Expanded Dental Implant Treatment Options Through Technology

Size: px
Start display at page:

Download "Expanded Dental Implant Treatment Options Through Technology"

Transcription

1 VOLUME 2 ISSUE 4 DENTAL LEARNING Knowledge for Clinical Practice A PEER-REVIEWED PUBLICATION Expanded Dental Implant Treatment David Feinerman, DMD, MD Page 3 INSIDE Earn 2 CE Credits Written for dentists, hygienists and assistants Foreword Fiona M. Collins, BDS, MBA, MA Page 2 Improving Patient Care Through Cutting-Edge Science and Technology Robert C. Vogel, DDS Page 18 Copyright 2013 by Dental Learning, LLC. No part of this publication may be reproduced or transmitted in any form without prewritten permission from the publisher. DENTAL LEARNING 500 Craig Road, Floor One, Manalapan, NJ CE Editor FIONA M. COLLINS Managing Editor JULIE CULLEN Creative Director MICHAEL HUBERT Art Director MICHAEL MOLFETTO

2 Expanded Dental Implant Treatment ABSTRACT Endosseous root-form dental implants were introduced approximately four decades ago. Since then, implant treatment has evolved into a predictable therapy with high implant survival and success rates as well as high success rates for implant-supported and implant-retained restorations and prostheses. However, clinicians face many challenges when treatment planning cases, including anatomical constraints, patient needs, expectations, and acceptance of implant treatment. Technological advances since the first standard diameter implants became available have included the development of wide-diameter, short and narrowdiameter implants as well as the availability of implants with sophisticated rough-surface coatings. These options help to address clinical challenges faced during treatment planning and therapy with implants, can reduce the invasiveness and length of treatment, and can increase case acceptance. ABOUT THE AUTHOR David Feinerman, DMD, MD Dr. David Feinerman is a Board-certified Oral Maxillofacial Surgeon in private practice. He is Co-Chair of the Oral Implantology Program at the Atlantic Coast Research Clinic, a current instructor in oral maxillofacial surgery at Nova University and a former instructor at the University of Connecticut. Dr. Feinerman is a reviewer for the Journal of Oral and Maxillofacial Surgery, the International Journal of Oral and Maxillofacial Surgery and for the Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology Journal. Dr. Feinerman earned his DMD from Harvard School of Dental Medicine, his MD from the University of Connecticut and completed a Fellowship in Maxillofacial Surgery at Saint Francis Hospital and Medical Center. Dr. Feinerman is the Director of the ITI Study Club of Boynton Beach and a speaker for Straumann. He can be reached at EDUCATIONAL OBJECTIVES The overall goal of this course is to provide the reader with information on considerations and challenges in implant treatment planning and on the role of technologies in increasing implant treatment options. On completion of this course, participants will be able to: 1. Review the development of dental implants 2. Describe the challenges clinicians face in treatment planning implant cases 3. List and describe technologies and options for overcoming treatment planning challenges 4. Describe the types of surface coatings used for implants and their impact on healing and osseointegration 5. Review the role of narrow-diameter implants, materials and treatment outcomes. Introduction Treatments with dental implants and the technologies behind them have developed considerably since the introduction of endosseous root-form standard diameter implants. These advancements include less invasive surgery and simpler treatment options for overdentures, single crowns and fixed prostheses. This has revolutionized the treatment options clinicians can provide to patients and the functionality that patients can obtain. In addition, while early dental implants had smooth surfaces, rough surfaces are now increasingly used on dental implants. These surface coatings have included calcium-like deposits, titanium plasma spray (TPS) surfaces, surfaces grit-blasted with aluminum oxide or titanium oxide, and, more recently, sandblasted and acid-etched surfaces. Treatment planning implant cases requires consideration of the patient s medical and dental history, habits, anatomy, SPONSOR/PROVIDER: This is a Dental Learning, LLC continuing education activity. COMMERCIAL SUPPORTER: This course has been made possible through an unrestricted educational grant from Straumann USA. DESIGNATION STATEMENTS: Dental Learning, LLC is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Dental Learning, LLC designates this activity for 2 CE credits. Dental Learning, LLC is also designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership, and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 2/1/2012-1/31/2016. Provider ID: # Dental Learning, LLC is a Dental Board of California CE provider. The California Provider number is RP5062. This course meets the Dental Board of California s requirements for 2 units of continuing education. EDUCATIONAL METHODS: This course is a self-instructional journal and web activity. Information shared in this course is based on current information and evidence. REGISTRATION: The cost of this CE course is $29.00 for 2 CE credits. PUBLICATION DATE: July, EXPIRATION DATE: June, REQUIREMENTS FOR SUCCESSFUL COMPLETION: To obtain 2 CE credits for this educational activity, participants must pay the required fee, review the material, complete the course evaluation and obtain a score of at least 70%. AUTHENTICITY STATEMENT: The images in this course have not been altered. SCIENTIFIC INTEGRITY STATEMENT: Information shared in this continuing education activity is developed from clinical research and represents the most current information available from evidence-based dentistry. KNOWN BENEFITS AND LIMITATIONS: Information in this continuing education activity is derived from data and information obtained from the reference section. EDUCATIONAL DISCLAIMER: Completing a single continuing education course does not provide enough information to result in the participant being an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. PROVIDER DISCLOSURE: Dental Learning does not have a leadership position or a commercial interest in any products that are mentioned in this article. No manufacturer or third party has had any input into the development of course content. CE PLANNER DISCLOSURE: The planner of this course, Tricia Branch, does not have a leadership or commercial interest in any products or services discussed in this educational activity. She can be reached at TARGET AUDIENCE: This course was written for dentists, dental hygienists, and assistants, from novice to skilled. CANCELLATION/REFUND POLICY: Any participant who is not 100% satisfied with this course can request a full refund by contacting Dental Learning, LLC, in writing. Go Green, Go Online to take your course. Please direct all questions pertaining to Dental Learning, LLC or the administration of this course to JULY 2013 Integrated Media Solutions/Dental Learning LLC is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Integrated Media Solutions/Dental Learning LLC designates this activity for 2 continuing education credits. Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 2/1/2012-1/31/2016 Provider ID: # AGD Subject Codes: 690, 691 3

3 DENTAL LEARNING needs, expectations, and cost. If, based on these factors, implant treatment is indicated, planning should involve first considering the desired restorative outcome and then planning the surgical and restorative treatment from this standpoint. 1 Challenges faced by clinicians include anatomical constraints and patient acceptance. Treatment Planning Challenges Anatomical structures Key factors in the maxilla include the proximity of the maxillary sinus 2 as well as the position of the nasopalatine canal and nasal floor. In the mandible, anatomical structures of importance include the mental nerve, the inferior alveolar canal (Fig. 1), the lingual artery and the sublingual artery. 3 These structures create significant challenges in patients with edentulous atrophic ridges and partially dentate patients with missing posterior teeth. The proximity of the roots of adjacent teeth to the proposed osteotomy site also cannot be overlooked (Fig. 2) a poorly planned/executed implant can result in damage to an adjacent root/roots. Bone volume, height and width Sufficient bone must be present bucco-lingually, mesiodistally and apico-coronally for implant placement. If insufficient bone is present, ideal implant placement may be impossible without impinging on anatomical structures. In partially dentate patients, inadequate mesiodistal width can result in damage to adjacent roots, an inadequate width for placement of the fixed, implant-supported restoration, and/or poor esthetics. Narrow width can preclude standard diameter implant treatment. 4 If the implant is placed such that the biologic width cannot be achieved, and if the contact point distance from the crestal bone is too great, soft tissue esthetics and development of the papillae/gingival architecture that appears normal are not possible. 5,6 Papillae also cannot develop between 2 implants without adequate mesio-distal space between the 2 (or more) implants. 7 A narrow bucco-lingual width of bone and/or the presence of undercuts can lead to nonideal placement of an implant, particularly a standard diameter implant, with implications for esthetics and function. It can also lead to potentially disastrous perforation of the lingual (or buccal) bone plate. In addition, even if the plate is not perforated at the time of implant placement, if inadequate width of bone is present, the implant site can become fenestrated with loss of the thin plate existing at the time of implant placement. Adjunctive treatments that can resolve anatomical challenges include an invasive sinus lift or bone grafting to achieve sufficient bone height for posterior maxillary implant placement. 8 Bone grafting/guided tissue regeneration may be performed to achieve adequate bone height/ Figure 1. Proximity of inferior alveolar canal Figure 2. Proximity to adjacent roots and narrow mesio-distal width 4 VOLUME 2 ISSUE 4

