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Dental Tribune Middle East & Africa Edition | 2/2017 IMPLANT TRIBUNE D4 New implant releases antimicrobial drugs to fi ght infections By DTI LEUVEN, Belgium: Bacterial and fun- gal pathogens can form a biofi lm on dental implants that is resistant to antimicrobial drugs like antibiotics. As a result, these implants pose a sig- nifi cant risk of infection. A multidis- ciplinary team of researchers at KU Leuven in Belgium has developed a dental implant that gradually re- leases such drugs from an integrated reservoir. The antimicrobial liquid could help prevent and fi ght infec- tions. “Our implant has a built-in reservoir underneath the crown of the tooth,” explained lead author Dr Kaat De Cremer. “A cover screw makes it easy to fi ll this reservoir with antimicro- bial drugs. The implant is made of a porous composite material, so that the drugs gradually diffuse from the reservoir to the outside of the im- plant, which is in direct contact with the bone cells. As a result, the bacte- ria can no longer form a biofi lm.” In the laboratory, the implant was subjected to various tests for use with chlorhexidine, a universal mouthwash with a powerful anti- microbial effect. The study shows that the Streptococcus mutans bac- terium, a major contributor to tooth decay, is prevented from forming a biofi lm on the surface of the implant when the reservoir is fi lled with the mouthwash. Furthermore, biofi lms that were grown beforehand on the implant could be eliminated in the same way. This indicates that the implant would be effective in terms of both preventing and curing infec- tions. This study, titled “Controlled release of chlorhexidine from a mesoporous silica-containing ma- croporous titanium dental implant prevents microbial biofi lm forma- tion”, was published online in Janu- ary in Volume 33 of the European Cells and Materials journal. THE TENTH ANNUAL AMERICAN ACADEMY OF IMPLANT DENTISTRY MaxiCourse®- UAE 2017 – 2018 Starts May 2017 A UNIQUE OPPORTUNITY DENTAL IMPLANTOLOGY In Fulfillm e nt o f the Educ atio nal Re q uire m e nt fo r the Exam inatio n fo r Asso c iate Fe llo w Me m b e rship and Fe llo wship fo r the Am e ric an Ac ade m y o f Im plant De ntistry ◊Page D3 giene in my patient’s mouth, I do not place the implant. I wait for a couple of months for the oral hygiene to im- prove. If I consider it acceptable, then I place the implant. How do you deal with im- plant failure? Implant failure is a failure for both the dentist and the patient. It is a headache for dentists, and in the worst case, patients will not be able to enjoy a beautiful smile. Periodon- tal treatment and oral hygiene are important before and after every implant placement. Before and after surgery, I usually explain oral hy- giene and motivate my patients. Just recently, I placed an implant in an 84-year-old patient. Six months af- ter placement, I have seen improve- ment owing to interdental brushes. Oral hygiene treatment is mostly taken care of by den- tal hygienists. Most larger clinics employ at least one dental hygienist and it seems that Dubai citizens make ex- tensive use of them. Is there a good partnership between hygienists and dentists? There is very good cooperation. I am not interested in cleaning and my dental hygienist is not interested in placing implants. We are both happy to do our work. The profession of dental hygienist does not exist in some countries, such as in France, where I lived for a long time. There, the dentist cleans and polishes for 10 minutes. Here, our appointments last for 45 minutes. We explain to the patient how to perform the neces- sary post-operative care. How do you explain it usually? We simply show them how to brush their teeth and interdental spaces properly. If one just prescribes a certain toothbrush to patients on a piece of paper without instructing them, they will likely go to the phar- macy and buy a different one. If you give it to them, let them try it and help them use it correctly, the possi- bility of the patients buying the cor- rect brush is higher. You completed a programme on individually