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]]>No compromises, natural aesthetics and the highest prosthetic flexibility: under this motto, Zeramex is launching the Zeramex XT 3.5 mm ceramic implant, the first reversibly screwable and 100 percent metal-free abutments for removable dentures and the new, smaller Zerabase X adhesive base.
The portfolio of the 100 percent metal-free and reversibly screwable Zeramex XT ceramic implant system is now complete. After the launch of the new competence center Zeramex Digital Solutions, which serves the demand for individual abutments and one piece, monolithic crowns with implant connection, Firrna Dentalpoint is launching further innovations on the market. The portfolio of the Zeramex XT implant system now also includes the anterior teeth in the lower jaw and lateral incisors in the upper jaw Implants with an endosseous diameter of 3.5 mm (Fig. 1a). The new small-base implants (SB) (Fig. 1) are available in lengths of 8, 10 and 12 mm. In addition to the familiar regular and wide-base platforms with endosseous diameters of 4.2 mm for the RB implant and 5.5 mm for the WB implant, the range of Zeramex XT implants is now complete (Figs. 2 to 5).
In addition to the SB implants, the system has also been expanded with new abutments for removable dentures. The Zeramex Docklocs abutments are the first 100
Percent metal-free and reversibly screwable abutments for removable dentures. They are available in heights of 2, 3 and 4 mm and fit on all Zeramex XT SB, RB and WB implants (Fig. 6 to 9).
In order to further optimize the digital workflow, a smaller adhesive base has recently become available. Like the Zerabase adhesive base, the new Zerabase X is also available with and without abutment feet (Figs. 10 and 11) for single crowns or bridge restorations (engaged / unengaged) as well as for all SB, RB and WB platforms.
“Zeramex now offers the most comprehensive range in ceramic implantology to achieve natural aesthetic results,” explains Dr. Ricarda Jansen, Director of Dental Implants at Zeramex. The innovations SB implants, Zeramex Docklocs abutments and the new Zerabase X adhesive base are available now.
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]]>The post ZERAMEX as a featured product by Klaus Pettinger and Wolfgang Weisser appeared first on Emerginnova.
]]>Klaus Pettinger and Wolfgang Weisser want to motivate their dental technician colleagues to produce individual abutments. It’s worth it, say the two dental technicians. In their two-part article, they show why.
The authors have been in the business for a long time – and more: They have many years of experience with implant-supported dentures. Both specialists have made ceramic implants their great passion (Fig. 1). Klaus Pettinger is even one of the pioneers in this area. Wolfgang Weisser was able to benefit from his specialist knowledge. Together they plan and discuss the handling and pitfalls of ceramic implants. As a result, the idea arose to describe the procedure of the monolithic abutment step by step in a specialist article.
The patient case The loss of the tooth in region 36 (Fig. 2) had caused the patient some inconvenience: food particles accumulated in this area which the man found very annoying. He came to the practice of Dr. Michael Schneider in Schomdorf with the wish to close this gap. After a detailed diagnosis by the practitioner, it was agreed to insert a cervical implant and to remove all metal restorations from the lower jaw in this treatment phase. The renovation should be done with metal-free reconstructions. The surgical procedure The initial situation shows the opening for displaying the bone – performed with a pilot hole (A) with the Zeradrill Pilot 2.3 mm and then via the EP drill with the Zeradrill W 10 with a 5.5 mm drill in preparation for thread cutting (Fig. 3).
Then the thread cutting protocol followed. With this arrangement, Zeratap wide with 5.5 mm (Fig. Step, everything for inserting the 4 and 5) is prepared after the surgical implant.
With the pick-up (Fig. 6 and 7) the wide implant is 10 mm long, c Diameter 5.5 mm, used, Dr. Micheal Schneider always sets the same bon level, which is why he is also for the XT from Zeramex supracrestal (Fig. 8) decided.
If the retention holder is perfectly aligned, angled standard abutments can later be used in the restoration (Fig. 9). You can clearly see the concave platform – a ten degree cone. After inserting the XT 17510, the wound is closed with the Healing Cap WB 37500 (Fig. 10) – with a Dr. Tailors preferred thin sutures (Fig. 11), which are very comfortable for the patient. After the healing phase, a slightly fenestrated gingiva can be seen over the healing cap (Fig. 12).
The opening is made through the incision for the placement of the gingiva former {Fig. 13). The practitioner removes the healing cap (Fig. 14), the implant is cleaned and replaced with the healing cap WB 37503 (Fig. 15). You can see the situation very well (Fig. 16). It would also be possible to create a custom healing abutment to prepare the space for the later custom abutment.
The second part of the article is about taking an impression and inserting the individual abutment.
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]]>A: I've always said, "Don't use the bumper sticker that reads floss or die." In other words, we need to stop telling patients that if they don't see us, they're going to die of heart disease. No, you're only going to die of heart disease maybe earlier if you already are genetically susceptible to periodontitis and other chronic inflammatory diseases.
As dental professionals, we have to have the correct perspective. If we're not careful about the oral-systemic link, people are going to think we're crying wolf. This isn't about just talking about the oral-systemic link, but rather personalizing it for each patient. It is taking into consideration the patient's medical history and dental history and matching the two together.
I think so often dental practices cookie cut when explaining the oral-systemic link. You must boil it down so it is simple and meaningful for that patient in your chair. Link it to that patient and his or her medical history, including familial history.
Here's an example. This is the way I've always dealt with the smoking issue among my patients. My parents were smokers, so I have a history there.
