need to be
paid out-of-pocket by patients. As a
result, financial considerations are
among the most important factors
influencing patients’ decision to
undergo these treatments. The unstable economy has resulted in increased patient hesitance to seek
dental implant treatment and in
higher preference for lower-risk
and less-costly traditional procedures and products, such as traditional loading (instead of immediate functional loading) and screwretained abutments (over cementretained ones).
Aside from the economy, countries such as Sweden and the
Netherlands have experienced
drastic shifts due to changes in government reimbursement. In the
past year, both countries’ markets
have suffered declines due to governments proposing changes to reimbursement. This uncertainty regarding dental implant treatment
coverage has fuelled physician and
patient reluctance to perform and
undergo procedures.
The current dental implant market is defined by a never-ending
number of competitors in the marketplace. Competition will become
increasingly fierce with the recent
merger of DENTSPLY Friadent and
Astra Tech Dental to form
DENTSPLY Implants, placing the
company in direct competition
with market leader Straumann for
the top spot. While physicians and

[27] => Anzeigen Stand DIN A4

business

EAO Annual Scientific Congress 2013 · 17 October

Newest developments in the European dental
prosthetics and CAD/CAM devices segments
All-ceramic materials expected to gain significant market share
By Dr Kamran Zamanian and Ceren Altincekic, Canada
The European dental prosthetics
and CAD/CAM devices segments
are currently experiencing two opposing forces that will determine
the future of these segments. On
the one hand, the eurozone crisis is
far from being over. Southern European countries such as Spain, Italy
and to some extent France are going through an economic downturn, which is delaying dental
restorations and slowing down in-

economic crises and new technologies revive the market.

All-ceramic and porcelainfused-to-metal restorations
dominate the European
dental prosthetics market
All-ceramic restorations are becoming increasingly popular in the
European market owing to their
aesthetic value. In 2012, the all-ceramics segment grew by more than

next few years. Semi-precious and
high-precious materials will be impacted adversely as their biocompatibility and durability are increasingly mimicked by other, lessexpensive materials such as
cobalt–chromium alloys. Precious
metals used in dental restorations,
such as gold, have experienced significant price hikes over the last
decade. As their utility diminishes,
these metals will begin to lose mar-

oratories alike owing to their easeof-use, non-invasiveness and recent affordability. Newer-generation intra-oral scanners allow dentists to take impressions without
the use of powder or paste, which
makes the process much faster and
less intrusive for patients. Once the
impression has been taken, the
technician can modify the image as
he or she wishes and then send it to
a laboratory for milling. The increase in the number of intra-oral
scanners in the market is pushing
scanner manufacturers to offer
open-architecture software that
will allow users the freedom to
choose the milling centre of their
preference. All these aspects of intra-oral scanners make them attractive investments for dental offices and laboratories alike.
Over the next few years, the
sales of intra-oral scanners will
reach double-digit growth. Dentists will increasingly opt for these
scanners instead of chairside systems owing to their affordability
and practicality. The prices of
these scanners will decrease, making them even more affordable.
The average selling price of an intra-oral scanner was a little over
€ 28,000 in 2012, an investment
that medium-sized laboratories
and dentists can easily afford.

dustry growth. On the other hand,
the segments are growing at a significant pace owing to technological innovations in restoration materials, CAD/CAM devices such as
intra-oral scanners and smaller,
but more efficient milling machines. The second trend is expected to trump the first one as
countries slowly recover from the

other competitors still perceive the
two as separate brands, DENTSPLY
Implants’ wider product portfolio
and greater focus on the implant
business will likely change this.
Furthermore, smaller competitors
are currently penetrating the market with a strategy that focuses on
offering products at lower costs to
entice dentists, which is especially
attractive in times of economic uncertainty.
The most growth for the dental
implant market will stem from
Eastern European countries that
are relatively underdeveloped.
These countries tend to have the
lowest implant and procedural
costs, which are attractive to patients who reside in neighbouring
countries. In particular, the Czech
Republic, Hungary and Poland will

5 per cent to constitute a third of all
crowns and bridges sold. All-ceramic restorations are expected to
approach the porcelain-fused-tometal share by 2019. Non-precious
restorations represent the largest
portion of all crown and bridge
work owing to their affordability.
They will remain at the level of approximately 42 per cent over the
benefit the most from patients travelling to these countries to undergo
dental implant therapy.
Tapered implants are gaining
popularity, especially as older dentists retire and are replaced by recent graduates. CAD/CAM custommilled abutments are expected to
experience the strongest growth
among all product categories in the
dental implant segment, stemming
from high demand for aesthetic
restorations. Despite slower adoption rates in the next couple of
years, growth rates will accelerate
with economic recovery.
Carmen Chan is a Senior Market
Research Analyst at Millennium
Research Group, a global market intelligence provider based in Toronto
in Canada.

ket share in the dental prosthetics
segment.
New technologies are beginning
to blur the lines that separate different dental restoration materials. Composite materials are becoming more popular, as they combine the most desirable characteristics of their components. New
products such as translucent zirconia or hybrid ceramics are promising better value with increased resilience and a more natural look.
Higher demand for these products will drive higher prices for
quality dental prosthetics. The
price hike will be balanced by increasingly cheaper imports from
countries such as China, Taiwan
and Morocco. Overall, the dental
prosthetics segment in Europe will
experience a slight price increase
by 2019 owing to better-quality
crowns and bridges made of new,
more aesthetically pleasing and
robust materials.

Intra-oral digital impressiontaking scanners becoming
more popular in the
European market
Intra-oral digital impressiontaking scanners are attracting the
attention of more dentists and lab-

The main competitor in this market is Sirona. The company has
over 20 years of experience in the
intra-oral scanners segment. Its latest product, the CEREC Omnicam,
has introduced a new technology
with colour scanning, which allows the dental technician to scan
the natural colour of the teeth in
3-D. A similar product was
launched by 3Shape at the 2013
International Dental Show in
Cologne. TRIOS Color can scan and
capture the teeth and gingiva
quickly, realistically and in great
detail. Intra-oral scanners are evidently becoming the new standard
at dental practices.

