Tạp chí implant tháng 3& 4/2013 Vol 6 No2
clinical articles • management advice • practice profiles • technology reviews March/April 2013 – Vol No PROMOTING EXCELLENCE IN IMPLANTOLOGY Preventing the dreaded black triangle during implant placement in the esthetic zone: part Dr Scott M Blyer Practice profile Dr Coury Staadecker Corporate profile Straumann Trabecular Metal™ implants from orthopedics to dental implantology Dr Suheil M Boutros PAYING SUBSCRIBERS EARN 24 CONTINUING EDUCATION CREDITS PER YEAR! Uncovering peri-implantitis Dr Nikos Donos March/April 2013 - Volume Number EDITORIAL ADVISORS Steve Barter BDS, MSurgDent RCS Anthony Bendkowski BDS, LDS RCS, MFGDP, DipDSed, DPDS, MsurgDent Philip Bennett BDS, LDS RCS, FICOI Stephen Byfield BDS, MFGDP, FICD Sanjay Chopra BDS Andrew Dawood BDS, MSc, MRD RCS Professor Nikolaos Donos DDS, MS, PhD Abid Faqir BDS, MFDS RCS, MSc (MedSci) Koray Feran BDS, MSC, LDS RCS, FDS RCS Philip Freiburger BDS, MFGDP (UK) Jeffrey Ganeles, DMD, FACD Mark Hamburger BDS, BChD Mark Haswell BDS, MSc Gareth Jenkins BDS, FDS RCS, MScD Stephen Jones BDS, MSc, MGDS RCS, MRD RCS Gregori M Kurtzman, DDS Jonathan Lack DDS, CertPerio, FCDS Samuel Lee, DDS David Little DDS Andrew Moore BDS, Dip Imp Dent RCS Ara Nazarian DDS Ken Nicholson BDS, MSc Michael R Norton BDS, FDS RCS(ed) Rob Oretti BDS, MGDS RCS Christopher Orr BDS, BSc Fazeela Khan-Osborne BDS, LDS RCS, BSc, MSc Jay B Reznick DMD, MD Nigel Saynor BDS Malcolm Schaller BDS Ashok Sethi BDS, DGDP, MGDS RCS, DUI Harry Shiers BDS, MSc, MGDS, MFDS Harris Sidelsky BDS, LDS RCS, MSc Paul Tipton BDS, MSc, DGDP(UK) Clive Waterman BDS, MDc, DGDP (UK) Peter Young BDS, PhD Brian T Young DDS, MS PUBLISHER Lisa Moler Email: lmoler@medmarkaz.com Tel: (480) 403-1505 MANAGING EDITOR Mali Schantz-Feld Email: mali@medmarkaz.com Tel: (727) 515-5118 ASSISTANT EDITOR Kay Harwell Fernández Email: kay@medmarkaz.com PRODUCTION MANAGER/CLIENT RELATIONS Kim Murphy Email: kmurphy@medmarkaz.com NATIONAL SALES/MARKETING MANAGER Drew Thornley Email: drew@medmarkaz.com Tel: (619) 459-9595 NATIONAL SALES REPRESENTATIVE Sharon Conti Email: sharon@medmarkaz.com Tel: (724) 496-6820 E-MEDIA MANAGER/GRAPHIC DESIGN Email: greg@medmarkaz.com Greg McGuire PRODUCTION ASST./SUBSCRIPTION COORDINATOR Email: lauren@medmarkaz.com Lauren Peyton MedMark, LLC 15720 N Greenway-Hayden Loop #9 Scottsdale, AZ 85260 Fax: (480) 629-4002 Tel: (480) 621-8955 Toll-free: (866) 579-9496 Web: www.endopracticeus.com SUBSCRIPTION RATES Individual subscription year (6 issues) years (18 issues) $99 $239 © FMC 2013 All rights reserved FMC is part of the specialist publishing group Springer Science+Business Media The publisher’s written consent must be obtained before any part of this publication may be reproduced in any form whatsoever, including photocopies and information retrieval systems While every care has been taken in the preparation of this magazine, the publisher cannot be held responsible for the accuracy of the information printed herein, or in any consequence arising from it The views expressed herein are those of the author(s) and not necessarily the opinion of either Implant Practice or the publisher Volume Number H aving recently celebrated my 27th year in private practice as a periodontist, I have been reflecting on the changes that have occurred in the profession It is hard to believe that at the beginning of my career I was a “full-time” specialist limiting my practice to the prevention, diagnosis, and treatment of periodontal disease As a resident, implant dentistry was not a part of our curriculum, and discussions involving this topic were relegated to lunch hour debates in the cafeteria At that time, it was performed by a select few who later became known as pioneers in the field In the mid- to late 1980s, many clinicians, including myself, were taking the courses necessary to place dental implants and recognized the fact that one can change people’s lives by simply restoring form and function However, at that time, patients with hopelessly involved dentitions often had treatment plans that were in excess of 18 months Patient acceptance was often difficult to obtain, as they did not necessarily understand the advantages of implant dentistry With time, several innovations, some of which include an internal hex connection and a second-generation roughened surface technology (micro and macro roughness), improved the predictability of patient care and addressed some of the patient’s resistance to time-intensive treatment plans This led to wider acceptance of implant dentistry and a paradigm shift in the 1990s, making this a treatment of choice in clinical situations that would require sophisticated, less predictable procedures to salvage failing dentitions In response to market demands, esthetics became the focus of our profession It was no longer enough to simply restore form and function Our endpoint had to be an esthetically pleasing restoration As a result, the last 10 to 15 years found clinicians changing their mantra from surgically driven implant placement to restoratively driven implant placement Often, this would require one- and two-stage hard and soft tissue grafting procedures to satisfy the esthetic demands of a consumer-educated patient population There was, and always will be, a percentage of the population who is comfortable with an “at any cost” treatment approach However, due to motivation, time, and financial constraints, many patients would seek treatment alternatives that also resulted in an esthetic restoration Implant companies responded with a number of innovations centering on surface technology and the introduction of new implant materials (alloys) developed specifically for narrow interdental spaces, expanding our treatment options More recently, another surface technology was introduced that enhanced osseointegration through its hydrophilic and chemically active properties, resulting in an improved surface chemistry This is noteworthy, as these properties enable faster osseointegration, reducing the overall loss of implant stability, which is typical after mechanical stability due to an osteopenia This technology is designed to give clinicians the confidence to proceed with immediate placement in extraction sites A byproduct of the improved surface chemistry is the ability to load the fixture sooner, increasing the appeal and patient acceptance of implant treatment Another technology that is allowing for more and more implant candidates is the advent of new implant materials There is a titanium-zirconium alloy that has shown higher strengths when compared to implants made of grade titanium manufactured by the same company Smaller diameter implants can now be placed with confidence, as fixture fracture is less of a concern This is clinically relevant, as often patients will not accept treatment recommendations if large grafting procedures are necessary to create an environment for successful implant placement When I graduated from my residency, I had no idea that the profession would change as much as it has I feel blessed to be practicing in a time when dentistry continues to evolve where we now have the ability to meet and exceed patient expectations with respect to restoring form and function — as well as replacing teeth that are indistinguishable from those lost I can only hope that the innovations that will occur in the next 27 years will be as noteworthy as those in the past Dr Robert Miller Miami and Boca Raton, Florida Implant practice INTRODUCTION Reflections on an ever-evolving profession TABLE OF CONTENTS Clinical Practice profile Dr Coury Staadecker: The art of harnessing synergy Dr Staadecker discusses the many facets of his practice that set the stage for guiding and maintaining true patient wellness Uncovering peri-implantitis Dr Nikos Donos talks about the growing importance of peri-implant disease and explains how the latest research is shaping treatment 14 Guided surgery – understanding the risks Dr Peter Sanders explains the importance of gaining experience in conventional implant placement prior to using CT guided surgery 18 Continuing education Preventing the dreaded black triangle during implant placement in the esthetic zone: part Dr Scott M Blyer examines ways to avoid a frustrating complication of dental implant therapy 22 Treatment planning of implants Corporate profile 10 Straumann: Shaping the future together Straumann® – a global leader in implant dentistry offering surgical, restorative, regenerative, and digital solutions for the dental and lab business – is a pioneer of innovative technologies Implant practice in the esthetic zone: part In the first part of a series of articles, Drs Sajid Jivraj, Mamaly Reshad, and Winston Chee look at the diagnostic factors that affect the predictability of peri-implant esthetics 28 Volume Number ORTHOPHOS XG 3D The right solution for your diagnostic needs Implantologists Endodontists Orthodontists will benefit from highquality pan and ceph images for optimized therapy planning General Practitioners will achieve greater diagnostic accuracy for routine cases ORTHOPHOS XG 3D will enjoy instantly viewable 3D volumetric images for revealing and measuring canal shapes, depths and anatomies will appreciate the seamless clinical workflow from initial diagnostics, to treatment planning, to ordering surgical guides and final implant placement The advantages of 2D & 3D in one comprehensive unit ORTHOPHOS XG 3D is a hybrid system that provides clinical workflow advantages, along with the lowest possible effective dose for the patient Its 3D function provides diagnostic accuracy when you need it most: for implants, surgical procedures and volumetric imaging of the jaws, sinuses and other dental anatomy For standard 2D images, it offers the most comprehensive selection of pan and ceph programs to meet virtually all needs, from standard panoramic programs for adults and children, to extraoral bitewing, sinus, TMJ options and many more Automatic patient positioning The new Auto-Positioner measures the exact tilt of the patient’s occlusal plane and automatically adjusts the height for an optimal panoramic image within the sharp layer, thereby preventing incorrect positioning and reducing re-takes For more information, visit www.Sirona3D.com or call Sirona at: 800.659.5977 www.facebook.com/Sirona3D TABLE OF CONTENTS 34 Small-diameter implant treatment Step-By-Step Product profile Event preview Fast, profitable, and patient- CPK – Complete Prosthetic Kit friendly denture stabilization 3M™ ESPE™ MDI Mini Dental Implants .34 from MIS Implants Technologies Simplifies the restorative component of Implant Dentistry .46 4th annual NYU College of Dentistry Global Implantology Week 52 Technology Trabecular Metal implants from orthopedics to dental ™ implantology Dr Suheil M Boutros focuses on the applications for a new type of implant .38 Implant practice i-CAT® FLX — the latest advancement in Cone Beam 3D For greater flexibility in scanning, planning, and treatment 48 Introducing a new implant designed exclusively for overdentures - the LOCATOR® Overdenture Implant system 50 Diary .56 Materials & equipment .62 Volume Number 79459-US-1208 © 2012 DENTSPLY International, Inc Abutments as individual as your patients Available for all major implant systems and in your choice of