Sunstar highlights benefits of guided tissue regeneration in GUIDOR symposium

AMSTERDAM, Netherlands: A special session held by Sunstar at EuroPerio9 on guided tissue regeneration (GTR) highlighted the company’s commitment to education in periodontics. The GUIDOR symposium, led by Drs Pierpaolo Cortellini and Maurizio Tonetti of the Florence Task Force, employed a variety of presentations and 3-D videos on clinical cases to demonstrate how GTR can be used alongside various treatment modalities.

The Florence Task Force is a group of highly respected clinicians who have been working for the past two years on the dissemination of periodontics-focused education. Consisting of around 15 international clinicians, the group saw a need for guidance on when and how treatment of intra-bony defects through GTR may be appropriate in cases of periodontitis and aggressive periodontitis. So far, their efforts have resulted in educational presentations on regenerative surgical treatments throughout Europe and in a clinical tool for decision-making in regenerative surgery. Consensus postoperative protocols have also been developed by the group and spread alongside the GTR treatments. The GUIDOR symposium at EuroPerio9 was conducted in front of a full house, with attendees eager to witness presentations regarding the use of the clinical tool SAC (Simple, Advanced, Complex) for decision-making in regenerative surgery involving GUIDOR, a bioresorbable matrix barrier. The first presenter, Dr Jose Gonzales, highlighted how this clinical protocol can be applied to maximise the likelihood of success of regenerative surgery for treating intra-bony defects. Gonzales outlined how GUIDOR allows for a minimally invasive approach to these defects and emphasised the importance of an accurate and consistently applied postoperative protocol for GTR. The next presenters, Drs Anton Friedmann and Sofia Aroca, demonstrated how GTR and SAC could be used for regenerative surgery in furcations and gingival recessions, respectively. Between each speaker’s presentation, Cortellini provided narration for a series of 3-D videos showing clinical cases that were treated utilising GUIDOR. Dental professionals can find out more about Sunstar and the GUIDOR symposium at www.guidor.com/europerio9. EuroPerio9 attendees can find Sunstar at Booth 10.09.

Tags: Guided Bone Regeneration, matrix barrier, periodontology, regenerative surgery

Interview: “Are your workflows perio-friendly and efficient?”

AMSTERDAM, Netherlands: In an interview, CAMLOG Biotechnologies Brand Manager Dr Annika Meyer talked about the characteristics of a perio-friendly and efficient workflow. Meyer, who studied dentistry at the Humboldt-Universität in Berlin and previously worked in dental education and product management for several international dental businesses, also touched on implant products manufactured by the innovative Swiss company that aim to make that workflow possible.

Dr Meyer, it seems you are always up to date when it comes to significant trends in implantology regarding clinical research. From your point of view, what can you tell us about the emerging trends in implantology? For me, as a scientifically oriented clinician, flashy claims from implant manufacturers trying to set trends with colourful pictures are not at all interesting. What is important and attractive to me is getting clinical data, clinical results, on the most significant developments affecting the treatment outcomes for our patients. Can we see a clinical benefit? If so, under what conditions? Now, faster than ever before, we are able to collect more data from completed clinical trials. This allows us to implement the acquired knowledge for decisive developments in implantology. Why is implementing the acquired knowledge for decisive developments in implantology important? Today, we are even more capable than before of establishing consensus on the benefits of particular workflows and developments. This gives clinicians the necessary guidelines. So what are the decisive developments of the past that have made implant treatment workflows perio-friendly? Developments in CAD/CAM technology are progressing very rapidly. We tend to forget that providing a custom-made abutment with an individual emergence profile was a time-consuming and expensive way to obtain a perio-friendly restoration. Now, perio-friendly structures are easy to achieve with individual abutments from DEDICAM. With DEDICAM abutments, an individual emergence profile allows the clinician to define the optimal position of the cervical margins—be it for aesthetic reasons or for easier removal of excess cement for proper cementation margins. For many of those attending EuroPerio9, the advantages of individual CAD/CAM abutments are well known. Nowadays, such abutments can be an integral part of the general dentist’s offering without any further investment—making this process perio-friendly and efficient. The lab designs the individual abutment and the dentist receives the ready-to-use titanium abutment within two days. In some countries, even a scan and design service is available, facilitating the work of the dental technician too. What other developments do you consider perio-friendly? Well, I almost daren’t say it, because implants that have this attribute have been described as old-fashioned, but machined necks on implants are definitely gaining a resurgent importance regarding perio-friendly products. What are the clinical advantages of CAMLOG implants with machined necks and platform shifting? CAMLOG products with machined necks have been included in several in vivo studies and international clinical studies. The data showed less bacterial adhesion on machined implant surfaces. This indicates that the reported risk of peri-implant microbial adhesion and tissue inflammation can be reduced by using implants with a machined collar. The CAMLOG Implant System is available with two different machined collar heights and an option for platform shifting for the implants with 0.4 mm machined necks. CAMLOG implants are available with different machined collar heights. If one places the implants correctly—the Oral Reconstruction Foundation (formerly the CAMLOG Foundation) provides a consensus report containing guidelines—then one has a clinically proven advantage. Is platform shifting an option? Yes, the CAMLOG Implant System with the Promote plus surface (0.4 mm machined surface) does have the option to perform platform shifting. The clinician can decide whether platform shifting is suitable for the specific clinical situation, offering him or her a certain level of flexibility and the safety of the machined collar. The CONELOG Implant System offers integrated platform shifting and surface roughness up to the platform, a concept that has also proven to be perio-friendly, as it leads to stable soft-tissue levels and less crestal bone loss. What are the trends regarding efficiency? Everything that allows for transmucosal healing makes the surgery easier to perform. Randomised clinical studies have shown that the disassembly and reconnection of the abutment might have an influence on changes in bone level, with a subsequent negative effect on the soft tissue around implants. In several studies, transmucosal and submerged healing were compared and no superiority of one or the other healing method was found. Therefore, depending on the indication, several advantages can be seen using transmucosal healing (i.e. it is time-efficient and therefore cost-effective for the surgeon, and it addresses the patients’ desire for less surgery and a shorter treatment time). A good example is the iSy Implant System. As the pre-mounted implant base remains on the implant right from the beginning, one works on abutment level from the start. The implant and superstructure can integrate and the soft tissue can stabilise during the healing process. Another factor that drives efficiency is a reduced number of instruments in an implant system. The iSy Implant System has achieved this objective, not only with the lean drilling surgical protocol but above all with the use of multifunctional abutments. The multifunctional cap can be used intra-orally as an impression post, and in the lab, it has the additional function of a scan post. As we like to say here at CAMLOG Biotechnologies, digital dentistry made iSy. It’s designed as a system to optimise access to individualised CAD/CAM restoration. The clinician can choose to work chairside or with a lab or use an external CAD/CAM service provider. Editorial note: The interview was provided by CAMLOG Biotechnologies.

On Demand Webinar

The challenge of treating the elderly

Dr. Gert Stel

The challenge of treating the elderly

In the upcoming decades the general population will grow older and become more medically compromised.

As a result of that the specific needs for oral health are changing. Also in general there is a shift from cure to care and awareness on quality of life aspects. For the dental professional this can become a challenge, since individual risk assessment is not always easy and treatment options may vary. In this webinar the viewer will learn how the focus on oral care for the elderly can been organised and how a prevention orientated and risk based care concept can contribute to a more healthy oral environment in the elderly patient.
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