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www.osseo.org

Volume 20, Number 1 • 2009 A quarterly publication of the Academy of Osseointegration In This Issue

President’s Message: Automobiles, motorcycles, San Diego Annual Meeting showcases and implants ...... 2 presentation innovations, February 26-28 Dr. Sevetz has a tall tale about Zygoma implant ...... 3 The Academy’s 2009 Annual Meeting will Innovations introduced this year include introduce presentation innovations, electronic signage and live presentation of In Memoriam: designed to sessions from the Dr. Willi Schulte ...... 5 enhance the value main ballrooms Practice Profile: of the February 26- from a special Pi Center . . . . .6 28 event for atten- viewing area in Dr. Stephen Wallace sees dees at the San the exhibit hall. opportunities in Iran ...... 8 Diego Convention Center. Four electronic OF charitable grant introduction: “High definition digital signs will Dr. Robert Lemke ...... 9 projection will be be located in Committee Chair Profile: featured again this strategic places Dr. Luis Fujimoto ...... 11 year in the main throughout the convention cen- Dr. Kenji Higuchi ballrooms on a 20- Battle-tested aircraft carrier USS Midway has opened as a foot by 60-foot fascinating museum on San Diego’s waterfront. ter. “These new recommends international electronic signs meeting in Berlin ...... 13 screen, the largest transportable seamless screen available for will enhance the communication features Editor’s Editorial: the convention center,” says AO Executive of the Annual Meeting, giving attendees What happens when implant Director Kevin P. Smith. …continued on page 8 placement turns catastrophic .14 Spaces open for bike tour, golf outing Spaces are still open for the motorcycle Rentals and Tours, of San Diego, has tour and golf outing that can turn the agreed to reserve up to 20 motorcycles for Academy News Academy’s 2009 San Diego Annual a “Harley Bike Ride.” (Tuesday, February Academy of Osseointegration Meeting into the business-pleasure experi- 24, 10 a.m. – 3 p.m.) 85 W. Algonquin Road, Suite 550 ence of a lifetime. Attendees are invited to Arlington Heights, IL 60005 Guests will enjoy a day ride through San 847/439-1919 tour scenic San Diego County on a Harley Davidson motorcycle and play one of Diego County’s scenic back roads, includ- Editor ing a stop for lunch, following routes John P. Schmitz, DDS, MS, PhD Southern California’s top golf courses before and after the meeting. mapped by host Dr. Stephen Wheeler, Editorial Consultants Encinitas, CA. Reserve bikes at 619/222- Kevin T. McNally, DDS Alfonso Monarres, DDS, MS Harley Bike Ride – Get your motor run- 8822 or www.eaglerider.com. Cost is $150, Oender Solakoglu, DMD, MS, PhD ning, head out on the highway! Eaglerider including insurance.

© The Academy of Osseointegration. All rights reserved. …continued on page 7

…continued on page 13 The purpose of the Academy of Osseointegration is to advance the science and application of tissue replacement in oral and facial care. 21352_AOOO_News.qxd:AONews1601.qxd 2/3/09 5:32 PM Page 2