titanium, gold-shaded titanium and four shades of zirconia, ATLANTIS™ patient-specific ATLANTIS BioDesign Matrix™ The four features of the ATLANTIS BioDesign Matrix™ work together to support soft tissue management for ideal functional and esthetic result This is the true value of ATLANTIS™ for you and your patients CAD/CAM abutments help to eliminate the need for inventory management of stock components and simplify the restorative procedure ATLANTIS VAD™ Designed from the final tooth shape Natural Shape™ Shape and emergence profile based on individual patient anatomy Soft-tissue Adapt™ Optimal support for soft tissue sculpturing and adaptation to the finished crown Find out how ATLANTIS™ can bring simplicity and esthetics to your practice Just take an implant-level impression, send it to your laboratory and ask for ATLANTIS today Custom Connect™ Strong and stable fit – customized connection for all major implant systems 800-531-3481 • www.dentsplyimplants.com PRACTICE PROFILE What can you tell us about your background? I earned my dental degree from Ohio State University in 1997 and my Periodontics Certificate from the Naval Postgraduate Dental School in Bethesda, Maryland While pursuing my periodontics certificate, I also earned a Master of Science degree from George Washington University When on staff at the Naval Medical Center San Diego, I mentored numerous general practice residents and lectured extensively While in private practice in Seattle, Washington, I continued my involvement with academics as a Clinical Instructor and Affiliate Professor at the University of Washington, Department of Graduate Periodontics Additionally, I am the former Senior Clinical Editor of the Seattle Study Club Journal, reaching over 8,000 dentists worldwide I am a Diplomate of the American Board of Periodontology and an Accredited Fellow of the American Society of Dental Anesthesiology Is your practice implants? limited to As a periodontist, there are three distinct facets of my practice that include (1) treatment of periodontal disease, (2) implant therapy, and (3) periodontal plastic surgery Being well versed in all three areas sets the stage to guide and maintain true patient wellness Additionally, these facets blend seamlessly not only to establish health, but also to maintain optimal function and esthetics Why did you decide to focus on implantology? While I was attending dental school during the mid-1990s, it was the birthplace of modern day implantology Implant design and technology have continued to evolve, but with all the different manufacturers, implants have become similar We can now provide our patients with a tooth replacement that predictably makes them “whole” again I can emotionally identify with the innate and powerful sense of selfpreservation With prosthetic treatment other than implant therapy, the treatment is either collaterally destructive or foreign to the patient Patients simply perceive implants as being a part of themselves Implant practice and therefore self-preserving Having the opportunity to return a sense of selfesteem and confidence is just as joyful for me as it is for my patients How long have you been practicing, and what systems you use? I have been practicing dentistry for more than 15 years I exclusively use Straumann® and Nobel Biocare® dental implant products What training undertaken? have you Following graduation from Dental School at The Ohio State University, I continued my training in an Advanced Education General Dentistry (AEGD) Residency in the U.S Navy The AEGD Residency piqued my interest in periodontics and implants Shortly thereafter, I applied and graduated from a 3-year residency in periodontics from the Naval Postgraduate Dental School Over the course of the following years, I was a didactic instructor and Affiliate Professor at the Naval Medical Center, San Diego and the University of Washington, respectively I also had the good fortune of becoming part of the Seattle Study Club “university without walls” continuing education organization as a co-director and Senior Clinical Editor Who has inspired you? After I had reached my goals within the military and was ready to pursue private practice, I was introduced to Dr Michael Cohen, founder of the Seattle Study Club Dr Cohen invited me to become partner Volume Number PRACTICE PROFILE Pairing sound clinical knowhow with new technology and materials is an art form Critically evaluating and reevaluating yourself and each other Humanitarian operation while Dr Staadecker was in the Navy in Mombasa, Kenya allows us to grow in a positive direction from which our patients Dr Staadecker and his partner Dr Donald C Dornan benefit most in his practice, co-director in the Seattle Study Club and Senior Clinical Editor in the SSC Journal The Seattle Study Club is recognized as one of the most advanced and exciting dental continuing education groups today Dr Cohen is one of the few practitioners in the country to have constructed a successful bridge between didactic and clinical programming Building on the traditional study club model, he has added original and more powerful programming to maximize member interest I then had the good fortune to return to California in Newport Beach and partner with Dr Donald C Dornan in private practice Dr Dornan is the most skilled, humble, and accomplished periodontist I know The proof of Dr Dornan’s deft clinical abilities resides in our hygiene maintenance program for over 40 years What is the most satisfying aspect of your practice? The interpersonal relationships that I have forged with my patients over the years is daily motivation This energy is like oxygen in my blood There is a