February 16 to 18, 2017 at the Kimpton Epic Hotel in Miami, Florida! Welcome to the 6th IAOCI World Congress, an international meeting with a first-rate scientific program delivered by top speakers from around the world. Through this yearly congress, the academy promotes innovative and forward-thinking ideas by means of workshops, lectures, and symposia that enhance the understanding of and the rationale for ceramic implantology. This is a place where scientists, clinicians, students, and manufacturers gather to have access to, learn from, and exchange ideas with the largest community of international experts in dental bioceramics science and technology. No other event will offer a more comprehensive and innovative series of lectures and programs that are dedicated to predictable, aesthetic, and metal-free ceramic implantology. The distinguished speakers from all over the world will be addressing pertinent topics, such as rationale for ceramic implants, zirconia as an implant and implantable material, mechanism of osseointegration of ceramic implants, the latest advancements in zirconia implant design and engineering, and much more! ALREADY CONVINCED? REGISTER NOW! DOWNLOAD THE ADVANCE CONGRESS PROGRAM LEARN MORE ABOUT THE STRAUMANN® PURE CERAMIC IMPLANT The International Academy Of Ceramic Implantology is the first professional organization built around the idea that ceramic dental implants should be and will become the standard of care for teeth replacement. As a comprehensive resource for patients and dental health professionals, the IAOCI.com website provides the latest research, news, and articles on the topics of ceramic dental implants, zirconia and zirconium implants, zirconium oxide, and metal-free dental implants of all kinds. Please join us at the Kimpton Epic Hotel in Miami, Florida, for what will be a unique and total immersion learning experience on all aspects of the science and art of bioceramics and metal-free materials for implant rehabilitation. Miami is a culturally rich and diverse city with a unique identity and is the best setting for an out-of-the-box meeting like IAOCI 2017. SEE YOU IN MIAMI! CLINICAL REVIEW The clinical facts behind the Straumann® PURE Ceramic Implant. Click here BROCHURE The official Straumann brochure for the Straumann® PURE Ceramic Implant. Click here NEWSLETTER Subscribe to our monthly STARGET newsletter to receive the latest news. Click here The post 6th IAOCI World Congress: “Evidence-Based Ceramic Implantology — Where Are We Today?” appeared first on STARGET COM.
INITIAL SITUATION A 49-year-old man was referred to our service for evaluation and treatment of gingival recession with root exposure (FDA, tooth 13) and a tooth with a hopeless prognosis because of root resorption (tooth 11) (Fig. 1). After comprehensive examination, no significant health problems and no contraindications for periodontal and implant surgery were detected. For tooth 13, clinical measurements and observations resulted in a diagnosis of a Miller class I recession. For tooth 11, CBCT images (Figs. 2, 3) revealed a bucco-lingual bony defect secondary to previous endodontic surgery in very close proximity to the nasopalatine canal. Although they were not the patient’s main complaint, some esthetic issues were observed in the adjacent teeth. PRODUCT INFORMATION BY THE MANUFACTURER Straumann® Emdogain® for wound healing “Orchestrating Wound Healing” – learn more about the new indication of Straumann® Emdogain®. Click here Straumann® Emdogain® is one of the best documented products in oral tissue regeneration. Its excellent clinical tolerability [1,2] has been demonstrated in over two million surgical applications. Emdogain® contains enamel matrix proteins (amelogenins). When applied to the wound, these proteins form an extracellular matrix that stimulates cells and processes that are fundamental for wound healing . These properties make Emdogain® a unique solution to stimulate and accelerate the healing of wounds and regeneration of tissues.  Clinical evaluation of wound healing following multiple exposures to enamel matrix protein derivative in the treatment of intrabony periodontal defects. Heard RH, Mellonig JT, Brunsvold MA, Lasho DJ, Meffert RM, Cochran DL. J Periodontol. 2000 Nov;71(11):1715-21.  Clinical safety of enamel matrix derivative (EMDOGAIN) in the treatment of periodontal defects. Zetterström O, Andersson C, Eriksson L, Fredriksson A, Friskopp J, Heden G,  Jansson B, Lundgren T, Nilveus R, Olsson A, Renvert S, Salonen L, Sjöström L, Winell A, Ostgren A, Gestrelius S. J Clin Periodontol 1997 Sep;24(9 Pt 2):697-704. 29. Emdogain Promotes Healing of a Surgical Wound in the Rat Oral Mucosa. Maymon-Gil T, Weinberg E, Nemcovsky C, Weinreb M. J. Periodontol. 