President’s Message Automobiles, motorcycles, and implants By Dr. Steven G. Lewis A number of years ago, I hit my first midlife crisis. I became “President’s Message” to get the word out. The Academy of interested in buying a car with a high performance engine. I Osseointegration has a Forum!!! I believe it has the poten- was very excited and started to explore the Internet to get as tial to be one of the best member services that the Academy much information as possible. I found has to offer. a forum that was comprised of people who owned the type of car I was inter- There is no better way to learn than by experience and there ested in buying. I found out what a is no better way to teach than by experience. The forum is a good price would be and what the best great place for all of us to ask questions and share our experi- options were. ences. Through this medium, we can all share our successes, and perhaps more importantly, our failures. Once I bought the car, I continued to participate in the forum. I learned Currently, there are a number of different discussion topics what tires were good for the car, what listed, such as early loading, occlusion, site development, and computer-guided surgical procedures. There are actually two Dr. Steven Lewis type of oil to use, etc. And when I began to have problems with the car, sections on complications. One has no posts and the other has the forum became invaluable. On several occasions, the service two! Now I don’t know about you, but I have had enough department at the dealership couldn’t figure out the cause of complications in my implant experience to write a book. the problem; yet I already knew, based on other people’s expe- The Internet isn’t the future; it’s the present. It has been one of riences that had been discussed in great detail on the forum. my goals this year to try to develop a better Website for our Sometimes, I actually membership, with the forum being just one aspect of it. Dr. Alan printed pages off the “There is no better way to learn than forum and brought that Pollack and his committee have information to my ser- by experience and there is no better been developing ideas that will be vice department. On way to teach than by experience. presented at our San Diego Board of every occasion, this Directors meeting. My hope is that resolved the issues. But The forum is a great place to ask the Academy of Osseointegration ultimately I got tired of questions and share our experiences.” can develop a Website that offers the problems that this its members a great variety of car gave me, so I sold it. valuable information. A few years later, I hit my second midlife crisis and got inter- Dr. Frank Higginbottom is heading a committee to develop ested in motorcycles. Once again I searched and ultimately continuing education programs. My hope is to combine the found a very useful forum. It told me how to get started, efforts of the two committees, so that our Website can provide where to take a riding course, what to look for in a bike. I our members with world class continuing education, helping have spent a great deal of time on this forum learning more fulfill our mission of “advancing oral health and well being by and more about riding, places to go, bike accessories, etc. disseminating state-of-the-art clinical and scientific knowledge of implant and tissue engineering and by defining Participating in these forums has not only been extremely expertise in the field of implant dentistry.” educational for me, but fun as well. I would hate to admit to anyone exactly how much time I have spent on these forums. I While it may take a little while to get some of these initiatives actually found my experience so valuable that a few years ago I up and running, the Forum is already there and waiting to be was one of several who encouraged the Academy of used. I encourage everyone to explore it and participate in it. Osseointegration Board of Directors to look into creating a I’ve been hoping for a kick-start because I know once it gets forum of its own. started it will gain momentum on its own. Dr. Steve Wheeler investigated the process and then helped With this said, I want to thank my fellow board members, past create a forum that can be found on our Website. It’s right and present, for making my experience on the board one of there on the main page—a direct link entitled “Dental the highlights of my professional career. It has truly been an Implant Forum” in between the Academy News link and the honor for me, and I hope that I have served the Academy well. IJOMI link. I would also like to thank Kevin Smith, our executive director, and his staff at EAI for their management and guidance year- We have had the Dental Implant Forum for several years in and year-out. AO wouldn’t be where it is today without and I must say, one of my biggest disappointments has been them, and it is because of them that I end my term as presi- the lack of participation in this forum. I want to use my last dent knowing that the Academy is in good hands.

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Dr. Sevetz has a tall tale about placing a Zygoma implant

One of the stories Dr. Edward B. The patient in this case “went from being “This patient’s husband has shot big game, Sevetz, Jr., Orange Park, FL, will be barely able to wear an upper removable including mountain lions, elephants, water able to tell when he presents on the denture to having buffalo, ostriches, and Zygoma implant during the San Diego fixed-in-place upper moose, on all continents. Annual Meeting (Friday, February 27, teeth,” says Dr. Sevetz. He shot the bear in this 3:40 p.m.) is how this picture was taken. She was so thrilled picture north of the Arctic that she and her hus- Circle. It’s one of the larger A prosthodontist and fellow AO mem- band, a big game ones on record. I’m about ber, many miles from Florida, Dr. hunter, threw a party 6'4", and I stood in front of George J. Schuetz, Wilder, VT, for Dr. Sevetz and Dr. it to give the photo some referred a patient to Dr. Sevetz because Schuetz at their home scale. The bear’s paw is “no one in that neck of the woods” in New Hampshire, about the size of my head, could perform the kind of implant the occasion when this and the claws are longer surgery that his patient needed. “He picture was taken. than human fingers. sent her and her husband down to me in Florida, where I was able to place four Here’s the rest of He’s decorated his whole Zygoma implants,” says Dr. Sevetz. Dr. Sevetz’s story: living room, with stuffed, and posed animals. It has a “I guess I’ve done more of these long “The food at the vaulted ceiling with beams ones that go up into the cheekbone party was all wild ani- Dr. Edward Sevetz stands before a bear, running across the room. when there isn’t enough bone in the mals he’d shot, pre- shot by the husband of one of his patients. He has a stuffed mountain upper jaw to anchor implants than pared by a very lion poised to “pounce” up on one of almost any surgeon in the U.S. knowledgeable gourmet chef. Delicious. the rafters. The house is built out of Professor Per-Ingvar Brånemark him- Thanks to the fixed prosthesis that Dr. wood, all harvested on their property.” self showed me how to do these in 1991 Schuetz fabricated and anchored to the during one of the times I assisted him in four Zygoma implants, the patient had Rarely does the practice of implant den- the O.R. in Sweden,” Dr. Sevetz says. no difficulty eating the prepared feast. tistry yield such a tall tale.