symbiotic relationship in caring for my patients who I consider friends for life Professionally, what are you most proud of? I have been blessed often with being in the right place at the right time In my professional training and in life, I have had the opportunity to be guided by gifted mentors that have molded the way I think and approach patients As an Affiliate Professor at the University of Washington in the Graduate Periodontics Department, I had the chance to give back to the dental community The residents at UW were intelligent, eager, and passionate to learn Passing along the techniques that I have developed throughout my career is like opening my heart Years later, I have continued to stay in touch with many of my former residents What you think is unique about your practice? There is a great deal of diversity, innovation, and experience within our practice Pairing sound clinical knowhow with new technology and materials is an art form Critically evaluating and reevaluating yourself and each other allows us to grow in a positive direction from which our patients benefit most Volume Number Implant practice PRACTICE PROFILE During a Half Ironman—swimming, biking, and running What has been your biggest challenge? The future of dentistry resides in molecular biology and the capability to harvest cells Stem cell research has come a long way but has not made it to our practices yet Influencing stem cells to down or up regulate in the presence of disease is also becoming more noteworthy Clinicians and the general population are becoming more aware of the periodontal-systemic relationship clinicians is a joy! Now, I have started a study club, Apres Continuum, based upon interdisciplinary treatment planning The doctors involved in Apres Continuum are dedicated to the advancement of team treatment planning and total case management as the ultimate tool for achieving ideal comprehensive care They have also committed themselves to excellence in their profession and in the management of their practices As we settle into the 21st century, technological advances continue to shape a challenging and innovative future for the dental health care profession How can the demands of this rapidly changing field be met? What skills and knowledge will be necessary to move comfortably into the future? How can all aspects of dentistry, whether periodontics, oral surgery, or endodontics, be incorporated into one’s practice, thereby “bridging the disciplines?” The answers to these questions are crucial to comprehending the role that continuing education will play in the future of our profession What are your top tips for maintaining a successful practice? What advice would you give to budding implantologists? My top tip for maintaining a successful practice is to find what makes you passionate, and leverage off of that passion I found myself involved in many cases that required a comprehensive approach, which led me to becoming involved with interdisciplinary study clubs The challenging nature of these cases and the opportunity to work closely with astute First, know your strengths, work within your strengths, and pass those gifts along to your patients Secondly, develop a strong level of communication between the restorative dentist and implant surgeon Working together as a team will benefit your patients and practice immensely Finally, work with an interdisciplinary I believe that dentists are often perfectionists I am no exception to this, which is both a blessing and a curse Even with all of the advances in technology that we have available to us, there are still limitations in our biology Accepting these limitations can be challenging What would you have become if you had not become a dentist? An architect What is the future of implants and dentistry? Implant practice team that values treatment planning What are your hobbies, and what you in your spare time? I am an avid outdoorsman and former triathlete Ski trips with my friends and family are always the highlight of the year IP TOP FAVORITES Periolase® by Millennium Acellular Dermal Matrix Tunneling Instrument (KMIS1) by G Hatzell & Son DASK Lateral Wall Sinus Bur by Dentium USA SonicWeld by KLS Martin Straumann® immediate temporary abutment Molly Moon’s Salted Caramel Ice Cream, Seattle, WA Paseo’s Caribbean Roast Plato, Seattle, WA Thurman Café’s Thurman Burger, Columbus, OH 10 Ikko’s Sweet Shrimp in Miso Soup, Costa Mesa, CA 11 Juliette Kitchen & Bar’s Pork Cheek small plate, Newport Beach, CA 12 W Hotel, South Beach (Miami Beach), FL 13 Earl Grey at Uva’s in Vancouver, BC 14 Backcountry at Whistler Blackcomb, BC 15 Ohmi Filet at The Met, Seattle, WA 16 Osso Bucco at Caffé dei Poeti in Madrid, Spain 17 Portola Coffee in Costa Mesa, CA Volume Number Roxolid® for All featuring the Loxim™ Transfer Piece Designed to give you confidence in all cases through the combination of advanced material and surface technology Roxolid implants with Loxim can increase your treatment options, expand your prosthetic options and make implant insertion and restoration as easy as 1–2–3 www.straumann.us 800/488 8168 PRODUCT PROFILE Introducing a new implant designed exclusively for overdentures - the LOCATOR® Overdenture Implant system F or years, mini implants have suffered a bad reputation due to historically weak materials, poor designs, and misuse An increasing number of clinicians are now recognizing the unique benefits of using the next generation of narrow diameter implants for retaining overdentures This is in large part due to the fact that patients present to dental offices edentulous, with severe resorption, and very narrow ridges for implant placement Typically, the