Often Realize Your Ambitions and Achieve Your Goals with the Nobel Biocare Guide to Growth™ Program

Nobel Biocare NEWS Information for the Osseointegration Specialist Issue 1/2016

In this Issue

2 Register now: Seats at the Nobel Biocare Global Symposium in New York, June 23–26, will soon be gone. Whatever you do, don’t miss this event!

4 Managing forces: Take a look at the biomechanics underlying the All-on-4® treatment concept. Hear “Yes!” More Often Realize your ambitions and achieve your goals with the Nobel Biocare Guide to Growth™ program.

8 Tomas Albrektsson says: learned that increasing patient Nobel Biocare’s new Guide to education events provide just a few ”The frequency of Over the years, Nobel awareness of implant-based treat- Growth program. Based on the of the proven pathways toward in- peri-implantitis has been Biocare has not only ment increases the rate of treatment principal insights into what usually creased patient flow. grossly exaggerated in provided its customers with acceptance, the important first step makes an implant-oriented practice Ever wonder why some dentists the literature.” the peace of mind associated on the road to ultimate patient satis- successful, this professional pro- find it easier than others to get their with tried and true products faction. gram-for-purchase provides a road patients to say yes to implant treat- and services, it has also map to help every member of the ment? As it turns out, practices that successfully helped many of Guide to Growth™ treatment team reach his or her can present a complete patient jour- them to revolutionize their In the centerfold of this issue of professional goals. ney—from initial website visit, to practices. In the process, the Nobel Biocare News, the editors One of the insights upon which first consultation via treatment itself company has gained great present a detailed overview of Guide to Growth is based—and a to follow-up care—find more pa- insight into what needs to key differentiating factor for rapidly tients agreeing to implant treat- be done to grow a dental growing practices—is that more and ment. practice today. more patients expect to return Other factors that have an impact home on the day of surgery with on treatment acceptance include a By Frederic Love provisional teeth. fixed price for the full treatment, a simple visual presentation of the obel Biocare has always de- Increased patient acceptance treatment plan, an introduction to livered the treatment con- To that end, Nobel Biocare supports the entire treatment team, well-coor- Ncepts, courses and lectures, minimally invasive protocols for dinated staff, and flexible office hands-on training and expert men- virtually any tooth-loss case. For ex- hours. toring necessary to advance a clini- ample, the Nobel Biocare All-on-4® Practice growth is an important cian’s professional reach. treatment concept has provided a subject and an interesting topic for Today, the company’s consulting pathway for dramatic growth for discussion. To develop a detailed, salespeople also share insights ac- many practices. personalized practice development 12 Brånemark to be inducted quired over 50 years of heritage— In the company’s well-document- plan for you and your team, start into Hall of Fame: and 90,000+ customers served— ed experience, practices that proac- the conversation with Nobel Biocare America’s most exclusive < about the importance of promoting Kick-start your growth with your tively reach out to patients grow today! circle of inventors now patient awareness as a practice man- own personal Guide to Growth™ more rapidly. A social media pres- includes the father of agement skill essential for increas- package. Ask your Nobel Biocare ence, a search-optimized website, More to explore: osseointegration. ing patient flow. Nobel Biocare has team today. patient seminars and special patient nobelbiocare.com/grow 2 Nobel Biocare NEWS Issue 1/2016 From the President Nobel Biocare Global Symposium Implant dentistry event of the year: June 23–26, 2016, at the Waldorf Astoria in New York.

ty to design a unique learning program for each and everyone. Hans Geiselhöringer, President of As wide-ranging as it is, the Nobel Biocare and Dental Imaging theme-related agenda is only one part of the Nobel Biocare Global At Nobel Biocare, we are preparing Symposium experience. for a new era in patient-focused innovation. We will be pairing our in- Social interaction enhances dustry-leading implant assortment the learning experience with a renewed digital dentistry and Intertwined with independent study CAD/CAM offering that will be sig- opportunities, Nobel Biocare is ar- nificantly enhanced. ranging a compelling array of fo- Learning can be fun. The Nobel We are expanding the capabilities rums, including an innovation as- Biocare Global Symposium will of our treatment planning software sembly and a full-day compromised provide a variety of forums in which knowledge and experience and—in addition to the improved patient forum. Other forums will can be shared in relaxed settings. access we are already giving dental cover: Partnering for Life; the All- professionals to our CAD/CAM offer- on-4® treatment concept; and dental ing—we will have even more excit- laboratory workflow. To provide a United States and Bertil Friberg of ing developments to disclose at the new generation of dental profession- Sweden. They recently announced Nobel Biocare Global Symposium in als with their own platform, a Next- that—for the first time at a Nobel New York this June. Gen forum will also be held. Biocare dental event—registered at- You can already expect to experi- “Where would we be without dental implants?” More than a After a busy first day of lectures, tendees will be able to have a direct ence enhancements in key areas like rhetorical question, this phrase embodies an existential issue for many master classes and hands-on ses- impact on the program by voting on software and new material solutions, dental practices. In New York, speakers will teach attendees how to make sions, a Thursday welcome gathering various topics and speakers. See the including multi-layered full-con- the most of the latest innovations in modern implant dentistry. will provide a perfect opportunity to website below for details. The results tour restorations that will help de- unwind and to network with peers will be announced a few weeks be- liver the quality, predictability and and enhancing treatment; digital from around the world. Here you fore the symposium. efficiency that both you and your At the invitation of Nobel dentistry; and achieving clinical ex- will be able to raise a glass, enjoy Don’t miss this opportunity to inter- patients desire. And there is so Biocare, osseointegration cellence in challenging situations. some food and see a display of inno- act with more than 150 world class lec- much more to come. scholars and professionals Each theme has a separate sched- vative Nobel Biocare products in the turers and thousands of colleagues from Our focus on the patient remains from all over the world will be ule that includes lectures, master beautiful, historical setting of the around the world, while exploring the steadfast and constant. With our gathering in New York City classes and hands-on sessions. Waldorf Astoria. future of dental implants together. counterparts at KaVo Kerr Group, this summer to explore the Thanks to an exceptionally well- On Friday evening, Nobel Biocare Visit the website below, download we are now in the position to soon scientific and clinical aspects organized syllabus, participants who will host the symposium reception the program, and then register for unleash a complete offering for every of the meeting’s main theme, choose to follow only one theme will off-site at an exciting venue yet to be what is sure to be an incomparable step of patient treatment. From “Where innovation comes be able to take part in every single re- revealed. Get ready for an evening to experience for everyone involved: products and solutions to training to life.” lated session. remember with an inspiring blend of the Nobel Biocare Global Sympo- and education, we look forward to For others, who may prefer to pick diversion and education. sium in New York! < By Frederic Love opening up many more possibilities and choose between the different and opportunities for you. < themes and consequently attend in- Direct impact on the program More to explore! orld class speakers, dividual sessions of special interest The Scientific Chairmen for the Check out the details; then register hands-on instruction, in two or more themes, the Global Nobel Biocare Global Symposium before it’s too late: nobelbiocare.com/ Wmaster classes, forums Symposium provides the opportuni- 2016 are Drs. Peter Wöhrle of the global-symposium-2016 and social networking opportunities—all in the heart of one of the great cities of the world—will show Nobel Biocare NEWS you how innovation can play a deci- Be the first sive part in your day-to-day practice. Published regularly by to know! Nobel Biocare Services AG Ever since a “save the date” an- nouncement was made this winter, Vol. 18, No. 1, 2016 registration for the Nobel Biocare Get the latest news Global Symposium 2016 has been Editor-in-chief Frederic Love faster by signing Managing Editor Jim Mack strong. Now that the detailed program Associate Editor Michael Stuart is available (see “More to explore” at up for our monthly the end of this article), the remaining Editorial offices eNewsletter. Nobel Biocare News seats are rapidly being filled. Herdevägen 11 It’s high time, in other words, to 702 17 Örebro, Sweden Subscribe today at: register for these remarkable four Telephone: +46 19-330680 days of learning. In New York, hands-on sessions will cover everything from the All-on-4® bit.ly/NBNmonthly Telefax: +46 19-330681 email: [email protected] The symposium’s calendar encom- treatment concept to the Brånemark Zygoma solution, as well as Smart- web: nobelbiocare.com/news passes three main themes: Refining Fusion and the basics of guided bone regeneration.

