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Though there has been a great deal of research focused on the detri-mental effect of periodontitis and peri-implantitis on an individual’s health, rarely has much considera-tion been given to the larger, socio- economic impacts of these condi-tions. As the world’s population con-tinues to age, the real cost of these diseases has increasingly come into the spotlight, inspiring a thought-pro-voking symposium at EuroPerio9.
“Global burden of disease: Understanding periodontitis and peri-implantitis” was presented on Thursday morning to a sizeable audi-ence. Session chair Dr Ola Norderyd introduced the topic and spoke about its signifi cance in considering the true effects of these diseases. Prof. Thomas Kocher was the following speaker and discussed the conten-tious issue of whether the preva-lence of periodontitis is ultimately declining, given the increased aware-ness of the importance of oral health. Kocher’s conclusion brought mixed blessings, for though there has gen-erally been a decrease in caries in in-dustrialised countries and periodon-titis prevalence seems to be on the decline, the increasing number of el-derly people, combined with a higher number of teeth on average in indi-viduals, will likely result in an in-creased demand for treatment of this condition. “Though we have seen a somewhat dramatic improvement in oral health in some countries, thanks
to the introduction of systematic pre-ventative measures, this trend can also cause a massive increase in oral treatment, since a smaller segment of the population is edentulous,” stated Kocher.
Third to present was Dr Jan Derks, specialist in periodontology at Sweden’s University of Gothenburg. He addressed the prevalence of peri-implantitis and the diagnostic principles behind it, and presented the results of an observational study he had conducted on this topic, the largest study of its kind. The results showed peri-implantitis to be a com-mon condition and that several pa-
tient- and implant-related factors in-fl uence the risk of moderate and se-vere peri-implantitis.
Severe periodontitis is estimated to affect around 743 million people globally, making it the sixth most prevalent condition worldwide, and periodontal diseases are thought to be responsible for US$54 billion per year in lost productivity. As the prev-alence of periodontitis rises with age, its global burden is likely to increase with a growing ageing population. The EFP has acted quickly in re-sponse to this, with a call for global action on the burden of periodontal diseases issued by EuroPerio9 Scien-
tifi c Chair Prof. Søren Jepsen, Prof. Maurizio Tonetti, Prof. Lijian Jin and
Dr Joan Otomo-Corgel in a 2017 issue of the Journal of Clinical Periodon-tology. In addition, the current EFP President, Prof. Dr Anton Sculean, used this year’s general assembly to announce his intention to raise awareness of the importance of peri-odontal health for those over 60 years of age.
With more and more edentulous patients opting for dental implants, peri-implantitis has become a condi-tion that must be addressed at all points of pre- and postoperative pa-tient care regimens. A later state of peri-implant mucositis, peri-implan-titis is an infl ammatory lesion of the tissue surrounding an implant, and it is often caused by the pre-existing presence of periodontal disease. Left untreated, peri-implantitis can lead to reduced osseointegration of the implant and, ultimately, implant fail-ure.
Session highlights global burden of periodontal disease and peri-implantitisA symposium held at EuroPerio9 aimed to understand the effects of periodontitis and peri-implantitis on the world’s population.
Antibiotic resistance among patients with severe periodontal disease is increasing
Congress news
Yesterday, a new global classifi cation system for periodontal health, diseases and condi-tions was announced in front of a packed house.
Products in focus
A clinical case by Prof. Dr Çetin Sevük, an ex-pert in prosthodontics, demonstrates the use of Hoffmann’s PeriO3Oil in implant therapy.
Travel
From music festivals to arcade game centres and evenings at the zoo, Amsterdam offers a lot of fun activities on weekends.
» page 3 » page 12 » page 15
EuroPerio9 Amsterdam · 20–23 June 2018
2324EuroPerio9 Amsterdam · 20–23 June 2018
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Prof. Jepsen announced that the European Workshop in Periodontology, run by the EFP, is planning to develop guidelines about this crucial topic in 2019.
(Photograph: DTI)
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Antimicrobial resistance is on the rise among German patients with se-vere periodontitis according to the fi ndings of a study—titled “Antibiotic resistance trends in human perio-dontitis microbiota (2008–2015)”— presented yesterday morning at EuroPerio9 by co-author Friederike Brune. As such, the ability to treat in-fections and heal patients with perio-dontitis is being compromised, with health authorities warning about a global crisis of antimicrobial resist-ance threatening the benefi ts achieved with antibiotics since the early twen-tieth century.
“Our aim in undertaking this study was to determine the occur-
rence of in vitro antibiotic resistance among samples of bacteria taken from the gingivae of periodontitis pa-tients,” said Prof. Søren Jepsen, co-au-thor of the study. “Overall, we found that the four key bacteria selected for our study were resistant to at least one of the antibiotics tested. In the data we collected, we also found in-creasing resistance trends for three of the bacterial species, raising con-cerns over the indiscriminate use of antibiotics in the treatment of perio-dontal disease.”
At present, most systemic perio-dontal antibiotic treatment is pre-scribed without guidance from a prior microbiological analysis. When
the targeted periodontal pathogens are resistant or poorly susceptible to the antibiotic drug selected, the risk of treatment failure increases. Ac-cording to Jepsen, health profession-als have a responsibility to prescribe antibiotics only when they are truly needed. Together with strategies for the rational use of antibiotics, health authorities should improve local and global surveillance of resistant bac-teria. As such, next-generation se-quencing methods to defi ne relevant resistomes within the microbes are needed in order to further the design of diagnostics and therapeutics for the treatment of infections with re-sistant bacteria.
news
As President of the European Fed-eration of Periodontology (EFP), Prof. Dr Anton Sculean has announced his plans to raise awareness of the impor-tance of periodontal health for those over 60 years of age. In the second part of an interview with today inter-national, Sculean spoke at length about the reasoning behind this, as well as other important shifts in den-tal treatment and prevention.