CAD/CAM blocks
segment experienced
double-digit growth
CAD/CAM blocks had a good
year in 2012, despite the lingering
effects of the eurozone crisis. Even
though block prices have remained
stable or dropped owing to increasing competition from Asian companies, the double-digit growth in unit
sales largely made up for price cuts,
as the segment grew by over 10 per
cent in 2012. The growth in the
blocks segment has been fuelled by
the increase in CAD/CAM system
sales, particularly chairside
systems. Chairside systems come
with a milling machine that mills
the restorations from blocks. As
sales of chairside systems have increased significantly and will continue to do so up to the end of 2019,
the blocks segment has followed
that demand closely.

The majority of crowns milled
from CAD/CAM blocks on chairside systems are made of all-ceramic material. However, most
dental restorations are produced
from zirconia because dental laboratories are still the main
providers of dental prosthetics. In
2012, zirconia crowns represented
over half of the CAD/CAM blocks
segment, with the remainder being
divided between porcelain and
acrylic/composite products. By
2019, porcelain blocks are expected to close the gap, exceeding
half of all blocks sold. This trend is
consistent with the ever-increasing demand for all-ceramic restorations and the technological developments that make ceramic
restorations more resilient and natural-looking than their counterparts are.

AmannGirrbach and
Dental Wings are among
the rising stars of CAD/CAM
systems segment
The CAD/CAM systems segment is experiencing new, dramatic trends. Smaller, cheaper and
more-efficient milling machines
capable of milling a variety of materials are taking their place in laboratories of various sizes and even
in some dental offices. Amann
Girrbach has made great progress
with its motto “the in-house company”, promoting laboratory independence by providing affordable
milling machines.
The future of scanner software
lies in open systems that create a
scan file that can be sent to any
milling centre in the world. Dental
Wings is making great strides by
providing this open-architecture
software and affordable scanners
to both laboratories and dentists.
Through exclusive partnerships
with Straumann and 3M ESPE, Dental Wings is aiming at creating common global software for a variety of
stand-alone scanners.
Alongside these rising stars,
companies like Sirona, 3Shape, 3M
ESPE and DeguDent maintain their
significant market share in the
CAD/CAM systems segment.
Sirona is the clear market leader in
chairside systems and 3Shape
dominates the stand-alone scanners segment, albeit with other
competitors such as 3M ESPE,
Straumann and Nobel Biocare following closely. The CAD/CAM systems segment is expected to become more competitive as new
players emerge and devices become more affordable and efficient.
Dr Kamram Zamanian is President
&CEO of iData Research, an international market research and consulting firm based in Vancouver in
Canada. Cerec Altincekic is an
iData Market Research Analyst.

[28] => Anzeigen Stand DIN A4

business

EAO Annual Scientific Congress 2013 · 17 October

“Patients just do not necessarily want implants,
they really want teeth.”
An interview with Nobel Biocare CEO Richard Laube
With a record number of 2,000
participants, dental implant solutions provider Nobel Biocare held
its second Global Symposium in
the US in June. today international
had the opportunity to speak with
CEO Richard Laube about the
state of his company, business in
Europe and the newly launched
Foundation for Oral Rehabilitation.
today international: Mr Laube,
this is the first Global Symposium you are attending as CEO
of Nobel Biocare. Has the event
met your expectations?
Richard Laube: The meeting
has been a pleasant surprise for us.
We were sold out already in April
and even had to turn 500 to 600 customers away. On the positive side,
this makes it a real special event.
We were a little bit nervous about
the logistics, but all went very well.
Speakers have also been extremely disciplined and very focused in their messages that they
wanted to convey. I am only hearing good things from the participants.
You joined Nobel Biocare during turbulent times. What is the
state of the company compared
to when you took over as CEO in
2011?
It is true that we have been drifting over the years but we are back
with patient-focused, clinically-relevant and evidence-based innovation. We are in materially better
shape today to when I joined the
company two years ago. The results from Q1/2013 were a pleasant
surprise as we expected the numbers to be lower. We are seeing
good things in our business and are
confident we can keep this momentum going. Since 2011 we have
brought three new implants into
the market and upgraded our
NobelClinician and NobelProcera
software platforms. We also announced a new second-generation
NobelProcera 2G Scanner and introduced the OsseoCare Pro for
iPad.

We also have a couple of new announcements here. All this combined offers probably the most
exciting product line-up in the
industry and provides us with the
opportunity of leading again.
I also think that we have good
stability in the team which is very
important. A workforce consists of
business relationships and you
can’t have that relationship by
changing people.
You have been working for big
corporations like Néstle in the
past. How does the dental industry differ from your previous
working experiences?
It has taken me some time to adjust but I have been learning
quickly for the team’s sake. Generally speaking, to work in the dental
market is like a contact sport
where you have to deal with customers on the frontline every day.
Take this symposium for example,
where 2,000 of our customers have
gathered.
The size of Nobel Biocare is also
much smaller and I learned that
even the slightest changes can have
a dramatic impact on the whole organisation. Therefore, you have to be
thoughtful about every decision you
take. On the other hand, things can

Richard Laube. (DTI/Photos Fred Michmershuizen, DTA)

rent market conditions or are
there other reasons for this negative performance?
We had years of struggle in
Europe but our figures there have
consolidated this year compared to
the first quarter of 2012. We
are actually seeing increasing
evidence that we perform better
than some of our key competitors.
I personally expect us to be out of
the water soon and to see relative
progress. I estimate we will do at
least as good as the market in that
region, if not better.
Our problems in Asia are of

ing at the implants that were actually going down. As we are seeing
the implants rebound, I think we
will have a good run in the second
half of this year.
How does your company intend
to return to sustainable growth?
We grow when customers order
from us and these customers are
starting ordering more when we
are doing good things for them in
the area of innovation, commercial
relationship partnering programmes, as well as in training and
the education that we provide to al-

screws, for example, in a way that
is very difficult to replicate by our
competition.
Besides new third-party platforms, implant bridges and scanning design centres we presented
at IDS in Cologne this year, we are
announcing angulated screw channels here in New York. With this
subtle but almost revolutionary development, we can now go in by 25
degrees on the cheek site or the
tongue site and make access to
screw-retained components much
easier.

