AAOMS 103rd Annual Meeting · Nashville, Tenn. · Sept. 30–Oct. 2, 2021 Vol. 5, No. 1 It’s time for a celebration Company reaches milestone with 150,000 implants surigcally placed. Optimal access for difﬁcult intervention Handpiece for implant site preparation and implant insertion ideal for high-risk patients. Get educated in San Diego The 2022 AO Annual Meeting will return to a live, in-person event in February. »page 4 »page 10 »page 14 It’s showtime! By today Staff n Welcome to the 103rd AAOMS Annual Meeting, Scientific Sessions and Exhibition, being held in conjunc- tion with the Canadian Association of Oral and Maxillofacial Surgeons (CAOMS). For the next several days, you have the opportunity to explore the newest technology and learn from some of the world’s top clinicians. If you want to identify emerging issues and trends in oral and maxil- lofacial surgery and to be on the forefront of research and innovation, you’re in the right place. Fittingly, the theme of this year’s meeting is “Ensuring Our Future Through Wellness and Diversity.” And here in Nashville, you can find sup- port, guidance and leadership oppor- tunities by rubbing elbows with peers and mentors. 8see SHOWTIME, page 3 5 Attendees stroll through the exhibit hall of the 2019 AAOMS Annual Meeting, Scientific Sessions and Exhibition, held in Boston. This year, the AAOMS is back with an in-person meeting and a virtual option. (Photos/today Staff file photos) Womens Leadership Initiative is formed n A Womens Leadership Initiative has been launched to empower future female oral and maxillofacial surgeon leaders and increase the pool of OMS speakers. The new endeavor is supported by AAOMS and other organizations. Through an online platform, the initiative aims to connect academic speakers and OMS event planners. Those interested can add their infor- mation to a searchable, protected database to discover speaking and mentoring opportunities. ber of female OMS speakers, but the database and related programs are not limited by gender. Other benefits include developing mentorships and improving skills through a speaker training program. The independent, complimentary database aims to increase the num- Registration and more information are available at OMSWLI.com. (Sources: AAOMS and Womens Leadership Initiative)
4 exhibitors AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 X-Nav achieves a milestone with its navigation system By X-Nav Technologies Staff n More than 150,000 dental implants have been surgically placed using X-Guide® Dynamic 3D Navigation — a system designed to assist dental sur- geons in achieving more accurate and less invasive dental implant results than freehand surgery. The announcement was made recently by X-Nav Technologies, the company behind the system. X-Nav is a medical device company that devel- ops surgical products for the dental market that advance patient care while improving doctor productivity. According to the company, the X-Guide surgical implant navigation system has been eagerly accepted by the dental community. Its success can be attributed to remarkable ease-of- use and seamless integration into the fully digital surgical and prosthetic workflow, the company said. “We are proud of our customers for believing this is the best tech- nology for their practice and opting to offer the capabilities of X-Guide surgical navigation to their patients,” said Edward Marandola, president of X-Nav Technologies. “The signifi- cance of this growth shows that not only does X-Guide surgical navigation have a place in today’s dental implant practice, but that the technology is utilized regularly to improve patient care.” The X-Guide system is being used in more than 40 countries to offer patients a minimally invasive option for dental implant surgeries. It is designed to assist dental surgeons on a broad range of clinical implant pro- cedures, from a single tooth replace- ment to full-arch mouth reconstruc- tion. Dental implants can be navigated more precisely with the X-Guide sys- tem, which plays a key role in the functional outcome of the procedure, as well as facilitating more immedi- ate esthetic and restorative success, according to the company. The ben- efits of more accurate placement to both the surgeon and the patient are profound, the company said. The X-Guide Dynamic 3D Naviga- tion system allows the surgeon to digitally plan the ideal treatment and then provides turn-by-turn guidance of the handpiece to that target during live surgery — like GPS for the dental drill, the company said. 5 Dentists around the world embrace advanced surgical navigation technology to deliver more accurate and less invasive dental implants to patients. (Photos/Provided by X-Nav Technologies) “It is exciting to see the global dental community embrace X-Guide Dynamic 3D Navigation so enthusi- astically over the past few years,” Marandola said. “We look forward to continuing the momentum by driving innovative and useful advancements to the technology that will further enhance patient care and doctor pro- ductivity.” Here in Nashville information on X-Nav For more Technologies and clinical applications of dynamic navigation, stop by booth No. 456, visit www.X-NavTech.com or call (855) 475-9628.
