I learned something earlier in the week that made me realise I know NOTHING! The ‘something’ was mouth related and I was made to feel that every dental professional on the planet knew about it, but they excluded me from the secret. I’ll tell you the secret a little later. You will be…AMAZED! Or maybe not.
If your patients feel more confident using a bit of glue on your superb denture, do you despair? Well you shouldn't. It's all cool according to a new white paper.
Meeting A Sticky End
Why Dental Fixatives Are No Longer Taboo
To register for this free event, just fill out the form on the website
Small, strong and enduring, and completing the Straumann portfolio for narrow space indications, the Ø 2.9mm implant brings all the Bone Level Tapered (BLT) advantages to narrow interdental spaces.
The Straumann Bone Level Tapered (BLT) Ø 2.9mm implant is the implant solution for narrow interdental spaces or ridges. The smallest in the Bone Level Tapered range, it completes the portfolio for narrow space indications and integrates seamlessly with the reliable Straumann® Dental Implant System.
Benefitting from the clinically-proven BLT design, it has a parallel body with full-depth thread and three cutting notches for self-cutting in underprepared sites. Its apically tapered design delivers excellent primary stability in soft bone and fresh extraction sockets as it adequately compresses the underprepared osteotomy and allows the clinician to effectively master the patient’s anatomy, even when limited, and protects the anatomical structure with its round tip.
As well as the tapered implant body, all Straumann BLT implants possess the powerful combination of Roxolid®, SLActive®, Bone Control Design™, CrossFit® connection and prosthetic diversity.
Roxolid has enabled Straumann to create smaller implants than ever before, thus reducing invasiveness, by preserving bone and minimising the amount of bone grafting required. Roxolid is a high performance alloy, specifically designed to offer higher strength than pure titanium, making these smaller implants possible. Smaller implants increase the range of treatment options available to the clinician and patient acceptance will be higher when less invasive treatment options are offered.
The SLActive surface allows fast and predictable osseointegration, enabling safer and faster treatment and higher treatment predictability in challenging protocols. Clinically proven to provide safer and faster treatment in 3-4 weeks for all indications, it increases safety during the early healing phase and leads to a superior structural and functional connection between the implant and vital bone.
Bone Control Design™ and CrossFit® connections
Bone Control Design optimises crestal bone preservation while the CrossFit connections simplify handling and increase confidence in component positioning, ensuring precision against rotation and long-term flexibility.
Prosthetic diversity is ensured by compatibility with the full range of Straumann prosthetic components, including the unique oval design for optimal soft tissue management in smaller spaces.
The BLT Ø 2.9mm implant is indicated for single-tooth restorations of the central and lateral incisors in the mandible, and lateral incisors in the maxilla.
And coming soon… single use instruments will allow you to place the BLT Ø 2.9mm implant with sterile, disposable burs, drills, taps and profilers, ensuring your instruments are always sharp and minimising the cost and inconvenience of sterilisation.
For more information on the range of Straumann® Bone Level Tapered Implant solutions, please contact Straumann on 01293 651230 or visit straumann.co.uk.
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The Straumann® Bone Level Tapered Implant features the Straumann® Bone Control Design™ and the CrossFit® connection together with its corresponding prosthetic CrossFit® components from the Bone Level product portfolio.
The implant has an apically tapered and self-cutting design which, when combined with our Roxolid material and SLActive surface, make it particularly suitable for anatomically and clinically challenging situations like those involving soft bone or fresh extraction sockets where higher initial stability is required.
The Straumann® Bone Level Tapered Implant now includes a surgical protocol using single use drills, profile drills and taps designed for flexibility and efficiency. Single patient drills always comes sterile, sharp, ready to use. After the surgery, simply dispose of the single patient instruments and save your clinic the time for reprocessing and space for storage.
For more information on our range of Straumann® Bone Level Tapered Implant solutions, including the new single use instruments, please contact Straumann on 01293 651230 or visit straumann.co.uk.
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The innovative On1 restorative concept from Nobel Biocare offers practitioners novel treatment options to optimize implant placement and restoration.
Raising the connection for restorative components from bone to tissue level, the On1 Base remains in position from placement to finalization, providing undisturbed soft tissue healing. Furthermore, with two height options available, there is the flexibility to change the On1 Base should the thickness of the soft tissue require it in the short or long-term.
From here, the On1 Healing Cap or On1 Temporary Abutment can be connected to the base. Both support the intraoral scanning approach, which facilitates conventional impression-taking procedures for maximum accuracy and precision.
The On1 concept can be used with three different conical connection implant systems: NobelActive, NobelParallel and NobelReplace, which provides outstanding surgical flexibility and ease of use. For the restorative dentist, the On1 Base allows for an improved patient experience, as well as simplifying the placement of restorative components due to the tissue level base.
Discover today how the On1 concept from Nobel Biocare can help you achieve exceptional results for your patients.
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
Straumann UK invites you to rock out this summer at one of the most instrumental roadshows UK dentistry has ever seen. They will have you jamming to the tune of digital success as they unveil a number of exciting developments to their digital solutions portfolio.
For 10 days in July the ‘Straumann Juggernaut’ will play host to the Digital Performance ‘rock n roll’ themed tour, taking to the road and visiting seven locations across the UK. The highly-anticipated rock fest will showcase to clinicians, tech-nicians and CDTs the potential to amplify their career with the NEW synchronised digital workflow from Straumann® CARES® Digital Solutions.
This epic roadshow, is a result of Straumann’s commitment to ensure clinicians, technicians and CDT have everything they need for every step of the treatment pathway. Audiences can expect to see exclusive performances from headlines acts such as Case Planning & Guided Surgery, Digital Impressions, Lab Scanners, In-Lab & Centralised Milling, 3D Printing and Scan & Shape.
