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editorial + content leagues, you don’t need to prove anything. Do your job the best way you can and add your own perspective, your personal in- sight, your imagination, and way of thinking. The only person to compete with is yourself and only in to improve yourself and your skills. The only thing to balance is your inner self—to add one more task within the multiple ones a woman needs to fulfil, but this one here will be out of love and the most care for your patients. The importance, influence, and role of women in this world has increased and will be much stronger as the years go by. The world needs more kind, compassionate, humble, loyal, per- sistent, confident, fierce, bold, pure, and loving women. This applies to every field and of course to oral implantology and to be more specifically in ceramic implantology. An open mind and flexibility as well as inner strength are the prerequisites in order to follow the path of ceramic implantology. It is discipline and vision at the same time. A clear look at ceramics with knowledge and respect on the material’s nature together with the empathy and natural care of women can make a perfect combination on this field. Sincerest regards, Sofia Karapataki  CONTENT 30 Compromised patients, yet no peri-implantitis Interview with Dr Sofi a Karapataki 32 Z-SYSTEMS—a 17-year follow-up 34 “Ceramic implants—State of the Art” 36 EACim presents work and shares knowledge at DCIC— Dubai Ceramic Implant Congress Dr Philippe Duchatelard 40 European Society of Ceramic Implantology (ESCI) presents its satellite symposium 42 Long-awaited Digital Dentistry Show to premiere in Berlin in June 2024 issn 1868-3207 Sondernummer · Vol. 8 · Issue 1/2024 1/24 1/24 m o c . e b o d a international magazine of ceramic implant technology ceramic implant technology events “Ceramic implants— State of the Art” case report Two-piece ceramic implant interview “If this system performs well in these patients, it will perform in every patient!” Cover image courtesy of Zircon Medical Management AG | Patent™, www.mypatent.com 4 1/24 44 manufacturer news 48 news 50 events + imprint

case report Two-piece ceramic implant: Customised, fully digital solution for highly aesthetic results in the anterior region Dr Claudia Michl, M.Sc., Germany 01 Tooth 11 before extraction. 02 X-ray of tooth 11 before extraction. 04 Tooth extraction and cystectomy. 03 CBCT of pre-op cyst. 01 Introduction Implants made of high-performance zirconia have now also be- come an established solution for patients with special aesthetic requirements. Replacing a front tooth with an implant places very high professional demands on the dentist. It is therefore particularly important to carry out precise planning in advance of tooth extraction and implant placement to ensure an attrac- tive result. However, the use of ceramic implants not only offers aesthetic benefits, but also provides patients with a metal-free resto- ration. In particular, patients with proven titanium intolerance and an increased individual genetic predisposition to inflamma- tion have a sixfold increased risk of primary or secondary loss of the titanium implant.4 Furthermore, the risk of peri-implantitis is significantly reduced due to the high biocompatibility of zirco- nia. Various studies have demonstrated a high implant survival rate of over 94% after nine years,1 low BOP and stable gingival conditions around the implant even many years later. Clinical situation and treatment planning Initial situation The 38-year-old patient presented to my practice on 3/11/2020. His main complaint was discomfort in tooth 11. He had under- gone root canal treatment several years ago and had been ex- periencing discomfort for the past two years. This manifested as permanent latent bite pain in tooth 11 and sometimes also pres- sure on the neighbouring tooth 21. In addition, pus and blood sometimes appeared to be discharged from tooth 11. 02 03 04 Clinical examination Tooth 11 had been restored with a metal-ceramic crown. The gingiva around the crown showed clear signs of inflammation. The BOP index on tooth 11 was positive, there was no plaque. The crown margin on 11 was insufficient. Apical to the tooth there was a prominent fistula, from which secretions and pus were discharged under pressure. Tooth 11 was clearly sensitive 6 1/24

case report 05 05 Socket preserva- tion with Bio-Oss. 06 Implant in situ four months after bone augmenta- tion. 07 Sealing with a 3 mm high gingiva former. 08 Customised abutment. 06 07 08 to percussion. The adjacent teeth were insensitive to percussion and sensitive to cold stimuli. The periodontal screening index was 2 in all sextants and oral hygiene was considered good. The occlusion showed Class 1 interdigitation with many gaps in the maxillary and mandibular anteriors. The vertical dimension was low. The overbite was 4 mm, and the overjet was 1.5 mm. The canines showed clear signs of wear. The Ahlers & Jakstat CMD screening test gave no indication of the presence of arthrogenic or myogenic dysfunction. Radiological examination The single-tooth image showed an endodontically treated tooth 11 with a gutta-percha point inserted into the fistula. Bone whitening was visible around the gutta-percha point which, starting apically from tooth 11, clearly occupied the interradicu- lar space between 11 and 21. Based on these radiological find- ings, a CBCT scan with a FOV of 80 x 90 mm was performed. The CBCT showed a very extensive interradicular hypodensity in the region 11, 21 starting from tooth 11. The dimension of the interradicular area with low bone density measured from coronal to apical is 19.4 mm and from mesial to distal is 10.9 mm. The buccal bone lamella was extremely thin, and no bone could be detected buccally in the area of root 11. A small hyperdense ar- tefact, which can be interpreted as dispersed, overpressed root filling material, was prominent cranial to the whitening. Diagno- sis was inadequacy of crown 11 and radicular cyst originating from tooth 11 with buccal fistula. Procedure Based on the findings and in consultation with the patient, the following treatment steps were taken: 1. Removal of tooth 11 with simultaneous cystectomy, recon- struction of the bone defect and fabrication of a temporary restoration (Erkodent aesthetic splint). 2. Placement of a two-piece ceramic implant (Zeramex XT, CeramTec Schweiz) four months after augmentation. 3. Restoration of the implant with a crown. As the patient had several allergies, a lymphocyte transforma- tion test (LTT) and a basophil degranulation test (BDT) were car- ried out in advance to rule out type I or VI allergies to the bone replacement material Bio-Oss (Geistlich Biomaterials). Blood samples were taken at our practice and analysed by the IMD lab- oratory in Berlin. No type I or VI allergy to Bio-Oss was detected. From five days preoperatively to five days postoperatively, the patient was premedicated with amoxicillin-clavulanate 500 mg x 3 daily, prednisolone 60 mg as a single dose one hour prior to surgery. For postoperative pain prophylaxis and anti- inflammatory therapy, a procaine base infusion (4 ml 2% pro- caine, 100 ml 8.4% sodium bicarbonate and 100 ml physiological saline solution) was administered during surgery and Ibuprofen 600 mg for four days postoperatively, as well as Pantoprazole 20 mg once daily to support the gastric mucosa. Care was taken to ensure that the tooth removal and cystectomy were as atraumatic as possible and there were no complications. This resulted in a complete buccal fenestration, exposing a three-wall bone defect. This was reconstructed using Bio-Oss bone replacement material, which was biologised with autolo- gous bone in a ratio of 2:1 and PRF (platelet-rich fibrin). In addi- tion, metronidazole powder was added to the augmentation material for antimicrobial prophylaxis. After augmentation, an OSSIX Plus membrane (Regedent) and Plasmamatrix PRF, which 8 1/24

