Implant Abstracts

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N o v e m b e r 1 8 - 2 1 , 2 0 0 9Royal Beach Hotel , Ei lat , I s rae l

The th International Symposium

The Israeli Association of Oral Implantology

Restoring the dento-alveolar complex: Successes and limitations

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Dear Friends and Colleagues,

On behalf of the Israeli Association of Oral Implantology (IAOI), we are pleased to invite you to Eilat for the 4th international symposium. We will be happy to host you for this outstanding meeting, which combines an excellent scientific program and exciting social events for all attendees.

The scientific committee has made great efforts to bring the best speakers in the field of implantology; distinguished speakers of international repute.

This year we have decided to offer you a few options of accommodation at the wonderful hotels of the Isrotel chain, while the main share of the Symposium will be held at the top standard quality Royal Beach hotel.

Hope you will join us and enjoy a great scientific and social program and take part of this unique event.

Dr. Yossi Kassirer Dr. Zeev Ormianer Chairman of the Organizing Committee Chairman of Sceintific Committee

OFAKIM Travel and Congresses Ltd. - 80 Menachem Begin St., Tel Aviv 67138 IsraelTel: 972-3-7610610, 972-3-7610822 (Or), Fax: 972-3-7610799, [email protected]

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The 4th International Symposium - The Israeli Association of Oral Implantology

TABLE OF CONTENTS

General Information ................................ 5

Program at a Glance ............................... 6

Conference Program

Wednesday .............................. 7

Thursday .................................. 7

Friday ....................................... 9

Abstracts ..................................................... 10

Sponsorship .......................................... 42

Exhibitors .............................................. 43

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Conference venue:Isrotel Royal Beach Hotel is a 5-star deluxe hotel that is located directly on the shores of the Red Sea. The hotel overlooks the Gulf of Eilat and is close to major tourism attraction, restaurants, beaches, marinas, scuba diving, wind surfing areas, and shopping centers. The hotel has three swimming pools, including waterfalls and underwater caves, a modern spa and more.The Royal Beach Hotel Internet site: www.isrotel.co.il

Conference dates:November 18-21, 2009.

Language:The official language of the conference is English.

Registration:The registration desk will be open starting from November 18th at 10:00 and will be located at the hotel’s lobby, near the reception desk; there you will find your nametag and all information and documents required for the conference. Room keys will be given from 15:00; luggage can be deposited at the hotel luggage room.Check out time on Saturday, November 21st is 14:00.The desk will remain open all day long; information and registration desk will be available at the conference floor throughout the convention.

Climate:The weather in Eilat is hot and sunny during the day, remaining warm throughout the evening. Day time temperatures range from 20-25 degrees centigrade. Night can get chilly.

Dress code:The conference dress code is casual.

Nametags:The participants are asked to wear nametags throughout the conference; the entrance to the lectures, workshops, meals (including at the hotel restaurant) and social events will be allowed only with nametags and vouchers that will be issued for the specific event.

Commercial Exhibition:A commercial exhibition will take place throughout the conference at the conference floor. The participants are welcome to visit the exhibition and get information from the exhibitors.

Social Events:Wednesday, November 18th, 19:30:“Get together cocktail”“Lobby Terrace”, Royal Beach Hotel (Entrance floor).

Thursday, November 19th, 20:00:Gala Dinner“Pavilion” (Herods Hotel).

GENERAL INFORMATION

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Wednesday 18.11.2009 Thursday 19.11.2009 Friday 20.11.2009

08:30 – 09:15Ophir Fromovich

08:30 – 09:15Edwin Scher

09:15 - 10:15Maurice Salama

09:15 – 10:00David Kohavi

10:00 Registration10:00 – 10:30 Coffee Break

10:15 – 11:30Micael Pikos

10:30 – 11:15Itzhak Binderman

11:00 – 13:30Pre-conference Workshop - Michael Pikos

11:15 – 12:00Eli Raviv11:30 – 12:00 Coffee Break

12:00 – 12:45Henry Salama

12:00 – 12:45Gadi Schneider

12:45 – 13:30Nicolas Cohen

12:45 – 13:15Zeev Ormianer

13:15 – 14:15 Lunch Break13:30 – 14:30 Lunch Break

14:00 – 14:30 Opening Ceremony

14:30 – 15:30Maurice Salama

14:30 – 16:30 Parallel Sessions

15:30 – 16:30Michael Pikos

16:30 – 17:00 Coffee Break 16:30 – 17:00 Coffee Break

17:00 – 18:00Nitzan Bichacho

17:00 – 18:00Workshops

18:00 – 18:45Ady Palti

19:30 Welcome cocktail reception

20:00 Gala Dinner 20:00 “Shabat” Dinner

PROGRAM AT A GLANCE

Surgical – hall A Prosthetic – Hall BMariusz Duda Konstantinos D. Valavanis Daren Rosen Gideon Hallel Amnon Mutsafi Yossi Kaplavi Avi Reyhanian Benatouil Jean Adel Byadsi & Shlomo Birshan Masarwa KossaiAmos Yahav

* There might be some changes in the order of the lectures

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Wednesday, November 18, 200911:00 – 13:30 Workshop – “The Art and Science of Mandibular Block Grafting” Dr. Michael Pikos

Main Podium Session – Hall A:

14:00 – 14:30 Opening Ceremony

14:30 – 15:30 Site Preparation and Augmentation Techniques in the Esthetic Zone Dr. Maurice A. Salama

15:30 – 16:30 Esthetic Zone Reconstruction: Synergy of Soft and Hard Tissue Grafting: Part I Dr. Michael Pikos

16:30 – 17:00 Coffee Break

17:00 – 18:00 Esthetic success factors in dental implantation: An inter-disciplinary approach Prof. Nitzan Bichacho

18:00 – 18:45 4 D Planing for Perfect Esthetics: New Technologies in Oral Implantology Prof. Ady Palti

19:30 Welcome cocktail reception for delegates and accompanies

Thursday, November 19, 2009Main Podium Session – Hall A:

08:30 – 09:15 Complication of Dental Implants Prevention and Treatment Dr. Ophir Fromovich

09:15 – 10:15 How to Avoid Failures with Implants in the Esthetic Zone: An Algorithm for Surgical Decision Making Dr. Maurice A. Salama

10:15 – 11:30 Esthetic Zone Reconstruction: Synergy of Soft and Hard Tissue Grafting: Part II Dr. Michael Pikos


12:00 – 12:45 Minimally Invasive Implant Protocols and the Management of Risk Factors in Esthetic Therapy: Success by Design Dr. Henry Salama

12:45 – 13:30 ”Inflammation and Peri-Implant Diseases” Dr. Nicolas Cohen

CONFERENCE PROGRAM

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13:30 – 14:30 Lunch Break

14:30 – 16:30 Parallel Session 1 – Surgical Track – Hall A:

14:30 – 15:00 Open sinus lifting as a part of treatment in full mouth reconstructions Dr. Mariusz Duda

15:00 – 15:20 Inferior alveolar lateralization for placement of dental implants Dr. Daren Rosen

15:20 – 15:40 Practical Solutions For Dental Implants Compications Dr. Amnon Mutsafi

15:40 – 16:00 The use of the Erbium Yttrium Aluminum Garnet (2940nm) in a Laser-Assisted Implant Therapy how much we can push the envolope? Dr. Avi Reyhanian

16:00 – 16:20 Unilateral Tilted implants vs. sinus lift using a piezoelectric device Dr. Byadsi & Dr. Masarwa

The use of Bi-phasic calcium sulfate to meet bone augmentation challenges Dr. Amos Yahav

14:30 – 16:30 Parallel Session 2 – Prosthetic Track – Hall B:

14:30 – 15:00 Immediate implant placement and provisonalisation: Gingival consideration for a better aesthetical outcome Dr. Konstantinos D. Valavanis

The “second round” of implant supported restoration Dr. Gideon Hallel

15:00 – 15:20 New Waves in Implant Therapy – Breaking the Myths in Restoring the Dento-Alveolar Complex Dr. Yossi Kaplavi

15:20 – 15:40 “Immediate loading in atrophic jaws: the B.I.O.concept” Dr. Benatouil Jean

16:00 – 16:20 Botox administration to masticatory muscles prior to early/immediate loading in atrophic jaws Dr. Birshan Shlomo