ROCK OUT TO DIGITAL…
The new and exciting Straumann® CARES® Digital Solutions offers the complete digital workflow to help achieve pre-cision and efficiency, together with the peace of mind of Straumann’s quality, reliability and service. Combining inter-connected software platforms, open and fully validated workflows alongside a wide variety of materials to offer - Strau-mann® CARES® Digital Solutions is a true benchmark in digital dentistry.
• CASE PLANNING & GUIDED SURGERY - The workflow between coDiagnostiX™ and Straumann® CARES® Visual is completely seamless with DWOS Synergy™. Transfer coDiagnostiX™ implant planning to CARES® Visual and receive the restorative plan from the lab technician. Provides complete data visualisation to achieve real-time surgical and restorative case planning.
• INTRA-ORAL SCANNING - Designed for high performance, ease of use and optimal patient comfort, the extremely compact Straumann® CARES® IO Scanner and Straumann® CARES® IO Portable Scanner allows clinicians to quickly and easily create digital impression data that can be used to design and produce effective prosthodontic solutions. 3Shape TRIOS® Wireless Intraoral Scanners enhances patient experience, reduces chair-time and unlocks the widest range of treatment opportunities. Backed by continuous software updates, upgradable hardware and add-on treat-ment modules, the 3Shape TRIOS® 3 range of intraoral scanners offers accurate, ultra-fast, powder-free scanning.
• LAB SCANNERS - Straumann® CARES® 3Series and 7Series Desktop Scanners effectively combine proven and estab-lished scanning process with the latest computer technology in an elegant, functional design, to accurately scan models and impressions. The scanners combine proven laser triangulation technology with three or five axes of free-dom and are embedded with a powerful PC and several DWOS applications.
• IN-HOUSE MILLING & 3D PRINTING - Straumann offers the capability of milling custom dental prosthetics in-house via the flexible Straumann® CARES® Series Milling Units (C, D & M Series). Additionally, the Straumann® CARES® P Series 3D Printer sets a new standard in 3D printing for labs, offering speed and reliability specially tailored to satisfy the highest demands in both the practice and laboratory.
• OUTSOURCED PRODUCTION – The Straumann® CARES® Centralised Milling facility operates as an extension of the modern laboratory, with state-of-the art equipment and validated workflows. There is a comprehensive range of products to choose from, including one-step restorations, customised abutments, screw-retained bridges and bars, copings, bridge frameworks as well as full contour crowns and bridges. Alongside this, Straumann offer a variety of materials including multiple glass ceramics, zirconia available in numerous shades and translucencies, cobalt chrome, titanium and polymers.
By adding an all-encompassing digital dimension to their portfolio Straumann have added a completely new vibe to their offering – they’re more than a dental implant company, they’re your digital solutions partner.
Audiences will be driven wild by the great product deals, insightful presentations and hands-on demonstrations on offer at the Straumann Digital Performance Tour. Plus, with exclusive backstage access to the live music and entertainment on offer, and after parties scheduled at selected locations, the Straumann Digital Performance Tour promises to be a must-attend event for any technician, CDT or clinician looking to enhance their digital offering in 2017 and beyond.
• 10TH – 11TH JULY
• 13TH – 14TH JULY
• 17TH – 18TH JULY
Don’t miss the opportunity to see these fantastic innovations at the Straumann Digital Performance Tour. FREE to attend places are limited - to book your place visit straumanndigitalperformance.co.uk, or visit Straumann at TDS / DTS on Stand B10 or call 01293 651230.
Facebook: Straumann UK Twitter: @StraumannUK #digitalperformancetour
Many of your patients will have chosen implants to replace a missing tooth or teeth.
The stability of their implant will depend, in no small part, to the quality of self-care in between appointments.
Tandex has a range of brushes and other adjunctive products to answer all your implant patients’ needs. For example, the FLEXI™ is an interdental brush available in nine different sizes for complex implant spaces. The SOLO™ interspace brush will clean efficiently around critical points and give easy access around implants too. Used with a non-abrasive toothpaste, such as Tandex GEL™, your patients will comfortably be able to remove the maximum amount of plaque and bacteria from all surfaces.
Proper cleaning will keep the implant stable and help avoid future complications, such as peri-implant mucositis, which can lead to peri-implantitis if left unchecked.
A simple routine performed twice a day will protect your patients’ investment. Recommend Tandex to your implant patients, so they can enjoy optimal oral health and implant stability for as long as possible.
For more information on Tandex’s range of products,
visit www.tandex.dk or visit the facebook page:
Nobel Biocare will be among the leading implant product suppliers and manufacturers delivering programmes in the Corporate Forum at the ADI Team Congress 2017.
Don’t miss Bertil Friberg‘s session on ‘Treating the compromised patient, what we have learned from 40,000 patients at Brånemark Centre in Gothenburg’ or Alessandro Pozzi’s titled ‘Using technology to solve complex treatment problem – from design to prosthetics’.
From the UK, Guy McLellan will explore ‘Treating complex maxillary situations with digital planning, models and quad zygomas’, helping all delegates take their digital workflows to the next level.
Entitled ‘Contemporary solutions for complex treatment challenges’, the morning’s lectures will provide delegates with two hours of verifiable CPD and be delivered by world-class professionals in the field.
Treat more patients better – don’t miss Nobel Biocare’s Corporate Forum at the ADI Team Congress 2017, Thursday 2nd March from 08:00 - 10:00 in ICC Capital Suite, Level 3 Room 2.
For more information about Nobel Biocare, please call 0208 756 3300,
or visit www.nobelbiocare.com
The ADI Team Congress 2017 – 2-4 March – ExCeL London
For more details, please visit www.adi.org.uk/congress17
If you’re looking to develop your implant offerings and provide a wider range of services to your patients, get started with the All-On-4® treatment concept with your free e-book today!