2009 Annual Meeting Highlights on CD-ROM

Highlights of the Academy of Viewers can pause, rewind, and Osseointegration’s 2009 Annual fast-forward from anywhere in Sessions included on the Meeting, February 26 – 28, will be the presentation. CD-ROM include: available on CD-ROM soon after To order your copy of the CD-ROM, • Opening Symposium: this year’s meeting. please visit the Academy’s website A New Wave in Implant Therapy: The CD-ROM, which is supported www.osseo.org to download the From Diagnostics to Final by a grant from Biomet 3i, will contain order form. Restoration 26 hours of state-of-the-art lectures • Six individual Limited and speakers’ slides from this year’s Attendance Lectures Annual Meeting that you can view in the convenience of your home • Treatment Approaches or office. • Surgical Track This year, the CD-ROM set will also • Restorative Track feature transferable MP3 files which allows you to listen to the presentations • Closing Symposium on your iPod or similar type portable media player. • Biomet 3i’s Corporate Forum

The CD-ROM set allows you to search via keyword, title or speaker. Supported by a grant from:

CD-ROM AVAILABLE JUNE, 2009

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In Memoriam Dr. Willi Schulte, 1929-2008, AO’s third Honorary Fellow (Editor’s Note: The following obituary is adapted from a remem- In 1983, he was elected Dean of the Faculty of Medicine at brance prepared by three of Dr. Schulte’s colleagues – Bernd d’Hoedt, the University of Tübingen. Upon his initiative, the priority Mainz, Jörg Meyle, Gießen, and German Gómez-Róman, program “Clinical Surveillance and Further Advancement of Tübingen – and published in The International Journal of Oral Dental Implants” had been established at the Universities of and Maxillofacial Implants (Volume 24, Number 1, 2009). Aachen, Berlin, Düsseldorf, and Mainz. He contributed much to the integration of scientific associations dealing with dental Dr. Willi Schulte, of Tübingen, implantology in Germany. Germany, who became the Academy’s third Honorary Fellow in 1998 in Professor Schulte retired in 1995. He authored and co-authored recognition of his unique contributions 290 publications and received many honors and awards for in the field of osseointegration, died in research activity. Three times, the German Society of Dental, December, just a month before his Oral, and Craniomandibular Sciences (DGZMK) awarded him 80th birthday. the best research paper. He received the golden badge of honor from the German Dental Association and the Grand Cross of He studied dentistry in Tübingen, the Order of Merit of the Federal Republic of Germany. In where he also received his doctoral Dr. Willi Schulte 2004, he received an honorary doctoral degree from the Faculty degree in 1953. In 1972, he was of Medicine at the Johannes Gutenberg University of Mainz. appointed professor and head of the Department of Oral Surgery and at the University of Tübingen. Science was never an end-in-itself goal for him. Rather, all his In 1974, he introduced the “Tübingen implant” made of basic research activities aimed to finally result in clinically aluminum oxide ceramic. A paradigm change resulted in a applicable products or treatments. As a dedicated dental sur- switch from the belief that dental implants are indicated geon, he treated a huge and highly satisfied patient communi- only if the conventional prosthetic therapy fails to one that ty, sometimes including several generations in one family. proposed an early implantation to retain the alveolar bone after . He is survived by his wife, Dr. Margaret Schulte, and his children, Anja and Dr. Markus Schulte.