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17:00 – 18:00 Workshops: Zimmer Dental – Choosing the correct Implant and abutment to achieve an esthetic and functional result in cases of missing teeth Dr. Maurice A. Salama & Dr. Zeev Ormianer

A.B. Dental – Immediate Loading & All at Once Dr. Gil Yehuda

Alpha Bio Tec. – Advanced practical aspects in use of narrow implants for narrow ridges Dr. Yatzkaier Gustavo

Adin Dental Implants

20:00 Gala Dinner

Friday, November 20, 200908:30 – 09:15 What went wrong? Complications, Errors, and how to solve the problem Dr. Edwin L.C. Scher

09:15 – 10:00 Bone-Implant interface; from birth to self distraction system. Research updates Prof. David Kohavi


10:30 – 11:15 Effectiveness of scffolds in tissue engineering of bone Prof. Itzhak Binderman

11:15 – 12:00 Short-Wide Diameter Implants. An alternative to bone grafting procedures Prof. Eli Raviv

12:00 – 12:45 The predictable surgical way for teeth in a day Dr. Gadi Schneider

12:45 – 13:15 The atrophic jaw, prosthetic solution and complications Dr. Zeev Ormianer

13:15 – 14:15 Lunch

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Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama received his DMD from the University of Pennsylvania School of Dental Medicine, where he later received his dual specialty certification in Orthodontics and Periodontics, as well as his implant training at the Branemark Center at Penn.

Dr. Salama is currently on the faculties of the University of Pennsylvania and the Medical College of Georgia as Clinical

Assistant Professor of Periodontics. Dr. Salama is a permanent member of the Scientific Committee of the world’s leading online Dental Education Website DENTALXP.com

He is also a member of the Team Atlanta Dental Practice which is a multidisciplinary practice world renowned for their clinical research in reconstructive and esthetic dentistry.

Main Podium Session – Hall A • Wednesday, November 18, 2009 • 14:30 – 15:30

Site Preparation and Augmentation Techniques in the Esthetic Zone

To be a viable treatment choice in the partially edentulous case, the implant-supported restoration must cosmetically equal or surpass that of conventional crown and bridge. This requires development of the edentulous ridge or potential implant restorative site to mimic that of a natural tooth. The essence in the creation of this illusion of reality is the soft tissue restorative frame.

The three-dimensional reconstruction of the implant receptor site comprises two distinct phases:• Development of the hard tissues • Reconstruction of the soft tissue

Orthodontic tooth movement can be synergistically combined with periodontal plastic surgical techniques, guided bone regeneration and osseous grafts to effectively establish the optimal foundation for functional and esthetic implant restorations. Vertical soft tissue and interdental papilla enhancement is frequently combined with innovative second-stage periodontal plastic surgery to create an ideal restorative frame.

This program will cover site preparation techniques prior to and at the time of implant placement.

Educational Objectives: 1. Diagnosis and classification of implant recipient sites 2. Preservation techniques available for implant replacement 3. Management of the “deficient” site through augmentation techniques

Dr. Maurice A. Salama, DMD (USA)

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Main Podium Session – Hall A • Thursday, November 19, 2009 • 09:15 – 10:15

How to Avoid Failures with Implants in the Esthetic Zone: An Algorithm for Surgical Decision Making

Controversies remain regarding tooth replacement decisions being made for the partially edentulous patient. Part of this difficulty evolves from the lack of understanding regarding quite normal and natural behavior of the bone and soft tissue prior to, during, and after implant placement.

The literature has provided us with many tools and techniques to avoid failure in this arena. Unfortunately, many of these studies have not yet presented the clinical team a complete algorithm for decision making in this area. This presentation will highlight the available data from a multi-year clinical study, as well as, the pertinent and significant research studies pertaining to tooth replacement and tissue response in the “Esthetic Zone.”

Many times clinical failure may cause emotional strain on the patient and staff, as well as economic loss to the dentist due to the multiple procedures required in order to repair damage surgical sites. This problem has been a complicated one which has involved almost every practicing implant dentist in the world. What to do when things go wrong and how to surgically and restoratively recover from these clinical failures will be discussed. This presentation will most importantly highlight a new “Tooth Replacement Algorithm” to assist the implant team in making improved clinical decisions and to reduce esthetic failures.

References:Tarnow D., et al. J of Perio 1992, 2000Salama H, Salama M, Garber D. PPAD 1998

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Dr. Michael A. Pikos is originally from Campbell, Ohio. He attended The Ohio State University where he graduated Summa Cum Laude and Phi Beta Kappa. He also graduated with honors from The Ohio State University College of Dentistry. Dr. Pikos completed residency training in Oral & Maxillofacial Surgery at the University of Pittsburgh, Montefiore Hospital.

He is a Diplomate of the American Board of Oral and Maxillofacial Surgery, Diplomate of the American Board of Oral Implantology/Implant Dentistry, and Diplomate of The International Congress of

Oral Implantologists. Dr. Pikos is the recipient of the 2006 Aaron Gershkoff Memorial Award from the American Academy of Implant Dentistry.

He is an Adjunct Assistant Professor, Department of Oral & Maxillofacial Surgery at the following institutions: The Ohio State University, College of Dentistry, the University of Miami, School of Medicine, and Nova Southeastern University, College of Dental Medicine. He is also a Courtesy Clinical Associate Professor, Department of Periodontology, at the University of Florida, College of Dentistry.

Dr. Pikos has extensive experience in implant surgery and hard and soft tissue grafting procedures. He emphasizes interactive CT technology along with foundational principles of prosthetics and biomechanics that dictate the ultimate success of comprehensive implant rehabilitation.

He is a well published author who has lectured extensively on dental implants in North and South America, Europe, and the Middle East. Dr. Pikos is an active member and frequent lecturer for the American Association of Oral and Maxillofacial Surgeons, the American Academy of Periodontics, the Academy of Osseointegration, the American Academy of Implant Dentistry and the International Congress of Implantology.

Dr. Pikos is founder and CEO of the Pikos Implant Institute. Since 1990, he has been teaching advanced bone and soft tissue grafting courses with alumni that now number more than 2200 from all 50 states and 32 countries. Dr. Pikos maintains a private practice which is limited exclusively to implant surgery in Palm Harbor, Florida.

Dr. Michael A. Pikos, DMD (USA)

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Main Podium Session – Hall A • Wednesday, November 19, 2009 • 15:30 – 16:30 Main Podium Session – Hall A • Thursday, November 19, 2009 • 10:15 – 11:30

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting

The loss of alveolar ridge contour in the esthetic zone compromises both esthetics and function. This clinical presentation will focus on the application of both hard and soft tissue grafting in the esthetic zone implementing state of the art interactive CT diagnosis and treatment planning for optimal esthetic implant reconstruction.

Emphasis will be on indications, graft and harvest site assessment, timing, use of bioactive modifiers, and surgical protocol utilizing a range of bone grafting protocols in conjunction with connective tissue grafts, acellular dermis matrix, and related soft tissue procedures to avoid functional and esthetic pitfalls. Pre and post-grafting prosthetic workup, interactive CT graft assessment and prosthetic driven implant planning, stent driven implant placement, and computer milled abutment fabrication will be featured. Both single and multiple tooth cases will be presented.

Objectives:

• Upon completion of this course, participants should be able to:

• Diagnose and treatment plan both single and multiple tooth replacement in the esthetic zone.

• Understand the application of interactive CT imaging in the development of prosthetic driven implant placement in the esthetic zone.

• Describe the indications for and sequencing of hard and soft tissue grafting in the esthetic zone.

• Understand the role and surgical protocol of mandibular block autografts, connective tissue grafts, acellular dermal matrix, and use of bioactive modifiers in the esthetic zone.

References:Pikos MA. Atrophic posterior maxilla and mandible: alveolar ridge reconstruction with mandibular block autografts. Alpha Omegan. 2005 Oct;98(3):34-45.Pikos MA. Mandibular block autografts for alveolar ridge augmentation. Atlas Oral Maxillofac Surg Clin North Am. 2005 Sep;13(2):91-107.Langer B, Calagna L: The subepithelial connective tissue graft: A new approach to the enhancement of anterior esthetics. Int J Periodont Restor Dent 1982;2:23.Tavares, Juan M., Ferrucci, Joseph T. (2002). Radiology: Diagnosis-Imaging-Interpretation, Volume 3. Philadelphia, PA: Lippencott Williams & Wilkins, Inc.