The contents of contributors’ articles do not necessarily express the opinions of Nobel Biocare.

© Nobel Biocare Services AG, 2016. June 23-26, Waldorf Astoria 2,500 150+ All rights reserved. 2016 New York Seats Speakers Issue 1/2016 Nobel Biocare NEWS 3 Science matters A Sound Investment in Professional Development Narrow, safe and reliable “I always wanted to partner with a global organization.”

NobelActive 3.0 mm implants demonstrate high implant survival rates and optimal hard and soft tissue results in for a lakeside summerhouse to stant—the partnership between Dr. the anterior. (MacLean et al., accepted for publication in Dr. Simonas Bankauskas, open a clinic of his own. Bankauskas and Nobel Biocare. Quintessence International) who will be speaking in the “That first Nobel Biocare repre- Implant placement in the anterior area is technically challenging, NexGen Forum for emerging Rapid development sentative I met on that first training given the narrow shape of lateral upper and lower incisors and the leaders at the Nobel Biocare A new clinic, of course, added the course took such good care of me, high esthetic impact. In this retrospective study, 45 patients received Global Symposium in New pressures of practice management gave me the encouragement I need- a total of 58 NobelActive 3.0 mm implants for the rehabilitation of York in June, has gone from to those of clinical work. Again Dr. ed,” Dr. Bankauskas explained. “I mandibular and lateral maxillary incisors. dental school graduate to Bankauskas invested in his own de- always wanted to partner with a Both bone level (remodeling: –0.36 ± 0.85 mm) and soft tissue head of the largest dental velopment to obtain the required global organization—a service pro- health (pocket probing depth: 1.75 ± 0.58 mm) were preserved at chain in Lithuania within 10 skills, completing an EMBA. vider with true quality control. I 1-year follow-up. years. The secret to his His thesis looked specifically at work with Nobel Biocare because, The implant survival rate was in line with previous reports (CSR success? A dedication to how to expand dental clinics. While like me, they are always focused on 96.4%, two implants lost), but the high number of challenging cases developing his skills. his tutor considered the plan overly the patient.” < ambitious, Dr. Bankauskas was soon (implant placement in sites with congenitally missing teeth, n=20) and By Michael Stuart More to explore! immediate prosthetic loading (n=23) of this study emphasize the suc- testing his proposals in practice. Combining practice development cessful clinical outcome with NobelActive 3.0 mm implants. Today Dr. Bankauskas runs seven ven though he had not long clinics across Lithuania with more skills with clinical learning is the focus of Nobel Biocare’s new www.ncbi.nlm.nih.gov/pubmed/26949759 Egraduated from dental school, set to open soon. Last year he alone Dr. Simonas Bankauskas was intent placed around 2,600 Nobel Biocare Guide to Growth program. It’s on starting with dental implant implants and treated around 400 designed to help ambitious When four equals six surgery as quickly as possible. patients with the All-on-4® treat- clinicians fulfill their potential. Find “I had heard it could help people ment concept. out more at: nobelbiocare.com/ Both four- and six-implant-based solutions provide and be a good opportunity,” Dr. grow. predictable clinical outcomes in the rehabilitation of the Bankauskas recalled. “I saw an in- Partnering for success edentulous maxilla after 5 years. (Tallarico et al., Clin troductory implantology course While his career has evolved at a fast Implant Dent Relat Res. 2015 [Epub ahead of print]) being advertised by Nobel Biocare pace, one thing has remained a con- and I knew I wanted to do it. At Having reached five years follow-up, the first randomized controlled that time it was a significant invest- trial (RCT) comparing outcomes of edentulous maxilla patients rehabil- ment, it was almost a choice be- itated with the All-on-4® treatment concept or “All-on-6” implants tween learning and eating, but I shows no differences in survival (p=0.246), bone remodeling (p=0.12) took the chance.” nor in biological or technical complications (p>0.10). It was a decisive moment that All 40 patients were treated using guided surgery and an immedi- would mark the start of a career ate loading protocol. No failures of the cross-arch fixed dental prosthe- path Dr. Bankauskas has been fol- ses occurred and all technical complications were easily resolved lowing ever since. chairside. Although not significant, implant survival outcomes were After presenting him with the better in patients undergoing the All-on-4® procedure, and bone certificate for completing the remodeling was very similar in both groups (1.71±0.42 mm All-on-4® course, the Nobel Biocare represen- vs. 1.51±0.36 mm). tative that arranged the course in- This RCT provides strong evidence that both approaches represent troduced him to a colleague as the a predictable treatment option for completely edentulous patients. “future number-one dental surgeon in Lithuania.” For a goal-oriented www.ncbi.nlm.nih.gov/pubmed/26446912 young clinician like Dr. Bankaus- kas, this was further motivation to Over 30 years in function see how far he could go. Learning from the best Brånemark implants can support screw-retained prostheses for over 30 years without any major complications. Dr. Bankauskas began placing im- (Turkyilmaz and Tözüm, Implant Dent 2015;24:620–624) plants almost immediately after the course, realizing that there was much Reports of 30-year clinical outcomes of implant treatments are rare more he wanted to learn. He began in the literature. This retrospective analysis reports no implant loss investing in training around the (100% implant survival rate) in four women available for follow-up globe, visiting some of the world’s 30 years after receiving a total of 28 Brånemark System implants. most renowned clinicians in order to The implants supported five screw-retained fixed dental prostheses gain new perspectives and to find (FDPs) and only one FDP needed replacement (80% prosthesis sur- answers to the questions that arose as vival rate). he made progress in the field. The bone tissue was also maintained healthy and stable (average With words of advice from the marginal bone level: 2.6 ±0.5 mm). This study shows that FDPs sup- likes of Drs. Paulo Malo and Sascha ported by Brånemark System implants are a good long-term and fre- Jovanovic still in his ears, he re- quently a life-long solution for patients. turned to Lithuania where he began to grow his reputation. Having www.ncbi.nlm.nih.gov/pubmed/26288163 quickly recouped the money spent Dr. Simonas Bankauskas runs seven clinics across Lithuania with more on training, Dr. Bankauskas used set to open soon. Last year alone, he placed over 2,000 Nobel Biocare money he had originally earmarked implants, many of them as part of the All-on-4® treatment concept. 4 Nobel Biocare NEWS Issue 1/2016 Managing Forces and Avoiding Stress A glimpse at the biomechanics underlying the All-on-4® treatment concept.