4 Expanded Dental Implant Treatment width/volume for implant placement. Ridge splitting to widen a narrow alveolar ridge has also been advocated. 9,10 Patient satisfaction and treatment acceptance Patient satisfaction is generally high with implant-supported/implant-retained restorations. 11,12 In a multicountry prospective study, there was significantly greater patient satisfaction with implant-supported overdentures than with conventional removable dentures, including greater satisfaction with chewing ability, speech, comfort and denture stability. 13 Other studies variously reported improved chewing ability, taste, function, psychological well-being, comfort and quality of life in patients following treatment with implants of various diameters. 14,15,16,17,18 Subjective satisfaction (patient perception) and objective results following treatment with implant-supported overdentures is also correlated. 19 Subjective improvements in oral health were reported by patients receiving implants and single crowns; in a study by van Lierde, 100% patient satisfaction was reported with implant-supported single crowns. 20,21 Patient satisfaction with full-arch implantsupported fixed prostheses is also high in one study of 250 patients, 95% were either extremely satisfied or very satisfied with treatment outcomes and 98% stated they would recommend such treatment to others (Table 1). 22 Implant-supported single crowns are also cost-effective compared to a traditional three-unit bridge and do not require involvement of adjacent teeth; longer-term, implant-retained overdentures are also cost-effective although initially more costly than traditional removable full dentures. 23 Thus, patient acceptance of implant treatment results in high levels of patient satisfaction and good esthetic and functional outcomes. Nonetheless, patient nonacceptance of implant treatment is not uncommon. Reasons given include the idea that their jaw is being drilled ; a perception that there would be considerable pain and possibly infection; and dental anxiety or outright fear. 4,24,25 The relatively high cost of implant treatment also results in treatment declination. 26 Patient expectations include the desire for implant treatment that is relatively noninvasive, painless, low-cost (or at least, less costly), quick overall and with fewer treatment phases, as well as for immediate restorative care. (On the other hand, unrealistic patient expectations render treatment difficult and cause patient dissatisfaction.) Meeting these high expectations can aid case acceptance. Addressing Treatment Challenges Meeting expectations and overcoming treatment challenges with modern implant technology can result in greater case acceptance. Techniques that reduce the anxiety, cost, and invasiveness and length of treatment are available. In many cases, the use of short implants or narrow-diameter implants avoids the need for invasive adjunctive treatments such as bone grafts, simplifies treatment and makes the process less daunting for patients. The use of contemporary rough-surface coatings speeds up osseointegration and shortens length of treatment. The use of digital technology and guided surgery allows for flapless procedures and ideal implant placement. Digital technology has provided the ability to more accurately assess the volume, height and width of bone at proposed osteotomy sites as well as the location of key anatomical structures. This improves treatment planning and aids in the selection of an implant with an appropriate length and diameter. TABLE 1. Patient satisfiers following implant treatment Improved chewing ability Improved speech Improved denture stability Greater comfort Improved taste Improved function Psychological well-being Improved quality of life JULY

5 DENTAL LEARNING The use of narrow-diameter implants Narrow-diameter implants are useful where insufficient mesio-distal width is available for standard diameter implants (~4 mm) such as in the case of missing lateral incisors or where insufficient bucco-lingual bone width is available. 27 Inadequate bone width may also occur only at specific depths of the proposed osteotomy site (e.g., due to converging root apices of adjacent teeth or due to undercuts). Narrowdiameter implants may also be useful in situations where the existing bone and angulation would otherwise preclude use of a screw-retained restoration (Fig. 3). Narrow-diameter implants are available in diameters from 1.8 mm ( mini-implants ) to around 3.5 mm. Using a narrow-diameter implant in areas with a narrow mesiodistal space 28 can allow sufficient space for adequate soft tissue development (a space of 3 mm between implants has been found to be suitable). 29 Narrow- and standard diameter implants have similar survival and success rates. In a 5-year prospective trial involving more than 600 implants placed in 200 patients, the 5-year survival rate for TPS screw and cylinder implants was 99.4% and the success rate was 92.5%. 30 In a study of 3.0 mm and 3.5 mm diameter implants (n=510 in total), of which 50% were restored immediately but not loaded, the combined implant survival rate was 99.4%. 31 In a 10-year retrospective study, implants with a sandblasted, acid-etched (SLA) surface (n=511) were placed in 303 partially edentulous patients. Most of the implants placed were 4.1 mm standard diameter implants. The 10-year implant survival rate was 98.8% and the 10-year implant success rate was 97%. 32 Yaltirik et al found a cumulative 5-year implant survival rate of 93.75% (5 years in function) with 3.3 mm narrow-diameter implants (n=48) in 28 partially dentate patients. 33 Zinsli et al placed narrow-diameter (3.3 mm) implants (n=298) in 149 patients receiving restorations (overdentures/fixed partial dentures/single crowns), demonstrating a cumulative 5-year survival rate of 98.7%. 27 Lastly, a literature review of 41 studies on narrow small-diameter implants (n=10,093), with diameters ranging from 1.8 mm to 3.5 mm, and with a follow-up of 5 months to 9 years, found an implant survival rate that was consistently >90% ( 95% in 22 of the studies). Both flap and flapless protocols had been used 26 (Table 2). Rough implant surfaces and osseointegration An osteotomy site that closely matches the dimensions of the implant is important to achieve primary stability. Longterm implant stability is achieved through osseointegration, whereby bone grows onto and into the implant surface. Rough implant surfaces increase the amount of surface area available, thereby increasing bone-to-implant contact (BIC) and the area available for osseointegration. 34 It has also been Figure 3a. CBCT scan and CBCT slice postoperatively Figure 3b. Screw-retained restoration supported by a 3.3 mm diameter implant 6 VOLUME 2 ISSUE 4

6 Expanded Dental Implant Treatment hypothesized, based on in vitro cell studies, that a rough surface changes the host response at the cellular level and results in greater differentiation of osteoblasts as well as increased prostaglandin and TGF production. 35 Rough surfaces can result in improved results in potentially compromised cases. One study compared the outcomes for smooth-surface implants (n=2,182) placed in 593 patients from 1991 to 1996 and rough-surface implants (n=2,425) in 905 patients between 2001 and While both rough and smooth surfaces had a survival rate in excess of 94%, a length of less than 10 mm was a risk factor for failure of smooth-surface implants but not for rough-surface implants. 36 Several studies have demonstrated an increased rate of healing and greater BIC and osseointegration with roughsurface implants. Higher removal torque values (in Ncm) have also been observed. TPS surface-coated implants were conceived in the 1980s. Later developments led to the introduction of sandblasted and etched surfaces that were shown in research to further enhance the rate of healing, BIC and osseointegration. 37,38 In a retrospective analysis with an observation period of up to 5 years, implant-supported single crowns, fixed partial dentures, removable dentures and fixed dentures were provided. All implants placed had SLA surfaces and were restored using an early loading protocol of 6 weeks for the mandible and 12 weeks for the maxilla, with an implant success rate of 99.4%. 39 In a prospective 3-year multicenter study, immediate and early loading of SLActive surfacetreated implants (n=383) on 266 patients was conducted. At five months, during interim assessment, the implant survival rate was 98% in the immediate and 97% in the early loading group, demonstrating the ability to immediately load these implants. The mean bone level change was slightly higher for the immediate loading group. 40 Shorter healing times can result in the ability to restore and load implants earlier. There is an increasing trend to load implants either immediately or to perform early loading. Provided that treatment is well-executed and a high level of primary stability exists, one meta-analysis found no differences in failure rates and outcomes among immediate, early or conventional loading. 41 However, a review concluded that in the case of mandibular overdentures supported by 2 implants, conventional loading continues to be standard treatment. 42 An early loading protocol at 6 to 8 weeks post-placement for implants with rough surfaces that supported single crowns and fixed prostheses in the posterior mandible, as well as immediate loading, was also supported in a review of 19 papers by Cordaro et al, including 8 on early loading. 43 Most recently, an SLActive surface coating has been used on a zirconium-titanium implant. Titanium-zirconium offers greater tensile and fatigue strength than titanium, which may be useful in some challenging situations requiring greater implant strength, including for narrow-diameter implants. 44 In addition, in such challenging situations, this TABLE 2. Survival rates for narrow-diameter implants Lead author Study/trial # implants Survival rate Cochran et al (2011) 5-year prospective % Degidi et al (2008) 7-year prospective % Buser et al (2012) 10-year retrospective % Yaltirik et al (2011) 5-year retrospective % Zinsli et al (2004) 10-year prospective % Sohrabi et al (2012) Review of 41 studies >10,000 All >90% JULY

7 DENTAL LEARNING increased strength might enable the use of 4.1 mm diameter instead of 4.8 mm diameter implants, or 3.3 mm diameter implants instead of 4.1 mm diameter implants to accommodate the available bone and remove less bone during creation of the osteotomy. Zirconium and titanium have also been shown to have similar properties with respect to microbiological findings. 45 In a double-blind randomized controlled trial comparing zirconium-titanium and titanium implants in a split-mouth model with mandibular overdentures retained by 2 implants, both the survival and success rates were similar and slightly higher for the titanium-zirconium implants with an SLActive coating compared to SLA titanium implants (98.9% vs 97.8% for survival rates and 96.6% vs 94.4% for success rates). There was no significant difference in the peri-implant bone levels at 1 year. 46 Titanium-zirconium implants with SLActive surface coatings have also been shown in animal studies to offer greater osseointegration than SLA titanium implants 47 and a faster healing time. 48 A pilot study also demonstrated excellent osseointegration, good survival and success rates at 24 months postplacement, as well as good crestal bone levels. 49 Given the improved osseointegration observed with these implants, it can be hypothesized that these may prove useful in the future by allowing the use of longer posterior cantilevers or cantilevers from a single tooth. They may also prove to be useful in some clinical situations where bone physiology is compromised by the use of medications (bisphosphonates, steroids or disease-modifying anti-rheumatic drugs), previous head and neck radiation, diabetes, or osteoporosis. The cases below show the use of 3.3 mm narrow-diameter zirconium-titanium implants. Case Studies Case 1. Lower anterior implant-supported fixed partial denture (bridge) The patient was referred from her general dentist for implant placement. The patient s lower anterior teeth had been restored many years earlier with crowns, and recurrent caries had resulted in the crowns no longer fitting and loss of tooth structure (Fig. 4). In consultation between Figure 4. Preoperative clinical view Figure 5a. Preoperative CBCT 5b. Preoperative CBCT slices showing narrow bone 8 VOLUME 2 ISSUE 4

8 Expanded Dental Implant Treatment Figure 6a, b. CAD simulation of proposed implant placement Figure 9. Drilling the osteotomy sites for 3.3 mm narrowdiameter zirconium-titanium SLActive implants Figure 7. Laboratory-fabricated provisional prosthesis Figure 10. Abutments placed Figure 8. Atraumatic extraction of roots and surgical guide in position Figure 11. Provisional restoration seated JULY