trained oral prophylaxis (iTOP). What was your impression? I did the iTOP programme a year ago. Although I liked the programme a great deal, we have still seen that not all patients take the time and really apply what they have learnt. Some patients are really motivated and sit down with us to learn more about the system. The dentist and dental hygienist then work together. In to- day’s fast-paced world, we need to convince patients that they have to take care of individual prophylaxis. For dental hygienists and dental students, iTOP gives dental profes- sionals a gradual awareness of how to provide oral hygiene for their pa- tients. I think that iTOP for students will work well for future dentists. Thank you very much for the inter- view. The Faculty are as follows: Dr. Shankar Iyer, USA Director, AAID Maxi Course®UAE Diplomate AAID Clinical Assistant Professor,Rutgers School of Dental Medicine. Dr. Frank LaMar, Sn USA Fellow, American Academy of Implant Dentistry Diplomate, American Board of Oral Implantology Dr. Frank LaMar Jr. Diplomat American Board of Prosthodontist Dr. Ninette Banday, UAE Co-Director AAID Maxicourse- Abu Dhabi, UAE Academic Associate Fellow AAID Dr. Amit Vora, USA Diplomate of the American Board of Periodontology Professor (partime) ,JFK Hospital and the Veteran Affairs (V.A.) Hospital Dr. Jaime Lozada, USA Director of the Graduate Program in Implant Dentistry Fellow, American Academy of Implant Dentistry Dr. William Locante, USA Diplomate of ABOI Fellow of American Academy of Implant Dentistry Dr. Robert Horowitz, USA Diplomate American Board of Periodontology Clinical Assistant Professor New York University Dr. John Minichetti, USA Diplomat, American Board of Oral Implantology Honored Fellow, American Academy of Implant Dentistry Dr. Kim Gowey, USA Past President – AAID Diplomate ABOI Dr.Burnee Dunson, USA Fellow, American Academy of Implant Dentistry Diplomate ABOI Dr. Jason Kim, USA Diplomate of ABOI Dr. Ozair Banday, USA Prosthodontist Dr. Stuart Orton-Jones, UK Founder Member, The Pankey Association Member, Alabama Implant Study Group Dr. Robert Miller, USA Board Certified by the American Board of Oral Implantology/Implant Dentistry Honored Fellow American Academy of Implant Dentistry Dr. Philip Tardeu, France Founder and Author, Computer Guided Implantology and the Safe System. Dr. Natalie Wong, Canada Diplomate, American Board of Oral Implantology Fellow, American Academy of Implant Dentistry Dr. Irfan Kanchwala, India Implant Fellowship ( UMDNJ, USA) Diplomate , American Board of Prosthodontics Dr. Jihad Abdallah, Lebanon Diplomate American Board of Oral Implantology Fellow AAID Professor & Head of Implantology Division, Faculty of Dentistry.Beirut Arab University Director, AAID Maxi course ®Jordan 2016-2017 Program Accredited by Health Authority Abu Dhabi for 228.5 CME Hours. 2017-2018 Accredition under process. Program Includes placement of upto 10 Implants with all surgical and prosthetic components, all materials for hands – on workshop and lecture handouts plus one complete surgical instrument Kit. MaxiCourse ® Advantage: 300 hours of comprehensive lectures, live surgeries, demonstration and hands-on sessions. In depth review of surgical and prosthetic protocols. Sessions stretch across 5 modules of 6 days. Each session is always inclusive of a weekend. Curriculun taught by over 18 faculty & speakers from the International Community who are amongst the most distinguished names in implantology.. Certificate of completion awarded by the American Academy of Implant Dentistry. Non commercial, non sponsored course covering a wide spectrum of implant types and system. Hands-on patient treatment under direct AAID faculty supervision. Membership for AAID awarded for 2017 – 2018 Dates: Module 1 May 1st – 6th 2017 Module 2 July 26th – 31th 2017 Module 3 August 28th – September 2nd Module 4 November 1st – 6th 2017 Module 5 January 25th – 30th 2018 Registration: Pre-Registration is Mandatory as it is a limited Participation Program. For further information and registration details visit website: www.cappmea.com e-mail events@cappmea.com or call +97143616174