09 Implant crown after insertion. 10 X-ray image after insertion of the crown. case report 09 10 11 Region 11 after a one-year follow-up. 11 is rich in growth factors, were applied. To ensure tension-free primary wound closure, the periosteum of the buccal flap was stretched using the ST-UP Soft Brushing Kit from Joseph Choukroun. Histological examination of the removed cyst tissue confirmed the suspected diagnosis of a radicular cyst. After the wound had healed without complications, the sutures were removed 14 days after surgery. The further healing process was uneventful and the CBCT image taken four months after surgery showed a well- consolidated augmentation. Both buccal and crestal bone con- tinuity was almost completely restored. It was therefore possible to proceed with the placement of a two-piece ceramic implant made of alumina-toughened zirconia (ATZ; Zeramex XT, 10 mm RB, CeramTec Schweiz). Prior to implantation, the patient was premedicated according to the protocol of J. Choukroun. This is as follows: 1,000 mg azithromycin on the eve of surgery, 60 mg prednisolone one hour before surgery, and 600 mg Ibuprofen three times a day and 20 mg Pantoprazole once a day for pain relief and anti- inflammatory therapy up to four days after surgery. The implant bed was prepared according to the surgical drill- ing protocol. The pilot hole was drilled in a fully navigated fash- ion using a digitally designed and 3D-printed drilling template. The drilling template was designed based on a previous intra - oral scan (TRIOS 3, 3Shape) and a CBCT image (PaX-i3D Green, VATECH) by the Norbert Delly dental laboratory in Bad Aibling using 3Shape’s Implant Studio. The implant bed was drilled to a depth of 11.5 mm to accommodate a 10 mm implant. The im- plant biologised with PRF was placed at bone level with 30 Ncm. A primary wound closure was performed. Healing was uneventful. After a healing phase of four months, a slight crestal vertical bone loss of approx. 0.6 mm was observed. This corresponds to the expected bone remodelling effect.2 During exposure, the implant was sealed with a 3 mm high gingiva former. This was customised with flowable composite prior to placement to opti- mise the emergence profile. The implant impression was created using a 3D scan (TRIOS 3). For aesthetic reasons and to optimise the emergence profile, a restoration with a custom-made abut- ment was chosen and fixed to the implant with a VICARBO screw (carbon fibre-reinforced PEEK screw). The abutment was fabricated from TZP ceramic in shade A3. The all-ceramic crown (made of zirconia ceramic), fabricated by the Norbert Delly dental laboratory, vestibularly veneered with sili- cone disilicate ceramic using the cut-back technique, was placed semi-permanently with TempBond (Kerr). Clinical results The result after insertion of the ceramic crown shows an inflammation-free soft-tissue condition. At the one-year follow- up, there was no inflammation or problems with the implant or the prosthetic restoration. Discussion The Zeramex XT implant system is designed for a wide range of indications. The two-piece design offers the usual advantages of titanium implants, such as unencumbered healing, primary wound closure, single-stage augmentation procedures and maxi - mum flexibility in various surgical and prosthetic applications. The bolt-in-tube VICARBO screw connection (carbon fibre-reinforced PEEK screw) also provides a stable, secure abutment–implant 10 1/24

case report Robotic facilitation of ceramic implants in compromised alveolar ridges Demonstrating the benefit of haptic guidance in ridge-splits and lateral sinus lifts Clinicians are frequently presented with less-than-ideal bony or soft-tissue anatomy in patients desiring oral rehabilitation with dental implants. This presents challenges to implantologists who perform ridge or sinus augmentation techniques for their patients, or those who only do minor grafting at the time of placement and refer to colleagues or specialists. It can be harder for the placing surgeon to make the most of another practitioners’ surgical outcomes. This report highlights how comprehensive dental therapy, and the use of robotic assistance and haptic guidance can maximise the bone and soft-tissue present, even in challenging ceramic implant cases. Shepard DeLong DMD, USA 02 03 01 01 Pre-op photo. 02 Tooth #36 periodontal infection and bone loss. 03 Site #36 post-op radiograph. Case #1 A 79-year-old female patient with an unremarkable health his- tory presented to Lotus Dental Wellness in Portland, OR, USA desiring a complete oral rehabilitation. She had numerous failing teeth and advanced periodontal disease in her lower molars and throughout the maxilla. She underwent extraction of all hopeless teeth and LANAP to re-establish health on a reduced periodon- tium. Her upper jaw is currently planned for an All-on-X type prosthesis supported by six or more ceramic implants which will be placed with haptic guidance. The lower dentition became stable after the periodontal treatment. Tooth #36 was the only tooth that had remaining advanced disease and was planned for extraction. Sites #46 and #47 had previously been extracted and grafted with 50/50 cortico-cancellous allograft. When the pa- tient presented for placement at these sites each presented their own unique challenge. Advanced bone loss and infection had to be mitigated on pa- tient’s left, while a very thin alveolar ridge was present on the right. Z5–BL (Z-SYSTEMS) were chosen for their proven clinical history and the ability to place them at bone level, either buried or loaded with a healing abutment. Local anaesthesia was ad- ministered, and an anterior Yomi-link was placed so that the ro- botic device could assist bilaterally in the posterior mandible without hindrance. A CBCT scan was exposed on the Axeos (Dentsply Sirona) with the link and fiducial array, to allow for digital implant planning. Tooth #36 was extracted without 12 1/24

case report 10 Post lateral sinus lift radiograph. 11 Post lateral sinus lift CBCT slice. 12 Post-op radiograph #16. 10 11 12 Robotics have had a major impact on modern surgical proce- dures beginning with the use of the DaVinci robot, Intuitive Surgical, for general surgery.4 This is the first robot to have been used intra-orally for oral surgical procedures including cancer resection.5 The Yomi robot from Neocis is the first ro- botic device designed for oral surgery. The X-guide from X-NAV Technologies, and Navident from ClaroNav, are both classified as semi-robotic systems of dynamic navigation. The distinction lies in the “active” arm which provides physical as- sistance, haptic guidance, to the hand of the surgeon. These devices provide accuracy comparable to static guides and significantly better than freehand surgery.6,7 They also allow for the modification of surgical plans in real-time, improved ergonomics, and the separation, or connection between doctor and patient by an intelligent machine. Conclusion This case report showcases the advantages of robotically as- sisted guided implant surgery for the placement of ceramic dental implants in difficult surgical scenarios. Surgeons from all specialties benefit from the advancement of both material and technological means for performing procedures that lead to better patient health outcomes. Compromise, chal- lenge, and ideals, are all concepts that define healthcare pro- viders’ daily and life-long work. As evidenced by the con- cepts presented here, doctors and medical industry professionals will not leave well enough alone but will con- tinue the evolution of their methods to provide modern pa- tients the best health outcomes possible. 13 14 15 13 Post placement healed site. 14 Final restoration occlusal photo. 15 Final restoration buccal photo. 16 Final restoration radiograph. 16 14 1/24

