implants - international magazine of oral implantology International Edition

meetings I The Japanese speakers discussed both their most successful and failed clinical cases. The DGZI was represented at the ISOI annual meeting by Weber, DGZI Vice-President Dr Rolf Vollmer, board member Dr Rainer Valentin and Dr Mazen Tamimi from the DGZI International Section inJordan.Weberlecturedontheminimisationofthe impact of an implant restorative treatment on the patientusingvariouspatientcases.Hestatedthatall kindsofdentaltherapieswillpotentiallyhaveanim- pact on our patients. The extent of this impact will depend on various factors, such as the professional positionsofthepatients;theirphysical,mental,and medical condition (this could affect compliance for example); and the complexity of the surgical and/or the restorative treatment. Parameters include the total length of the surgical and restorative treat- menttime,thenumberofappointmentsandthevis- ibilityofthetreatmentstepswithinthepatient’sen- vironment. The discomfort and pain caused by all of this will also have a bearing on the impact. Based on his more than thirty years’ clinical implant and restorative experience, he gave practical advice re- garding how to perform, modify and combine dif- ferent treatment steps, including medication, sur- geryandtemporisation.Theclinicalconclusionsand the take-home message captivated the audience. The second German speaker, Dr Martina Vollmer (oral surgeon), gave a presentation titled “The SAC classification—From simplicity to complicated im- plant cases”. She stated “We are seeing more and more misadventures dealing with complex implant cases. The vast majority of these issues relate to a failure in the initial diagnosis. Diagnosis and deci- sion-making are always the most difficult things to teachandconvey.Althoughimplantdentistryisnow anintegralpartofmanydentalpractices,mostden- tists receive, if at all, their education in implant den- tistry after graduation, with little emphasis on the identification of the complexity and risks of treat- ment.” DrMartinaVollmerexplainedthatSACstandsfor Straightforward, Advanced, and Complex, and was first described by Sailer and Pajarola in 1999 as a method to categorise the degree of difficulty in oral surgery. The SAC classification has applications in aesthetic, restorative and surgical situations. Estab- lishing in advance how complex an implant case is can ensure there are no surprises in the course of treatment. If necessary, it can allow referral of the casetosomeonebetterabletoperformtheriskypor- tion and return the case for the easier treatment. Dr M. Vollmer insisted that finding an appropriately qualified colleague to manage a particularly com- plex case can prevent catastrophic complications and a poor outcome. The content of the plan of action and its imple- mentationshouldbecheckedagainstrealityperiod- ically. Regardless of how well planned, things never workoutquiteasenvisaged;toooftenreal-timede- velopmentsleadtodetoursfromtheplan.Inorderto minimise such occurrences, modern implantology diagnostic tools like CBCT and computer-assisted planning can be helpful in complex cases but never absolve you from your responsibility to the patient. In addition to the papers presented, two work- shops were held. Owing to the high request for the workshops both of them were fully booked with al- most 40 participants. In the first workshop, Dr Valentin introduced a new technique for harvesting autogenous bone, as well as various sinus lift techniques. As the range of indications for dental implants is quickly changing, even patients with thin crestal bone or poor bone quality can be treated. I 47implants1_2014 DrsSusumuMoriyamaandRyoichiSakamaki,Japan, passedtheGermanAssociationofDentalIm- plantology (DGZI) expert in implantology examination after successful completion of the Interna- tional Society of Oral Implantology (ISOI) authority in implantology certificate in Japan. Congratulations for DGZI expert in implantology examination