plants, longer implants can be used. In a recent special-topic This increases bone-to-implant con- 400 section of the European tact and avoids vertical bone aug- 300 Journal of Oral Implantology mentation. In addition, the tilted im- (Volume 7, supplement 2), the plants can be anchored in better 200 editors presented a report of a quality anterior bone, reduce cantile- 100 consensus conference on the vers, and help avoid important ana- optimal number of implants in tomical structures.” ± 0 the treatment of edentulism. It’s worth taking a closer look at –100 On those pages, John Brunski some of the biomechanical details al- –200 (Senior Research Engineer at luded to in the above statement of Stanford University and Nobel Biocare’s rationale. For exam- –300 With more distal tilt of implant 4,

Professor Emeritus at (Newton) Force the angulated abutment connects –400 Rensselaer Polytechnic to the prosthesis at increasingly Fully upright 1. 2. 3. 4. Institute) approached the –500 more distal locations, thus reducing the cantilever. topic from a biomechanical support Implant Number perspective. He summarizes Figure 3. How forces on all four implants change depending on the distal tilt of the posterior implant. (n = No tilt). his findings here. ple, some results from finite element 100 N vertically-downward forces, the a fatigue endurance limit of about By Professor John Brunski (FE) computer models (Figure 1) in- All-on-4® case shows a substantial re- 300 MPa—stresses of about 240 MPa dicate ways in which a typical All- duction (relative to the “upright” in the “upright” case would start to ince it was first put into prac- on-4® treatment concept approach 4-implant case) in the maximum ten- provoke concern about potential fa- tice in 1998 by Dr. Paulo has important advantages over an sile bending stresses on the top sur- tigue fracture of the bar, whereas All-on4® Malo, the All-on-4® treat- upright 4-implant approach. face of the bar—e.g., from about 80 stresses of about 135 MPa in the All- S treatment ment concept approach has been concept First, some degree of distal tilting of MPa to 45 MPa (Figure 2, column A). on-4® case would not cause concern. used successfully around the world. the distal implants (e.g., 30 degrees in This result illustrates an advantage A large literature supports the ap- this example) in the All-on-4® case For peace of mind of the All-on-4® arrangement insofar proach (see the “More to explore” has the effect of reducing the length of Now, this is a significant reduction in as lowering stresses that relate to fa- section at the end of this article for a the cantilever segments of a typical stress; since the above FE model is lin- tigue fracture of bars. (The stress re- link to references). Some of the more prosthetic bar. (The cantilever seg- ear, a tripling of the 100 N bilateral duction also helps in avoiding de- biomechanically-focused papers ment is the region of the bar between loading to 300 N—which is a moder- lamination of acrylic over the bar.) about the All-on-4® treatment con- Figure 1. In the finite element (FE) the most distal implant and the distal ately strong but not uncommon level What’s more, an All-on-4® ap- cept are also considered in recent ar- models presented here, the distal end of the bar. The bar in this FE sim- of biting force—causes the maximum proach can also decrease stresses in ticles in Nobel Biocare News. ends of the bar are loaded bilat- ulation is about 4 mm in thickness tensile stresses in bars of the All-on-4® the supporting implants. For instance, erally by 100 N vertically- Nobel Biocare’s summary of the and 6 mm in width, which is similar and “upright” cases to increase to the maximum tensile bending stresses downward forces. Please note that physiological benefits of using the the ends of the mandibles are to bars in clinical use.) 240 MPa and 135 MPa, respectively. in the distal (Figure 2, column B) and All-on-4 approach is as follows : constrained in these FE simula- Consequently, when the distal ends Assuming the bars were made of anterior (Figure 2, column C) im- “By tilting the two posterior im- tions, as in the images below. of the bar are loaded bilaterally by commercially pure Titanium—with plants are lower for the All-on-4® case compared to the “upright” 4-implant case. While this idealized FE model doesn’t account for the detailed inter- A. B. C. D. nal structure of screw joints, implants, and abutments in the system, it never- theless provides insight into how the All-on-4® arrangement can lead to lower stresses in the implants and related parts. When it comes to the stresses at the sites where the implant abutments ± 0 connect to the undersurface of the bar, the All-on-4® situation also shows lower stresses than in the “upright” case (Figure 2, column D).

Bending stress, bar Bending stress, distal implants Bending stress, anterior implants Compressive stress, under bar Reduced stress on all implants It is useful to look at the vertical 200 forces that develop on the implants 150 together with related stresses and strains in interfacial bone for the 100 All-on-4® vs. “upright” cases. Concerning the vertical forces: For 50 the same bilateral loading on a bar sup- Stress (MPa) Stress 0 ported by All-on-4® vs. “upright” implants (see Figure 3), the vertical force

Figure 2. Comparative stresses in different locations of the bars, implants and abutments of an upright 4-implant model vis-a-vis an All-on-4® treatment concept model. Key: n = Upright 4-implant. n = All-on-4® treatment concept. continued on page 11 Issue 1/2016 Nobel Biocare NEWS 5

Upcoming Five Reasons Many Practices are Events Trending Toward Social Media Followers on Facebook and Twitter soon turn into patients in the waiting room.

Meet Nobel Biocare at events around the world. tients looking for your services on- These professional If you’re not already an active line can find you faster. gatherings provide a great user, the wealth of social opportunity for catching media options can easily feel 91 percent 5. You can see it working – up with the latest intimidating. Facebook 200 million @ of email immediately. innovations and scientific pages, Twitter accounts, Americans have users have Social media channels offer immedi- registered their unsubsribed research. blogs—the list goes on and 200 ate feedback which you can use to phone numbers 91% from a company on. According to media improve your marketing efforts. Per- Osteology Symposium on the FTC’s million e-mail that April 21–23 experts, “How will my “Do not call” list. they previously haps you get more likes and com- Monaco, France practice benefit?” and “What opted into. ments for posts with short videos? SEPA Annual Meeting if I’m too busy to post Maybe your followers are more likely May 12–14 updates?” are two questions @ Valencia, Spain to share your content with others if that invariably pop up when there’s a special offer, or practical ad- Scandefa clinicians consider social April 28–29 44% 86% vice on caring for their teeth? You Copenhagen, Denmark media tools for the first time. TRADITIONAL can see the responses as they happen, evaluate, and use the information to ODA Annual Spring Meeting By Dr. Scott MacLean CHANNELS May 5–7 inform your future posts. Toronto, ON, Canada 44 percent 86 percent of direct of people skip APTPD Congress hile it’s true that some effort mail is never television ads. Just a few May 6–7 Wand thought are required to opened. things to keep in mind Lisbon, Portugal start—and more importantly, main- While social media channels have SEPA Annual Meeting tain—a social media presence, the the potential to give a big, cost-effec- May 12–14 Valencia, Spain return on your investment in time tive boost to your practice, there are can be very worthwhile. Social a few common pitfalls to avoid. CDA Presents Convention HIGH AVERAGE COST PER LEAD May 12–14 media networks such as Facebook, Never forget that your social media Anaheim, CA, USA Twitter, and LinkedIn present a presence is a reflection of you. JSP Annual Meeting great marketing opportunity to pro- Finding a large following with traditional communication channels This is a great advantage for build- May 20–21 mote your practice. If you’re not al- is an increasingly difficult and expensive task. Messages sent to potential ing relationships with new and exist- Kagoshima, Japan ready building your online social customers via direct mail, radio broadcasts, TV commercials, flyers or ing patients, but only if you always Quintessenza Congress network, here’s five reasons why you telemarketing are becoming ever less likely to generate cost-effective leads. maintain high ethical standards and May 26–28 Verona, Italy should start. compliance. If you wouldn’t say some- Unless you’re part of the online stead to online media for product thing to a patient in person, don’t put EAED Annual Spring Meeting June 2–4 1. It’s where your patients conversation you’ll miss out on and company information. This it on social media. Post cautiously and Copenhagen, Denmark are talking about you. being able to see, and address pa- makes finding a large following with with respect, keeping your personal