From the pioneer of the globally popular concept, Nobel Biocare, the e-book offers a wealth of information, advice and top tips to help you maximise efficiency, safety and success of treatment.
The valuable tool will help you learn:
For this and much more, download your free e-book today! Just go to info.nobelbiocare.com/int/en/all-on-4-ebook to discover more about how the innovative All-On-4® treatment concept could benefit you and your patients.
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
“The conference provided a very informative day, covering a varied range of topics and I found it interesting to see all the new developments and research. It was great that so many speakers who are top of the profession worldwide came to Dublin and I found it useful to get reaffirmation that we’re following good protocols and achieving the same success rates as those international leaders.” – Dr Eoin Fleetwood, Eyre Square Dental Clinic in Galway
Entitled Osseointegration Reimagined, Nobel Biocare’s Dublin Team Conference 2016 highlighted just how far dental implantology has come since those early days.
The full-day programme brought a piece of June’s Global Symposium in New York to Ireland, demonstrating Nobel Biocare’s total commitment to education and innovation. An array of world-class speakers took delegates on a journey through the development of dental implants, with lectures in the morning and smaller masterclasses and workshops in the afternoon.
From where it all began, Professor David Harris kicked off proceedings by paying tribute to Professor Per-Ingvar Brånemark, before Dr Bertil Friberg reminisced about what dental implantology was like in the 80s. It seems strange to realise that only 20 years ago, patients had to wear a denture for one year before implants could be placed in healed extraction sites!
Professor Hannes Watchel, Dr Ana Ferro and Dr Paul O’Reilly then offered their own experiences from Munich, Lisbon and Ireland, each emphasising the benefits of implants for patients and their quality of life. Modern treatment options for compromised patients were also discussed, with Dr Dawood considering situations where customised implants, cutting-edge 3D printing and innovative ideas were combined to deliver truly life-changing solutions.
Exploring the height of implant innovation, the final plenary session challenged the status quo with respect to the digital integrated workflow and CAD/CAM restorations and highlighted the importance of respecting the soft tissue. Dr Rompen also introduced the exciting new On1 concept, which brings the restorative platform from bone level to tissue level for maximum soft tissue attachment and optimised healing.
Throughout the morning’s lectures, a clear trend developed. All speakers – regardless of specialism or nationality – were passionate about simplifying the clinical workflow for a faster, more predictable and more cost-effective procedure for the patient.
Dr Robert Bowe from Bowe Dental Clinic in Limmerick commented:
“This was a very well-organised conference, where speakers provided different, innovative solutions to implant problems we face every day. Throughout the morning sessions there was a lot of new evidence presented, as a result of which I will look to modify my own practice. As with all Nobel Biocare events, I learnt something new and came away with a renewed enthusiasm for implant dentistry. It is also great to have the opportunity to talk with colleagues – it’s reassuring to know that we all face the same challenges and that there are solutions out there!”
In addition to all this, there were plenty of opportunities to network with industry-leading professionals, while also catching up with friends and colleagues. The Innovation Evening saw delegates and speakers come to together to enjoy a fantastic meal and entertainment, and a great time was had by all.
Paul O’Reilly, Scientific Co-Chair, added:
“Nobel Biocare is to be commended for assembling an impressive array of national and international speakers for this conference. As well as some outstanding lectures, a programme of hands on workshops and masterclasses allowed attendees to try innovative products, learn new techniques and gain an appreciation for the rapid advances that are occurring in treatment options for our patients.”
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
The Nobel Biocare Global Symposium is a must-attend event for all professionals looking to take their implant dentistry to the next level.
The exciting four-day programme will be delivered by more than 150 industry experts from around the world, presenting a dynamic combination of podium lectures, interactive forums, masterclasses and hands-on workshops. Headline speakers will include:
A vast selection of topics will be explored from immediate loading protocols to soft tissue management, materials and techniques for bone regeneration, screw-retained restorations and much, much more.
Key Nobel Biocare innovations designed to enhance your practice and help you grow your business will be discussed as well, including NobelClinician™, the All-on-4® treatment concept and the NobelActive® Wide Platform implant.
In addition to the outstanding educational programme, the Nobel Biocare Global Symposium will also offer fantastic social and networking opportunities, giving professionals from all corners of the globe the chance to meet and learn from those at the very forefront of the field.
To find out more or to register, visit the website today.
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
By 2050, 22% of the global population will be aged over 60.¹ This increase in the elderly population may present a greater stress on your dental practice and the need for specialist oral health products.
This year the GSK Consumer Healthcare team will be at DTS to showcase one of the UK’s leading denture brands, Poligrip®. Visit stand 630 to find out more about the Poligrip® range of cleansers and fixatives and understand how they can help make your patients’ denture experience more comfortable.
The stand will feature additional materials to help support your patients in adapting to life with their new dentures and the Poligrip® team will be on hand to answer your questions.
GSK sponsored lecture – “Implants are great, but we still need dentures”
Visit the DTS Education Forum for a GSK sponsored lecture session on “Implants are great, but we still need dentures”. The lecturer, Tim Friel, has been a fully qualified Clinical Senior Lecturer for 28 years. He has a clinical interest in all aspects of fixed and removable prosthodontics and dental care of older people with special care requirements – all which will become evident in his presentation.
“I have used a variety of other impression materials over the course of my career, though none of these have provided me with the stability, accuracy and level of detail that Impregum has.
“Its ideal flow properties also reproduce the most minor details in my preparations and I avoid drags and airblows. This means I can ensure that the first impression is the last.
“I have no hesitation in recommending Impregum Penta impression material to other practitioners who are looking to provide their patients with the best possible indirect restorations.”
