It is the biggest and most important meeting in the ﬁ elds of periodontology and implant dentistry worldwide — Part 1 An interview with Prof. Dr. Anton Sculean, President of the European Federation of Periodontology. news Held once every three years by the European Federation of Periodontol- ogy (EFP), EuroPerio brings together thousands of dental professionals from around the world for one of the inﬂ uential dental meetings in the world. EuroPerio9 features a range of new events and presentations. In the ﬁ rst part of this interview with Prof. Dr Anton Sculean, President of the EFP, today international spoke about what visitors can expect to gain from attending EuroPerio9. How can dental professionals bene- ﬁ t from attending EuroPerio9? Simply put, it’s the biggest and most important meeting in the ﬁ elds of periodontology and implant den- tistry worldwide. EuroPerio9 will provide a wealth of knowledge in all aspects of these two specialties for attendees, highlighting the most re- cent innovations in diagnosis, patho- genesis, non-surgical and reconstruc- tive surgical approaches, as well as maintenance and patient manage- ment. It aims to provide not just for the specialist but also for the general practitioner and dental hygienist solid, evidence-based knowledge on how they can implement these ap- proaches and treatments in their daily practices. Clearly, all dental based on the general topic of “Perio- dontal experience and discoveries worth spreading”. Selected speakers, consisting of renowned specialists and young periodontists who re- ceived their education in one of the EFP-accredited postgraduate pro- grammes, presented short talks on their experiences that have signiﬁ - cantly inspired their professional ca- reers. We also have a session featuring live surgery performed by a surgical team that, we hope, will attract young dental professionals who want to see ﬁ rst-hand the kind of results they can achieve for their patients. In addition, there will be a Nightmare Session on the ﬁ nal day of EuroPerio9 that I be- lieve will really help the younger at- tendees understand not only how to cope with any mistakes they might make in practice, but also how they can avoid these mistakes in the fu- ture. These are just a few of the things that will make EuroPerio9 a worthwhile experience for younger dental professionals. Are there any particular events or topics that you are looking forward to most at EuroPerio9? Though there are many to choose from, one topic that I think will be im- portant at EuroPerio9 concerns how we can help dentists to implement pa- tient motivation strategies. We need to look at how we can motivate pa- tients to take charge of their own oral hygiene, how we can keep them com- ing to our practices for regular check- ups, and what new strategies we can implement for this in our everyday workﬂ ows. In terms of events, I’m eagerly awaiting the industry symposia that will be conducted in Amsterdam. These symposia present information regarding new surgical techniques, materials and so forth that can be im- plemented in our treatment concepts. Another topic that I’m particu- larly looking forward to discussing with attendees is novel approaches to reconstructing soft- and hard-tissue defects around both natural teeth and dental implants. There will be several presentations covering these approaches scheduled throughout EuroPerio9’s scientiﬁ c programme, and I am truly excited to see what the presenters have in store for visi- tors. Editorial note: The second part of this interview will appear in the third EuroPerio9 today issue which will be publish on Saturday, 23 June 2018. professionals can gain a lot from coming to EuroPerio9. One of the strategies for EuroPerio9 is to attract younger dental profes- sionals. What does the European Federation of Periodontology (EFP) hope to achieve through this? Well, ﬁ rst of all, we have new and different types of sessions for EuroPerio9. We now have not only sessions that are concerned with studies and presentations from ex- perts, but also sessions that focus on practical elements and clinical con- cepts. In addition to that, we had the ﬁ rst EFP Graduate-Alumni-Sym- posium, which was scheduled for Wednesday, 20 June. This session used a novel format, Perio Talks, First EFP Graduate-Alumni-Symposium proves to be a hit When the European Federation of Periodontology (EFP) was ofﬁ cially formed in Amsterdam in 1991, one of its primary goals was to increase awareness of the importance of perio- dontal health through research and ed- ucation, among other avenues. Twenty- seven years later, Amsterdam is host- ing EuroPerio9, and Wednesday saw the EFP’s emphasis on education pay dividends with the successful debut of Perio Talks, the ﬁ rst EFP Graduate- Alumni-Symposium. Chaired by Prof. Moshe Goldstein and Dr France Lambert, both from the EFP Postgraduate Committee, along with President-elect Dr Filippo Gra- ziani, ofﬁ cial coordinator of EFP Alumni, Perio Talks featured eight speakers sharing their own unique journeys in periodontology. Hailing from countries as disparate as Ireland and Israel, the presenters ranged in ex- perience from a knowledgeable profes- sor to a ﬁ rst-year student. Regardless of these differences, their stories were of a uniformly high quality and provided a rapt audience with wisdom about both periodontology and making sig- niﬁ cant life choices. Having undergone a special train- ing session in Vienna in Austria earlier in the year on talking without notes, the presenters spoke with conﬁ dence for 10–12 minutes each. Prof. Eli Machtei, Director of the School of Grad- uate Dentistry of the Rambam Health Care Campus in Haifa in Israel, encour- aged young attendees to pursue an ac- AD Dental Tribune International ESSENTIAL DENTAL MEDIA www.dental-tribune.com ademic career in periodontology, while Dr Cavid Ahmedbeyli detailed his ex- periences in forming PERIOAZ, Azer- baijan’s national society for periodon- tology, in 2012 and helping it become an EFP associate member society by 2017. Perio Talks was the ﬁ rst event to be held by EFP Alumni, an initiative that commenced in 2017 with the goal of connecting students and teachers in periodontology. There are currently 16 EFP-accredited postgraduate univer- sity programmes in periodontics today, with 446 EFP-certiﬁ ed graduates from over 50 countries. According to Dr Michèle Reners, chair of the EuroPerio9 organising committee, over 40 per cent of the conference’s attend- ees are under the age of 35.
