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ePaper created 2016-11-23, 14:26:06 | version 1.38.0
events | 43 4 2016 implants ual condition play an enormous role in the deci sion-making process for an aesthetically “successful orfailed”case.“Thereareonlytwooptionstorespond toboneloss”,saidStimmelmayr,oneonthebonelevel and one on the soft-tissue level. There was no doubt that Stimmelmayr favoured a soft-tissue based re sponse, paying special attention on the double-arm Punchsoft-tissueimplant,whichhehaddevelopedin order to improve the compromising situation in all dimensions. While Stimmelmayr introduced numer ous extensively documented case reports which supported the benefits of this procedure, its success appeared to be limited by a missing buccal bone lamellaordifficultinitialsituationssuchasprominent Jugae alveolariae. PrivatelecturerDietmarWengfollowedadifferent path, leading him away from technophilic, complex augmentations and towards simplification: “Simplify your augmentation!” (Do not rebuild, refill!). Seizing the opportunity, Wenig took up Stimmelmeyers pos tulation that socket preservation was impossible in the aesthetical zone and explained that implants to day are inserted differently from the techniques ap pliedafewyearsago.“Previouslydocumentedproce dures are mostly techniques developed by oral surgeons for oral surgeons”, Weng claimed and con sequently stated his preference for simple and pre dictablemethods.Immediatelyafterextraction,there are usually three or four defect walls, which can be loosely filled (no cramming!) and covered by a mem brane in order to achieve a bundle-bone effect. A gelatinespongeisusedforcoveragetowardstheoral cavity. After six months, implantology can take place in a well-prepared surrounding. In short: Simplify your implantology! In this session, the President of the DGZI contrib uted a well-received speech about surface morphol ogyofdentalimplantsafterinsertiontothejawbone, while Dr Stefan Röhling (Germany) posted that ce ramic implants were no fashion phenomenon, but constitute a serious alternative to titanium implants, especially in the aesthetic zone. This speech was fol lowed by Prof. Dr Dr Knut Grötz, who defined differ ential implant-design indications with regard to aes thetics and function. He stated that individual patient conditions,forexampleperiodontitisorsystemicdis eases(diabetesetc.)needtobetakenintoaccountfor an accurate prognosis of the long-term success of implantation. Consequently, implant design should be chosen individually for each patient, according to Grötz, who thus subscribed himself to individualised medicine. His advice: When in doubt, apply a tis sue-levelimplant.Healsopointedoutthatthebiolog icalbasishastobeadequate,asaestheticallysuccess ful results are impossible without socket healing or preservation.ThisnotionwasfullysupportedbyProf. DrMarioRodrigues-Tizcareno(Mexico)inhisspeech. Grötz focused on the bone bundle, which he defined as a part of the periodontium: “If the desmodontium is destroyed, for example in case of severe periodon titis, the buccal bone bundle inevitably will follow”. DGZImemberoftheboardProf.DrDrKai-OlafHen kel (Germany) touched a controversial topic by illus trating complications in implantology. He started his speech by stating that “failure is a part of implantol ogy”. However, Henkel claims, failure also constitutes a chance, for example to form a friendship with the patient after successful complication management. Thetwocongressdayswerepackedwithvastinfor mation, constantly demanding a high level of atten tion and concentration from congress makers and auditoriumalike.Andyet—orperhapsexactlyforthat reason—participants left the congress halls with contented faces having gained a great deal of new impulses and knowledge: While Munich is always worth a trip, so was the 46th International Annual DGZI congress. It certainly lived up to its high ex pectations and sparked anticipation for next year’s congress._ contact Dr Georg Bach Zahnarzt für Oralchirurgie Rathausgasse 36 79098 Freiburg im Breisgau doc.bacht-online.de Author details Fig. 9 Fig. 10 Fig. 11 Figs. 9–11: Prof. (CAI) Dr Roland Hille (right) presented the DGZI Awards to Dr Kristian Kniha, 1st winner of the DGZI Poster Award (Fig. 9), Dr Dr Istabrak Hasan, 3rd winner of the DGZI Implant Dentistry Award (Fig. 10) and Dr Dr Tomasz Gredes, 1st winner of the DGZI Implant Dentistry Award (Fig. 11). 42016