9 DENTAL LEARNING Figure 12. Postplacement CBCT Figure 13. Postplacement CBCT slices the patient and her regular dentist, it was decided to place a fixed partial denture supported by 2 implants. During treatment planning, the position of the mental foramena and nerves was ascertained, as well as the volume, height and width of bone available for implant placement. Given the narrow anterior ridge, 3.3 mm narrow-diameter implants were indicated, and zirconium-titanium SLActive coated implants were chosen. CAD/CAM was used to scan and create models, with the lower model used to create a surgical guide and a provisional restoration. During treatment planning, CAD simulation had been used to determine the most optimal implant placement that would ensure placement in adequate bone and in appropriate positions for the envisioned final restoration. At the time of surgery, the roots were extracted atraumatically, and after placement of the surgical guide in position, the osteotomy sites were created and the implants placed. After seating the abutments, the temporary restoration was cemented and all excess cement removed, taking care to ensure the restoration was out of occlusion (i.e., not loaded). A CBCT scan and slices were taken to ensure the position of the implants was correct. At two weeks postoperatively, the tissues were healing well and the patient was satisfied with the provisional result (Figs. 5-14). She was referred back to her dentist for the definitive fixed partial denture, which would be fabricated a few weeks later. Figure 14. Two weeks postoperative view Case 2. Upper lateral incisor The patient in this case was a regular dental attender and was referred with a horizontal fracture in tooth #10 for extraction and implant placement. In this case, during treatment planning it was determined that the narrow mesiodistal and bucco-palatal ridge width would preclude use of a standard diameter implant. Computer-aided design was again used to simulate implant positioning and determine the best angulation and position that would allow for the biologic width, the development of a normal gingival architecture and thus for an optimized esthetic restorative result. Due to the narrow mesio-distal width available between teeth #9 and #11, as well as bucco-palatal width and the 10 VOLUME 2 ISSUE 4

10 Expanded Dental Implant Treatment need for sufficient space for optimal soft tissue development, a 3.3 mm narrow-diameter implant was again selected. A surgical guide was fabricated and used for accurate immediate implant placement after the root had been extracted. The laboratory-fabricated crown was then screw-retained to the implant. The postoperative image shows good contouring and dimensions for the provisional restoration and adequate width for papillae. The patient was satisfied with the ease of surgery, esthetic provisional crown and rapid treatment (Figs ). She was referred back to her dentist for the final restoration. Figure 16b. CAD simulation of implant positioning Figure 15. Preoperative clinical view Figure 17. Surgical guide Figure 16a. CAD simulation of implant positioning showing mesio-distal and bucco-palatal slices Figure 18. Prefabricated provisional restoration JULY

11 DENTAL LEARNING Figure 19a, b. Postoperative images of placement of 3.3 mm narrow-diameter zirconium-titanium SLActive implants Figure 20a. Seated provisional screw-retained crown immediately post-op Figure 20b. Seated provisional screw-retained crown immediately post-op Summary Clinicians face many challenges when treatment planning cases for implants. These include anatomical constraints, patient declination and high expectations. Patient expectations include a desire for less aggressive procedures with faster healing times and minimal discomfort. The treatment options available today allow clinicians to offer implant therapy to patients who were not previously candidates for implant therapy without adjunctive treatment due to narrow mesio-distal spaces/interdental spaces, limited bone or treatment complexity. This includes the development of combinations of surface technology and implant material designed to give clinicians more confidence when placing small-diameter implants and to give the restoring doctor expanded prosthetic options when taking implant-level impressions. As advances in dentistry and implant dentistry continue to evolve, technologies continue to develop that offer flexibility and solutions to treatment challenges. References 1. Patel N. Integrating three-dimensional digital technologies for comprehensive implant dentistry. J Am Dent Assoc. 2010;141:20S-24S. 2. Nunes LS, Bornstein MM, Sendi P, Buser D. Anatomical characteristics and dimensions of edentulous sites in the posterior maxillae of patients referred for implant therapy. Int J Periodontics Restorative Dent May-Jun;33(3): Froum S, Casanova L, Byrne S, Cho SC. Risk assessment before extraction for immediate implant placement in the posterior mandible: a computerized tomographic scan study. J Periodontol Mar;82(3): Meijer HJ, Cune MS. Treatment of a single-tooth space in the occlusal system. Ned Tijdschr Tandheelkd. 2012;119(12): Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL. Biologic Width around one- and two-piece titanium implants. Clin Oral Implants Res Dec;12(6): Degidi M, Novaes AB Jr, Nardi D, Piattelli A. Outcome analysis of immediately placed, immediately restored implants in the esthetic area: the clinical relevance of different interimplant distances. J Periodontol Jun;79(6): Elian N, Jalbout ZN, Cho S-C, Froum S, Tarnow DP. Realities and limitations in the management of the interdental papilla be- 12 VOLUME 2 ISSUE 4

12 Expanded Dental Implant Treatment tween implants: Three case reports. Pract Proced Aesthet Dent. 2003;15(10): Krennmair G, Krainhöfner M, Schmid-Schwap M, Piehslinger E. Maxillary sinus lift for single implant-supported restorations: A clinical study. Int J Oral Maxillofac Impl. 2007;22(3): Tasoulis G, Yao SG, Fine JB. The maxillary sinus: Challenges and treatments for implant placement. Comp Cont Educ Dent. 2011;32(1): Koo S, Dibart S, Weber H-P. Ridge-splitting technique with simultaneous implant placement. Comp Cont Educ Dent. 2008;29(2): Johannsen A, Wikesjö U, Tellefsen G, Johannsen G. Patient attitudes and expectations of dental implant treatment: A questionnaire study. Swed Dent J. 2012;36(1): Borges Tde F, Mendes FA, de Oliveira TR, Gomes VL, do Prado CJ, das Neves FD. Mandibular overdentures with immediate loading: Satisfaction and quality of life. Int J Prosthodont. 2011;24(6): Rashid F, Awad MA, Thomason JM, et al. The effectiveness of 2-implant overdentures: A pragmatic international multicentre study. J Oral Rehabil. 2011;38(3): Turkyilmaz I, Company AM, McGlumphy EA. Should edentulous patients be constrained to removable complete dentures? The use of dental implants to improve the quality of life for edentulous patients. Gerodontol. 2010;27(1): Geckili O, Bilhan H, Mumcu E, Dayan C, Yabul A, Tuncer N. Comparison of patient satisfaction, quality of life, and bite force between elderly edentulous patients wearing mandibular two implant-supported overdentures and conventional complete dentures after 4 years. Spec Care Dentist. 2012;32(4): Zembic A, Wismeijer D. Patient-reported outcomes of maxillary implant-supported overdentures compared with conventional dentures. Clin Oral Implants Res Apr 15. [Epub ahead of print] 17. Shatkin TE, Petrotto CA. Mini dental implants: A retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent. 2012;33(Spec Iss 3): Cochran DL, Jackson JM, Jones AA, Jones JD, Kaiser DA, Taylor TD, Weber HP, Higginbottom FL, Richardson JR, Oates T. A 5-year prospective multicenter clinical trial of non-submerged dental implants with a titanium plasma-sprayed surface in 200 patients. J Periodontol. 2011;82(7): Vieira RA, Melo AM, Sartori IA, Budel L, Gama JC, Thomé G. Benefits of rehabilitation with implants in masticatory function: Is patient perception of change in accordance to the real improvement? J Oral Implantol Feb 29. [Epub ahead of print] 20. Ponsi J, Lahti S, Rissanen H, Oikarinen K. Change in subjective oral health after single dental implant treatment. Int J Oral Maxillofac Implants. 2011;26(3): Van Lierde K, Browaeys H, Corthals P, Mussche P, Van Kerkhoven E, De Bruyn H. Comparison of speech intelligibility, articulation and oromyofunctional behaviour in subjects with single-tooth implants, fixed implant prosthetics or conventional removable prostheses. J Oral Rehabil. 2012;39(4): Babbush CA. Posttreatment quantification of patient experiences with full-arch implant treatment using a modification of the OHIP-14 questionnaire. J Oral Implantol Jun;38(3): Vogel R, Smith-Palmer J, Valentine W. Evaluating the health, economic implications and cost-effectiveness of dental implants: A literature review. Int J Oral Maxillofac Implants. 2013;28(2): Ellis JS, Levine A, Bedos C, Mojon P, Rosberger Z, Feine J, Thomason JM. Refusal of implant supported mandibular overdentures by elderly patients. Gerodontol. 2010;28(1): Narby B, Hallberg U, Bagewitz IC, Soderfeldt B. Grounded theory on factors involved in the decision-making processes of patients treated with implant therapy. Int J Prosthodont May-Jun;25(3): Sohrabi K, Mushantat A, Esfandiari S, Feine J. How successful are small-diameter implants? A literature review. Clin Oral Implants Res May;23(5): Zinsli B, Sägesser T, Mericske E, Mericske-Stern R. Clinical evaluation of small-diameter ITI implants: A prospective study. Int J Oral Maxillofac Implants. 2004;19(1): Froum SJ, Cho SC, Cho YS, Elian N, Tarnow D. Narrow-diameter implants: A restorative option for limited interdental space. Int J Periodont Restor Dent. 2007; 27: Teughels W, Merheb J, Quirynen M. Critical horizontal dimensions of interproximal and buccal bone around implants for optimal esthetic outcomes: A systematic review. Clin Oral Implants Res. 2009; 20 (Suppl 4): Cochran DL, Jackson JM, Jones AA, Jones JD, Kaiser DA, Taylor TD, Weber HP, Higginbottom FL, Richardson JR, Oates T. A 5-year prospective multicenter clinical trial of non-submerged dental implants with a titanium plasma-sprayed surface in 200 patients. J Periodontol. 2011;82(7): Degidi M, Piattelli A, Carinci F. Clinical outcome of narrow- JULY