PERIO-FRIENDLY AND EFFICIENT RESTORATIONS WITH CAMLOG. VISIT US AT THE EUROPERIO BOOTH 11.0 5 INTEGRATED PLATFORM SWITCHING FOR EXCELLENT CRESTAL BONE LEVEL MAINTENANCE TRANSGINGIVAL HEALING – WITH ONLY ONE ABUTMENT SHIFT DUAL SURFACE TEXTURE: OSSEOINTEGRATION AND SOFT TISSUE ADAPTION MACHINED IMPLANT COLLAR AND OPTIONAL PLATFORM SWITCHING INDIVIDUAL EMERGENCE PROFILE WITH CAD/CAM STRUCTURES
clinical Fixed complete prosthesis with no screws and no cement New restoration concept using LOCATOR F-Tx®. By Dr Karl-Ludwig Ackermann, Gerhard Neuendorff & Janez Fiderschek, Germany. The ﬁ fth German oral health study (Deutsche Mundgesundheitsstudie) showed that the population in many countries are ageing and the desire for better quality of life related to the preservation of teeth and their func- tionality, among other things is con- stantly increasing. Periodontal dis- ease is a major cause of tooth loss, as tooth loss results in a decreased abil- ity to maintain physiological mastica- new ﬁ xed treatment concepts. At- tempts have even been made to im- plement treatment without bone aug- mentation procedures (e.g. Dr Paulo Maló’s All-on-4 concept). Most resto- rations are cement- or screw-retained solutions. For the past year, an inno- vative attachment system has been available that combines the clinical comfort and structured laboratory techniques of a ﬁ xed complete pros- Case presentation The treatment plan consisted of a removable overdenture on four im- plants in the maxilla and a ﬁ xed pros- thesis on four implants for the eden- tulous mandible with the aid of the LOCATOR F-Tx attachment system (Figs. 1–3). This treatment procedure, managed by means of prefabricated system components, will be presented in the following section step by step. occlusal dimensions was completed. This required the positioning of teeth in the patient’s mouth in -order to meet the functional, phonetic and aesthetic demands of the patient (Figs. 6–8). Of course, the focus was also on the spatial orientation of the attachments (LOCATOR F-Tx abut- ments and denture attachment hous- ings), the prosthetic teeth and the prosthetic restorative material. plants to a working model using lab- oratory analogs. The use of digital impression techniques to transfer implant positions is also possible. A metal framework was milled to ﬁ t over the denture attachment hous- ings (Figs. 9 & 10). The selected abut- ment cuff heights matched the sulcus depth. This decision is preferably de- termined by the clinician intraorally (Figs. 11–14). It is recommended that 1 2 3 4 Figs. 1–3: Initial situation: an 83-year-old patient for whom the retention of the maxillary and mandibular prostheses was severely impaired resulting in successive tooth loss and the associated bone loss, making a conventional removable complete prosthesis virtually impossible. – Fig. 4: Implant placement with backward planning. tory function, as well as a decreased general quality of life. Edentulous people exhibit a lower self-esteem by being excluded from normal mastica- tory function. The following article describes the fabrication of a ﬁ xed superstructure for the edentulous mandible that uses an innovative at- tachment system. Dental implants as support for a removable dental prosthesis were introduced many years ago as a treat- ment option and as an alternative to a conventional complete denture. In the past ten years, considerable efforts have been made to develop thesis without the need for it to be ce- mented or screw-retained. The LOCATOR F-Tx system (Zest Dental Solutions, USA) makes it pos- sible to produce an aesthetic den- tal restoration. The prosthesis is at- tached to the implants by means of a snap-in attachment system. This new attachment gives the patient greater assurance of function and quality of life. It also allows the practitioner to remove the prosthesis and make cor- rections at any time. Furthermore, complex laboratory procedures, that require channels and screw reten- tion, are not required. Surgical measures The surgical procedure was per- formed after clinical and osseous di- agnostics and by using surgical tem- plates (Figs. 4 & 5). Both arches were planned with a minimum of four im- plants in a cross arch placement and symmetrical distribution which is advantageous in order to guarantee optimised support and load distri- bution. Prosthetic measures Initially, complete prosthetic plan- ning and laboratory procedures to re-establish the proper vertical and The LOCATOR F-Tx attachment system is delivered from the man- ufacturer in an all-in-one package. The spherical geometry interface be- tween the abutment and denture at- tachment housings allows the correct positioning of the housing