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today GNYDM 25 Nov

By Dr. David Chong n There are many kinds of devices available to help dentists place implantsnearthesinusintheabsence of adequate vertical bone height, but none of them seemed to function adequately for me until I came across Hiossen’s CAS-KIT. Since I was intro- duced to it 18 months ago, I have done about 100 augmentations into which I have placed more than 127 implants. I have been using it regularly in patients whose maxillary posterior bony ridge has enough bucco-lingual widthbutwherethesub-antralheight is insufficient for placement of con- ventionalimplants.Iusethiskitwhen the bone remaining between the maxillary sinus and the crest of the alveolarridgeisapproximately5mm. When it’s less than that, I defer to a differentHiossendevice—theLateral Approach Sinus Kit or LAS-KIT. In my practice, results of using the CAS-KIT have been very positive. After instructions from the company on when and how to use it, I was soon working with it on a regular basis to facilitate the successful placement of even more implants. What I like most is its predictability — how I can use the “stopper” system to drill up to and then through the bony wall of the sinus without perforation of the membrane. Rounded drills create a “button of bone” that gently elevates a portion of the membrane. I have found that drill speed (rpm) is critical. After this elevation, water pressure is applied, allowing the membrane to “balloon out” and create just the right amount of space needed for the addition of a bone graft and then implant place- ment. A specific amount of bone-graft material (no guesswork) is placed into the space that was developed under the sinus, and then the bone is dispersed laterally and evenly in a way that will completely surround the subsequently placed implant. I have used several other systems in the past, but from my experience, this one seems to be the most precise andcompletetosafelyaccomplishthe desired outcome. Other devices have some of CAS-KIT’s features, but I have not found any that combine such a set of specific instruments, along with detailed protocol, to take the stress and worry out of what would other- wise be a troublesome procedure. Ihavebeenverypleasedwithwhat we have been able to do with it in my office and would certainly recom- mend it to others. exhibitors44 Greater New York Dental Meeting — Nov. 25, 2012 Hiossen CAS-KIT: a product review AD Here at the GNYDM For more information on CAS-KIT, stop by the Hiossen booth, No. 3836. About the author Dr. David Chong maintains a general practiceinFlushing,N.Y.,emphasizing implants and sinus grafts. He com- pleted a two-year surgical and pros- thetic implantology residency pro- gram at New York University and is now a clinical instructor and adviser in the Advanced Dental Implant Train- ing Program for Hiossen. He is also a consultant for the State Board of Den- tistry in New Jersey. Chong is a fellow of the International Congress of Oral Implantology and an active member of the Academy of Osseointegration. He can be reached at jehyunchong@ yahoo.com. 5 The Hiossen CAT-KIT (Photo/Provided by Hiossen) One dentist shares his positive experience with the device