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26th EAO Annual Scientific Meeting18

ROOM MADRID

Entrancefrom main avenue

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DIGITALVILLAGE

HOSPITALITYSUITES

EXHIBITORS’LOUNGE

NORTHCONVENTION

CENTRE

Meeting Rooms(Auditorium 103 – Room 101–105–117

and Hands-on sessions)Registration Area

SEPASTAND

B14A

S27

This floor plan is a reproduction of the floor plan by the EAO. Changes or modification can occur. Last update was 22 September 2017.

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26th EAO Annual Scientific Meeting 19

0–93SHAPE G4

5 DENTAL MINUTES B8A

AACE SURGICAL SUPPLY COMPANY S10

ACTEON S4A

AKURA MEDICAL B55

ALPHA-BIO TEC. S24

AMERICAN DENTAL SYSTEMS B11A

ANTHOGYR G16

ASEPTICO B10B

ATLANTIS EDITORIAL B60

AVINENT IMPLANT SYSTEM S21B

BBEGO IMPLANT SYSTEMS G6

BICON DENTAL IMPLANTS S10

BIEN-AIR DENTAL B22

BIOBANK B17

BIOHORIZONS S33

BIOMATLANTE B50

BIOMEDICAL TISSUES B71

BIONER B64

BIOTECH DENTAL S34

BONE SYSTEM B43

BONEMODELS B31

BOTISS BIOMATERIALS B41

BREDENT MEDICAL S8

BRESMEDICAL B25

BTI BIOTECHNOLOGY INSTITUTE G12

CCAMLOG BIOTECHNOLOGIES G11

CARESTREAM DENTAL B59

CARL ZEISS MEDITEC IBERIA B39

CASA SCHMIDT B8B

CENDRES+MÉTAUX B37

CHIMO DENTAL B57

CLARONAV S31

CORTEX DENTAL IMPLANTS G9

CURAPROX S37

DDATUM DENTAL B58

DENTAID S4B

DENTAL RATIO B30

DENTAL STUDIO B42

DENTIUM G5

DENTSPLY SIRONA D5

DM-EL DENTISTA MODERNO B44

DR-KIM B33

DYNAMIC ABUTMENT SOLUTIONS B46

EECKERMANN LABORATORIUM B49

EMS ELECTRO MEDICAL SYSTEM B15

EXAKTUS/DERIG B67

FFOTOLANDIA B72

FOTONA S36

GGACETA DENTAL B52

GC B11B

GEISTLICH BIOMATERIALS D4

GLOBAL D S30

GO3D B1

Greater New York Dental Meeting B48

GSK B66

HHAGER & MEISINGER B18

HELMUT ZEPF MEDIZINTECHNIK B53

HENRY SCHEIN G8

HU-FRIEDY B3

IIBS IMPLANT S35

IMPLANCE - AGS MEDIKAL S39

IMPLANT DIRECT G15

IMPLANTSWISS S14

INIBSA DENTAL B7

INTRA-LOCK INTERNATIONAL S25

INVIBIO BIOMATERIAL SOLUTIONS S32

IRES S26

ITI B47

IVOCLAR VIVADENT S40

JJDENTALCARE B27

KKLOCKNER IMPLANT SYSTEM S11

KOINÈ ITALIA B13

LLEONE B40

LIFENET HEALTH B28

MMAXILLARIS B73

MAXILLENT B29

MECTRON S21A

MEDENTIS B56

MEDIDENT ITALIA B26

META B19

MICRODENT IMPLANT SYSTEM B20

MICRO-NX B2

MININAVIDENT B9A

MIS IMPLANTS P1

NNEODENT G7

NEOSS B16

NIBEC CO. S28

NOBEL BIOCARE D3

NOBIL BIO RICERCHE B68

NSK S17

NUCLEOSS S2

OOMNIA SPA S38

OSSTELL S5

OSSTEM P2

OSTEOBIOL BY TECNOSS S20

OSTEOGENICS BIOMEDICAL S18

OSTEOLOGY FOUNDATION B63

PPENGUINRFA B12

PERIOSYSTEM S23

PLANMECA S29

PROCESS FOR PRF S41

PROCLINIC B45

PROCOTECH B24

QQUINTESSENCE E1

RREGEDENT B54

RHEIN’83 B34

SSAESHIN PRECISION B5

SANHIGIA B38

SEPA B14A

SEPES S27

SHINHUNG CO. S12

SIC INVENT S15

SOUTHERN IMPLANTS G1

STOMA B51

STRAUMANN D2

SUNSTAR S22

SWEDEN & MARTINA G3

TTHOMMEN MEDICAL G10

TICARE MOZO GRAU B21

TI-OSS B23

TRATE AG |

OPEN IMPLANT SYSTEM ROOTT S16B

TRI® DENTAL IMPLANTS INT. S16A

TRINON TITANIUM G17

UUCAM B36

UEDA EUROPA B9B

USTOMED INSTRUMENTE B4

VVOCO B10A

WW&H DENTALWERK BÜRMOOS S7

WILEY E2

XX-NAV TECHNOLOGIES B35

ZZEST DENTAL SOLUTIONS S13

ZHERMACK B14B

ZIACOM MEDICAL S6

ZIMMER BIOMET D1

Z-SYSTEMS B6

Company Booth Company Booth Company Booth Company Booth Company Booth

www.dental-tribune.com

Dental Tribune International

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26th EAO Annual Scientific Meeting20

Europe has some of the most highly penetrated markets for dental implants in the world, including Italy, Germany and Spain, but it also contains regions with considerably under-developed markets, such as France and the UK.1, 2 A shift in con-sumer preferences will be a key char-acteristic of the European market in the future, in both the dental implant fixture market and final abutment market. Although the shifts will con-trast one another, they will both have a significant impact on the market in terms of overall pricing, the competi-tive landscape and technological in-novation.