in the proper angulation for the best pros- thetic outcome of the prosthesis. This spherical feature also makes it possi- ble to use the attachment system with implants with up to 20 degrees of divergence from a common ver- tical. An indirect technique was used to transfer the position of the im- the denture attachment housing be placed supra-gingival for maximum adhesion to the prosthesis. Also, the denture attachment housings with the processing balls must be seated on the abutments before the pick-up procedure of the metal framework. The framework should always be de- signed and milled in such a way that a small (max. 0.2 mm) cement gap exists between the framework and denture attachment housings. In order to ensure a passive ﬁ t- ting framework, ﬁ nal pick-up of all the denture attachment housings in the framework must be done chair- 5 8 6 9 7 10 Fig. 5: Post-op control radiograph. Fig. 6: Completed set-up and wax-up of the maxilla and mandible. – Fig. 7: Sufﬁ cient inter-arch distance between the opposing dentition and the retentive elements must be assured. – Fig. 8: The framework dimension is deﬁ ned by the available space between the anterior and posterior walls of the alveolar bone. – Fig. 9: Trapezoidal and symmetrical distribution of implant placement across the midline for a balanced load distribution. – Fig. 10: Preparation of the metal framework. 06 EuroPerio9 · 22 June 2018
clinical side, all at the same time, and before any further laboratory adjustment steps are performed. The denture at- tachment housings were aligned as parallel as possible within the aes- thetic contour of the prosthesis and block-out spacers were placed on the abutments below the denture attach- ment housings to block out all under- cuts. The framework was cemented on using a metal-to-metal cement (Figs. 15–17). The setting time of the cement is ten minutes. Final adjustments of the frame- work were performed (Fig. 18). In order to maximise aesthetics, the metal framework was coated with an opaque material (Fig. 19). In the meantime, a panoramic radio- graph was taken to conﬁ rm that the abutments were seated gap- free on the four implants in the mandible (Fig. 20). In the maxilla, 11 12 13 14 Figs. 11–14: Insertion of the abutments. for self-cleaning (Figs. 22 & 23). A symmetrical implant-placement dis- tribution in the mandible and maxilla guaranteed a stable centric relation and articulation with no aesthetic compromise. tive, as it is the only way to stabilise the ﬁ xed prosthesis (Figs. 27–29). Anatomically correct ﬁ nal pros- thetic designs of the prostheses must be done similar to screw-retained res- torations in the edentulous maxilla metal bar and loop tool allows easy removal of the prosthesis by leverag- ing off the retention balls. However, it also must be emphasised that the retention balls are single use only, so new unused retention balls must be symmetrical lateral distribution of implants and a limited posterior ex- tension/cantilever ensures the secure retention of the prosthesis and con- tributes to the optimisation of speech and the recovery of unrestricted mas- 15 19 16 20 17 21 18 22 Figs. 15 & 16: Placement of block-out spacers at the point of transition between the denture attachment housings and the abutments. – Fig. 17: Passive try-in of metal framework without pressure. – Fig. 18: Further adjustments of the framework were performed in the laboratory. Fig. 19: For maximum aesthetics, coating the metal framework with an opaque material is recommended. – Fig. 20: The panoramic radiograph demonstrated the abutments seated gap-free on the four implants in the mandible. – Figs. 21 & 22: Inter-maxillary adjusted occlusion and shaping. four telescopic abutments were screwed into the maxillary implants (Fig. 21). The teeth were attached to the metal framework using denture acrylic. In addition to the aesthetic re- quirement of the case, it is important to design the shape of the prosthesis’ intaglio surface to be functional, aes- thetic and offer better oral hygiene, which allows the patient easy access Integration After removal of the processing balls, the appropriate retention balls were screwed into the denture attach- ment housings (Fig. 23). It is always advisable to inspect the abutments for a secure ﬁ t at the end of all treatment steps (Figs. 24–26). Seating the pros- thesis should start in posterior, mov- ing anteriorly, one attachment at a time. This is necessary for the LOCATOR F-Tx attachment system to be effec- and mandible. This is most evident from the frontal view (Fig. 30). The edge of the mandibular prosthesis is given a scalloped shape to allow self-cleaning through salivary ﬂ ow, use of a water pick and accurate in- traoral