AAID.COM SPRING 2019 1 confidence in compromised sites Tapered Short Implants BioHorizons Tapered Short implants are available in 6 and 7.5mm lengths, offering a solution for cases with limited vertical bone height and minimizing the need for bone grafting. The implant design features an aggressive thread profile and tapered body for primary stability, even in compromised situations. A platform- switched, dual-affinity, Laser-Lok® surface offers crestal bone retention and a connective tissue attachment for flexible placement in uneven ridges. For more information, contact BioHorizons Customer Care: 888.246.8338 or shop online at www.biohorizons.com Not available in all countries. SPMP16254 REV D JAN 2018 2 AAIDNEWS SPRING 2019 6 8 36 38 Lead Stories 4 Editor’s Notebook Being a Perfect Dentist 6 President’s Message The AAID: Guardians of the Dental Galaxy 8 COVER STORY The Use of Cone-beam CT Scans in Implant Dentistry: Do the Benefits Outweigh the Risks? Photos courtesy of 14 Business Bite Implants Are a Brand 18 Legal Bite Expert for the Plaintiff: To Be or Not to Be? 20 Clinical Bite Monocytic Responses to Titanium and Susceptibility to Peri-implantitis 24 JOI Sampler AAID News 32 Academy News 35 AAID 2019 Candidates 36 AAID Meets ASDA 38 Implants in India 40 AAID Foundation Donors ntents 46 New Members 50 Continuing Education Bite 54 Ad Index o PUBLISHED BY THE AMERICAN ACADEMY OF IMPLANT THE AMERICAN ACADEMY / SPRING 2019 PUBLISHED BY DENTISTRY c aaid.com AAID.COM SPRING 2019 3 Being a Perfect Dentist James E. Ference, DMD, MBA, FAAID, DABOI/ID Editor, AAID News Well, with a nod toward reality, let’s pull manner,” the dentist can reassure a patient place on the first part of the digestive and back a bit and admit that perfection may at the most important times—even when respiratory systems. For whatever reason, be out of reach for mortals, so let’s call this a prognosis is less than welcome or a the stresses of modern life frequently take “being an excellent dentist.” treatment becomes challenging. All the a toll on the mouth and teeth with factors medical improvements we witness daily ranging from acid reflux to bruxism. Thirty I suspect that most top-performing dentists have translated into more people who are or forty years of that type of challenge could have done well in a wide range of living on the “edge”—functioning but quite would destroy most of the parts designed other jobs or professions if they had fragile. Keeping abreast of changes in the for a fighter jet. But we work with parts and chosen a different career path. I know this world of pharmaceuticals is essential. We pieces trying to make up for the deficien- because they have to master so many pro- may be able to consult the PDR, but we cies of those designed by Mother Nature. ficiencies to achieve excellence in this field. have to master the ever-changing basics Having the instincts of an engineer helps. to be able to function in this increasingly Many in our profession remember the chalk complex phase of patient treatment. By the way, in implant dentistry you can carving part of the dental application exam about double all the skill requirements as a test of dexterity and one’s ability to The esthetic challenges that patients some- mentioned above. work in three dimensions. The connection times encounter through dental problems to real-life dentistry is obvious, as without can be at least a cousin to the stress of a We haven’t mentioned business owner such basic skills the clinical part of our difficult medical diagnosis. The patient’s yet, but there is that aspect too. Lacking profession is just not a good option. self-esteem and ability to confront the world that skillset can “sink the ship.” And did frequently hinges on their “good” looks, I mention the challenges of dealing with Beyond the manual skills of a swiss watch- which are largely affected by their mouth insurance companies? That part of our maker, the excellent dentist has to have and teeth. If you underappreciate that dental lives requires the tranquility of a the people skills of a psychologist, for reality, find a copy of “Psycho-Cybernetics” Buddhist monk deep in meditation. he or she will be dealing with individuals by plastic surgeon Maxwell Maltz. In it, of all stripes who are generally making a he describes the effects self-image has When you go the the AAID Annual Confe- visit that they will find to be somewhere on one’s psychological well-being. If the rence in Las Vegas this October, you will between slightly and extremely stressful. dentist has the eye for esthetics and skills be surrounded by more than a thousand The dentist will be patient and respectful, of an artist, he or she can perform creative other dental experts, many of whom have even when he or she, too, is stressed by changes that turn mediocrity into beauty. extraordinary and diverse talents within and the sometimes difficult circumstances outside the profession of implant dentistry. related to running a practice. Did I mention the part of dentistry depen- Be bold about establishing new friendships dent on one’s engineering skills? It is truly and you will go back home with a renewed Having a medical bearing goes without amazing that nature could design parts sense of appreciation for the caliber of saying, as displaying a good “bedside capable of meeting the demands that we people that we call colleagues. 