6 exhibitors AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 The most versatile barrier membrane for oral/maxillofacial applications By Ashley Ali, director of education and training, Snoasis Medical n While placental tissues have been used in medical procedures for more than 100 years,1,2 Snoasis Medical established their use in dentoalveolar applications in 2007. Snoasis Medical’s placental tissue membrane, BioXclude®, is a versa- tile, deepithelialized amnion-chorion membrane that provides full bar- rier function with inherent bioactive growth factors and signaling mol- ecules to promote healing.3 tissues Placental-derived are immunoprivileged,4 alleviating con- cerns for rejection or adverse reac- tion. Additionally, amnion-chorion allograft membranes have been shown to have potent antimicrobial properties,5,6 making them ideally suited for surgical procedures in oral and maxillofacial environments. Together, these properties make BioXclude the superior barrier mem- brane option. Anthony Del Vecchio, DDS, a dip- lomate of the American Board of Oral and Maxillofacial Surgeons, has fully adopted BioXclude as the best and most versatile patient option for his private practices in New York. Three of Del Vecchio’s BioXclude cases are described. In Case 1, BioXclude is left exposed as a barrier in a typical atraumatic extraction with site preservation. BioXclude is only required to be tucked under the gingival margin, eliminating the need for flap eleva- tion. It may safely touch tooth and root surfaces, implant surfaces and exposed nerves, making trimming unnecessary. Accelerated post-oper- ative healing is observed at only four days, with decreased pain and swell- ing at the extraction site.7,8 In Case 2, BioXclude is used for an all-on-four procedure with zygo- matic implant placement via lateral window approach in a former smoker with a severely atrophic maxilla. The membrane adapts ideally over large lateral access window as an adhesion barrier and replacement for buccal fat advancement. In this case, the ability of BioXclude to adhere to surrounding structures without requiring addi- tional stabilization highlights the superior handling properties. In Case 3, BioXclude is used in the reconstruction of an atrophic mandi- ble in a former cancer patient. Mental nerve lateralization using BioXclude as a nerve wrap (a technique devel- 5 Three cases from Anthony Del Vecchio, DDS, featuring the use of BioXclude. (Photos/Provided by Anthony Del Vecchio, DDS) 5 BioXclude is a minimally manipulated dehydrated human deepithelialized amnion-chorion membrane that serves as a barrier, conduit, connector or cushion in a variety of dental, endodontic, oral maxillofacial and periodontal regenerative procedures. (Photo/ Provided by Snoasis Medical) oped in orthopedic and urologic pro- cedures)9,10 resulted in a successful reconstruction without additional ridge augmentation with all-on-four placement. Upon post-operative evaluation, the patient had minimal edema and no paresthesia symptoms were reported. These cases represent only the tip of the iceberg. Numerous studies have demonstrated the benefits of using amniotic tissue for neural regenera- tion,11 bisphosphonate-induced oste- onecrosis of the jaw,12 and a plethora of orthopedic and chronic wound indications.13 References 1. Davis JW 1910, Skin transplantation with a review of 550 cases at the Johns Hopkins Hospital. Johns Hopkins Med J15:307. 2. Stern W 1913 The grafting of preserved amniotic membrane to burned and ul- cerated skin surfaces substituting skin grafts. JAMA 13:973–974. 3. Wallace S, Cobb C. 2011, JIACD 3(6); 61- 72. 4. Insauti CL, et al. Amniotic membrane- derived stem cells: immunomodulatory properties and potential clinical applica- tion. Stem Cells and Cloning: Advances and Applications. 2014:7;53-63. 