cleaning. In addition, it should be men- tioned that the LOCATOR F-Tx pros- thesis can easily be removed by the clinician at any time. A user-friendly used when reseating the prosthesis. Conclusion The attachment system present ed here is a valuable addition to the prosthetic therapy options for ﬁ xed restorative procedures in the eden- tulous mandible and maxilla. The cost-beneﬁ t ratio is also favourable when compared to other options. The principle of a stable occlusion with ticatory function. If required, alterna- tive measures such as the fabrication of a removable prosthesis are quite possible. Dr Karl-Ludwig Ackermann Talstraße 23, 70794 Filderstadt, Germany Tel.: +49 711 7088166 email@example.com 23 27 24 25 26 28 29 30 Figs. 23–26: Tightening of the processing balls and inspection of abutments for a secure ﬁ t. – Figs. 27 & 28: A posterior/anterior seating of the superstructure is necessary for the LOCATOR F-Tx system to be effective. Fig. 29: Final control radiograph. Fig. 30: Final situation. EuroPerio9 · 22 June 2018 07
business NOBELACTIVE—FOUNDATION FOR AESTHETICS Scientiﬁcally designed from the ground up for long-term stability and tissue preservation—essential factors that contribute to the last- ing aes thetics that clinicians and patients demand—NobelActive by Nobel Biocare is backed by a decade of clinical scrutiny and proven per- formance, the Swiss company said. That is the basis for NobelActive’s success. According to Nobel Biocare, the development of NobelActive was a breakthrough in implant design, and it is now one of the most prominent solutions in the company’s extensive range of implants. The product has been proved by evidence based on 42 clinical studies that have evalu- ated over 14,300 NobelActive im- plants in over 2,600 patients. This current count only includes studies AD that examined a minimum of ten NobelActive implants followed up for more than one year. shown Studies have that NobelActive preserves the critical marginal bone and soft tissue over time for natural-looking aesthetics. Its back-tapered collar—together with a strong conical connection and built- in platform shifting—can aid crestal bone and soft-tissue preservation. In the aesthetic zone, the solution for narrow spaces, Nobel Active 3.0, allows clinicians to restore maxil- lary lateral incisors and mandibular lateral and central incisors imme- diately, with a high survival rate, good aesthetics and bone mainte- nance. Other peer-reviewed studies have found that NobelActive per- formed predictably and effectively in fresh extraction sockets in the maxillary aesthetic zone, and papil- lary size signiﬁcantly improved dur- ing the ﬁrst year and from implant insertion until three and ﬁve years thereafter. Given such applicability, Nobel- Active’s mean implant survival rate of 98.5 per cent—in studies with up to 5 years of follow-up—adds to the satisfaction of both patients and cli- nicians. The unique implant design en- sures primary stability, even in soft bone and fresh extraction sockets. Important research ﬁndings include low bone remodelling in the healing phase, followed by stable or increas- ing bone levels, as well as excellent hard- and soft-tissue outcomes and a 100 per cent survival rate after up to 6.7 years of function. Furthermore, NobelActive has been found to be a reliable implant for challenging cases, such as severely atrophic maxillae. The reverse-cutting ﬂutes with drilling blades on the apex enable the adjustment of the implant posi- tion during placement for an opti- mised restoration orientation, par- ticularly in extraction sites. Further- more, the internal conical connec- tion with hexagonal interlocking offers high mechanical strength. In terms of aesthetics, self-es- teem, speech, sense and function, NobelActive implants have proved satisfying to patients. They have given high marks regarding their use, from pretreatment to prosthetic delivery, all the way through three- year follow-up. Nobel Biocare, Switzerland www.nobelbiocare.com Booth 10.11
TRI® Solutions IMMEDIACY IMMEDIATE STABILITY. STRONG AS A ROCK. With the innovative TRI® BoneAdapt Technology, TRI® provides a smart and aggressive implant design that outperforms existing industry standards in terms of Primary Stability*. The benefit for clinicians and patients is a state-of-the-art treatment option at the day of surgery such as ALL-ON-TRI®, resulting in immediate satisfaction for a higher quality of life. Learn more about our TRI® Solutions on tri.swiss/solutions. IMMEDIACY ESTHETICS EDENTULOUS EFFICIENT & ECONOMIC LIMITED BONE&TISSUE CHOOSE YOUR SOLUTION *Based on in vitro bench testing in collaboration with University Center for Dental Medicine, Basel.