case report Reconstruction of a maxillary lateral incisor Using an individualised narrow-diameter two-piece implant Reconstructing a lateral incisor in the maxilla poses particular challenges to the treating clinician. These include a lack of space and the high visibility of this area, necessitating the use of an implant system capable of deliver- ing reliable long-term function even with a narrow diameter while providing excellent aesthetics characterised by healthy and stable soft tissue. In this case report, the use of an individualised narrow-diameter two-piece implant is detailed that addressed these challenges effectively. Dr Sofia Karapataki, Greece 01 + 02 Initial situation. 03 Surgical guide in situ. 01 02 03 16 Initial situation The 40-year-old male patient presented with a congenital absence of tooth #12 (Figs. 1 & 2). He was a nonsmoker and presented with psoriasis and cataracts in both eyes. Additionally, his im- munoglobulin E levels were elevated for no pro- found reason. The patient had undergone six months of clear aligner treatment (Invisalign, Align Technology; performed by Athens ortho- dontist Dr Katerina Samantara) to widen the space sufficiently for implant placement. Implant planning Clinical and radiographic diagnostics were con- ducted to determine the interdental space and available bone quantity. Based on this informa- tion, the ideal implant dimensions were deter- mined to restore this case. A narrow-diameter two-piece implant of 3.5 mm in diameter and 1/24

case report 04 05 06 04 Inserted implant: radiographic view. 05 Inserted implant: clinical view. 06 Cemented and prepared glass fiber post. 07 After placement of the provisional crown. 07 11.0 mm in length (Patent™ Dental Implant System, Zircon Medical Management) was individually designed using software (ImplantDesigner, Zircon Medical Management). The implant was then fabricated at the production plant of the manufacturer. It was planned to be inserted utilising an open double-fixed sur- gical guide. Surgical procedure The surgical guide was placed in the mouth (Fig. 3), and a min- imal semilunar incision was made to expose the bone crest. Bone quality classification revealed D2 for region #12. The oste- otomy was then prepared according to the surgical protocol of the implant manufacturer for this specific bone class and under water cooling. The implant was then inserted with the scalloped finish line at the equigingival level and at a final torque of 15 Ncm (Fig. 4). Thereafter, the 3C connection was sealed with an A- silicone (Fig. 5). Thanks to the minimally invasive, flapless ap- proach employed, no sutures were needed to stabilise the tis- sue after implant insertion. No antibiotics were prescribed for the postoperative period; however, the patient was instructed to rinse with a hydrogen peroxide solution before implant place- ment and for a period of three weeks thereafter. Healing Healing progressed uneventfully. At the follow-up appointment after four months, the soft-tissue condition was deemed healthy and stable. No periodontal pockets were observed around the implant. Prosthetic restoration After four months, the glass fibre post, serving as the retentive element of the implant system used, was cemented into the im- plant platform using a dual-polymerising cement (RelyX Unicem, 3M ESPE). Thereafter, it was prepared using high-speed dia- mond burs under water cooling (Fig. 6). The prepared post was then isolated with Vaseline oil and a provisional PMMA crown was cemented over it using temporary cement (Fig. 7). This crown was purposefully designed to provide interdental spaces to facilitate orthodontic refinement by the treating orthodontist. This final orthodontic treatment lasted three months. After a to- 18 1/24

case report 08 + 09 After placement of the final crown. 10 Final radiograph. 08 09 10 “Only vital bone can facilitate swift and undelayed healing, which is the foundation for successful osseointegration and long-term hard and soft- tissue preservation.” tal of seven months, the patient received a multilayer zirconia crown as a definitive restoration (fabricated by Athens-based dental labo- ratory IPS Markoglou; Figs. 8–10). ent from the usual flat one to follow the scallop of the soft- tissue to support the aesthetic outcome of the smile. A chal- lenge lies in properly positioning this curved shape during surgery at the buccal and palatal surfaces. Discussion Implant insertion to a low to moderate torque (< 35 Ncm) is crucial to minimise compression of the surrounding bone, which would compromise its vitality and lead to remodelling. Only vital bone can facilitate swift and undelayed healing, which is the foundation for successful osseointegration and long-term hard and soft-tissue preservation. Considering that the bone was quite hard in the pres- ent case, using a low insertion torque was especially crucial to avoid risk of fracture during insertion. The implant used has a special cylindrical shape rather than the usual conical emergence profile of the standard implant shape to fit narrow spaces. Also, the platform has a scalloped design differ- Treatment planning with the prosthetic outcome in mind is crucial. The final crown position must always be determined before any kind of surgical procedure is carried out, as the crown position determines where the implant must be placed. Additionally, particular attention must be paid to the equigingival positioning of this implant, requiring that it be placed such that its platform is level with the free gin- gival margin. Placing the implant deeper would stimulate remodelling and subsequent bone loss. When placed cor- rectly, however, this implant has been demonstrated in long-term studies to maintain the health and stability of the hard and soft tissue over a long period and to resist peri- implantitis effectively.1, 2 20 1/24

case report Full-arch: Full rehabilitation of the upper jaw—Part 2 The complete rehabilitation of a compromised residual dentition represents a major challenge in terms of implantology as well as function and aesthetics. There is a great desire for fixed dentures with a satisfactory aesthetic and functional realisation. In addition, patients are increasingly interested in biocompatible dentures and surgical concepts that take biological criteria into account. Biological dentistry with metal-free implants and zirconium oxide dentures can meet this demand at a high level. In the first part of the article, the authors dealt with the diagnosis and its special features, the preparation of the patient and the surgical procedure for implant placement. In the second part, the dental technical procedure is now explained. Dr Dr Michael Rak, Norbert Wichnalek, Arbnor Saraci & Lukas Wichnalek, Germany 22 As a reminder: the 41-year-old patient wanted a biologically neutral and metal-free overall reha- bilitation of his compromised residual dentition in the upper jaw and caries treatment of his lower teeth. In the maxilla, there was a residual dentition in regions 15 and 17 as well as two root remnants in regions 13 and 15 in situ, on which a partial denture from 12 to 21 was located. All four remaining teeth had already undergone endodontic treatment and were no longer worth preserving. In the lower jaw, teeth 37, 36, 45 and 47 showed carious lesions. Tooth 46 was devitalised, decayed, and showed extensive api- cal whitening on radiographs. The remaining teeth in the man- dible were vital. Moderate chronic periodontitis was found in both the maxilla and mandible. 22 23 24 1/24