5. Ashraf H, Font K, Powell C, Schurr M. Antimicrobial Ac-tivity of an Amnion- Chorion Membrane to Oral Microbes. Int J Dent. 2019 Jul 11;2019:1269534. 6. Palanker N, Lee C, Tribble G, et al. Antimicrobial efficacy assessment of human derived amnion-chorion. Univer- sity of Texas at Houston Health Sciences Center Graduate Periodontics (Houston, TX). Poster presentation #27 at Ameri- can Academy of Periodontology Meeting Here in Nashville To learn more about BioXclude, stop by booth No. 544. You can also join Snoasis Medical on Thursday, for an AAOMS Eat, Drink and Be Industry-Educated Lunch and Learn session with Dr. Mi- chael Hartman. Snoasis Medical can be found online at www.snoasismedical. com and can be contacted directly at (866) 521-8247. 2018, Vancouver, BC. Manuscript in preparation. 7. Hassan, M, Prakasam, S, et al. Int J Oral & Maxillofac Im-plants. 2017;32:1389- 1398. University of Indiana, Department of Periodontics. 8. Velez I et al. J Perio 2010; 81:1797-1804. 9. Tao H, Fan H. Implantation of amniotic membrane to reduce postlaminectomy epidural adhesions. Eur Spine J 2009; 18: 1202-1212. 10. Patel V, Samavedi S, Bates A, et al. Dehy- drated human amniotic membrane al- lograft nerve wrap around the prostatic neurovascular bundle accelerates early return to continence and potency fol- lowing robot-assisted radical prostatec- tomy (RALP): Propensity score-matched analysis. Eur Urol 2015; 67(6): 977-980. 11. Karaman M, Tuncel A, et al. Amniotic membrane covering for facial nerve repair. Neural Regen Res. 2013 Apr 15;8(11):975-982. 12. Ragazzo M, Trojan D, Spagnol L, Paolin A, Guarda Nardini L. Use of amniotic membrane in the treatment of patients with BRONJ: two case reports. J Surg Case Rep. 2018 Apr 20;2018(4):rjy073. 13. Holtzclaw D, Tofe R. An updated primer on the utilization of amnion-chorion al- lografts in dental procedures. J Imp Adv Clin Dent 2017; 2(9):16-37.
8 exhibitors AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 Keep your chin up, neck straight and eyes forward with Inﬁnity VUE By Designs for Vision Staff n Designs for Vision has several new and innovative products, including Infinity VUE, Panoramic Field and REVEAL. Designed to provide a straightfor- ward approach to ergonomics, Infin- ity VUE loupes are available in 3.0x and 3.5x magnification. Infinity VUE (Vision Up Ergonomics) keeps your chin up, your neck straight and your eyes forward while viewing the mag- nified oral cavity. Designs for Vision invites you to try these loupes on to see (and feel) the difference in your posture. the most The new patented Panoramic Field Loupes (U.S. pat. 8928975B2) represent significant advancement in telescope design in more than 100 years, according to the company. The viewable areas are twice as large as prismatic expanded field designed loupes and up to five times greater than Galilean loupes. Panoramic Field loupes provide unprecedented field of view, clarity, Here in Nashville You can see the Visible Difference® yourself by visiting Designs for Vision at booth No. 520. To arrange a visit in your office, contact Designs for Vision at (800) 345-4009 or email@example.com. Designs for Vision is also intro- ducing patented intuitive response technology with the Micro IR HDi headlight (U.S. pat. 8,851,709 and RE46,463). The IR feature allows you to operate the headlight hands-free. Onboard biometrics sense the posi- tion of the headlight to turn the light on when you are working and turn the light off when you look up. Designs for Vision’s WireLess™ headlights free you from being teth- ered to a battery pack. The simple modular designs uncouple the head- lights from a specific frame or single pair of loupes. The compact design of the LED DayLite® WireLess head- lights are independent of any frame/ loupes. 