13 DENTAL LEARNING diameter implants: A retrospective study of 510 implants. J Periodontol Jan;79(1): Buser D, Janner SF, Wittneben JG, Brägger U, Ramseier CA, Salvi GE. 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 2012;14(6): Yaltirik M, Gökçen-Röhlig B, Ozer S, Evlioglu F. Clinical evaluation of small diameter Straumann implants in partially edentulous patients: A 5-year retrospective study. J Dent, Tehran U Med Sci. 2011;8(2): Cochran DL. A comparison of endosseous dental implant surfaces. J Periodontol Dec;70(12): Nasatzky E, Gultchin J, Schwartz Z. The role of surface roughness in promoting osteointegration. Refuat Hapeh Vehashinayim. 2003;20(3):8-19, Balshe AA, Assad DA, Eckert SE, Koka S, Weaver AL. A retrospective study of the survival of smooth- and rough-surface dental implants. Int J Oral Maxillofac Implants Nov- Dec;24(6): Koh J-W, Yang J-H, Han J-S, Lee J-B, Kim S-H. Biomechanical evaluation of dental implants with different surfaces: Removal torque and resonance frequency analysis in rabbits. J Adv Prosthodont. 2009;1: Ivanoff CJ, Hallgren C, Widmark G, Sennerby L, Wennerberg A. Histologic evaluation of the bone integration of TiO(2) blasted and turned titanium microimplants in humans. Clin Oral Implants Res Apr;12(2): Nelson K, Semper W, Hildebrand D, Özyuvaci H. A retrospective analysis of sandblasted, acid-etched implants with reduced healing times with an observation period of up to 5 years. Int J Oral Maxillofac Impl. 2008;23(4): Zöllner A, Ganeles J, Korostoff J, Guerra F, Krafft T, Brägger U. Immediate and early non-occlusal loading of Straumann implants with a chemically modified surface (SLActive) in the posterior mandible and maxilla: Interim results from a prospective multicenter randomized-controlled study. Clin Oral Implants Res. 2008;19(5): Esposito M, Grusovin MG, Willings M, Coulthard P, Worthington HV. Interventions for replacing missing teeth: Different times for loading dental implants. Cochrane Database Syst Rev. 2007(2). 42. Hunter P. Limited evidence for evaluating differences in marginal bone loss between conventional, early and immediate loading protocols for mandibular two-implant overdentures. J Am Dent Assoc April;142: Cordaro L, Torsello F, Roccuzzo M. Implant loading protocols for the partially edentulous posterior mandible. Int J Oral Maxillofac Implants. 2009;24 Suppl: Norm ASTM F de Oliveira GR, Pozzer L, Cavalieri-Pereira L, de Moraes PH, Olate S, de Albergaría Barbosa JR. Bacterial adhesion and colonization differences between zirconia and titanium implant abutments: An in vivo human study. J Periodontal Implant Sci. 2012;42: Al-Nawas B, Brägger U, Meijer HJA, Naert I, Persson, et al. A double-blind randomized controlled trial (RCT) of titanium- 13zirconium versus titanium grade IV small-diameter bone level implants in edentulous mandibles: Results from a 1-year observation period. Clin Implant Dent Relat Res. 2011; Thoma DS, Jones AA, Dard M, Grize L, Obrecht M, Cochran DL. Tissue Integration of a New Titanium-Zirconium Dental implant: A Comparative Histologic and Radiographic Study in the Canine. J Periodontol Oct;82(10): Gottlow J, Dard M, Kjellson F, Obrecht M, Sennerby L. Evaluation of a new titanium-zirconium dental implant: A biomechanical and histological comparative study in the mini pig. Clin Implant Dent Relat Res Aug;14(4): Barter S, Stone P, Brägger U. A pilot study to evaluate the success and survival rate of titanium-zirconium implants in partially edentulous patients: Results after 24 months of follow-up. Clin Oral Impl Res. 2011;(10):1-9. Webliography Alsabeeha N, Atieh M, Payne AG. Loading protocols for mandibular implant overdentures: a systematic review with meta-analysis. Clin Implant Dent Relat Res May;12 Suppl 1:e Abstract available at: pubmed/ Esposito M, Grusovin MG, Polyzos IP, Felice P, Worthington HV. Timing of implant placement after tooth extraction: immediate, immediate-delayed or delayed implants? A Cochrane systematic review. Eur J Oral Implantol Autumn;3(3): Abstract available at: Strub JR, Jurdzik BA, Tuna T. Prognosis of immediately loaded implants and their restorations: a systematic literature review. J Oral Rehabil Sep;39(9): Abstract available at: 14 VOLUME 2 ISSUE 4

14 Expanded Dental Implant Treatment CEQuiz To complete this quiz online and immediately download your CE verification document, visit then log into your account (or register to create an account). Upon completion and passing of the exam, you can immediately download your CE verification document. We accept Visa, MasterCard, and American Express. 1. are now increasingly used on dental implants. a. Plastic resins b. Smooth surfaces c. Rough surfaces d. a and b 2. is a rough surface coating that has been used for root-form endosseous implants. a. Titanium plasma spray b. Calcium-like deposits c. Titanium oxide 3. Key factors to consider during implant treatment in the maxilla include the. a. proximity of the maxillary sinus b. position of the nasopalatine canal c. position of the nasal floor 4. Sufficient bone must be present for implant placement. a. bucco-lingually b. mesio-distally c. apico-coronally 5. Development of a papilla/gingival architecture that appears normal is not possible if. a. the contact point distance from the crestal bone is too great b. a rough surface implant is used c. biologic width cannot be achieved d. a and c 6. The presence of undercuts can lead to. a. nonideal placement of an implant b. difficulty seating an abutment c. difficulty using zirconia abutments 7. If inadequate width of bone is present, the implant site can become. a. wider b. fenestrated c. negligent 8. Ridge splitting has been advocated to. a. lengthen a deficient ridge b. widen a narrow ridge c. remove undercuts 9. In a multicountry prospective study, there was significantly greater patient satisfaction with than with. a. conventional dentures; fixed restorations b. conventional dentures; implant-supported overdentures c. implant-supported overdentures; fixed restorations d. implant-supported overdentures; conventional dentures 10. Subjective satisfaction and objective results after treatment with implant-supported overdentures is. a. correlated b. uncorrelated c. difficult to measure d. none of the above 11. In a study by van Lierde, patient satisfaction was reported with implant-supported single crowns. a. 85% b. 90% c. 95% d. 100% 12. is a patient satisfier after implant treatment. a. Improved chewing ability b. Improved function c. Psychological well-being 13. Patient expectations with respect to implant treatment include the desire for. a. relatively noninvasive treatment b. quicker treatment and fewer treatment phases c. immediate restorative care 14. In many cases, the use of short implants or narrow-diameter implants. a. avoids the need for invasive adjunctive treatments b. makes the process less daunting for patients c. simplifies treatment JULY

15 DENTAL LEARNING CE QUIZ 15. Narrow-diameter implants are useful where insufficient is available. a. apico-coronal length b. mesio-distal width c. space for a platform 16. In some situations, bone angulation could preclude use of if a standard diameter implant is used. a. a screw-retained restoration b. a bilateral prosthesis c. an impression d. none of the above 17. A space of 3 mm between implants has been found to be suitable for. a. wide diastemas b. adequate soft tissue development c. short, wide implants d. none of the above 18. Narrow- and standard diameter implants have. a. disparate survival and success rates b. similar survival and success rates c. similar survival rates but disparate success rates d. none of the above 19. An osteotomy site that closely matches the dimensions of the implant is important to achieve. a. primary stability b. secondary stability c. tertiary stability d. a and b 20. Rough implant surfaces increase the amount of. a. bone-to-implant contact b. osteotomy activity c. the area available for osseointegration d. a and c 21. It has been hypothesized that a rough surface changes the. a. implant surface response b. host response c. periodontal parameters 22. Based on in vitro studies, it is believed that greater differentiation of osteoblasts is found using implants with. a. rough surfaces b. smooth surfaces c. calcific surfaces 23. has/have been observed with rough surface implants. a. An increased rate of healing b. Higher removal torque values c. Less biodiversity d. a and b 24. There is an increasing trend to load implants. a. immediately b. earlier c. later d. a and b 25. A review concluded that in the case of mandibular overdentures supported by 2 implants that loading continues to be standard treatment. a. conventional b. delayed c. early d. immediate 26. offers greater tensile and fatigue strength than titanium. a. Titanium-disilicate b. Titanium-zirconium c. Titanium-lanthanite 27. and titanium have been shown to have similar properties with respect to microbiological findings. a. Zirconium b. Disilicate c. Lanthanite 28. can compromise bone physiology. a. Bisphosphonates b. Previous head and neck radiation c. Anti-rheumatic drugs 29. During treatment planning, CAD simulation can be used to determine the. a. most optimal implant placement b. most optimal implant surface c. least strength required d. a and b 30. The treatment options available today allow clinicians to offer implant therapy to patients who were not previously candidates for implant therapy. a. without adjunctive treatments b. under any circumstances c. due to geographic location 16 VOLUME 2 ISSUE 4