ﬂoor plan w e i v r e v O — 9 o i r e P o r u E 9 l l a H 10 EuroPerio9 · 22 June 2018
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Over a Decade of Dominance Often copied, never equaled – NobelActive celebrates 10+ years of clinical experience with an abundance of evidence. The advent of NobelActive represented a major break- through in implant design. Today, over a decade later, a wealth of evidence proves it to be a triumph of applied biotechnology. By Chris Kendall It is the leading, most prominent implant solution in Nobel Bio- care’s extensive and diverse range of implants. Its name: No- belActive. To date, 42 clinical studies have evaluated over 14,300 NobelActive implants involving over 2,600 pa- tients—and this count only includes studies that examined a minimum of ten NobelActive implants fol- lowed-up for more than one-year. Count on good primary stability The infographic on this spread highlights just a few of the many studies that have shown Nobel- Active can accomplish good prima- ry stability in demanding situa- tions. The reverse-cutting flutes with drilling blades on the apex enable the adjustment of the implant posi- tion during placement for an opti- mized restorative orientation, par- ticularly in extraction sites. Furthermore, internal conical connection with hexagonal inter- locking offers high mechanical strength. Given such applicability, NobelActive’s mean implant sur- vival rate of 98.5%—in studies with up to, and including, 5 years of fol- low-up—is all the more impressive. Count on excellent esthetics Studies show that NobelActive pre- serves the critical marginal bone and soft tissue over time for natu- ral-looking esthetics. Its back-ta- pered collar—together with a strong conical connection and built-in platform shifting—can aid crestal- bone and soft-tissue preservation. In the end, of course, it’s all about the final results; and in terms of esthetics, self-esteem, speech, sense and function, pa- tients treated with NobelActive implants have given high marks to its use from pre-treatment, to prosthetic delivery, all the way through three-year follow-up. < The One and Only NobelActive Imitation may be the sincerest form of flattery, but proof of performance only comes with a huge body of scientific evidence. PRIMARY STABILITY – RIGHT FROM THE START Launched over 10 years ago, this unique implant design enables good primary stability, even in soft bone and fresh extraction sockets – already shown in multiple publications in 2009. ( Irinakis et al., 2009(1); Irinakis et al., 2009(2); Kielbassa et al., 2009 ) 2008 2009 2010 EXCELLENT TREATMENT OUTCOMES USING ALL-ON-4 NobelActive is demonstrated to enable efficient and reliable full-arch restorations with the All- on-4® treatment concept. (Babbush et al., 2012) 2011 2012 2013 AN IMPLANT FOR EVERY NEED MARGINAL BONE RESPONSE NobelActive is proven to preserve the critical marginal bone and soft tissue over time for natural-looking esthetics. (Gultekin et al., 2013; Pozzi et al., 2014; Kolinski et al., 2014; Cosyn et al., 2016) 3.0 NP 3.5 RP 4.3 RP 5.0 WP 5.5 Patented back-tapered collar provides the space for additional marginal bone. FIND OUT MORE Discover even more about this groundbreaking solution: nobelbiocare.com/nobelactive
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PLANMECA CALM FOR PATIENT MOVEMENT CORRECTION IS “THE REAL DEAL” business consistent with one another,” Lilja ex- plained, “but when a patient moves, the data no longer adds up, which shows in the reconstruction. What Planmeca CALM does is it restores the consistency of the X-ray measure- ments by tracking the movement of the patient, resulting in a sharper ﬁ nal image.” Planmeca CALM works with all volume and voxel sizes and adds only under 30 seconds to the overall re- construction time. The feature can be applied after the scan is complete, but also before exposure to ensure that the volumes are already cor- rected when they are accessed in the Planmeca Romexis software. “In the past, dentists would send their unsatisfactory images to the which allowed me to focus on the core problem,” Lilja continued. The ﬁ nal product was presented at the 2017 International Dental Show in Cologne in Germany amid much excitement and industry an- ticipation, as Planmeca CALM offers many advantages for dental imaging. The feature is particularly beneﬁ cial when imaging restless or livelier pa- tients, such as children, individuals with special needs or elderly pa- tients. According to Lilja, however, the algorithm can add value to any image. “On the one end, we have, of course, the images where the patient has moved to such an extent that an image may be unusable without Planmeca CALM, but in my experi- Mikko Lilja The new Planmeca CALM algo- rithm for correcting patient move- ment in CBCT images is taking den- tistry by storm, according to the Finn- ish company. As the ﬁ rst end-user solution for movement artefact cor- rection from a dental manufacturer, the feature has already been praised by dental professionals out in the ﬁ eld. In an interview about Planmeca CALM, the company’s 3-D imaging specialist Mikko Lilja spoke about how the innovative algorithm came to