5 Infinity VUE loupes, one of many innovations available from Designs for Vision, are designed to help improve posture. (Photo/Provided by Designs for Vision) definition and color, the company says. Designs for Vision has also its groundbreaking launched REVEAL™ (U.S. pat. 10215977B1), providing hands-free fluorescence (FET ™). enhanced theragnosis™ According to the company, REVEAL supplies the visual information to support decision making and facili- tate proper treatment options in cari- ology, oral hygiene, periodontology- implantology and restorative den- tistry. Practicing in the digital dentistry era By Dr. Howard Gluckman n Digital dentistry and the digital workflow have become a critical part of our practice. One of the main rea- sons for this is the ability for us to better serve our patients on many fronts. From diagnosis to commu- nicating treatment plans to fabrica- tion of materials needed for surgery and prosthetics, digital dentistry has become essential and indispensable. Digital dentistry begins with the end in mind. DSD forms a key part of our diagnostic abilities to ensure the patient-centric outcome. Digital photography is an essential function alongside another big part, which is the use of CBCT as well as intraoral scans. All of these provide us with the essential information and documen- tation required for our procedures. The information that we collect digi- tally then allows us to draw up treat- ment plans and then communicate them with the patient or with other practitioners or specialists. It also 5 Dr. Howard Gluckman uses the Navident System. (Photo/Provided by ClaroNav) allows asynchronous communication with other practitioners so we can share and treatment plan or seek advice from other experts in order to achieve the best results possible. As critical as all this initial docu- mentation and treatment planning is, it is even more critical that we are able to transfer all the planned treat- ment with precision and accuracy into the oral cavity. Static guided surgery is one way of transferring our plans; however, this treatment option does not allow us to modify this plan Here in Nashville To learn more about Navident by Claro- Nav, stop by booth No. 356, visit www. claronav.com or call (844) 628-4336. should we find the need for minor or even major changes once one we begin the treatment. Dynamic navigation or dynamic guided surgery like the Navident Sys- tem not only provides the accuracy needed, it also allows for real-time modification of a plan to best suit the patient’s needs. This technology is not only available for most modes of surgery but also for endodontics and endodontic surgery. This has been an absolute game changer for our practices and for our patients, and it has further enhanced our abilities to provide the most sophisticated treat- ment possible. It has dispensed with the need for laboratory-made guides and has put all the planning and execution in my own hands, thus allowing me to be in control of all aspects from design to execution. Being able to modify treatment on the fly is an incredibly powerful tool. In most static guides, one is forced to work with what is provided, and if it does not work for any reason, you are either forced to abandon the proce- dure and come back another day or go back to conventional brain-guided treatment. I prefer the ability to adapt my plan and keep using the technol- ogy that’s available to continue with my treatment, and all of my patients are hugely appreciative of that fact. Converting one’s practice to a digi- tal practice is not an easy task. It requires upskilling both you and your staff. It requires substantial investment in your practice. How- ever, the benefits far outweigh the negatives. What is most important is the excitement and sense of adven- ture that it creates for everyone in the practice. It has been a wonderful jour- ney, and I look forward to the future. It is incredible to be practicing in the digital age.
