seattle scientific program to address toughest issues in daily … · 2017-06-22 · seattle...

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Seattle scientific program to address toughest issues in daily practice

A quarterly publication of the Academy of OsseointegrationVolume 24, Number 4 • 2013

In This Issue

President’s Message: Seattle Annual Meeting focuseson implant retreatment . . . . . . .2

AO Symposium at FDI . . . . . . .3

Drs. Aghaloo, Stanford at Yankee Dental Congress . . . . . .3

AO Founders Video to premier at Seattle Annual Meeting . . . . .5

Topical antioxidants in implant dentistry . . . . . . . . . . . .5

Annual Meeting reception atMuseum of Flight . . . . . . . . . . .6

The TEAM approach . . . . . . . . .7

President’s Profile: Dr. Stephen Wheeler . . . . . . . .8

Clinical Technique: Improving an asymmetrical, compromisedmaxillary implant prosthesis . .10

Board picks LA, DC for 2018,2019 annual meetings . . . . . .10

Dr. Abraham Ingber dies at 65 . . . . . . . . . . . . . . . .11

Member News: Drs. Guerin inKenya, Dr. Iacono honored . . .11

AO in India . . . . . . . . . . . . . .13

Editor’s Editorial . . . . . . . . . . .14

Academy NewsAcademy of Osseointegration85 W. Algonquin Road, Suite 550Arlington Heights, IL 60005847/439-1919

EditorKevin T. McNally, DDS

Editorial ConsultantsEdward M. Amet, DDS, BS, MSDBruce K. Barr, DDSDaniel R. Cullum, DDSBarry R. Franzen, DDSLouis R. Guenin, BDS, LDS, RCSPaige Warren Miller, DDS

© The Academy of Osseointegration. All rights reserved.

As they sat down to plan the program forthe Academy’s 2014 Annual Meeting inSeattle, WA, March 6-8, Scientific

Program Chair Dr.Lyndon F. Cooperand his colleaguesdiscussed the ques-tion, How can wemake the programdirectly address themost challengingissues our membersare experiencing intheir practices?

“Dental implants have had a remarkablerecord of success. Now, we have manypatients who have had implants for 25 to30 years. The realities of daily practice aresolving problems related to maintainingimplants for 30 years,” says Dr. Cooper,Chapel Hill, NC. The Annual Meetingtheme, “Real Problems, Real Solutions,”came directly from that discussion.

“We want to give members an opportunityto really make progress in their practices.Dealing with failures is a part of this, ofcourse, but we are putting the focus onhow to make implants last a lifetime.Think of it like the maintenance you do tokeep a car running well. Even the mostexpensive car needs an oil change, a tune-up and new tires,” Dr. Cooper says.

“Everyone who comes to the meetingshould be able to walk away feeling theproblems they have are the same oneseveryone else has, and they should havenew, actionable ideas on how to preventand solve problems to earn their patients’appreciation,” he adds. “They will returnready to offer a real lifetime of care."

“We may never have encouraged speakersto talk frankly and honestly about the chal-lenges they face every day. This year, we’veasked them to bring that frank discussionto the podium. The program will be a cele-bration of how well we’re managing theproblems of dental implants, as the tech-nology becomes mainstream,” he says.

“We’ve reached out to talent worldwide,trying to bring in as many different speak-ers as we can, but we are also pleased tobring back some old friends,” he explains.The opening session, “Strategies toAddress Implant Retreatment – Dealingwith the 25 year old Implant,” should be areal highlight.

That opening session begins with a presen-tation by prosthodontist Dr. Jonathan L.Ferencz and periodontist Dr. BurtonLanger, who have collaborated onimplants for more than 20 years. “Theaudience will get an inside look at howthese world class New York City clinicians

…continued on page 13The purpose of the Academy of Osseointegration is to advance the science and application of tissue replacement in oral and facial care.

Dr. Lyndon Cooper

…continued on page 6

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On behalf of our Board of Directors and the Annual MeetingPlanning Committee, I invite you to attend the Academy’s29th Annual Meeting, March 6-8, 2014, in Seattle,

Washington. This year’s AnnualMeeting is being hosted by theWashington State Convention Center,located right in the heart of downtownSeattle. This fine facility just recentlycelebrated its 25th anniversary as oneof Seattle’s greatest architectural assets.It has undergone extensive upgradessince we met there in 2006 and shouldprovide an impressive venue for bothattending doctors and exhibitors.

Our theme will be: "Real Problems, Real Solutions." Afterdecades of working with root-form titanium implants, we findourselves faced with unique problems in caring for patientswho have had implants for 20 to 30years. Since any problems are rare,most of the science and literatureavailable today doesn’t effectivelydeal with how to diagnose, treat orprevent these problems.

Dr. Lyndon Cooper, my programchairman, and I feel strongly thatbesides focusing on the latest tech-nological innovations, the AOshould evaluate these concerns which are presenting in ourpractices more frequently. The Annual Meeting planningcommittee has assembled another impressive lineup of speak-ers to share their experience and expertise in diagnosis, treat-ment, and the use of the latest techniques and technologies tocorrect these problems and prevent future complications.

This information should be critically important to all dentalimplant practitioners, whether a specialist or general dentist,or whether or not you are now actively placing and/or restor-ing dental implants or just getting started. As implant den-tistry has become a standard of care today, we will all have tobe able to competently address any issues that present to ourpractices, and treat or refer them as necessary.

The importance of this meeting is evidenced by our member-ship, which is now over 6,000, including doctors from over 70 different countries. Both our national and internationalmemberships have been increasing, with 33% of our meetingattendees coming from outside the United States.

Just as important, those attending our annual meetings have achance to meet and exchange ideas between sessions, providing

an in-depth understanding that is impossible from simply read-ing the literature. Besides, this can be done with experts fromaround the world, all gathered in one location. I joined the AOmany years ago, as they provide one of the world's premierevents dedicated to implant dentistry.

A special feature at this year’s Annual Meeting will be theAcademy’s first International Symposium dedicated to a singlecountry. Several of the most highly regarded dental implantthought leaders from Japan will address a wide variety of rele-vant topics. Simultaneous Japanese to English translations willbe available to all attendees to share in the knowledge present-ed at this groundbreaking event. To accommodate ourJapanese-speaking delegates, lectures from the main podiumwill be translated from English to Japanese throughout therest of the three-day meeting. More details about these indi-vidual presenters, as well as all sessions and speakers, are avail-able in an article that begins on page 1 and on our website.