“Since 2011 we have brought three new implants
into the market and upgraded our NobelClinician and
NobelProcera software platforms.”
be done much faster, which gives us
an advantage when it comes to innovation, as we are able to work very
closely with our researchers and developers. You do not usually get this
out of big companies.
Nobel Biocare seems to struggle
in Europe and Asia, in particular. Do you consider these problems to be an effect of the cur-

Richard Laube has been CEO of Nobel Biocare since mid 2011.

mathematical nature and concern
our business in Japan which used
to provide 17 per cent of our total
business in the region. Difficulties
there were in part market-inflicted
through the tsunami and the negative press on dental implants in
2012, in part self-inflicted as we
were a little bit fooled by the positive numbers in prosthetics in the
first quarter of that year, not look-

low them to treat more patients
and do new things. It is a fact that
there are only 11 to 12 per cent of licensed dentists in the world that
are placing dental implants. In the
recent past, we have not taken on
that challenge of helping dentists
learn how to place implants properly. These are opportunities
where we can also contribute to the
growth of the total market.
With the NobelProcera 2G Scanner and a new open access partnership with 3Shape you have
recently consolidated your
foothold in dental CAD/CAM.
How important has this field
become for your company and
will we see new products to be
introduced for this segment in
the future?
CAD/CAM is critical. Patients
just do not necessarily want implants, they really want teeth. Our
ability to provide them with teeth
in complex reconstructions is a
huge competitive advantage if you
are dealing with anything more
than a three- or four-unit bridge.
We have a disproportionate market share in what we call complex
screw-retained componentry. We
can put together a 12-unit zirconia
implant bridge with eight holes for

With the DENTSPLY-Astra Tech
merger and growing competition from manufacturers in
Asia, e.g. Korea, the implant
market seems to be on the brink
of major change. How do you
evaluate the development of
the market and how is your company positioning itself in the
years to come?
We welcome any competition as
it is beneficial for patients. Our
challenge is to stay ahead and
innovate. Implant dentistry is still
a field that is emerging rapidly and
transforming itself constantly
through innovation. Our aspiration is to stay in front of that.
With the Foundation for Oral Rehabilitation (FOR) your company has launched a new endeavour in New York. What role
will it play for your business?
I would like FOR to give Nobel
Biocare sweaty palms because they
are talking about patient care in
ways that the industry cannot deliver yet. FOR is supposed to always
be a big step ahead of us providing
us with the chance to develop new
ideas and open new business opportunities in the future.
Thank you for the interview.

[29] => Anzeigen Stand DIN A4

P R O F E S S I O N A L

M E D I C A L

C O U T U R E

EXPERIENCE OUR ENTIRE COLLECTION ONLINE
WWW.CROIXTURE.COM

[30] => Anzeigen Stand DIN A4

business

30

EAO Annual Scientific Congress 2013 · 17 October

Goods
Entrance

3Shape

S21

S20

S13

S14

S15
B28

B19

G13

B24

B25
B26

G15

B27

G18

S16

B17
S11

B31

S19

G9

B20

D12

FGS 2

Cloak Room

S12

G14

Cloak Room

B23

O≤ce

B22

O≤ce

B18

FGS 1
Nobel Biocare

B16
B21

MIS

FGS 3
B15

Planmeca

Entrance

G10

B13
G6

S10

G7

FGS 4

Dentsply Implants

B12

S1
B14

S9

G8

Goods
Lift

B11

S2

B10
B8

Goods
Lift

FGS 5

Book Store

S8

S18

G4

B9

G2
B7

S5

B30 G1
S3

B6
S4

B29

B5

B1
B4

S7

S6

G3
B2

B3

S35

B59

B60

B61

B62

S37

S35
B58

S36

B57

B55

B56

S33

S31

Sirona

B54

B50

B63

B53

B52

B51

B64

The floor plans on this page are a reproduction of the original
floor plans provided by the EAO. Therefore, changes by the
organiser can occur. today is not responsible for the correctness and completeness of the information. Last update was
11 September, 2013.

[31] => Anzeigen Stand DIN A4

Visit us at stand B29

system
Intelligent Simplicity
Providing sophisticated,
intelligent simplicity for
professionals, while focusing
on innovation, integrity, and
customer relationships, Neoss is
the science-backed solution for
dental implant treatments.

Intelligent Simplicity
www.neoss.com

[32] => Anzeigen Stand DIN A4

business

32

EAO Annual Scientific Congress 2013 · 17 October

List of exhibitors
Company

Booth

3
3Shape

S21

A
ACE
Surgical Supply Company
Adin Dental Implant Systems
Aesculap
American Dental Systems
Anthogyr
Aseptico

G12
S3
B30
B26
G14
B2

Company
Dental Ratio
Dentaurum
Dentium
DENTSPLY Implants
DENTSPLY Mailleffer
DIO Implant

Booth
B62
B19
S11
FGS 4
B28
S36

E
Equinox
Euroteknika

S20
S16

G
B
BEGO
Bicon Dental Implants
Bien Air
Biohorizons
Biomain Heraeus Dental
Biomatlante
Biomet 3i
Biotec srl
Bioteck
Botiss
bredent
BTI
Biotechnology Institute

Geistlich
G15
G6
B21
G2
S37
B4
FGS 5
B52
B19
B15
S33
G7

G1

S19
S4

I
IBS
Implant Direct
Instrumentarium Dental
Irish Society
of Periodontology
ITI International Team
for Implantology
Ivoclar Vivadent