be and why he believes every dentist can beneﬁ t from it. “It all happened very naturally,” said Lilja in describing the back- ground to developing Planmeca CALM, the trail-blazing iterative algorithm for correcting patient movement. “I had gained a good understanding of movement as an imaging problem in my doctoral research work. When it then turned out this was also a topic of interest for Planmeca, it all came together.” The name “CALM” stands for “Correction Algorithm for Latent Movement” and describes a projection geometry optimisation algorithm that can analyse and compensate for pa- tient movement in CBCT images. The outcome is an improved image that eliminates the need for retakes—sav- ing time and improving patient safety. Patient movement is among the most signiﬁ cant challenges to CBCT image quality. When a patient moves during imaging, it produces artefacts that af- fect the quality of the image. “In tomographic reconstruction, the assumption is that the measure- ments—in this case, the CBCT X-ray projection images—are geometrically manufacturer for reconstruction or just redo the entire scan, but with Planmeca CALM this is now a thing of the past. We are proud to be the ﬁ rst dental manufacturer to provide a solution for movement artefact cor- rection to the end user,” Lilja stated. According to Lilja, an end-user solution for patient movement cor- rection had been on Planmeca’s algo- rithm development road map for some time and was assigned to him upon joining the Planmeca 3-D imag- ing team. “I think the timing was perfect for everybody. With Planmeca’s ex- pertise in medical imaging and im- age reconstruction and my knowl- edge of movement correction, we just immediately put our heads to- gether and got to work,” he said. The development process was not without its challenges, and a great deal of effort went into creating a dedicated algorithm for Planmeca CBCT devices. “My previous experience was re- lated to industrial tomography imag- ing, where things like reconstruction times and the imaged target itself were very different. So, although our ﬁ rst prototype tests were encourag- ing, we had to go back to the drawing board time and again to produce a new algorithm for dental imaging. Thankfully, I had a lot of help from my extremely capable colleagues, ence, it always improves the quality of the image. Even in cases where you might not typically think there has been signiﬁ cant movement, Planmeca CALM can noticeably enhance the image and enable seeing more de- tails,” Lilja described. “Whatever the case, it is being able to correct movement artefacts ‘in-house’ rather than having to re- sort to retakes or sending the image for enhancement which is key here,” he went on. “When dentists are able to make the correction themselves, the end result is improved diagnos- tics, time saved, reduced costs, and less exposure to radiation.” Planmeca CALM has been praised by dentists since its release earlier this year. “The feedback we have received so far has been over- whelmingly positive—both from cus- tomers and from within the com- pany. It has been truly heart-warm- ing to hear that the hard work that went into it is also bearing fruit. I’ve even heard that the software has been tested by shaking a phantom head around in the X-ray unit, and that all tests have come to the conclu- sion that it’s ‘the real deal’. It’s a great feeling!” Lilja summed up. Planmeca Oy, Finland www.planmeca.com Booth 11.16A 16 EuroPerio9 · 22 June 2018
Implantology without Periodontology is like Yin without Yang. Visit us at Booth No. 11.15 No Implantology without Periodontology. Some things do belong together: Just as the Yin needs the Yang, Implantology needs Periodontology. Because, otherwise it would be incomplete. #niwop 22 Lecture of Dr. Ackermann at the Europerio: »NIWOP – No Implantology without Periodontology« 22nd June 2018 / 08:30 am / room G102 - 103 wh.com
NATURAL AESTHETICS WITH THE CERALOG IMPLANT SYSTEM business The demand for highly aesthetic, natural-looking restorations is con- tinually increasing. This trend fa- vours ceramic implant solutions with high levels of biocompatibility, particularly zirconia, known for its excellent soft-tissue compatibility. The CERALOG Implant System is established and has been in clini- cal use for more than seven years. CERALOG offers a high level of pre- dictability and pro- vides aesthetically pleasing results. The two-piece de- sign of the system that allows for screw-retained pros- thetics offers great beneﬁts. lean The CERALOG Implant System is easy to use, owing to the simpliﬁed prostheses, instrumentation, and clearly structured surgical pro- cedure. Options for the treatment workﬂow trans- or submucosal healing of the two- piece CERALOG Hexalobe implant and transmucosal healing of the CERALOG Monobloc implant. include ﬂexible The implants are made of yttria-stabilised tetragonal zirconia, which is a ceramic widely used in the dental industry and other highly demanding medical ﬁelds. The ivory colour of the material, which is very close to that of a natural tooth, and the properties of zirconia lead to The prostheses of the CERALOG Implant System con- sist of straight