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Practice Profile Team of 41 creates excitement at Pi Dental Implant Center By Dr. Alfonso Monarres, Academy News Editorial Consultant FORT WASHINGTON, PA – Dr. Thomas J. Balshi founded els directly into the the Institute for Facial Esthetics in 1985, just as the Academy of mouth of the Osseointegration, in which he was one of the early leaders, was patient. The inti- starting to organize. The dream to house collegial macies of the surgi- practices under a single roof materialized a year later when the cal procedure are doors to 467 Pennsylvania Avenue in Fort Washington opened, clearly visible from showcasing , periodontics, , and oral even the far cor- maxillofacial and esthetic facial plastic surgery. ners of the class- room. Additionally, In addition, Fort Washington Dental Laboratory started mak- the Viewpoint ing the first restorations of Brånemark implants in the United operating theater States. Two decades later, the building is brimming with scores houses the I-Cat Outside view of Pi Dental Implant Center in Fort of happy patients treated with a multi-disciplinary approach cone beam scanner Washington, a Philadelphia suburb. and unique team dynamics. with the capability of projecting its results on flat screen mon- Prosthodontics Intermedica, itors throughout the center. now known simply as Pi Pi Dental Center’s reception Dental Implant Center, area is inviting and comfort- began at the Institute as a able, envisioned and designed resource for comprehensive by Joanne Balshi. The theme board-certified prosthetics is “oasis,” reminiscent of a and has evolved to become a British respite amidst the cutting edge implant treat- African plains. Patients can ment center, the home of sink into a chocolate alligator Teeth In a Day. A team of 41 sofa or lean back into woven dedicated individuals blend palm chairs. The vast open clinical expertise, administra- space is appointed with gen- tive prowess, refined labora- uine African artifacts. The tory skills, creative walls are adorned with several marketing and academic dozen artistic animal pho- challenge to establish an tographs, seen through Dr. environment pulsating with Balshi’s own lens while on excitement. New technology safari in Kenya. and old-fashioned compas- sion are the operative The reception area recreates an African oasis. No glass doors or windows philosophies that shape each separate the administrative new day in this Philadelphia staff from the patients they suburb. welcome. The atmosphere at the Pi Dental Center is deliberate hospitality, and those who Eleven of the 30 treatment rooms at the Institute are devoted create new smiles will warmly beam their own into the mix of to implant prosthodontics and buzz daily with diverse clinical travelers. Patients frequently come long distances for care; protocols designed to engineer healthy smiles with distinctive therefore, the multilingual staff members (offering fluency in esthetics. The Center’s motto is Luceat, which means “let it English, Spanish, German, Russian, Chinese, Italian, and shine,” according to Dr. Balshi. “Our center has been designed Portuguese) are specifically trained to extend unparalleled to blend the most sophisticated and successful system in den- comfort and service. tistry with a sensitive and comfortable environment that puts even your most anxious patient completely at ease,” he says. The newest dimension to Pi is Smiles Bistro, located adjacent to Viewpoint. The Bistro provides creative home cooking and The largest of the center’s operating rooms is the core of innovative cuisine for the Institute’s 140 employees as well as Viewpoint, the Institute’s state of the art teaching center. Here for patient family members with time to fill. It is also the fellow specialists observe the treatment of unique cases and catering resource for the many implant courses regularly offer their own “viewpoint,” brought through wide glass pan- …continued on page 7

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Practice Profile …continued from page 6 offered in Viewpoint. Post-operative implant cases particularly appreciate the soft touch of Smiles Bistro after surgery. The milkshake menu is just what the doctor ordered for flavor, nourishment, and a touch of fun. Drs. Tom Balshi and Glenn J. Wolfinger stand at the helm of the Pi philosophy for excellence in implant and prosthodontic care. Their team also includes the research director, Stephen F. Balshi, whose master’s degree in biomedical engineering is invaluable in the planning of guided surgery cases, and Dr. Gary Morreale, the in-house board certified endodontist. Drs. Jim Bowers and Jack Thaler round out the team, with fortes in traditional crown and bridge restoration and the application of exquisite veneers.

Specialists offer their own “viewpoint” during surgery at the Institute’s state of the art teaching center.

Viewpoint’s I-Cat cone beam scanner can project results throughout the center.

The Pi Dental Care Center also houses the Pi Foundation. Each year, six to eight patients with dire dental conditions and no financial resources are granted complete smile makeovers. Funds are provided by public support via lively fundraising activities. The staff donates time, and dental support compa- nies regularly contribute materials and services. Pi was born as Prosthodontics Intermedica. It is now recog- nized simply as Pi, a haven for education, research, clinical achievement, and philanthropy, thrust toward the advance- ment of dental medicine and hopefully making people smile Dr. Balshi works in Viewpoint operating room. from somewhere deep inside.

Spaces open for bike tour, golf outing …continued from page 1

Golf at The Crosby Club at Rancho Santa Fe – A mid- Following the golf outing, Dr. Wheeler will host a cocktail morning tee time at the picturesque Crosby Club at Rancho reception for participants at his home nearby. Cost is $100, Santa Fe – one of the top private courses in Southern including cart and range balls. Add $25 - $50 if requesting a California – will serve as the perfect way to unwind following caddie. For reservations, contact Dr. Wheeler at Steve@ the 2009 Annual Meeting. (Sunday, March 1) Wheelerdds.com, or 760/942-1333.