treatment plan for these edentulous patients would be bone grafting; however, this is a longer process with additional surgeries required and added expense, and for these reasons, patients many times decline dental implant treatment, even though it may be the best treatment option for their particular scenario Finally, there is a treatment alternative for these patients, the LOCATOR® Overdenture Implant System (LODI), featuring narrow diameter implants with the world’s leading overdenture attachment from the originators of the trusted LOCATOR Attachment, Zest Anchors Designed with the best in class Locator Attachment, LODI offers a less invasive, predictable, and durable implant retained overdenture for patients requiring an effective, cost conscious technique for securing their denture The LOCATOR Overdenture Implant (LODI) System is comprised of 2.4 mm and 2.9 mm diameter endosseous dental implants (available in 10, 12, and 14 mm lengths) with a detachable LOCATOR attachment (abutment) that is available in a 2.5 mm and mm cuff height The LODI is used to restore masticatory function for the patient and may be suitable for immediate function if sufficient primary stability of the implant is achieved at the time of placement The unique two-piece coronal design of LODI, not found with O-ball mini implants, is a critical feature that optimizes patient satisfaction The LOCATOR attachment is seated after implant placement, making case planning, implant surgery, and the restorative process easier LODI demonstrates remarkable resiliency and exceptional durability, while allowing for easy replacement of the attachment, 50 Implant practice Included with LODI, the LOCATOR Attachment provides all of the superior benefits known worldwide, including its patented pivot technology, customizable levels of retention, and draw correction of divergent implants up to 40 degrees — all of this while having a dramatically reduced vertical height compared to O-ball mini implants should wear occur throughout time In addition, LODI is manufactured from the strongest titanium available and features a proven RBM roughened surface The system also features uniquely designed, intuitive placement instrumentation, and may be used with a flapless technique for better patient comfort The LODI system now allows you to treat patients with the minimum standard of care* of an implant overdenture, at a reduced cost and with greater satisfaction IP For more information contact: ZEST Anchors Phone: 800-262-2310 Website: www.zestanchors.com *The McGill consensus statement on overdentures Mandibular two-implant overdentures as first choice standard of care for edentulous patients Montreal, Quebec, May 24-25, 2002 This information was provided by Zest Anchors Volume Number EVENT PREVIEW T he NYU College of Dentistry and Zimmer Dental are sponsoring the 4th Annual Global Implantology Week, from March 18 to 21, 2013, an educational offering combining the expertise, knowledge, and resources of NYU and Zimmer Dental This 4-day, intermediate-to-advanced, interactive program is designed for practicing clinicians with established competencies within the field of implant dentistry Various dental implant therapy topics and techniques in the surgical, restorative, and regenerative fields will be addressed Some of the topics include: “Top to bottom implant dentistry;” “Applications of intraoral scanners: benefits, limitations and future considerations;” “Applicationbased implant selections: titanium or trabecular implant?” “New productive protocols for the reconstruction of the alveolar ridge;” “Avoiding complications and how to manage complications in implant dentistry;” “Treatment of periimplantitis: diagnosis, surgical, and regenerative strategies;” “Techniques for limited tissue volume: ridge augmentation and short implants;” “Future treatment options for challenging clinical situations;” and “Delayed provisional restorations for immediate anterior implants: is it good for teeth or tissue?” This year’s program will address many topics in the growing and innovative implant field One session will focus on avoiding complications, and will examine cases submitted by some attendees prior to the course A full day will be dedicated 52 Implant practice IP This 4-day, intermediateto-advanced, interactive program is designed for practicing clinicians with established competencies within the field of implant dentistry to exploring clinical applications of new products and technologies An interesting optional experience will take place in Parsippany, NJ on Tuesday, March 19 from 4:30 to 7:30 p.m “Your inside look at how Zimmer Trabecular Metal material is Made.” Trabecular Metal Technology is a three-dimensional material, not an implant surface or coating Utilizing a thermal deposition process, elemental tantalum is deposited onto a substrate, creating a nanotextured surface topography to build Trabecular Metal Material, one atom at a time Attendees are invited to watch this revolutionary process in action and see how the Zimmer® Trabecular Metal Dental Implant is made At the Product Fair and reception on Wednesday, March 20 from to 7pm at NYU College of Dentistry, a hands-on opportunity will include a complimentary showcase of Zimmer’s portfolio of surgical, restorative, and regenerative products, including a special look at recently launched products Demo products will be available for attendees to touch and feel, with Zimmer product experts on hand to answer product-related questions NYU will provide 26 CDE credits for this program IP Registration can take place by phone, fax or email Please contact: Joy Celeste NYU College of Dentistry Continuing