clinical articles • management advice • practice profiles • technology reviews February/March 2015 – Vol 8 No 1 BONE. AND PROMOTING HEALTHY SOLID SOLUTIONS FOR MAINTAINING ALLOGRAFTS • XENOGRAFTS • ALLOPLASTS • RESORBABLE COLLAGEN MEMBRANES, PLUG, FOAM AND TAPE FOAM PLUG, MEMBRANES, • RESORBABLE COLLAGEN • XENOGRAFTS ALLOPLASTS ALLOGRAFTS PROMOTING EXCELLENCE IN IMPLANTOLOGY Challenging aspects of Enhancing implant implant restoration stability with Drs. Brenda Baker and osseodensification David Reaney — a case report with 2-year follow-up Dr. Salah Huwais Single implant-borne reconstruction in the esthetic area Dr. Daniel S. Thoma Practice profile Dr. Justin Moody Corporate spotlight Lending Club For a complete list of our Bone Regeneration PAYING SUBSCRIBERS EARN 24 products please visit www.acesurgical.com CONTINUING EDUCATION CREDITS For details PER YEAR! see page 27 PRODUCT PROFILE THE MAKING OF A ZEST’s LOCATOR® Attachment represents a rare occurrence in the implant fi eld. Never before has the implant industry, clinicians, and patients come together to universally recognize the merits of a restorative solution. It has allowed the LOCATOR to become the most globally recognized and trusted brand for overdenture restorations. INDUSTRY WIDE SOLUTION ZEST recognizes, and is honored by, the commitment implant companies have made to make the LOCATOR Attachment compatible with their dental implants. In fact, the dental implant companies that collectively make up over 90% of the global implant market supply, partner with ZEST Anchors. Each has chosen the LOCATOR to be a part of the solutions they provide to you, their customer, and your patients. 1 Implant practice Volume 7 Number 4 CLINICIAN PREFERENCE LOCATOR’s unique low profi le design, pivoting technology, durability, and ease-of-use has propelled it to be the preferred choice of clinicians worldwide for tissue supported, implant-retained overdentures. Clinicians have validated LOCATOR’s Gold Standard status with over 4 million units purchased - no other product can match its extensive clinical documentation, design accolades or number of satisfi ed patients. PATIENT SATISFACTION Every day new patients begin a journey of being able to eat, laugh and speak with confi dence again. Today, nearly two million patients are enjoying an improved quality of life by trusting their clinician to secure their restoration with LOCATOR. TOGETHER WE CAN MAKE TOMORROW EVEN BETTER The trust and confi dence placed in ZEST since its inception in 1972 is not taken lightly. It enhances our company’s commitment to our implant company partners, clinicians, and your patients. Together we will continue to provide more options for the treatment of patients who suffer from the real-life problems associated with edentulisim. Stay close to ZEST for soon-to-be released innovations that can improve and expand the clinical solutions available within the LOCATOR Portfolio of products. To experience for yourself how LOCATOR became the Gold Standard of resilient attachment systems, and for a listing of ZEST LOCATOR Partners, please visit zestlocator.com/8 or call 800-262-2310. ©2015 ZEST Anchors LLC. All rights reserved. LOCATOR and ZEST are registered trademarks of ZEST IP Holdings, LLC. INTRODUCTION February/March 2015 - Volume 8 Number 1 Looking forward to 2015 EDITORIAL ADVISORS Steve Barter BDS, MSurgDent RCS Anthony Bendkowski BDS, LDS RCS, MFGDP, DipDSed, DPDS, MsurgDent Philip Bennett BDS, LDS RCS, FICOI t the time that I was asked to write the introduction for Stephen Byfield BDS, MFGDP, FICD Sanjay Chopra BDS Athis issue of Implant Practice US, I was saddened to learn Andrew Dawood BDS, MSc, MRD RCS Professor Nikolaos Donos DDS, MS, PhD of the passing at age 85 of Dr. Per-Ingvar Brånemark in his Abid Faqir BDS, MFDS RCS, MSc (MedSci) hometown of Gothenburg, Sweden. There was an excellent Koray Feran BDS, MSC, LDS RCS, FDS RCS Philip Freiburger BDS, MFGDP (UK) article in the health section of The New York Times by Tamar Jeffrey Ganeles, DMD, FACD Mark Hamburger BDS, BChD Lewin on December 27, 2014, providing a short synopsis of Mark Haswell BDS, MSc this remarkable man, scholar, teacher, researcher, and inventor. Gareth Jenkins BDS, FDS RCS, MScD Stephen Jones BDS, MSc, MGDS RCS, MRD RCS How fortuitous it was that his initial experiment utilizing titanium Gregori M. Kurtzman, DDS chambers designed to study blood flow and bone healing Jonathan Lack DDS, CertPerio, FCDS Samuel Lee, DDS unexpectedly could not be removed as they were fused to David Little DDS Andrew Moore BDS, Dip Imp Dent RCS the bone. The term “osseointegration” was born from these Ara Nazarian DDS experiments. Without Dr. Brånemark and his initial studies, this Ken Nicholson BDS, MSc Michael R. Norton BDS, FDS