today EuroPerio8 London 4 June, 2015

Requests for shorter treatment times along with an increasing number of patients with risk factors place greater demands on dentists and technology. Correctly assessing osseointegrationandimplantstabilityandis key in successful implant treatment. Using traditional methods such as torque and per- cussion tests are not suitable for monitoring osseointegration, it requires a more ad- vanced diagnostic tool. Gain insight from these esteemed peri- odontists on what they do to objectively and noninvasively identify which implants are readytoloadandwhichonesneedadditional healing time. DrsPamelaK.McClainandRachelSchall- horn, both Diplomates of the American Board of Periodontology, have been using Osstell and the ISQ scale (Booth 43d) for a numberofyearsnowtomeasureprimaryim- plant stability and osseointegration. “We are currently using Osstell when we place all implants to establish a baseline measurement of implant stability,” they say. “AtthetimeofplacementiftheISQistoolow (depending on the location—anything below 45)wewillremovethefixture,possiblygraft and then wait another 3–6 months before tryingtoplaceanotherfixture.Wetrytotake themeasurementonthebuccal/lingual,and mesial/distal aspects and record the highest and lowest values “ McClain and Schallhorn add: “We typi- cally recheck the ISQ value at three months. If the ISQ has improved (or is stable if the number was high to begin with—over 65) we will release the patient for restorative treat- ment. It gives us and the patient a more ob- jective way to assess the implant stability. If it’s not ready at that time we continue to recheckeverysixweeksuntiltheISQhasim- proved or indicates stability.” “Sincewebeganusingthisdevicein2009, our decision making process has become more simple and objective. We will continue to use the Osstell values to help guide treat- ment decisions and as a communication tool with our referring dentists.” Dr Paul Rosen, Clinical Professor of Peri- odontology & Oral Implantology Temple Uni- versity Kornberg School of Dentistry in Philadelphia, USA, also explains below why Osstell is important in his practice. “Osstelluseiscriticalformyimplantprac- tice. Every year, this device more than pays foritselfastherearealwaysseveralpatients who heal slowly or who have implants placed with extremely low insertion torque. This confounds my ability to predict when healing has been adequate to proceed to the restorative phase. Osstell provides me with quantitative information necessary to make informed decisions. No longer am I the vil- lainwhoslowsuppatientcare,butitisobjec- tive data about the patient’s healing that be- comes the determining factor.” AD news EUROPERIO London 2015–4 June How to reduce treatment time and more predictably manage patients with risk factors Dr Pamela K. McClain Dr Rachel Schallhorn Dr Paul Rosen

today EuroPerio8 London 4 June, 2015

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