Is Modern Implant Design Able to Protect Surrounding Bone Structures?
Claudio Cacaci, Dr. med. dent.

The CONELOG connection has been characterized by its precise conical implant-abutment connection since its market launch in 2011. The new CONELOG Progressive implant combines this successful connection design with the proven Tapered implant and thread design from BioHorizons.

A multicenter observational study in Germany demonstrated the excellent clinical applicability of the CONELOG connection. In the follow-up, our own observational studies also showed that the bone level at the implant shoulder can be maintained over several years.

This is due to the excellent mechanical properties such as: the self-locking conical connection, high manufacturing precision and reduced micro-motion and microleakage, ensuring a stable implant-abutment connection at the level of the implant shoulder, so that the adhering bone is stable over the years. This type of implant has been used routinely in our practice in all indications since 2011 with a high success rate and shows clear advantages compared to other conical connection systems.

For a year now, the newly developed CONELOG Progressive Implant has once again significantly expanded our indication. Minimally invasive surgical methods are possible with this implant design. Implant placement in osseous compromised situations now is easy and predictable. The combination of the BioHorizons thread design helps to perform operations less invasively.

The lecture sheds light on the surgical and prosthetic procedure for the CONELOG implant. The advantages of the conical implant-abutment connection and in particular the further development of the new implant thread design which is based on BioHorizons Tapered implants.

Incorporating Erbium Laser Therapy in a Specialty Practice: The Clinical Advantage
Donald S. Clem, III, DDS

The incorporation of laser technology in periodontal practices has been met with conflicting opinions. This presentation will review properties unique to the Erbium wavelength as well as published data supporting the incorporation of laser facilitated treatment of periodontitis and peri-implantitis. What should we demand as specialists from industry with regard to an evidence-based approach in applying this medical device and how do we distinguish science from marketing hype? How is this technology accepted by patients and can we be confident in our recommendations regarding potential results? We will explore the science including landmark studies and the clinical protocols for minimally invasive laser therapy as periodontists position themselves as regenerative surgeons for clinical and practice success.

Learning Objectives:

• Review of unique properties of Erbium lasers
• Understanding of data supporting laser therapy including the first randomly controlled clinical trial in the treatment of periodontal vertical defect
• Presentation of specific clinical protocols used by the presenter for detailed treatment of periodontitis and peri-implantitis

Periodontists Save Teeth
Scott Froum, DDS

The advent of implant dentistry has led many dental offices to extract periodontally compromised teeth that could have been saved with regenerative treatment.  This program will examine how advanced surgical materials and techniques can change periodontal practice dynamics to save teeth and regenerate patient happiness and practice growth.

Roles of the Er:YAG Laser in the Management of Implant Surface Detoxification in the Presence of Peri-Implantitis
Hector L. Sarmiento DMD, MSc

The detoxification methods of an implant surface in the presence of peri-implantitis has been controversial in recent literature. Although many protocols have been suggested, the use of a laser can be minimally invasive to the implant structure and avoid complications from surface modifications. This presentation will discuss the classification, radiographic interpretation, and management of peri-implantitis.

Learning Objectives:                              

• Discuss a classification system based on etiologies to diagnose peri-implantitis properly
• Learn the different Implant detoxification methods currently available
• Present multiple clinical cases for the surgical treatment of peri-implant diseases

Incorporating a Practice Growing, Referral Building Digital Workflow using DTX Digital Suite
Kenneth Parrish, DMD, PhD

The evolution of implant dentistry workflow from analog to digital offers many opportunities for improved efficiency, communication, and cost savings. One necessary component of a digital workflow is a robust and flexible software program. Diagnosis and treatment planning (DTX) digital suite from Nobel Biocare facilitates a seamless flow from data acquisition, diagnosis and treatment planning to design of surgical templates or navigated surgery plans as well as both provisional and definitive restorations. DTX allows for a team approach with unlimited interaction but more importantly permits one member of the team to take responsibility for, and with input from the restorative, surgical and laboratory team, direct the entire course of treatment.

DTX accepts CBCT data from any manufacturer as well Intraoral scanners like the dedicated Medit I500. Static surgical guides can be designed and exported to a variety of 3D printers including the SprintRay Pro. Alternatively, navigated surgery plans can be exported for the X-Nav system for a wide variety of implant systems. Temp shell crowns can be designed for precise and rapid immediate provisional crowns. The dedicated Medit, or other IOS, can scan the healed implant and tissue position and the final restorations designed using DTX.

Most importantly DTX can bring the entire team under one tent. All processes can proceed with transparency. The appropriate individual can take charge of the steps to ensure the planned outcome can be successful through precise planning of the role of each member of the team.

An Introduction to BioXclude: Amnion-Chorion Allografts and the Biology that Separates BioXclude from PRF
Pete Mariner, PhD

This session will provide an introduction to BioXclude, a dehydrated human deepithelialized amnion-chorion membrane (ddACM) product, and its use as an occlusive membrane in periodontal procedures.  Topics covered will include (1) tissue procurement, processing, and regulation of BioXclude, (2) the structure and function of placental membranes, (3) the biology of basement membranes as natural tissue barriers, and (4) the active growth factors, cytokines, and antimicrobial peptides found in these allografts.  The biology behind PRF will also be discussed, providing a side-by-side comparison of BioXclude and PRF.