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Prof. Nitzan Bichacho heads the Ronald E. Goldstein Center for Aesthetic Dentistry and Clinical Research at the Prosthodontics Department of the Faculty of Dental Medicine at the Hadassah Medical Campus, holding the post of expert in prosthodontics at the rank of professor at the Faculty of Dental Medicine, Hebrew University, Jerusalem, where he received his D.M.D. in 1984.

He is Past President and an active member of the European Academy of Esthetic Dentistry - EAED, (www.eaed.org). He also serves as scientific editor of the American professional journal

Practical Procedures & Aesthetic Dentistry, (www.PPAD.com), The Middle East Journal of Oral Health, and the Implantology section of The European Journal of Esthetic Dentistry, (www.quintessenz.de) and as editorial board member of several international publications.

Prof. Bichacho has been publishing and lecturing worldwide in the fields of dental implant therapy, fixed prosthodontics, and innovative treatment modalities in esthetic dentistry.

He is the conceptor and co-inventor of the NobelActive Implant System.

In his private practice in Tel Aviv, he collaborates with multinational colleagues and dental technicians.


Esthetic success factors in dental implantation: An inter-disciplinary approach

A critical goal to support dental implant therapy is the achievement of optimal soft and hard tissue integration, to support a functional and aesthetic restoration. The implantation and restorative techniques will be thoroughly discussed to enable a clear insight of the factors influencing satisfactory results in various situations. Special emphasis will be dedicated to the pros and cons of immediate implantation and immediate restoration which, due to obvious reasons, has gained popularity among patients and dentists.

This lecture will discuss the rational for different restoration techniques, and for the various restorative phases. The pros and cons as well as indications, contra-indications and case selection will be referred through numerous treatments that will be presented.

Prof. Nitzan Bichacho, DMD (Israel)

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Ady Palti, DDS, Baden Baden/Germany, currently professor at New York University College of Dentistry and clinical professor at Boston University Dental School Center of Implantology. He is president of the German Society of Oral Implantology (DGOI) since 2004 and President Elect of the International Congress of Oral Implantologists (ICOI).

Ady Palti lectures worldwide and publishes on new technologies in oral implantology main focus on 3D technologies and immediate loading.

Private practice in Baden-Baden Germany limited to implantology and esthetic dentistry. Involved in development of surgical instruments, implant design, membranes and augmentation materials since 1980.

Director of the International Academy of Implantology (IAI )in Baden Baden, Clinical Director of the Videnti Clinic in Baden Baden focusing on Implantology and Esthetic Dentistry.


4 D Planing for Perfect Esthetics: New Technologies in Oral Implantology

The expectations of our patients concerning perfect aesthetics, functionality and phonetics demands a high standard of implant skills. Todays patients are also expecting to have an immediate restoration after loosing their teeth.

Although the success rate of 90-95 is impressive, we should try to avoid the 5 to 10 percent failures and complications. The new technique of 3D planning and navigation could bring us closer to this goal. By using a CT which is fed into the computer in digital form the dentist is able to carry out perfect implant planning. Both, the position of the implants in the vicinity of anatomical structures and the future prostheses can be planned exactly.

To optimise this technique in the daily practice, we transfer the 3D data to the dental lab with a special Lab Technology (GPIS) the lab technician is preparing a surgical guide, temporary or final abutments and a provisional restauration for the patient. This method saves time and has a very high acceptance for our patients.

Prof. Ady Palti, DDS (Germany)

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D.M.D Dentistry, University of Bucharest, Romania, 1983-1988

Post-graduate training in Orthodontics, University of Bucharest, Romania, 1988-1990

PROFESSIONAL MEMBERSHIPS: ICOI International congerss of oral implantology, January 2003; DGZI Deutsche Gesellschaft für Zahnärztliche Implantologie, November 2003; IAOI Iraeli Association of Oral Implantology, May 1998

LICENSES AND CERTIFICATIONS: Dental License in Israel, 19.11.1990; ICOI Diplomat, 30.05.1998

OCCUPATIONAL HISTORY: Private practice, Israel, Since 1988; C0-Innovator and Managing Director of Alpha Bio Implant Systems, Since 1988; CEO of Alpha Bio Ltd., Petch-Tikva, Israel, Since 1988

ACADEMIC APPOINTMENTS: Research associate at the laboratory of dental technology in The faculty of Dental Medicine The Hebrew University-Hadassah Jerusalem, Since 2004; Prof. A/C degli Studi G. d’Annunzio Chieti University, Italia, October 2005

RESEARCH: Implant surface Tehnion, Haifa, Israel; Animal histology, Zurich University, Swiss

PUBLICATIONS: Israeli dental journal; Esthetic zone trauma complication treatment, Adekan Israel dental update No’ 83– Pages 86-87 was published at May 2006; Esthetic zone type of dental implant bone augmentation, Adekan Israel dental update No’ 85– Pages 88-89 was published at September 2006; Close sinus lift using balloon techniques’, Adekan Israel dental update No’ 81– Page 90 was published at January 2006; Complication in dental implants prophylactic, treatment, Adecan Israel dental 7/07

INVITED PRESENTATIONS:2007 EAO - European association for osseointegration, Barcelona Live Surgery2007 Moscow, World Tour Live Surgery2007 Las Vegas, Nobel Biocare World Tour Live Surgery2007 AAO - American academy of ophthamology, Live Surgery2007 AAP - American academy of pediatrics, Live Surgery2007 AAID - American academy of implant dentistry - Las Vegas2007 International Congress of DGZI, Düsseldorf, Germany2005 London Study Club 2007 GIDE Global Institute for Dental Education2007 ICOI - International congerss of oral implantology, Korea2007 S.I.M.O.2005 ADI, United Kingdom2005 London Study Club

Awards and Honors: “Yakir Akim”- an award for volunteering from the president of Israel, Dec 2005; Appropriation award for volunteer from the minister of health, 20/12/2007

Dr. Ophir Fromovich, DMD (Israel)

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Complication of dental implants prevention and treatment

Dental implants have a treatment modality for patients with missing tooth, are well documented in literature.

However, information is needed on the complications that accrue with dental implants how to prevent and how to treat in the filed of the sugary and the prosthetic treatment.

This lecture will deal with complications on the fields of:

• Sinus lift • Hemorrhagic related complications • Replacing broken dental implant • Crown lentang treatment implants Etc.

After 20 years of experience with dental complication we got the knowledge and the experience how to treat many of those complications.

We need to focus on biological and mechanical consideration in order to avoid further complication.

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Dr. Salama received his post-doctoral specialty certificates in both periodontics and periodontal-prosthesis, fixed prosthodontics from the University of Pennsylvania. He is the former director of the Implant Research Center, at the University of Pennsylvania, where he continues to be a Clinical Assistant professor in the Department of Periodontics.

Dr. Salama is currently in private practice in Atlanta limited to advanced restorative and implant therapy. His clinical research activities focus on long-term stability of esthetic soft tissue

enhancement techniques, as well as immediate and early loading of root form implants.

Dr. Salama is also a featured Xpert content provider and member of the Scientific Board of the leading Web based Dental Education site www.DentalXP.com.


Minimally Invasive Implant Protocols and the Management of Risk Factors in Esthetic Therapy: Success by Design

Clinicians today have access to an astounding array of new technology, tools and materials to utilize in their increasingly esthetically oriented practices. However, none of them can ensure success if the treatment design is inadequate. This presentation puts an emphasis on identifying the risk factors to successful esthetic outcomes as well as on developing appropriate solutions to overcoming them. A clear blueprint to designing beautiful smiles will be outlined which will incorporate synergistic surgical, restorative and orthodontic techniques aimed at overcoming esthetic challenges and predictably achieving successful results in any environment.

In addition, a focus will be placed on the biological, clinical and biomechanical factors that may allow clinicians to simplify implant protocols with minimally invasive surgical protocols and, when possible, to reduce or completely eliminate the waiting period to implant loading without sacrificing predictably successful osseointegration.