and angled abutments made of the high- performance poly- ether ketone ketone (PEKK). The abut- ment is attached to the implant via ei- ther a titanium or gold screw. PEKK is easily processed with conventional milling equipment and belongs to the polyaryl ether ketone family of high-performance polymers, which are required and used for extreme conditions, for example in automo- tive engineering, the aerospace in- dustry, and medical engineering— such as cranio-maxillofacial applica- tions or spinal applications. Because of their chemical structure, they offer great tensile strength, rigidity, and hydrolysis resistance. In addition to its long-standing use in orthopaedics, PEKK covers a broad spectrum of in- dications in dentistry, such as in res- torations where stress shielding has natural-looking results. Zirconia is a chemically inert, making it espe- cially suitable as an implant mate- rial. Due to its manufacturing pro- cess called hot isostatic pressing, it offers an outstanding combination of excellent mechanical properties and high strength. The CERALOG Hexalobe is the ideal implant-abutment connection. It was developed and optimized spe- ciﬁcally for the zirconium dioxide implant. The perfect force transmis- sion is introduced optimally into the implant. The design offers high rota- tional stability and precise manu- facturing ensures a long-term stable outcome of the restoration. to be reduced. The ductility of PEKK reduces the stress on the implant and simulates a tooth-like behaviour. CAMLOG Biotechnologies, Switzerland www.camlog.com Booth 11.05 AD NEW SURGICAL BLADES ON DISPLAY performance, especially in perio- dontal plastic and regenerative sur- gery. As another feature, they are compatible with the surgical blade handles commonly used in dental surgery. As a leading manufacturer of high-precision medical cutting tools, such as surgical blades and scalpels, ophthalmic knives, microsurgical blades for ﬁne incisions and mi- crotome blades used in pathology, Feather Safety Razor has been pro- viding medical professionals in Japan and around the world with great satisfaction since it was founded in 1932. During Euro Perio9, the com- pany is showcasing its gical blades for use in dentis- try. latest sur- The new Feather surgical blades, Nos. 370, 390 and 390C, which were named among the BEST Products in 2017 by the Gordon J. Christensen Clinicians Report, are small, shaped surgical blades that are suitable for microsurgery (ﬁne incision). With appropriate shapes and thick- nesses for ﬁne incisions, they are easy to control and, according to the company, provide superior In addition to the new blades, the company has other popular blades, such as the Nos. 12d and 15c, on display in Amsterdam. Visi- tors are invited to the Feather Safety Razor booth to view the high-quality products. Feather Safety Razor, Japan www.feather.co.jp Booth 11.25E
TRI DENTAL IMPLANTS PRESENTS NEW SOLUTION FOR IMMEDIATE LOADING tion with the University Centre for Dental Medicine in Basel in Switzer- land). The implant body has been designed to provide maximum bone ad- edentulous patients with limited bone, by using only four implants and the innovative TRI angled screw-retained abutment. The bene- ﬁ t for clinicians and patients is a modern treatment option on the day of surgery, resulting At EuroPerio9, Swiss company TRI Dental Implants is presenting its state-of-the-art TRI Immediacy solu- tion, which allows for immediate loading indications for the experi- enced clinician. With the innovative TRI Bone- Adapt Technology, TRI provides a smart implant design that outper- forms existing industry standards in terms of primary stability (based on in vitro bench testing in collabora- aptation across the dif- ferent bone regions along the implant. This allows for innovative treatment techniques in immediate loading. A prominent exam- ple for immediate load- ing indications is the proprietary All-on-TRI solution. According to the company, it pro- vides fast and reliable restoration fully for in immediate satisfaction for a higher quality of life. The All-on-TRI treatment protocol allows immedi- ate stability with a proven protocol in minimum bone volume, TRI said. The angled screw-retained abut- ment features the consistent and proven TRI Soft Tissue Concept. The new pink anodised Multi- Unit Ti-Base can be used as a long- term temporary post polymerised in the existing prosthesis to create a fully screw-retained immediate temporary restoration. To create the ﬁ nal restoration, the Multi-Unit Ti-Base can be customised in four predeﬁ ned lengths, both physi- cally by the technician and vir- tually in the respective CAD software. leading interface with According to TRI Dental Implants, All-on-TRI cases can easily be planned, placed and restored via the TRI+ Digital open technology partners in digital den- tistry. New partners are exoplan, Nemotec and Blue Sky Bio. In con- trast to numerous locked digital sys- tems, TRI helps create greater trans- parency and eliminate all barriers for its respective treatments. Linked with the lean and intelligent TRI Dental Implant System, simple to complex cases can be treated. In addition, during