Our meeting will kick off onThursday morning, March 6, withthe popular Corporate Forums,highlighting the latest innovationsfrom a collection of our industry’sleading corporations. Each corpo-rate presenter will showcase theircompany’s newest products andservices with experts on hand toanswer your questions.

The Opening Symposium, Strategies to Address ImplantRetreatment – Dealing with the 25-year-old Implant, willinclude presentations that address the unique circumstancessurrounding RE-treating implants several years AFTER initialplacement. Such topics as crestal bone loss around titaniumimplants, peri-implantitis, as well as the nature of complica-tions and failures pertaining specifically to mature implantswill be highlighted. Such noted speakers as Drs. TorstenJemt, Hom-Lay Wang, Stefan Renvert, and Frank Schwarzwill be featured.

The Closing Symposium on Saturday will then focus on thefuture, with experts presenting on “current and advancingtechnology in managing teeth and implants,” which will usewhat we have learned from the past to provide even bettercare in the future! More detailed information about all topicsand speakers can be found elsewhere in this newsletter and onour website, www.osseo.org.

The Allied Staff educational sessions offer a tailored full-dayprogram Saturday that specifically addresses the clinical and

President’s Message

Seattle Annual Meeting focuses on implant retreatment,features first single country international symposiumBy Stephen L. Wheeler, DDS

2

Dr. Stephen Wheeler


"Simultaneous Japanese to English translations will be available to all attendees to share in the knowledge presented at this ground-breaking event."

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3

The FDI World Dental Federation comprises approximately200 national dental associations and specialist groups. Its mis-sion is to be the authoritative, professional, independent,world-wide voice of dentistry. It serves as the principal repre-sentative body for more than one million dentists worldwide,developing health policy and continuing education programs,speaking as a unified voice for dentistry in international advo-cacy, and supporting member associations in oral health pro-motion activities as a member of the World HealthProfessionals Alliance.

FDI conducts a World Dental Parliament in which the leadersof our profession debate, discuss and come to consensus onresolutions and position statements that form the basis fortheir global oral health agenda asthey present dentistry’s viewpointsto the World Health Organization,the United Nations, and govern-ments around the world. The AOhas been a Supporting Member ofthe FDI since 2011, and has a seatin the FDI General Assembly.

FDI’s Annual World DentalCongress (AWDC) was heldAugust 28-31, 2013, in theIstanbul Congress Center inTurkey. In keeping with the AOmission element of advancing oralhealth and well-being globally bydisseminating state-of-the-art clini-cal and scientific knowledge of implant dentistry and tissueengineering, our AO Committee on Global ProgramDevelopment, chaired by Dr. Michael R. Norton, London,England, UK, worked with the FDI to hold an AOSymposium within the 2013 FDI AWDC.

The 2013 AWDC had 16,197 registered participants. Its sci-entific program included a total of 170 speakers covering allaspects of general and specialty dentistry, with an extensiveschedule of lectures and interactive sessions over the four-dayperiod. It also featured well over 800 poster presentations,including 15 moderated poster sessions, and an additional 347oral presentations. The congress exhibition had over 6,000square meters (64,500 square feet) allocated, with 3,948 regis-tered exhibitors.

The inaugural AO Symposium within the FDI’s 2013 AWDCwas held on August 30, 2013, and proved to be a significantsuccess. Entitled Update on the Current Science and ClinicalPractice in Key Areas of Implant Dentistry, the full-morning AOSymposium generated a significant “buzz” both before andafter the session, and drew a standing room only group ofinternational participants.

The AO Symposium was organized and moderated by AOFellow Dr. James C. Taylor, Ottawa, ON, Canada, andboasted a multidisciplinary and international team of AOmember-speakers:• David Holmes, BDS, MS, in private practice in London,

England, UK, “Challenges in the Maxilla: From SinusSurgery to the High Lipline Smile – What’s Possible?”

• Fouad Khoury, DMD, PhD, Olsberg, Germany, Professorat the University of Muenster, “Current Concepts in BoneGrafting and Soft Tissue Management.”

• Sreenivas Koka, DDS, MS, PhD, recently of the MayoClinic, Rochester, MN, spoke on “Considerations in theContext of Osseointegration.”

According to Symposium organizer Dr. Taylor, “Our symposium was very well receivedby the FDI participants, and ourspeakers did an outstanding job of representing both the AO andthe evidence-based practice ofimplant dentistry.”

The FDI was pleased with the out-come of the AO Symposium andwhat it added to the 2013 AWDC.FDI President Dr. Tin ChunWong commented, “We are verypleased to have the Academy ofOsseointegration as a Supporting

Member of FDI. The AO’s interest in sponsoring such anevent within our Annual World Dental Congress, and thegreat success of this event, are testament to AO’s engagementin the global community of dentistry. We hope that the AO Symposium will become an ongoing event within the FDI AWDC.”

The 2014 FDI AWDC will be held in New Delhi, India, andAO plans to participate.

Inaugural AO Symposium at FDIpronounced a “great success”By James C. Taylor, DMD, MA

AO panelists at FDI (from left): Drs. Sreenivas Koka, Fouad Khoury,David Holmes, and moderator James Taylor.

Drs. Aghaloo, Stanfordhead symposium atYankee Dental CongressTwo Board Members, Drs. Tara L. Aghaloo, Los Angeles,CA, and Clark M. Stanford, Iowa City, IA, will present aspecial AO-sponsored osseointegration symposium at theYankee Dental Congress in Boston, February 1, 2014. Theirtopic will be “Facilitating Surgical-Restorative TeamCommunication in Management of Challenging Patients.”

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Introducing the

Preservation By Design®

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For more information, please contact your local BIOMET 3i Sales Representative today!In the USA: 1-888-800-8045Outside the USA: +1-561-776-6700Or visit us online at www.biomet3i.com

1. Östman PO†, Wennerberg A, Albrektsson T. Immediate Occlusal Loading Of NanoTite Prevail Implants: A Prospective 1-Year Clinical And Radiographic Study. Clin Implant Dent Relat Res. 2010 Mar;12(1):39-47.

2. Suttin†† et al. A novel method for assessing implant-abutment connection seal robustness. Poster Presentation: Academy of Osseointegration, 27th Annual Meeting; March 2012; Phoenix, AZ. http://biomet3i.com/Pdf/Posters/Poster_Seal%20Study_ZS_AO2012_no%20logo.pdf

3. Suttin Z††, Towse R††. Dynamic loading fluid leakage characterization of dental implant systems. ART1205EU BIOMET 3i White Paper. BIOMET 3i, Palm Beach Gardens, Florida, USA. http://biomet3i.com/Pdf/EMEA/ART1205EU%20Dynamic%20Loading%20T3%20White%20Paper.pdf

† Dr. Östman has a financial relationship with BIOMET 3i LLC resulting from speaking engagements, consulting engagements and other retained services.