case report 25 26 27 28 Prosthetic rehabilitation of the patient The success of a restoration is highly dependent on careful plan- ning in advance. There is a lively exchange of information be- tween the dentist, patient, and dental technician. Everything re- volves around the following questions: what are the expectations? What is sensible and what is technically feasible? It is extremely important to involve the patient in the entire decision-making process—after all, it is the patient who will have to live with the finished work. Once all the important questions have been clar- ified, we realise the planned work as a dummy (prototype) and check everything again for “oral suitability”. “Occlusion cannot be understood by looking at the morphology of individual teeth, but rather from the living structure (cybernetics) of the entire organism.” Carl Hildebrand, the founder of VITA Zahnfabrik, in the 1930s. Procedure Our focus is always on the whole person. Therefore, their posture and, above all, their “comfortable bite position” play a central role for us. Particularly with such a compromised maxillary resid- ual dentition, it is important not to lose sight of the fact that the person may have become accustomed to an incorrect bite posi- tion over the years. We therefore check the posture and whether we need to intervene therapeutically in advance with the help of a splint treatment. We discuss the patient’s wishes and select the desired tooth mold together. Based on all this information, we create a dummy in our laboratory that corresponds to the final restoration in terms of shape and design. This dummy is made of acrylic with the aid of the scanned actual situation of the pa- tient with and without the inserted prosthesis and a conven- tional, fully adjustable articulator. A virtual wax-up was first gen- erated from this data, from which we also prepared the various surgical aids—an orientation drilling template and various trans- parent control foils—as shown in the first part of the article. Prac- tice shows us time and again that despite the immense technical, instrumental, and computer-assisted effort involved, there is al- ways a discrepancy between the appliance and the biomechan- ical system of hard and soft tissue. Despite precise mathemati- cally calculated joint paths and eccentric excursions of a virtual articulator, the measure of all things is still the patient’s mouth. An occlusal restoration is always a compromise. Occlusion is not something that can be measured. Occlusion is something indi- vidual. Even at the beginning of articulation research, dental technology greats such as Gysie, Hanau and Thielemann recog- nised that a “biological system” cannot be implemented on a mechanically, mathematically precise chewing simulator. Carl Hildebrand, the founder of VITA Zahnfabrik, said in the 1930s: “Occlusion cannot be understood by looking at the morphology of individual teeth, but rather from the living structure (cybernet- 24 1/24

case report nating between shortening, expanding, lengthening, and narrowing over a certain period of time, without the volume of the skull changing quantitatively. Not only can this rhythm of movement be pathologically altered, i.e. increased or de- creased, but individual cranial bones can also be jammed or displaced in such a way that their mobility and thus that of the entire system is restricted.10 Creation of final maxillary prosthesis After we received the documents from the practice, we re- alised the fabrication of the final restorations in zirconia. We have favoured monolithic restorations in our laboratory since 2005. We see this as the greatest possible benefit for the pa- tient. One of the main advantages of ceramic implants made of zirconia is their excellent biocompatibility. Compared to conventional titanium implants, zirconia offers several ad- vantages. Firstly, zirconia is considered hypoallergenic, mak- ing it an ideal choice for patients with metal sensitivities or allergies. Unlike titanium, zirconia does not trigger any ad- verse reactions in the body, ensuring a comfortable and stress-free dental implant experience. In addition, zirconia ceramic implants have remarkable resistance to corrosion and plaque build-up. This reduces the risk of peri-implantitis, which is characterised by inflammation and infection around dental implants. The non-porous surface of zirconia prevents the adhesion of harmful bacteria, which leads to healthier gums and increases the overall longevity of the implant.11 In order not to compromise the advantages of the inserted zir- conia implants, the entire team has decided to favour zirco- nia for the dental part as well. The entire prosthetic was divided into three segments and constructed as three bridges. In this way, we consider the cranial breathing described above so that we do not exert any pressure on the difficult masticatory and cranial bone system. Using the silicone impression, we produced a plas- ter model according to the usual procedure (Fig. 26). We scanned this and digitally created the desired constructions (Figs. 27 & 28). It is part of our philosophy that we always de- sign all basal surfaces that rest on the gingiva to be closed from the outset. We then sent the data collected in this way to our milling cutter and initially obtained the three bridges from the raw material (Fig. 29). After the first burning, the advantages of the zirconium oxide used (VITA YZ ST, VITA Zahnfabrik) that we were aiming for were already evident in the impressive aesthetics (Fig. 30). The shade characterisa- tion of the bridges was then carried out using the VITA AK- ZENT Plus shades. For even better aesthetics, additional shade individualisation was carried out with the VITA YZ EFFECT LIQUID infiltration shades. After the finalising wettability glaze firing, we polished all gingival areas to a high gloss as standard for the aesthetically visible areas (Figs. 31 & 32). In our opinion, this is the most gingiva-friendly version of dental work. The resulting advantage is described in bionics as the 33 34 35 36 26 1/24

case report 43a 43b 43c 44 45 Summary For us, the patient case shown is a good example of the impressive results that are possible when the dentist, dental technician, and patient work together perfectly and all the tools available to us are used at the right time. We see disinfection via plasma as a central point—whether in the dental part during implant placement or as the final step in the fabrication of prosthetics. The cleaner the materials used, the more biological and the lower the risk of contamination of the materials jeop- ardising the longevity of the entire implant prosthetics system. References 9 Wichnalek N. Mundgesundheit und Stress, GZM Netzwerkjournal, 2/2011, 16. Jg., S. 40–42. 10 https://dp-verlag.de/magazin/zahnmedizin/ 11 https://zeramexusa.com/zirconia-is-not-a- metal-dr-markus-blatz/ 12 https://de.wikipedia.org/wiki/Lotoseffekt 13 https://eadt.de/zirkonoxid-kronen-glasie- ren-oder-polieren-einfl uss-auf-stabili- taet-und-alterungsbestaendigkeit/ 14 Wichnalek N, Rak M. Biological dentistry, environmental dentistry and plasma—a combination for health, ceramic implants, 3/22, S. 6–13. Dr Dr Michael Rak Norbert Wichnalek Arbnor Saraci Lukas Wichnalek 28 1/24 Dr Dr Michael Rak Practice for biological dentistry environmental dentistry & ceramic implantology Wettersteinstraße 9 82347 Bernried on Lake Starnberg Germany +49 8158 2656 info@praxis-dr-rak.de www.praxis-dr-rak.de Dental technology Norbert Wichnalek Arbnor Saraci Lukas Wichnalek Hochfeldstraße 62 86159 Augsburg Germany +49 821 571212 info@wichnalek-dl.de www.wichnalek-dl.de