2016 Jan 16:1-16. TREATMENT PLANNING For the Miller class I recession of the canine, a substantial amount of good quality keratinized tissue was observed at the gingival margin. Consequently, a coronally advanced flap approach was planned, combined with the use of Emdogain®. Regarding the central incisor, a minimally invasive extraction with immediate implant placement and immediate temporization were planned. The bony defect would be addressed using a block bone graft from the posterior mandible. Additionally, nasopalatine content removal was also considered in order to prevent future contact between the implant and that anatomic landmark. Topical application of Emdogain® was envisaged for both situations with the aim of optimizing wound healing. PICTURE DOCUMENTATION 1 guimaraes01 2 guimaraes02 3 guimaraes03 4 guimaraes04 5 guimaraes05 6 guimaraes06 7 guimaraes07 8 guimaraes08 9 guimaraes09 10 guimaraes10 11 guimaraes11 12 guimaraes12 13 guimaraes13 14 guimaraes14 15 guimaraes15 16 guimaraes16 17 guimaraes17 18 guimaraes18 19 guimaraes19 20 guimaraes20 21 guimaraes21 22 guimaraes22 23 guimaraes23 24 guimaraes24 SURGICAL PROCEDURE Tooth 11: After local anesthesia, an intrasulcular incision was made all around the tooth with a 15C surgical blade (Fig. 4). A periotome was used to sever both the supracrestal fibers and the interproximal periodontal ligament fibers (Fig. 5). A forceps was carefully applied with slow rotational movements to luxate and extract the tooth (Fig.6). Every effort was made not to jeopardize the remaining buccal plate. Lucas curettes were used to remove all granulation tissue (Fig. 7). The communication between the alveolar socket and the nasopalatine canal (Fig. 8) was confirmed, and all the soft tissue contents in the canal were enucleated using round carbide burs (Fig. 9). The implant was placed against the palatal wall so as to achieve sufficient torque for immediate temporization (Fig. 10). Subsequently, the bone donor site was accessed. A full-thickness incision was made 3 mm below the mucogingival junction from the ascending ramus of the mandible to the distal aspect of the first molar. A flap was raised, and bone blocks measuring 8 mm and 6 mm in diameter were removed using trephine burs (Fig. 11). Sutures were placed. At the implant site, a 6-mm diameter bone block was used to completely fill the nasopalatine canal. Two further blocks were used to repair the buccal and lingual bony defects. The blocks were positioned in a press-fit manner until they were completely stable (Fig. 12). The residual gap was filled with autogenous bone particles. Interrupted sutures were placed in the interdental papillae only. An abutment was selected for a cemented provisional crown, and temporization was performed based on an ideal crown prototype (Figs. 13, 14). “MY PERSONAL RESEARCH ON USING EMDOGAIN® FOR THE WOUND HEALING AS PART OF DENTAL IMPLANTATION PROCEDURES DEMONSTRATED THAT THE PRODUCT STIMULATES BLOOD VESSEL FORMATION AND THEREFORE ENHANCES WOUND HEALING. USING EMDOGAIN® IN MY DAILY IMPLANT AND GRAFT CASES MAY OPTIMIZE MY WOUND HEALING RESULTS AND CONSEQUENTLY MY PATIENT’S SATISFACTION.” GEORGE FURTADO GUIMARÃES Tooth 13: After local anesthesia, an intrasulcular incision was made from the base of the recession to the point where it meets the vertical incisions. Two oblique, bevel incisions were made with a 15C surgical blade mesially and distally to the intrasulcular incision and extended beyond the mucogingival line, creating a trapezoid flap. An initial partial-thickness flap of the interproximal papilla was made using a Beaver® mini blade (Fig. 15), and a full-thickness flap was then raised apical to the recession up to the mucogingival line. Subsequently, a partial-thickness dissection was made apical to this line to promote a tension-free coronal displacement of the flap (Fig. 16). The interproximal papillae were de-epithelialized with microsurgical scissors (Fig. 17). Following soft tissue management, tooth decontamination was performed with Gracey curettes and special burs. A 24% EDTA gel (Prefgel®) was applied to the root surface for 2 minutes and then completely rinsed off with sterile saline. Emdogain® was then applied to the entire root surface (Fig. 18). The flap was positioned coronally above the cementoenamel junction, and a 5.0 nylon suture was carefully placed (Fig. 19). Upon completion of the surgical procedures, Emdogain® was topically applied to the soft tissue manipulated during surgery (teeth 13 and 11) with the aim of enhancing soft tissue healing (Fig.20). The patient was instructed not to rinse or brush his teeth on the day of the surgery to prevent early loss of the Emdogain® gel. Sutures were removed 14 days postoperatively, at which time the healing process was assessed (Fig.21), and new hygiene instructions were issued. The prosthetic phase was also scheduled at this stage. PROSTHETIC PROCEDURE After a healing period of 3 months, the prosthetic procedure was performed. In accordance with the patient’s wishes and esthetic needs, teeth 21 and 12 were also prepared (Fig. 22), and individual temporary crowns were made. A tooth-whitening procedure was also carried out (Procedure, products) in both upper and lower arches to optimize the final esthetic outcome. At the time of impression-taking, the abutment torque was confirmed and a customized impression coping was used to copy the resulting profile obtained with the temporary crown. Individual zirconia-ceramic crowns were made and permanently fitted (Figs. 23, 24). FINAL RESULT During the first two weeks postoperatively, the patient was followed up every other day to ensure that adequate healing was taking place. Aspects related to inflammation, infection, re-epithelialization of the surgical incisions and soft tissue maturation were assessed. Satisfactory postoperative wound healing was achieved without complications. The combination of a coronally advanced flap and Emdogain® proved to be a good treatment option for this Miller class I case, which resulted in a positive outcome. Immediate