Dr. Henry Salama, DMD (USA)

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Dr Nicolas Cohen Associate Professor in the Department of Periodontology, at the University of Paris, France and also maintains a private practice. He received his Dental Degree from the University of Paris. He performed his research in a French research institute “Institut Paris-Sud sur les Cytokines” focused on immune tolerance, more particulary on the tolerance induced by oral biofilm published in Journal of Dental Reseach in 2004, Blood 2003, 2006, and 2007.

1- ADDIN EN.REFLIST Berrebi D, Bruscoli S, Cohen N, Foussat A, Migliorati G, Bouchet-Delbos L, et al. (2003). Synthesis of

glucocorticoid-induced leucine zipper (GILZ) by macrophages: an anti-inflammatory and immunosuppressive mechanism shared by glucocorticoids and IL-10. Blood 101(2):729-38.

2- Cohen N, Morisset J, Emilie D (2004). Induction of tolerance by Porphyromonas gingivalis on APCS: a mechanism implicated in periodontal infection. J Dent Res 83(5):429-33.

3- Cohen N, Mouly E, Hamdi H, Maillot MC, Pallardy M, Godot V, et al. (2006). GILZ expression in human dendritic cells redirects their maturation and prevents antigen-specific T lymphocyte response. Blood 107(5):2037-44.

4- Hamdi H, Godot V, Maillot MC, Prejean MV, Cohen N, Krzysiek R, et al. (2007). Induction of antigen-specific regulatory T lymphocytes by human dendritic cells expressing the glucocorticoid-induced leucine zipper. Blood 110(1):211-9.


Inflammation and Peri-implant Diseases

Pathogens are known to play an important role in the development of inflammatory periimplant lesions. Mucositis is a reversible inflammatory reaction of peri-implant soft tissues, in contrast to peri-implantitis which is an irreversible process that affects soft tissue and supporting bone around implants. Like other chronic inflammatory diseases, it appears that the inflammatory process play an important role in the progression and severity of peri-implant disease. The host immune response, by cytokines involves a T helper (Th) 1 response (interleukin (IL)-1β, IL-12, a cell mediated process by interferon (IFN) – γ], while cytokines from the Th2 response (e.g., IL-4, and IL-10) predominantly stimulate antibody production. In this way, the different expression of inflammatory mediators is consistent with a change from the Th1 to the Th2 immunological profile in chronic diseases. Previous studies have also demonstrated that bone resorption is controlled by the interaction of the receptor activator of the NF-kB ligand (RANKL) and osteoprotegerin (OPG), whose expressions are regulated by inflammatory mediators and bacterial products. A lot of studies have evaluated various non-surgical and surgical approaches in the treatment of peri-implantitis. The outcome of non-surgical treatment seems to be unpredictable. Studies have also evaluated resective and regenerative surgery, as well as the adjunctive use of antibiotics and lasers. We will discuss the biological events of the host immune response that may be associated with a success or a failure of these peri-implantitis treatments.

Dr. Nicolas Cohen, DDS, PhD (France)

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Clinic of Oral and Maxillo - Facial Surgery at Silesian University of Medicine lecturer, Oral Implantology Clinic Silesia-Med owner, organizer and author of implantologic courses, author of 48 articles, mainly in the field of oral implantology.

Well recognized lecturer in Poland, President 2007 - 2011 and founder of Polish Society of Oral Implantology PSI, since 2004 Vice President of International Congress of Oral Implantologists for Poland.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

Open sinus lifting as a part of treatment in full mouth reconstructions

The most common open sinus lift procedure complications are membrane laceration, damage of the intraosseous vessels of the sinus wall and inflammation of the paranasal sinuses as an adverse effects during and after surgery. Sinus membrane tear can lead to graft infection and early failure although in case of minor perforations prognosis is good.

The characteristic sinus features which are crucial for the surgical procedure of the open sinus lift difficulty level will be outlined in the presentation.

Sinus lift can be recognized as a safe but sensitive to surgeon’s skills procedure not predisposing for postoperative acute or chronic sinusitis. The occurrence of postoperative chronic sinusitis appears to be limited to patients with a predisposition for this condition. Avoiding of the open sinus lift procedure regarded sometimes as invasive, troublesome and offensive for the patient in the cases where it could be performed with high predictability seems to limit the possibilities of applying valuable implantoprosthetic solutions for the patient.

Dr. Mariusz Duda, DDS, PhD, Diplomate ICOI (Poland)

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Upon graduating the New York University College of Dentistry, Dr. Daren Rosen completed a residency in Oral and Maxillofacial Surgery at the Rambam Medical Center in Haifa.

Over the years, Dr. Rosen has published several articles in his field and has lectured both nationally and internationally.

Currently, Dr. Rosen serves as a senior surgeon in the Department of Oral and Maxillofacial Surgery at Meir Hospital, Kfar Saba, in addition to his private practice in Raanana.


Inferior alveolar lateralization for placement of dental implants

Not many procedures in implant dentistry are as challenging and unpredictable as the vertical ridge augmentation. Bone blocks, sandwich osteotomies, particulate bone covered with titanium membranes and distraction osteogenesis are the procedures most often utilized for recreating vertical bone volume. Nevertheless, accompanying these procedures is a wide array of possible mishaps including exposure of the surgical site, unpredictable form of the augmented bone, and failure of the procedure. Lateralizing the inferior dental nerve bypasses vertical grafting procedures utilizing the available bone inferior to the neurovascular bundle. By doing so, the time lapse from implantation to restoration is shortened, and treatment prognosis is increased to that of implants placed in non-grafted sites. The purpose of this presentation is to highlight the surgical technique of inferior nerve lateralization for placement of dental implants.

Dr. Daren Rosen, DDS (Israel)

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Graduated from U.N.A.M University - Mexico City, Dental school in 1992 certificate of excellence(Mencion honorifica). Active in private practice of general dentistry focus on dental implantology. Part of a teem working in oral and maxillofacial department-Kaplan Hospital-Israel, performing general dentistry in compromise patient, including implantology, oral rehabilitation, minor and major surgery. Diplomat of the ICOI, former member of audit committee member of IAOI and member of the DGOI. Elected VP for the IAOI (Israeli Association of oral implantology) for 2010.


Practical solutions for dental implants compications

Dental implant, GBR (Guided Bone Regeneration), GTR (Guided Tissue Regeneration) represents a widely accepted solution for rehabilitation of partially and totally edentulous ridge. Many successes cases, complications and failures reported at the literature, as well, different definitions for complications. This presentation will focus on the clinical aspect for complications classification: Intra/Post surgical complications (bone, tissue, implant), and prosthetic complication in order to achieve predictable solution for success.

Dr. Amnon Mutsafi, DMD (Israel)

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Dr. Reyhanian graduated from the University of Bucharest, Romania in 1988. He then participated in a fellowship program at the Oral & Maxillofacial Department Rambam hospital in Israel. He is a member of the academic staff at the Institute of Advanced Dental Education in Haifa, Israel and he currently practices general dentistry and oral surgery in Netanya, Israel.

Dr. Reyhanian’s practice has employed dental lasers since early 2002. He is a member of the ALD – Academy of laser dentistry- and is a member of the Israel Society of Dental Implantology.

Three wavelengths are used in his practice: Erbium:YAG (2940nm), CO2 (10600nm)

and Diode (830nm).

Dr. Reyhanian has been publishing and lecturing extensively worldwide in the field of dental laser. He is a reviewer of several dental Journals.

Dr. Reyhanian was the global opinion leader of Lumenis company for dental laser division.

Today he is a luminary doctor of Syneron Company for the dental laser division.


The use of the erbium yttrium aluminum garnet (2940nm) in a laser-assisted implant therapy. How much we can push the envolope?

The array of available clinical applications for laser assisted dentistry is growing rapidly, with the greater number of applications being for oral surgery. Er: YAG is a laser wavelength which is located in the infrared zone of the electromagnetic spectrum, is considered to be extremely safe, and is the dominant wavelength in dentistry today. Er: YAG is one of the most suitable wavelengths for bone applications.

The presentation will demonstrate the use of the Er:YAG laser in the world of implantology, and the advantages vs. conventional treatment methods.