How was your fi rst European Gum Health Day as EFP President?
It was a very successful cam-paign, I would say. The idea of Euro-pean Gum Health Day is to inform the entire population of each participat-ing country of the importance of maintaining healthy gingivae not just for oral health but for overall well-be-ing and quality of life. These are the
key messages that we wanted to communicate through the participating national perio-dontal societies, and I think we communicated them rather well.
This year’s European GumHealth Day was also the fi rst edition to go global. By this, I mean that we had several na-tional societies of periodon-tology from the Caribbean, South America, Colombia and Panama participating along-side almost all of the EFP’s af-fi liated national societies. It was great to see this commit-ment to spreading the message of “Health begins with healthy gums” adopted by these nations, and I hope that they will continue to par-ticipate in the future.
With the increase in popularity of pa-tient-centred concepts such as mo-tivational interviewing, do you see the role of the dental professional changing?
I think that’s a very important point to consider. We see more and more new treatment concepts being guided by a philosophy of actively in-volving the patient in the treatment process. If we actively involve the pa-tient, his or her motivation to follow through with the treatment is likely
to be higher and its success is thus more likely as well—without the coop-eration and input of the patient, we can never achieve complete success.
In dentistry, there has been a shift away from dictating certain con-cepts to patients and towards involv-ing them in the treatment process, working together to improve their oral health. This shift is a positive one, as it recognises the importance of putting patients in charge of main-taining their oral health.
At the recent EFP General Assembly, you mentioned that, though gingival health impacts the quality of life of
individuals of all ages, it could particularly affect peo-ple over 60 years of age. Why do you think this is so?
This is one of my main priorities as the EFP Presi-dent. Preventative care is a lifelong habit, of course, and gingival health brings not just oral health but also over-all health, well-being and quality of life over a whole lifetime, particularly for those over 60 years of age. If one looks at demographic data re-garding this issue, one can see that the world’s popula-
tion is continuing to grow older and older. Life expec-
tancy is generally increasing, and many people who are over 60 are still in excellent general health. They take action to maintain their well-be-ing and want to extend this for as long as possible. That is why I started with this programme—if one consid-ers that the number of people world-wide who are over 60 is currently less than one billion, but that the number is predicted to rise to 2.1 bil-lion by 2050, it’s clear that we need to take immediate action to target this group.
What I want to achieve through this action is to reposition this age group as one that can maintain gingi-
val health. I want to get away from focusing on disease and instead em-phasise how important maintaining and preserving their health is. I have labelled this concept “oral fi tness”. By this, I mean that we shouldn’t just fo-cus on the general fi tness of our bod-ies, but instead incorporate the gingi-vae and the oral cavity into our un-derstanding of what fi tness can be.
Regarding some of the EFP’s other programmes, like those cen-tred on the interaction between gin-gival health and cardiovascular dis-ease, diabetes and so on, they have already been established and are benefi tting those individuals who suffer from, or are at risk for, these conditions. However, for the bulk of the population who doesn’t have one of these conditions, maintaining their oral fi tness can really benefi t quality of life.
The EFP has a duty to promote gingival health, oral health and the treatment of periodontal disease. Personally, I would prefer not to have this disease in the fi rst place and to ensure a high quality of life and high level of oral fi tness for as long as pos-sible.
Editorial note: The fi rst part of this interview appeared in the second EuroPerio9 today issue which was published on Friday, 22 June 2018.
Preventative care is a lifelong habit—Part 2An interview with Prof. Dr Anton Sculean, President of the European Federation of Periodontology.
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Prof. Dr Sculean, who became President of the EFP in March 2018 for the following year, at the EuroPerio9 opening ceremony on Wednesday.
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news
A new global classifi cation system for periodontal health, diseases and conditions, as well as peri-implant dis-eases and conditions, was announced on Friday at EuroPerio9. The outcome of a joint workshop held by the EFP and the American Academy of Perio-dontology (AAP) in Chicago in the US in 2017, the updated system comes almost two decades after the last com-prehensive classifi cation of these con-ditions and builds upon the signifi -cant amount of new evidence and knowledge that has been gained in that time.
Chaired by Prof. Maurizio Tonetti and Dr Kenneth Kornman in front of a packed house, “News from the world workshop on classifi cation: Cri-tical factors in periodontology” pro-vided attendees with an in-depth look at the fi ndings from this workshop and their clinical implications. The workshop included over 100 experts from Europe, America, Australia and Asia who reviewed existing literature to create a global consensus that ena-bles care to be standardised for pa-tients around the world. Praising the experts’ workfl ow as a “robust, inclu-sive and open process”, Tonetti em-phasised that the fi ndings, through their unbiased nature, were intended to be as credible as possible and hope-fully “project a vision that will shape the future of periodontal treatment”.
Kornman highlighted how the new classifi cation system could help to shape the direction of periodontal education and university curricula, as it recognises and debunks some com-mon misconceptions about how perio-dontitis develops. “We now know that the severity of periodontitis is not just a simple function of how much plaque is on your teeth and how long it has been there, and that not everyone is equally susceptible to this disease,” Kornman said.