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Dr. Stephen Wallace sees opportunities to build cultural bridges following Iran visit AO Hands-On Workshop Committee Dr. Wallace’s journey to the Iranian the news media, Chair Dr. Stephen S. Wallace, Academy of Periodontology’s first-ever I was amazed by Waterbury, CT, spent nearly a year international Congress began with a the Iranian peo- debating whether to accept an invitation seven-hour flight from New York City ple and their to present at an educational conference to Paris, then a ten-hour flight to Dubai level of clinical in the Islamic Republic of Iran. (United Arab Emirates). Following a knowledge.” one-night stay at the airport hotel, he Concerned about his personal safety, yet was escorted by Iranian Academy repre- Perhaps more curious about the opportunities such a sentatives to another plane that flew him important than trip might offer, Dr. Wallace finally the sharing of to Kish Island – located less than 12 Dr. Stephen Wallace agreed to take part in the 8th Annual miles off the Iranian coast in the Persian professional Congress of the Iranian Academy of Gulf and site of the IAP Congress. knowledge was a spirit of camaraderie Periodontology (IAP) in December 2008. established between Dr. Wallace and fel- “IAP officials treated me as if I were low colleagues at the meeting. This fel- “I had been hemming and hawing a visiting head of state. A limousine met lowship helped build a bridge of cultural about it for quite a while,” Dr. me at the tarmac, drove me to the ter- understanding. Wallace recalls. “The initial invitation minal where my passport was processed, came from Dr. Peyman Shahidi, then whisked me to a 5-star hotel.” “The condition of the world today is Scientific Committee Chair of the one caused primarily by political consid- Iranian Academy, whom I had met at a One of the meeting’s “Special Guest erations,” Dr. Wallace believes. “The conference a few months prior.” Speakers,” Dr. Wallace – who runs a pri- Iranian people are dismayed that vate practice in Connecticut and is Americans are hesitant to visit their Because of current political realities, Associate Professor, Department of country. They want better relationships the Middle East is probably not at the Implant Dentistry at New York University with us. While our respective leadership top, middle or bottom of most – led a hands-on course in maxillary sinus may disagree on a great many things, Americans’ lists of places to visit. Dr. elevation using a piezoelectric surgical those of us at the IAP Congress under- Wallace felt no differently. device. He presented a four-hour lecture stood that we can begin building com- “Media coverage of Iran is not flattering, on this topic the following morning. mon ground between nations on a personal and professional level.” so my initial reaction was to decline the “The professionalism and camaraderie I offer. I reconsidered after a colleague, witnessed at the IAP Congress matches Dr. Wallace has already accepted an invi- who runs an advanced dental program in that of any meeting I’ve ever attended,” tation to return to Iran. He plans to par- Dubai, told me that he visits the country he says. “It was an incredibly positive ticipate in a joint sinus research project at all the time and that I’d be perfectly experience. After years of seeing Iran Shaheed Beheshti University, in Tehran. safe,” he explains. portrayed in an unflattering manner by

2009 Annual Meeting showcases presentation innovations …continued from page 1 up-to-date information on last minute day’s latest national and international David L. Guichet, Orange, CA. The program or meeting changes and news,” he adds. meeting’s theme is “A New Wave in reminders about social gatherings and Implant Therapy.” other special events,” Smith says. “Live presentations of plenary sessions in the exhibit area will allow attendees to The meeting kicks off Thursday Signs located in the meeting section of increase the time they can spend with morning with AO’s Corporate Forums. the convention center will display our record number of exhibitors. For These sessions give implant manufac- information about the current and the first time, attendees can stay in the turers an opportunity to present their next upcoming plenary session pro- exhibit area, learning about new prod- newest products and latest develop- grams. Announcements will be posted ucts and services, and not miss a plenary ments. Attendees will discover the lat- throughout the day. “In addition, to session presentation,” Smith says. est in craniofacial implant technology keep attendees from being caught in a research and development. time warp by being isolated in the “Each speaker has been carefully cho- convention center all day, CNN news sen to address recent advances in light Complete program and registration briefs will crawl at the bottom of the of existing, scientifically substantiated, information is available on the electronic sign screens, reporting the protocols,” says Program Chair Dr. Academy’s Website, www.osseo.org.

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OF charitable grant introduction: Dr. Robert R. Lemke Academy News previously published case Dr. Lemke’s $10,000 grant was for treat- introductions for Osseointegration ment of a 33-year-old female patient, Foundation (OF) charitable grants who is congenitally missing all anterior received by two Academy members, Drs. maxillary and mandibular teeth. Sameh K. El-Ebrashi, Portland, OR, and John J. Richard, Crystal Lake, IL. In this Medical and Dental history Pre-treatment. Congenitally missing teeth with poor edition, we add a charitable grant intro- One of the most challenging implant ridge relationship. duction from a third OF charitable grant restoration cases is the recreation of an awardee, Dr. Robert R. Lemke, San occlusion where none existed before. Treatment provided Antonio, TX. J.M. is such a • Staged bone grafts in the mandible. Charitable patient: at age grants are 33, she was • Implant placements in the mandible. awarded to congenitally • Fabrication of fixed restorations on the provide missing thir- mandibular implants. implant treat- teen anterior ment to teeth in both • Bone graft in the maxilla using BMP’s. patients who her maxilla • Upon healing of the maxillary bone otherwise and mandible. graft, implants will be placed and a could not This condition fixed restoration will be fabricated. afford it. Dr. also affected Lemke provid- her mother OF charitable grants of up to $10,000 ed the case and her sister. are made directly to member dentists, introduction Her treatment but the funds may not be applied to after discus- plan involved their fees or used for products provided sion with evaluation by by corporate partners, who receive Academy News an orthodon- recognition for their contributions. Editorial An Osseointegration Foundation check for $10,000 brought wide tist, prostho- Further information about grant appli- Consultant smiles to Dr. Lemke and his grateful patient. dontist, and an cation guidelines can be found on the Dr. Oender oral and maxillofacial surgeon. Academy’s website at www.osseo.org. Solakoglu, Edina, MN.