For more information, call 0845 602 5094 or visit www.3Mespe.co.uk
“They are absolutely fantastic. Nik is approachable, extremely professional and great with the patients. His help and advice on placing implants and restoration has been invaluable.
“Nik comes directly to the practice and has an innate ability to know how much to push me so that I continue to improve, and he always has time for my questions. I would feel comfortable and confident referring any of my patients to Ten Dental, as they always put the patient first and their communication is excellent.
“Our patients have all been extremely happy with the results and the service they receive. Nik is highly qualified and very relaxed with the patients, which has a positive effect on their experience.”
Particularly in such a fast-paced profession as dentistry, where techniques, materials and technologies are rapidly advancing and changing the way treatment is provided, remaining abreast of the latest innovations and ideas is vital. Not only does this ensure competency to treat patients in the most appropriate way, but it also allows practitioners to enhance the dental care and treatment they offer.
What’s more, it’s important to develop knowledge and understanding in a broad range of areas. For example, if you wish to offer implant treatment to patients it is clear that you need to complete advanced training so that you have the skills necessary for the provision of safe and effective services. However, even as a GDP who doesn’t provide such treatment directly to patients, you still need sufficient knowledge that will enable you to assess the health of implant supported restorations that you may encounter.
Whether clinicians require education for the placement, restoration or maintenance of dental implants, it is paramount that any training completed is of the highest calibre.
Passionate about improving awareness of and access to first-class tuition in the field is Ken Nicholson. Ken is the founder of the British Society of Oral Implantology, a Fellow of the International Congress of Oral Implantologists and a member of the Faculty of Examiners at RCS Edinburgh, amongst many other accolades. He is also the founder of SmileTube.tv, a learning portal designed to ensure practitioners’ competency in implant treatment. He says:
“The widespread use and published success of dental implant supported restorations is encouraging more and more GDPs to become involved in this treatment modality. A visit to the dentist’s section of the Yellow Pages makes it difficult to ignore the fact that an increasing number of practitioners are using the label ‘Cosmetic and Implant Practice’. Ensuring the clinician has the appropriate knowledge and skills to undertake dental implant treatment is of paramount importance.
“The GDC’s required learning outcomes of undergraduate education for Dentists: The First Five Years states that dental students should ‘be familiar with dental implants as an option in replacing missing teeth’. UK-qualified dentists are not expected to practise implant dentistry without undertaking structured postgraduate training and assessment of competence.
“The first step towards treating a patient is case assessment, where attention to detail and identification of the salient features of the case are essential. Even if a general practitioner does not wish to provide implant treatment, it is almost certain that he or she will be caring for patients with implant-supported restorations. A component of that care will be assessment of the health of the implant restoration(s) for which an understanding of implant dentistry is essential.”
For those wishing to perform implant treatment themselves, it is crucial that any training undertaken is carefully designed to provide both the theoretical knowledge and hands-on experience clinicians need to ensure their clinical competency.
Through SmileTube.tv, practitioners have access to a structured, blended learning programme that is tailored to equip them with the necessary knowledge and skill to place and restore dental implants, in a safe environment. The course involves four online modules, which can be completed at a time and from a place of the delegate’s choosing for ultimate engagement and effectiveness of learning. Training concludes with eight clinical days where delegates can develop practical skills for placing and restoring implants, while under the supervision of leading implant practitioners across the country and with access to cutting-edge facilities.
“The SmileTube.tv ‘Ultimate Implant Year Course’ delivered in partnership with Nobel Biocare provides delegates with the core knowledge and competence in implant dentistry expected of a GDP, as described by the Royal College of Surgeons of Edinburgh for the Diploma in Implant Dentistry at the College,” continues Ken. “The knowledge component of the course, and assessment of that knowledge, is delivered online through the purpose designed e-learning platform SmileTube.tv, and delegates are able to revisit any material as many times as they need for the duration of the course. The clinical skills component, and skills assessment, is delivered through one of a network of clinical training centres throughout the UK and Ireland.
“I believe Nobel Biocare to be a global leader in implant dentistry with a hugely impressive and well documented track record. It is a proactive, innovative and forward-thinking company keen to support education and training for the GDP, which arguably offers the most comprehensive range of services, products and materials in the industry. The latest implant design from Nobel Biocare, the NobelParallel® Conical Connection (CC) implant will be one of the implant designs used on the SmileTube.tv course and promises to be an excellent platform for the newcomer to implant dentistry.
“As Nobel Biocare has been innovative in its approach to implant dentistry, SmileTube.tv has been innovative in its approach to education and training in the field. We hope to develop a passionate, global learning community, pushing the boundaries of education and training in implant dentistry to provide a better experience for our learners and a safe and predictable outcome for their patients.”
For more information about the exciting innovations available from Nobel Biocare, please call 0208 756 3300 or visit www.nobelbiocare.com
UCL Eastman Dental Institute is the largest postgraduate dental school in Europe and has a reputation as one of the world’s leading academic centres for dentistry. As part of UCL – London’s Global University – the Institute welcomes UK and international students.
With a focus on translational research, postgraduate education and training, the Institute offers a wide range of study opportunities – Master's degrees, specialty training, certificates, diplomas, research doctorates and CPD courses – from its twin sites in central London.
To find out more about our upcoming courses – including Microscopy, Implants and Restorative short courses running between now and Christmas - visit our stand at E210 or our website: http://www.ucl.ac.uk/eastman
Do you think CPD is valuable to you? Are you interested in having your say on CPD? Then you will be glad to know UCL Eastman is carrying out a nationwide survey to find out your views on the current state of CPD.
If you have an opinion and wish to complete the online survey visit https://www.surveymonkey.com/s/7YD9T9S.
