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Implants For Life- Vol 2


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Implants For Life- Vol 2

  1. 1.  RING TECHNIQUE ..... 1 ISSUE 2 VOLUME 1 2nd QTR 2010  DR WEIGL CASE STUDIES – MICROMOVEMENT OF IMPLANT/ABUTMENT AND TOOTH REPLANTATION.................. 2 MTF / PerioDerm – New Product and ATP Processing……………..3 IMPLANTS Implants. Simply Natural. Long-Term Reliability. For life Ring technique Par t 1: Vertical bone augmentation and immediate insertion Bernhard Giesenhagen and Orcan YükselPLAN In the case of advanced atrophy or jaw defects, extensive vertical bone augmentation is often unavoidable to enable patients to be fitted with implants. These implantological procedures are usually two-stage and are very time-consuming for patients. The method of grafting bone rings developed by Bernhard Giesenhagen in 2004 makes it possible to augment the bone and insert implants in one single session. There are virtually no limitations to the indications for applying this technique. Compared with the classic, two-stage augmentation using bone blocks, the bone ring technique shortens the overall treatment time by several months. The method will be clearly and graphically presented in a multiple- part series of articles with the aid of various case studies. In the first part of the series, a case is presented to illustrate the procedure step by step in the anterior maxilla. The conditions required for successful application of the bone ring technique, in terms of achieving a restoration with long-term stability. THE METHOD AT A GLANCE First mark the bone ring with a trephine drill (Helmut Zepf Medizintechnik) at a suitable intraoral donor site – in this case the chin area. The central hole of the ring is drilled into the bone before the transplant is harvested. Only after this step, the ring graft should be dissected and harvested with the trephine drill. Insert the detached bone ring into the prepared receptor site. Then prepare the implant site in the local residual bone through the ring opening. Insert the Ankylos implant, at the same time fixing the bone ring. Cavities should be filled with autogenous bone chips or bone regeneration material. Cover the wound with a membrane and carry out primary wound closure. While the grafted bone ring firmly attaches to its surroundings, the implant osseointegrates in the local bone and in the bone ring. After an appropriate healing period, fit a prosthetic restoration onto the implant in the usual way. VISIT URL TO VIEW ANIMATION OF RING TECHNIQUE ON YOU-TUBE: or contact: Shari Rene @ for full article or email link to video. VISIT DENTALXP.COM TO LEARN WHAT THE MOST INFLUENTIAL IMPLANTOLOGISTS 1 AROUND THE WORLD HAVE SAID ABOUT ANKYLOS –
  2. 2. Micromovements at the Implant-Abutment Interface: Dr Paul Weigl Measurement, Causes, and Consequences JW Goethe-University Frankfurt am Zipprich, Holger / Weigl, Paul / Lange, Bodo / Lauer, Hans-Christoph Main Department of Prosthodontics ABSTRACT- Most of two-component or multi-component implant systems use an implant-abutment connection with a clearance fit. The clinical impact is assumed as high according to the following factors:  Implant systems consisting of two or several components are much more widespread than single component systems because they offer a number of well-known clinical and technical advantages.  Unconnected crowns in the posterior region are more susceptible to technical failure of the implant-abutment interface.  Crestally or subcrestally placed implant-abutment interfaces are frequently subjected to crestal bone resorption following abutment connection. This in-vitro study examined the dynamic behavior of different designs of implant-abutment connections. Abutments were loaded at an angle of 30° with a force of up to 200 N. The distance of the point of force application from the implant platform was 8 mm; the gradation of the force was 0.3 N/ms. The interface of the implant-abutment connection was examined and measured radiologically using a professional high speed digital camera (1,000 images per second). Dr. Weigl graduated from the The results showed that, under simulated clinical conditions, complex mechanisms are responsible for the University of Munich Dental presence or absence of a micro-motion. All implant-abutment connections with a clearance fit exhibit a School in 1989. Since 1992 he micro-motion (implant systems: SIC®; Replace Select®; Camlog®; XIVE®; Straumann synOkta®; has worked as an assistant Bego-Semados®; Straumann massive conical abutment®). Precision conical connection (Ankylos®) professor and director of shows no micro-motion. preclinical studies for the The potential clinical relevance of these results can at this point only be derived from theoretical Department of Prosthodontics of considerations. Presumably, the pumping effect caused by the micro-motion plays an important role for the Johann Wolfgang Goethe- crestal bone resorption. It is assumed that the bone is contaminated with liquid contained in the implant. University Frankfurt am Main. The paper has been published in the German journal Implantologie. (Vol. 15,2007 Issue 1, p. 31-46) He has special focus in the field VIEW VIDEOS: of prosthetics on implants and ____________________________________________________________________________________________ also a