SFPIO Congress Social media channels have become tients’ concerns and taking advan- traditional channels an increasingly and professional lives separate. June 2–4 a normal part of people’s everyday tage of any affirmative conversa- difficult and expensive task, as the Some people outsource their so- Lyon, France lives. Facebook alone is used by 890 tions to promote your services. above infographic illustrates. cial media tasks to an impersonal ISPRD Symposium million users around the world service provider—which might not June 16–19 Boston, MA, USA every day. In the US, over half of on- 2. It’s free! 4. Social media be the best choice, however. Your pa- line adults use not just one, but mul- All it costs to get started with social boosts your online presence. tients want to get to know their prac- Nobel Biocare Global Symposium 2016 June 23–26 tiple social media sites. This makes media is time. Of course, that’s at a Social media can help you influence tice, not a consultant. Finally, once New York City, NY, USA them arguably the most powerful premium, but once you’ve set up the public and improve oral healthcare. you’re up and running, keep at it to

AAED Annual Meeting marketing tool available to any busi- your Facebook page or Twitter ac- Currently 72% of dentists in the US use make sure your social media pres- August 3–5 ness today, including dental practi- count, monitoring what’s going on Facebook as a marketing tool, and ence is always up to date. Dana Point, CA, USA ces. Social networks give you access and posting regular updates doesn’t they’ve also reported higher revenues. Stick to these guidelines—re- FDI Congress to incomparable, voluntary patient have to take up a lot of your day. All Demonstrating that you’re on top membering to abide by your local September 7–10 Poznan, Poland engagement and allow for powerful major social media channels have of the latest technological develop- privacy, data collection and compli- one-to-one communication. mobile-friendly apps, so you can ments increases your image as a high- ance laws—and you’ll quickly see CDA Presents Convention September 8–10 Plus, with over two-thirds of on- quickly add a post from your phone quality provider and, consequently, positive results. < San Francisco, CA, USA line adults actively using social net- between appointments or during a patient flow to your practice. By shar- More to explore! Dental Bern works, your patients are probably coffee or lunch break. ing patient-friendly updates on the September 9–11 talking about you on social media latest dental techniques and research, A free ebook, Why Social Media?, is Bern, Switzerland anyway. Eight out of ten US Internet 3. Your old marketing or commenting on news stories that available free of charge from Nobel AAP Annual Meeting users search for health information methods aren’t working. are getting attention, you underline Biocare. Read it to learn how to September 10–13 create and maintain a flow of online San Diego, CA, USA online, and 74% of these people use You’re probably familiar with the your status as an expert. social media. more traditional or “outbound” Social media will also boost traffic content that engages both AAOMS Annual Meeting The social phenomenon is no marketing methods. Messages are to your website. By including links to prospective and existing patients. September 18–23 Las Vegas, NV, USA longer restricted to the young ei- sent to potential customers via mail- your website in your social media nobelbiocare.com/ebook ther. Those over 50 are joining the ers, radio broadcasts, TV commer- posts, you can drive more visitors to EAO Annual Congress September 29 – October 1 networks on a large scale and are cials, flyers or telemarketing. With your practice’s site. This also works Paris, France increasingly turning to social the right amount of investment and the other way around if you place a media for health advice and ex- market research, outbound market- prominent link to your social media More to explore | change with peers. More than half ing can lead to a number of good, activities on your web pages. For the most recent updates, (56%) of all online adults 65 and high-quality prospects. But the Having a social media presence visit: nobelbiocare.com/events older in the US use Facebook, for rapid growth of the Internet leads can also improve your website’s rank- instance. more and more people to turn in- ing in search engines, meaning pa- 6 Nobel Biocare NEWS Issue 1/2016 Achieve Your Goals Clinicians engaging with Nobel Biocare’s Guide to Growth™ activities grow up to 3x faster.*

Getting your implant practice to Set your practice up for success reach its full potential doesn’t have to be just a dream. Nobel Kick start your growth with Nobel Biocare’s Guide to Growth Biocare can help you turn that program. Based on experience from our most successful ambition into reality by devel- customers, it offers unique insights that will help you provide oping your clinical expertise more patients with dental implant treatment. and ability to increase patient acceptance with the new Guide to Growth program. PROACTIVE PATIENT By Jim Mack COMMUNICATION Increase patient flow or clinicians looking to in- Increasing your patients’ knowledge about implant crease the number of patients treatment options sets you apart from competition. Not only does it lead to higher treatment acceptance, Fthey treat with dental implants, it also brings more patients to your practice. the Guide to Growth program com- Practices that proactively reach out to patients bines courses, tools and personal sup- grow more rapidly (e.g., through social media, port to develop both clinical and websites, search engine optimization, practice-management skills. patient seminars, patient education advertorials, PR events etc.). Expert insight Those who purchase the in-depth program gain access to unique insights based on input from our most successful customers together with the tools to apply them to their own practices. In many markets, program attendees are also supported by expe- rienced mentors.