The comprehensive classifi cation is based upon contemporary evidence and includes a staging and grading system for periodontitis, indicating se-verity and extent of disease, account-ing for lifetime disease experience and taking into account the patient’s overall health status. Clinical health is defi ned for the fi rst time in the clas-sifi cation, and periodontitis is de-scribed in four stages, ranging from least severe to most severe. The risk and rate of disease progression has been categorised into three grades, from lowest risk of progression to the highest. This grading takes into ac-count risk factors like smoking and the presence of concomitant diseases such as diabetes.
The complete review and consen-sus reports have been published si-multaneously in the EFP’s Journal of Clinical Periodontology and the AAP’s Journal of Periodontology.
“The AAP and EFP are proud of this global, collaborative accomplish-ment,” said Dr Steven R. Daniel, Pres-ident of the AAP. “The result of this landmark workshop is a redesigned disease classifi cation that guides com-prehensive treatment planning and allows for a personalised approach to patient care. These proceedings will
make an indelible impact on the sci-entifi c advancement of periodontal care and practice.”
“This was a huge undertaking, but one of vital importance, ensuring that an international language for clinical care, research and education is established, and updating the 1999 classifi cation system to account for
rapid advances in scientifi c knowl-edge over the last 20 years. The new classifi cation should provide a glob-ally consistent approach to diagnosis and management and ultimately im-prove outcomes for our patients,” added Prof. Iain Chapple, EFP Secre-tary General and co-chair of Group 1 of the workshop.
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New classifi cation of periodontal and peri-implant diseases and conditions
Dr Kenneth Kornman, Prof. Iain Chapple and Prof. Maurizio Tonetti (from left) at EuroPerio9.
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n During a unique breakfast briefing on Friday morning, Unilever’s Zendium showcased a remarkable set of data demonstrating how daily use of Zendium toothpaste improves gingi-val health by balancing the oral mi-crobiome. The results are perfectly aligned with the evolving view of the pathology of periodontal disease that puts microbial balance, rather than microbial elimination, at its heart. today international sat down with speaker Prof. Nicola West, head of re-storative dentistry and the Clinical Trials Unit at the Bristol Dental School in the UK. An expert in clini-cal research on the efficacy of oral hy-giene products, she was the ideal con-versation partner for an update on the topic.
What is the oral microbiome, and what is its significance for oral health?
The oral microbiome is the struc-ture of the bacteria on the teeth and oral mucosa, with its proteins and nat-ural enzymes. Ideally, the bacteria in our oral microbiome are naturally in a state of balance, that way maintaining
oral health and protecting us from de-veloping disease. The vast majority of periodontal diseases are initiated by an accumulation of biofilm on the hard surfaces of the mouth: the teeth or im-
plants. If the biofilm is not disrupted on a regular basis by self-directed oral hygiene, it becomes dysbiotic, and we get the emergence of patho-genic strains, leading to gin-givitis and, in susceptible in-dividuals, periodontitis.
What are some of the dangers to a healthy microbiome?
A poor sleeping pattern or unhealthy lifestyle choices such as smoking. Pregnancy is a risk factor too, owing to the hormonal changes hap-pening in the body, and the fact that there are hormone receptors in the mouth. Lastly, a healthy diet is very important. We should be eat-ing and drinking more natu-ral products instead of the
processed forms we eat a lot of the time, like honey in the Mediterranean diet, to give just one example. It is important to get the physical effect of our nutrition in the mouth instead of just swallowing
it and getting the systemic reaction af-terwards. Honey is actually a marvel-lous natural ingredient containing a lot of natural protective agents, so much so that I actually have started keeping my own bees!
You also mentioned stress as a possible risk factor. Could you explain why that is?
We know that there are stress pathways linked to the mouth. When it comes to periodontal disease, people either are or are not naturally suscepti-ble to it. If one is susceptible, stress is one of the contributing genetic and epi-genetic risk factors. All in all, 50 per cent of our population are susceptible to periodontal disease—which is huge number. When we look after patients,
we can definitely see a difference in stability in the periodontal condition between people who are stressed and those who are not. In people who do not cope well with stress, one can actu-ally see changes in saliva production, sleeping pattern, pocket formation and so on.
Lastly, how has EuroPerio been for you so far?
I think it is a fantastic event. It is buzzing, isn’t it? It is busier than the last one we had in London, and I just think this is the place to be. For me, it is an opportunity to network and ex-change ideas with all the experts on periodontics from all around the world. It is very friendly and well organised, and the programme is just amazing. 7
n Running two private dental prac-tices in the Belgian city of Liège, lec-turing in Belgium and France, col-laborating with the University of Liège as an internship supervisor for young periodontists, and serving as Editor-in-Chief of the French dental journal Information Dentaire, Dr Michèle Reners has many roles. As EuroPerio9 Congress Chair, Reners
has been key in putting together an engaging event that has attracted a record number of visitors. today in-ternational caught up with her at the signing of her new book, Periodontol-ogy Made Easy.
Your book is titled Periodontology Made Easy. How did the idea for the book come about?
The publishing house I normally collaborate with has a “Made Easy” series of books, every one of them being on a different subject, for ex-ample Prosthetics Made Easy or Oc-clusion Made Easy. When they pro-posed that I write a book on perio-dontology, I immediately accepted. Periodontology not being an un-learnable subject is a thought that I want to convey to the general practi-tioner. That is why the book aims to make an intimidating subject like periodontology palatable, enabling dentists to see it in a simpler way.
