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Dental Tribune Canada Edition No.1, 2016

. . . . A2 Dental Tribune Canada Edition | March 2016 Tell us what you think! Do you have general comments or criti- cism you would like to share? Is there a particular topic you would like to see articles about in Dental Tribune? Let us know by emailing feedback@dental- We look forward to hear- ing from you! If you would like to make any change to your subscription (name, address or to opt out) please send us an email at and be sure to include which publication you are referring to. Also, please note that subscription changes can take up to six weeks to process. FROM THE EDITOR IN CHIEF Publisher & Chairman Torsten Oemus President/Chief Operating Officer Eric Seid Group Editor Kristine Colker Editor in Chief Dr. Sebastian Saba Managing Editor Robert Selleck Managing Editor Fred Michmershuizen Managing Editor Sierra Rendon Product/Account Manager Will Kenyon Product/Account Manager Humberto Estrada Product/Account Manager Maria Kaiser BUSINESS DEVELOPMENT MANAGER Travis Gittens Education Director Christiane Ferret Accounting Coordinator Nirmala Singh Tribune America, LLC Phone (212) 244-7181 Fax (212) 244-7185 Published by Tribune America © 2016 Tribune America LLC All rights reserved. Tribune America strives to maintain the utmost accur- acy in its news and clinical reports. If you find a fac- tual error or content that requires clarification, please contact Managing Editor Robert Selleck at r.selleck@ Tribune America cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Tribune America. Editorial Board Dr. Joel Berg Dr. L. Stephen Buchanan Dr. Arnaldo Castellucci Dr. Gorden Christensen Dr. Rella Christensen Dr. William Dickerson Hugh Doherty Dr. James Doundoulakis Dr. David Garber Dr. Fay Goldstep Dr. Howard Glazer Dr. Harold Heymann Dr. Karl Leinfelder Dr. Roger Levin Dr. Carl E. Misch Dr. Dan Nathanson Dr. Chester Redhead Dr. Irwin Smigel Dr. Jon Suzuki Dr. Dennis Tartakow Dr. Dan Ward DENTAL TRIBUNE The World’s Dental Newspaper · Canada Edition “ PDC, page A1 Always a top draw at the Pacific Dental Conference, this year’s live-dentistry stage in the exhibit hall features three live-patient demonstra- tions on each of the two days that the exhibit hall is open. Pictured is a 2014 session. Photo/Provided by Pacific Dental Conference sinus surgery,” cosponsored by Hiossen Implant Canada. The live dentistry stage, located in the exhibit hall, is open to all attendees. The start times are subject to change, so it’s worth confirming through the PDC app or the latest Conference at a Glance to ac- cess the most current schedule. To get the PDC 2016 Mobile App, point your mobile device’s browser to If you have last year’s app, it’s worth re- moving it from your device because the PDC 2016 app is new — designed specific- ally for this year’s conference. With the first day of the conference fall- ing on St. Patrick’s Day, meeting organ- izers have planned a “Celtic Celebration” with a mixture of Canadian and Irish fun. The evening starts with a wine and beer tasting event. Beers will be provided by Parallel 49 Brewing, one of Canada’s fastest-growing breweries, based in East Vancouver. The wines are being assem- bled by “Wine Whisperer” David Lance- lot, sourcing the selection from some of Canada’s most talented winemakers. Dur- ing the samplings, which also will fea- ture buffet stations, live Celtic music will be provided by Tiller’s Folly, who, as the evening progresses, will segue to tunes geared toward filling the dance floor. Tickets for the evening are $50. (Source: Pacific Dental Conference) 10 facts about dental implants By Sebastian Saba DDS, Cert. Pros., FADI, FICD, Editor in Chief Dental implant marketing often em- phasizes “simplicity,” underplaying an inherent complexity in the product, pro- cedure — and patient. Prosthetic dent- istry is not simple. And patients rarely have simple problems. Potential compli- cations can be far from simple to correct. To ease your learning curve with im- plant dentistry, following are some core variables that can be managed based on proven research. 1Implant surface design: Choose im- plants that have micro-topography and bioactive surfaces that en- hance bone contact and have macro-topography (overall shape) that better stabilizes bone profiles with little or no crestal bone loss. 2Abutment connections: Inter- nal connections have simplified abutment insertion. And if the abutment-implant margin is kept shy of the implant outer surface, a con- nective tissue zone will develop. The re- sult is improved bone preservation at the crest. Abutments should be torqued to position and have specifically designed abutment screws that support long-term stability. 3Provisionalization phase: Once thought optional, today this step is a critical diagnostic and man- agement tool used to verify os- seointegration, occlusion, esthetics, soft- tissue management, hygiene, prosthetic design and abutment selection. 4Prosthetic options — screw vs. cement: Some compan- ies emphasize a “simpler” and familiar cement-only option. But irretrievability — pres- ence of subgingival cement — can be problematic. Plan your design to minimize complications. 5Earlier osseointegration and restorative phases: Im- proved implant surfaces and shapes support primary stability in bone and enhanced osseo- integration. Early loading is becoming more feasible — choose cases carefully. 6 Soft- and hard-tissue manage- ment: Timely placement of provisionals can influence the support and contour of tissue. Advancements in bone grafting and tis- sue preservation help preserve soft tis- sue, maintain anatomical bone contour and improve gingival esthetics. 7Enhanced marketing: Implant dentistry is aggressively promot- ed. However, costs remain high for average-income patients. It’s critical that benefits a patient realizes far outlast any corresponding debt. 8 Te c h n o l o g i c a l improvements: Zirconia ceram- ics and CAD/CAM have created an explosion in design, customization and improved esthetics. Zirconium is doing for es- thetics what titanium did for osseointegration. 9Computer-guided implant ther- apy: You can’t deny the value of 3-D software that helps meas- ure and locate vital structures such as the mandibular nerve, sinus cav- ities and nasal floor. But most practices still rely primarily on conventional radi- ography. 10Long-term studies: Im- plant companies provide education, solid research and ongoing support to customers (you). Incorporating up-to- date knowledge into the clinical vari- ables you’re managing on a daily basis will enable you to achieve a predictable approach in your decision-making with dental implants. Sebastian Saba, DDS, Cert. Pros., FADI, FICD, is a graduate of the Goldman School of Dental Medicine, Boston University. He has published extensively on the topics of prosthetic and implant dentistry and has a private practice in Montreal limited to prosthetic and implant dentistry. Photo/Dr. Sebastian Saba

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