†† Mr. Suttin and Mr. Towse contributed to the above research while employed by BIOMET 3i.

* 0.37mm bone recession not typical of all cases.

** Seal integrity test was performed by BIOMET 3i July 2011 - June 2012. In order to test the implant systems, a dynamic-loading leakage test was developed and executed. The test set-up was adapted from ISO14801, Dentistry - Implants - Dynamic Fatigue Test for Endosseous Dental Implants. Five samples each of the BIOMET 3i and three competitive implant systems were evaluated. Bench test results are not necessarily indicative of clinical performance.

Preservation By Design is a registered trademark and 3i T3 Implant design and Providing Solutions - One Patient At A Time are trademarks of BIOMET 3i LLC. ©2013 BIOMET 3i LLC. All trademarks herein are the property of BIOMET 3i LLC unless otherwise indicated. This material is intended for clinicians only and is NOT intended for patient distribution. This material is not to be redistributed, duplicated, or disclosed without the express written consent of BIOMET 3i. For additional product information, including indications, contraindications, warnings, precautions, and potential adverse effects, see the product package insert and the BIOMET 3i Website.

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5

Research Feature

Topical antioxidants in implant dentistry By Paige Warren Miller, DDS, Academy News Editorial Consultant

The use of antioxidants in dentistry is an emerging field with alot of potential. Topical antioxidants on the skin have been

proven to repair UVB damage. Newresearch is showing how the use of topi-cal antioxidants in the oral cavity mayhave a viable place in dentistry and,specifically, in implant dentistry.

Oxidants are molecules that have anunpaired electron. This unstable mole-cule steals electrons from stable mole-cules, resulting in increased free radicalsand ultimately damage, or oxidation.

This oxidative process is associated with inflammation andinfection in the oral cavity.

Oxidative stress is also associated with nicotine, alcohol con-sumption, dental procedures, bleaching agents, dental cementsand metals. Inflammation and sensitivity around dentalimplants may be caused in part by the oxidative stress fromimplant placement or the crown cementation process.

Antioxidants are the body’s first line of defense against oxidative damage. These are molecules that bond with the freeradical’s unpaired electron, thereby stabilizing the moleculeand preventing damage. Some antioxidants being tested fortopical oral usage are Resveratrol, ferulic acid, phloretin andtetrahydrocucurminoids.

San Miguel and colleagues showed how the usage of antioxi-dants increase wound healing, fibroblast migration and periodontal ligament cell migration in humans. (San MiguelSM, et al. Bioactive antioxidant mixtures promote prolifera-tion and migration on human oral fibroblasts. Archives of OralBiology (2011), doi:10.1016/j.archoralbio.2011.01.001)

A website designed solely for the purpose of educating dental professionals and posting new research on dentalantioxidants is www.dentalantioxidants.com. The usage ofthese topical antioxidants may be a beneficial adjunct in ourfuture implant therapies.

Dr. Paige Warren Miller

AO Founders Video to premier at Annual MeetingTaping and editing of the Academy’s Founders Video docu-mentary has been completed, and it is expected to have a pre-mier performance at the 2014 Annual Meeting in Seattle. Afull 20-minute version and abbreviated 1-2 minute versionsare being produced.

“Many of our members may be unaware of our origins and theexcitement and controversies that surrounded implant den-tistry in the 1980s,” says Dr. Alan S. Pollack, New York, NY,who is leading the Founders Video Task Force, with Drs.Russell D. Nishimura, Westlake Village, CA, and Michael R.Norton, London, England. Dr. Norton serves as narrator ofthe video.

The AO Board committed several years ago to document theAcademy’s remarkable beginnings, while memories are stillfresh. In 2008, A History of the Academy of Osseointegration, 1985-2007 was published.

The Founders Video will add an oral history. It will begin in1984 with New York’s Osseointegration Study Club in whichtwo of AO’s early presidents, Drs. Charles I. Berman andGerald Barrack, played important roles.

Dr. Pollack says the video will have many uses. “We plan tointroduce it by showing excerpts at our AO Annual MeetingGeneral Session. It will also be a most appropriate addition tothe New Member Breakfast held at each Annual Meeting.

“We will use the video in our public relations and post it andfull individual interviews of founding past presidents on the

Academy’s Website, www.osseo.org, serving as the Academy’sliving archives. We expect the video will also be useful fordental implant study clubs, dental schools, resident instructionand resident recruitment programs,”Dr. Pollack explains.

"Our goal is to take viewers back tobetter understand when and how theAcademy developed and why peoplehave such a strong allegiance to theorganization today. It will increaseappreciation for the pioneering spiritthat motivated AO’s founders,” saysDr. Pollack.

In addition to Drs. Berman and Barrack, AO early past presi-dents interviewed (in order of service as president) includeDrs. William R. Laney, Rio Verde, AZ, Paul H.J. Krogh,Bethesda, MD, Thomas A. Collins, Springfield, MO,Stephen M. Parel, Dallas, TX, and Michael S. Block,Metairie, LA. Another past president, Dr. James H.Doundoulakis, New York, NY, participated as a member ofthe New York Osseointegration Study Club.

Other Study Club participants interviewed are Drs. Jeffrey R.Burkes, New York, Paul J. Hoffman, New York, Robert A.Jaffin, Hackensack, NJ, Clifford E. Salm, New York, AllanSilverstein, New York, and Arthur P. Weinberg, WoodcliffLake, NJ.

Dr. Alan Pollack

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Annual Meeting features reception at Museum of FlightBy Kevin P. Smith, MA, MBA, Executive Director

Back by popular demand, the Academyof Osseointegration returns to theEmerald City for its 2014 AnnualMeeting at the Washington StateConvention Center. We last met inSeattle in March 2006, when it was thehighest attended meeting in theAcademy’s 22-year history to that point.Now returning eight years later, the AOBoard of Directors expects anotherhighly-attended meeting.

The President’s Reception will be heldat the Museum of Flight, one of thelargest air and space museums in theworld, attracting more than 500,000 vis-itors annually to its expansive 142,816square-foot steel-and-glass complex thatsuspends more than 20 full-size aircraft.The Museum's collection includes over150 historically significant air and space-craft, as well as the Red Barn® – theoriginal manufacturing facility of TheBoeing Company.