implant placement with immediate temporization promoted a satisfactory initial result for the patient. Topical Emdogain® application aided in wound healing, based on the angiogenic properties previously reported by the authors themselves (Guimarães et al. 2015). Although a considerable number of surgical sites were involved at the same time, the patient was highly satisfied and reported no postoperative pain. Regarding the restorative aspects of this case, which was the patient’s main concern, a highly satisfactory esthetic result was obtained. The tooth-whitening procedure and the zirconia-ceramic crowns were key to achieving such goals, in terms of both esthetics and function. CONCLUSION Gingival recession cases are often challenging, especially in the context of immediate implant placement. Careful treatment planning is therefore crucial to a positive long-term outcome. Treatment combining a coronally advanced flap and Emdogain® in the case presented here permitted complete root coverage and satisfactory esthetics. Both the grafted alveolar bony defects and the nasopalatine canal content enucleation were regarded as predictable and important for long-term implant performance. Immediate implant placement and temporization to replace the central incisor provided the patient with good immediate esthetics and contributed to the preservation of the soft tissue architecture during the healing phase which, in turn, was paramount in the final restoration. This case was realized with the support of Dr. James Carlos Nery, PhD, and Silvio Arouca, MSc. Prof. Dr. George Furtado Guimarães DDS Private dental surgeon, Brasília, Brazil. Lecturer and Researcher in Implantology and Periodontology, São Leopoldo Mandic Institute and Research Center, Brasília, Brazil. Coordinator of Specialist Training and Master’s degree, São Leopoldo Mandic Institute and Research Center, Brasília, Brazil. Co-authors: James Carlos Nery PhD, Silvio Arouca MSc email@example.com BROCHURE Download our brochure for more information on how to improve wound healing in implant surgery procedures by using Straumann® Emdogain®. CLICK HERE MORE? All about Straumann® Emdogain®. CLICK HERE SUBSCRIBE Subscribe to our monthly STARGET newsletter to receive the latest news about implant dentistry. CLICK HERE The post George Furtado Guimarães: The use of Straumann® Emdogain® in two different clinical scenarios in the same patient appeared first on STARGET COM.
The International Team for Implantology (ITI) is holding the next edition of its flagship event – the ITI World Symposium – in 2017 from May 4 to 6 in Basel, Switzerland. The scientific program along with the faculty list have been published on the ITI World Symposium 2017 website at www.iti.org/worldsymposium2017. The main theme of the meeting is “Key factors for long-term success”. Find out why Prof. Irena Sailer and Prof. Urs Belser think you need to be in Basel, Switzerland for the ITI World Symposium 2017: VIDEO For more information and to register for the most important implant dentistry meeting in 2017, go to the ITI World Symposium website: WEBSITE Keys to the entire treatment cycle from diagnosis through treatment to aftercare More than 80 speakers from all over the world will be sharing their expertise in a series of plenary and parallel breakout sessions over three days. They will be providing keys to the entire treatment cycle from diagnosis through treatment to aftercare, offering sustainable long-term solutions. In addition to the field’s leading international speakers, the faculty also includes a broad cross-section of young and talented specialists from around the world, representing a diversity of evidence-based approaches and the next generation of implant dentistry. The Scientific Program Committee led by Prof. Dr. Daniel Wismeijer has designed a practically oriented program of information and approaches that participants can immediately implement in daily practice. To ensure that the take home messages are directly accessible to as broad an audience as possible, all plenary sessions will be simultaneously translated from English into nine languages. What will be important tomorrow? “With the theme ‘key factors for long-term success’, the aim is not only to highlight what is state of the art today but also what will be important tomorrow – looking at the technology and approaches that are set to direct practice in the near future,” explained Daniel Wismeijer, Chair of the Scientific Program Committee. “Our speakers are providing keys to various areas within implant dentistry and are also showing how they can be used to open doors to best practice.” The role of technology in our lives is the theme of keynote speaker Dr. Kevin Warwick, a leading cybernetics researcher at the University of Coventry whose area of study is artificial intelligence, robots and cyborgs. Kevin Warwick will be taking a look at how healthcare is developing in the light of technological advances. By contrast, the groundbreaking work of the ITI in the field of implant dentistry during its 37-year history forms the subject of a presentation by Dr. h.c. Thomas Straumann and Prof. Dr. Daniel Buser. Pre-Symposium Corporate Forum The World Symposium scientific program is complemented by a half-day Pre-Symposium Corporate Forum presented by Straumann, Morita and botiss, where opinion leaders talk about their experience with the latest products and