Who is the book aimed at?Above all, the book is practical. As
such, it is mainly aimed at dental stu-dents and older general dentists. The aim is to help students understand the subject better, but it is also a book to keep practising dental professionals up to date on some topics. That is why the first chapters of Periodontology Made Easy cover the aetio-pathology of perio-
dontal disease, the disease’s link with systemic disease, and stress as a risk factor in people with periodontitis. These are, after all, some more recent findings in periodontics. It’s only been a day now, but I am pleasantly sur-prised at the number of people show-ing up at the Philips booth to get a copy.
We are almost through EuroPerio9. What will the last day of the congress still bring for you?
It seems that there will be quite a few meetings first of all. Other than that, I am moderating a session, and last but not least there is our top-secret closing ceremony. After this show, I will be looking forward to the next one in Copenhagen, of which Prof. Phoebus Madianos will be the Chair. Over the three last years, I have had a great and enthusiastic team that definitely is the secret behind this EuroPerio. Now, I will be glad to have a rest from all the preparations. 7
New book aims to make periodontology palatable
An interview with Dr Michèle Reners, EuroPerio9 Congress Chair.
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50 per cent of our population are susceptible to periodontal diseaseAn interview with Prof. Nicola West, head of restorative dentistry and the Clinical Trials Unit at the Bristol Dental School, UK .
5 Dr Mark Edwards, Unilever’s Global New Opportunities Brand Director Oral Care and Prof. Nicola West at the Zendium Breakfast Briefing.
5 Dr Reners book signing took place at EuroPerio9 on Friday, 22 June.
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business
n By using the CBCT image as a kind of map, ClaroNav’s Navident guides clinicians much like a GPS guides drivers, offering them an easy-to- use, accurate, highly portable and affordable method for the planning of desired restorations and implant placements. The new Navident 2.0, designed to further streamline every-day digital dentistry workflows, is officially showcased to visitors at EuroPerio9.
With Navident 2.0, the clini-cian will no longer be required to do a special extra scan. Instead, he or she will be able to use the diag-nostic scan already available for the patient. The step of making a stent is not a part of the workflow because it is no longer required, saving clinicians valuable time. Known as Trace and Place, this is a game-changing development for dynamic navigation. With Trace and Place, the Navident 2.0 work-flow is efficient and user-friendly and can be seamlessly integrated into daily clinical practice.
“Trace and Place is a real tip-ping point for dynamic navigation guidance,” said user Dr George Mandelaris, a periodontist from Chicago in the US. “It has stream-lined and simplified the workflow in both the diagnostic and surgical phases to allow state-of-the-art tech-nology to be an everyday compo-nent of my surgical implant prac-tice. I can’t imagine going back!”
Implantology specialists who have already used Navident 2.0 have experienced negligible opera-tor stress, improved time efficiency and an increase in patient accept-ance. The accuracy the new version offers, combined with the need for minimal tissue manipulation, is conducive to a shorter and better
recovery process for patients, ac-cording to ClaroNav.
On Thursday, the team of ClaroNav invited to the Dynamic Navigation Evening at the Apollo Hotel in Amsterdam. At this unique meeting, some of ClaroNav’s master clinical trainers shared their clinical experiences when using Navident. The programme included lectures on the treatment protocols of today,
including both surgical and prosthet- ic aspects. Finally, the programme concluded with some highlights of pos sible future development trends within the field of computer-guided surgery. 7
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5 Luca Caselana, Regional Sales Manager for southern Europe at Claronav, with an instrument from the company’s Navident 2.0 navigation system.
business
EuroPerio9 · 23 June 201806
n Oral health research has shown that using interdental brushes on a regular basis is an efficient method to keep the gingivae and teeth healthy. A healthy mouth contributes to overall health. When TePe launched the first interdental brushes in collaboration with dental professionals 25 years ago, nobody would have thought that the product would be such a global success story for the company. Today, they are a leading product recognised worldwide for their high quality and efficiency.
The original TePe interdental brush range includes nine colour coded sizes to fit narrow and wider
interdental spaces. Over the years, the product range has been complemented with two additional variants that include versions with softer fila
ments for sensitive gingivae and an angled brush head and a longer handle for easier access between posterior teeth. The four smallest sizes of
the original TePe interdental brush have a flexible neck for even better access.
“General health awareness has increased over the past several years and today, we see a broader understanding of how oral health is linked to general health. In that context, TePe’s highquality interdental brushes fit perfectly as part of people’s healthy oral care habits,” said Dr Anna Nilvéus Olofsson, Manager of Odontology and Scientific Affairs at TePe.
Over the last five decades, TePe has evolved from a smallscale Swedish manufacturer into a hightech enterprise with distribution in 60 coun
tries. Based on the vision of healthy teeth for everyone throughout life, the company continues to develop innovative products and raise awareness of the importance of preventative oral care. TePe’s close partnership with the dental profession has been fruitful ever since its founding in 1965, resulting in a wide range of highquality oral hygiene products. All production takes place at its headquarters in Malmö in Sweden. 7
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TEPE INTERDENTAL BRUSHES HAVE SUPPORTED HIGH-QUALITY ORAL HYGIENE FOR OVER 25 YEARS
n As a leading manufacturer of highprecision medical cutting tools, such as surgical blades and scalpels, ophthalmic knives, microsurgical blades for fine incisions and microtome blades used in pathology, Feather Safety Razor has been providing medical professionals in Japan and around the world with great satisfaction since it was founded in 1932. During EuroPerio9, the company is showcasing its latest surgical blades for use in dentistry.