But, this research would mean nothing without the endorsement of professional hygienists who have a working knowledge of oral irrigation products. Michael Wheeler is a dental hygienist at Bramcote Dental Practice in Castle Cary and an Honorary Senior Lecturer at the University of Kent. When asked about the products available from Waterpik International, Inc. he said:
“I am a firm advocate of the Waterpik® Water Flosser – both for those patients who are having difficulties in maintaining oral hygiene with bridges or crowns, and those who already demonstrate good oral hygiene routines. The Water Flosser is a very effective product and is relatively easy to use, so it’s really beneficial for all.
“A patient I’d been treating for several years recently highlighted this. She’d had a bridge fitted about 30 years previously and although her oral hygiene was exemplary, she expressed that the bridge caused her some difficulties, especially when it came to maintaining such a high level of oral hygiene. I suggested she incorporate one of the Water Flossers from Waterpik® into her daily cleansing routine, in an attempt to offer her a logical solution to these issues.
“The next time I saw her she was delighted with the results of the oral hygiene adjunct, stating: ‘It’s absolutely life-changing and the best thing I’ve ever used!’ Even I was slightly taken aback by the level of her enthusiasm, but it was great to hear!
“A second patient of mine, a reformed heavy smoker, also noticed an improvement in his oral hygiene with the use of a Water Flosser from Waterpik®.
“It just goes to prove with the right patient, even if their oral hygiene is beyond criticism, you can provide further motivation with the right product.”
Discover the many benefits of clinically proven solutions from Waterpik International, Inc. for yourself, and contact the team today.
For more information on Waterpik International, Inc. please visit www.waterpik.co.uk. Waterpik® products are available at Amazon, in
Boots and at Superdrug stores across the UK and Ireland.
 Barnes CM et al (2005) Comparison of irrigation to floss as an adjunct to tooth brushing: effect on bleeding, gingivitis, and supragingival plaque. J Clin Dent 16(3):71-7
 Goyal CR et al. Evaluation of the plaque removal efficacy of a water flosser compared to string floss in adults after a single use. J Clin Dent 2013; 24:37-42.
 Magnuson B, Harsono M, Stark PC, et al. Comparison of the effect
of two interdental cleaning devices around implants on the reduction
of bleeding: a 30-day randomized clinical trial. Compend Contin Educ
Dent. 2013;34(spec iss 8):2-7.
 Sharma N C, Lyle DM, Qaqish JG, et al. E ffect of a dental water jet with
orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic
appliances. Am J Orthod Dentofacial Orthop. 2008;133(4):565-571.
Although dental implants have been used for around fifty to sixty years, it used to be that they were considered very much a last resort, and only really meant for those patients who really struggled with their dentures. However, with recent advances in cosmetic dentistry, and the accessibility thereof, people are beginning to realise that there is a better, more comfortable and potentially more permanent way. Dental implants, whereby a biocompatible titanium screw, inserted into the jawbone, replaces the failed root of the tooth with a prosthetic tooth, crown or bridge are becoming more and more popular. Whilst they’re still considered ‘cosmetic’ dentistry they bring far more benefits than just a lovely smile – they can improve speech which has been affected by tooth loss; improve eating and allow the patient to eat foods which may otherwise cause them a problem; prevent deterioration of the surrounding bone; have no negative impact on surrounding teeth and, due to their completely natural appearance and feel, dramatically improve confidence and self-esteem.
As with all cutting-edge techniques, people may have concerns about whether dental implants are for them, what problems may occur, and most commonly, how long will they last? After all, a smile is possibly the most clear and instant form of non-verbal communication and if that’s compromised then life in general can be adversely affected.
The simple – and rather reassuring - answer is that, as dental implants actually fuse with the bone, they could quite literally last a lifetime (although, as with other surgical implant procedures, there is no lifetime guarantee) and cared for correctly, should certainly last many years. This also makes them an economical solution in the longer term, as the initial treatment can cost little more than more conventional options. However – and this is a big however – this very much depends on two important aspects:
1. Expert Aftercare
This is why it is so crucial to ensure you use the very best specialist dental practice, one which has an exceptional reputation in dental implants and restorative dental treatment. When researching which to use, you will need a comprehensive examination and consultation resulting in a distinct and individual treatment plan detailing exactly what treatment is proposed, the total cost of the procedure, what experience the dentist has in this work, and what the alternatives, if any, could be.
They should provide clear guidance and instruction on how best to care for your implants along with regular maintenance appointments and ideally as much help and advice as you need, even long after treatment has finished.
2. Ongoing Hygiene Care
Meticulous hygiene, inter-dental cleaning, perhaps an anti-bacterial mouthwash and regular check-ups are imperative whether teeth are natural or not and the general health of the rest of the mouth and gums is fundamental to the success of implants – as well as the longevity of natural teeth.
Implants themselves do not decay but the build-up of plaque around the surrounding gum can cause inflammation which may even lead to peri-implantitis, a bacterial infection which causes gradual loss of the bone supporting the implant, and the ultimate failure of implants. Inadequate oral hygiene is the number one cause of failed dental implants.
A healthy diet, avoiding sugary foods as much as possible is also vital to all dental health and thus the success of implanted teeth, as is the avoidance of smoking.
Observation of common sense dental care and overall good health, along with an expert practitioner will give the very best chance of your implants lasting for a very long time – and give you reason to smile for many years to come.
Article supplied by London City Smiles, specialists in dental implants and cosmetic dentistry procedures.
“Referring to Ten Dental is a straightforward and easy process, I just email over the patient’s details and X-rays and Ten Dental contact the patient straight away to arrange the initial consultation.
“Overall my patient’s have found the process very good and are positive about their experience at Ten Dental.
“I feel completely confident in the ability of the Ten Dental team and it is extremely helpful to be able to refer patients into their expert hands to ensure they get the best treatment possible.”