My purpose in this presentation is to put some order into the chaotic information surrounding the subject and to provide some answers to the most common and frequent questions I often meet: How far we can go with this technology? Is it just a marketing tool or proven therapy? Where is the line between reality and fantasy? Does the new technology completely replace the conventional methods and if not, at which point do we lay the laser’s hand piece down and re-employ the “old” tools and conventional ways?

This lecture will exhibit, beyond any doubts, that Er:YAG laser is very valuable tools for implantology. and will show cases studies with five-year follow-ups, each procedure explained in detail including video exhibitions.

Dr. Avi Reyhanian, DMD (Israel)

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Dr. Adel Byadsi

Dr. Byadsi Studied Dentistry at Goethe University in Frankfurt (Finished 1986) and in 1990 studied a one-year-program in Oral Surgery at the same university. Since then he runs two private clinics and has taken many courses in Implantology and Bone Augmentation. In 2003 Dr. Byadsi obtained a Diploma Implantology of the ICOI and “Specialist Implantology” of DGZI. In 2009 M.Sc. in Oral Surgery-Implantology, Donau University Austria. Dr. Byadsi has lectured in implantology both locally and internationally.

Dr. Byadsi is Co- Founder of IAOI and member of ICOI since 2001.

Dr. Masarwa Kossai

Dr. Masarwa started his academic studies of mathematics and computer sciences at the Hebrew University in Jerusalem (1988). He earned his dental degree at the Westphalia Wilhelm’s University in Muenster, Germany (1996) and continued his education in Bioinformatics at the Tel-Aviv University (2003). As an active member of various international professional dental organizations, Dr. Masarwa lectures about techniques for avoiding sinus graft. In his private practice, he mainly practices implant surgery and

prosthodontics of the extremely atrophic jaws using tilted implants.


Unilateral Tilted implants vs. sinus lift using a piezoelectric device

In cases of low bone height in the maxillary sinus region, sinus elevation is routinely performed by applying different techniques.Mostly, the buccal sinus wall is cut with burs while kept attached the membrane, rather than being coronally elevated. Cutting with burs causes a greater loss of bone substance. In such cases, most practitioners use a synthetic membrane to cover the buccal site of the sinus.

Dr. Byadsa presents a technique for totally removing the buccal wall of the sinus with a 45- degree cut, using a piezoelectric device. This procedure enables the repositioning of the removed sinus wall without the need for membranes, screws or sutures.In the second part, Dr. Masarwa presents tilted implants and screw-retained prosthodontics as an alternative to sinus-lift or crest-augmentation. The technique may be applied in cases where enough bone is found in the premolar and retro-molar zone. A flat connection abutment allows tilting the implants to much higher angles. The big advantage is the ability of immediately loading the implants and a one session surgery.

Dr. Adel Byadsi, DMD (Israel) & Dr. Masarwa Kossai, DMD (Israel)

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Started his dental profession career as a dental technician in 1980.

Graduated “Carol de Vila” university of Bucharest Romania in 1992.

He experience thousands of implant dentistry and mouth rehabilitation cases as of 1993 in his private clinic in Netanya.

Dr. Yahav has invented and developed dental tools, accessories and materials for implants and dental surgery. He also serves as an advisor for international companies in that field.

Dr. yahav is the current CEO of Augma biomaterials which has developed the Bond bone™.


The use of Bi-phasic calcium sulfate to meet bone augmentation challenges

Optimal placement of dental implants is essential for obtaining functional and esthetic reconstruction. Current statistics reveal that one of three dental implant placements requires augmentation procedure. The contemporary practitioner frequently faces an arsenal of bone grafts to choose from in order to achieve the optimal result.

Bone augmentation procedures require vast experience and practice to obtain the desired outcomes. The current research and development is in a constant search for the ultimate bone augmentation procedure.

In order to obtain an optimal bone regeneration rather than bone repair we need a temporary space maintainer that in time will be replaced with natural bone. However, there is no such material that can provide an optimal solution for all augmentation challenges.

The lecture will present a novel biphasic calcium sulfate bone augmentation material that is suitable to be used by its own for defects that are lower than 10mm in size and have at least two bone walls supports in order to obtain a complete regeneration. This material is self- reinforced therefore is easy to handle. When used in combination with other augmentation materials there is no defect size or morphology limits. It may act as a binder matrix for a granular reinforcement. Finally, it may act as a membrane for other augmentation materials.

The biphasic calcium sulfate graft can significantly reduce treatment time as well as to improve the dental implantation result.

Dr. Amos Yahav, DMD (Israel)

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Bi Phasic Calcium sulfate

Calcium sulfate bone grafting materials have proved safe for more than 110 years in dental and orthopedic practice; they were first used by Dreesmann in 1892.

Throughout the years its hemihydrate phase was known to be a cementable, highly biocompatible and osteoconductive material that is fully resorbed. However, due to its disadvantages such as fast resorption and instability in blood and saliva environment the use of calcium sulfate hemihydrate has declined. Its other phase, dehydrate provides higher stability however it is not cementable.

Recently, a novel bi - phasic calcium sulfate was developed. It is composed of both phases: hemihydrate and dehydrate. These phases are dispersed within each other in a unique and controlled particle size distribution that enables faster and low exothermic reaction during setting. The final graft obtained after setting is calcium sulfate dehydarate of high stability, its microstructure contains both micro and macro pores and its degradation time matches bone formation.

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Dr. Valavanis attended the Kapodistrian University of Athens, Dental School, Greece, where he received his degree in dentistry in 2000. After graduating he was trained in implant dentistry in Kraichtal Germany and Goldman school of dental medicine, Boston MA.

Dr. Valavanis is senior partner in Athens Dental Institute, Athens Greece.

He is currently board member of the SENAME (Naples) implantology association, member of the scientific committee of the society

of Hellenic dentistry (SHD), founding member and implantology specialist of the German implantology society (DGOI) and Diplomate in the international congress of oral implantologists (ICOI). He lectures nationally and internationally mainly on aesthetic implant dentistry.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

Immediate implant placement and provisonalisation: Gingival consideration for a better aesthetical outcome

The achievement of an aesthetic implant-supported restoration is a constant challenge to the restorative dentist.

Due to the circular shape of the implant and its smaller diameter, when compared to the root of a natural tooth, a dilemma inevitably occurs of how to construct an artificial crown that will imitate the natural tooth crown form.

The appearance of the surrounding soft tissue is of major importance, and various techniques have been developed to guide its topography.

The lecture will show step by step clinical procedures from diagnostic models through provisional restoration therapy to the definitive restorations.

Dr. Konstantinos D. Valavanis, DDS (Greece)

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Dr. Yossi Kaplavi received his DMD degree from the Faculty of Dental Medicine, Hebrew University in Jerusalem - Israel. (1983).

Dr. Kaplavi is a Diplomate of the International Congress of Oral Implantology (ICOI), and active member of the IAOI, DGOI, and EAO.

Dr. Kaplavi maintains in Ramat-Gan, an active private practice limited to both surgical and prosthetic rehabilitation of dental implants with 21 years of experience.

During the recent years he is focusing in Immediate Loading, Immediate Implantation and in Graftless Implant Rehabilitation by using tilted implants.

Dr. Kaplavi has lectured and presented his experience in Graftless Implant Rehabilitation and in Immediate Loading and Implantation, at numerous international conferences on dental implants.


New Waves in Implant Therapy – Breaking the Myths in Restoring the Dento-Alveolar Complex

Objectives of the investigation:

Very often the placement of implants in the posterior maxilla and mandible, is impossible without prior bone grafting. Graftless rehabilitation by placing implants in the remaining bone volume is a challenge. Immediate function and immediate loading on implants placed in post extraction sockets add to this challenge.

The objectives of this study are to evaluate:• The surgical outcome of Tilted Implants (CSR and marginal bone loss) as alternative

to Bone Grafting.• The Prosthodontic Outcome of Cemented Restorations and Screw Retained Restoration

on Tilted Implants.• Predictability of Immediate loading especially in the Maxilla.• Predictability of Immediate Implantation with and without Immediate loading.

Experimental method:

143 full arches, 21 hemi arches and 65 posterior partial segments (all in both jaws), were restored without prior grafting, by the use of 371 Tilted Implants and 760 Axial Implants. (Total 1131 implants).

The Tilted Implants were placed in extreme angularity up to 45 degree located mesially to the maxillary sinuses, or to the mental foramens.