interview* o n t e y , s t n e i t a p d e s i m o r p m o C s i t i t n a p m l i - i r e p - a p a r a K a fi o S r D r e h c r a e s e r d n a t s i l i a c e p s t n a p m l i d e s a b - s n e h t A y b d e l s a w y d u t s e h T . h t l a e h d e s i m o r p m o c h t i w e s o h t n i n e v e e h t h t i w d e t a e r t s t n e i t a p d e w o l l o f y d u t s t n e d n e p e d n i w e n a , z a r G f o y t i s r e v n U i i l a c d e M e h t h t i w n o i t a r o b a l l o c n i d e t c u d n o C — s i t i t n a p m l i - i r e p f o s e s a c o n d n u o f d n a s r a e y 2 1 o t p u d n a e v fi f i o m u m n m a r o i f m e t s y S t n a p m l I l a t n e D ™ t n e t a P e c e p - o w i t s e s a c g n g n e i l l a h c n i s k r o w t a h t l n o i t u o s t n e m e c a p e r h t o o t l l e b a i l e r a r o f d e e n e h t t u o b a s k a t l e h s , i w e v r e t n i s i h t n i d n a , i k a t Congratulations on the publication of your long-term study on two-piece Patent™ Implants in the Inter- national Journal of Oral and Maxillofacial Implants, a renowned high-impact journal in implant dentistry. What surprised you the most about the results? Everyday dentistry can be very challenging. In my pri- vate dental clinic in Athens, I treat every patient who walks through my practice doors. These patients in need of tooth replacements often present with typical risk factors for dental implant treatment—either local ones such as periodontitis or general health conditions such as osteoporosis or diabetes. These patients are usually considered far from ideal dental implant candi- dates. Commonly, these patients are under medica- tion, have poor oral hygiene or are heavy smokers. Also, compliance—which is crucial for the longevity of implants—among these patients is often not as high as we would hope it to be. Furthermore, even in “ideal” patients, we as practi- tioners cannot guarantee that their state of health will remain the same in the future. For instance, I have had patients who developed cancer and underwent in- tense medical treatments. These patients had dental implants and the challenge was to follow them up ap- propriately. My long-term study included exactly these sorts of patients that I treat daily in my practice. What surprised me the most was that, even in these chal- lenging cases, the two-piece Patent™ Implants inves- tigated yielded remarkable results. The most remark- able was that, even after 12 years, no instances of peri-implantitis and a very low number of cases of peri-implant mucositis were found. . m r e t g n o l e h t r e v o l l e w m r o f r e p o t s e u n i t n o c d n a — o o t . m a e t l a i r o t i d e e h t f i i o n o n p o e h t t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i s t n a p m l I ™ t n e t a P n o y d u t s m r e t - g n o l w e n r e h n o i k a t a p a r a K a fi o S r D h t i w w e i v r e t n I Why did you choose Patent™ as your implant system? I was determined to find a tooth replacement solution that works in the challenging cases I mentioned. It was difficult to find a system supported by extensive n i s e c l i t r a e h T * 30 1/24

industry* Z-SYSTEMS—a 17-year follow-up Z-SYSTEMS K ian Dilmaghani, MSc Impl., established his dental practice, namely Schifflände GmbH, in 2005 in Basel, Switzerland and was one of the first users of the zirconia implant developed by Z-SYSTEMS. He has exten sive training in treating functional dis orders of the masticatory apparatus and the musculoskeletal system. The focus of his pro- fessional expertise is the holistic approach to dental care, a pivotal factor in his preference for zirconia. Meanwhile, zirconia has solidified its position as a widely accepted and trusted choice in implant dentistry. We aim to illustrate the outstanding long-term per- formance of Z-SYSTEMS’ zirconia implant through two clinical cases. In both instances, a one-piece zir- conia implant was utilised for a single- tooth resto- ration in the mandibular posterior region 17 years ago. Following surgical insertion of the implant and adaptation of the wound margin with single sutures, the exposed implant abutment was shortened by wearing off the outer hexagon. To protect the im- plant and its transgingival portion during the healing phase, an impression of the situation was taken in the same session to fabricate a protective tempo- rary restoration. The pro tec tive temporary resto- ration, made of non-precious metal, was designed in the form of a double brace. It was manufactured in the dental laboratory within 24 hours and bonded to the adja cent teeth of the interdental gap on the subsequent day. The temporary restoration was de- signed with a depression in the area of the implant abutment to prevent external forces from acting on the implant during the healing process. Further aspects that need to be considered, par ti- cu larly in the mandible, are the biomechanical phe- nomena that occur in a unilateral loading situation due to the protection of the surgical site. Implant bed preparation primarily weakens the mandibular segment in the region of the interdental gap and subjects it to a greater torsional potential. This in- creased torsional potential in the affected area could be detrimental to the osseointegration process of the implant, representing a risk factor. By securely bonding the protective temporary restoration to the neighbouring teeth, it effectively splints and immo- bilises the mandibular segment that was weakened by the implant placement, thereby counteracting the torsional forces. The two cases of single-tooth restoration using one-piece zirconia implants are presented in the following: Case 1 01 02 03 04 05 06 07 08 . m a e t l a i r o t i d e e h t f i i o n o n p o e h t t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i 09 n i s e c l i t r a e h T * 32 1/24

events “Ceramic implants— State of the Art” Annual congresses of ISMI successfully being held in Hamburg ISMI website After the great success of the last year’s concept, this year the International Society of Metal- Free Implantology (ISMI) once again joint forces with the German Society for Cosmetic Dentistry (DGKZ). On 3 and 4 May 2024 both societies invited to meet at EMPIRE RIVERSIDE Hotel in Hamburg, Germany. With a diverse and top-class programme, the organisers were once again able to inspire numerous parti cipants about the topics of ceramic implants and aesthetic concepts. Under the scientific direction of Dr Karl Ulrich Volz, Kreuz lingen, Swit- zerland and Dr Dominik Nischwitz, Tübingen, Germany for the ISMI and Prof. Dr Martin Jörgens, Düs- seldorf, Germany at the DGKZ, both congresses offered participants an extre mely complex, var- ied, and top-class programme that offered plenty opportunities for an inter disci plinary exchange. On Friday, the joint podium was moderated by all three scientific leaders—Volz, Nischwitz and Jörgens. The participants had the opportunity to follow exciting lectures and to actively par- ticipate in the discussions. Afterwards ISMI and DGKZ highlighted their core topics in individual lecture blocks until the after noon. 34 1/24