Dr Martin Wanendeya and Dr Nik Sisodia at Ten Dental provide a comprehensive and thorough implant referral service for your patients. They are both renowned experts and are able to deal with all cases. Contact the knowledgeable team at Ten Dental today to find out more.
“I attended the first course in 2013 with the aim of improving my skill set and providing an additional service to my patients.
“It was fantastic and the tutoring knowledge of Dr Nik Sisodia and Dr Martin Wanendeya was excellent. They provided me with a comprehensive foundation to implant restoration, and through the hands-on elements of the course I am much more confident in placing implant restorations.
“The intimate, almost one-to-one training provided by Nik and Martin allowed me to clarify any queries that I had, and I now have an increased understanding of how to restore more extensive complex cases.
“Offering implant restorations in the practice has added more value to the patient care we are able to provide, as being their referring dentist I have been involved with their treatment from beginning to end.”
Today, Nobel Biocare offers an array of cutting-edge solutions to not only enhance clinical outcomes, but to also enable a smooth and easy workflow.
The recently expanded portfolio of products now includes:
All these innovations are available as part of Nobel Biocare’s new complete posterior solution – produced specifically to address common problems faced when placing and restoring implants in the posterior zone.
Highly effective as stand alone solutions, together, these products offer even better results.
So to find out how Nobel Biocare has remained ‘First for 50 Years’, discover the leading innovations available for yourself.
For more information on the Complete Posterior Solution and other exciting innovations available from Nobel Biocare, please call 0208 756 3300 or visit www.nobelbiocare.com
Have you heard about the innovative new complete posterior solution from Nobel Biocare?
Offering a choice of leading implants, abutments and restorative adjuncts, the complete posterior solution has been designed to deliver the increased strength and reliability you need for posterior implant treatments.
It consists of the new NobelActive® Wide Platform and NobelParallel® Conical Connection implants, as well as the Angulated Screw Channel (ASC) abutment and Omnigrip tooling™, which enable a wealth of new restorative possibilities even in limited vertical space.
The atomically-shaped PEEK temporary and healing abutments further serve to optimise the emergence profile, and the NobelProcera® Full-Contour Zirconia (FCZ) Implant Crown provides strength and outstanding aesthetics to complete the restoration.
While effective as standalone innovations, the complete posterior solution ensures predictable and long-lasting results for every patient. Find out more from Nobel Biocare.
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
The large numbers of implants available come in all shapes and sizes with considerable variations in the material used, the morphology of the implant, the type of abutment connection and the surface characteristics1.
From a chemical point of view, they are currently being manufactured from three groups: metals, ceramics and polymers. These are commonly divided by biocompatibility based on the type of biological response they elicit in the long-term interaction with the host tissue. These include biotolerant (stainless steel, chromium-cobalt alloy), bioinert (titanium, carbon) and bioactive (hydroxylapatite, ceramic oxidized aluminium),.
Titanium remains the material of choice, as it offers no allergic and immunological reactions and no neoplasm formation. Bone grows along the titanium oxide surface, which is formed immediately (9-10 seconds) after contact with air or tissue fluid and can reach a thickness of 2-10nm in one second. This stable surface is biocompatible and provides high corrosion resistance, high passivity and resistance to chemical attack3,.
Implants also vary in design. The majority of modern root form dental implants are threaded, although the thread pitch or profile can differ significantly between manufactures. Threads play an important role in primary stability and long-term success of dental implants. The micro-thread, for example, features small threads around the neck, which engage the dense cortical bone better and distribute occlusal loads more optimally.
Surface properties of the implant can also greatly influence the longevity and function of the implant-supported prosthesis. Rough implant surfaces result in better osseointegration than smooth surfaces, though smooth surfaces seem to have a reduced risk of future bone resorption3.
Surface design is one factor along with length, diameter and shape that affects the contact area; this consequently impacts on stability and the ability of the prosthetic to withstand force. The maximal load is proportional to the total bone-implant contact surface, although the ideal fixture size remains to be determined. However, the dimension of implants should be congruent with the bone available at the surgical site and the treatment plan2.
Implant dentistry is an evolving science with new materials and designs continually being introduced. Working with a laboratory that uses the latest technology and research to create high-quality implants is essential.
Sparkle Dental Labs is one such laboratory that continues to invest in research, development and the latest state-of-the-art technology. The wide range of outstanding implants includes those from the most popular brands, which are all crafted by experienced, highly skilled UK technicians. The high quality materials complement the expert craftsmanship and with full traceability for every item, you are guaranteed first class products every time.
Implantology continues to advance, and by working with a leading lab, dental professionals can liaise with expert technicians to ensure the best implant is chosen for every case, aiding integration and optimising success.
 Barfeie, A., Wilson, J., & Rees, J. (2015). Summary of: Implant surface characteristics and their effect on osseointegration. British Dental Journal, 218, 292-293.
 Huang, L., Shotwell, J. L., & Wang, H. (2005). Dental implants for orthodontic anchorage. American Journal of Orthodontics and Dentofacial Orthopedics, 127, 713-722.
 Barfeie, A., Wilson, J., & Rees, J. (2015). Implant surface characteristics and their effect on osseointegration. British Dental Journal, 218, 1-9.
 Variola, F., et al. (2011). Nanoscale surface modifications of medically-relevant metals: state-of-the art and perspectives. Nanoscale, 3 (2), 335-353.
 Association of Dental Implantology. A dentist’s guide to implantology. Available online: http://www.adi.org.uk/profession/dentist_guide/a-dentists-guide-to-implantology.pdf [Accessed 26th January 2015].
 Ogle, O. E. (2015). Implant surface material, design, and osseointegration. Dental Clinics of North America, in press.
The FCZ Implant Crown is specifically designed for Conical Connection implants; it is s resilient enough for use in the posterior region and is ideal for molars. Its full-contour nature means there is no need for veneering.