Booth

M
Maxillent
mectron
medentis medical
Megagen
Meisinger
Meta
MIS Implants Technologies
Master Oral Implantology
Goethe University

B61
S31
B16
B59
B24
S7

NBM
Neobiotech
Neodent
Neoss
NewTom
Nibec
Nobel Biocare

B27
S13
B12
S9
B18
B23
G10
B51

B25
S1
S5
B29
B53
B63
FGS 2

O
Omnia
Osstell
Osstem
Osteobiol
by Tecnoss
Osteogenics

Company

Booth

R

N

H
Henry Schein
Hu-Friedy

Company

B7
B10
G9

Royal College of Surgeons
in Ireland

B60

S
Saeshin Precision
Shinhung
SIC invent
Sirona Dental Systems
Soredex
Southern Implants
Straumann
Sunstar
Sweden & Martina
Symmetry Medical

B8
S6
S8
B54
B11
S12
FGS 3
S32
S2
B17

T
The Prosthodontic Society
of Ireland
Thommen Medical
TRI Dental Implants
International
Trinon Titanium

B
G3
S15
G4

U
B14
B20

Ushio
Ustomed Instrumente

B31
B5

C
CAMLOG
Claron Technology
Cortex Dental

G13
S22
S14

J
J Dental Care

P
B22

Planmeca
Prevest Denpro

B6
S18

Q

K
D
Datum Dental

B50

KaVo Gendex
Keystone Dental

Quintessence

The list is based on information provided solely by the exhibitors. Dental Tribune does not take responsibility for correctness or completeness of the information.



(DTI/Photo Daniel Zimmermann)

W
B13
B9

W&H
Wiley

B31
FGS 1

Z
G18

Zimmer Dental

G8

[33] => Anzeigen Stand DIN A4

A Real Breakthrough in
Implantology.
Roxolid® SLActive® – Setting New Standards, Reducing Invasiveness

With Roxolid® SLActive® Implants we break
new ground:
Eliminate invasive grafting procedures
p Increase patient acceptance
p

Our new generation of implants provides you
exceptional material strength combined
with excellent osseointegration properties for
greater confidence.
Now available:
p All diameters
p 4 mm Short Implant Line
p Loxim™ Transfer Piece
Discover more benefits on www.straumann.com/roxolid

[34] => Anzeigen Stand DIN A4

advertorial

EAO Annual Scientific Congress 2013 · 17 October

Straumann is setting new standards with
®
®
its broadened Roxolid SLActive implant portfolio
An interview with ITI president Prof. David Cochran, USA
Today, Prof. Cochran will give a
presentation in Straumann’s Satellite Symposium about the evolution of dental implants. In the following interview he speaks about

the impact of technology innovations on implant diameters and
lengths.
Where do you see the benefits of

innovative implant materials and
surface technologies?
There are many implant materials
and surface technologies on the market, but only a few are really innova-

tive and have good supportive data.
We have learned over time that the
titanium implant surface cannot only
be biocompatible but that it can also
be made osteoconductive. Strau-

implants

Prof. David Cochran, USA (Photo courtesy of
Straumann)

mann’s SLA® surface has been shown
to be biocompatible and osteoconductive and, by altering its surface chemistry, resulting in the SLActive® surface, the implant becomes even more
osteoconductive and hydrophilic.

Straumann’s alloy Roxolid®, made
out of titanium and zirconium, features the SLActive® surface and thus
can achieve excellent osseointegration. It is also much stronger than
pure titanium so that smaller diameter implants can be placed with the
same confidence that the clinician
has had with much wider diameter
implants. This is a big advantage to
both clinicians and patients since
more indications can be addressed
with a reduced need for bone augmentation resulting in less invasive
treatment for patients.

At the EAO, Straumann will expand its Roxolid® SLActive® portfolio. Why might these implants
set new standards in dental implantology?
The combination of the technologies Roxolid® and SLActive® has allowed a huge advancement in patient
treatment such that the implants can
be loaded in much earlier time frames
in more indications. These technologies have helped the clinicians with
their treatment protocols and most
importantly, have made treatment for
the patients cheaper, faster and easier
in many cases. With Roxolid® we now
have a strong implant material featuring one of the best osteoconductive
surfaces available for our use. This
allows us to further expand our clinical indications for dental implants.
Roxolid® SLActive® is a real breakthrough in dental implantology.

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If scientifically proven materials
would allow you to use smaller diameter or shorter implants, how
would this influence your daily
work?
The use of smaller sized implants
would affect the old concept of using
the “largest and longest implant possible”. This concept was based on machined implants and bicortical stabilization, and the erroneous idea that
using the implant to fill an extraction
socket was the best strategy for implant placement. We now realize that
the biology around the implant including the blood supply to the surrounding bone is much more important than a wide implant, so strong
implants such as Roxolid® are the
most scientifically based and best
strategy for implant use. The same is
valid for using only long enough implants to support the occlusal load
which in many cases can be very
short implants. This knowledge combined with Roxolid® SLActive® allows the clinician many more options
in their implant treatment planning.
If a GBR procedure can be avoided it
gives the patients more alternatives
for less invasive treatment than they
have ever had before.