Historically, premium dental im-plant companies have dominated in Europe, but have recently faced in-creased competition from the value and discount brands. A growing prev-alence of local manufacturers and an increasingly cost-sensitive consumer demographic will contribute to over-all price depreciation and the declin-ing presence of premium implants in the future.1

Region-specific growth of the pre-mium segment is highly reliant on the prevalence of domestic, lower cost dental implant brands. In coun-tries such as Italy, Germany and Spain, there is a plethora of local value and discount dental implant companies that have emerged to ca-ter to the growing cost sensitivity ex-pressed by dentists. Within these re-gions, the premium segment of the market has lost significant market share and is exhibiting far lower growth relative to the past. It is ex-pected that this trend will continue to spread throughout Europe, as consumer preferences shift towards lower cost products. Several competi-

tors in the German and Italian im-plant markets have been particularly successful at capitalising on the shift in consumer preferences and now represent the top leading implant brands in those regions, both in terms of volume and revenue.1

Premium implant companies have acknowledged the impact of value and discount brands on the market, not only through discount pricing, but also through acquisitions and strategic investments. In April 2015, Straumann increased its owner-ship of Neodent, a leading value implant manufacturer from Latin America, to 100 per cent in order to

strengthen its product port folio and maintain a competitive position in both the premium and value seg-ments.3 Straumann has also invested in a number of value and discount brands that cater to the European market, including Biodenta, Meden-tika, MegaGen and Anthogyr. These investments are supplemented by Instradent, Straumann’s business platform established in 2014, which currently provides distribution for Neodent and Medentika through an online store and worldwide net-work.3 In June 2016, Dentsply Sirona continued its expansion by announc-ing a definitive agreement to acquire MIS Implants Technologies, an Israel- based company that has a leading po-sition in the value implant segment.4

Large conglomerates too have taken note of the changing structure of the market, with Henry Schein making strategic investments in BioHorizons and CAMLOG, while Danaher Corpo-ration has invested in Nobel Biocare and Implant Direct.

Rapidly growing CAD/CAM segment in the final abutment market

Similar to the historical domi-nance of the premium segment in the implant market, the market for final abutments has traditionally been controlled by the stock abutment or prefabricated abutment segment. Al-though the majority of stock abut-ments lack many benefits associated with patient-individualised solutions found within the custom-cast abut-ment and CAD/CAM abutment seg-ments, they still provide a relatively simple and cost-efficient solution in most implant procedures. The seg-ment is expected to continue experi-

encing price erosion owing to increas-ing pricing pressure from local, low-cost and generic manufacturers.1 An-other recent development within the stock abutment segment also contrib-uting to price depreciation is the in-troduction of Ti-base abutments.

Ti-base abutments, also known as titanium bases or titanium interfaces, are a recent innovation within the stock abutment market that are a cost-effective alternative to tra-ditional CAD/CAM abutments, since they are intended for in-house or independent milling machine use. Examples include Straumann’s Vario-base and Nobel Biocare’s Universal

Base, which give dentists the option of placing a cement-retained or screw-retained restoration. Ti-bases also allow dentists to choose between a hybrid abutment and a hybrid abut-ment crown (a combination of an abutment and a monolithic crown). The presence of Ti-base abutments has grown rapidly across most re-gions in Europe and it is expected to become the predominant stock abutment type in the near future. The cost-effective nature and flexibil-ity of options offered with Ti-base abutments will help maintain the position of the total stock abutment segment in the overall market. Stock abutments currently represent over 50 per cent of the total final abutment volume in the majority of markets across Europe, but this

share is expected to steadily de-crease.1

Recent improvements in produc-tion capability and technological in-novation have made CAD/CAM abut-ments significantly more affordable than in the past. CAD/CAM abut-ments are now relatively comparable in price to custom-cast abutments and are more easily accessible, espe-cially in regions where milling labo-ratories with CAD/CAM production are in greater abundance. Further-more, CAD/CAM zirconia abutments are primarily required in cases in which aesthetic outcomes are of higher priority, such as the anterior

region of the mouth.5 CAD/CAM abut-ments are expected to continue to ex-perience double-digit growth, and the expanding market share of the seg-ment will limit ASP of the overall abutment market, since it carries a price premium relative to stock abut-ments and custom-cast abutments.1

Consolidation and emerging players in the competitive landscape

In addition to investments in value and discount companies, the market for dental implants has been distinguished by consolidation among the top competitors. Most recently, Dentsply Sirona was established after the merger of DENTSPLY Inter-national and Sirona Dental Systems in February 2016, combining the

strengths of each company in dental consumables and innovative technol-ogy, respectively.6 The premium implant company acquired Astra Tech in 2011 and announced the acquisition of MIS in June 2016.4 In June 2015, Zimmer Biomet was formed through the merger of Zimmer and Biomet, combining the dental divisions of each company, Zimmer Dental and BIOMET 3i.7

Although the premium implant companies still collectively maintain over 60 per cent of the European mar-ket, they are expected to face compet-itive challenges from emerging play-ers in the value and discount seg-

ments. Competitors that have been able to secure a notable market share from the premium companies include BioHorizons, CAMLOG, Global D, medentis medical, Sweden & Martina and regional manufacturers.1

Other notable developments in the European market for dental im-plants include the increased uptake of ceramic materials, growing pres-ence of implant companies in the biomaterials space and rising demand for modern surgical protocols, such as immediate loading and full-arch resto-rations. Overall, growth within each segment will be highly dependent on the afore-mentioned factors and re-gion-specific characteristics.1

Editorial note: A list of references is available from the publisher.