The new Feather surgical blades, Nos. 370, 390 and 390C, which were named among the BEST Products in 2017 by the Gordon J. Christensen Clinicians Report, are small, shaped surgical blades that are suitable for microsurgery (fine incision). With appropriate shapes and thicknesses for fine incisions, they are easy to control and, according to the company, provide superior performance, especially in periodontal plastic and regenerative surgery. As another feature, they are compatible with the surgical blade handles commonly used in dental surgery.
In addition to the new blades, the company has other popular blades, such as the Nos. 12d and 15c, on display in Amsterdam. Visitors are invited to the Feather Safety Razor booth to view the highquality products. 7
Feather Safety Razor, Japanwww.feather.co.jp
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n The 2019 Nobel Biocare Global Symposium is to be held in Las Vegas in the US next June. As part
of the overarching theme, “Knowledge changes everything”, this edition of the threeyearly event will
focus specially on transforming patient care and will serve as the platform for a stateoftheart education programme. New solutions, profound innovations and ground breaking science, which are expected to have a major impact on the field of implant dentistry, will be presented.
Over 150 specialists will lead hot topic debates, handson sessions, master classes and podium lectures. The scientific committee, chaired by Dr Peter Wöhrle, is developing a programme to inspire and train an expected 3,500 dental professionals. Some core subjects will include new innovations in aesthetics, advancements in fullarch solutions and firsthand experience of procedures that are becoming more straightforward than ever before.
Owing to a wellorganised syllabus, dental professionals choosing just one stream can join every relevant session. Alternatively, those wishing to pick and choose between different streams can create their own individualised programme, tailored to their needs and interests. The event will also offer a dedicated programme covering the latest tools for dental technicians.
The 2019 Nobel Biocare Global Symposium will take place from 27 to 29 June at the Mandalay Bay Convention Center. Registration for the event is now open at nobelbiocare.com/globalsymposium2019. 7
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Datum Dental 11.04A
Dentaid 10.22
DENTAL RATIO 11.28C
Dental Tribune International 11.33B
DENTIUM 11.19A
Dentsply Sirona 10.21
Deppeler SA 11.08A
Deukega Dental
Technologie GmbH 11.03D
DoWell Dental Products 09.05C
Dr-Kim Co. 09.06B
DÜRR DENTAL SE 11.04D
Dyna Dental
Engineering B.V. 11.36A
Elaf Medical Supplies 10.20
EMS Electro Medical
Systems 10.14, 10.16
Ethoss Regeneration Ltd 11.25D
FEATHER SAFETY RAZOR
CO., LTD. 11.25E
Florida Probe Corporation 11.09B
Fotona d.o.o. 11.20B
Geistlich Biomaterials 10.17
gIDE Institute 11.24B
GluStitch Inc. 11.16B
GSK 10.19
Gum Irrigator BV 11.26F
Hager & Werken 11.27C
Hain Lifescience GmbH 11.12A
Helmut Zepf
Medizintechnik GmbH 11.27A
Hoffmann Dental
Manufaktur GmbH 11.09C
Hu-Friedy 10.24
IBS implant 11.02H
Implant Direct 10.06
Implantswiss 11.11
Information Dentaire 11.23A
Interdisciplinary Dental Education
Academy—IDEA 11.34D
I-RES 11.17A
JDentalCare Srl 11.12B
Johnson & Johnson Consumer
Services EAME Ltd. 10.04B
Kea Software GmbH—
impDAT 11.29A
Klockner Implant System 11.26A
Kohler Medizintechnik 11.02C
Koinè Italia 11.26D
Komet Dental 11.02D
Kulzer 10.18
LabOral & CleverCool 11.14B
Labrida AS 11.34C
Laschal 11.35B
LifeNet Health 09.05A
LM-Dental 11.03A
Loser & Co 11.06
Magdent ltd. 11.24D
Mectron 11.09A
MEDENTIKA 10.13
MEDIDENT ITALIA 11.13A
MEDIPAC SA 11.04F
MegaGen Implant 11.35A
Meisinger 11.27B
META 11.27F
MIS Implants Technologies Ltd. 10.03
MJK Instruments 11.04B
Morita 11.18
Neobiotech Europe 09.08B
NEODENT 10.13
Neoss Ltd. 11.22
Nissin Dental Products Inc. 11.26C
NiTi Brush for
Peri-implantitis 11.10A
Nobel Biocare 10.11
NovaBone Products 11.02E
NSK 10.23
NucleOSS 11.14C
Omnia Spa 11.28A
Oral-B 10.02
Osstell 11.08B
OsteoBiol by Tecnoss 11.23B
osteocom 09.06A
Osteogenics
Biomedical Inc. 11.08C
Osteology Foundation 11.34B
PDT, Inc. aka Paradise
Dental Technologies 11.25A
PerioChip 10.04A
Paleisweg 5 11.34E
PerioSystem 11.02I
Philips 10.15
Pierre Fabre Oral Care 11.26B
Piksters/Erskine Oral Care 11.30A
Planmeca Oy 11.16A
PRF PROCESS 11.24A
Purgo Biologics Inc 11.25C
Q-Optics 11.24C
Quintessence Publishing 11.32
REGEDENT 10.20
SGS Dental Implant
System Holding 09.08A
SK Bioland 09.04A
Southern Implants 11.36B
Starmed Loups,
Cameras and Lights 11.27D
Stoddard Manufacturing 11.26E
Stoma/Storz am Mark 11.28B
Straumann 10.13
SUNSTAR 10.09
TAG Medical LTD 09.06C
TePe Oral Hygiene
Products 11.19B
Thommen Medical AG 10.01
TRATE AG 11.17B
TRI Dental Implants 11.29B
Unilever 10.08
Ustomed Instrumente 11.01A
W&H Dentalwerk
Bürmoos GmbH 11.15
WAM 11.04C
Wiley 11.30B
Wisepress 09.07C
ZEISS 11.33A
Zimmer Biomet 9.03, 10.04C
Z-Systems 11.37A
Company Booth Company Booth Company Booth Company Booth Company Booth
EuroPerio9—20–23 June 2018—Exhibitors listThis list is subject to change. Last update was 27 April 2018.