The original papers of the Wright broth-ers and the one-of-a-kind NASA SpaceShuttle Trainer, used to train every spaceshuttle astronaut since the inception ofthe program, are both must-sees. Amongthe most popular exhibits at the Museumare the world's first fighter plane, thefirst jet Air Force One, the prototypeBoeing 747, and the world's fastest air-craft – the Blackbird spy plane.

Our attendees will see all types of air-craft from a replica of the WrightBrothers’ glider to the firstsupersonic jet fighter; morethan 40 aircraft are exhibit-ed from the golden age tothe space age. Guests willbe able to experience theApollo space exhibit andthe air traffic control towervia audio guided tours. Forthose more venturesome,flight simulators will beoperational for attendees totry their flying skills.Enjoying this AO socialevent while mingling withfriends and taking in the sights and sounds with live musical entertain-ment will surely be a highlight of theAnnual Meeting.

Built for the 1962 World’s Fair, theSeattle Space Needle stands 605 feet talland boasts 360-degree views of PugetSound, Mount Rainier, the Cascade andOlympic mountain ranges and the cityof Seattle. Also within walking distanceof the convention center, you will findPike Place Market in downtown Seattle,one of the city’s biggest draws, featuringfresh seafood, artisan chocolates, thefirst Starbucks and more. Take advan-tage of Seattle’s cultural scene and visitthe Seattle Art Museum, Chihuly

Garden and Glass, Klondike Gold RushNational Historic Park and the Center

for Wooden Boats. If you like pop culture, plan to visit the ExperienceMusic Project Museum with 140,000square feet of interactive exhibits. Alsonearby are the Children’s Museum,Science Fiction Museum and the Seattle Aquarium.

You can see why Seattle has been such abig draw for the AO Annual Meeting.There’s much to do after the meetingends each day, and you may want tocontinue your visit following the meet-ing to take one of the many day trips toMt. Rainier, Bainbridge Island or a ferryto Victoria, BC. We look forward to see-ing you in Seattle!

work together, their teamwork and the realities of that prac-tice,” Dr. Cooper says.

Other opening session topics and speakers include:• Implant Limitations, Complications and Failures, Torsten Jemt,

DDS, PhD, Gotenborg, Sweden • Is Crestal Bone Loss around Titanium Implants a Risk to Long-

term Patient Care?, Hom-Lay Wang, DDS, MSD, PhD, AnnArbor, MI

• Peri-implantitis: Recognition and Management, Stefan Renvert,DDS, Kristianstad, Sweden

• Decisions Regarding Implant Failure, Frank Schwarz, DMD,Düsseldorf, Germany

The program retains many very popular features, beginningwith the Corporate Forums Thursday morning. This year’s

participants are BioHorizons, Biomet 3i, DENTSPLYImplants, Geistlich Biomaterials, Intra-Lock, J. MoritaUSA, Millennium Dental Technologies, Inc., NobelBiocare, OraPharma, Organogenesis, Inc., Osteohealth,Straumann USA, and Zimmer Dental.

Poster Presentations will be introduced Thursday eveningduring the Welcome Reception, held in the exhibit area. Thepopular, intimate Limited Attendance Lectures with leadingexperts will be Friday morning. Oral Abstract ResearchPresentations will also be presented Friday morning andClinical Innovations Presentations will be Friday afternoon,preceding the President’s Reception, to be held in theMuseum of Flight (see article on above).

Seattle Scientific Program …continued from page 1


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In 2008, the Academy of Osseointegration published its firstguidelines for the provision of dental implants. Two years

later, the Academy updated andexpanded those guidelines, whichbegan by pointing out that the ADACouncil on Scientific Affairs and theMcGill Consensus Statement bothhave declared implant dentistry to be astandard of care, in particular whenrelated to the treatment of the atroph-ic mandible. In day-to-day practice,this means all patients who need toothreplacement must be informed about

the potential benefits of dental implants. To do that properly,however, takes a team effort.

Even if the practice has a dedicated implant treatment coordi-nator, all team members can contribute to the effort of identi-fying potential candidates for implant treatment. Moreimportantly, every team member may have to field questionsfrom anxious or confused individuals about what is involved intreatment. Those who can respond comfortably and effectivelywith solid answers will build value and loyalty from both exist-ing and prospective patients.

An extraordinary opportunity for all members of the dentalimplant team to enhance their skills will unfold Saturday,March 4 at the TEAM program that is a part of the 29th AO Annual Meeting, to be held in Seattle, Washington.Professional speaker and practice-development consultant JoyMillis will focus on practical solutions to important everydaychallenges, such as implementing a cost-effective marketingprogram that will get results, creating a practice environmentthat sells implants and coordinating care.

An expert in the business of implant dentistry, Joy has morethan three decades of hands-on clinical and business experi-ence. She currently specializes in helping dental professionalsmake implant dentistry a cornerstone of their practices.

The TEAM Program for dentists and allied staff, as well asthe concurrent Laboratory Technicians’ Program, will runfrom 8:00 am – 4:00 pm on Saturday, March 8th. Both arebeing presented at no additional charge for Annual Meetingregistrants. Alternatively, participants may register for only theSaturday program.

Anita H. Daniels, RDH, Chair of the AO’s Allied Professional StaffEducation Subcommittee, is the Global Director of ProfessionalCommunications for Biomet 3i.

The TEAM approachBy Anita Daniels, RDH

Anita Daniels, RDH

An exciting innovation this year will be Friday’s InternationalSymposium from Japan, moderated by Dr. Yataro Komiyama,from the Brånemark Osseointegration Center in Tokyo. It willbe presented in Japanese, with English translation, “offeringJapanese participants a comfortable place to spend part of themeeting,” says Dr. Cooper. Also, many attendees of othernationalities will have an opportunity to see how differentlyimplant dentistry is managed in another part of the world.