Lateral cephalogram demonstrating poor arch relation- A surgical guide created by Dr. Mickey Calverly, a Implant positions verified in lower jaw. ship pre-operatively. prosthodontist, helps direct implant placement.

Four months after implant placement – significant BMP and allogeneic bone placed with tenting screws. Resorbable membrane over graft. Results pending. atrophy adjacent to implant.

9 Extraordinary Introducing a new implant from the most respected name in dentistry - Sybron. Our new incorporates an extraordinary array of features proven to address immediate stability1, preservation of crestal bone2, and long-term aesthetics.

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1Surgical and Mechanical Techniques to Increase Stability of Dental Implants. Kharouf, Zeineb; Oh, Hyeong Cheol; Saito, Hanae; Cardaropoli, Giuseppe; Bral, Michael; Cho, Sang-Choon; Froum, Stuart; Tarnow, Dennis. Ashman Department of Periodontology and Implant Dentistry, New York University. Research presented at the AO Boston 2008.

2Implant Design and Its Effect on Preservation of Crestal Bone Levels. Jang, Bong-Joon; Pena, Maria Luisa; Kim, Mean Ji; Eskow, Robert; Elian, Nicolas; Cho, Sang-Choon; Froum, Stuart; Tarnow, Dennis. Ashman Department of Periodontology and Implant Dentistry, New York University. Research presented at the AO Boston 2008.

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Committee Chair Profile Dr. Luis J. Fujimoto leads active Membership and Awards Committee

It is quite evident that Dr. Luis J. Outreach, Predoctoral Students Outreach, Dr. Fujimoto’s AO committee work Fujimoto, New York, NY, takes serious- Grass Roots Support Program (directed includes the Committee on Education, ly his responsibility as chair of AO’s by current Board Liaison Dr. Frank L. Research Committee, Government Membership and Higginbottom, Dallas, TX), Member- Relations Key Contact Network, Dental Awards Bring-A-Member & Member-Get-A- Relations Committee, Chair of the Ad- Committee. Member, Overseas Outreach Program, Hoc Committee Eat & Learn Lunches, Speakers Bureau Program, and Specialty IJOMI Award Committee, Predoctoral When the Outreach. The committee’s comprehen- Education Forum Committee, 2001 AO Academy’s Board sive structure covered the waterfront, and Program Committee, William R. Laney of Directors Dr. Fujimoto’s passion for accountability Award Committee, and the Ad Hoc assembled for its and follow up made sure things got done. Committee on Nominating Practices. midyear meeting in 2007, reports The New Member Briefing Breakfast, Dr. Fujimoto received a bachelor’s Dr. Luis Fujimoto and proposals regarded somewhat skeptically at first by degree in zoology from George from the Membership and Awards some AO Board members, was a Washington University before entering Committee took 29 pages. Tabs ran resounding success at last year’s Annual the University of Pennsylvania School of from “A” to “I” for all the committee’s Meeting in Boston and will be repeated Dental Medicine, where he received a recommendations, ranging from a New this year at San Diego. DMD degree and a certificate in peri- Member Briefing Breakfast (which the odontics. He received his General Board approved) to an exhibit at the Dr. Fujimoto brings extensive experience Practice Residency certificate from California Dental Association (rejected to committee leadership. He’s been an Nassau County Medical Center. as too costly for AO’s budget). active AO member for 16 years and a committee participant from the beginning, He is currently Clinical Associate You couldn’t blame Dr. Fujimoto for giv- first serving under Drs. Patrick J. Henry, Professor at the Ashman Department of ing it his all. Many committees routinely West Perth, Periodontology submit two-three page reports that WSA, Australia, “Son of a Japanese diplomat, and Implant scarcely attract the Board’s attention. No and Spencer he was born and grew up Dentistry of the one leaving that 2007 Board meeting N. Woolfe, New York would forget that Dr. Fujimoto’s com- Dublin, Ireland, in Cochabamba, Bolivia.” University College mittee had been working hard. on the Ad-Hoc Committee on of Dentistry. He serves on the New York International Relations. State Board for Dentistry. He is past presi- “I’m passionate about whatever I do. If dent of both the North Eastern Society of I’m going to do something, I’m going to “He’s a tireless worker with seemingly Periodontists, the second largest peri- do it right,” he says, noting that after endless energy who’s ready to join every odontal specialty society in the U.S., and intense one-on-one skiing lessons last committee,” says Dr. James H. the Eastern Dental Society. year, he progressed from edging down Doundoulakis, New York, NY, an AO the beginners’ hill doing a classic “snow- past president who has worked with Dr. Dr. Fujimoto has a private practice in plow” to swishing down the tough inter- Fujimoto on many implant cases. “He’s periodontics and implant dentistry in mediate slopes in a matter of days. the kind of guy you really want in your New York City. committee structure. He’s also very He organized the Membership likeable and pleasant to work with.” Son of a Japanese diplomat, he was born Committee into task forces “for account- and grew up in Cochabamba, Bolivia, the ability, follow up, and continuity of pro- At home in New York, he has been country where his father was assigned, jects.” Nearly everyone on the committee active in the Japanese Medical Society of and attended an English school. had a specific responsibility, starting with America, Inc., and serves as Japan Chair Vice Chair Dr. Amerian D. Sones, Santa of the Asian-American Advisory Council Skiing is a new hobby. His passion Maria, CA, named to head the Sub- of the City of New York. He currently remains scuba diving. He’s certified and Committee for General Practitioners. holds 14 Board of Director positions, his dived in oceans around the world— including the Board of the night diving, wreck diving, you name it, Other subcommittees were assigned to the Osseointegration Foundation. and Dr. Fujimoto has probably done it. New Member Briefing Breakfast, Dental He also enjoys photography. Meetings, Endodontists, Orthodontists, “I don’t know how he finds time to get it Allied Health, Postdoctoral Resident all done,” Dr. Doundoulakis says. Dr. Fujimoto’s family includes his wife, Yukiko, and their son, L. Gabriel.