Created with biocompatible materials to ensure maximum stability in the areas it matters most, the FCZ Implant Crown allows you to increase the number of high quality screw-retained restorations you place.
You can also use the FCZ with the innovative Angulated Screw Channel (ASC) abutment and OmnigripTM tooling for ultimate flexibility of placement and restoration.
What’s more, delivering natural-looking tooth colour with eight shades available, the FCZ Crown is easily adjustable without concerns of discoloration for highly aesthetic outcomes every time.
Predictable and flexible, the NobelProcera FCZ Implant Crown is designed to support Nobel Biocare’s Conical Connection imapltns and is an addition to the extensive range of components designed for outstanding results. Contact Nobel Biocare today to find out more about its innovative restoration solutions.
For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com
“The new ASC abutment has changed the way we work,” they say. “The titanium interface is more predictable than the old zirconia connection we used to rely on.
“The ability to offer a cement-free retention option is very important. Lots of dentists prefer screw-retained restorations because of the hazards of cement remnants and the complexity of cementing.
“The ASC concept definitely gives us a competitive advantage.”
The ASC abutment and accompanying Omnigrip™ tooling offer new opportunities for the restoration of implants in the aesthetic zone. The abutment can be placed at an angle of up to 25 degrees anywhere in a 360-degree radius, providing enhanced access even when working in limited space. With no cement necessary, there is also no risk of irritation to the gingival tissue.
For predictable and highly effective implant restorations in more cases, discover the ASC abutment and Omnigrip tooling from Nobel Biocare.
For more information, contact Nobel Biocare on 0208 756 3300 or visit www.nobelbiocare.com
Dr Robert Watson of Dollar Street Dental uses the CS8100 in his practice, he says:
“Our new CS81003D has really transformed the way we diagnose and treat our patients.
“We are a general practice with a special interest in implants and endodontics. Both procedures are transformed by having the ability to view the proposed treatment in a 3D image. There is no steep learning curve when using the machine and the huge benefits are instantly available for both clinician and patients. Well done Carestream for bringing quality panoral and CT scanning to the general practitioner at a cost that makes sense.”
If you are looking to advance your treatment workflows with cutting-edge imaging technologies, contact Carestream Dental today.
For more information, contact Carestream Dental on 0800 169 9692 or visit www.carestreamdental.co.uk
Although traditional dentures still have a place, implant surgery is fast becoming an indispensible part of mainstream dentistry. Global forecasts suggest that Europe will continue to drive and dominate the area of dental implants and prosthetics until at least 2018. What’s more, the current economic recovery is likely to see a further push and market expansion.
Successful restoration for an edentulous patient takes both functional and psychosocial adaptation, but their self-confidence is significantly enhanced by their resulting satisfaction with comfort, function, appearance and health. When compared to conventional complete dentures, data has provided scientific evidence of an improved quality of life after dental implant therapy. Implants are much more convenient for patients and offer improved appearance, looking and feeling like natural teeth. Additionally, patients with positive self-esteem have been shown to experience significantly fewer physical health symptoms and some researchers have gone so far as to suggest that the larger your smile, the longer you may live. Whichever way you look at it, successful smile restoration has both physical and psychological benefits for patients.
The medical advantages of implants are that they help to prevent bone loss and actually stimulate growth to maintain the structure of the face. Also, well-maintained implants placed into adequate bone can be expected to last for many years.
Replacing or restoring missing or damaged teeth with virtually undetectable implants can be a complex procedure. However, it can be extremely rewarding for dentists who are able to not only produce a beautiful smile, but also raise patient self-esteem and confidence.
Successful implant surgery requires considerable attention to detail, outstanding accuracy and a comprehensive set of surgical skills acquired through on-going training and experience. Specialist technology and imaging is also needed to plan and execute implant treatment meticulously, ensuring optimal placement.
One clinician or indeed one practice may not have all the technology, space or the surgical skills required to provide the scope of treatment necessary for all implant surgery, particularly if a practice already provides specialist treatment in an alternative field of dentistry. Equally the patient demographics of the area may not make it financially worthwhile to support this provision. In addition, the training and education clinicians require to place implants successfully takes a significant amount of time as well as expense and often, if this knowledge is not used regularly, it is difficult for practitioners to maintain the skills required to achieve high quality work.
Even when a clinician is qualified to undertake implant surgery, there are still cases that require more specialist surgical skills with treatment sites that require advanced preparation or enhancement before implant surgery can take place. Some cases will require socket augmentation procedures, for example, or advanced regenerative procedures such as guided bone regeneration, bone condensation, ridge splitting, particulate grafting, autogenous block grafting, sinus augmentation, connective tissue grafting and further special methods such as inferior dental nerve lateralisation and distraction osteogenesis.
However, successful implant surgery can be still be delivered by suitably experienced clinicians or specialists in a team approach.
A centre of excellence such as London Smile Clinic provides a referral service to practitioners to undertake implant procedures on their behalf. Dr Zaki Kanaan is a highly trained implantologist, who will work closely with you to form a team, ensuring the best possible results for your patients. Whether you wish to refer more complex cases to Zaki or just refer out part of the overall treatment, the team at London Smile Clinic will keep you informed throughout the procedure. The patient will then return to you for continued treatment or on-going maintenance and care. London Smile Clinic prides itself on delivering a 5 star service and first class dentistry, and referring dentists can be confident that their patients will be in safe hands.
Keeping up in an ever-advancing industry can be both expensive and problematic. Equally, patient expectations are now much more forward thinking with an increase in people wishing to undertake corrective or cosmetic procedures. It is not always possible to provide all services individually but by making use of the technology, facilities and skills offered by referral practices, it is possible to extend your areas of expertise and professionalism to enhance your treatment provision. In doing so, patient satisfaction and confidence is improved and as a result, these patients will return to your practice time and time again.