The International Symposium includes:• A Review of Long-term Experiences in Implant Dentistry: What

Works and What Doesn’t Work, Reiji Natsubori, DDS,Hachinohe Aomori, Japan

• Placing and Maintaining Implants in Patients with PeriodontalDisease, Tetsuya Mizukami, DDS, Fukutsu, Fukuoka, Japan

• Treating Multiple Supra-alveolar Defects Caused by AdvancedPeriodontal Disease: Esthetic Outcomes and Real Solutions,Tomohiro Ishikawa, DDS, Hamamatsu, Shizuoka, Japan

• Application of Gum-colored Titanium Abutments in the EstheticRegion, Takashi Sumi, DDS, PhD, Ichinomiya-City, Aichi,Japan

• Osteogenic Potential of Effective Bone Engineering Using DentalPulp Stem Cells, Bone Marrow Stem Cells and Periosteal StemCells for Osseointegration of Dental Implants, Yoichi Yamada,DDS, PhD, Nagoya, Aichi, Japan

• Options and Decision Factors for Implant Treatment with Estheticand Functional Results, Kenji Tsuchiya, DDS, Chiyoda Ward,Tokyo, Japan

• Retrospective Evaluation of Success and Failure in the EstheticZone: Problems, Problems, Treatment and Prevention, Ken M.Akimoto, Issaquah, WA

The Surgical and the Restorative Tracks will run concurrentlywith the International Symposium. The Allied Staff Programand the Laboratory Technician Program will be held Saturday(see article above). The popular Lunch & Learn Sessionsreturn Saturday at noon.

A new program on “Innovative Treatment Approaches” Fridayafternoon will feature: bone grafting; soft tissue augmentation;milled, screw retained prosthesis evolution; esthetics and pinkceramic vs. composite material evolution; diagnostic integra-tion of surgery and prosthetics; and 3D treatment planning.

The always popular Saturday Closing Symposium addressesthe topic, “Our Better Future.” Speakers Drs. William V.Giannobile, Ann Arbor, MI, Lee Culp, Sarasota, FL, andPeter S. Wöhrle, Newport Beach, CA, will address advancesin biotechnology, dental technology, and clinical implantprosthodontics. Dr. Dennis P. Tarnow, New York, NY, willclose with a presentation entitled, “The Realities in anImplant Dentistry Future.”

Seattle Scientific Program …continued from page 6

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President’s Profile

Dr. Stephen Wheeler’s ‘boundless energyalways focused on helping others’Ask what’s special about AO PresidentDr. Stephen L. Wheeler, Encinitas,CA, and you hear many superlatives:

“I am not sure if I have ever met a per-son with a more perfect balance of kind-ness, humor, focus, humility, andintellect,” says Past President Dr. DaynC. Boitet (2002-03), Fleming Island,FL, who picked Dr. Wheeler to beAnnual Meeting Chair during his presi-dential year. “You will not find a harder,more devoted worker anywhere. He hasboundless energy that is always focusedon helping others.”

Another Past President, Dr. Edward B.Sevetz, Jr. (2007-08), Orange Park, FL,adds: “He’s a brilliant person, who hasgifts of dexterity of both his hands andhis mind. He’s guided by his caringheart for the people who place theirtrust in him when they seek his care.”

On his website, one of Dr. Wheeler’spatients calls him “one of those artistswith implants who comes once in a life-time.”

Dr. Wheeler graduated from theUniversity of Southern CaliforniaSchool of Dentistry, after earning hisundergraduate degree from StanfordUniversity. After dental school, he com-pleted a three-year Oral andMaxillofacial Surgery residency programat the L.A. County/USC MedicalCenter in 1981.

While Dr. Wheeler’s primary practicefocus after starting to practice in the SanDiego, CA area was maxillofacial recon-struction, he soon found that there wereother important ways to help in recon-structing a patient’s ability to functionand chew properly. In the mid-1980s, hebecame one of the first doctors in theU.S. to begin titanium root form dentalimplant placement. He established theRancho Santa Fe Dental Implant StudyClub in 1986 as a forum for implantdentistry training and education, whichwas active for 20 years.

In the early 1990s, when insurance com-panies stopped covering maxillofacialsurgery, Dr. Wheeler turned his primaryfocus to dental implant reconstructionand became involved in prototype devel-opment and patient trials. When infor-mation on various implant modalitiesand techniques was unavailable, hedeveloped a patient database and startedretrospective and prospective studieswhich have been published in severaljournals including the IJOMI.

It’s hard to imagine how Dr. Wheeler’spreparation to serve as AO Presidentcould have beenmore complete. Hejoined the Academyin the late 1980sand has nevermissed an AnnualMeeting since then.A Fellow of theAcademy and aTitanium Societymember of theOsseointegrationFoundation, Dr.Wheeler served asDirector, Secretary, Vice President, andPresident-Elect before his election asAO President.

Dr. Wheeler feels strongly that the AOis unique in its unbiased approach topresenting information dentists can usein their daily practices to improvepatients’ lives. He believes that implant

dentistry has a unique role in patienthealth. “We have the opportunity toreplace a tooth in both form and func-tion, giving something back to ourpatients to make them whole again,” he says.

Dr. Wheeler has served on the AOBoard of Directors since 2004, previous-ly serving as Co-Chair for the 2003International Congress ofReconstructive and PreprostheticSurgery, and Chair for the AO ClinicalInnovations Committee. He also chairedthe Council on Expanding ImplantUtilization, the Ad Hoc Committee onWebsite and Electronic Services, and theProfessional Relations and PublicAwareness subcommittees.

A strong advocate for expanding theAO’s global presence, Dr. Wheeler haschaired the Academy’s InternationalRelations and Global ProgramDevelopment (GPD) Committees.“While 20 percent of the membershiphails from territories outside the U.S.,”says Dr. Michael R. Norton, London,England, UK, current chair of the GPDCommittee, “and our mission statement

reflects a globalAcademy, manywithin the organi-zation continued tosee it principally asan American academy with over-seas members.However, duringthe last five years,much has changed.Thanks to theefforts of formerAO Presidents Drs.

Peter K. Moy, Los Angeles, CA, andVincent J. Iacono, Stony Brook, NY,and our current President, Dr. StephenWheeler, we have seen a graduallyincreasing commitment to develop aglobalization program.


Dr. Stephen Wheeler (left) and his partner, Dr. JohnSeul, in their Encinitas, CA office.

Dr. Wheeler races his Porsche GT3 at ChuckwallaRaceway, where he is a private member.

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President's Profile …continued from page 8

“As chair of the original GPD TaskForce and now as President, Dr.Wheeler has thrown his full weightbehind the ongoing activities of theGPD Committee,” Dr. Norton contin-ues. “He has shown himself to be a truerepresentative and activist for AO’s glob-al membership.”