Shifting consumer preferences

and positive uptake of CAD/CAM technologyArtur Kim and Dr Kamran Zamanian, iData Research, discuss current developments in the European dental implant market

Authors

Artur Kim

is a research analyst at iData

Research in Canada and lead rese-

archer for the 2017 Europe Dental

Implant Report Suite. His current

work includes the 2017 Europe

Dental Bone Graft Substitute Suite

and the 2017 Europe Orthopedic

Soft Tissue Repair Suite.

Dr Kamran Zamanian

is President, CEO and founding

partner of iData Research. He has

spent over 20 years working in the

market re search industry.

© Oleksandr Berezko/Shutterstock.com

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26th EAO Annual Scientific Meeting22

Professionalism has been defined as the conduct, aims or qualities that characterise or mark a profession or a professional person. Literature pertaining to healthcare suggests that professionalism is a compe-tency that can be taught, developed, measured and assessed.1 Neverthe-less, it can be argued that profession-alism extends beyond the scope of clinical knowledge and skills and is most certainly multifaceted.

Professionalism includes work-ing within a regulatory framework with adherence to ethical practice; situational judgement and aware-ness; the ability to interact and com-municate with patients as well as in-ter-professionally; and the commit-ment to continually enhance and im-prove the knowledge, values, skills and understanding required to pro-vide consistently high-quality dental care.

As every dental professional is aware, continual development and progression are essential in every part of the industry. However, with the rapid advancements we are see-ing year on year, it may not be possi-ble to keep abreast of everything. As such, practitioners should at least make the effort to be familiar with clinical and technical innovations that may potentially affect their practices. While this may seem like being a perpetual student, it is the personal responsibility of every den-tal professional to remain up to date with all the relevant skills and expe-rience they need to maintain clinical competency, as well as gain confi-dence in those acquisitions in order

to strengthen their professional judgements.

Continual development and pro-gression also enable practitioners to build on their abilities and capabili-ties to pursue a particular area of in-terest or to strengthen their treat-ment portfolio. For example, the de-mographic of a practice may reveal high periodontal disease rates, which would mean that enhancing skills in this area would be advanta-geous for both the clinician and the dental practice. Alternatively, with the rising demand for areas of den-tistry such as short-term orthodon-tics and aesthetic solutions, some practitioners may wish to extend their expertise into these areas. Nev-ertheless, learning how to apply skills, knowledge and experience to treatment with sound judgement is critical to the provision of profes-sional dental healthcare.

Judgement, at its simplest, is forming an opinion. Yet, when ap-plied to dental care, it becomes part of a process that involves weighing up all the clinical facts and treat-ment options with their advantages and risks, as well as interaction be-tween the practitioner and the pa-tient, to come to the most appropri-ate method for treatment.

Most would agree that well-in-formed, engaged patients are in a stronger position to decide between treatment options and are more likely to take ownership of the final treatment decision and results. Re-search suggests that patients seem to prefer this collaborative ap-proach, with the patient and the

dentist equally sharing responsibil-ity for decision-making. 2 Conse-quently, practitioners require inter-personal competency to communi-cate with and relate to patients by listening, understanding, and pro-viding complete and honest infor-mation. For instance, discussing a treatment plan step by step can help the patient to understand and ap-preciate the reasons for and the health benefits of each procedure. Fundamentally, this enables the pa-tient to make an informed decision before consent and, by developing a plan of action together, the patient–practitioner relationship is en-hanced with trust and confidence, and this is more likely to result in patient satisfaction.

This does not necessarily mean that one practitioner should be able to perform all areas of treatment. Part of acting with professionalism is the ability to recognise our indi-vidual capabilities and acknowledge that there will always be cases that are beyond our skills or the techno-logical parameters of a practice. This could be due to the particular needs of the patient or the complexity of the treatment required. Yet, what-ever the reason, having the profes-

sional judgement to refer a patient to another dental professional with the relevant skills and facilities is essen-tial. By requesting the skills and ser-vices of clinicians that perhaps spe-cialise in a specific area of dentistry or by utilising the advanced technol-ogy of another practice, it is possible to add value in terms of accuracy and outcome, but it also extends the scope and professionalism of the practice.

When it comes to referring pa-tients, it is of course imperative to work with dental professionals that can be trusted to deliver first-class dentistry. It is a good idea to look around. The London Smile Clinic, for example, is a dedicated referral practice with a team of highly quali-fied dentists that strive to provide a five-star dental service to referring dentists and their patients. As a cen-tre of excellence in dentistry, the clinic offers an efficient and stream-lined pathway for all types of com-plex treatment, including endodon-tics, orthodontics, prosthodontics and implants. Above all, the London Smile Clinic recognises how impor-tant it is to work with professional-ism as part of the referring dentist’s team.