[35] => Anzeigen Stand DIN A4

business

EAO Annual Scientific Congress 2013 · 17 October

NEOSS IMPLANTS COMBINE SIMPLICITY WITH SCIENCE
Last year, NEOSS introduced its
new Tapered Implant at the EAO
congress in Copenhagen in an effort to expand its portfolio of den-

tal implant solutions. Its system,
developed with a single platform
in mind, now comes with 100 components, including the Clinical Organiser instrument tray, screw-re-

tained straight and angulated
abutment solutions for optimised
retrievability, as well as aesthetic
restorative components under the
Esthetiline brand.
NEOSS states that
the system gives clinicians the freedom to
work with cement- or
screw-retained solutions in titanium, gold
or zirconia. The implants themselves are
currently available as
straight and tapered,
as well as in five diameters and lengths,
ranging from 7 to
17 mm. According to
the company, they are
suitable for all bone
densities. Owing to
their special Thread
Cutting and Forming
geometry, the implants possess thread
sharp (biting), as well
as the threads’ constituent properties.
Their surface is ultraclean and has high wettability, a
requirement for successful osseointegration. With the help of a
single platform, single screwdriver and procedure-friendly im-

pression copings, communication
within the dental team can be enhanced, NEOSS said.
Made of highly durable silicone and three interlocking parts (a jigsaw) for
surgery, instruments and
layout that can be used in
combination or individually, the Clinical Organiser
was developed to allow simple
cleaning and provide unrivalled
ease of use. The surgical section of
the instrument tray has clear
markings for drill selection and
depth on one side, and offers storage for instruments and drills during sterilisation on the other side.
The midsection may be used in
combination with the other
parts or alone for prosthodontics. The layout section provides wells for
storage of implants,
and cover and abutment screws on one
side, and of prosthetic
components, crowns
and bridges on the other
side. For serial cases, multiple organisers can be used
for higher cost-effectiveness,
the company said.
Designed to eliminate po-

with the NobelActive and
NobelReplace conical connections.
According to the company, the design of the
new implants was modified for full seating of abutments without requiring
confirming radiographs.
In addition, a piloting feature has been added to
the bottom of the abutment’s hex to help guide
insertion. An internal
thread in the abutment
shaft retains the screw
while the abutment is
rotated to be fully
seated in the implant’s deep hex. Softtissue management
has also been improved through the
concave emergence
profile of the InterActive
abutments, transfers and
healing collars.
According to Implant Direct, the body of the InterActive implant matches that
of the Legacy 2 implant with double-lead body threads over the tapered two-thirds of the implant for
faster insertion. They are flat
based and therefore become progressively deeper towards the
apex for an increased surface
area, the company said. The combination of a tapered implant
body with a round apex and three
long vertical cutting grooves al

All-in-1 Packaging of the InterActive implant.

The aesthetic restorative components comprise
Prepable Titanium Abut-

ments, Zirconia Abutments and
Tissue Formers, which come in a
range of shapes for all positions,
enabling simple creation of the optimal emergence profile, and allow easy, fast and aesthetic solutions through their design. According to NEOSS, Tissue Formers
may be used as healing abutments
or prepared for cement- or screwretained provisional restorations.
An optimal result is achieved by
choosing the same type of provisional and permanent restoration,
as well as the same position as during healing.
NEOSS, UK
www.neoss.com

Booth B29

OPEN ARCHITECTURE PLATFORM PRESENTED
BY HENRY SCHEIN

A NEW IMPLANT LINE FOR CONICAL CONNECTIONS
Implants with conical connections are predicted to become one
of the fastest-growing segments in
the dental implant market. With
its new InterActive system of conical connection implants and abutments designed by company
founder Dr Gerald Niznick, implant solutions provider Implant
Direct has recently introduced
a new implant line designed to
provide a platform compatible

tential softtissue problems,
Access abutments are intended to
balance strength and aesthetics.
They fit all NEOSS implant
diameters and expand
the indications for
the NEOSS system
by allowing for a
screw-retained
restoration requiring 10, 20 or
30 degrees of angulation in as little as
4.5 mm of interocclusal
space.

An InterActive implant of 4.3 mm
in diameter and 13 mm in length.

lows the implant to follow
the trajectory of the osteotomy and allows selftapping insertion using
dense-bone drills without
the need for a bone tap.
Coronal quadruple-lead
micro-threads and microgrooves for enhanced crestal bone preservation and
initial stability are additional improvements of the
design.
The InterActive implant
is available in four diameters. The 3.2 and 3.7 mm implants use the same platform as the NobelActive
3.5 mm implant, and the 4.3
and 5 mm implants use the
same platform as the NobelActive implants of these
diameters. The platforms
are colour-coded for easy
identification, with matching anodised cover screws,
healing collars and transfers, the company said. The InterActive line also features a twopiece fixture mount, which serves
as a transfer and final preparable
abutment. The All-in-1 Packaging
of the InterActive implant also includes a cover screw that can be
used for submerged healing or
with a 2 mm extender/healing collar.
IMPLANT DIRECT,
SWITZERLAND
www.implantdirect.eu

Booth S31

Under the brand of ConnectDental from Henry Schein, advanced solutions for dental practices and dental laboratories
through digital impressions, reliable and extensive communication capabilities, as well as a wide
selection of products from leading CAD/CAM system and material manufacturers will be on display at this year’s EAO congress.
Furthermore, a number of complementary services are provided through this platform, including education and training
concepts for the dental practice
and laboratory teams.
The new platform focuses on
digital impression and CAD/CAM
systems that, according to Henry

Schein, will simplify the workflow between the dental practice
and dental laboratory. The aim is
to enhance digital dentistry by expanding patient services, improving treatment outcomes and experiences, as well as paving the way
for a patient-centric model that
delivers a complete solution, the
company said.
As a long-term partner of dental customers developing their
practices and laboratories, Henry
Schein considers itself a leader in
supporting the evolution of the
digital highway, which it regards

as an important tool in the improvement of dental and general
health. In Europe, the company
currently boasts 190 CAD/CAM
and digital dentistry specialists,
as well as 460 specially trained
technicians. In addition, it maintains over 50 Henry Schein Dental Centres that provide individual advisory services and comprehensive training, including
demonstration
programmes
adapted to individual requirements.
“The profound expertise of
Henry Schein’s specialists in digital systems is a unique feature.
Our specialist teams work hand in
hand to ensure comprehensive
advice and an individual opti-

mum system solution for our customers,” said Patrick Thurm,
Vice-President for Technology at
Henry Schein’s Global Prosthetic
Solutions division.
ConnectDental will be on display at the company’s booth at the
EAO exhibition. Professionals interested in the platform will be
able to attend hands-on demonstrations and consult with experts, according to the company.
HENRY SCHEIN EUROPE
www.henryschein.com