events EACim presents work and shares knowledge at DCIC— Dubai Ceramic Implant Congress A delegation of the EACim went to the “DCIC 2.0” conference organised by the IAOCI, chaired by Dr Sammy Noumbissi from the USA, at Sheraton Dubai Creek Hotel & Towers on 25 April 2024. The EACim was repre- sented by Prof. Andrea Enrique Borgonovo (Italy), Dr Olivier Henry-Savajol (France), Dr Philippe Duchatelard (France), and President of EACim, Dr Giancarlo Bianca (France). Dr Philippe Duchatelard In his opening speech, Dr Noumbissi gave a wonderful travel through the years of IAOCI, which was founded in 2010. He spoke about the past conferences, the IAOCI research groups, the +100 publications throughout the years, and about the im- pact of the pandemic which resulted in cancelling the congress planned in New Orleans in March 2020 but also about the initiation of the first virtual IAOCI congress in December of 2020. He men- tioned the partnerships with the ACS (American Ceramic Society) for its 11th World Congress in May 2022 in Washington, DC, his city of heart and work, together with our EACim Academy, and the brand new Japanese academy JAOCI (Japan Association Of Ce- ramic Implants) represented by Dr Masanobu Saito (Japan). The choice of “2.0” in the title of these conference days in Dubai indicates the significant evolution of ceramic implantology in 2024 with the increase of the available products by a larger number of manufacturers, and the development of implant designs which join the titanium implants, “Tissue Level”, “Bone Level” while preserv- ing the one-piece. Dr Saurabh Gupta (India) who is a reference in ceramic implantology and digital flow, directly addressed the clinical issue with the title of his lecture: “Are Ceramic Implants the revolutionary solution to the ongoing challenges in Implant Dentistry?” After discussing on peri-implantitis and the role of metal particles, he documented the very favourable response of the soft tissues in contact with zirconia; he showed the evolution of ceramic implant surfaces, especially the roughness, at the nanometric scale, one of the key factors for suc- cess in his opinion. He will be part of our speakers on this topic at our congress in Madrid. Dr Vladimir Kokovic (UAE) spoke about: “Two-piece ceramic dental implants in daily practice: 10 years experience”; he related his ex- 01 01 Dr Saurabh Gupta, Dr Giancarlo Bianca, Dr Philippe Duchatelard (from left). perience with Straumann’s ceramic implant Pure Tissue Level compared to the titanium homologue. He exposed his beau- tiful study published on the continuous increase of primary stability assessed using ISQ for this implant. “A new genera- tion of ceramic one-piece implants based on long-term evi- dence” was the topic of the lecture of Prof. Borgonovo. He showed the design evolution of one-piece implants in the range of products of his use (bredent medical) with a clinical experience of more than ten years, and the opportunity of having reliable two-part options for the molars. He concluded that this choice was realistic, not just imaginative! Dr Henry- Savajol joined his partner and friend of the Loma Linda Uni- versity (California), Sammy Noumbissi. After recalling this 36 1/24

events 10 Dr Adina Landschoof. 11 Dr Regeane Kaniak. 10 11 12 period, and actually in charge of the EACim’s international relation- ships, he presented our academy to the attending participants. His topic, “Full-arch immediate loading on ceramic implants”, showed the use of bone-level (Z-SYSTEMS) ceramic implants for a full-arch rehabilitation using fixed ceramic prostheses on eight implants in the maxilla, with three years of follow-up, and after sharing his ex- perience with titanium implants for this type of prosthesis. The next session was moderated by Dr David Roze (UAE), and opened the stage to two strong ladies in ceramic implantology. At first, Dr Adina Landschoof (Germany) exposed her everyday prac- tice using zirconia implants, and showed the quality of the contact- ing soft tissues during her lecture: “The beauty of soft tissue around white implants”. The calligraphic style of her titles, the quality of the iconography revealed her keen sense of aesthetics, and a feminin approach to the topic. Dr Regeane Kaniak (Brazil) was holding her lecture basing on a highly sensitive issue on osteoimmunolgy (Ar- ron and Choi): “Osteoimmunology and bone metabolism are im- portant factors to avoid osseointegration failures”. She managed to captivate the audience with her enthusiasm, and shared her vast knowledge on those current topics: the oxidative stress and osteo- necrosing cavitations, BMDJ (bone marrow defects in the jawbone), FDOJ (fatty degenerative osteonecrosis in the jawbone) with RANTES (regulated on activation, normal T cell expressed and se- creted), and other cytokines CCL5 (chemokine with chemotaxis ef- fect and immune activation). She concluded that titanium particles 13 12 The congress attendees. 13 Dr Vladimir Kokovic (left) and Dr David Roze. 38 1/24

events* European Society of Ceramic Implantology (ESCI) presents its satellite symposium “Ceramic Implantology” at the 6th Implant Congress of the Implant Foundation Switzerland Dr Jens Tartsch F rom 19 to 21 September 2024, the 6th Swiss Implant Congress of the Implant Foundation Switzerland will take place at Kursaal Bern, Switzer- land, on the topic of implant health. With 600 to 800 participants ex- pected, this is the largest implant congress in Switzerland. It is organised and held jointly with the four Swiss universities in Switzerland and the societies of SGI, SSOS, SSP and SSRD. The congress takes place every three years and includes a practice-oriented programme with many applications for everyday life as well as an industry exhibition. The European Society of Ceramic Implantology—ESCI is delighted to have been invited to present its satellite symposium “Ceramic Implants” in the afternoon of Thursday, 19 September 2024. Ceramic implantology is thus taking another impor- tant step towards general recognition as an important component of dental implan- tology. The ESCI symposium will provide an extended platform to present the latest developments and groundbreaking research results in the field of ceramic implan- tology. Par tici pants will also be able to familiarise themselves with the various im- plant systems through clinical case presentations. The symposium brings together leading experts in ceramic implantology to provide insights into the current trends, challenges, and opportunities in this emerging field. About ESCI: The European Society of Ceramic Implantology—ESCI is a leading inter- national professional society dedi- cated to promoting research, educa- tion, and innovation in the field of ceramic im plan tolo gy. Through colla- bora tion with experts from various disciplines, ESCI strives to improve patient care and further raise stan- dards in ceramic implantology. Symposium Part 1 In the first part of the symposium, evidence-based backgrounds, and the latest study results of ceramic implantology will be presented in detail in exciting scientific presentations. The focus will be on the scientific underpinning of clinical applications in practice. Prof. Ronald Jung Dr Jens Tartsch Welcome, Opening Symposium Dr Jens Tartsch Ceramic implants—just a trend? Dr Stefan Röhling Ceramic implants—a reliable alternative in everyday practice? Prof. Ralf Kohal Ceramic implants—stable enough for clinical use? Dr Frank Maier, M.Sc. Hard and soft-tissue management around ceramic implants Prof. Andrè Chen Digital Workflow with ceramic dental implants (en) S E R U T C E L C F I I T N E C S I 40 1/24 . . m m a a e e t t l l a a i i r r o o t t i i d d e e e e h h t t f f i i i i o o n n o o n n p p o o e e h h t t t t c c e e l l f f e e r r t t o o n n o o d d d d n n a a s s r r o o t t u u b b i i r r t t s s i i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i n i s e c l i t r a e h T *