Developing the trust of patients is one of the most important attributes of professionalism. As all practition-ers know, patients’ well-being should always be put ahead of costs or any other considerations. When patients trust a practitioner’s professionalism, competency and judgement, they are more likely to seek dental services, comply with treatment and recom-mendations, and return for further ap-pointments. Furthermore, referring strengthens the professionalism of the practice and team.

Editorial note: A complete list of refer-ences is available from the publisher.

Professionalism in dentistryBy Tim Bradstock-Smith, UK

Learning how to apply skills, knowledge and experience

to treatment with sound judgement is critical to the provision

of professional dental healthcare.

Author

Dr Tim Bradstock-Smith

is principal of the London Smile

Clinic, an award-winning centre of

excellence in dentistry that is based

in central London.

Developing the trust of patients is one of the most important attributes of professionalism, according to Bradstock-Smith.

© Solis Images/Shutterstock.com

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26th EAO Annual Scientifi c Meeting 23

Swiss solutions provider TRI Dental Implants (Booth S16A) has ex-panded its digital offering with an in-novative range of products that help clinicians provide superior digital dentistry. One of its highlights is the TRI-Base, a titanium base that is un-paralleled in terms of fl exibility and performance. TRI+ Digital Solutions is an open interface to all CAD/CAM and guided surgery workfl ows and technology platforms. Furthermore, the unique TRI 2in1 Impression Abut-ment is now also available for TRI Narrow and Tissue-Level Implants.

TRI+ Digital Solutions provides a universal open implant interface to leading technology partners in digi-

tal dentistry. In contrast to numer-ous closed digital systems, it pro-vides better transparency and helps eliminate all barriers for their re-spective treatments. TRI+ Digital Solutions allows a wide range of in-dications through 3-D planning, guided surgery, CAD abutments, CAD/CAM screw- and cement-re-tained restorations, and modern treatments such as rehabilitation on four implants. Combined with TRI’s lean and intelligent dental implant system, choosing treatment options, from simple to complex without limits, has never been easier. The new TRI+ Digital portfolio contains the new TRI-Bases, both in engaging

and non-engaging versions; milling blanks, including the proprietary TRI Friction, multi-unit Ti-Bases; and the new digital implant analogue. To meet all specifi c aesthetic require-ments, all TRI-Bases can be custom-ised for use with the new angulated screwdriver.

TRI-Base Customisation options for availa-

ble Ti-Bases are limited. For this rea-son, the existing TRI Ti-Base has been refi ned and technologically im-proved to a unique digital abutment with extraordinary features, offering a new level of performance and sim-plicity. The newly patented TRI-Base

is the fi rst such base that can be customised in length and angulation, both physically by the technician and virtually in the respective CAD software, and even for angulated screw channels in aesthetic cases.

Owing to the defi ned ma-chined surface roughness, the bonding connection between the Ti-Base and the restoration has been perfected and strengthened. TRI-Bases are anodised in pink to guarantee a long-lasting natural aes-thetic result. They are availa-ble in an engaging version for single-tooth restoration and a

non-engaging version for multi-unit restorations. The engaging version features the proprietary TRI Friction fi t, and both ver-

sions include the consistent and proven TRI Soft Tissue Concept.

Digital implant analogueTRI has recognised the in-

creasing importance of 3-D print-ing and has launched a new an-alogue for digital and conven-tional production of the master model. Special features allow click retention in the 3-D-printed master model. The analogue can additionally be fi xed in the model with a basal screw for maximum predictability and pre-cision.

TRI 2in1 Impression Abutment

TRI has expanded its product portfolio also with the unique, inno-vative TRI 2in1 Impression Abut-ment available now for Narrow and Tissue-Level Implants. The patented, instrument-free and simple handling concept enables a new, fast and safe closed-tray impression. The impres-sion post can then be used as a fi nal abutment. The new TRI 2in1 Impres-sion Abutment is unparalleled in terms of simplicity, quality and price.

TRI+ Digital Solutions and the TRI 2in1 Impression Abutment re-fl ect the company’s main objectives to make practitioners’ work as sim-ple and high-performance as possi-ble, while offering 100 per cent Swiss quality.

360° TREATMENT OPTIONS WITH TRI+ DIGITAL SOLUTIONS

In 2018, Dental Tribune Interna-tional (DTI) is launching its online ed-ucational platform, Dental Tribune Online Shows. Consisting of a series of educational lectures on all dental specialties, including aesthetic den-tistry, digital dentistry, endodontics, implantology, laser dentistry, ortho-

dontics, periodontics and preventa-tive dentistry, the shows are de-signed to be of immense value for dental professionals around the globe and are free to attend.

The unique concept will allow dental professionals insights into the latest studies and case reports as

well as gaining fi rst-hand experi-ences from top international experts. Lectures are designed to be conven-ient in style and use and participants will be able to access them from an-ywhere in the world, free of charge. Additionally, interaction with the dedicated experts via the ques-

tion-and-answer sessions at the end of each presentation offers a chance to dig deeper into an area of inter-est—all the while receiving credits from an ADA CERP-recognised pro-vider.

Lectures will be presented on a dedicated website and cover two

full consecutive days (Friday and Saturday, 9.00 to 20.30) with ten 60-minute presentations per day. Each lecture will be recorded, edited and archived on the respective show’s website to allow for later access.