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Publisher/President/Chief Executive Offi cer Torsten R. Oemus
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Media Sales ManagersAntje Kahnt (International)Melissa Brown (International)Hélène Carpentier (Western Europe)Matthias Diessner (Key Accounts)Weridiana Mageswki (Latin America)Barbora Solarova (Eastern Europe)Peter Witteczek (Asia Pacifi c)
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Editorial/Administrative Offi ce Dental Tribune International GmbHHolbeinstraße 29, 04229 Leipzig, Germany Phone: +49 341 48474-302Fax: +49 341 48474-173E-Mail: [email protected] Internet: www.dental-tribune.com
today will appear during EuroPerio9 in Amsterdam, 20 – 23 June 2018.
© 2018, Dental Tribune International GmbH. All rights reserved. Dental Tribune International makes every ef-fort to report clinical information and manufacturer’s product news accurately, but cannot assume respon-sibility for the validity of product claims, or for typo-graphical errors. The publishers also do not assume responsibility for product names or claims, or statements made by advertisers. Opinions expressed by authors are their own and may not refl ect those of Dental Tribune International.
about the publisher
TDI1418_10_Exhibitors.indd 10 15.06.18 16:40
business
n Most of us know that proper brushing with toothpaste contain-ing fluoride is the first step in maintaining healthy teeth and gums. Despite this, biofilm-related oral infections such as dental caries and periodontitis are still among the most prevalent health prob-lems. Recently, interest has been growing around another factor that helps prevent these diseases: enzymes that occur naturally in saliva and perform an integral role in protecting and repairing the oral cavity. By using glucose oxidase for healthy oral flora, CURAPROX’s new toothpaste series helps main-tain optimal oral balance.
In order to understand the health benefits of enzymes on our oral flora, it is important to under-stand biofilm—the benign layer of bacteria, fungi and protozoa at-tached to each other as well as to our teeth and oral mucosa. Ideally, the different bacteria that make up biofilm are in a state of bal- ance called symbiosis. However, fermentable sugars, smoking, stress, physiological changes like preg-nan cy, or the frequent use of antibi-otics and antimicrobials can create an imbalance in the oral microbi-ome where pathogenic bacteria predominate. Left untreated, this dysbiosis can lead to diseases such as caries, gingivitis and periodon-titis.
A 2016 study by Pleszczynska et al. published on the Interna-tional Union of Biochemistry and Molecular Biology website explores the possi bilities for enzymes to treat and prevent oral disease. Oxidative salivary enzymes were found to inhibit the growth of cari-ogenic oral pathogens. [BE YOU.] contains glucose oxidase, a natu-rally occurring enzyme that inhib-its dysbiosis by boosting salivary flow, and turns glucose into hydro-gen peroxide, which gently whitens the teeth.
“Hydrogen peroxide and the Potassium thiocyanate in the tooth-paste support the lactoperoxidase naturally present in the mouth,” said Dr Christoph Fiolka, head of chemical product management at Curaden. “Lactoperoxidase then in turn forms a potent natural antibac-terial system. As a result, [BE YOU.] softly whitens teeth, naturally pre-vents enamel staining, and con-tributes to a healthy, balanced oral microbiome.”
“Equally important is what the toothpaste does not contain,” added Fiolka. “[BE YOU.] contains no tri-closan, microplastics and sodium lauryl sulphate (SLS)—a foaming agent contained in many tooth-pastes—to avoid any possible irrita-tion to the oral mucosa.” 7
CURAPROX, Switzerlandwww.curaprox.com
Booth 11.31
TOWARDS A HEALTHY MOUTH WITH
[BE YOU.]
www.ROOTS-SUMMIT.com
28 June –1 July 2018
is coming toBERLIN
Berlin, Germany
AD
TDI1418_11_Curaden.indd 11 21.06.18 10:29
business
EuroPerio9 · 23 June 201812
PRODONT-HOLLIGER, now part of ACTEON Group, offers a wide range of hand instruments for all clinical dental procedures. Produced by a passionate team for whom accu-racy and precision are key, the relia-ble tools are manufactured with leading-edge industrial equipment and have been developed through the staff’s unique competencies. The PRODONT-HOLLIGER factory is located in the heart of France in a region known worldwide for its metal industry, particularly blades and knives.