4 AAIDNEWS SPRING 2019 BECAUSE WE DIDN’T STOP AT GREAT. 17 years of clinician and implant manufacturer input results in the best LOCATOR® yet – LOCATOR R-Tx® the next generation of overdenture technology and latest in the LOCATOR family of Attachment Systems with 100% Satisfaction Guaranteed*. DuraTec® Abutment Coating Enhanced performance is more wear resistant and aesthetics 50% increase in pivoting Industry standard capability up to 60° .050"/1.25mm* hex between implants drive mechanism Designed for easier Convenient all-in-one patient seating packaging Leading clinicians and patients love the improvements, so will you! Order today directly from Zest Dental Solutions or through a Zest Distributor/Partner. Visit ZESTDENT.COM, or call 833-864-7878. *Call Zest Dental Solutions Customer Service to learn more about the 100% Customer Satisfaction Guarantee. ©2019 Zest Anchors, LLC. All rights reserved. DuraTec, LOCATOR, LOCATOR R-Tx, R-Tx, Zest and Zest Dental Solutions are registered trademarks of ZEST IP Holdings, LLC. AAID.COM SPRING 2019 5 The AAID: Guardians of the Dental Galaxy Natalie Wong, DDS, FAAID, DABOI/ID AAID President As implant dentists, we are focused on through independent recognition of Looking Toward the Future advocating for and helping many different specialty certifying boards, improve the groups of people: our patients, our office quality of care, and ultimately protect the We are working on an exciting endeavour team, our families, and more. As an public. The ABDS was created and predi- that will bolster our efforts in being the organization, the AAID is committed to cated on the principle that an organization, go-to-resource in implant dentistry. At our holding the torch for dental professionals, independent of any trade association or meeting in February, the Board of Trustees by providing the best dental implant self-interest group, is required for the approved a proposal for an Education education, setting a high standard with objective evaluation and determination of Summit, which will bring together existing our credentialing programs, while serving specialty areas in dentistry. Accordingly, program directors of national and interna- as the gatekeepers of fairness. the organization’s objective is to provide a tional university-based programs in implant fair, equitable, and evidence-based process dentistry with the purpose of understand- Recently, our friends and colleagues in for evaluating and recognizing dental ing, comparing, and establishing educa- Dental Anesthesia have earned specialty certifying boards, their certification require- tional guidelines for advanced education recognition by the American Dental ments, and their respective areas of prac- programs in implant dentistry. Having Association National Commission on tice as specialty areas in dentistry to allow implant education leaders from around Recognition of Dental Specialties and an impartial mechanism for state regulators the world collaborating, creating, and then Certifying Boards (ADA NCRDSCB), to recognize dental specialists. returning home to adopt and implement becoming the tenth specialty to be recog- a standardized curriculum would be an nized by the ADA. They are also the FIRST The ABDS is a fair and unbiased approving incredible step for the profession and specialty to be recognized by BOTH the body, as well as being recognized by ultimately the public. And for our AAID to ADA and the American Board of Dental state-level dental boards—currently 11 be the leader of this forward thinking Specialties (ABDS)! Congratulations for state dental boards recognize the ABDS as initiative is awesome. your well-deserved recognition. a specialty-approving organization! These court battles continue throughout the We are the Guardians of the Dental Galaxy, The ABDS was founded in 2010 from a country, strategically planned, and carefully we have paved the path for ourselves and vision that was sparked by leaders of the executed by the AAID. In fact, the creation our colleagues in all of dentistry, and we AAID, Dental Anesthesia, and included of the NCRDSCB by the ADA was sparked continue to champion forward. It is time Oral Medicine and Orofacial Pain. The by our wins! The AAID continues to guard to stand up and be proud of our accom- ABDS’s mission still is to encourage further and champion the proper recognition for all plishments.