The DT Online Shows calendar and corresponding websites are as follows:• 16 & 17 February 2018:

Laser Dentistry Showwww.LaserDentistryShow.com

• 23 & 24 March 2018: Preventive Dentistry Showwww.PreventiveDentistryShow.com

• 20 & 21 April 2018: Implant Dentistry Showwww.ImplantDentistryShow.com

• 18 & 19 May 2018: Ortho Showwww.Ortho-Show.com

• 15 & 16 June 2018: Digital Dentistry Showwww.DigitalDentistryShow.com

• 14 & 15 September 2018: Endo Showwww.Endo-Show.com

• 26 & 27 October 2018: Perio Showwww.Perio-Show.com

• 16 & 17 November 2018: Aesthetic Dentistry Showwww.AestheticDentistryShow.com

DENTAL TRIBUNE’S NEW ONLINE LEARNING SERIES SET TO LAUNCH IN 2018

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26th EAO Annual Scientific Meeting24

Despite major advancements in implant placement and increasing success rates, peri-implantitis con-tinues to pose the risk of implant failure. This inflammatory disease arises as a result of the formation of dental plaque on the implant sur-face. While peri-implant mucositis is reversible, peri-implantitis might lead to implant failure. Both surgical and non-surgical mechanical de-bridement, antimicrobial therapeu-

tics, or the combination of chemical and surgical methods help to man-age peri-implantitis—even if it re-quires sacrificing the implant. How-ever, a new approach to dental care—individually trained oral prophy-laxis—in combination with the best

available cleaning tools can help prevent these inflammatory dis-eases progressing to the extent of failure of implant treatment.

Dental implants require special care: the implant surfaces and inac-cessible areas must be cleaned care-fully. Implants are prone to infection owing to their form and the sur-rounding dental anatomy, which al-low bacteria to enter the sulcus, leading to the formation of dental

plaque. Dental plaque is the pri-mary cause of mucositis and, even-tually, peri-implantitis. However, bacteria in the sulcus can be re-moved mechanically using tooth-brushes and interdental brushes and chemically with chlorhexidine

mouthwashes. Therefore, peri-im-plantitis can be prevented by clean-ing implants regularly with the most suitable tools in the right places in combination with appropriate techniques. Only regular implant care maintains the conditions ne- cessary to prevent such diseases and ensures long-term success of the treatment and implant health. Swiss oral healthcare provider Curaden, through its CURAPROX

brand (Booth S37), offers innovative dental hygiene products suited for this purpose.

“Dental hygiene is an aspect oral surgeons usually leave to dental hy-gienists and general practitioners, but all dental professionals should

get to know their patients and adapt the treatment to the specific needs of each of them, especially in or-der to prevent peri-implan-titis,” said Dr Laura Ven-timiglia, an oral surgeon and implant specialist from Sweden. “Any dentist who places implants has to teach his or her patients proper oral hygiene tech-niques and provide the necessary information to help them maintain a bal-anced microbial environ-ment. Most importantly, however, the dental pro-fessional should be able to recommend the appropriate clean-ing tools to his or her patients. This begins with the measurement of the interdental space and the use of the correct toothbrush for gentle and ef-fective cleaning of implants and the gingival margin, as well as chlorhexi-dine mouthrinses in certain cases.”

As a leading oral healthcare com-pany, Curaden recommends cleaning the gap between the implant and soft tissue twice a day, ideally with an in-terdental brush. Specifically de-signed for implant patients, only in-terdental brushes with long, resilient bristles can reach the sulcus and other critical interdental areas to re-move the bacteria responsible for in-flammatory periodontal disease, low-ering the probability of developing periodontal disease. The CPS soft implant plastic-coated series with its fine, long bristles has been specially designed for cleaning of large interdental spaces after im-plant treatment. Patient acceptance of these interdental brushes has proven to be very high. “The Curaprox interdental toothbrush is the thin-nest on the market and should be used as an alternative by patients as an alternative to dental floss. Their special design makes them reliable and easy to use, durable and effec-tive. Owing to technological innova-tion, CURAPROX is able to manufac-ture interdental brushes that have a very thin central wire supporting long, soft bristles, which makes them very versatile and extremely effec-tive, even in tight interdental spaces,” explained Dr Ana Stevanovic, Head of Education at Curaden. The CPS soft implant range is available in five sizes, ranging from 5.5 mm (CPS 505) to 16 mm (CPS 516).

Choosing the right chlorhexidine

In combination with interdental brushes and toothbrushes, oral anti-septics reduce the bacteria in the oral cavity prior to and during im-plant placement and supplement mechanical plaque control. Based on 40 years of research, chlorhexidine continues to be the most effective anti-plaque agent in dentistry. Used in a specific concentration in a mouthwash, chlorhexidine is bacte-ricidal and disrupts the formation of biofilm. CURASEPT ADS Implant was developed for short-term inten-sive plaque control after surgery, such as implant treatment, bone re-

generation and augmentation proce-dures, and periodontal and peri-im-plant operations. The chlorhexidine concentration of 0.2 per cent is highly effective in the management of plaque and bacteria and protects the surgically treated areas from superinfection. The combination of chlorhexidine with polyvinylpyrroli-done-vinyl acetate (PVP-VA) and hya-luronic acid (HA) offers further ben-efits both for patients and for dental professionals: it promotes healing and tissue regeneration, reduces pain as well as plaque accumulation, and serves as an important adjunct in the treatment of peri-implantitis and mucositis.