For more information, please contact 020 7255 2559 or
 Millennium Research Group (MRG), the global authority on medical technology market intelligence - http://mrg.net/News-and-Events/Press-Releases/European-Markets-for-Dental-Implants-072811.aspx#sthash.GPLy1315.dpuf [Accessed 11th February 2015]
 The psychosocial impacts of implantation on the dental aesthetics of missing anterior teeth patients
P. Chen, S. Yu & G. Zhu. British Dental Journal 213, E20 (2012) Published online: 7 December 2012 | doi:10.1038/sj.bdj.2012.1090.
 Ernest L. Abel and Michael L. Kruger. Smile Intensity in Photographs Predicts Longevity
Psychological Science, April 2010; vol. 21, 4: pp. 542-544., first published on February 26, 2010
 Adult Dental Health Survey 2009’, Health and Social Care Information Centre, published 24 March 2011
On Wednesday 27th May the dental industry came together to launch The Implant Hub, a unique and exciting new online resource for dentists looking to grow their dental implant business.
This brand new digital hub, at www.theimplanthub.com, provides information on topics that will directly impact profitability for both GDPs and specialists, supporting the business of implant dentistry.
A venue where you can gain valuable insight into growing your dental business, The Implant Hub delivers exclusive support and advice in implant dentistry through articles and blogs to Google Hangouts, as well as LIVE Q&As from our three top coaches: Chris Barrow (Business Coach), Mark Oborn (Marketing Coach) and Dr Nav Ropra (Inspirational Coach).
Speaking about The Implant Hub, Ken O’Brien, General Manager of BioHorizons UK, the team behind this new offering, said:
‘Always mindful that we provide unparalleled support for our clients in the business of implant dentistry – and beyond the sale of implants – The Implant Hub was the natural development in our offering to this industry. We are delighted to launch The Implant Hub and, together with our three coaches, our aim is to provide a resource that helps our clients develop their practices from a business perspective.’
Recently added content includes:
- White Paper Marketing in Implant Dentistry
- How to differentiate yourself from the practice down the road
- Why online marketing is more powerful than conventional marketing techniques.
To see for yourself what The Implant Hub has to offer your implant dentistry business, please visit www.theimplanthub.com.
The Implant Hub is currently available free of charge to all BioHorizons customers. For those who are not BioHorizons customers, please register your details on the website to find out how you can gain full access.
The Diploma in Advanced dental Implantology has been designed for clinicians looking to work at the very forefront of the field.
The two-year training will be held by the prestigious Faculty of Dentistry at the Royal College of Surgeons England (RCS) and supported by leading dental product supplier Nobel Biocare.
Having been involved with the course from inception, Professor StJohn Crean says:
“The RCS Faculty of Dental Surgery’s foundation in recognising excellence was the obvious vehicle for this advanced course; it will be an appropriate arbiter to provide judgement on the level of skill achieved. Those who receive the award would be acknowledged within the industry as having significantly advanced knowledge and skills within the ever-expanding arena of clinical care.”
Further demonstrating the calibre of the course, Professor Paulo Malo says:
“The key to success in every field is quality and excellence. It is not enough to be good. To be good is a concept already embedded in our society. The challenge is to be great, to exceed ourselves and constantly look for the right means to achieve that. Instilling the urge for continuous and progressive growth is the way to do this and this course has that stamp.”
For more information on Nobel Biocare please call 0208 756 3300 or visit www.nobelbiocare.com
By Dr. James C. Grant
This is the 2nd part of an article I wrote outlining my journey of the past 6 years on the Proximerge Dental Implant and why I felt compelled to research and develop a new replacement for the existing dental implants.
This is the link to the 1st part:- https://www.gdpuk.com/resources/implantology/entry/420-why-invent-a-new-dental-implant.
I believe that the Patient is at the center of the Dentist practice, then supported by the finest Surgeon, Dental Lab Tech and Hygienist or Dental Nurse.
The Proximerge implant system integrates an eccentrically shaped platform and anchor implant in the jaw. It is the only technology that can anatomically match the profile of the teeth as they emerge from the bone. Proximerge is currently focused on molars (where the problem is the most significant) but the future designs are in development to provide solutions for all teeth and other applications such as implant-retained dentures.
All current designs use a single round implant screwed into the jawbone to act as an artificial root for replacing lost teeth. However, the footprint of teeth as they emerge form the jawbone is seldom round so this results in an anatomically poor match. The problem is especially pronounced in the multi-rooted molar region as this approach leaves unacceptably large gaps, which trap food and cause patient discomfort, bacteria build-up, and long-term health risk to bone, gum tissue and adjacent teeth. Accumulating bacteria around implants can lead to toxins crossing the membrane barrier and entering the circulatory system. Research has shown these oral bacteria to be associated with many systemic conditions such as heart disease, stroke, osteoporosis and pregnancy complications. In addition, existing implant designs provide a smaller, weaker foundation, which can lead to crown failure from shearing, fracturing of implant materials and bone loss due to excessive forces. Custom abutments and wider diameter implant designs have been developed to help address these issues but still fall short because the source of the problem is the naturally eccentric shape of teeth as they emerge from the bone.
Proximerge is the only technology that can match noncircular shapes in the bone to provide a better biomechanical foundation and anatomically correct interproximal spaces.
This system allows the dentist to provide to the patient a final restoration produced by the dental lab tech that biomimic’s the anatomy and morphology of the tooth being replaced. This natural shape is what the patient should expect from the oral health provider that allows the dental nurse-hygienist to instruct the patient on oral hygiene and maintenance. Without excessive gaps accumulating food and bacteria, the patient and hygienist will be able to keep the area healthy and expect a successful implant restoration.
Look forward to hearing your thoughts on the implant system.