For EuroPerio9, PRODONT- HOLLIGER is showcasing its screw and implant extraction kit. Dental professionals will fi nd all the neces-sary tools to easily remove both bro-ken screws inside implants and osse-ointegrated implants of any brand available on the market. The ex-tractors, along with a dynamometric wrench, are packaged in a compact sterilisation cassette.
The kit has the main advantage of minimising bone loss by avoiding bone drilling during the extraction of an implant. Both left and right
extractors are alternately screwed into and unscrewed from the im-plant to gradually separate it from the bone. Furthermore, the system can be combined with Piezotome ex-traction tips to speed up the overall process for a quicker, safer and more comfortable implant extraction.
ACTEON, Francewww.acteongroup.com
Booth 10.10
ACTEON PRODONT-HOLLIGER OFFERS ATRAUMATIC ALTERNATIVE FOR IMPLANT EXTRACTION
A clinical case by Prof. Dr Çetin Sevük, an expert in prosthodontics based in Istanbul, Turkey, demonstrates the use of Hoffmann’s PeriO
3Oil in
implant therapy. The treatment was conducted in his private practice, where over 200 patients have been treated successfully with this method. The following details Sevük’s work-fl ow.
After placement of the implant screw, one drop of Hoffmann’s PeriO
3Oil is introduced into the
screw gap (Figs. 1 and 2). A quantity of PeriO
3Oil is then applied around
the implant to seal the mucosa. Any sutured area is also covered with a thin layer of PeriO
3Oil (Fig. 3).
After completion of the osseointe-gration period, Hoffmann’s PeriO
3Oil
is applied to the implant screw gap and the surrounding tissue during insertion of the gingiva former and during the impression taking stages (Figs. 4 & 5).
Hoffmann’s PeriO3Oil consists
of castor oil and olive oil enriched with ozonides, which are active oxygen. The active oxygen provides an environment in the implant screw in which anaerobic bacteria do not prosper. Thus, infl ammation or
growth of bacteria and undesirable odours are prevented at any stage of the implantation. “It is also a good feeling to be able to treat my patients with a preparation that is free of any chemical substances. Some solutions are really simple but ingenious,” Sevük said.
The PeriO3Oil can be used in
several areas of application such as acute and chronic gingivitis, peri-implantitis, stomatitis, gum injurie and many more.
Sevük graduated from Istanbul University, Faculty of Dentistry in 1974. He completed a postgraduate qualifi cation and obtained his PhD in the department of fi xed prostho-dontics at the same university in 1979. He was awarded the title of “associate professor” in 1988 and “professor” in 1996. Over the course of his career, he has conducted nu-merous studies on ceramic restora-tions and inlay restorations.
Hoffmann Dental Manufaktur GmbH, Germanywww.hoffmann-dental.com
Booth 11.09C
IMPLANT SURGERY WITH PERIO3OIL
Get your free sampleTePe Interdental Brush
Booth 11.19B
AD
1811
75N
L
AD
Prof. Dr Çetin Sevük is an expert in prosthodontics and implantology with decades of experience. Despite his clinical work, he is involved in several associations and academies and he currently holds the position as president of the Türk Prostodonti ve İmplantoloji Derneği [Turkish asso-ciation of prosthodontics and implantology).
1 2 3
54
TDI1418_12_HoffmannsActeon.indd 12 15.06.18 16:41
Visit usat booth
11.31
CPS
405
CPS
406
CPS
408
CPS
410
Periodontitis?The solution!
order here: www.curaprox.com
Periodontitis patients need quite sturdy interdental brushes which can be quite unpleasant to use. That’s why Curaprox has developed a new interdental brush: the CPS perio. It provides an exceptional clean and is extremely comfortable for the patient. Available in four sizes.
CPS perio interdental brushes
Developed forperiodontitis patients
Effective, yet gentleAlso pleasant for black holes
At your fingertipsIn the CPS chairside box perio
chairside box perio
Easy to use:in, out, done
1.3 mm / 5.0 mm
1.7 mm / 6.5 mm
2.2 mm / 8.0 mm
2.5 mm / 10.0 mm
business
EuroPerio9 · 23 June 201814
The new Planmeca CALM algo-rithm for correcting patient move-ment in CBCT images is taking den-tistry by storm, according to the Finn-ish company. As the fi rst end-user solution for movement artefact cor-rection from a dental manufacturer, the feature has already been praised by dental professionals out in the fi eld. In an interview about Planmeca CALM, the company’s 3-D imaging specialist Mikko Lilja spoke about how the innovative algorithm came to be and why he believes every dentist can benefi t from it.
“It all happened very naturally,” said Lilja in describing the back-ground to developing Planmeca CALM, the trail-blazing iterative algorithm for correcting patient movement. “I had gained a good understanding of movement as an imaging problem in my doctoral research work. When it then turned out this was also a topic of interest for Planmeca, it all came together.”
The name “CALM” stands for “Correction Algorithm for Latent Movement” and describes a projection
geometry optimisation algorithm that can analyse and compensate for pa-tient movement in CBCT images. The outcome is an improved image that eliminates the need for retakes—sav-ing time and improving patient safety. Patient movement is among the most signifi cant challenges to CBCT image quality. When a patient moves during imaging, it produces artefacts that af-fect the quality of the image.
“In tomographic reconstruction, the assumption is that the measure-ments—in this case, the CBCT X-ray projection images—are geometrically consistent with one another,” Lilja ex-plained, “but when a patient moves, the data no longer adds up, which shows in the reconstruction. What Planmeca CALM does is it restores the consistency of the X-ray measure-ments by tracking the movement of the patient, resulting in a sharper fi nal image.”