16 CE ANSWER FORM ( address required for processing) Expanded Dental Implant Treatment *Name: Title: Specialty: *Address: * *City: *State: *Zip: *Telephone: License renewal date: AGD Identification No. Practice Name EDUCATIONAL OBJECTIVES Review the development of dental implants Describe the challenges clinicians face in treatment planning implant cases List and describe technologies and options for overcoming treatment planning challenges Describe the types of surface coatings used for implants and their impact on healing and osseointegration Review the role of narrow-diameter implants, materials and treatment outcomes If you have any questions, please or call Dental Learning at COURSE EVALUATION Please evaluate this course using a scale of 5 to 1, where 5 is excellent and 1 is poor 1. To what extent were the course objectives accomplished overall? Please rate your overall mastery of the educations objectives? How would you rate the educational methods? How do you rate the author s mastery of the topic? Please rate the instructor s effectiveness Do you feel the references were adequate? Would you participate in a similar course? Was any subject matter confusing please describe Price: $29 CE Credits: 2 Save time and the environment by taking this course online. To obtain credits: 1. Read the entire course. 2. Complete this entire answer sheet in either pen or pencil. 3. Mark only one answer for each question. 4. A score of 70% will earn your credits. OR For Immediate results: 1. Read the entire course 2. Go to 3. Choose this course from the course listing 4. Log in to your account or register to create an account 5. Complete course and submit for grading to receive your CE verification document Dental Learning, LLC 500 Craig Road, Floor One Manalapan, NJ *If paying by credit card, please note: Master Card Visa AmEx Discover *Account Number *Expiration Date The $29 charge will appear as Dental Learning, LLC. If paying by check, make check payable to Dental Learning, LLC. AGD Codes: 690, 691 ALL FIELDS MARKED WITH AN ASTERISK (*) ARE REQUIRED Fill in the circle of the appropriate answer that corresponds to the question on previous pages. 1. A B C D 7. A B C D 13. A B C D 19. A B C D 25. A B C D 2. A B C D 8. A B C D 14. A B C D 20. A B C D 26. A B C D 3. A B C D 9. A B C D 15. A B C D 21. A B C D 27. A B C D 4. A B C D 10. A B C D 16. A B C D 22. A B C D 28. A B C D 5. A B C D 11. A B C D 17. A B C D 23. A B C D 29. A B C D 6. A B C D 12. A B C D 18. A B C D 24. A B C D 30. A B C D PLEASE PHOTOCOPY ANSWER SHEET FOR ADDITIONAL PARTICIPANTS. Please direct all questions pertaining to Dental Learning, LLC or the administration of this course to COURSE EVALUATION and PARTICIPANT FEEDBACK: We encourage participant feedback pertaining to all courses. Please be sure to complete the survey included with the course. INSTRUCTIONS: All questions should have only one answer. Participants will receive confirmation of passing by receipt of a verification form. Verification forms will be mailed within two weeks after taking an examina tion. EDUCATIONAL DISCLAIMER: The content in this course is derived from current information and evidence. Any opinions of efficacy or perceived value of any products mentioned in this course and expressed herein are those of the author(s) of the course and do not necessarily reflect those of Dental Learning. Completing a single continuing education course does not provide enough information to give the participant the feeling that s/he is an expert in the field related to the course topic. It is a combination of many educational courses and clinical experience that allows the participant to develop skills and expertise. COURSE CREDITS/COST: All participants scoring at least 70% on the examination will receive a verification form verifying 2 CE credits. The formal continuing education program of this sponsor is accepted by the AGD for Fellowship/Mastership credit. Please contact Dental Learning, LLC for current term of acceptance. Participants are urged to contact their state dental boards for continuing education requirements. Dental Learning, LLC is a California Provider. The California Provider number is RP5062. The cost for courses ranges from $29.00 to $ Many Dental Learning, LLC self-study courses have been approved by the Dental Assisting National Board, Inc. (DANB). To find out if this course or any other Dental Learning, LLC course has been approved by DANB, please RECORD KEEPING: Dental Learning, LLC maintains records of your successful completion of any exam. Please contact our offices for a copy of your continuing education credits report. This report, which will list all credits earned to date, will be generated and mailed to you within five business days of receipt. CANCELLATION/REFUND POLICY: Any participant who is not 100% satisfied with this course can request a full refund by contacting Dental Learning, LLC in writing or by calling JULY

More than a fixed rehabilitation.

More than a fixed rehabilitation. More than a fixed rehabilitation. A reason to smile. In combination with: Patient expectations drive dental treatments for fixed edentulous immediate restorations. Patients today have increasingly high

More information

More than an implant. A sense of trust. Straumann Dental Implant System

More than an implant. A sense of trust. Straumann Dental Implant System More than an implant. A sense of trust. Straumann Dental Implant System More than an implant. A sense of trust. Patients today are more aware of their options when it comes to tooth replacement. Partner

More information

TRI Product NewsFlash. December 2015

TRI Product NewsFlash. December 2015 TRI Product NewsFlash December 2015 Study Overview 2015 Dear Partners Year in, year out, we are screening all major scientific journals to ensure that our TRI Performance Concept still reflects the latest

More information

Straumann Dental implant system ONE SYSTEM ONE INSTRUMENT KIT ALL INDICATIONS*

Straumann Dental implant system ONE SYSTEM ONE INSTRUMENT KIT ALL INDICATIONS* Straumann Dental implant system ONE SYSTEM ONE INSTRUMENT KIT ALL INDICATIONS* For all indications*! The Straumann Dental Implant System offers you and your patients efficient and esthetic implant-borne

More information

Ridge Reconstruction for Implant Placement

Ridge Reconstruction for Implant Placement Volume 1, No. 5 July/August 2009 The Journal of Implant & Advanced Clinical Dentistry Ridge Reconstruction for Implant Placement 2 Hours of CE Credit Oral Implications of Cancer Chemotherapy Immediate

More information

IMPLANT DENTISTRY EXAM BANK

IMPLANT DENTISTRY EXAM BANK IMPLANT DENTISTRY EXAM BANK 1. Define osseointegration. (4 points, 1/4 2. What are the critical components of an acceptable clinical trial? (10 points) 3. Compare the masticatory performance of individuals

More information

Straumann Dental Implant System. Implant Selection Guide.

Straumann Dental Implant System. Implant Selection Guide. Straumann Dental Implant System. Implant Selection Guide. STRAUMANN's IMPLANT PORTFOLIO The Straumann Dental Implant System offers two implant lines with diverse body and neck designs ranging from the

More information

Supervisors: Dr. Farhan Raza Khan

Supervisors: Dr. Farhan Raza Khan 1 Presenter: Dr. Sana Ehsen Supervisors: Dr. Farhan Raza Khan 2 A dental implant (also known as an endosseous implant or fixture) is a surgical component that interfaces with the bone of the jaw to support

More information

Clinical and Laboratory Procedures for Fixed Margin Implant Abutments

Clinical and Laboratory Procedures for Fixed Margin Implant Abutments Clinical and Laboratory Procedures for Fixed Margin Implant Abutments Dr. Carl Drago DDS, MS, American Board of Prosthodontics Director, Dental Research BIOMET 3i, Adjunct Faculty Department of Prosthodontics,

More information

Oftentimes, as implant surgeons, we are

Oftentimes, as implant surgeons, we are CLINICAL AVOIDING INJURY TO THE INFERIOR ALVEOLAR NERVE BY ROUTINE USE OF INTRAOPERATIVE RADIOGRAPHS DURING IMPLANT PLACEMENT Jeffrey Burstein, DDS, MD; Chris Mastin, DMD; Bach Le, DDS, MD Injury to the

More information

Straumann. Time-tested

Straumann. Time-tested Straumann Soft TiSSue Level implant System Time-tested Why a Soft Tissue Level implant? Simplicity and efficiency by integrated soft tissue management Straumann Soft Tissue Level implants have a built-in

More information

Long-term success of osseointegrated implants

Long-term success of osseointegrated implants Against All Odds A No Bone Solution Long-term success of osseointegrated implants depends on the length of the implants used and the quality and quantity of bone surrounding these implants. As surgical

More information

CUSTOMIZED PROVISIONAL ABUTMENT AND PROVISIONAL RESTORATION FOR AN IMMEDIATELY-PLACED IMPLANT

CUSTOMIZED PROVISIONAL ABUTMENT AND PROVISIONAL RESTORATION FOR AN IMMEDIATELY-PLACED IMPLANT CONTINUING EDUCATION 1 4 CUSTOMIZED PROVISIONAL ABUTMENT AND PROVISIONAL RESTORATION FOR AN IMMEDIATELY-PLACED IMPLANT Gerard J. Lemongello, Jr, DMD* LEMONGELLO 19 7 AUGUST The use of immediate implant

More information

Single anterior tooth replacement: clinical approaches

Single anterior tooth replacement: clinical approaches Single anterior tooth replacement: clinical approaches Paul Swanson examines the role of implant design in approaching a range of treatment protocols for replacing a single tooth Case 1 Figure 1: Patient

More information

Life Table Analysis for Evaluating Curative-effect of One-stage Non-submerged Dental Implant in Taiwan

Life Table Analysis for Evaluating Curative-effect of One-stage Non-submerged Dental Implant in Taiwan Journal of Data Science 6(2008), 591-599 Life Table Analysis for Evaluating Curative-effect of One-stage Non-submerged Dental Implant in Taiwan Miin-Jye Wen 1, Chuen-Chyi Tseng 2 and Cheng K. Lee 3 1 National

More information

Prosthetic treatment planning on the basis of scientific evidence.

Prosthetic treatment planning on the basis of scientific evidence. Prosthetic treatment planning on the basis of scientific evidence. Pjetursson BE, Lang NP. J Oral Rehabil. 2008 Jan;35 Suppl 1:72-9. Faculty of Odontology, University of Iceland, Reykjavik, Iceland, and

More information

SCD Case Study. Treatment Considerations for Implant Rehabilitation

SCD Case Study. Treatment Considerations for Implant Rehabilitation SCD Case Study Treatment Considerations for Implant Rehabilitation Multiple surgical and restorative factors play a role in the treatment planning of implant restorations for the edentulous patient (Ali

More information

Dental Implant Options in Atrophic Jaws

Dental Implant Options in Atrophic Jaws Dental Implant Options in Atrophic Jaws Orthopedic Application Jay B. Reznick, D.M.D., M.D. Diplomate, American Board of Oral and Maxillofacial Surgery Tarzana, CA Endopore Dental Implant System Screw-Type

More information

Modern Tooth Replacement Strategies & Digital Workflow

Modern Tooth Replacement Strategies & Digital Workflow Modern Tooth Replacement Strategies & Digital Workflow Case Studies by Dr Maurice Salama, DMD AS PUBLISHED BY Dentistry Today, June 2014 Complete Implant Restoration System FACTS: Implant Dentistry Has

More information

Healing Abutment Selection. Perio Implant Part I. Implant Surface Characteristics. Single Tooth Restorations. Credit and Thanks for Lecture Material

Healing Abutment Selection. Perio Implant Part I. Implant Surface Characteristics. Single Tooth Restorations. Credit and Thanks for Lecture Material Healing Abutment Selection Perio Implant Part I Credit and Thanks for Lecture Material Implant Surface Characteristics!CAPT Robert Taft!CAPT Greg Waskewicz!Periodontal Residents NPDS and UMN!Machined Titanium!Tiunite!Osseotite

More information

All-on-4 treatment concept with NobelSpeedy Groovy

All-on-4 treatment concept with NobelSpeedy Groovy All-on-4 treatment concept with NobelSpeedy Groovy Product overview Immediate Function for high patient satisfaction Immediately loaded fixed provisional prosthesis on the day of surgery. Immediate improvement

More information

While the prosthetic rehabilitation of

While the prosthetic rehabilitation of Restoring Mandibular Single Teeth with the Inclusive Tooth Replacement Solution Go online for in-depth content by Bradley C. Bockhorst, DMD While the prosthetic rehabilitation of full-arch cases provides

More information

Straumann Bone Level Tapered Implant Peer-to-peer communication

Straumann Bone Level Tapered Implant Peer-to-peer communication Straumann Bone Level Tapered Implant Peer-to-peer communication Clinical cases April, 2015 Clinical Cases Case No. Site 1 Single unit; Anterior Maxilla 2 Multi-unit; Anterior Maxilla Implant placement

More information

Patient information on dental implants. More than just beautiful teeth. A comprehensive guide to dental implants.