Straumann’s BLX Implant and Biologics: Cornerstones for Success
Sonia Leziy DDS, Dipl Perio

This presentation will explore 2 areas of treatment that profile the progressive perio-practice:

1. Digitally-based implant planning/treatment with the novel BLX implant: Guided technologies and innovative implant systems like BLX will shape the success of our practices both in the pandemic and post-pandemic setting, instituting treatment excellence, improved time management and practice productivity. Straumann’s BLX implant design can increase our opportunities for surgical and restorative immediacy, consequently improving treatment acceptance and patient experiences. This presentation will explore our 1.5-year experiences and results with BLX and digital treatment concepts.
2. While bone-biologics have been an established tool used by periodontists in the management of ridge defects (GTR and GBR), soft-tissue biologics are exponentially growing in use as we better understand the indications and techniques to improve outcomes. Successful application of Straumann’s dermal matrix allograft will be discussed, with a focus on indications for use and the minimally invasive techniques. Learn why this product can expand patient acceptance and the range of cases that can be treated.

Verena Solutions — Safe. Simple. Efficient
Michael Infanger

Verena Solutions is a safety and efficiency platform created by dentists and engineers to revolutionize the dental field. The flagship product, SimpleCAP, is the most advanced needle system utilizing a unique, self-contained protective sheath that reduces the risk of needle stick injuries while meeting OSHA standards for engineering controls.

8 Year Results After Ridge Augmentation with Customized Allograft Bone Blocks
Dr. Dr. Klaus Kristian Würzler

Patients with severe ridge atrophy who want to have an implant-supported restoration may benefit from individualized treatment protocols. Allogenic bone blocks as well as autogenous grafts are the materials of choice in many of these cases. The success or failure of the grafting procedure is determined by the close contact of the graft to the recipient bone surface.

Customized Allograft Blocks are a crucial developmental step in block grafting. A custom block is produced using CAD/CAM technology based on a CBCT/CT scan of the defect area. The preoperative design and fabrication of the individual bone graft reduces the necessity to shape the graft during surgery. This optimization of the procedure reduces the surgical time significantly, leading to less complications. ¹

This lecture focuses on the history and experiences of allograft block grafting in dental surgery. Based on photo and video documentations, histological results and clinical evidence it will be shown why customized allograft bone blocks are a valuable alternative to autogenous bone grafts.

1. Jacotti, M., C. Barausse, and P. Felice, Posterior Atrophic Mandible Rehabilitation With Onlay Allograft Created With CAD-CAM Procedure: A Case Report. Implant Dent, 2014. 23(1): p. 22-8.

Objectives:

• To better understand allograft processing methods and their impact on post-grafting remodeling
• To better understand allograft bone block properties and surgical protocols
• To better understand the workflow of designing and milling customized bone blocks
• To better understand technical and anatomical limitations

The Effect of L-PRF in Regenerative Procedures
Hom-Lay Wang, DDS, MS, PhD

Leukocyte enriched – platelet rich fibrin (L-PRF) has been used as the regenerative agent of oral structures. This presentation highlights the ingredients of L-PRF and how this differs from other blood derived products (e.g., PRP, PRGF…etc). The regenerative capacity of L-PRF in hard and soft tissue reconstruction will be illustrated.

Educational objectives:

• Learn what is L-PRF
• Know the advantages of L-PRF
• Know when the L-PRF can be used in clinical procedure and what is their effect

Ridge Preservation: Flapless, Simple and Predictable
Veronique Benhamou, BSc. DDS, Cert Perio

Alveolar ridge preservation is the first step to successful implant placement. The rationale for bone preservation is well documented in the literature and these procedures have been shown to be effective in limiting the horizontal and vertical ridge alterations.  Many techniques offer excellent results though some can be surgically demanding and are not cost effective to our patients. A predictable and simple method for ridge preservation will be described including extraction techniques minimizing trauma to the alveolar bone.

An Introduction to BioXclude: Amnion-Chorion Allografts and Wound Healing
Pete Mariner, PhD

This session will provide an introduction to BioXclude, a dehydrated deepithelialized amnion-chorion membrane product (ddACM), and its use as an occlusive membrane in periodontal procedures. Topics covered will include (1) tissue procurement, processing, and regulation of BioXclude, (2) the structure and function of placental membranes, (3) the biology of basement membranes as natural tissue barriers, and (4) the active growth factors, cytokines, and antimicrobial peptides found in these allografts.  A special emphasis will be placed on describing basic wound healing mechanisms, the cells involved, and how BioXclude can be used to your advantage.

The Power of Efficient Digital Transformation in Surgical Treatment
Edgard El Chaar, DDS, MS

Digital dentistry has rapidly evolved over the past several years. These past months have given us a clear understanding of how to use these technologies most efficiently. From consults to final delivery of prosthesis, there are many areas that can be streamlined with virtual modalities. This lecture will provide an overview of the available opportunities to transform your practice and highlight key therapeutic areas such as bone regeneration and immediate placement while keeping in mind biological concepts of soft tissue healing and esthetics.