10 exhibitors AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 Unique W&H solution for the Zygoma application By W&H Staff n When it comes to high-risk patients, difficult compliance and extreme bone resorption, complex bone aug- mentations are often stretched to their limits. For upper jaw interven- tions, one possible alternative is the use of Zygoma implants. The new 20:1 Zygoma handpiece for implant site preparation and implant insertion was developed by W&H in cooperation with leading Zygoma specialists. The contra-angle handpiece chucking system makes this product the only one of its kind and offers users a high level of safety, according to W&H. Easy access to the treatment site Zygoma implants are inserted into the zygomatic bone at an angle. It is crucial that the implant is positioned exactly in line with the specified angle here. The new W&H SZ-75 handpiece makes interventions eas- ier in the area of the zygomatic bone, according to the company. The ergonomic angulation of the AD Here in Nashville To learn more about handpiece tech- nology for the Zygoma application, visit W&H at booth No. 640 or visit W&H online at www.wh.com/en_na. handpiece enables optimal access to the treatment site, thus allowing users to work for extended periods without fatigue, the company said. Ultra-safe use Conventional surgical handpieces do not offer adequate fixation for Zygoma burs. The new W&H SZ-75 is the world’s first 20:1 handpiece with contra-angle handpiece chucking sys- tem and was specially developed for the Zygoma application, according to W&H. Not only is it a genuine innova- tion on the market, but above all, it ensures ultra-safe use while provid- ing high concentricity accuracy, the company said. In addition, the handpiece can also be used with standard implant 5 The angle of the handpiece enables optimal access for difficult interventions in the area of the zygomatic bone. (Photo/Provided by W&H) burs and can be applied universally in surgery. Efﬁcient spray cooling The new W&H Zygoma handpiece removes for manual cooling by the dental assistant as the need the external spray channel ensures the treatment site is cooled, accoring to W&H. The spray is expelled close to the instrument’s area of activity and cools the operating site with the utmost efficiency, the company said.
12 exhibitors AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 The science behind Salvin’s new, 3-layer placental membrane By Salvin Dental Specialties Staff n The new AmnioExcite placen- tal membrane, available from Salvin Dental Specialties, includes both amnion and chorion layers plus a trophoblast layer. According to the company, the trophoblast layer con- tains more than 50 percent of the biologically relevant proteins in the placental membrane,1 and LifeNet Health’s patented and proprietary Matracell decellularization process serves to minimize immunogenic and inflammatory responses.7,8 The amnion membrane by itself is thin and contains only a small portion of the biological factors found in the full-thickness placental membrane, Salvin said. The chorionic membrane contains many of the same growth factors as the amnion membrane. However, the trophoblast layer holds a majority of the proteins and growth factors in the full-thickness placental membrane.1 AmnioExcite is approximately four times thicker than an amnion or chorion membrane for a more sub- stantial protective barrier.2 Amnio- Excite’s unique thickness may help prevent bacterial ingress and thus inflammation associated with infec- tion, the company said. Here in Nashville To learn more about AmnioExcite and other products, visit Salvin Dental Specialties at booth No. 130, go to www. salvin.com or contact the company directly at (800) 535-6566. process.6,7 Matracell is a patented and validated process that renders allograft tissue acellular without compromising the biomechanical or desired biochemical properties of the allograft bio-implant for its intended surgical application.8 Both Salvin Dental and LifeNet Health have an exemplary safety record. Since 1995, LifeNet Health has processed more than 7 million bio-implants with its Allowash tech- nology, without a single case of dis- ease transmission. AmnioExcite has a Sterility Assurance Level (SAL) of 10-6, which is the recommended SAL for medical devices or allografts that are implanted or come in contact with breeched skin. To learn more about AmnioExcite or to place an order, call Salvin Dental Specialties at (800) 535-6566. (A full list of references is available from the publisher.) 