Dr. Yossi Kaplavi, DMD (Israel)

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Immediate function was applied on 205 Tilted Implants, and on 297 Axial Implants. (Total 502 implants)

Immediate implantation in post extraction sockets, was applied on 79 Tilted Implants and on 403 Axial Implants.(Total 482 implants).

Immediate implantation followed with immediate loading was applied on 52 Tilted Implants and on 172 Axial Implants. (Total 224 implants).

The patients were followed periodically for 6-60 months after the surgery, with clinical and radiographic evaluation.

Results:

13 Titled Implants were failed (CSR=96.50%), from which 7 implants were immediate loaded (CSR=96.59%), and 2 implants were immediate implanted (CSR=97.47%).

19 Axial Implants were failed (CSR=97.50%), from which 9 implants were immediate loaded (CSR=96.97%), and 9 implants were immediate implanted (CSR=97.77%).

100 % success in cases, after reimplantation of strategic implants, with no mechanical complications.

Implants with oxidized surface did not show any advantage on implants with rough surface.

Conclusion:

Graftless rehabilitation of the atrophied maxilla and mandible, using titled implants with immediate function and immediate implantation should be considered as a viable treatment approach with considerable benefits.

Sinus grafting and Onlay Bone grafting can be avoided in majority of cases.

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Private practice limited to implant dentistry.

2006-2009 – In charge of courses in Basal Implantology and PRF. 2003-2005 – Diploma of NICE University in Basal Implantology faculty of Medicine, Department of Maxillofacial Oral Surgery.

2004 – Expert DGOI; Diplomate ICOI. Scientific committee Member ICI, Member IAOI.

2001-2003 – Diploma of Boston University in Implantology. Seminars: Diskimplant, Astra, Bicon, 3I, Sulzer, Secure.

1991-2001 – Seminars: TBR, Corvent, ITI, GBR-GTR, Perio-Esthetic, ICDE, Applied Dental Technology in Implantology, Sinus Lift, Diskimplant.

1986-1990 – Lecturer in Science of Materials Tel Aviv University School of Dental Technology. Seminars: Branemark, Diskimplant.

1985-1987 – Medical Director in KETER’s Dental Clinics

1983 – Diploma of Doctor-DMD- Dental Surgeon, University Paris VII.


“Immediate loading in atrophic jaws: the B.I.O.concept”

The conditions for immediate loading on screw-type implants are well-known today but limited to patients with abundant jaw-bone.

There is another protocol, clinically-proven for 25 years, that widens the immediate loading indications even in atrophic jaws.

This technique is based on cortical anchorage of tilted implants combined with especially

designed implants laterally impacted in the basal cortical bone.

This revolutionary concept,called “Basal Implantology”, already gave an immediate, functional and aesthetic alternative to thousands of patients suffering from teeth and bone loss.

It is a powerful addition to implantologists armamentarium.

Dr. Benatouil Jean Charlemagne, DMD (Israel)

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Dr. Hallel received his DMD from Tel-Aviv University (Israel) in 1991 and his MPA from Clark University (USA) in 1999.

Utilizing implants (both surgery & restoration) since 1992, entered to the field of Basal implantology in 2003 under the instruction of Dr. Gerard Scortecci (France), since than focused mainly in this field.

Works in his private practice in Tel-Aviv & serves as an instructor for Israimplant’s Basal implantology Seminars.

Dr. Hallel is a Diplomate of the ICOI, and an expert in implantology of the DGOI.

Dr. Hallel is a co-writer of the first prize winning research in the Nobel-Biocare 2007 Las-Vegas World Conference.


The “second round” of implant supported restoration

“Doctor, how long will my implants will last?” a frequently asked question in our daily practice.

Can we give an accurate answer? Should we consider the potential failure & its consequence from the very first time of implant placement?

After more than two decades of implantology, we quite often are facing patients who need a “second round” of implant placement & reconstruction - after failure of the previous implants supported restoration.

The “second round” cases are far more challenging comparing to the “first round” implant placement.

In most of those cases the remaining bone and the anatomical structures (inferior alveolar nerve, maxillary sinuses, etc.) dictate three treatment options:• Usage of extensive surgery for bone augmentation prior to implant placement.• Utilizing special implant system that was specially developed for minimal residual

bone (basal implantology).• In some extreme cases removable prosthesis is the only solution left.

The already complicated clinical challenge is aggravated by the need to restore the patient trust. (both of the implant therapy process and the dentist).

Various “second round” cases will be discussed, including the surgical & prosthetic solution.

The supposed failure factors will be discussed as well, since complete understanding of them – is the key for correct & successful treatment planning.

Dr. Gideon Hallel, DMD, MPA (Israel)

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Dr. Birshan Shlomo graduated from the university of Tel Aviv, Israel - with honors in 1998. Hypnosis and dental treatments under general anesthesia licenses by the ministry of health.

Between the years 1998-2000 Dr. Birshan was a clinical instructor in the department of restorative dentistry, Tel Aviv university.

Dr. Birshan is Diplomate of the ICOI and expert of the DGOI.

Works in a private practice, mostly implantology and rehabilitation in a multidisciplinary clinic, Tel Aviv.


Botox administration to masticatory muscles prior to early/immediate loading in atrophic jaws

Botulinum toxin is a medication and a neurotoxic protein produced by the bacterium Clostridium botulinum. It is the most toxic protein known.

Researchers discovered in the 1950s that injecting overactive muscles with minute quantities of botulinum toxin type-A would cause a decreased muscle activity by blocking the release of acetylcholine at the neuromuscular junction, thereby rendering the muscle unable to contract for a period of 3 to 4 months.

Despite Botulinum toxin being one of the most lethal naturally occurring substances known to science, it is still widely used for cosmetic purposes in a purified and isolated form.

Besides its cosmetic application, Botox is used in the treatment of:

Cervical dystonia, excessive blinking, excessive sweating, Achalasia, Local intradermal injection of BTX-A is helpful in chronic focal painful neuropathies, Migraine and other headache disorders, although the evidence is conflicting in this indication.

Other uses of botulinum toxin type A that are widely known but not specifically approved by FDA include treatment of:

Pediatric incontinence,Anal fissure, Spastic disorders associated with injury or disease of the CNS, TMJ pain disorders, Diabetic neuropathy, Wound healing, Excessive salivation, Vocal cord dysfunction a spasming of the vocal cords, Reduction of the Masseter muscle for decreasing the size of the lower jaw.

Injecting botox to masticatory muscles substantially reduces the forces applied to the implants via the prosthetic framework during the crucial period of osteointegration. The lecture will describe the material (source, properties, and clinical use), the theoretical

Dr. Birshan Shlomo, DMD (Israel)

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and practical basis of injecting botox to masticatory muscles, how to do it, current literature review, and a complete case presentation of early loading in extremely atrophic jaw.

Dr. Birshan has graduated Dental medicine school, Tel Aviv university with honors in 1998. ICOI Diplomate, Expert in oral implantology (DGOI ), and a member of the IAOI. Working in a private practice, multidisciplinary clinic in Tel Aviv.

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• BDS (London), LDS RCS Eng., MFGDS RCS Eng.

• Graduate, University College Hospital, London, UK, 1973.

• Registered on GDC Specialist List in Oral Surgery and Prosthodontics.

• Visiting Clinical Professor, Prosthodontic and Implant Dept, Temple University, Philadelphia, USA.

• Member of Faculty, Lyon University

• Honorary Senior Lecturer in Dental Implantology, School of Health Care Professions, University of Salford

• Honorary Lecturer at EastmanDental Hospital.

• Diplomate, American Society of Osseointegration

• Founder Member and past President, Association of Dental Implantology, and current elected Board member

• Fellow, Honorary Diplomate and Director on Board of ICOI

• Scientific Chairman, ADI International Symposia 1989, 1991.

• Host Chairman, ICOI World Congress XI 1992

• Chairman of Editorial Board Implant Dentistry Today.