In order to address chlorhex-idine’s side effect of staining the teeth—which often lowers patient compliance and interrupts the treat-ment and healing process, Curaden’s chlorhexidine mouthwash contains ADS (anti-discoloration system). The benefits of chlorhexidine are not af-fected by this addition and several studies have shown that Curaden’s 0.2 per cent chlorhexidine mouth-wash containing ADS has the same beneficial effect as other 0.2 per cent chlorhexidine mouthwashes, but without discolouration of the teeth. The company’s portfolio of chlorhex-idine products includes CURASEPT ADS 350 Periodontal Gel with 0.5 per cent chlorhexidine for topical application. The product can be used weekly in treating difficult periodon-tal cases and peri-implantitis.

The right kit used according to the right technique

As an all-in-one solution to im-plant care, the CURAPROX im-plant kit contains a CS 5460 ultra soft toothbrush, a CS 1009 single toothbrush, the CPS prime and CPS soft implant interdental brushes, an interdental access probe and a bro-chure that comprehensively ex-plains why care of your patient’s im-plant is so important and easy. “When recommending this kit to your patients, it is helpful to use the brochure to explain the right tech-niques to your patient. No matter what tools you use for implant care, implant specialists need to deter-mine the individual periodontal situ-ation of each patient,” said Ventimi-glia. “Following a simple, non-trau-matic oral hygiene routine for im-plant patients should be standard in implant treatment.”

Preventing peri-implantitis

AD

The CPS soft implant series, ranging from 5.5 mm (CPS 505, left) to 16 mm (CPS 516, right), has been specially designed for cleaning of large interdental spaces after implant treatment.

“Peri-im plantitis can be prevented by clean ing implants regularly with the most

suitable tools in the right places in combination with appropriate tech niques.”

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26th EAO Annual Scientific Meeting26

CAMLOG is cordially inviting visi-tors to EAO 2017 to take a closer look at the full range of its products at Booth G11. There, they can experi-ence how the innovative CAMLOG products and implant systems can be used in the digital workflow and what possibilities they offer to im-prove work efficiency. CAMLOG pro-vides the expertise to expand the dig-ital process chain in the field of oral implantology and in the network be-tween surgeons, prosthodontists and dental technicians.

One highlight being presented at EAO is the iSy Implant System, which is very efficient owing to its new and innovative product components. The perfectly adapted workflow with the One Click, One Scan, One Shift con-cept will guide clinicians into the fu-ture of digital dentistry. Tailored to the individual needs of modern den-tal practices, iSy allows for a highly efficient workflow and optimised value chain. It also benefits patients, requiring less surgery, offering shorter treatment times and a com-petitive cost–benefit ratio together with CAMLOG quality and thus mak-ing implant restorations possible for more people.

During a lunch symposium on Saturday, 7 October, Dr Carlos Repullo from Spain will be providing

a detailed overview of iSy’s possibili-ties when used in combination with the CEREC system. The presentation will be held in English and take place at 13:00 in Room 113.

Another highlight presented by CAMLOG is the new CERALOG ce-ramic implant system, which offers highly aesthetic restoration options, according to the company. Made of yttria-tetragonal stabilised zirconia, it is said to possess good mechanical properties, comparable to those of titanium. The zirconia implant port-folio includes two different types of implants. The two-piece CERALOG Hexalobe implant is a true two-piece design with reversible screw-re-tained abutments made of the high- performance polymer PEKK. The abutment can optionally be attached

to the implant with a titanium or gold screw. Alternatively, the one-piece CERALOG Monobloc implant can be used for purely ceramic solutions.

The CAMLOG implant systems offer easy and efficient handling. The Tube-in-Tube implant–abutment con-nection of CAMLOG with its distinc-tive three cams has become well es-tablished, with millions of implants placed. The implant design allows quick and easy insertion, as well as alignment of the abutment.

Accurate transfer and economic handling are only a few of the many benefits of the CAMLOG Tube-in-Tube connection. CAMLOG has also fol-

lowed these principles with the CONELOG Implant System, featuring a conical implant–abutment connec-tion. Both systems have the same outer geometry (SCREW-LINE), which only requires one surgical set for both systems.

A new package design for CAMLOG and CONELOG underlines the efficiency in handling during the surgical workflow. The ergonomic blister pack allows easy handling and safe transfer of the implant to the sterile area. The heart of the new packaging concept is the innovative implant holder that secures both the implant and the locking screw with a

click mechanism. The new insertion post has a narrow head diameter and is ideal for reduced interdental spaces. It can be picked up directly with a manual insertion device or an-gle piece and inserted accordingly. The transition to the new packaging concept is gradual.

In addition to the wide range of prosthetic possibilities provided by the CAMLOG and CONELOG sys-tems, the multi-optional COMFOUR abutment system, a precise guide system and the customised manu-facturing services of DEDICAM, CAMLOG has a comprehensive prod-uct offering.

PREMIUM PRODUCTS AND TRENDSETTING SOLUTIONS BY CAMLOG

Dr Carlos Repullo

Resonance Frequency Analysis (RFA) is today a standard method to measure implant stability, but the measurement unit ISQ itself needs to be explained. Prof. Lars Sennerby is one of the developers and researchers behind the RFA technique and will sort things out for us below.

Prof. Sennerby, what is your experi-

ence of the RFA technique?