Progressive treatment The clinical components of Guide to ONE POINT Growth include immediate implant OF CONTACT placement, immediate provisionalization and minimally invasive protocols Make it easy for the patient from single-tooth replacement to The entire treatment team must work hand- edentulous cases and focuses on in-hand to provide a holistic experience for “shorter time-to-teeth,” a key differ- the patient—from first contact to treatment acceptance and aftercare. entiator for rapidly growing practices. Efficient collaboration is especially important Increased acceptance in referral models, where the distance between treatment partners can Growing treatment acceptance be significant. starts with growing treatment awareness. Guide to Growth provides an extensive library of online and offline tools to promote implant treatment options. The program also provides support for arranging educational events for patients, referral partners and the wider treatment team—which specifically aims to improve treatment awareness, ac- HIGH TREATMENT ceptance and, ultimately, advocacy ACCEPTANCE AND ADVOCACY among patients. * Data on file: comparing annual increase in Hear “Yes!” more often customer net sales (2014– Backed by results 2015) for those customers Practices that have consciously arranged every The principles behind the Guide to that did practice step of the patient journey, from patient arrival development activities through consultation, treatment and aftercare, Growth program are proven. By com- versus those that did have more patients agree to implant treatment. bining training that’s backed by scien- not; 2 Savage, R.R.; Key factors in treatment acceptance include: tifically supported advanced clinical Galvan, R. “Patient- centric marketing,” a fixed price, simple explanation of the protocols with practice promotion and Dental Economics treatment plan, flexible hours, well- patient communication techniques, (online); 3 Data on coordinated staff and provisional file: comparing teeth on the day of surgery. you’ll be on the road to improving annual increase treatment efficiency and enhanced in customer net outcomes while increasing treatment sales (2013– 2014) acceptance and patient satisfaction. < Issue 1/2016 Nobel Biocare NEWS 7

Expert mentoring

Hands-on sessions

Courses and lectures

Patient satisfaction Treatment concepts

Treatment acceptance

Patient flow

81%

ADVANCE YOUR CLINICAL SKILLS Patient of patients come awareness to you by word-of- mouth referral.2

ADVANCE YOUR PRACTICE MANAGEMENT SKILLS 17% of Nobel Biocare dental professionals that held a patient seminar in 2013 grew their number of implants placed by more than 50% the following year.3

PROGRESSIVE IMPLANT TREATMENT 24%

Shorten time-to-teeth of dental professionals that Progressive protocols include immediate implant attended a Nobel placement, immediate provisionalization and Biocare All-on-4® minimally invasive protocols for everything from course in 2013 grew single-tooth replacement to edentulous cases. their number of Patients increasingly expect to leave your implants placed by office with (provisional) teeth on the day of more than 50% the 3 surgery, which is a key differentiating following year. factor for rapidly growing practices.

FIND OUT MORE Kick-start your growth with your own personal Guide to Growth package. Scan the QR or visit: nobelbiocare.com/grow 8 Nobel Biocare NEWS Issue 1/2016 A Nuanced Perspective on Peri-implantitis “We see bone remodeling and bone loss for very different reasons,” says osseointegration pioneer.

The frequency of peri-implantitis One of the most widely has been grossly exaggerated in the quoted scientists in dental literature. All bone loss that happens implantology, Professor in the first year is definitely not peri- Tomas Albrektsson, worries implantitis. that peri-implantitis is We see bone remodeling and bone increasingly used as an loss for very different reasons. This alarming label for benign bone loss is benign in that it doesn’t marginal bone loss around threaten the implant. implants. On a recent visit to Then we have a disease called peri- Zurich, Switzerland, he took implantitis which, with controlled questions from Dr. Stefan implants placed by properly trained Holst, Nobel Biocare’s Vice individuals, is a rare disease, but still President of Implant Systems one of some magnitude. With 1–2% and Research, on this topic. of modern controlled implants show- ing clear signs of disease at 10 years or By Dr. Stefan Holst more of follow-up, we can’t ignore it. But we are not helped by the exagger- ccording to some wide- ation of the figures. There are 13 dif- spread yet crude definitions, ferent definitions available for peri- Professor Tomas Albrektsson: ”The frequency of peri-implantitis has been grossly exaggerated in the literature. Aperi-implantitis can be char- implantitis. And we can be without All bone loss that happens in the first year is definitely not peri-implantitis.” acterized by a peri-implant bone loss the great majority of those. of as little as 1.0 mm in the first year the cement remnants in place for 10, buying a cheap implant that is un- misinformation about peri- after initial treatment. Since some 15 or 20 years, then peri-implantitis documented can prove to be very implantitis? post-treatment bone loss is all but in- may follow with the same implant. expensive. Albrektsson: I’m increasingly irritated evitable during initial bone remodel- A clinician should always take ac- with people calling benign bone loss ing in even the most successful and M&R tion when he or she sees marginal Holst: Based on your clinical a disease. Those who are doing so long-lasting cases, such definitions Myths and Reality bone loss or rather the preface of it, experience, what are the factors have to read the new research that’s lead, as a matter of course, to contro- which is called mucositis. Mucositis is that play a role? out and realize they are wrong. versy. only the first sign of an immunologi- Albrektsson: It is complications to And the profession must, in a unit- Holst: How does a clinician cal reaction; it has nothing to do with treatment that cause bone loss. We ed manner, protest against alarming Dr. Stefan Holst: Peri-implantitis is determine whether bone loss is a anything else but immunology, which call it the “Triad of Poor.” First, poor reports in a much stronger manner currently a prominent discussion natural physiological reaction or is unfortunately not understood by implant systems. As mentioned, than we have done to date. But at the topic at various events and that caused by disease? many of our clinical colleagues. these exist and are sold at a cheap same time we must of course con- congresses. Is the nature of these Albrektsson: From the clinician’s price. Again, you should avoid these tinue to take patients very seriously. discussions beneficial for the standpoint, we should take all types Holst: Recent studies based on implant systems. We cannot ignore bone loss, even if it implantology community or could of marginal bone loss seriously— the Swedish population imply that Second is poor clinical handling by proves to be benign. We have to be it be a threat to our reputation? even if the great majority of implants implant brand plays a role in clinicians without the right skills. Fi- active all the time and work to the Prof. Albrektsson: When incorrect with some bone loss will never devel- peri-implantitis. Is this not nally there is what we can term poor best of our knowledge for our pa- biological reasoning is done, it is al- op peri-implantitis. The problem is misleading given that so many patients—those patients that are diffi- tients. < ways a threat. When we look at the that we don’t know which ones. factors influence treatment cult to treat. These are the causes of clinical outcomes in long-term stud- For example, one reason for prob- outcomes? bone loss, that in rare, but in some More to explore! ies, they are so much better than lems with bone loss is cement rem- Albrektsson: Many of the figures that cases, may in the long-term lead to For more to read about this and many of those that we are hearing nants in the soft tissue. If you remove are being quoted, be that in the re- peri-implantitis, but in most cases not. related topics—such as findings and reading about. I’m very critical that in time, the bone loss stops. The cent Swedish publication or others, about screw vs. cement retention— of this. It is trying to make problems implant can function happily ever are lamentably unrealistic. They Holst: So what can we as dental please visit: of things that may not be that prob- after, without any problems. But there have used the most liberal defini- implant professionals do to nobelbiocare.com/news. lematic. is also the possibility that if you leave tions they can find of what they call prevent the proliferation of a disease when in reality it is no such thing. Our own studies of long-term follow-up on implants demonstrate very clearly a similar, small percent- age of implants that are hit by peri- implantitis, they are between 1% and 2%, whether you prefer one of the major implant systems or the other, is no difference. But implant systems that say they are similar to other documented implants, and therefore need no documentation of their own, are not to be trusted. Clinicians need to pick an implant system that has its own Stick with the original. ”Implant systems that say they are similar to documentation published in peer- Holst: “What can we do to prevent the proliferation of misinformation other documented implants, and therefore need no documentation of their reviewed papers. If that doesn’t about peri-implantitis?” Albrektsson: “We must protest against alarming own, are not to be trusted.” exist, don’t buy it. Never forget that reports in a much stronger manner than we have done to date.” Issue 1/2016 Nobel Biocare NEWS 9 Driving in the Fast Lane Moving Forward He has made a place for himself on two different kinds of podiums. FOR launches second ebook: cause it is both an established and The Temporomandibular Joint leading implant company that offers products for both specialties. “A number of important clinicians FOR’s digital textbook provides in-depth knowledge of both use their products on a daily basis, temporomandibular joint anatomy and disorders. and that gives me confidence in the br an d .”