events* 01 Long-awaited Digital Dentistry Show to premiere in Berlin in June 2024 Now is an exciting time for dentistry. Technologi- cal innovations lie at the heart of the profession and are significantly advancing personalised dental care. To provide a platform to celebrate digital innovations in the field and educate the dental team, DDS.Berlin has collaborated with the Digital Den- tistry Society, and they are bringing a highly immersive experi- ence to the capital of Germany—the Digital Dentistry Show. Scheduled for 28 and 29 June 2024 at the Arena Berlin, the event promises to deliver engaging educational and social op- portunities with a special focus on digital products and the dig- ital workflow in dentistry. Through live product presentations, workshops, discussion ses- sions and an exhibition, the 2024 Digital Dentistry Show seeks to provide attendees with first-hand knowledge of digital dental products and services and to offer space for personalised ad - vice and face-to-face interactions with industry leaders. With the focus on robust research evidence, the scientific programme will feature presentations by prominent opinion leaders, including Drs Henriette Lerner, Alessandro Cucchi, Raquel Zita Gomes, Paul Schuh and Marcus Engelschalk, and cover a wide range of topics, such as artificial intelligence, the digital workflow in max- illofacial surgery and full-arch rehabilitation, and digital bone surgery. Attendees will have the opportunity to earn up to 16 continuing education credits. Besides a strong educational aspect, the 2024 Digital Dentistry Show will serve as a social hub for dental experts, professional 02 Located in Berlin’s Alt-Treptow inner- city district, the 6,500 m2 Arena Halle offers high-quality professional infrastructure. 02 organisations, manufacturers and publishers who are looking to form or expand their network of like-minded, future-oriented individuals. To be hosted at one of Berlin’s industrial pearls, the unique event location offers a rich history and a distinctive modern feel. The adjacent Esco- bar and the Badeschiff spaces will enhance the relaxed and jovial atmosphere, underlining the informal and en- gaging nature of the show. The 2024 Digital Dentistry Show is expected to attract over 2,000 eminent dental professionals from around the world. You are invited to be one of them! i e h t y b d e d v o r p e r a y r o g e t a c s i h t n i s e c l i t r a e h T * t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m 42 1/24 . m a e t l a i r o t i d e e h t f i i o n o n p o e h t

manufacturer news* CleanImplant Foundation: Celebrating extended and new “TRUSTED QUALITY” awards for oral implants from dedicated implant manufacturers. More and more implant manufacturers recognise the value that the CleanImplant award brings to practitioners and their patients. The plethora of implants available from an increasing number of companies brings into question whether a universal standard of quality in production and packaging exists for surface cleanliness. This presents as a conundrum for dentists worldwide regarding their choice of fixture to provide optimal patient care. The increased in- cidence of peri-implantitis warrants a revisiting of critical thinking as to its source. The presence of surface contaminants is recognised as a contributing factor of the sequelae of biological complications that can occur. Receipt of the Trusted Quality seal awarded by the CleanImplant Foundation after rigorous peer- reviewed analysis and testing reflects a manufacturers’ commitment to ensuring surface cleanliness, a possible X factor in failed osseointegration. The Trusted Quality seal remains in place for a two-year cycle after which 44 1/24 . m a e t l a i r o t i d e e h t f i i o n o n p o e h t t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i n i s e c l i t r a e h T *

manufacturer news* New design and layout of ceramic implants magazine—a new standard for dental publications The latest edition of ceramic implants features a fresh, innovative design that sets new standards for dental publications. This rede- sign is more than just a visual update; it includes functional improve- ments that enhance the reader’s experience. A standout feature is the dynamic use of different photo sizes in case displays. This approach creates an engaging and visually appealing presentation of clinical cases, highlighting details with clarity and impact. Large, high-resolution images draw the reader’s eye, while smaller, supporting photos provide additional context, making the content both informative and captivating. The new cover design offers unprecedented fl exibility, allowing for personalised and thematic covers for each issue. The cover’s soft and smooth texture, achieved through special paper and fi nishing techniques, provides a tactile experience that is as pleasing to touch as it is to see. This attention to material choice enhances the maga- as it is to see. This attention to material choice enhances the maga- zine’s premium feel, refl ecting the sophistication and quality of zine’s premium feel, refl ecting the sophistication and quality of ceramic implants. The magazine’s new layout aligns with the The magazine’s new layout aligns with the overall refreshed look of OEMUS overall refreshed look of OEMUS MEDIA AG publications, MEDIA AG publications, reinforcing the brand’s com- reinforcing the brand’s mitment to high standards mitment to high standards in both content and presen- in both content and presen- tation. The redesigned ce- tation. The redesigned ramic implants is a testament ramic implants to OEMUS MEDIA AG’s dedi- to OEMUS MEDIA AG’s dedi- cation to innovation, ensuring cation to innovation, ensuring that readers receive the most that readers receive the most relevant, up-to-date informa- relevant, up-to-date informa- tion in a format that is both tion in a format that is both engaging and educational. This engaging and educational. This new design marks a signifi cant new design marks a signifi cant step forward, promising a richer step forward, promising a richer reading experience for dental reading experience for dental professionals worldwide. © SdecoretMockup – stock.adobe.com The only two-piece zirconia implant with long-term studies Minimum risk of fracture and predictable osseointe- gration—the Patent™ Dental Implant System has solved the challenges of conventional zirconia im- plants. Only its patented production process creates the surface roughness needed for fast and predictable osseointegration. In the last step of this revolutionary manufacturing method, process-induced microcracks are eliminated, maximising the Patent™ implant’s overall strength and hardness. That the Patent™ ap- proach works is substantiated by scientifi c research: In a preclinical study, Patent™ implants achieved bone– implant contact (BIC) of over 70% after just four weeks of healing, outperforming all other dental implants investigated in similar studies. An independent long- term study over nine years found no implant fractures for any of the two-piece Patent™ implants investigated, as well as healthy and aesthetic soft tissue, stable mar- ginal bone levels and no peri-implantitis. Patent™ proves that long-term implant success is a reality. Learn more at www.mypatent.com. Zircon Medical Management AG Switzerland +41 44 5528454 www.mypatent.com 46 1/24 . m a e t l a i r o t i d e e h t f i i o n o n p o e h t t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i n i s e c l i t r a e h T *