Prof. Neil Meredith showed me a prototype of his invention al-ready in 1992 and we have since then used RFA for implant stability meas-urements in numerous experi-mental and clinical studies: first as part of the early devel-opment work and Dr Meredith’s Swedish PhD thesis (1997), which I supervised, and then as a clini-cal routine diagnostic instru-ment. I find it to give valuable and relevant information about implant stability at any time point during implant treatment and follow-up.

What is the background to

the ISQ unit?

The whole purpose of intro-ducing the ISQ (Implant Stabil-ity Quotient) was to give clini-cians a unique and easy quantity on a scale from 1–100; the higher the value the better the stability. ISQ was introduced in 2001 and derives from a linear recalculation

of the resonance frequencies (RF) in Hertz (Hz) obtained from measure-ments of dental implants with the first generation of wire-bound transducers.

How do you define the ISQ unit?

ISQ is calculated from the under-lying RF of the transducer peg using a mathematical equation. The ISQ unit has not yet been defined using

any other general or specific unit, simply because there is no such unit available. Instead, empirical data from more than 800 scientific publica-tions has guided clinicians how to use the ISQ scale clin-ically.

How do we then know that

implants with the same sta-

bility have the same ISQ?

It is of course desirable that different pegs for different implant designs give the same ISQ value if they have the same implant stability. This is a known problem when calibrat-ing transducer pegs for different implant designs. It has not been so easy to solve, since implant

stability per se has not been defined using any other quantity, and a reference

had to be created. The refer-ence can then be used when

transducers are designed and developed. To explain the prob-lem, think of two different im-plant designs that are placed in

identical material and two different ISQ values are obtained. It is impossi-ble to know if the difference depends on the fact that the two pegs are differ-ent or if it is because the stability is ac-tually different, or a combination of the two. So a reference is indeed neces-sary.

So how did you solve this problem?

Studies have shown that bone den-sity at the implant site determines the ISQ value and that it correlates with the implant’s micro-mobility. This re-flects the clamping ability of the bone, which in turn defines the micro-mobil-ity. The problem is that different im-

plant designs behave differently also in the same bone density, depending on surgical technique, design and self-tapping properties. So when cali-brating pegs for different implant types, we embedded the different im-plant types in a dense material in an identical way. In addition, we gave all implants an identical outer geometry by molding each implant type into identical cylinders. The stability of each implant/cylinder can then be var-ied with a clamping device in a stand-ardised manner. This also gave us the possibility to calibrate the pegs over the full ISQ scale and not only for a sin-gle value.

How do you use this calibration

method?

With the method described above, a reference ISQ/stability relationship has been established, which is used when manufacturing MulTipegs for different implant designs. Each type of MulTipeg is designed to follow the standard ISQ/stability curve to assure that different types of implants show the same ISQ value for the same stabil-ity. It is also an excellent method to as-sure that the peg has an optimal fit to the implant.

Why is the above important?

RFA is a great clinical tool, how-ever, it is absolutely necessary that the technique is accurate, reliable and is based on a standard reference so that the stability of different implant types can be compared. This is particularly important if the academic and scien-tific community is going to agree on dif-ferent clinical protocols based on ISQ values, for instance, when it is safe to apply immediate/early loading proto-cols.

Thank you for the interview.

“The RFA technique must be accurate and reliable”An interview with Prof. Lars Sennerby, Sweden

The MulTipeg device.

Prof. Lars Sennerby

Contact

Integration Diagnostics Sweden AB

Nedergårdsgatan 5

416 54 Göteborg, Sweden

Tel.: +46 733 842860

info@penguinRFA.com

www.penguinrfa.com

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26th EAO Annual Scientifi c Meeting28

With this new hybrid abut -ment range, Swiss company Cendres+Métaux is about to set new benchmarks in the fi eld of im-plant prosthetics. Abutments4life are fully anatomical prosthetic solu-tions for implants. The basic idea be-hind the development was to follow natural morphology and simplify aesthetic challenges and design pro-cesses for maximum effi ciency for both the clinician and the patient.

The hybrid abutment consists of a prefabricated anatomical abut-ment with an angled screw channel and a bonded zirconium cap. Accord-ing to the company, it can be inserted directly after implantation and ground intraorally. Owing to the bio-logically optimised NCW (nano-coated wave) surface, the soft tissue can attach quickly and easily. The fi -nal crown is placed after impression taking after only three sessions.

Abutments4life complements the existing range of prosthetic den-tal implant solutions for dentists and dental technicians.

“I am convinced that this addi-tional product offering will help to make the cooperation between dental laboratories and dentists even more effi cient,” stated Dr Arne-Christian Faisst, CEO of the Cendres+Métaux Medtech division. “For me, the patient benefi ts are im-pressive. Abutments4life supports the vision of Cendres+Métaux Med-tech to become one of the leading providers of dental solutions.”

Cendres+Métaux has a long history of manufacturing implants

and dental prostheses. For over 100 years, its customers have relied on the company’s skills to turn pre-cious materials into high-quality products with the utmost precision. The combination of experience and innovation has led to a number of successful solutions.

Visitors to EAO 2017 in Madrid can fi nd out more about the benefi ts of Abutments4life and Cendres+Métaux’s other products at Booth B37.

ABUTMENTS4LIFE: IMPLANTOLOGY HAS NEVER BEEN EASIER

Excellence in dental implantology needs careful restoration-driven plan-ning based on a virtual patient 3-D model which is created by using CBCT and digital impression data. In the past, accurately executing that plan in the patient's mouth required the de-sign and custom production of drilling guides. New dynamic navigation prod-ucts now enable freehand execution, without the need for such guides.