Dental Education Phone 212-998-9762 Fax 212-995-4084 Joy.celeste@NYU.edu This information was provided by Zimmer Dental Volume Number AUTHOR GUIDELINES Implant Practice US is a peer-reviewed, bimonthly publication containing articles by leading authors from around the world Implant Practice US is designed to be read by specialists in Periodontics, Oral Surgery, and Prosthodontics Submitting articles Implant Practice US requires original, unpublished article submissions on implant topics, multidisciplinary dentistry, clinical cases, practice management, technology, clinical updates, literature reviews, and continuing education Typically, clinical articles and case studies range between 1,500 and 3,000 words Authors can include up to 15 illustrations Manuscripts should be double-spaced, and all pages should be numbered Implant Practice US reserves the right to edit articles for clarity and style as well as for the limitations of space available Articles are classified as either clinical, continuing education, technology, or research reports Clinical articles and continuing education articles typically include case presentations, technique reports, or literature reviews on a clinical topic Research reports state the problem and the objective, describe the materials and methods (so they can be duplicated and their validity judged), report the results accurately and concisely, provide discussion of the findings, and offer conclusions that can be drawn from the research Under a separate heading, research reports provide a statement of the research’s clinical implications and relevance to implant dentistry Clinical and continuing education articles include an abstract of up to 250 words Continuing education articles also include three to four educational aims and objectives, a short “expected outcomes” paragraph, and a 10-question, multiple-choice quiz with the correct answers indicated Questions and answers should be in the order of appearance in the text, and verbatim Product trade names cited in the text must be accompanied by a generic term and include the manufacturer, city, and country in parentheses Additional items to include: • Include full name, academic degrees, and institutional affiliations and locations • If presented as part of a meeting, please state the name, date, and location of the meeting • Sources of support in the form of grants, equipment, products, or drugs must be disclosed • Full contact details for the corresponding author must be included • Short author bio • Author headshot 54 Implant practice Pictures/images Disclosure of financial interest Illustrations should be clearly identified, numbered in sequential order, and accompanied by a caption Digital images must be high resolution, 300 dpi minimum, and at least 90 mm wide We can accept digital images in all image formats (preferring tif or jpeg) Authors must disclose any financial interest they (or family members) have in products mentioned in their articles They must also disclose any developmental or research relationships with companies that manufacture products by signing a “Conflict of Interest Declaration” form after their article is accepted Any commercial or financial interest will be acknowledged in the article Tables Ensure that each table is cited in the text Number tables consecutively and provide a brief title and caption (if appropriate) for each References References must appear in the text as numbered superscripts (not footnotes) and 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to: Kim Murphy, Production Manager kmurphy@medmarkaz.com Reprints/Extra issues If reprints or additional issues are desired, they must be ordered from the publisher when the page proofs are reviewed by the authors The publisher does not stock reprints; however, back issues can be purchased Or in the case of a Book: Greenwall L Bleaching techniques in Restorative Dentistry: An Illustrated Guide London: Martin Dunitz; 2001 Website: Author or name of organization if no author is listed Title or name of the organization if no title is provided Name of website URL Accessed Month Day, Year Example of Date: Accessed June 12, 2011 Author’s name: (Single) Doe JF (Multiple) Doe JF, Roe JP Permissions Written permission must be obtained by the author for material that has been published in copyrighted material; this includes tables, figures, pictures, and quoted text that exceeds 150 words Signed release forms are required for photographs of identifiable persons Checklist for article submissions: A copy of the manuscript and figures/ captions, including all pictures (low res) necessary for reviewers Manuscript: double-spaced including separate references, figure legends, and tables Abstract, educational objectives, expected outcomes paragraph References: double-spaced, alphabetical, American Medical Association style Tables: titled and cited in the text Mandatory submission form, signed by all authors Please contact managing editor Mali SchantzFeld with any questions via email: Mali@medmarkaz.com Volume Number Implant & Oral Surgery with LED Fiber Optics $ 5,495 LED Motor & Fiber Optic Implant Handpiece Works with any Implant System on the Market AEU-7000L-70V & AHP-85MBFO-CX Other Packages Starting at $3,895 1.866.244.2954 www.aseptico.com Offer Expires April 30, 2013 Promo Code IP-0413 DIARY lllllllllllllllllllllll OF EVENTS llllllllllllllllllllllllllllllllllllllllllllllllllll Star of the South Dental Meeting March 7-9, 2013 Houston, TX www.starofthesouth.org Pacific Dental Conference March 7-9, 2013 Vancouver, BC www.pdconf.com/cms2013 American Dental Implant Association Symposium 2013 March 15-16, 2013 San Francisco, CA