Planmeca CALM works with all volume and voxel sizes and adds only under 30 seconds to the overall re-construction time. The feature can be
applied after the scan is complete, but also before exposure to ensure that the volumes are already cor-rected when they are accessed in the Planmeca Romexis software.
“In the past, dentists would send their unsatisfactory images to the manufacturer for reconstruction or just redo the entire scan, but with Planmeca CALM this is now a thing of the past. We are proud to be the fi rst dental manufacturer to provide a solution for movement artefact cor-rection to the end user,” Lilja stated.
According to Lilja, an end-user solution for patient movement cor-rection had been on Planmeca’s algo-rithm development road map for some time and was assigned to him upon joining the Planmeca 3-D imag-ing team.
“I think the timing was perfect for everybody. With Planmeca’s ex-pertise in medical imaging and im-age reconstruction and my knowl-edge of movement correction, we just immediately put our heads to-gether and got to work,” he said. The development process was not
without its challenges, and a great deal of effort went into creating a dedicated algorithm for Planmeca CBCT devices.
“My previous experience was re-lated to industrial tomography imag-ing, where things like reconstruction times and the imaged target itself were very different. So, although our fi rst prototype tests were encourag-ing, we had to go back to the drawing board time and again to produce a new algorithm for dental imaging. Thankfully, I had a lot of help from my extremely capable colleagues, which allowed me to focus on the core problem,” Lilja continued.
The fi nal product was presented at the 2017 International Dental Show in Cologne in Germany amid much excitement and industry an-ticipation, as Planmeca CALM offers many advantages for dental imaging. The feature is particularly benefi cial when imaging restless or livelier pa-tients, such as children, individuals with special needs or elderly pa-tients. According to Lilja, however,
the algorithm can add value to any image.
“On the one end, we have, of course, the images where the patient has moved to such an extent that
an image may be unusable without Planmeca CALM, but in my experi-ence, it always improves the quality of the image. Even in cases where you might not typically think there has been significant movement, Planmeca CALM can noticeably en-hance the image and enable seeing more details,” Lilja described.
“Whatever the case, it is being able to correct movement artefacts ‘in-house’ rather than having to re-sort to retakes or sending the image for enhancement which is key here,” he went on. “When dentists are able to make the correction themselves, the end result is im-proved diagnostics, time saved, re-duced costs, and less exposure to ra-diation.”
Planmeca CALM has been praised by dentists since its release earlier this year. “The feedback we have received so far has been over-whelmingly positive—both from cus-tomers and from within the com-pany. It has been truly heart-warm-ing to hear that the hard work that went into it is also bearing fruit. I’ve even heard that the software has been tested by shaking a phantom head around in the X-ray unit, and that all tests have come to the conclu-sion that it’s ‘the real deal’. It’s a great feeling!” Lilja summed up.
Planmeca Oy, Finlandwww.planmeca.com
Booth 11.16A
“THE REAL DEAL” : PLANMECA CALM FOR PATIENT MOVEMENT CORRECTION
© P
äivi
Tele
nius
, Pla
nmec
a Mikko Lilja
travel
TonTon Club (West)Address: Polonceaukade 27 Opening times: Fri & Sat 13:00–3:00, Sun–Thur 13:00–1:00www.tontonclub.nl
The Mega Tetris, Mario Kart, Street Fighter and Dance Dance Revolution video games and several pinball machines are only some of TonTon West’s seemingly endless gaming offerings. The arcade game centre also offers food and drink facil-ities, where, after a few tiring matches of air hockey, players can enjoy a pint of beer and a bite to eat in prepara-tion for the next round of games. There’s also TonTon Club’s big sister in Amsterdam’s red-light district, lo-cated in the heart of the city. Please note its shorter opening times.
ZOOmeravonden (an evening at the zoo)Venue and location: Natura Artis Magistra, Plantage Kerklaan 38–40 Opening times: 15:00–22:00www.artis.nl/nl/language/ visitors-information
ZOOmeravonden welcomes guests (and Amsterdam’s party animals) to explore the city’s ARTIS Royal Zoo until sunset on Saturdays during summer. While some of the animals will be preparing for bedtime, their nocturnal counterparts will be wak-ing up. Zookeepers and animal carers will be present throughout the ex-tended opening hours to answer questions and inform visitors about the animals and their life at the zoo. Musicians and students from Amsterdam’s music academy will add to the entertainment programme by serenading the audience. Guests
can also take part in workshops, guided tours and fun activities for children. Dinner is taken care of with picnics and barbecued delights avail-able to eat on the lawn.
Festival SunsationVenue and location: Observatorium Robert Morris, 8221 RA Lelystad Dates and times: 22 June, 16:00–0:00, 23 June, 5:00–9:00www.festivalsunsation.com
This free festival celebrates the summer solstice with spoken word and features a huge range of authors and performers, allowing writers, art-ists and poets to shine. The festival programme includes musical perfor-mances, cosy campfi res, barbecues and a bar, where chilled drinks will be served. One of the special line-ups this year is Ernst Jansz, keyboard player and co-founder of the band Doe Maar, and with that a pioneer of Dutch
pop music, who will be performing twice with his band on the morning of
23 June. It is important to note that the festival takes place in Dutch mainly.
What’s on in Amsterdam: 23 June
AD
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