Booth S19

[36] => Anzeigen Stand DIN A4

business

EAO Annual Scientific Congress 2013 · 17 October

MIS PRESENTS NEW TOOL FOR VIRTUAL IMPLANT PLANNING
MGUIDE MORE, the latest
tool for virtual implant planning
and guided implantology will be
on display by MIS. According to
the Israeli dental implant solutions provider, the system can accurately transform DICOM data
into 2-D and 3-D images to depict
real cases in a virtual environment, thus enabling real-time visualisation for perfect implant
planning.
Among other features, the
user-friendly software incorporates the production of a fully
validated drilling template for
accurate guided implantation
with predictable prosthetic outcomes, the company said.
Through sharing their cases, and
taking part in demonstrations
and discussions, implantologists
using the MGUIDE software
have access to an extensive online information hub involving
several professionals, including
doctors, dental laboratories and
prosthodontists. A remote access feature allows direct interaction with another member’s
MGUIDE MORE planning
process.

The prosthetic-driven
planning can be performed via the MIS network of MCENTER facilities, in addition to using
the software. Full technical support and guidance
are currently provided in
over 20 countries in five
languages.

Restoration can be done via immediate provisional prosthetic
solutions produced in advance
using MGUIDE MORE prosthetic
tools for laboratory technicians.
In addition, open wire-frame
templates produced with
MGUIDE MORE provide an open
field of view during surgery, allowing the administration of
anaesthetic and irrigation from
all angles without removing the
template. Raised flap surgery
can also be performed more easily. The MGUIDE MORE surgical
kit not only enhances accuracy
and safety for a smoother guided
procedure, but also simplifies
the implantology process by
eliminating the need for traditional guidance keys, the
company said. Specially designed sleeves and drills
stop at the precise position
and depth planned, freeing up
hands and saving valuable
time.

With MGUIDE MORE
process begins with a single patient CBCT scan,
which is converted into
DICOM compatible data
and uploaded for a 3-D
clinical evaluation. At
the implant planning and
template design stage, the
integration of a scanned
wax-up and stone models enable
virtual top-down planning, as
well as the template design from
which stereo-lithographic templates are produced. The open
wire-frame templates are made
using advanced 3-D printing
technologies to ensure optimum
fit and are constructed from a
strong, durable biocompatible
material that is lightweight for
enhanced patient comfort.

MIS IMPLANTS
TECHNOLOGIES, ISRAEL
www.mis-implants.com

Booth G10

NEW DEVELOPMENTS AND BENEFITS OF OSSTELL ISQ DISCUSSED AT EAO MEETING
The Implant Stability Quotient
(ISQ) has become a global standard unit for implant stability, according to the Swedish developer
Osstell. New developments and
the clinical benefits of the technology will be discussed at the company’s Scientific Forum meeting,
which will be held tomorrow at
7:45 in Liffey Hall 2 of the Dublin
Convention Centre.
A certain level of initial implant stability and the assurance
of osseointegration over time
have proven to be crucial for long
term implant success. According
to the Swedish company, the
Osstell ISQ is a totally objective
and non-invasive handheld instrument that helps clinicians to
accurately determining that information. The scale, ranging
from 1 to 100, correlates perfectly
with micro mobility; the higher
ISQ the more stable the implant.
Through a decreasing ISQ value,
it provides an early warning in

3SHAPE DIGITAL IMPRESSION TAKING SYSTEM
WELCOMED BY DENTAL LABORATORIES
The TRIOS intra-oral scanning
system facilitates a new and improved means of co-operation between dental clinics and laboratories, according to Danish manufacturer 3Shape. Precise scanning of
the preparation, antagonist and bite
can be performed entirely in the
clinic with the device and sent to the
laboratory, which is able to work
with the files immediately, resulting
in a less time-consuming, labour-intensive and expensive restoration.
Extra work for the laboratory due to
the shortcomings of conventional
impression taking, such as blood tissue hiding the preparation margin
line, can be avoided. Final fitting is
also improved owing to the higher
precision TRIOS scanning is said to
deliver.

case osseointegration is not progressing as expected. As a result,
additional cost owing to implant
failure or redoing a crown due
to premature loading can be
avoided.

Osstell ISQ offers special value
when treating patients with implants with a higher risk of failure,
the company said. If the initial mechanical stability is high enough,
a one-stage approach is often used
together with immediate- or early
loading. Measuring again before
the final restoration and comparing that value to the baseline
value taken at placement, can
help to make the decision whether
to proceed or not, easier and more
objective. In addition, Ostell ISQ
does also meet the demand for
shorter treatment time.
So far, more than 500 articles
have been published involving
the Osstell technique and the ISQscale. A searchable database with
abstracts is currently available at
the company’s website.
OSSTELL, SWEDEN
www.osstell.com/scientific-forum

Booth B10

Kenneth Dalsgaard, owner of
Dalsgaard Dental Laboratory in
Copenhagen, agrees that the system
is the best and most precise of its
kind on the market. His laboratory,
which has offered all types of
crowns, including implant crowns,
since 1968, has recently invested in
the scanner system in order to provide clients with a better service at
more flexible prices. One of the
main advantages, he says, is that impressions or scans can be viewed,
adjusted and discussed even while
the patient is in the chair. Moreover,
areas lacking data can easily be
erased and re-scanned without having to redo the entire impression.

