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ePaper created 2015-08-07, 10:21:52 | version 1.38.0
osstell.com Implant Stability. Osstell IDx Less guesswork. More insight. The Osstell IDx helps you to objectively determine implant stability and to assess the progress of osseointegration without jeopardizing the healing process. It is a fast and non-invasive system that will provide the accurate and objective information +&&%&%!0,!-.,$&&%!2(0'!$,+4%&+$&5 For more information please visit osstell.com. "//0&))!#$(&+0(4$!#3*-,/(1* Daniel Buser - Peter Moy - Marcus Dagnelid EAO, Stockholm, Sept 24th Registration: osstell.com/eao Register to the Osstell Symposium - win an IDx! AD By Aws Alani,UK Teeth are highly evolved structures that have developed progressively over millions of years in attempts to protect themselves from caries and periodontal diseases. Over the years, many advances have been made that can treat these various diseases pre- dictably.Various strategies have been developed to prevent or slow down these problems given adequate pa- tient compliance and appropriate personal and professional mainte- nance. Despite these very significant im- provements, there are still instances when patients are advised that one or other tooth has to be extracted. It is the obvious sadness, heartache ordespairthatpatientsarecausedby this bad news that has driven, caring clinicians to find ways to replace teethwithvariousdevices,including dentures, bridges and implant-re- tainedprostheses. P.-I. Brånemark, now sadly de- ceased, famously quipped: “No one should have to die with their teeth in a glass of water beside their bed.” His original inspiration coupled with determination, intuition, pas- sion and an ability to surround himselfwithagreatteamofindivid- uals with differing skills made osseointegration much more pre- dictable. Brånemark’s landmark studieschangedprostheticdentistry dramatically, but a careful look at thedesignoftheseprotocolsandthe implantsthemselvesrevealthatthey were hugely different to the patient selection protocols and the types of implantsbeingplacedtoday. Furthermore, the restorations sup- ported on them were made of the es- tablished materials then and obeyed traditional mechanical laws. In terms of biological cleanability, the metal, polished“highwater”abutmentdesign allowed for optimal interproximal cleaning, while the implant surface it- selfwasalsorelativelysmoothincom- parison with the rougher surfaces we often see today. Market saturation, cost, profit and market share in many technology-drivenmarketsoftenpur- sueinnovationofsomesortofchange to help gain greater market share or profit. The over-commercialisation of dentistry generally creates a constant turnoverofsupposedlynewandbetter products, where the common notion of“if it ain’t broke don’t try to fix it”is lostonmanydirectorsofmarketingor increasinglyprofit-drivenCEOs. Whyandwhere? Where this technological change has taken implantology and what therealreasonsarethatthiswasand is happening need to be examined. Increasingly, the shadow of peri- implantitis looms likes a spectre over the provision of implants. Un- like caries or periodontal disease, there is very little consensus or re- Dental implantology: Evolution or the road to ruin? IMPLANTTRIBUNE The World’s Implantology Newspaper · United Kingdom Edition Published in London www.dental-tribune.co.uk Vol. 9, No. 3