Patient information on dental implants. More than just beautiful teeth. A comprehensive guide to dental implants. Patient information on dental implants More than just beautiful teeth. A comprehensive guide to dental implants. 1 2 My implants have become a part of me. I don t even think about them. There s no discomfort

More information

Reconstruction of the anterior maxilla with implants using customized zirconia abutments and all-ceramic crowns: a clinical case report

Reconstruction of the anterior maxilla with implants using customized zirconia abutments and all-ceramic crowns: a clinical case report Vol. 34 No. 2, September 2015 Reconstruction of the anterior maxilla with implants using customized zirconia abutments and all-ceramic crowns: a clinical case report Sang-ki Byun, Yung-bin Lee, Woohyun

More information

Replacing Hopeless Retained Deciduous Teeth in Adults Utilizing Dental Implants: Concepts and Case Presentation

Replacing Hopeless Retained Deciduous Teeth in Adults Utilizing Dental Implants: Concepts and Case Presentation Replacing Hopeless Retained Deciduous Teeth in Adults Utilizing Dental Implants: Concepts and Case Presentation by Michael Tischler, DDS Published: Dentistry Today November 2005 Photos at end of article

More information

Straumann Dental Implants Confident smiles

Straumann Dental Implants Confident smiles Straumann Dental Implants Confident smiles STRAUMANN DENTAL IMPLANTS - DESIGNED TO LAST A LIFETIME Dental Implants The decision to replace missing teeth with dental implants is an excellent investment

More information

Improving Esthetics with Sequential Treatment Planning and Implant-Retained Dentures

Improving Esthetics with Sequential Treatment Planning and Implant-Retained Dentures Improving Esthetics with Sequential Treatment Planning and Implant-Retained Dentures by Timothy F. Kosinski, DDS, MAGD While oral function is the primary concern for most patients, the importance of esthetics

More information

Implants in your Laboratory: Abutment Design

Implants in your Laboratory: Abutment Design 1/2 point CDT documented scientific credit. See Page 41. Implants in your Laboratory: Abutment Design By Leon Hermanides, CDT A patient s anatomical limitations have the greatest predictive value for successful

More information

IMPLANTS IN FOCUS. Endosseous dental implant restorations PLANNING FOR IMPLANT RESTORATIONS

IMPLANTS IN FOCUS. Endosseous dental implant restorations PLANNING FOR IMPLANT RESTORATIONS IMPLANTS IN FOCUS PLANNING FOR IMPLANT RESTORATIONS Replacing a missing maxillary central incisor with a dental implant can be the most demanding restoration in dentistry, so it s important to consider

More information

E. Richard Hughes, D.D.S.

E. Richard Hughes, D.D.S. E. Richard Hughes, D.D.S. Docket No. FDA-2012-N-0677 Blade Form Endosseous Dental Implants E. Richard Hughes, D.D.S. 46440 Benedict Dr.,# 201 Sterling, Va. 20164 USA 703-444-1152 erhughesdds@aol.com Diplomate,

More information

Don t Let Life Pass You By Because Of Missing Teeth

Don t Let Life Pass You By Because Of Missing Teeth Don t Let Life Pass You By Because Of Missing Teeth Ask For Dental Implant Solutions From BIOMET 3i Scan With Your Smartphone! In order to scan QR codes, your mobile device must have a QR code reader installed.

More information

Implant Replacement of the Maxillary Central Incisor Utilizing a Modified Ceramic Abutment (Thommen SPI ART) and Ceramic Restoration

Implant Replacement of the Maxillary Central Incisor Utilizing a Modified Ceramic Abutment (Thommen SPI ART) and Ceramic Restoration Implant Replacement of the Maxillary Central Incisor Utilizing a Modified Ceramic Abutment (Thommen SPI ART) and Ceramic Restoration ROBERT SCHNEIDER, DDS, MS* ABSTRACT The prosthetic restoration of a

More information

Prosthodontist s Perspective

Prosthodontist s Perspective Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution - Non-Commercial - Share Alike 3.0 License. Copyright 2008, Dr. Jeff Shotwell. The following

More information

Consensus Statements and Recommended Clinical Procedures Regarding Contemporary Surgical and Radiographic Techniques in Implant Dentistry

Consensus Statements and Recommended Clinical Procedures Regarding Contemporary Surgical and Radiographic Techniques in Implant Dentistry Group 1 and Recommended Clinical Procedures Regarding Contemporary Surgical and Radiographic Techniques in Implant Dentistry Michael M. Bornstein, PD Dr Med Dent 1 /Bilal Al-Nawas, Prof Dr Med, Dr Med

More information

REALITIES AND LIMITATIONS IN THE MANAGEMENT OF THE INTERDENTAL PAPILLA BETWEEN IMPLANTS: THREE CASE REPORTS

REALITIES AND LIMITATIONS IN THE MANAGEMENT OF THE INTERDENTAL PAPILLA BETWEEN IMPLANTS: THREE CASE REPORTS CONTINUING EDUCATION X X REALITIES AND LIMITATIONS IN THE MANAGEMENT OF THE INTERDENTAL PAPILLA BETWEEN IMPLANTS: THREE CASE REPORTS Nicolas Elian, DDS* Ziad N. Jalbout, DDS Sang-Choon Cho, DDS Stuart

More information

Current Concepts in American Dentistry: Advances in Implantology and Oral Rehabilitation

Current Concepts in American Dentistry: Advances in Implantology and Oral Rehabilitation 2009 New York University College Of Dentistry Linhart Continuing Dental Education Program Presents Current Concepts in American Dentistry: Advances in Implantology and Oral Rehabilitation International

More information

Dr. Little received his doctorate degree in dentistry from UT Health at San Antonio Dental

Dr. Little received his doctorate degree in dentistry from UT Health at San Antonio Dental Implant Solutions for the Implant Patient: Diagnosis and Treatment Planning for Predictable Results David Little, DDS 6961 U.S. Highway 87 East San Antonio, TX 78263 Phone: (210)648-4411 Fax: (210) 648-6498

More information

education Although demographic factors and growing patient awareness of the benefits of dental implants

education Although demographic factors and growing patient awareness of the benefits of dental implants education Increasing implant dentistry in undergraduate education using new technology: A pilot project Hugo De Bruyn, MDS, MsC, PhD ± & Stefan Vandeweghe, DDS Although demographic factors and growing

More information

The Chairside Fabrication of a Provisional Crown for a Single Tooth Implant

The Chairside Fabrication of a Provisional Crown for a Single Tooth Implant Earn 2 CE credits This course was written for dentists, dental hygienists, and assistants. The Chairside Fabrication of a Provisional Crown for a Single Tooth Implant A Peer-Reviewed Publication Written

More information

Rehabilitation of Endondontically Failed Anterior teeth by Immediate Replacement and Loading of an Implant supported Crown: A Case Report.

Rehabilitation of Endondontically Failed Anterior teeth by Immediate Replacement and Loading of an Implant supported Crown: A Case Report. RESEARCH AND REVIEWS: JOURNAL OF DENTAL SCIENCES Rehabilitation of Endondontically Failed Anterior teeth by Immediate Replacement and Loading of an Implant supported Crown: A Case Report. Lalit Kumar 1

More information

Influence of Diameter and Length of Implant on Early Dental Implant Failure

Influence of Diameter and Length of Implant on Early Dental Implant Failure J Oral Maxillofac Surg 68:414-419, 2010 Influence of Diameter and Length of Implant on Early Dental Implant Failure Sergio Olate, DDS, MSc,* Mariana Camilo Negreiros Lyrio, DDS, MSc, Márcio de Moraes,

More information

IMMEDIATE CUSTOM IMPLANT PROVISIONALIZATION: A PROSTHETIC TECHNIQUE

IMMEDIATE CUSTOM IMPLANT PROVISIONALIZATION: A PROSTHETIC TECHNIQUE IMMEDIATE CUSTOM IMPLANT PROVISIONALIZATION: A PROSTHETIC TECHNIQUE Gerard J. Lemongello, Jr, DMD* LEMONGELLO 19 5 JUNE Surgical and restorative techniques that can reduce the loss of hard and soft tissues

More information

LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS

LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS LATERAL BONE EXPANSION FOR IMMEDIATE PLACEMENT OF ENDOSSEOUS DENTAL IMPLANTS Department of Oral Maxillofacial Surgery, Chisinau Abstract: The study included 10 using the split control expansion technique

More information

Don t Let Life Pass You By Because Of Oral Bone Loss

Don t Let Life Pass You By Because Of Oral Bone Loss Don t Let Life Pass You By Because Of Oral Bone Loss Ask For Dental Implant Solutions From BIOMET 3i Scan With Your Smartphone! In order to scan QR codes, your mobile device must have a QR code reader

More information

IMPLANT CONSENT FORM WHAT ARE DENTAL IMPLANTS?