news* Guideline on Ceramic Implants: The German Association of Oral Implantology presents internationally the first guideline on this topic “One-piece ceramic dental implants based on zirconium dioxide, whose success and survival rates have been positively evaluated in scientific studies, are a valid and mature therapy method and can be recommended as an alternative therapy option.” This is recommendation number one from experts from 18 scientific societies and organisations under the leadership of the German Association of Oral Implantology (Deutsche Gesellschaft für Implantologie—DGI e.V.), who have developed the world’s first guideline on ceramic implants. Titanium implants as dental prostheses have been scientifically recognised in Germany since 1982 and have become an established option for pa- tients following tooth loss. Extensive prospective long-term studies and experience have made them the gold standard in oral implantology. Nevertheless, many patients desire alternative treatment concepts with ce- ramic implants. Today, zirconia is the standard material for these implants. Important: The manufacturer’s competence. Unlike titanium im- plants, the essential properties of ceramic implants depend on the individual production processes of the manufacturers and the type and number of chemical additives used. Zirconium di- oxide stabilised with the chemical element yttrium is now the most commonly used variant due to its special mechanical properties. The latest generation of ceramic implants also con- tains small amounts of aluminium oxide to increase flexural strength. However, the manufacturing process is equally im- portant. “The manufacturer’s expertise plays a significant role in ceramic implants,” emphasise the experts. The problem: lack of long-term data. The biggest issue when experts want to assess the quality and stability of ceramic im- plants is the lack of long-term data from studies. Advanced pro- duction methods, successor models with altered material com- positions, and the discontinuation of implant types used in studies delay the acquisition of knowledge. Research continues. “Despite promising material properties, the development of even more powerful ceramics does not seem to be complete,” write the authors of the guideline. Opti- mised manufacturing processes and methods to provide im- plants with microrough surfaces, for example, appear to have a crucial impact on their long-term stability. Challenging condi- tions for guideline development. As positive as the continuous development of implant systems is, it poses problems for guide- line work. The first statement of the experts in the new guideline states: “The long-term stability of zirconium dioxide-based ceramic implants beyond five years cannot be conclusively as- sessed due to the lack of clinical prospective long-term study data yet.” The second statement provides the rationale: the material com- position, like the respective workpiece quality, is manufacturer- dependent and thus multivariate. Dynamic material moderni- sations and design changes often lead to replaced product innovations, reducing the value of existing study data. The good news in Statement 3, a setback in Statement 4: Pre- clinical and clinical studies point to a similar behaviour in the os- seointegration of ceramic and titanium implants (Statement 3). However, due to the current scientific evidence, an evidence- based statement regarding plaque accumulation and peri- implantitis risk in treatment with ceramic implants is not possi- ble (Statement 4). Ceramic implants can be recommended as an alternative ther- apy option. Despite all the difficulties, the experts emphasise in their first of two recommendations that commercially available monolithic ceramic implants based on zirconium dioxide, with success and survival rates positively evaluated in scientific stud- ies, are a valid and mature therapy method and can be recom- mended as an alternative therapy option. No final judgement on two-piece ceramic implants. Regarding the still “young” two-piece ceramic implants, the experts have formulated their second recommendation: “Commercially avail- 48 1/24 . m a e t l a i r o t i d e e h t f i i o n o n p o e h t t c e l f e r t o n o d d n a s r o t u b i r t s i d r o s r e r u t c a f u n a m e h t y b d e d v o r p e r a y r o g e t a c s i h t i n i s e c l i t r a e h T *

about the publisher Events DDS.Berlin—Digital Dentistry Show 28–29 June 2024 Berlin, Germany www.dds.berlin ESCI Satellite Symposia “Ceramic Implantology” | 6th Congress of Implantat Stiftung Switzerland 19–21 September 2024 Bern, Switzerland www.implantatstiftung.ch EAO Annual Scientific Meeting | IAO-EAO-SIdP Joint Meeting 24–26 October 2024 Milan, Italy www.congress.eao.org 53RD INTERNATIONAL ANNUAL CONGRESS OF DGZI 8–9 NOVEMBER 2024 Düsseldorf Germany https://dgzi.de m o c . e b o d a . k c o t s – e w o r c r o n o c © Imprint Copyright Regulations Publisher ceramic implants international magazine of Torsten R. Oemus ceramic implant technology is issued three oemus@oemus-media.de times a year and is a special edition of im- plants international magazine of oral implan- Board tology—the first issue was published in Octo- Ingolf Döbbecke ber 2017. The magazine and all articles and Lutz V. Hiller illustrations therein are protected by copy- Torsten R. Oemus right. Any utilisation without the prior con- sent of editor and publisher is inadmi ssible Editorial Council and liable to prosecution. This applies in par- Dr Michael Gahlert (Germany) ticular to duplicate copies, translations, mi- Dr Sofia Karapataki (Greece) crofilms, and storage and processing in elec- Dr Franz-Jochen Mellinghoff (Germany) tronic systems. Editorial Management Reproductions, including extracts, may only Timo Krause be made with the permission of the publisher. t.krause@oemus-media.de Given no statement to the contrary, any sub- Dr Alina Ion missions to the editorial department are un- a.ion@oemus-media.de derstood to be in agreement with a full or partial publishing of said submission. The Executive Producer editorial department reserves the right to Gernot Meyer check all submitted articles for formal errors meyer@oemus-media.de and factual authority, and to make amend- ments if necessary. No responsibility shall be Product Manager taken for unsolicited books and manuscripts. Timo Krause Articles bearing symbols other than that of t.krause@oemus-media.de the editorial department, or which are distin- guished by the name of the author, represent Art Director the opinion of the aforementioned, and do Alexander Jahn not have to comply with the views of OEMUS a.jahn@oemus-media.de MEDIA AG. Responsibility for such articles shall be borne by the author. Responsibility Designer for advertisements and other specially la- Aniko Holzer belled items shall not be borne by the edito- a.holzer@oemus-media.de rial department. Likewise, no responsibility shall be assumed for information published Customer Service about associations, companies and commer- Marius Mezger cial markets. All cases of consequential lia- m.mezger@oemus-media.de bility arising from inaccurate or faulty repres - entation are excluded. General terms and Published by conditions apply, legal venue is Leipzig, Ger- OEMUS MEDIA AG many. Holbeinstraße 29 04229 Leipzig Germany Phone: +49 341 48474-0 Fax: +49 341 48474-290 kontakt@oemus-media.de Printed by Silber Druck GmbH & Co. KG Otto-Hahn-Straße 25 www.ceramic-implants.info 34253 Lohfelden, Germany 50 1/24

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