Dr. Wheeler is also a member of theAdvisory Board of the Institute forDental Implant Awareness, a nonprofitorganization based in Santa Monica,CA, “created to preserve the integrity ofimplant dentistry by supporting theteam approach, and to protect patientsby providing accurate information aboutimplant treatment.” He shares theInstitute’s concern about proper trainingfor dentists who are either placing orrestoring dental implants, as well as theinaccuracies of most of the advertising inthe media. Much of the Institute’s treat-ment guidelines for surgical placementof dental implants have been incorporat-ed into the AO’s Guidelines for theProvision of Dental Implants andAssociated Patient Care.

These concerns have played a significantrole in Dr. Wheeler’s goal of involvingmore general dentists in the Academy.He has established a GP Task Force,chaired by Dr. Steven J. Rosenstein,Aventura, FL, to focus on recruitment

and retention of our general dental col-leagues. The AO has always beenfocused on the “Team Approach” toimplant dentistry, and Dr. Wheeler feelsthat general dentists are an importantpart of that team.

His colleagues respect him as an excel-lent speaker, sought after by organiza-tions internationally. “I’ve served as aconsultant for several implant compa-nies, and I’ve had the opportunity to lec-ture around the world to groups as largeas 2,000 doctors at a time. It has allowedme,” continues Dr. Wheeler, “to shareinformation with my international col-leagues and develop lasting friendships.”The lecture circuit has taken Dr.Wheeler and his wife of 35 years,Lynne, a dental hygienist he met in den-tal school at USC, to India, Egypt,Malaysia, Mexico, Japan, South Korea,and all over Europe.

His private practice today is based inEncinitas, CA, where Dr. Wheeler andhis partner, John Seul, DMD, MD,MPH, follow the team approach whileproviding a full scope of oral surgery,with a primary focus on bone graftingand dental implantreconstruction.“Our goal is tohelp patientsimprove their over-all health, appear-ance andwell-being throughour trademarkblend of provenmodern technologyand an old-fash-ioned commitmentto patient care,” Dr. Wheeler says.

Dr. Wheeler and his wife, Lynne, haveenjoyed giving back to their community.They have been actively involved intheir church, supporting missionaryfamilies, their children’s schools, Casa de

Amparo (for abused women), Children’sHospital, The Center for NeglectedChildhood Diseases, Vision of Children,Patrons of the Prado, Starlight Theatre(civic light opera), The Old GlobeTheater and their alma mater, USCDental School. Mrs. Wheeler has servedon the boards of many SouthernCalifornia organizations, including theBoard of Governors for USC.

The Wheelers are also devoted parentswho enjoy getting together with theirtwo daughters, Jennifer and Jessica, andtheir new husbands. (Both youngwomen were married in 2011). Dr.Wheeler enjoys cars, both racing (he is amember of two private race tracks) andfor show, and likes to get away fromwork routines for golfing, snow skiingand vacationing at their time share inKauai. He is an avid “gym junkie” andusually works out every day. “I have tokeep up with my kids,” he says with asmile.

At this year’s Annual Meeting, theAcademy will offer a half-day sympo-sium dedicated to experts from Japanlecturing in Japanese with English trans-

lation. He sincerelyhopes that this,along with AO’snew CharterChapters andinvolvement withthe FDI, will be thestart of a strongerinternational pres-ence. “I feel confi-dent that theAcademy will con-tinue to expand

both at home and abroad providing themost current information on implantreconstruction, while facilitating aninternational forum for discussion onthe safety and efficacy of both tech-niques and technology in this everevolving and fascinating field,” he says.

Dr. Wheeler, daughter Jessica Wheeler Bailey, wifeLynne, and son-in-law JJ Bailey ski at Mammoth.

Dr. Wheeler, daughter Jennifer Wheeler Kahn, son-in-law Brandon Kahn, wife Lynne, son-in-law JJBailey and daughter Jessica Wheeler Bailey enjoy aKauai vacation.

Update member contact info at www.osseo.orgDo we have your most current information for the Membership Directory? Members may update their contact informationonline at www.osseo.org, or send an email to Barbara Hartmann, [email protected].

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The goal of modern implant dentistry is to return patients tooral health in a rapid and predictable fashion, following adiagnostically driven treatment plan. If previously placedimplants cannot be adequately restored, the treatment out-come may result in a prosthetic “compromise.” First genera-tion previously placed implants for the following patient areshown here at initial evaluation and after retreatment.

The original implant placement resulted in a prosthetic com-promise, with an inadequate support system for the maxillaryoverdenturewith left max-illary posteriorteeth positionoutside theenvelope offunction, Fig1a, b, & d.The patientwas unable tofunction ade-quately on theleft side,because maxil-lary posteriorteeth werepositioned“off the ridge”into the cheek,with all oppos-ing mandibular posterior teeth missing, Fig 1b & d.

Replacement of mandibular teeth was not predictable due tolack of alignment and occlusion with the asymmetrically positioned maxillary teeth. There was also disappointmentwith the prosthesis related facial esthetics. Correction focusedon the compromised implant positions, especially #6, 11, &15, Fig 2.

Treatment focused on gaining space for the new andimproved connecting bars by surgical soft tissue lengtheningaround the implants without bone removal, surgical elevationof the edentulous ridge #12-14 with bone removal, and inter-vening transmucosal abutment removal to gain room for thenew implant connecting bars with direct implant connection,for a totally implant-supported and stabilized prosthesis, Fig 3a,b & c,d.

During treatment time, the patient always had use of theoriginal prosthesis, for satisfactory function, facial appear-ance, and speech. Approximately six weeks after surgery thedefinitive maxillary prosthesis impression was taken. The

designed for the implant connecting bars, with removal of thetransmucosal abutments and soft & hard tissue correctionsallowed enough space for new bars and overdenture prosthe-sis of the maxilla, Fig 4.

The design of the bars incorporated 4-6 degrees of taperocclusogingivally with 4 O-ring attachments. The tapereddesign allowed for total implant support and stability withpatient retrievability and minimal O-ring wear, Fig 5b & d.Following removal of all implant transmucosal abutments,

the increasedspace betweenthe bar systemand soft tissueallowed forimproved self-cleansing, Fig 5b.

The implants#3 & 11because oflength andangulation,fitted directlyinto the barsand theextruded #15was correctedentirely by

removal of the transmucosal abutment, Fig 4. The occlusalvertical dimension was increased 1½ mm for prosthesisaccommodation. Softening of the facial esthetics was accom-plished by tooth selection and reducing the bulge under themaxillary lip, three year followup, Fig 6.