IMPLANT CONSENT FORM WHAT ARE DENTAL IMPLANTS? IMPLANT CONSENT FORM WHAT ARE DENTAL IMPLANTS? Dental implants are a very successful and accepted treatment option to replace lost or missing teeth. A dental implant is essentially an artificial tooth

More information

Dental Implants and Esthetics

Dental Implants and Esthetics Dental Implants and Esthetics Charles J. Goodacre, DDS, MSD; Chad J. Anderson, MS, DMD Continuing Education Units: 1 hour Online Course: www.dentalcare.com/en-us/dental-education/continuing-education/ce203/ce203.aspx

More information

Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment

Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment Replacement of the upper left central incisor with a Straumann Bone Level Implant and a Straumann Customized Ceramic Abutment by Dr. Ronald Jung and Master Dental Technician Xavier Zahno Initial situation

More information

Basic Financial Statement Analysis

Basic Financial Statement Analysis Earn 2 CE credits This course was written for dentists, dental hygienists, and assistants. Basic Financial Statement Analysis Kenishirotie Dreamstime.com (It s not as scary as you think!) A Peer-Reviewed

More information

Teeth and Dental Implants: When to save, and when to extract.

Teeth and Dental Implants: When to save, and when to extract. Teeth and Dental Implants: When to save, and when to extract. One of the most difficult decisions a restorative dentist has to make is when to refer a patient for extraction and placement of dental implants.

More information

Quality from Switzerland 01.01.2014

Quality from Switzerland 01.01.2014 Quality from Switzerland 01.01.2014 TRI Dental Implants: An example of the highest standards of quality We deliver quality We supply quality. From patent to patient Modern production Compliance with the

More information

Curriculum Vitae Frank L. Higginbottom, D.D.S.

Curriculum Vitae Frank L. Higginbottom, D.D.S. Curriculum Vitae Frank L. Higginbottom, D.D.S. Education Oklahoma University B.S. 1967 Baylor College of Dentistry D.D.S. 1971 Practice Staff Appointments Private Practice of Esthetics, Restorative, and

More information

1 The Single Tooth Implant. The Ultimate Aesthetic Challenge

1 The Single Tooth Implant. The Ultimate Aesthetic Challenge 1 The Single Tooth Implant The Ultimate Aesthetic Challenge by Daniel G. Pompa, D.D.S. 2 Before starting any Maxillary Anterior Single Implant, or any case in the esthetic zone: TAKE A PHOTO OF YOUR PATIENT

More information

Anatomic limitations in the maxilla provide challenges

Anatomic limitations in the maxilla provide challenges Osteotome Single-Stage Dental Implant Placement With and Without Sinus Elevation: A Clinical Report Orest G. Komarnyckyj, DDS*/Robert M. London, DDS** Forty-three sites in 16 patients were selected for

More information

What is a dental implant?

What is a dental implant? What is a dental implant? Today, the preferred method of tooth replacement is a dental implant. They replace missing tooth roots and form a stable foundation for replacement teeth that look, feel and function

More information

Ceramics on Implants Fixed Zirconium Dioxide-Based Restorations in the Rehabilitation of the Edentulous upper Jaw

Ceramics on Implants Fixed Zirconium Dioxide-Based Restorations in the Rehabilitation of the Edentulous upper Jaw 38 STARGET 1 I 11 ceramic restorations arne F. BOEcklER and MIcHaEl seitz Ceramics on Implants Fixed Zirconium Dioxide-Based Restorations in the Rehabilitation of the Edentulous upper Jaw Introduction

More information

A Review of Implant Abutments - Abutment Classification to Aid Prosthetic Selection

A Review of Implant Abutments - Abutment Classification to Aid Prosthetic Selection A Review of Implant Abutments - Abutment Classification to Aid Prosthetic Selection Sanjay Karunagaran, B.D.S., D.D.S., M.S.D., Gregory J. Paprocki, D.D.S., Russell Wicks, D.D.S., M.S., Sony Markose, B.D.S.,

More information

MAIN LINE DENTAL IMPLANT CENTER

MAIN LINE DENTAL IMPLANT CENTER 1257 Lancaster Ave Berwyn, PA 19312 Tel: 610-722-5542 CHIUN-LIN (STEVEN), LIU D.D.S., D.M.D. School of Dental Medicine CURRICULUM VITAE Summer, 2012 Education: 1987-1993 D.D.S. Kaohsiung Medical University

More information

www.implantseminars.com 305.944.9636 800.561.3065

www.implantseminars.com 305.944.9636 800.561.3065 Are you interested in placing or restoring dental implants? Or do you want to enhance your current implantology skills? If Yes, Dr. Garg s Implant Dentistry Continuum is PERFECT for you. In four, 2-day

More information

Long-Term dental Implant Survival In Fully Endentulous Patients: A 30-66 Month Follow-Up

Long-Term dental Implant Survival In Fully Endentulous Patients: A 30-66 Month Follow-Up Article 1 Long-Term dental Implant Survival In Fully Endentulous Patients: A 30-66 Month Follow-Up Dr. Gadi Schneider DMD, Specialist in periodontics Dr. Yoram Bruckmayer DMD Long-Term dental Implant Survival

More information

SOFT TISSUE RECESSION AROUND IMPLANTS: IS IT STILL UNAVOIDABLE?

SOFT TISSUE RECESSION AROUND IMPLANTS: IS IT STILL UNAVOIDABLE? CONTINUING EDUCATION X X SOFT TISSUE RECESSION AROUND IMPLANTS: IS IT STILL UNAVOIDABLE? André P. Saadoun, DDS, MS* Bernard Touati, DDS, MS SAADOUN 19 1 JANUARY/FEBRUARY When treatment with dental implants

More information

The SATURN implant by Cortex Dental Industries

The SATURN implant by Cortex Dental Industries The SATURN implant by Cortex Dental Industries By Dr. Zvi Laster DMD W e P r o v e I t E v e r y D a y A case report using a newly designed implant specifically designed for immediate post-extraction loading

More information

BioHorizons Education Programme 2015

BioHorizons Education Programme 2015 BioHorizons Education Programme 2015 SPMP14328GB Rev A November 2014 Contents The Role of Implants in Restorative Dentistry An Introduction to Contemporary Implant Prosthodontics Sinus Elevation Socket

More information

Cash and Accrual Basis Accounting

Cash and Accrual Basis Accounting Earn 2 CE credits This course was written for dentists, dental hygienists, and assistants. Cash and Accrual Basis Accounting (Keeping Two Sets of Books Could be a Good Thing) A Peer-Reviewed Publication

More information

Saudi Fellowship In Dental Implant (SF-DI)

Saudi Fellowship In Dental Implant (SF-DI) Saudi Fellowship In Dental Implant (SF-DI) Prepared and Updated by Dr. Arwa AL-Sayed Consultant Periodontics and Dental Implants M E M B E R S Dr. Arwa AL-Sayed Dr. Abdulhadi Abanmy Dr. Ali AL-Ghamdi Dr.

More information

The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation.

The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation. The use of short, wide implants in posterior areas with reduced bone height: a retrospective investigation. Griffin TJ, Cheung WS. J Prosthet Dent. 2004 Aug;92(2):139-44. STATEMENT OF PROBLEM: Reduced

More information

The Mandibular Two-Implant Overdenture First-Choice. Standard of Care for the Edentulous Denture Patient

The Mandibular Two-Implant Overdenture First-Choice. Standard of Care for the Edentulous Denture Patient The Mandibular Two-Implant Overdenture First-Choice Standard of Care for the Edentulous Denture Patient Joseph R. Carpentieri, DDS Dennis P. Tarnow, DDS ii Preface Preface The prosthetic management of

More information

Esthetics in Implant Dentistry

Esthetics in Implant Dentistry Immediate & Function Esthetics in Implant Dentistry Edited by Peter Moy Patrick Palacci Ingvar Ericsson Quintessence Publishing Co. Ltd. London, Berlin, Chicago, Tokyo, Barcelona, Istanbul, Milan, Moscow,

More information

Comprehensive Interdisciplinary Implant Continuum

Comprehensive Interdisciplinary Implant Continuum Comprehensive Interdisciplinary For the Treatment Planning, Placement and Restoration of Dental Implants UF College of Dentistry Office of Continuing Education 2014 2015 UF College of Dentistry Office

More information

Implant rehabilitation in the edentulous jaw: the All-on-4 immediate function concept

Implant rehabilitation in the edentulous jaw: the All-on-4 immediate function concept Implant rehabilitation in the edentulous jaw: the All-on-4 immediate function concept By Christopher CK Ho, BDS (Hons), Grad.Dip.Clin.Dent (Implants), M.Clin.Dent (Pros) The All-on-4 technique involves

More information

Full Mouth Restoration with Screw-Retained Zirconia Bridges

Full Mouth Restoration with Screw-Retained Zirconia Bridges Full Mouth Restoration with Screw-Retained Zirconia Bridges A DENTIST-LAB RELATIONSHIP THAT WORKS Dentist: Steven P. Stern, DMD Windsor Dental Center New Windsor, NY Dental Laboratory: InnoDDS Dental Laboratory

More information

GIVE YOUR PATIENTS THE FREEDOM TO EAT, SPEAK AND LAUGH AGAIN.