www.americandentalimplantassociation.com The 81st Annual Nation’s Capital Dental Meeting March 7-9, 2013 Washington, DC www.dcdental.org/capmeet.asp Academy Of Osseointegration Annual Meeting March 7-9, 2013 Tampa, FL www.osseo.org/events/meetings/2013/ index.html Arizona Dental Association Western Regional Dental Convention March 7-9, 2013 Phoenix, AZ www.westernregional.org/2013 56 Implant practice Rocky Mountain Dental Institute Implant I Dr Scott Lingle March 7-9, 2013 Denver, CO www.rockymountaindentalinstitute.com Kentucky State Dental Meeting March 7-10, 2013 Louisville, Kentucky www.kyda.org/ky_meeting.html Big Apple Dental Meeting March 13-14, 2013 Mahwah, NJ bigappledentalmeeting.us Implant Surgery and Restoration Mini-Residency – Session III of IV (Rotation A) March 15-16, 2013 Oklahoma City, OK mcgarryinstitute.com ADEA Annual Session & Exhibition March 16-19, 2013 Seattle, WA www.adea.org/Secondary aspx?id=13859 The Art, Science and Business of Clinical Implant Practice: Precision, Productivity and Profitability of Implant Dentistry March 22-23, 2013 Houston, TX www.straumann.us Volume Number DIARY lllllllllllllllllllllll OF EVENTS llllllllllllllllllllllllllllllllllllllllllllllllllll Implant Dentistry Continuum March 23-24, 2013 Los Angeles, CA www.implantseminars.com Implant Dentistry Continuum March 29-30, 2013 San Francisco, CA www.implantseminars.com Implant Dentistry Continuum April 6-7, 2013 New Orleans, LA www.implantseminars.com Is Fructose Addictive and Hazardous to Your Health? April 11, 2013 San Francisco, CA dental.pacific.edu Rocky Mountain Dental Institute Implant II Dr Scott Lingle April 11-13, 2013 Denver, CO www.rockymountaindentalinstitute.com Soft Tissue Grafting Around Teeth and Implants April 11-13, 2013 Milton, MA www.straumann.us Implant Surgery and Restoration MiniResidency – Session IV of IV (Rotation A) April 12-13, 2013 Oklahoma City, OK mcgarryinstitute.com The - GHSU/AAID Maxi-Course Comprehensive Training Program in Implant Dentistry April 18-21, 2013 Atlanta, GA www.straumann.us 58 Implant practice Implant Dentistry Continuum April 20-21, 2013 Boston, MA www.implantseminars.com Implant Dentistry Continuum April 26-27, 2013 San Francisco, CA www.implantseminars.com It’s Alive! The Anatomical Basis of Dentistry April 27, 2013 San Francisco, CA dental.pacific.edu Implant Dentistry Continuum April 27-28, 2013 Los Angeles, CA www.implantseminars.com Volume Number The must-read journal for US Implantologists! EASY WAYS TO SUBSCRIBE VISIT www.implantpracticeus.com EMAIL kmurphy@medmarkaz.com CALL 1.866.579.9496 $99 year $239 years SUBSCRIBERS BENEFIT FROM: Clinical articles enhanced by high quality photography Analysis of the latest ground breaking developments in implant Practice management advice on how to make implants more profitable Real-life profiles of successful implant practices Technology reviews of the latest products to hit the market www.ImplantPracticeUS.com Komet USA launches one-step polishers for final polishing of composites MATERIALS lllllllllllll & lllllllllllll EQUIPMENT llllllllllllllllllllllllllllllllllllllllllllllllll GUM® Soft-Picks® GUM® Soft-Picks® feature 76 flexible rubber bristles that are gentle on sensitive gingival tissue As they brush away plaque and bacteria, the bristles massage the gums, increasing blood flow and accelerating the body’s natural healing process Because SoftPicks contain no metal parts, they will not scratch implants or cause painful galvanic shock To learn more about Soft-Picks, an effective and easy-to-use alternative to string floss, contact Sunstar by calling 800-528-8537 or visiting GUMbrand.com LAPIP protocol The LAPIP protocol is a modification of the well-defined LANAP protocol to effectively treat the unique challenges of failing implants and destroy perio pathogens and endotoxins The LAPIP protocol eliminates local inflammatory response with consistent, positive results in the regeneration of alveolar bone Leveraging the unique properties of the PerioLase® MVP-7™ Nd:YAG laser, the LAPIP protocol is a patient-friendly, minimally invasive laser treatment The LAPIP protocol is part of the days of guided, hands-on training included in the PerioLase® Periodontal Package®, taught by the Institute of Advanced Laser Dentistry Exclusively designed for one-step final polishing of composites, Komet’s new light-yellow polishers feature a special silicone bond that provides outstanding flexibility and conformation to tooth anatomy The polishers incorporate ultrafine-grit diamond particles for efficient delivery of a high-shine polish on composite materials in a single step, following the thorough finishing of restoration surfaces Constructed of heat-tolerant, highquality materials, the instruments can be safely sterilized in an autoclave and resist degradation and deformation The light-yellow polishers are available in flameshaped (long and short), cup-shaped, and wheel-shaped versions and are color-coded with a white ring according to diamond grit (ultrafine) for ease of identification They are offered in packages containing five instruments of a single configuration For more information about Komet USA or one-step yellow polishers, call 888-566-3887 or visit www.komet-usa.com The BIOMET 3i PREVAIL® Implant System Crestal bone preservation through the PREVAIL Implant’s integrated platform switching feature; optimizing patient esthetics with as little as 0.37 mm of bone recession and 50% reduction in crestal bone remodeling versus non platformswitched implants The PREVAIL Implant’s unique Certain® Internal Connection design; providing higher seal strength as compared to the competitive average Enhanced osseointegration