5 (Photo/Provided by Salvin Dental Specialties) AmnioExcite does not fold in upon itself when rehydrated, making it much easier to handle and less likely to migrate away from the surgical site during the healing process.3 other Unlike amnion/chorion membrane allografts, the layers in AmnioExcite are never separated during the entire process because separation can adversely impact retention of the native growth fac- tors.4 In most placental-based allografts, the trophoblast layer is removed. However, by removing this layer, a rich source of beneficial endog- enous biological factors and the thick structural matrix is also removed.1 Therefore, AmnioExcite retains more endogenous growth factors than sim- ilar placenta-derived allografts by being processed as an intact, whole placental membrane, according to Salvin. A few tissue processors do retain the trophoblast layer without remov- ing viable and non-viable cells, which may provoke an immune response because of the presence of antigens on the cell surface.5 The ideal solu- tion is to leave the thick, nutrient-rich extracellular matrix of the tropho- blast layer intact but remove the donor cells to minimize an immune or inflammatory response. LifeNet Health has solved this problem by processing AmnioExcite with its Matracell decellularization Dental school implements robot-assisted implant surgeries By NYU College of Dentistry Staff n New York University College of Dentistry (NYU Dentistry) has become one of the first U.S. dental schools to acquire, install and use surgical robotic devices for dental implant surgeries. According to NYU Dentistry, these devices will provide an opportunity for pre- and postdoctoral students to learn how state-of-the-art robotic technology, with its accuracy and precision during dental surgery, can augment and enhance clinical prac- tice and patient care. The robot-assisted surgical tech- nology, known as Yomi, was devel- oped by Miami-based Neocis. It is the first — and, to date, only — such device cleared by the U.S. Food and Drug Administration for dental implant surgery, according to NYU Dentistry. Here in Nashville To learn more about Yomi, the robot- assisted surgical device, stop by Neocis at booth No. 156, visit www.neocis.com or call the company directly at (855) 963-6247. The system uses software to pre- operatively plan dental implantation procedures and provides real-time visual and physical intraoperative guidance to achieve the plan. Yomi is intended for use in adult patients missing some or all teeth who qualify for dental implants. Using the Yomi system, the pro- vider performing the surgical proce- dure first creates a virtual plan for the placement of a dental implant using detailed 3-D scans of the patient’s mouth. The system then uses physical along the treatment plan, but the pro- vider controls the dental handpiece at all times. By design, the system complements, rather than overrides, a provider’s clinical expertise. “Robotic technology is truly a game-changer for dental surgery,” said Robert Glickman, associate dean for clinical affairs and hospital rela- tions and professor and chair of the Department of Oral and Maxillofa- cial Surgery at NYU Dentistry. “Suc- cessfully placing dental implants requires careful preoperative plan- ning and a high degree of accuracy and precision to avoid critical ana- tomical structures and provide the best outcome for the patient.” With the acquisition of Yomi, NYU Dentistry continues to introduce pio- neering new dental technologies into its predoctoral and postdoctoral edu- cation programs. 5 The Yomi. (Photo/Provided by Neocis) cues to guide the provider along the precise implementation of that plan — but is also able to adjust dynami- cally to accommodate mid-procedure changes. Yomi augments a provider’s “feel,” giving real-time feedback via haptic technology to guide a provider
14 future events AAOMS Annual Meeting, Sept. 30–Oct. 2, 2021 AO to hold live, in-person annual meeting in 2022 Event to take place in San Diego from Feb. 24 to 26 By Academy of Osseointegration Staff n The Academy of Osseointegration is proud to announce the return of its live, in-person annual meeting, to be held Feb. 24 to 26, 2022 (Thursday to Saturday), in San Diego. AO’s 37th Annual Meeting, “Implant Dentistry for All,” will honor the past, treasure the present and shape the future of implant dentistry. This dynamic, three-day event will offer academicians and clinicians the multidisciplinary experience attend- ees have come to expect, according to organizers of the event. The meeting will feature cutting- edge research presented through hands-on workshops, didactic pres- entations, commercial exhibits and social events to help facilitate net- working and continuous education, organizers said. In the exhibit hall, AO’s customary Welcome Reception will be held on Thursday, and the AD 5 The 2022 AO Annual Meeting will return live and in-person from Feb. 24 to 26 and will take place at the San Diego Convention Center. (Photo/Provided by AO) complimentary President’s Recep- tion will be held on the flight deck of the USS Midway on Friday evening. Located along the shores of the San Diego Bay, the San Diego Convention Center, site of the meeting, is steps away from the historic Gaslamp Quar- ter, which offers open-air restaurants, art galleries, boutique and premier shopping and endless entertainment options. Attendees can take a quiet walk along the water or meet up with old friends for a night on the town. AO asks you to save the date and watch in the coming weeks for the complete program, registration and housing information in the mail and at osseo.org. For more information To learn more about the Academy of Osseointegration’s in-person 2022 annual meeting, visit osseo.org or call (800) 656-7736.