Since TRIOS was designed as an
open system, it offers unlimited options for laboratories in terms of
their choice of materials and partners presently and in the future, he
said.
Launched at the International
Dental Show in Germany earlier this
year, TRIOS is available to dental
professionals worldwide. 3Shape
provides extensive support to users
of the system through its headquarters in Copenhagen in Denmark,
and its local support and service
centres in Europe, Asia and the USA.
3SHAPE, DENMARK
www.3shape.com

Booth S21

[37] => Anzeigen Stand DIN A4

[38] => Anzeigen Stand DIN A4

business

38

EAO Annual Scientific Congress 2013 · 17 October

UNIVERSAL INTERFACE FOR DIGITAL DENTISTRY TREATMENT LAUNCHED BY TRI
With the increase of suppliers
and closed digital systems for
guided surgery and dental CAD/
CAM, it has become difficult for
clinicians to stay abreast of the advantages of each system. TRI Dental Implants has said to have developed a universal interface for
greater transparency and eliminating barriers in digital dentistry
treatment, which will be on dis-

play at the EAO Annual Scientific
Meeting this year for the first time.
According to TRI, the TRI+ interface offers enhanced treatment
options and a new approach to the
drilling protocol for guided surgery, which is intended to facilitate immediate implant placement after the first drilling procedure. “TRI+ gives our customers
the flexibility to work with their

preferred providers in digital dentistry whilst benefiting from the
simplicity of our Swiss dental implant system. With this seamless
interface, we guarantee infinite
treatment options for our customers in the fields of CAD/CAM
and guided surgery without concern about compatibility issues,”
CEO of TRI Dental Implants Tobias
Richter said.

According to Richter, the digital compatibility of the TRI Dental
Implants system allows a wide
range of indications via 3-D planning, such as guided surgery, CAD
abutments, CAD/CAM screw-retained bars and bridges, as well
as CAD/CAM cement-retained
crowns and bridges. Furthermore, All-on-4 procedures have
become possible to perform.

TRI DENTAL IMPLANTS,
SWITZERLAND
www.tri-implants.com

Booth S15

AD

OPEN CAD/CAM
SOLUTIONS

Academy of
Osseointegration






ANNUAL MEETING

REAL
PROBLEMS
REAL
SOLUTIONS

In order to complete its offer in
industry-leading dental equipment and software, Planmeca has
recently introduced a full range of
open CAD/CAM solutions. From
high-precision desktop milling
units to sophisticated CAD software and digital impression scanners, they include all tools that are
required for open CAD/CAM dentistry, the Finish company said.

According to Planmeca, the
quick and accurate digital impression scanner Planmeca PlanScan
provides real-time digital impressions from one-tooth to full-arch
scans, which can be sent to any
dental lab for CAD work. It is also
the first unit-integrated impression scanner. Available as a standalone version, the Planmeca PlanScan can also be connected to a laptop, for example. The new open
CAD software suite for easy 3-D design, has been integrated in the
Planmeca Romexis software as a
perfect tool for designing prosthetic works from individual inlays to full-arch bridges and abutments. Final designs can then be
sent to Planmeca PlanMill 40, a
new 4-axis milling unit designed
for glass ceramic and other material works.
For dental laboratories, Planmeca also offers a fast and maintenance-free desktop lab scanner for
scanning plaster casts with the
Planmeca PlanScan Lab. Final designs can be processed with Planmeca PlanMill 50, an accurate 5axis milling machine designed for
dental labs or ordered fast and reliable from Planmeca’s CAD/CAM
milling centre PlanEasyMill,
which offers a wide range of materials and fast deliveries. “Our
CAD/CAM solutions are truly
unique, as the system is completely open and flexible,” explains Mr Jukka Kanerva, Director
of Dental care units and CAD/
CAM division at Planmeca Oy.
“Dentists and laboratories can
choose either the entire solution
and benefit from the integrated
workflow, or just pick the necessary parts and send the open data
to their partners.”

M A R C H 6 - 8 , 2 01 4



WA S H I N G T O N S TAT E C O N V E N T I O N C E N T E R

osseo.org

PLANMECA, FINLAND
www.planmeca.com

Booth B13

[39] => Anzeigen Stand DIN A4

business

EAO Annual Scientific Congress 2013 · 17 October

MECTRON IMPLANT CLEANING INSERT
Mectron’s new insert for implant cleaning is said to be easy to
use while being soft on the implant. The budget-friendly instrument will be available

for all mectron scalers
(tipholder ICS)
and for Piezosurgery (tipholder
ICP), the Italian company said. According to mectron,
the tipholder ICS/ICP in combination with the IC1 tip, allow optimal access and gentle plaque removal. A long and ergonomic
form of the tipholder ICS/ICP is
supposed to facilitate access even
in the posterior region and to simplify handling during the maintenance treatment of implants in order to prevent periimplantitis.
The IC1 tip consists of biocompatible plastic material (PEEK),
which is known to be gentle and
soft on titanium implant surfaces.

Its long and thin diameter allows good access into the pockets
while removing effectively
plaque around the implant neck.

Since it has no metal core, damages on the implant surface once
the plastic got consumed are prevented. In addition, it can be used
on ceramic and metal restorations as well as natural teeth, the
company said. The tip IC1 also
does not require any key in order
to be fixed on the tipholder
ICS/ICP as it can simply be
screwed on by hand. They are
both sterilizable and reusable.
The complete set, consisting of
one tipholder ICS/ICP and five
IC1 tips, is already available on
the market.
MECTRON, ITALY
www.mectron.com