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Dr. Kenji Higuchi recommends international meeting on oral and facial rehabilitation in Berlin, Germany, May 14-16 One of osseointegration’s pioneers and U.S. (Palm Springs, CA, and most ment options of the different disciplines, an early AO member, Dr. Kenji W. recently, Charleston, SC) and in and it is our task to jointly use this Higuchi, Spokane, WA, is actively Europe,” he adds. knowledge to deliver the best possible involved in a joint meeting of implantol- care to our patients. The aim of this ogists planned for May 14-16 in Berlin, “This year, we are joining forces with a meeting is, thus, to make clear that in Germany. Debates and invited lectures large implantology meeting in Germany, order to arrive at real interdisciplinary will focus on the decision between surgi- chaired by Dr. Henning Schliephake, treatment we have to cross borders and cal and prosthodontic treatment, vali- who represents the International sometimes even need to change well date tools for the evaluation of Academy for Oral and Facial adapted personal views.” treatment results and provide the latest Rehabilitation (IAOFR),” Dr. Higuchi updates on the cutting edge of develop- explains. “The meeting will bring The conference opens Thursday, May ing technology, according to the meet- together a large community of specialists 14, with Gold Sponsors’ workshops fol- ing planners. in oral implantology from Central lowed by the opening ceremony. The Europe and a strong international group scientific program will run all day “I am on the advisory board for the focused on oral rehabilitation.” Other Friday, May 15, and Saturday, May 16. International Association for Oral and sponsors are DGI (German Association Facial Reconstruction, a group of of Oral Implantology), GI (Austrian The conference venue, Maritim Hotel American and European oral and max- Society of Oral Implantology), and SGI Berlin, is located in the center of the city illofacial surgeons, prosthodontists, and (Swiss Society of Oral Implantology). near the Potsdamer Platz, an area rebuilt allied specialists who share interests in in spectacular architecture. “Plenty of oral and facial rehabilitation,” Dr. ”We all share the sincere conviction that spots for leisure add to the unique urban Higuchi says. current standards of treatment as well as atmosphere of Berlin and make this clinical advances can only be successfully location a perfect place for the confer- “Our chairman is Professor Paul established by a multidisciplinary collab- ence,” the joint planners say. Stoelinga from The Netherlands. For oration,” the meeting planners say. “A many years, we have sponsored a confer- large number of innovations have great- For information, go to ence on preprosthetic surgery in the ly enlarged the knowledge and treat- http://jointmeeting2009.dgi-event.de.