RCS(ed) magazine might not exist, nor my scope of private practice, nor Cary A. Shapoff, DDS Rob Oretti BDS, MGDS RCS Christopher Orr BDS, BSc the millions of successfully treated patients restored with dental Fazeela Khan-Osborne BDS, LDS RCS, BSc, MSc implants from the single-tooth replacement to the more complex full-arch fixed, removable, Jay B. Reznick DMD, MD Nigel Saynor BDS or hybrid-type restorations. Malcolm Schaller BDS Ashok Sethi BDS, DGDP, MGDS RCS, DUI Since Dr. Brånemark’s early studies and findings, dental implant surgical techniques Harry Shiers BDS, MSc, MGDS, MFDS and philosophies have evolved from the longer healing periods to immediate placement Harris Sidelsky BDS, LDS RCS, MSc Paul Tipton BDS, MSc, DGDP(UK) and provisionally loaded techniques now employed in specific clinical situations. Numerous Clive Waterman BDS, MDc, DGDP (UK) former students and colleagues of Dr. Brånemark have added much to the knowledge base Peter Young BDS, PhD Brian T. Young DDS, MS of the dental implant field. CE QUALITY ASSURANCE ADVISORY BOARD Restorative concepts, techniques and prosthodontic case design with intraoral scan- Dr. Alexandra Day BDS, VT Julian English BA (Hons), editorial director FMC ners, and CAD/CAM abutment and crown design have also advanced the art and science Dr. Paul Langmaid CBE, BDS, ex chief dental officer to the Government for Wales of dental implant dentistry to new levels. Dr. Ellis Paul BDS, LDS, FFGDP (UK), FICD, editor-in-chief Private All of us in the daily treatment of patients have the opportunity and responsibility to Dentistry Dr. Chris Potts BDS, DGDP (UK), business advisor and ex-head of consider this replacement and reconstructive option in addition to the other conventional Boots Dental, BUPA Dentalcover, Virgin Dr. Harry Shiers BDS, MSc (implant surgery), MGDS, MFDS, Harley St dental care approaches utilized to successfully maintain existing dentitions. referral implant surgeon My own experience in the field of dental implant surgery began in 1985, well after my formal periodontal residency training in 1975. My own implant knowledge base was developed from attending numerous courses and lectures and reviewing the literature. Self-evaluation of my techniques and outcomes from documentation and critical clinical evaluation has helped PUBLISHER | Lisa Moler to hone my treatment concepts. Close-working relationships with my restorative colleagues Email: [email protected] have allowed us to focus on the esthetic desires and demands of our patient population while GENERAL MANAGER | Adrienne Good Email: [email protected] maintaining the biologically sound surgical principles and organized restorative responsibilities. MANAGING EDITOR | Mali Schantz-Feld Successful esthetic outcomes are a result of careful case analysis, development of well- Email: [email protected] | Tel: (727) 515-5118 organized treatment plans, and keeping the end result in mind prior to performing irrevers- ASSISTANT EDITOR | Elizabeth Romanek Email: [email protected] ible surgical procedures. We now have the ability to plan our cases with three-dimensional EDITORIAL ASSISTANT | Mandi Gross radiographic surveys and provide precise surgical placement utilizing the imaging results Email: [email protected] combined with computer-generated surgical guides. NATIONAL ACCOUNT MANAGER | Michelle Manning Email: [email protected] Implant styles have certainly changed from the early fixture designs with machined implant NATIONAL ACCOUNT MANAGER | Kimberly Burke collars to the variety of implant styles, fixture thread designs, and connections. Evidence- Email: [email protected] based variations to the platform design have been developed from platform-switched to those CREATIVE DIRECTOR/PRODUCTION MANAGER | Amanda Culver with specific microtextured surfaces that provide unique cellular bioactivity. Email: [email protected] FRONT OFFICE MANAGER | Eileen Lewis Our dental implant knowledge is not a finite destination but rather a journey. We rely Email: [email protected] on a continuing educational stream in order to maintain our skills and develop new treat- MedMark, LLC ment methods. Graduate and postgraduate academic programs afford us the opportunity 15720 N. Greenway-Hayden Loop #9 Scottsdale, AZ 85260 to develop clinical and research skills. The opportunity to expand and acquire additional Tel: (480) 621-8955 Fax: (480) 629-4002 knowledge on all aspects of implant dentistry can be gained from numerous sources. Implant Toll-free: (866) 579-9496 Web: www.implantpracticeus.com Practice US and many other magazines and journals provide current, relevant technical www.medmarkaz.com and scientific articles as well as continuing education credits. The Internet has brought the SUBSCRIPTION RATES dental implant world to our computers