“Primary stability without surprises” Llobell is particularly impressed with the new NobelParallel Conical Con- nection implant. “I find the NobelParallel Conical Temporomandibular joint disorders are highly prevalent conditions in Connection implant easy to use in the modern world, their early diagnosis and treatment being key to the multiple clinical scenarios. It has a prevention of treatment complications and to patient satisfaction and straightforward drilling sequence, quality of life. which makes it easy to maintain the Edited by Dr. Edwin L. Christiansen, a professor at Loma Linda Uni- direction during insertion, while also versity’s school of Dentistry—and under the oversight of FOR’s Educa- Both a periodontist and a prosthodontist, Dr. Arturo Llobell speaks on giving me the chance to achieve pri- tional Chair, Dr. Charles Goodacre—the highly didactic digital textbook the advantages of implants from two different, yet related, perspectives. mary stability without surprises. provides the dental professional with: “Being able to achieve adequate previously tested cars alongside Se- primary stability permits me to opt • A comprehensive, evidence-based review of the anatomy of the Dr. Arturo Llobell likes a bastian Vettel and Lewis Hamilton, for immediate loading protocols temporomandibular joint (TMJ), including bones, articular disc, challenge. Right from the both of whom went on to be World more often than before.” periarticular soft tissues and muscles associated with the joint; start of his dental career, one Champions. specialty wasn’t enough. He A leader of tomorrow • Comparison of normal and dysfunctional conditions present in the TMJ, supported by a richly illustrated chapter on diagnostic opted to become both a Patient care comes first Llobell was named as a member of imaging; periodontist and a pros- Eventually there came a time when the Emerging Leaders Program by thodontist, so no two days Llobell had to choose between a ca- the Foundation for Oral Rehabilita- • A review of the oral and extraoral characteristics exhibited by would ever be the same. It reer as a clinician and trying to make tion (FOR), which he says helped patients with temporomandibular disorders; paid off. Today, Llobell enjoys the step up to Formula 1. A bad him develop as a speaker. a busy and varied dental crash, among other factors, led Llo- “Being part of FOR’s Emerging practice in Valencia, Spain. bell to opt for dentistry, and he hasn’t Leaders group was a great experience looked back since. Interestingly, he for me as I had the chance to get in By Michael Stuart says the two fields are not as different touch with world-renowned clini- as one might think. cians who were more than happy to hough just 28, Arturo Llobell’s “In both racing and dental surgery give me—and the other young clini- Tfirst career was not dentistry. To you need a significant amount of cians involved—a hand in every as- say his previous vocation was also preparation,” Llobell explained. pect of clinical dentistry, as well as fast-paced would be an understate- “Then, during the task at hand, lecturing advice.” ment. As a junior racing driver Llo- you need a high level of concentra- With its new Guide to Growth • World-class animations of the joint and muscles and an excep- bell was among the best in the world, tion and attention to detail. You also program, Nobel Biocare is hoping to tional collection of images (cadaver specimens, histologic twice being named Spanish national need to react to changing variables if help more aspiring implantologists images, (CB)CT and MRI images); champion and finishing fifth in in- you are to succeed.” follow Llobell’s example. Combining ternational competition. Today, Llobell has swapped one advanced clinical training with prac- • Over 300 scientific and literature references; and Many of Llobell’s former oppo- podium for another. He now speaks tice management advice, Guide to • Self-assessment “Validate Your Learning” statements through- nents became Formula 1 stars, and he at implantology events around the Growth seeks to help ambitious cli- out the text and end-of-chapter self-assessment quizzes. world and has recently accepted fac- nicians fulfill their potential by ulty positions at the University of Va- growing their implant practices. Designed for both pre- and post-graduate students, and for the lencia in Spain and the University of Llobell is proof that with the right practicing dentist, this richly-illustrated ebook can be viewed online or Pennsylvania in the United States. skills, partners and advice, the sky is downloaded to iOS or Android tablets, thereby providing anytime/any- the limit. This June, he will appear where access to both the text and richly displayed visual content with a Dual specialties, on stage at Nobel Biocare’s 2016 simple click of a link. one implant provider Global Symposium in New York as “With an incredible collection of images that enhances understand- At the heart of Llobell’s progression part of a lineup that reads like a ing and explores the intricate anatomic characteristics of the TMJ, this are the positive treatment outcomes Who’s Who of implant dentistry. ebook is an exceptional resource,” said Brian Volken, who served as he achieves for his patients. A Nobel “To be sharing the podium with FOR Center’s senior project manager on this ebook, as well as Biocare customer since the start of some of Nobel Biocare’s top speakers FOR.org’s popular first digital release,Single Tooth Implants and Their his career, Llobell says the company’s is an honor. I’m really looking for- Restoration. “Those who study and use this digital resource will come products have helped give him the ward to it.” < away with an expanded appreciation of the TMJ and an enhanced abil- A former champion racecar confidence to use increasingly pro- ity to visualize its intricacy in 3D.” driver turned implantologist, gressive treatment protocols. More to explore! The digital textbook can be accessed under the “Learn” tab on the Dr. Arturo Llobell has established Don’t miss Dr. Llobell at the Nobel FOR.org website. himself as a respected clinician in “I started working with Nobel Bio- his native Spain and sought-after care during my residency in both Biocare Global Symposium in New speaker at major dental events periodontics and periodontal pros- York, June 23–26, 2016: nobelbiocare. for.org/en/digital-textbooks/temporomandibular-joint around the world. theses. I chose Nobel Biocare be- com/global-symposium-2016 10 Nobel Biocare NEWS Issue 1/2016 Your Lab Can Become the In Brief Prosthetic Provider of Choice CAD/CAM implant bars on demand with NobelProcera® Services Nobel Biocare innovations drive scientific research trends