Clinical Technique Feature

Improving an asymmetrical compromisedmaxillary implant prosthesisBy EDward M. Amet DDS, BS, MSD, Academy News Editorial Consultant

Figure 1 Figure 2 Figure 3

Figure 4 Figure 5 Figure 6

Board picks Los Angeles,Washington, DC for 2018,2019 annual meetingsSite of the 2018 Annual Meeting will be Los Angeles andthe Los Angeles Convention Center, and the Academy willreturn to Washington, DC, for the 2019 Annual Meeting atthe Washington Convention Center. The Board ofDirectors approved these future sites at its October meeting.

Next year’s Annual Meeting will be March 6-8 in Seattle,WA. The 2015 meeting will be in San Francisco, CA, 2016in San Diego, CA, and 2017 in Orlando, FL.

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Member News

Drs. L., C. Guenin provide free dental care at Maasai Clinic, Kenya

AO PastPresident VincentIacono honoredwith endowedprofessorshipAO Past President Dr. Vincent J.Iacono, Stony Brook, NY, chair of thedepartment of periodontology at theStony Brook University School ofMedicine, has been named to anendowed professorship, Tarrson FamilyProfessor of Periodontology. It honorsthe career of Emanuel “Bud” Tarrson,who built the John O. Butler Company(now Sunstar Americas, Inc.) into aglobal health care company and used thesuccess of his company to become achampion and strong supporter of den-tistry. Dr. Iacono joined the StonyBrook faculty in 1974.

AO Past President Dr. Abraham Ingber dies at 65Dr. Abraham Ingber, Bethesda, MD, alongtime member who served as AOPresident (1999/2000), died suddenlyAugust 26 at age 65.

“Practicing dentistry in the Bethesda,MD, and Washington, DC area for morethan 30 years, Dr. Ingber had developed ahighly regarded career and was renownedas one of the area’s premier dentists,” alocal obituary said. “His expertise was

valued by leaders and his professional peers in implant den-tistry, and he was often interviewed by print and broadcastmedia journalists on a variety of dental issues.”

“Dr. Ingber was an involved member with AO for more than20 years, and offered his leadership and expertise to other pro-fessional organizations representing implant and esthetic den-tistry,” said Academy President Dr. Stephen L. Wheeler inannouncing Dr. Ingber’s passing to the membership.

“Abe Ingber was a phenomenal prosthodontist who was very innovative and visionary, and he contributed immenselyto the field of implant dentistry,” said Past President Dr.Dayn C. Boitet (2001/2002), Fleming Island, FL. “He did it with dedication, perseverance, and a wonderful sense ofhumor. He could walk into a room and have everyone smilingwithin minutes.”

Another past president, Dr. James H. Doundoulakis, New York, NY, called Dr. Ingber “a world-class practitioner.”He was “always upbeat, his energy was infectious. I will never forget the Annual Meeting in New Orleans when Abewas President…Abe at the helm of the AO float careeningdown the avenue, with all of the Board of Directors cheeringhim on.”

Dr. Melvyn S. Schwarz, Torrance, CA, who succeeded Dr.Ingber as President (2000/2001), remembered when theylearned the Academy’s executive director planned to leave.“We both turned white and had a panic attack, but Abe rose tothe occasion, always with that upbeat attitude and big smile.”

Dr. Ingber was born in Poking, Germany, the first-born son ofSaul and Miriam Ingber, Holocaust survivors, who were liv-ing in a displaced persons camp. “An immigrant, Abe cher-ished every opportunity life afforded,” said an obituary inWashington Jewish Week. “He was a renowned dentist, an inven-tor, a philanthropist, a captain, an active member of BethSholom Congregation and Talmud Torah, a teacher, an entre-preneur, and an avid tennis player.”

He is survived by his wife Beth and three children, Joshua(Christine), Ari, and Ilana. He is also survived by a sister,Haia (Tamir) Perlmutter and a brother, Morty (VanessaGrant) Ingber. He shared an office with his practice partner,Dr. Vincent J. Prestipino.

Dr. Abraham Ingber

Drs. Louis R. and Christian Guenin, London, England, responded to the call lastsummer to provide free dental treatment for the Maasai tribe in Kenya in the bushof Africa. They found very primitive conditions. “The villages still use the barbaricmethod of extracting teeth with a knife and no local anesthesia, then packing thesocket with cow dung,” Dr. Guenin reports. “No question of placing implants."

The photos show the Guenins, father and son, outside the Maasai Dental Clinic,and Dr. Louis Guenin treating a patient.

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AO in India:Global Outreach and Indian CharterAO’s Global Program Development Committee has drawn upplans to establish new educational outreach activities in India.Committee Chair Dr. Michael R. Norton, London, England,UK, with the support of Dr. Georgios E. Romanos, Stony

Brook, NY, hasproposed tohold the firstmeeting of theAcademy's new CharterChapter inPune, India inearly 2015.The meetingwill have

primarily educational interests and will provide informationabout the latest knowledge of both the surgical and restorativeaspects of implant dentistry. “We look forward to the interac-tion with speakers from India, promoting the country and the new opportunities there due to recent developments,” Dr. Norton says.

The meeting will be held in the Dr. D. Y. Patil Vidyapeeth(DPU) University, Pune, a facility on the west side of India,which fulfills AO’s expectations for teaching, research anddevelopment. According to the mission of the DPU, its goal is

to contribute to the socioeconomic and ethical development ofthe nation by providing high quality education through insti-tutions that have dedicated faculty and state-of-the-art infra-structure, and are capable of developing competentprofessionals and liberal-minded citizens.

For this AO Indian Charter Chapter, the Global ProgramDevelopment committee is pleased to be working with theuniversity’s President Dr. P.D. Patil, Dr. K.B. Powar –Chancellor, Dr. P.N. Razdan – Vice Chancellor, as well asDr. R.S. Dolas – Dean of the Dental College, who havemade a commitment to host the AO in this first IndianCharter meeting. Due to these activities, the Academy will be promoted in India and participants of the local nationaldental societies, clinicians and researchers interested in oralimplantology are expected to attend.

Drs. Norton and Romanos have been working closely withDr. D. Gopalakrishnan, Head of the Dept. ofPeriodontology and Director – Research and Collaborationsat DPU, to create a liaison and formulate a program for thisinaugural meeting. It will have a galaxy of national andInternational speakers. “Pune city, also known as the Oxfordof the East, will provide an excellent venue for the meeting,”Dr. Norton says.