• Director, Osseointegrated Year Course (20th year)

• Lectures worldwide and published extensively in referred journals

• Scientific Chairman of ICOI World Congress August 2003

• Scientific Chairman of ADI International Congress May 2003

• Scientific Chairman of ICOI World Congress Las Vegas June 2004

• Scientific Chairman of Nobel Biocare conference September 2006

• Scientific Chairman of ADI International Congress May 2007

• President of Alpha Omega UK 2008/9

Dr Scher graduated from University College Hospital, London, UK in 1973. He is registered on the GDC Specialist List in Oral Surgery and Prosthodontics.

He is a Visiting Clinical Professor at the Prosthodontic and Implant Department, Temple University, Philadelphia, USA. He is also a Member of Faculty at Lyon University, France, and an Honorary Senior Lecturer in Dental Implantology, School of Health Care Professions, University of Salford, UK. and Honorary lecturer at the Eastman Dental Hospital.

Dr. Edwin L.C. Scher, BDS (UK)

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Dr Scher is a Fellow and Diplomate of the ICOI, and a Director on its Board. He is also a founder member and past President of the Association of Dental Implantology, UK, and still serves as an elected board member. He also holds a Diplomate from the American Society of Osseointegration.

He is the Director of the Osseointegrated Year Course (now in its 20th year), and is the chairman of the editorial board of Implant Dentistry Today. He is published extensively in refereed journals.

Dr Scher was Scientific Chairman at the ADI International Symposia in 1989 and 1991, and was Host Chairman of the ICOI World Congress XI, 1992. He has also been Scientific Chairman of ICOI World Congress August 2003 and 2004; Scientific Chairman of ADI International Congress in May 2003; Scientific Chairman of Nobel Biocare Conference in September 2006; and Scientific Chairman of ADI International Congress in May 2007. He is President of Alpha Omega UK 2008/9.

Main Podium Session – Hall A • Friday, November 20, 2009 • 08:30 – 09:15

What Went Wrong?

Complications, Errors, and how to solve the problem:

It is rare for a presenter to talk about failures in implant dentistry. Prof. Carl Misch will suggest to you that it will cost you the profit of your next three cases to sort out a failed case. My late Father who was a Professor of Surgery would have told you that you must “learn by other peoples mistakes” especially in surgery.

This presentation will share with you many of the complications and problems that have been seen at my practice. Some of the problems are my own whereas others have been referred for problem solving. The presentation will be divided into treatment planning, surgical and prosthetic problems and will show some novel ways of getting out of trouble.

Educational Objectives

• How important the Treatment Planning Phase is to avoid problems.

• The importance of using a surgical template.

• The importance of using a CT scan.

• Illustrating the importance of the smile line especially if it is unfavourable.

• Understanding the need for soft tissue support when choosing which type of prosthesis.

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Prof. David Kohavi is associate professor in prosthodontics at the Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel. Prof. Kohavi received his DMD from the Hebrew University, and a certificate in Periodontics and Perio-prosthesis from the University of Pennsylvania. He has published numerous articles in the field of Implantology and lectures internationally. He is currently the director of the Oral Implant Center at the Hebrew University Hadassah School of Dental Medicine.


Bone-Implant interface; from birth to self distraction system Research updates

This lecture is describing three stages in the bone-implant interface. The first part describes the early protein adsorption onto the Ti surfaces. Do we need to stick to the Branemark protocol and wet the surface during insertion? Or rather keep it dry, because of the concerns raised recently by Davis? Which is the best wetting solution? What are the clinical consequences of unwetting?

The second part is based on our study: “Parathyroid hormone enhances titanium implant anchorage in low-density trabecular bone: a correlative micro-computed tomographic and biomechanical analysis”. This part will describe a novel pharmaceutical approach aiming at improving bone-implant interface.

The third part of the lecture is based on our recent work: “Titanium leakage to the peri-implant gingival tissue from human failing Plasma Sprayed Titanium Implants: Elemental Analysis and Clinical Observations”. These findings illuminate new insights into the implants’ failure mechanisms related to surface topography. Most of the presented studies were done in collaboration with the Oral Implant Center at the School of Dental Medicine, Hebrew University and Hadassah, Jerusalem.

Prof. David Kohavi, DMD (Israel)

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Professor in Dentistry, Department of Oral Biology‘Sackler’ Faculty of Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine and Department of Bio-engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.Graduate of Faculty of Dental Medicine, Hebrew University, Jerusalem. Specialization Certificate in Prosthetic Dentistry.Former Head of Department of Dentistry and Hard Tissues Laboratory, “Souraski” Tel Aviv Medical Center, Tel Aviv University. 1985-2009, Senior Scientist and Consultant in the Department of

Structural Biochemistry, Hospital for Special Surgery, NYC and Cornell Medical School ,NYC.1976-1978, Visiting Scientist, National Institute of Health, NIDR, Bethesda ,USA.Honorary Life Member of International Congress of Oral Implantology (ICOI).Honorary Life Member of Deutshe Geselshaft of Zahnartzliche Implantologie (DGZI). Appointed by Minister of Health as a member of Israeli Research Council.

Main research areas:The effect of Microgravity on in vitro calcification, NASA 1994 and 1995.Co Principal Investigator. In vitro initiation of biological calcification, Consultant and investigator, NIH grant RO 1-AR37661-01A1,periods 1996-2009.Genetic expression of mechanical stress in osteoblasts.The biology of marginal gingiva and alveolar bone resorption.Local treatment of bone resorption by Alendronate.Cell-matrix interaction in generation of bone.

Selected publications:I. Binderman, D. Gazit, Y. Chait, R. Yahav, S. Weisman, Y. Eilon and N. Fine, Development of bone implant interface during healing phase of dental implants.In: Interfaces in Medicine and Mechanics. Volume 2: 352-360, 1991. Elsevier.I. Binderman, Growth factors,bone and oral implantsAdvances in Dental Research 9: 15,1995.A. H. Reddi and I. Binderman, Bone morphogenetic proteins in context: New concepts for Stomatology and craniofacial biology.In: New Concepts in Stomatology, 1996.Binderman I, Adut M, Yaffe A. Effectiveness of local delivery of alendronate in reducing alveolar bone lossfollowing periodontal surgery in rats. J Periodontol.,71(8):1236-40, 2000.Binderman I, Bahar H, Yaffe A.Strain relaxation of fibroblasts in the marginal periodontium is the common trigger for alveolar bone resorption: a novel hypothesis. J periodontal.; 73:1211-1216, 2002 .Jansen EJ, Sladek RE, Bahar H, Yaffe A, Gijbels MJ, Kuijer R, Bulstra SK, Guldemond NA, Binderman I, Koole LH.Hydrophobicity as a design criterion for polymer scaffolds in bone tissue engineering.Biomaterials. 2005 Jul;26(21):4423-31.

Prof. Itzhak Binderman, DMD (Israel)

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Bahar H, Benayahu D, Yaffe A, Binderman I.Molecular signaling in bone regeneration. Crit Rev Eukaryot Gene Expr. 2007;17(2):87-101. Review.Binderman I, Bahar H, Jacob-Hirsch J, Zeligson S, Amariglio N, Rechavi G, Shoham S, Yaffe A.P2X4 is up-regulated in gingival fibroblasts after periodontal surgery.J Dent Res. 2007 Feb;86(2):181-5.More than 100 publications


Effectiveness of scffolds in tissue engineering of bone

Itzhak Binderman, Hila Bahar, Naser Gadban, School of Dental Medicine and Department of Bio-Engineering,Tel Aviv University and Avinoam Yaffe, Hadassah Faculty of Dental Medicine, Jerusalem.

Generation of bone is the challenge faced by current technologies in tissue engineering, depending very much on bioactive scaffolds and on osteoprogenitors. Today, the major solid components of bone or their synthetic counterparts have demonstrated clinical effectiveness in terms of defect fill, for augmentation and bone restoration procedures in dentistry and orthopedics. The materials used for bone augmentation or repair are measured as being biocompatible, bioactive and being able to undergo total degradation without toxic residues. Most of experimental models which test bone derived matrices are taking place in conjunction with the native bone. However, it is critical to test the relative effectiveness of bone matrix components and other synthetic biomaterials in cell-directed osteogenesis model in an non-osseous environment. It seems that predictable bone generation for craniofacial and periodontal application is difficult to achieve. Partly, because a lack of critical mass of multipotential mesenchymal cells (MC) present in the near vicinity of the scaffold. We found that cell-biomaterial interaction and further cellular and molecular commitment for bone generation starts very early after scaffold implantation.