With more than 300 million The primary research focus in implant dentistry has shifted since edentulous patients worldwide, Professor Brånemark’s early days. Now that the average implant sur- the opportunity for dental vival rates have successfully exceeded 97%, research focuses on professionals to improve reducing treatment time, enhancing comfort and improving esthetics. patients’ quality of life is huge; and with dental implant Increased Interest for Some Topics of Scientific Research – treatment offering a more Decreased Interest for Others efficient and comfortable alternative to traditional full Immediate loading 6.3% dentures, demand for implant Platform switching 2.9% bar overdentures is set to grow. Lateral sinus grafting 2.3% By Michael Stuart With the NobelProcera Scan and Design Service, labs can receive a Flapless surgery 2.2% range of high-quality, precision-milled implant bars, simply by sending a model to NobelProcera. Guided implant surgery 1.9%

s a result of growing demand, tured bar is shipped to the lab to- of the service. NobelProcera’s wide Onlay grafting – 0.3% Adental laboratories that can gether with a material authenticity range of both fixed and fixed-remov- Tooth-to-implant connection – 2.2% provide high-quality implant bars to certificate and a five-year product able implant bar solutions caters to a support overdentures will find new warranty. variety of clinical needs and prefer- Implant overdentures – 6.6% business knocking at their doors. ences, with the Scan and Design Ser- – 7% ± 0% + 7% Ramping up implant bar produc- Investing in quality, vice available for over 170 implant Change in scientific interest (2001–2012) tion, however, can require a signifi- not equipment platforms. cant investment in equipment, time This flexible approach to outsourc- Hundreds of scientific articles are published every year on oral implan- and staff training, which many labs ing offers many benefits for labs. Outsource means opportunity tology and prosthodontics. A recent study analyzed how the thematic simply cannot afford. That’s where Primarily, it means they can offer By removing the need for invest- trends in implant science are evolving and showed that today the highest NobelProcera Scan and Design Ser- precision-fitting bars in NobelPro- ments and offering unrivaled results, interest is in advancing current solutions for better patient satisfaction. vices can help. cera’s renowned high quality with- NobelProcera’s Scan and Design Ser- Realizing that patients expect not only a life-long solution, but also out needing to invest in a Nobel- vice lets labs take advantage of re- short treatment times, low discomfort and high esthetic outcomes, Nobel Send a model, Procera CAD system or purchase quests for high-quality implant bars Biocare has pioneered treatment concepts such as immediate loading, receive unrivaled bars and maintain expensive produc- that they might otherwise be forced which is today not only the most researched topic (14.3%), but has also To use the service, the lab simply tion technology. to pass up. In other words, it affords shown the greatest increase in literature coverage in the past 15 years prepares the case materials as nor- It also means that implant bar labs the flexibility to take opportuni- (+6.3%). The figures speak for themselves. Nobel Biocare remains at the mal, noting the details of the case cases can be accepted even when the ties that they can’t afford to miss. < forefront of patient-focused, science-based innovation. on a short accompanying form be- lab is working at full capacity or if More to explore! fore sending it to be scanned and the required skill in this particular www.ncbi.nlm.nih.gov/pubmed/26315310 designed by NobelProcera’s team of area is not yet present in the lab. Full references for this article are skilled technicians. The breadth of the NobelProcera available online at: From receipt of the model the scan Services offering is also an advantage nobelbiocare.com/news. and design part of the process typi- Brånemark Osseointegration cally takes one day. Given the extensive range of plat- Award to Dr. Ole T. Jensen forms covered in the Scan and De- The Nobel Biocare Brånemark Osseointegration Award is given sign offering, labs with a NobelProc- annually by the Osseointegration Foundation (OF), the philan- era System can use the scan-only thropic arm of the Academy of Osseointegration (AO). It honors version of the service to increase an individual whose impact on implant dentistry is exemplary in their platform options while retain- one or all of the Foundation’s mission categories: research, edu- ing control of the design. cation, and charitable causes. The scan is sent back to their No- According to OF President Dr. Mollie Win- belProcera Software so they can com- ston, who recently presented the award at the plete the design themselves. Alterna- AO meetings in San Francisco, “Dr. Jensen is tively, those looking to take advantage the ideal recipient of this award because he only of high-quality centralized mill- truly carries on the tradition of putting our ing can send a completed wax-up of a patients first. He is a distinguished clinician, bar direct-to-production. researcher and osseointegration educator who Premium production and is quite worthy of this honor.” peace of mind Acknowledging the work of others, Dr. Jensen said, “We’re engaged in a collective effort, one which no single individual can claim to achieve on Once the technician is happy with their own. The Brånemark tradition reminds the profession of dentistry of the design, the bar is sent for milling. where we have been and where we might go in our humble quest to help As NobelProcera produces implant restore our fellow human beings.” bars only from solid blocks of surgi- Previous Nobel Biocare Brånemark Award winners include Drs. Ste- cal grade titanium, possible weak- phen Parel, William R. Laney, George A. Zarb, Daniel van Steenberghe, nesses relating to soldering or laser This is how it works. NobelProcera’s Scan and Design Service makes it Ulf Lekholm and Tomas Albrektsson. welding are avoided. Two or three possible for labs to take advantage of requests for high-quality implant bars days later, the precisely manufac- that they might otherwise be forced to pass up. Issue 1/2016 Nobel Biocare NEWS 11 Meet NobelDesign™ in New York – Intuitive CAD Software for Dental Restorations Here’s a peek at a new product that you’ll get to see first-hand in June at the Nobel Biocare Global Symposium.

veneering support. As the intuitive in- NobelDesign is one of a terface adapts to the user’s preferred number of innovative new way of working, efficiency increases products that will be exhibited over time. NobelDesign incorporates at Nobel Biocare’s Global intuitive exocad® CAD tools Symposium in New York, from Access to an increasing for the efficient design of June 23–26, 2016. number of restorations both cemented and screw- retained restorations. NobelDesign users will access new By Jim Mack NobelProcera innovations as new product releases become available in According to Fredrik Strömberg, “NobelDesign’s powerful and intu- obel Biocare has just announced NobelDesign. head of the company’s NobelProcera itive CAD tools are sure to be appre- Nthe introduction of Nobel- NobelDesign is accessible only in business unit, “NobelDesign Soft- ciated by dental technicians, while Design: efficient and intuitive soft- combination with the highly accu- ware has been developed to increase the excellent results it makes possible ware for the computer-aided design of Fredrik Strömberg, Global Head of rate NobelProcera 2G Scanner, and is efficiency and improve patient care. will be valued by clinicians and pa- NobelProcera dental restorations. the NobelProcera Business Unit: available on an annual subscription The most recent product to emerge tients alike.” < By combining advanced CAD tools “The most recent product to emerge basis. This gives users added flexibil- from Nobel Biocare’s extensive pipe- with access to a wide range of Nobel- from Nobel Biocare’s extensive ity, and avoids a significant one-off line of digital innovations, it is based More to explore! pipeline of digital innovations, Procera restorations, NobelDesign payment upfront. on decades of experience in the field. nobelbiocare.com/news NobelDesign is based on decades of will help dental professionals offer a experience in the field.” NobelDesign is available in regions outside the United States and Canada as of February 2016. greater range of superior prosthetic In the United States and Canada, NobelDesign is currently pending clearance from the respective health authorities. solutions to patients. contact points. These capabilities are particularly valuable in combination Powerful CAD tools without with NobelProcera’s range of translu- complexity cent full-contour zirconia solutions. NobelDesign incorporates intuitive NobelDesign also incorporates exo- Nobel Biocare Global Symposium exocad® CAD tools for the efficient cad® TruSmile technology that visual- design of both cemented and screw- izes designs in a photo-realistic render- June 23–26, 2016 – New York retained restorations. Multiple cases ing, meaning the technician can assess are simple to manage in the easy-to- how tooth shape and fissure design navigate virtual cockpit. will appear in the patient’s mouth. Where innovation comes to life The software offers time-saving Other options include an angulated virtual tooth setup and mirroring fea- screw channel function for improved tures as well as a virtual articulator esthetics and accessibility, and partial function that helps optimize occlusal cutback tools that aid in the design of