While it is an initial investment in purchasing a navigation system and learning a new way of performing im-plantation surgery, dynamic naviga-tion offers a number of signifi cant ad-vantages over static guides. These in-clude simplifi ed planning, no delay from scan to surgery as well as the evaluation of the accuracy and change of plan in real time. Clinicians further benefi t from lower per proce-dure cost, easier access to drilling sites, better irrigation as well as better tactile feedback.

Dynamic navigation combines the advantages of performing highly accurate and minimally invasive sur-gery with the fl exibility to make changes to the digital plan at any time during that surgery. Independent of any implant specifi c surgical kit, it of-fers the promise of a simple workfl ow, easily adapted to the free-hand surgi-cal techniques that clinicians cur-rently employ.

The Dynamic Navigation So ciety (DNS) was recently founded to enable implantologists to learn how to per-form restoration-driven planning on virtual patient models and use dy-namic navigation to accurately imple-ment their plan. DNS members,

which currently includes over 40 leading implantologists, offer one- or two-day courses in planning and nav-igated implantation, providing CE credits and certifi cation.

The society also certifi es a num-ber of third party educational courses. By cooperating with existing courses, more clinicians in more languages can be reached. Moving forward, the

Society expects to broaden their spec-trum of certifi ed courses and to col-laborate with more educators.

A DNS workshop about Dynamic Navigation

This hands-on session will be held twice during the EAO-SEPES joint meeting on Friday, 9.00 to 11.30 and 13.30 to 16.00. It will introduce clinician to the surgical aspects of dy-namic navigation using the Navident system. It starts with an introduction to the technology and workfl ow, fol-lowed by case presentations from ex-perienced implant surgeons. The

morning session will be lead by Prof. Josep Arnabat and Dr Eduard Val-maseda from the University of Barce-lona followed by Dr Hadi Antoun, who has his own clinic and training institute in Paris, France. Attendees who are interested in the workshop and have registered for the EAO-SEPES meeting, can sign up for the workshop in their profi le.

ClaroNav has also announced a new partnership with the Clinic of

Fixed and Removable Prosthodontics and Dental Material Science from the University of Zurich. Having started in September, the clinic will utilise the company’s Navident system in the fi eld of dynamic navigation for dental implantation. The research will leverage Zurich University’s expertise in the area of 3-D diagnos-tics and implant dentistry with Navident’s easy to perform, minimal invasive treatments.

To learn more about the Dynamic Navigation Society, visitors are invited to visit Booth S31. Information are also available at dns.claronav.com.

GUIDED SURGERY WITHOUT A GUIDE

Through the evolution of dental technology clinicians can now per-form procedures which were un-thinkable ten years ago. In implan-tology, for example, the success rate has progressed notably owing to pre-implant procedures. Although the implant is the key element in this development, it is also essential to have a high-quality bone support.

The X-MIND trium from ACTEON (Booth S4A) identifi es this support and makes it possible to measure the volume immediately and assess the bone density.

X-MIND trium is also an essen-tial tool for treatment planning and postprocedure follow-up, according to the French manufacturer. Its 3-D imaging capability lets clinicians as-sess the anatomy from a single scan. Three-dimensional modelling can then be used to choose the size and shape of the implants in proportion to the patient’s morphology based on a substantial and scalable implant li-brary. Moreover, clinicians start by putting the crown in place, which serves as a guide for better position-

ing of the implant. Imaging data gen-erated by X-MIND trium scans can be exported into STL format, which can then be imported into a surgical guide design software.

Dental gaps are often associated with bone loss, thus making a graft necessary to reconstruct the support which will receive the implant. As a result of its ultra-porous structure that is especially compression-resist-ant, the brand new synthetic bone

graft material, QUALIOS, is a sup-port of choice for bone regeneration. Its innovative structure allows QUALIOS to hold its volume and fi lls

the space long enough for complete regeneration, whatever the mechan-ical stress from mastication. QUAL-IOS is also very easy to handle: the high porosity allows quick fl uids ab-sorption whether you mix it with blood, saline or PRP.

Phosphocalc ium ce -ramic in QUALIOS is 100 % resorbable as well as syn-thetic, avoiding the risk of contamination associated with products from animal origin. QUALIOS is available in two different formulas:

TCP & BCP, with different resorption speed, and each of them exist in granules and cylinders to fulfi ll needs of each specifi c den-tal surgery.

Pre-implant surgery in-volving bone grafting is performed on areas where the supporting bone is in-suffi cient. The use of the powerful

ultrasonics PIEZOTOME is particu-larly safe and atraumatic. Its fi ne, precise cuts offer fast healing with a dramatic drop in postoperative pain. With special power boost and immediate power responsiveness, PIEZOTOME advanced electronics combined with reliable handpiece and robust tips provide maximal

performance to tackle each surgery serenely. PIEZOTOME provides clini-cal benefi ts at each stage of the sur-gery for greater patient acceptance. The development of new surgical ul-

trasonic techniques paves the way to more minimally invasive approaches for improving patient’s care.

All these ACTEON innovations result from the research of fi ve de-sign offi ces which collaborate daily with international dental surgeons to offer patients faster, more natural results whilst minimising possible operative sequelae.

IMPLANTOLOGY ACCORDING TO ACTEON