EuroPerio9, TRI is presenting a new version of its prosthetic kit, which contains all the instrumentation for the re- storing dentist to handle healing components and to place provisional and ﬁ nal restorations. The new pros- thetic kit features the same grommet- less technology as the TRI Surgical business Kit does, validated for automated cleaning in washing–disinfection machines. The workﬂ ow has been streamlined, and the improved ver- sions of the prosthetic drivers are now also included in the prosthetic kit. An additional ﬂ exible compart- ment allows for storing and sterili- sation of any components for the individual needs of the restoring dentist. TRI Dental Implants, Switzerland www.tri.swiss Booth 11.29B ACTEON INTEGRATES MAC ENVIRONMENT INTO NO IMPLANTOLOGY WITHOUT PERIODONTOLOGY X-MIND TRIUM CBCT Already internationally recog- nised for its CBCT unit, X-Mind trium, ACTEON has continued its technological progress by develop- ing new, advanced tools to commu- nicate, manage data and deliver the best care possible. Keeping up with the expectations of dentists, ACTEON now provides its native macOS soft- ware suite, thereby becoming a ma- jor player in the dental CBCT mar- ket with X-Mind trium. plementation of therapy based on the diagnosis is safer because it is quick, less traumatic and less stress- ful. Surgical effects are also mini- mised. Bone density and volume, which are important for success- ful osseointegration, can now be assessed. Clinical decision-making is easier, and treatment planning is more reliable. A ﬁ eld of view adapted to the region of interest also helps control the radiation dose. A precise and detailed analysis of the existing bone volume is highly recommended in order to re- duce complications associated with implant placement. For this reason, ACTEON Imaging Suite software allows dental professionals to dis- play the assessment of bone den- sity obtained using X-Mind trium all around the implant with just one click. Its 3-D imaging offers high precision of the anat- omy from a single scan and pro- vides full visualisation of the pa- tient’s jaw. All in all, ACTEON provides an essential tool for planning treat- ment and post-procedure follow-up. X-Mind trium answers directly the specialists and general practition- ers’ expectations and delivers a fast and reliable diagnosis. ACTEON, France www.acteongroup.com Booth 10.10 By com- bining high- quality spa- tial resolu- tion with a significant reduction in radiation dose, ACTEON has made the X-Mind trium one of the most powerful and comprehensive CBCT systems on the market. With X-Mind trium, the im- 20 EuroPerio9 · 22 June 2018 is presenting Some things do belong together: just as yin needs yang, implantology needs periodontology. At Euro Perio9, W&H its NIWOP campaign—No Implantology without Periodontology—which describes a systematic and evidence-based work- ﬂ ow for sound and healthy tissue around the implant. Millions of people around the world are affected by periodon- titis. This chronic disease sig- niﬁ cantly increases the incidence of biological complications in im- plant treatment, posing a risk of implant loss. Peri-implantitis and its preliminary stage of mucositis also occur in a substantial pro- portion of patients. The cause is frequently found in the patholog- ically altered bioﬁ lm (dysbiosis) with speciﬁ c microﬂ ora. Untreated periodontitis patients, therefore, have an increased risk of peri-implant inﬂ ammation, pro- gressing to implant loss. How- ever, even patients who were treated initially, but not included its in a recall programme exhibit an in- creased risk. Where necessary, peri- odontological pretreatment and ap- propriate follow-up care (including supportive periodontal therapy) are important for these patients in order to create the optimum conditions for successful implantation and reten- tion of the implant. According to W&H, it provides all the products necessary for treatment, as well as a holistic workﬂ ow that enables the best possible treatment of patients. The NIWOP workﬂ ow, which includes all steps from pre- treatment to follow-up care, and the associated W&H products, such as Implantmed, Piezomed, Tigon and the extensive range of tips, help to achieve lasting suc- cess of the implant treatment. Presentations on the com- plete workﬂ ow and the experi- ence of key opinion leaders in this regard are important for clinicians. For Euro Perio9, attend- ees are invited to join Dr Karl- Ludwig Ackermann on 22 June at 8:30 in Room G102 for a talk on the NIWOP workﬂ ow. W&H, Austria www.niwop.wh.com Booth 11.15
Visit us at booth #11.16A YOUR PATIENTS ARE NOT STATUES, AND THAT’S OK. Patient movement is the number one contributor to compromised image quality. Our new Planmeca CALM™ corrective algorithm will allow you to eliminate movement artefacts from CBCT images and succeed every time. Without Planmeca CALM™ With Planmeca CALM™ Now available for all Planmeca 3D imaging units! Find more info and your local dealer! www.planmeca.com Planmeca Oy Asentajankatu 6, 00880 Helsinki, Finland. Tel. +358 20 7795 500, fax +358 20 7795 555, firstname.lastname@example.org Movement artefact correction for CBCT images