with OSSEOTITE® and NanoTite™ PREVAIL Implants; two implant systems designed for primary stability with surface topographies targeting bone apposition and early healing Additionally, research shows peri-implantitis risk mitigation with the OSSEOTITE surface Call Millennium Dental Technologies at 888-49-LASER, or visit www.LANAP.com 62 Implant practice Volume Number BONE GRAFTING SOLUTIONS Introducing GUIDORđ AlloGraft (provided by LifeNet Health) ã Sunstar, in partnership with LifeNet Healthđ, is now oering GUIDORđ Allograft ã An osteoconductive graft material that promotes rapid healing • Helps maintain space and volume with a strong matrix structure • Sterilized using LifeNet Allowash XG® technology (Sterility Assurance Level of 10-6) GUIDORđ Bioresorbable Matrix Barrier ã Double sided bioresorbable material 5090 P3 15mm x 20mm Matrix Barrier • Unique two-layer matrix design stabilizes the wound site • Aids in the regeneration and augmentation of jaw bone in conjunction with dental implant surgery GUIDOR® Matrix has not been clinically tested in pregnant women, Immuno-compromised patients (diabetes, chemotherapy, irradiation, infection with HIV) or in patients with extra large defects or for extensive bone augmentation also available in: 5081 P6 20mm x 28mm Matrix Barrier Possible complications following any oral surgery include thermal sensitivity, flap sloughing, some loss of crestal bone height, abscess formation, infection, pain and complications associated with the use of anesthesia Complementary products provide an easy and predictable grafting solution ORDER TODAY! 1-877-GUIDOR1 (1-877-484-3671) www.GUIDOR.com ©2013 Sunstar Americas, Inc GDR13012 21413 v2 MATERIALS lllllllllllll & lllllllllllll EQUIPMENT PerioLase® MVP-7™ Digital TruePulse™ Nd:YAG laser The award-winning PerioLase® MVP-7™ Digital TruePulse™ Nd:YAG laser is the world’s first medical device to incorporate an Android™ tablet display, combining advanced laser components with the latest LCD display technology for optimum operating experience Manufactured by Millennium Dental Technologies, the PerioLase® MVP-7™ is specifically designed for the LANAP® protocol, an evidence-based, patient-friendly laser periodontitis treatment For more information, call 888-49-LASER or visit the company at www.lanap.com Gendex introduces Scatter Reduction Technology (SRT™) to Cone Beam 3D Gendex introduces SRT, Scatter Reduction Technology, to its award-winning GXDP-700™ Cone Beam 3D system This new feature allows clinicians to reduce artifacts caused by metal or radio-opaque objects such as restorations, endodontic filling materials, and implant posts The use of SRT image optimization technology delivers 3D scans with higher clarity and detail around scatter-generating material SRT represents a significant aid when 3D scans are required for a variety of procedures from endodontic to restorative and the post-surgical assessment of implant sites The activation of SRT is a very simple and easy step When a scan is prescribed near a known area of scatter-generating material, the user only needs to select the SRT button from the GXDP-700 touchscreen interface to utilize this new optimization technology Learn more about the full line of Gendex products and visit the company at www.gendex.com INDUSTRY HAPPENINGS llllllllllllllllllllllllllllll BIMEDIX and Laschal — partners in technology Morita to host speakers at the ITI Congress in Chicago Morita will be hosting speakers at the upcoming ITI (International Team For Implantology) Congress North America As an event sponsor, Morita will hold a Corporate Forum from 4:30 p.m to 6:30 p.m on Thursday, April 4, 2013 Bimedix and Laschal are partnering in the representation of innovative technologies for all dental specialties Laschal Surgical discovered the unique properties of flexibly resilient stainless steel and adapted those principals to dramatically reduce instrument failure, while at the same time eliminating or reducing the common stresses dentists face each and every day through the design of innovative, problem solving endodontic, surgical, and restorative instrumentation Bimedix is a group of highly experienced professionals who have unique qualifications in bringing new and innovative products to market For additional information please contact www.laschalsurgical.com or service@laschalsurgical.com 64 Implant practice Presenters will include well-known industry experts Drs Daniel Buser, David L Cochran, and Bruno Azevedo Focused on applications of CBCT in perio and implantology, topics will include preoperative analysis of implant patients (Buser, 5:45 p.m.), evaluation of bone grafting procedures (Cochran, 4:30 p.m.), and Reuleaux Triangle reconstruction and multiple fields of view for implant planning (Azevedo, 5:15 p.m.) Lectures will be held in Salon II located on the 7th floor of the Chicago Marriott downtown located at 540 North Michigan Avenue Hors d’oeuvres and refreshments will be served For more information: www.morita.com/usa/iti or 1-877-JMORITA(566-7482) Volume Number ... the implant complexities you face everday with EASY WAYS TO SUBSCRIBE VISIT www.implantpracticeus.com EMAIL kmurphy@medmarkaz.com CALL 1. 866 .579.94 96 16 Implant practice $99 year $239 years Volume... Loop #9 Scottsdale, AZ 85 260 Fax: (480) 62 9-4002 Tel: (480) 62 1-8955 Toll-free: ( 866 ) 579-94 96 Web: www.endopracticeus.com SUBSCRIPTION RATES Individual subscription year (6 issues) years (18 issues)... 2012:113-1 26 Al-Sabbagh M Implants in the esthetic zone Dent Clin North Am 20 06; 50(3):391-407, vi Sclar AG Esthetic implant complications: Prevention and management J Oral Maxillofac Surg 20 06; 64(suppl