A series of calcium posphate minerals are employed in bone grafting procedures, some derived from bovine bone mineral treated at high temperature and alkaline solution and others are chemically prepared as medical grade calcium sulfate or biphasic calcium phosphate(β-TCP). Also, an intimate mixture of hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP) offers the potential for bone reconstruction since it has a chemical composition close to biological bone apatite. All of them show high biocompatability , but lack bio-active properties. Recently, we found that the synthetic scaffold material which consists of silicium dioxide and nanocrystals of HA is a highly bioactive material that generates bone apposition directly on the material, creating a connectivity of hard tissues. Moreover, its remodeling is directly replaced by newly formed bone.

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Prof. Raviv received his dental degree from Tel-Aviv University and his certificate in Prosthodontics from the Hebrew University in Jerusalem, Israel.

Prof. Raviv is an Associate professor in the Faculty of Dentistry, McGill University - Montreal, Canada.

Director of Prosthodontics and Associate Director of the Department of Dentistry, Sir Mortimer B. Davis - Jewish General Hospital, Montreal, Canada.

He has been awarded several awards. The Julius Michman Prize, London.

First prize for Best Presentation - American Academy of Osseointegration.

Ordre des Dentistes du Québec, Montreal, Québec and more. He is a member of the Editorial Review board of Quintessence International Journal.

For the past 23 years prof. Raviv is involved in teaching and research of Prosthodontics and Implant Dentistry.

He published in local and international peer reviewed journals.


An alternative to bone grafting procedures

Dentists often face challenges when placing implants in an area of reduced alveolar bone height. This situation is seen in both the posterior maxilla and mandible due to alveolar bone resorption, pneumatization of maxillary sinuses and the presence of anatomic structures (e.g. inferior alveolar nerve). The accepted solution for this problem has been conventionally to perform a bone grafting procedure. Despite good predictability and success rate of grafting procedures, patients are often reluctant to undergo the surgery due to the risks, morbidities, and costs of the procedureand the stress of undergoing an invasive procedure. Short implants (≤ 8mm) have been introduced recently as a potential treatment alternative to bone grafting procedures in patients with limited alveolar bone height in the posterior maxilla and in the severely atrophic mandible.

In this presentation we will discuss the criteria for successful clinical application of short wide diameter implants.

Prof. Eli Raviv, DMD (Canada)

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Dr. Schneider received his D.M.D. certificate at the Jerusalem Hebrew University, Hadassah Dental School in 2000. Post-graduate studies in Periodontolgy at the Jerusalem Hebrew University, Hadassah Dental School. Specialist in Periodontology since 2004.

Received his European Federation Certificate of Periodontology in 2004.

Dr. Schneider worked as an instructor at the Jerusalem Hebrew University, Hadassah Dental School.

Research & education consultant and Lecturer at Alpha-Bio Tec’s Educational Center, He leads seminars and courses in implantology and implant surgery.

Holds a private practice which specializes in Periodontics and Implantology.


The predictable surgical way for teeth in a day

Immediate implantation and immediate loading (teeth in a day) are becoming more and more popular in the world of implantology. Due to the complexity of these procedures, it is crucial for the implantologists to master the full scope of these procedure in order to achieve predictable results.

This lecture will discuss the theory and the rational behind immediate implantation, immediate loading and the surrounding bone and how to apply the theory behind these procedures in day by day clinical practice.

The lecture will discuss the optimal conditions for performing these procedures as well as the surgical procedures that are crucial in order to restore and/or maintain the bone envelope around the implants in order to make the procedure as predictable as possible.

Complicated cases in which immediate implantation, immediate loading and guided bone regeneration procedures were used will be presented.

Dr. Gadi Schneider, DMD (Israel)

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Zeev Ormianer, Israel

Dr. Ormianer earned his dental degree (1988) at Tel-Aviv University. He continued at Tel-Aviv University to complete his clinical training in management of TMJ disorders (1991) and the post-graduate prosthodontic program (1996) and continued as member of Oral Rehabilitation Department in the University. Dr. Ormianer is a member of numerous professional organizations and he is the Founder and Past President of the Israeli Association of Oral Implantology, Diplomate and Vice President of the ICOI for Israel

and is a member of the editorial board of Implant Dentistry. In his private practice, Dr. Ormianer concentrate mainly in implant prosthodontics and published more that 20 articles on this topic in the dental literature.

Dr. Ormianer has lectured internationally in the Middle East, Europe and the Americas.


The atrophic jaw, prosthetic solution and complications

The atrophic jaw, prosthetic solution and complications.

Restoring the atrophic jaw is a challenge to the restorative dentist. The prosthetic device has to repair not only the lost dentition but part of the oral tissue as well.

The oral implants enhanced denture support and retention. Implant-supported removable dentures improve patients’ quality of life.

The aim this presentation is to discuss the different implants-denture anchoring systems, its advantages and complications.

Dr. Zeev Ormianer, DMD (Israel)

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Zimmer Dental is a market leader in the development of world-class Implantology products, practice-building strategies and educational programs by Zimmer Institute which focused on empowering clinicians and shaping the future of implant dentistry.

Certified for ISO 13485, Zimmer Dental offer one of the most comprehensive dental implant product lines that meets and exceeds the industry’s most stringent quality standards.

Zimmer Sental, Ltd.143 Bialik St. Ramat Gan 52523 IsraelTel: +972-3-6124242, Fax: +972-3-6124243www.zimmerdental.co.il

A.B.Dental Devices is an international superior implant technology company.We manufacture, develop and market state of the art dental implants and prosthetic accessories.

A.B. Dental Devices, Ltd.D. N. Evtach Nir Galim 79245 IsraelTel: +972-8-8531388, Fax: +972-8-8522562www.ab-dent.com

Alpha-Bio Tec. – Market leader in innovative Implantology and Prosthetics Solutions, specializes in the development and production of advanced dental solutions.

Alpha-Bio Tec. 7 Imber St. P.O. box 3936 Petah Tikva 49511 IsraelTel: +972-3-9291000, Fax: +972-3- 9235055www.alpha-bio.net

Luxembourg Medical is one of Israel’s leading healthcare product suppliers, specializing in pharmaceuticals, medical devices and instrumentations. Own by the Lapidot group.The dental department offers high quality products such as: Soredex (X-Ray Diagnostic Equipment, Digital panoramic, Cone beam CT, Digital sensors), Ecleris (Dental Microscopes), HEINE & Zeiss (Binocular Loupes and Headlights), Salli (Saddle Chairs), and Airel (Dental units).The company headquarters is located in Caesarea, and employ more than 280 employees, the logistic complex is more than 8,000 m2, with Technical service lab that include 11 engineers and fully computerized 24/7 call-center.

Luxembourg MedicalDan Hallali - Tel|: +972-4-6309630

Gold Sponsorship

Silver Sponsorship

Platinum Sponsorship

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Exhibitors

A.B 2000 Ariel Edri Tel: +972-54-2050357

Adin Dental Implants Tel: +972-4-6426732

Alfa Gate Mazen Zahalka Tel: +972-52-2484953

ARDS Michal Rosner Tel: +972-3-9643320

Biohorizons Israel 2004 Koby Hillel Tel: +972-54-496332

Cortex Dental Industries Tel: +972-4-9873970

CTS Dana Weizer Tel: +972-9-7626260

Dancare Dental Gabi Levi Tel: +972-50-2703687

Delta Chakir Moshe Zuckerman Tel: +972-52-2909994

Dental Care David Keinan Tel: +972-52-6434050

Dental Master Tel: +972-3-7517332

Dentex Lab Betina Skladnik Tel: +972-9-8841244

Diplomat Distributors Tel: 1-800-666775

Divident Tel: 1-800-244666

Implant Direct Israe Tel: +972-3-6099951

Israimplant Milhovitch Michel Tel: +972-9-7743615

Itzmad Tel: +972-9-9571571

Matrix Orit Tel: +972-77-2180160

Omplant Tel: +972-54-9142442

Or Hashen Moti Zicherman Tel: +972-50-5219532

Shaked Ran Levi Tel: +972-50-3948817

V-Med Asaf Via Tel: +972-52-6660280

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www.zimmerdental.co.il

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Documents

Implant Abstracts