Booth S13

SOREDEX HAS DIGITAL INTRAORAL SYSTEM
ON DISPLAY
The new DIGORA Optime is
said to be a powerful and easy-touse diagnostic tool for all intraoral applications and patient sizes.
According to the manufacturer
Soredex, the system offers consistent diagnostic quality with
smart auto-optimization features
that adjust the grey levels of the
image and thus compensate acci-

dental over- or under-exposures.
The result is sharp and high-contrast clinical image for diagnostic
purposes.
Soredex says that the DIGORA
Optime system is intuitive and offers system guides for helping
users finding the correct exposure settings. It does not accept
improperly inserted imaging

plate and makes it possible to use
plates almost immediately after
processing. The thin, flexible, and
durable wireless imaging plates
have a 100 per cent active area
and are comfortable for the patient. The patented IDOT imaging
plate identification system (optional) supports quality control.
DIGORA Optime also comes with
effective, proprietary hygiene accessories (Latex/
PVC free, food
grade hygiene bags
with Biocompatibility according to
ISO 10993-1 and
Opticover protective cover). A standard network connection allows images from one
DIGORA Optime to
be accessed from
multiple locations
in the dental practice, the company
said.
Based on the experience gathered
from tens of thousands of installations in various
operatories worldwide, the
DIGORA Optime is said to improve workflow in dental practices significantly. Soredex first
introduced the world’s first intraoral imaging plate system in 1994.
SOREDEX, FINLAND
www.soredex.com

Booth B11

NOBEL BIOCARE EXPANDS ACCESS TO PROSTHETIC RANGE
WITH NEW SCANNER PARTNERSHIP
With NobelProcera, Dr Matts
Andersson first presented fullyautomated industrial CAD/CAM

prosthetic production to dentistry
thirty years ago. Nowadays, the
system continues to lead the field
as it delivers outstanding quality,
ready-to-use restorations, according to the manufacturer Nobel Biocare. Since the fabrication of the
first coping in 1983, patients all
over the world have benefitted
from the more than eleven million
delivered high-quality units.
Every NobelProcera product and
solution since then has been designed to give patients both functional and natural-looking tooth
restorations, individually designed to last, the company said.
With the new NobelProcera 2G
scanner, Nobel Biocare has re-

cently taking yet another significant step forward to provide more
dental laboratories and dentists
with greater
access to its
prosthetic
products
and solutions than
ever before.
The more efficient second-generation device
is supposed
to deliver direct access
to the comprehensive

assortment of NobelProcera restorations.
In addition, users
of the 3Shape Dental System are now
able to gain open
access to NobelProcera’s high-quality CAD/CAM abutments as well through a new open
access partnership between the
Danish digital dentistry solutions
provider and Nobel Biocare.
NobelProcera encompasses a
comprehensive range of innovative, science-based restorative solutions for the replacement of
teeth in all indications, ranging
from the single tooth to the eden-

tulous. Each can be combined
with specific material properties
to achieve both functional and
aesthetic results. According to the
company, the system provides
easy access to a global network of
regional production facilities to
better serve each individual network of dental professionals.
Nobel Biocare is continuing to
drive dental CAD/CAM innovation with high-end solutions, such
as individualised abutments, implant bridges and bars. The company says to approach the development of each new product with
advanced engineering, thorough
verification, meticulous valida-

tion as well as specialised manufacturing techniques and tooling.
This results in a consistent precision of fit and exceptional product
quality in line with medical device standards.
NOBEL BIOCARE, SWEDEN
www.nobelbiocare.com

Booth FGS 2

BONE & TISSUE DAYS TO BE HELD BY BOTISS
According to the German dental bone and soft tissue regeneration specialist Botiss, the innovation curve in implantology has
flattened and the R&D and education focus has shifted to successful bone regeneration and soft tissue management. Therefore, the
company is inviting visitors of this
year’s EAO congress in Dublin to
its bone & tissue days Continuous
Education events in Istanbul,
Turkey, in November this year as
well as in Berlin in 2014. Leading
regeneration experts such as
Hom-Lay Wang, Marius Steigmann, Adrian Kasaj, Raul
Caffesse, Peter Windisch, Anton
Sculean, Sofia Aroca, Pablo
Galindo-Moreno, Bernhard Giesenhagen, Orcan Yüksel, Michele
Jacotti, Ralf Smeets, Markus
Schlee, Joseph Choukroun, Cemal
Ucer, Daniel Rothamel are expected to teach new concepts and
innovative technologies with
proven and new materials on the
podium including vertical and
horizontal GBR, soft tissue augmentation, muco-gingival aesthetic surgery, new flap and suturing techniques. All topics are also
taught and demonstrated in
hands-on workshops and practi-

cal exercises. After the bone & tissue days participants still have access to those new and innovative
technologies, the company said.
Botiss currently says to offer innovative and reliable biomaterials portfolio for hard and soft tissue augmentation in over 80 countries worldwide. New botiss products, such as allogenic bone rings,
CT-based patient individual bone
implants, new 3-D-soft tissue matrices, combined with biologic

loading and individualized surgical techniques enable the modern
clinical user to practice new and
reliable treatment concepts, also
for highly complex cases. According to the company, they offer
treatment alternatives, that are
easier, safer and more economic
than conventional methods.
BOTISS, GERMANY
www.botiss.com

Booth B15

DTI/Photo: Tomas1111/Shutterstock

[40] => Anzeigen Stand DIN A4

An implant like no other.
High initial stability even in compromised
bone situations.
Maximum bone preservation.
Excellent esthetics.

It’s called NobelActive. The drilling procedure of this
unique implant is designed to retain as much bone as
possible, while the implant body and thread design
condenses bone during insertion enhancing initial
stability. The back-tapered coronal design and built-in
platform shifting maximize alveolar bone and soft
tissue volume, and the sharp apex and cutting blades
enable you to adjust the implant position for optimal

restorative orientation. Together with the strong conical
connection and a comprehensive prosthetic assortment, NobelActive allows you to achieve excellent
esthetic results. After 45 years as a dental innovator
we have the experience to bring you future-proof and
reliable technologies for effective patient treatment.
Their smile, your skill, our solutions.

2013
READERS’
CHOICE
AWARD

2012

PRODUCTS 2012

TOP 25
Implant Products

Visit nobelbiocare.com/
nobelactive

© Nobel Biocare Services AG, 2013. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain
case, trademarks of Nobel Biocare. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales ofﬁce for current product
assortment and availability. NobelActive was voted best implant 2011 at the Saúde Oral Awards in Portugal.

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[cover] => today EAO Dublin 2013, 17 Oct

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