Dr. Michael Norton Dr. Georgios Romanos

practice management advancements andconcerns of the implant coordinatingteam and laboratory technicians. This isan excellent opportunity to bring alongstaff members to not only participate inthis carefully crafted program, but alsoto explore, in person, the largest assort-ment of dental implant products andservices under one roof.

Each year, our Exhibit Hall features oneof the largest collections of leading man-ufacturers and suppliers of dentalimplant products in our field. This yearwe are approaching another record-set-ting number of exhibitors. Meet the2014 corporate representatives in a morerelaxed setting at the WelcomeReception in the exhibit hall Thursdayevening, immediately following ourOpening Symposium. Featured againthis year on Friday evening will be ourNew Product Showcase forum wheremany companies will feature theirnewest products.

I’m especially excited to invite all atten-dees to join me at the President’sReception on Friday evening. Our hostfor this year’s gala event is the Museumof Flight, the largest air and space muse-um on the West Coast, located near theair field where the nation’s largest air-craft manufacturer, Boeing, tests its newairplanes. The entire facility will beopen exclusively for AO guests andpromises to be an unforgettable experi-ence. Plan to join us for this fun-filledevening of flight exploration amongAcademy friends.

Don’t forget to download the mobileapp for this year’s meeting. You will beable to access a complete listing of program events, organize your meetingitinerary, view speaker events and bios,maps and local attractions, customizedaccess to social media, and much more – all in the palm of your hand!The mobile app is free and will beavailable in February. Keep checking

our home page for a special link todownload directly to your device.

As you’ll see, we’ve designed the 2014Annual Meeting to include a large selec-tion of sessions and activities to choosefrom, so you can customize a meetingexperience that best suits you and yourstaff. Take a look at all events and regis-ter early to take advantage of discountedrates. Also, remember that certain ses-sions offer limited attendance – don’twait to secure your place in these verypopular sessions!

As we look ahead to 2014 and beyond, Iam excited about the AO’s growth bothnationally and internationally. Thisdynamic community will continue towork together to discover advancementsthat will carry us forward into thefuture, giving us the abilities to providemore successful dental implant treat-ment and improved patient care.

President's Message …continued from page 2

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The evidence-based philosophy has been around for a while,and its guidance is pretty much a given in today’s practice of

health care delivery. Perhaps it’s timeto reflect on such a game-changingconcept to see if the idea measures upto its day-to-day application. Therecan be little debate that the notion ofhaving good evidence to back up agiven procedure is not only preferablebut mandatory in health care, wherelife or at least morbidity hangs in thebalance. If only we could expect that ofour legislative brethren, but a littlemore of that later.

Where the real debate seems to center is not about havinggood evidence but where the evidence comes from. Is the evi-dence supported by legitimate research (and I would like tohighlight legitimate) or is the evidence anecdotal, based onone’s personal experience out in the trenches? The commonperception seems to be that it is a little of both, although theofficial view is that only true scientific research should be usedas evidence.

Research has an advantage in that it can be conducted over ashort period of time, while experience is, well, a lifetimeendeavor. Also, statistical results from research can tell usquite a bit about things in general, but less so about things inparticular. Experience on the other hand tells us much aboutthings in particular but is less dependable about things in gen-eral. Nonetheless, let us look at both of these parameters andsee where it puts us today.

Let’s first direct our attention to clinical experience. When wefirst matriculate from dental school, we have very little in theway of experience; usually four total years with a couple clini-cal years mixed in, more for specialist studies. All of these aresupervised and offered some opportunity for actual judgment.We get the shingle and off we go, if we are lucky, to mentorwith some grey-beard to help us get through the day-to-dayrigors of practice. If not, we muddle through our early yearsgetting that holy grail of experience one bit at a time.

Historically, this is how things happened, for better or worse.It would be unfair to say that research findings were not partof this scenario because they were, of course, a very substantialpart of it. However, there was most likely a seat-of-the-pantstype existence in those early years, certainly not something tobe quantified, but albeit valuable in the total scheme of things.Some might suggest that this is where the “judgment” portionof practice comes from.

Now let us turn to scientific research and its position as themetric for our decisions made clinically in daily practice. Sinceall of us were nursed on hard science, the process of theory,hypothesis, experiment, results, and interpretation is already

inbred into our academic DNA. The premise of usingresearch evidence to support our actions is not a new idea; it isthe foundation of just about everything we know.

However, the ancients had it easy. Way back then, there wereonly a few great thinkers around and they had their pick ofthings to look into. Not so today, where many budding post-graduate degree seekers scrounge around for obscure ideas totest, since all the good ones have already been taken. This isnot only a problem for medicine and dentistry but for all ofthe “sciences,” if you get my drift.

Seriously though, there are literally boatloads of publishedworks on all sorts of topics. If we are going to use researchresults as our evidence to justify patient procedures, how dowe choose between the gems and the tailings? More impor-tantly, what happens to all those “rejected” studies?Unfortunately, all published research, good and bad, getsthrown into the global body of knowledge.

That creates a problem when any individual study withmediocre design gets headline status, as it sometimes does. Abigger problem may follow after the contents of these studiesget lumped into broader screenings for yet other studies tryingto gain some traction with one idea or another. Our regulatoryand legislative brethren often use these retrospective studies todevelop public policy or regulatory compliance, because theycan be made to offer consensus on what we think we know.

Thankfully, the academic centers where a fair amount of thecontemporary research takes place can provide reliable sourcesfor our quest of “evidence.” Even studies commissioned bycommercial interests can have value when vetted through thepecking order of the marketplace.

Our own AO has committed itself to distilling huge numbersof studies in an effort to determine best practices for the disci-pline of implant dentistry. Our next meeting in Seattle willagain offer cutting edge state-of-the-art information from academic and clinical studies conducted in the U.S. andaround the globe.

Whatever our ultimate formula for practice success entails, itwill most likely arise from both legitimate research and clinicalexperience. The two are inseparable and must be guided byour pledge to, above all, do no harm. Keeping our sights onthese goals will serve our public and our profession well intothe future.

The Editor’s Editorial is intended to contribute to the dialogue onissues important to implant dentists. The views expressed in the editorial do not necessarily reflect the policy of the Academy of Osseo -integration or its Board of Directors. Readers who would like to com-ment or express a point of view on the editorial are invited to write tothe editor via email at [email protected]. We willendeavor to publish pertinent comments or views when space permits.

Editor’s Editorial

What evidence should guide clinical practice?By Kevin T. McNally, DDS, Newsletter Editor

Dr. Kevin McNally

45041_AOOO AONews 12/3/13 6:07 PM

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