Editor’s Editorial …continued from page 14 and a resorbable membrane when the where would they go? To the emer- This discussion leads to the following implant was already infected! gency room? Who would treat these question: “Should all dentists place all Unfortunately, an infection developed patients? A medical provider? implants in all locations (anterior vs. that was not managed appropriately. posterior; maxilla vs. mandible)?” What if these patients are managed by a Obviously not, because as Inspector The salvage of this case included medical provider in the hospital, and Harry Callahan (aka Dirty Harry) removal of a mobile implant, and they don’t have medical insurance? Who says: “A man’s got to know his limita- delaminated graft and membrane. It left is going to pay? I guess everyone can tions.”1 However, most non-surgeon a significant osseous defect (Figure 3). figure that one out. implant placers these days don’t rec- Drainage from the area finally ceased Finally, is all this good for implant den- ognize their limitations. They just after the surgical debridement, with IV recognize economics. and oral antibiotics. Once again, the tistry? Is someone or some organization patient left the dental provider whom eventually going to step up to the plate and address the issue of implant compli- References she had been traveling 50 miles to see 1Magnum Force, The Movie, 1973. for the past 12 years. cations and the training needed to man- age them? The AO took an important Readers who would like to comment or The question I ask is: “Who is sup- step in the creation and publication of express a point of view on the editorial are posed to treat a serious, catastrophic, its Dental Implant Guidelines. We still invited to write via e-mail to the editor at but not life-threatening implant com- need a a discussion of potential compli- [email protected]. We will plication?” Sometimes I ask, why me? cations in implant dentistry, referral endeavor to publish pertinent comments or This time I asked, if I as a surgeon hierarchy, and some anatomical limita- views when space permits. stopped treating these complications, tion of those surgically placing implants.

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Editor’s Editorial What happens when implant placement turns catastrophic? Do we need to call Dirty Harry? By John P. Schmitz, DDS, MS, PhD, Newsletter Editor

Everywhere I go and everywhere I lecture, I hear of more and can’t even dream or envision how they occurred. Personally, I’m more dentists placing their own implants. I finally felt that I getting tired of seeing all of it. It’s just bad practice, bad den- should “address” the issue, even though I am hesitant to air tistry, and bad for implant dentistry in general. my own views. First, let me say that I trained during the “Team Concept” As osseointegration gains greater acceptance, there are an era. I am still a big believer in the team increasing number of surgical implant “placers.” Let me pre- concept as Professor Per-Ingvar sent what I see in my practice several times a year. The first Brånemark case is a 47-year-old male who underwent removal of 9 teeth espoused it. and placement of two dental implants to the right maxilla. Most oral and These were performed by a gen- maxillofacial eral dentist in my area who has surgeons and attended many dental implant periodontists CE courses. The procedure was Dr. John Schmitz still rigidly performed under local anesthe- adhere to the sia, took three hours, and was team concept and will continue to stay highlighted by the #3 implant that way. Rather than address the rea- being dislodged into the maxil- sons why adherence to the team con- lary sinus (Figure 1). cept is changing or has been abandoned, I want to take it to the next I removed the implant endoscop- level, the complication issue. Figure 1: The #3 implant was dislodged into the maxillary sinus. ically in the office (Figure 2) and Complications are the things never closed what potentially could addressed when the advertisement says, have developed into a serious “Anyone can place implants,” or oro-antral fistula. The patient “Learn to place implants in our nine- was miserable, disillusioned, and month mini-residency.” felt he had been deceived by his general dentist. His comment In my surgical residency, I trained with to me was: “If they do surgery, Dr. Gil Triplett at one of the first they should manage their own Brånemark teaching centers. We complications.” placed a lot of implants, most in the OR under sterile conditions exactly as This patient ultimately took his Brånemark prescribed. We also entire family and left that office learned and performed a lot of ridge for another family dentist. As a result, his “implant placer” lost augmentation procedures. Our success Figure 2: Removal of dislodged implant. rate was pretty remarkable. Most of the entire family’s routine that success was due to a great team of exams, dental hygiene, and all prosthodontists (among them Dr. of their restorative services. Stephen Parel), who were exact about Forever! I just wonder if man- restoring implants and tackling some agement of that complication very complex cases. was taught in the mini-residen- cy at the local university. Despite our willingness to take these complex cases, our complication rate The second case was a maxillary was very, very low. When we had a sur- infection with a draining fistula gical complication, we just dealt with it. after implant placement to the I learned to treat infections, jaw frac- #14 area. An implant was placed tures, and nerve paresthesias, to name a and became mobile secondary to few. Now, however, my colleagues and I thread stripping during insertion. continue to see many very serious Figure 3: Salvage of this case left a significant osseous defect. All the buccal bone resorbed, and implant complications, including some I was treated with bone substitutes …continued on page 13

14 21352_AOOO_News.qxd:AONews1601.qxd 2/3/09 5:34 PM Page 15

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