technologies. The extensive industry exhibition provides participants with a perfect opportunity to visit key companies, see what’s new and find out how they can apply it in daily practice. THE LOCATION The ITI World Symposium is being held at the Messe Basel within the halls designed by renowned Basel architects Herzog & de Meuron. The unique facade of twisted aluminum bands encloses the ITI World Symposium 2017 setting that is inspired by the dynamic world of modern airports. Bustling departure gates, quiet lounges and a lively exhibition zone provide ample opportunity for the event’s more than 4,200 anticipated visitors to meet and network while taking part in an exciting scientific journey. This is further facilitated by an innovative technology service that allows participants to exchange and gather information using a small interactive device. Any information gathered continues to be accessible and up to date in the “cloud”, which eliminates the need to produce and carry around large amounts of paper during the event. By choosing Basel as the event location, the ITI is returning to its roots and home base. The city itself provides a beautiful backdrop to the event, with a charming old town that is easily accessible from all the hotels and the congress venue. basel.com ABOUT THE ITI The International Team for Implantology (ITI) is an academic association that unites professionals around the world from every field of implant dentistry and related disciplines. It actively promotes networking and exchange among its membership of currently more than 15,000. ITI Fellows and Members regularly share their knowledge and expertise from research and clinical practice at meetings, courses and congresses with the objective of continuously improving treatment methods and outcomes to the benefit of their patients. In 36 years, the ITI has built a reputation for scientific rigor combined with concern for the welfare of patients. The organization focuses on the development of well-documented treatment guidelines backed by extensive clinical testing and the compilation of long-term results. The ITI funds research as well as Scholarships for young clinicians, organizes congresses and continuing education events, and runs more than 600 Study Clubs around the globe. The organization also publishes reference books such as the ITI Treatment Guide series and operates the ITI Online Academy, a peer-reviewed, evidence-based e-learning platform with a unique user-centric approach. www.iti.org The post ITI World Symposium 2017: “Key Factors for Long-Term Success” appeared first on STARGET COM.
Straumann users know: for every restoration with original Straumann components, they can rely on quality and outstanding precision, benefiting from Straumann’s proven quality. The Straumann Guarantee has now been extended to a lifelong warranty for metal abutments, and to 10 years for Straumann® Novaloc® abutments. This means that every abutment is replaced with an equivalent abutment in case of a failure.* (effective from 1 September 2016) Outstanding clinical success record The perfect match of Straumann implants and abutments results in excellent clinical performance. The outstanding clinical success record of our prosthetic components has been verified by different studies [1,2,3,4]. This reliability and peace of mind is reflected in the Straumann Guarantee which warrants that any Straumann product that is defective as a result of a failure of the material strength and stability during the guarantee period, will be replaced with the same or equivalent product, provided that only original Straumann products have been used. Straumann® Novaloc®: innovation and reliability For our newly introduced Straumann® Novaloc® Retentive System for hybrid dentures, a warranty of 10 years is provided. Our new ADLC-based surface with diamond-like properties is abrasion-resistant and provides an extremely long product life. This outstanding material, already tried out in other areas of medicine (e.g. hip and knee replacements), in combination with the unique original Straumann connection and our many years of know-how in implantology, have prompted us to also grant an extended guarantee for this product. A 10-year retrospective study  by the University of Bern, Switzerland, on Straumann original prosthetic components shows an excellent long-term clinical performance: * For more details get the official Straumann Guarantee from your local Straumann representative. REFERENCES 1 Kim SK, Koak JY, Heo JS, Taylor TD, Ryoo S, Lee SY: Screw loosening with interchangeable abutments in internally connected implants after cyclic loading. Int J Oral Maxillofac Implants 2012; 27:42-47 2 Results for Straumann abutments on Straumann implants are statistically different from those with non-original parts. 3 Keilig L, Berg J, Söhnchen P, Kocherovskaya, Bourauel C. Micro-mobility of the implant/abutment interface for original and third-party abutments – a combined experimental and numerical study (Poster EAO 2013, Dublin, ref. no. 346). 4 Wittneben JG, Buser D, Salvi GE, Bürgin W: Complication and failure rates with implant-supported fixed dental prostheses and single crowns: A 10 y retrospective study. Clin Implant Dent Relat Res 2013; (E-pub ahead of print). The post Straumann extends its guarantee for all metal abutments to lifelong, and to 10 years for Novaloc® abutments appeared first on STARGET COM.