senior specialist at the Dept. of Oral Surgery& Implant Rationale for esthetic tissue preservation of a fresh extraction socket by an Dentistry, University of implant treatment concept simulating a tooth replantation Frankfurt. Additionally he runs an R&D project to develop a Dental Traumatology 2010; 26: 105–111; doi: 10.1111/j.1600-9657.2009.00831.x fully automatic working CAD Georgia Trimpou, Paul Weigl, Mischa Krebs, Puria Parvini, Georg-Hubertus Nentwig /CAM process to manufacture complete crowns and bridges Abstract – In cases of an immediate insertion and loading of implants after atraumatic loss of the and to develop a new fs-laser patient’s own dentition or due to an inevitable extraction of an anterior tooth, it is essential to provide based device for diagnosis & the patient with an adequate provisional crown. A soft-tissue recession must be avoided, whether it minimally invasive therapy of is due to a compression of the peri-implant soft-tissue caused by an over-dimensioned caries. restoration in the cervical collar of the provisional crown or to a too small dimensioned sulcus former. A simulation of the exact dimension of the lost tooth – especially on the cervical part of the new Correspondence to: G. Trimpou, provisional restoration – is expected to preserve all relevant information and allows the design of a Faculty of Oral and Dental Medicine, naturally looking emergence profile. Based on theoretical considerations and a case report, the Oral Surgery and Implantology, authors intend to demonstrate that a near-naturally dimensioned sealing of the dento-gingival soft- Theodor-Stern-Kai-7 tissue collar may initiate a tissue-maintaining healing process, similar to a tooth replantation. The Building 29, Carolinum Frankfurt am Main natural dental crown, connected to an implant instead of the root, is applied for a tight sealing of the 60590, Germany wound. If due to traumatic impact the tooth is no longer available, a naturally dimensioned crown Tel.: 069–6301–7530 restoration will serve as an alternative wound sealant. Fax: 069–6301–83795 Contact: Shari.Rene@dentsply for full case Report e-mail: Accepted 3 July, 2009 2010 DENTSPLY Tulsa Dental Specialties - Trade Show Speakers AAOMS Sept 27-Oct 2 Chicago, IL Dr. Saynor - Main Podium, Dr. Quereshy - Corp Forum AAP Oct 30-Nov 2 Honolulu, HI Dr. Maurice Salama - Main Podium Ontario OMS Nov Ontario, Canada Dr. Gary Brousell ICOI - Columbia Dec 10-11 New York City, NY Dr .Maurice Salama; Dr. David Garber; Dr. Nigel Saynor 2 USC Periodontal & Implant Dr. Saynor Symposium Jan 28-29, 2011 Los Angeles, CA
  3. 3. Advanced Tissue Processing (ATP): UPDATE Development of a Cleaning Process for Allograft Bone Comparison of ATP to Two Proprietary Processing Methods Tissue treated with the ATP process has been compared to allograft tissue subjected to other processing and cleaning methods from two other tissue banks: Regeneration Technologies Inc. Biocleanse® and LifeNet Allowash.® All tissue in this study was prepared into DBM based upon the Urist method.18 Biological activity was assessed in an athymic mouse model through associated ostoinductivity,12 and scored based on industry standard.14 A positive and negative control were utilized. The ATP-treated tissue demonstrated significantly higher osteoinductivity scores when compared to tissue processed at other tissue banks, 19 as seen in Figure 8. These results suggest that the higher osteoinductivity of the tissue prepared from ATP-treated bone compared to the tissue prepared from Biocleanse® and Allowash®-treated bone may result in improved incorporation of allografts treated with the ATP process.19 NEW PRODUCT: MTF PERIODERM DERMIS At MTF, we are driven by our strong Size Price Size Price commitment to safety. It is because of 1cm x 1cm- Thin $75 1cm x 1cm- Thick $75 this commitment that we continue to maintain an exemplary safety record, 1cm x 2cm- Thin $128 1cm x 2cm- Thick $128 providing our customers with allograft 1cm x 4cm- Thin $177 1cm x 4cm- Thick $177 tissue from a source they can trust. As 2cm x 2cm- Thin $177 2cm x 4cm- Thick $216 part of our philosophy, we believe that providing safe tissue is not enough— 2cm x 4cm- Thin $216 we also must not compromise the inherent biomechanical and biological properties of bone. In this vein, MTF has developed and validated a tissue Important PerioDerm Features & Benefits: cleaning and disinfecting process to THANK YOU for your further ensure the safety of our Support and Business. * Derived from minimally-processed, human skin for excellent allografts without adversely affecting handling characteristics, similar to autologous human skin grafts Shari Rene their mechanical or biological performance. The studies described * Rehydrates quickly, reducing surgery time and cost Your Local above demonstrate that the ATP * Freeze-dried grafts require no refrigeration and provide more ANKYLOS/Xive Implant process has no harmful effects on the storage options and MTF Representative mechanical strength, natural biological Email: properties or in vivo performance of * Three-year shelf life reduces need for inventory management View more at: the allografts. * Over 90% thickness consistency for uniform revascularization Phone: 651-271-3796 3 and aesthetic results * No cross-linking for ready incorporation and less risk of surgery Websites: site inflammation and rejection