... Avoiding Stress Register now continued from page 4

on each implant is actually less in the implant with the lighter load will nobelbiocare.com/global-symposium-2016 All-on-4® case. (This result is predicted produce the smaller stress and strain by FE methods as well as by Skalak’s in the surrounding bone. And since analytical model as discussed in refer- excessively large stresses and strains ence 4 under “More to explore”.) lead to bone microdamage, it’s an ad- Concerning the stresses and strains vantage to limit interfacial stresses in the bone: Generally speaking, and strains to levels below such dan- smaller forces on an implant mean ger thresholds. smaller stresses and strains in the The detailed analyses behind this bone around the implant. This follows issue are complicated, but the gener- An experience beyond the ordinary Design your own learning experience An experience beyond the ordinary Design your own learning experience from the general notion in mechanics al notion of a) using slightly longer, The Nobel Biocare Global Symposium 2016 Choose from numerous lectures, forums, that stress is equal to a load (force) di- tilted implants (as noted in Nobel The Nobel Biocare Global Symposium 2016 program will Choose from numerous lectures, forums, master classes programoffer unparalleled will offer clinical unparalleled and scientific clinical education, and as well andmaster hands-on classes sessions and – from hands-on over 150 sessionsof the best –speakers from vided by the load-supporting area. Biocare’s remark about the All-on 4® scientificas in-depth hands-oneducation, training. as Heldwell atas the in-depth Waldorf Astoria andover presenters 150 of in the the world.best speakersThis must-attend and presentersevent will in hands-onin New York, training. it’s a unique Held opportunity at the Waldorfto experience Astoria how coverthe a world. vast variety This of must-attend techniques and event treatment will solutions, cover a (This is why stress has the dimensions treatment concept at the start of this innovation can come to life in your daily work. from diagnosis to treatment completion. Don’t miss this of force per unit area, and is measured article) plus b) reducing the loading in New York, it’s a unique opportunity to opportunity.vast variety Sign ofup techniquesnow and we’ll andsee you treatment in New York! experience how innovation can come to life in solutions. Sign up now and we’ll see you in in units such as the megapascal, MPa, per implant (as explained above) is your daily work. New York! which equals 1 Newton per square an advantageous way to decrease in- millimeter, i.e. N/mm2.) terfacial stresses and strains. < Therefore, if one has two implants with the same bone-implant contact More to explore area, but one implant is heavily-load- For a complete list of references, ed and the other is lightly-loaded, the please visit: nobelbiocare.com/news

GMT 43240 © Nobel Biocare Services AG, 2015. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Please refer to nobelbiocare.com/trademarks for more information. Product images are not necessarily to scale. Disclaimer: Some products may not be regulatory cleared/ released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 12 Nobel Biocare NEWS Issue 1/2016 Entering the National Pantheon America’s most exclusive circle of inventors now includes the father of osseointegration.

Morning” correspondent Mo Rocca, integration. Brånemark said at the “Induction into the National Inven- January 29, 2016 marked the and set against the background of the time that—among the hundreds of tors’ Hall of Fame is a similar sort of 25th anniversary of the National Portrait Gallery and the honorary degrees, prizes and decora- acknowledgement,” says Mrs. Bråne- granting of the United States Smithsonian American Art Museum. tions that he had received over the mark. “This collegial recognition, in patent for “an implant fixture a country where he did so much for tooth prostheses.” In “Brånemark not only changed the field of implant tech- good work—as he shared his insights recognition of the impact of into osseointegration—would have that patent on millions of nology, but his observation that the human body could meant the world to him.” people around the globe, tolerate titanium revolutionized the fields of dental, Per-Ingvar Brånemark has maxillofacial and orthopedic rehabilitation, improving The word “Osseointegration” been awarded membership in summed it up the quality of millions of people’s lives around the world.” the National Inventors’ Hall of He made a ground-breaking discov- Fame. He will be posthumous- — National Inventors’ Hall of Fame ery in the 1950s, coined a word in the ly inducted into this celebrat- 1960s, and by surrounding himself ed circle of innovators at a The honor being bestowed on Bråne- years—it was the award that meant with some of the best minds in this ceremony to be held in Wash- mark is, according to the Hall of the most to him because it recog- nascent field, Brånemark made os- The faces of Thomas Edison ington, DC, on May 5, 2016. Fame, “in recognition of scientific nized “the importance of scientific seointegration a clinical reality. and Abraham Lincoln are featured on the medal that will be achievement that has moved beyond innovation in modern society.” In 1965 he treated his first implant By Frederic Love presented to Barbro Brånemark on the research lab and made a tangible patient. In 1977 he held his first clinical behalf of her late husband and impact on society.” course and—thoroughly documenting colleague, Professor Per-Ingvar Barbro Brånemark, Professor his work at every step—established the Brånemark. Lincoln once famously ome people call it the Oscars Brånemark’s wife and chief surgical veracity of his claims in critical aca- quipped, “The patent system added for inventors, but for others, nurse, will be accepting the award in demic circles during the 1980s. When the fuel of interest to the fire of genius.” This was certainly true of the grand event is more remi- Washington on his behalf. the Brånemark System implant patent S both Edison and Brånemark. niscent of the Nobel Prize awards cer- “Naturally, I will be very proud to was issued in the United States in 1991, emony. Every year, a distinguished accept this award for Per-Ingvar, she the door to widespread commercial- group of men and women whose says. “For decades, we worked ex- ization of the clinical products sold by illofacial rehabilitation; and in 2005, technological innovations have made tremely close together, and I got to Nobel Biocare (then known as Nobel- the non-profit P-I Brånemark Insti- a significant impact on the world are see how he changed the world around pharma) opened wide. tute Bauru was established. inducted into the National Inventors’ him for the better. It’s been an amaz- In every aspect of his professional Hall of Fame. It’s an exclusive club ing journey—and an amazing life.” An inventor, of course, life, Per-Ingvar Brånemark took it that includes the likes of Thomas Edi- but foremost a humanitarian. upon himself to continuously chal- son and Nikola Tesla—and now in- First in Europe From his first visit to Brazil in 1988, lenge the status quo, and thus learn cludes the late Professor Per-Ingvar and then in America he began carrying out the recon- more about the world around him. < Brånemark. Back in 2011, the European Patent Per-Ingvar Brånemark (depicted structive surgery of maxillofacial de- here early in his career) discovered More to explore! Fitting for an awards ceremony of Office (EPO) presented Professor how, under carefully controlled fects in Bauru in 1992. By the turn of this stature, Brånemark will be for- Brånemark with the organization’s conditions, living bone and the century, he had established col- To read more about the National mally inducted at a ceremony on May lifetime achievement award for his titanium might be coaxed into laboration with the University Sagra- Inventors’ Hall of Fame and this year’s 5, 2016, hosted by “CBS Sunday discovery and development of osseo- becoming all but inseparable. do Coração for both dental and max- awards, please visit: invent.org.

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