GIVE YOUR PATIENTS THE FREEDOM TO EAT, SPEAK AND LAUGH AGAIN. Now Distributed By GIVE YOUR PATIENTS THE FREEDOM TO EAT, SPEAK AND LAUGH AGAIN. OPENING MINDS AND EXPANDING PRACTICE REVENUE OPPORTUNITIES Since the McGill Consensus in 2002, the dental industry has recognized

More information

Redesign of a fixture mount to be used as an impression coping and a provisional abutment as well

Redesign of a fixture mount to be used as an impression coping and a provisional abutment as well Redesign of a fixture mount to be used as an impression coping and a provisional abutment as well Glenn Hsuan-Chen Chang, Chen Tian 1, Yuen-Siang Hung 2 Abstract Purpose: An integrated fixture mount/impression

More information

The Most Frequently Asked Questions About Dental Implants... A Consumer s Guide to Understanding Implant Treatment

The Most Frequently Asked Questions About Dental Implants... A Consumer s Guide to Understanding Implant Treatment Number 3 $1.25 The Most Frequently Asked Questions About Dental Implants... A Consumer s Guide to Understanding Implant Treatment If you are like most people considering dental implants, you probably have

More information

Renaissance of One-Piece Implants

Renaissance of One-Piece Implants 2 EDI Minimally invasive and patient-friendly treatment concepts using one-piece implants Renaissance of One-Piece Implants Hannes Thurm-Meyer, dentist, Bremen, Germany, Thomas Horn, master dental technician,

More information

B978-0-443-06895-9.00005-8,

B978-0-443-06895-9.00005-8, B978-0-443-06895-9.00005-8, 00005 Chapter Restorative management 5 of dental implants 5.1 Basic implant terminology 133 5.2 Planning dental implants 134 5.3 Surgical phases 135 5.4 Provisional and definitive

More information

Fast Facts about Tooth Loss, Dentures & the Implant-Supported Dentures

Fast Facts about Tooth Loss, Dentures & the Implant-Supported Dentures Fast Facts about Tooth Loss, Dentures & the Implant-Supported Dentures Twenty-five percent (25%) of all adults aged 60 years and older have lost all of their teeth. 1999-2002 National Health and Nutrition

More information

CPD Article ISSUE 15. Proud of our History, Looking Forward to the Future

CPD Article ISSUE 15. Proud of our History, Looking Forward to the Future CPD Article ISSUE 15 Proud of our History, Looking Forward to the Future BIDST CPD This learning session has been judged as being equivalent to one hour of verifiable CPD. To claim your verifiable CPD

More information

Encode Impression System. Optimization By Design

Encode Impression System. Optimization By Design The Encode Impression System Optimization By Design Optimization Is Key To Aesthetics The BellaTek Encode Impression System provides optimized solutions to clinicians by eliminating the need for implant

More information

What Dental Implants Can Do For You!

What Dental Implants Can Do For You! What Dental Implants Can Do For You! Putting Smiles into Motion About Implants 01. What if a Tooth is Lost and the Area is Left Untreated? 02. Do You Want to Restore Confidence in Your Appearance? 03.

More information

Powertome Assisted Atraumatic Tooth Extraction

Powertome Assisted Atraumatic Tooth Extraction Powertome Assisted Atraumatic Tooth Extraction White et al Jason White, DDS 1 2 3 Abstract Background: While traditional dental extraction techniques encourage minimal trauma, luxated elevation and forceps

More information

ATLANTIS crown abutment. Patient-specific CAD/CAM abutments for single-tooth, screw-retained restorations

ATLANTIS crown abutment. Patient-specific CAD/CAM abutments for single-tooth, screw-retained restorations ATLANTIS crown abutment Patient-specific CAD/CAM abutments for single-tooth, screw-retained restorations Excellent results every time For all major implant systems DENTSPLY Implants now offers the appreciated

More information

Aesthetic resources in rehabilitation with implant-supported restoration in the anterior region: a clinical case

Aesthetic resources in rehabilitation with implant-supported restoration in the anterior region: a clinical case Braz J Oral Sci. April-June 2007 - Vol. 6 - Number 21 Paulo Roberto R. Ventura 1 Adalberto Bastos de Vasconcelos 2 1 Specialist in Dental Prosthesis, ABO-RJ -Major in charge of the Service of Implantology

More information

The Immediate Placement of Dental Implants Into Extraction Sites With Periapical Lesions: A Retrospective Chart Review

The Immediate Placement of Dental Implants Into Extraction Sites With Periapical Lesions: A Retrospective Chart Review IMPLANTS The Immediate Placement of Dental Implants Into Extraction Sites With Periapical Lesions: A Retrospective Chart Review Christopher Lincoln Bell,* David Diehl, Brian Michael Bell, and Robert E.

More information

3M ESPE MDI. Mini Dental Implants. Literature Review. Espertise. Scientific Facts

3M ESPE MDI. Mini Dental Implants. Literature Review. Espertise. Scientific Facts 3M ESPE MDI Mini Dental Implants Literature Review Espertise Scientific Facts 3M ESPE MDI Mini Dental Implant Denture Stabilization Literature Review June 2009 Objective: To review the published literature

More information

DENT IMPLANT restoring qualit S: of LIfE

DENT IMPLANT restoring qualit S: of LIfE DENTAL IMPLANTS: restoring quality of life Dental Implants: A Better Treatment Option. What are dental implants? Dental implants are a safe, esthetic alternative to traditional crowns, bridgework, and

More information

Osseo-integrated Dental Implant Policy and Guidelines

Osseo-integrated Dental Implant Policy and Guidelines Osseo-integrated Dental Implant Policy and Guidelines 1. PURPOSE The purpose of this document is to outline the Department of Veterans Affairs (DVA) policy regarding the provision of dental implant treatment

More information

Systematic Review on Success of Narrow-Diameter Dental Implants

Systematic Review on Success of Narrow-Diameter Dental Implants Systematic Review on Success of Narrow-Diameter Dental Implants Marc O. Klein, PD Dr Med, Dr Med Dent 1,2 /Eik Schiegnitz, Dr Med 1 / Bilal Al-Nawas, Prof Dr Med, Dr Med Dent 1 Purpose: The aim of this

More information

Outcomes of Placing Short Dental Implants in the Posterior Mandible: A Retrospective Study of 124 Cases

Outcomes of Placing Short Dental Implants in the Posterior Mandible: A Retrospective Study of 124 Cases DENTAL IMPLANTS J Oral Maxillofac Surg 67:713-717, 2009 Outcomes of Placing Short Dental in the Posterior Mandible: A Retrospective Study of 124 Cases Bao-Thy N. Grant, DDS,* Franklin X. Pancko, DDS, and

More information

Flapless Implant Surgery for Replacement of Posterior Teeth

Flapless Implant Surgery for Replacement of Posterior Teeth Course Number: 108.2 Flapless Implant Surgery for Replacement of Posterior Teeth Authored by J. Steven Cloyd, DDS Upon successful completion of this CE activity 1 CE credit hour may be awarded A Peer-Reviewed

More information

Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation

Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation Clinical Histologic comparison of biologic width around teeth versus implants: The effect on bone preservation Kazuto Makigusa 1 Abstract Histological analysis of the biological width surrounding primate

More information

Outcome Analysis of Implant Restorations Located in the Anterior Maxilla: A Review of the Recent Literature

Outcome Analysis of Implant Restorations Located in the Anterior Maxilla: A Review of the Recent Literature Outcome Analysis of Implant Restorations Located in the Anterior Maxilla: A Review of the Recent Literature Urs C. Belser, DMD, Prof Dr Med Dent 1 /Bruno Schmid, DMD 2 /Frank Higginbottom, DMD 3 / Daniel

More information

IMPLANT MENTOR PROGRAM

IMPLANT MENTOR PROGRAM THE BRIGHTON INSTITUTE FOR DENTAL IMPLANTS IMPLANT MENTOR PROGRAM WITH DR BRUNO SILVA www.brightonimplantclinic.com www.thebrightonimplantinsitute.com Foreword Osseointegrated implants are enabling dentists

More information

Taking the Mystique out of Implant Dentistry. Dr. Michael Weinberg B.Sc., DDS, FICOI

Taking the Mystique out of Implant Dentistry. Dr. Michael Weinberg B.Sc., DDS, FICOI Taking the Mystique out of Implant Dentistry Dr. Michael Weinberg B.Sc., DDS, FICOI What is Restorative Implant Dentistry? Restorative implant dentistry involves taking a few simple mechanical principles

More information

For citation purposes, the electronic version is the definitive version of this article: www.cda-adc.ca/jcda/vol-73/issue-9/821.

For citation purposes, the electronic version is the definitive version of this article: www.cda-adc.ca/jcda/vol-73/issue-9/821. Applied R e s e a r c h Survival and Success of Sandblasted, Large- Grit, Acid-Etched and Titanium Plasma-Sprayed Implants: A Retrospective Study Murray L. Arlin, DDS, FRCD(C) ABSTRACT Contact Author Dr.

More information

Immediate Molar Implant Placement: A Private Practice Clinical Investigation. Abstract

Immediate Molar Implant Placement: A Private Practice Clinical Investigation. Abstract Immediate Molar Implant Placement: A Private Practice Clinical Investigation Gargiulo et al Alphonse Gargiulo, DDS, MS 1 Thomas Manos, DDS, MS 2 Mark Kolozenski, DDS, MS 3 Alex Tzanos, DDS, MSD 3 Michael

More information

Tooth Supported Overdentures

Tooth Supported Overdentures Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution - Non-Commercial - Share Alike 3.0 License. Copyright 2008, Dr. Jeff Shotwell. The following

More information

Standard Internal Hex

Standard Internal Hex Standard Internal Hex Touareg TM -OS Touareg TM -S Swell TM Touareg -S Touareg -OS Swell About ADIN Adin Dental Implant Systems Ltd., designs, manufactures and markets state of the art, technologically

More information

CAD/CAM technology supporting successful implant therapy

CAD/CAM technology supporting successful implant therapy CAD/CAM technology supporting successful implant therapy Suheil M. Boutros, DDS, MS, Manuel Fricke, DT Modern implantology opens up new treatment options for individuals with only minimal or no remaining

More information