How do you handle patients who smoke because you know there's a great link between nicotine and periodontal disease? Here's what I say: "You know your chances of losing your teeth are five times greater if you smoke. I'm OK if you want to continue smoking. That's up to you. I'm just suggesting to you that it's going to be a five times greater risk. I'm not going to harass you about it, but you're the one who has to make that decision, not me. And we will modify that we need to see you more often and your home care must be better than average."
Q: So if someone has really never jumped into the oral-systemic link and wants some research to share with those patients who might be affected, what do you suggest?
A: The American Academy of Periodontology still is the best resource. And for studies, refer to the American Journal of Cardiology when it comes to heart disease. I would start with this paper from Friedewald et al.
Q: Any final thoughts?
A: We dentists, on occasion, still think we are "dentists," but we don't realize that we're actually oral physicians and oral healthcare professionals. Until we see the mouth as an organ and just as important as any other organ, it's going to be really difficult to truly impact the lives of our patients in a more meaningful way. However, there is still hope.
The comments and observations expressed herein do not necessarily reflect the opinions of DrBicuspid.com, nor should they be construed as an endorsement or admonishment of any particular idea, vendor, or organization.
The post Q&A with Dr. Sam Low on COVID-19 and inflammation, plus personalizing the oral-systemic link appeared first on Emerginnova.
]]>September 21, 2020 — I recently had the opportunity to once again connect with Sam Low, DDS, an associate faculty member of the Pankey Institute for more than 25 years and professor emeritus at the University of Florida’s College of Dentistry.
During our wide-ranging discussion, we talked about myriad subjects, including COVID-19 and inflammation, as well as why generalizing the effects of the oral-systemic link won’t help your patients truly grasp its importance.
Q: COVID-19 is still a big part of our daily lives. How do you see it affecting our discussions with patients about the connection between oral health and overall health?
A: Everything is pointing to chronic inflammation. I saw a word today that’s an interesting word: “inflammaging.” It deals with this whole cascade of how chronic inflammation, especially with aging, now is becoming the buzzword of most disruptions that are occurring within the body.
Look at what are called COVID-19 comorbidities: heart disease, diabetes, respiratory complications, and hypertension. Those diseases are similar to comorbidities that we find in periodontal disease. If I were to rank them, it is heart disease, followed by diabetes, followed by respiratory diseases, and others. We have tons of studies showing the links. We have links to asthma. We have links to lung infections. We have studies about respiratory deaths in nursing homes where roughly 10% of all deaths in nursing homes have a comorbidity of severe periodontitis. So, we know the science is there, and we know the link is inflammation.
I still believe that many dental practitioners do not appreciate that what results in death is not only the COVID-19 virus, but the inflammatory reaction to the virus. That’s really creating the sepsis that is considered the cytokine storm to the system.
During the dental shutdown time, the patient’s oral hygiene was not being reinforced for three months. For our perio patients, debridement was not being performed. And if they’re already susceptible to heart disease, diabetes, and respiratory diseases, we have to make sure we are being more vigilant than ever before.
Q: I know we talked about the value of lasers in the dental practice recently. What are you hearing about this technology now and its effect on periodontal disease?
A: We know that patients with moderate to severe periodontitis may not seek referrals with periodontists. There are multiple reasons for that, but that also means that the general dentist needs to widen what he or she does and increase the capacity to manage periodontitis. Dentists can’t manage moderate to severe periodontitis nonsurgically unless they want to take a risk.
My point is that the advent of lasers such as the Waterlase (Biolase) is now allowing dentists to manage moderate and even sometimes severe periodontitis with all-tissue lasers in a minimally invasive fashion. It suggests that more people are getting care, without the fear of gum surgery. And it also means we’re losing fewer teeth. Dental lasers can help dentists treat periodontitis and make patients more willing to receive treatment. In fact, recent data from the McGuire study published in the Journal of Periodontology demonstrate how the Repair Perio protocol is superior in procedure time and patient-reported outcomes such as swelling and bruising to traditional periodontal treatment.
Additionally, with a diode laser, like the Epic Hygiene (Biolase) for the dental hygienist, there’s a decrease in aerosols so that they don’t have to rely as much on the ultrasonic. Therefore, from a hygiene standpoint, the laser comes into play.
One of my colleagues, Dr. Scott Froum, recently stood in front of an audience and simply said, “A periodontist must have a laser if you want to save teeth.” He is very much into saving teeth now, as we all are, but he showed case after case after case that now, from a minimally invasive standpoint, we can connect the dots between laser usage and better patient care.
Q: Speaking of connecting the dots, you believe we, as an industry, have to do a better job of explaining the oral-systemic link, correct?
A: I’ve always said, “Don’t use the bumper sticker that reads floss or die.” In other words, we need to stop telling patients that if they don’t see us, they’re going to die of heart disease. No, you’re only going to die of heart disease maybe earlier if you already are genetically susceptible to periodontitis and other chronic inflammatory diseases.
As dental professionals, we have to have the correct perspective. If we’re not careful about the oral-systemic link, people are going to think we’re crying wolf. This isn’t about just talking about the oral-systemic link, but rather personalizing it for each patient. It is taking into consideration the patient’s medical history and dental history and matching the two together.
I think so often dental practices cookie cut when explaining the oral-systemic link. You must boil it down so it is simple and meaningful for that patient in your chair. Link it to that patient and his or her medical history, including familial history.
Here’s an example. This is the way I’ve always dealt with the smoking issue among my patients. My parents were smokers, so I have a history there.
How do you handle patients who smoke because you know there’s a great link between nicotine and periodontal disease? Here’s what I say: “You know your chances of losing your teeth are five times greater if you smoke. I’m OK if you want to continue smoking. That’s up to you. I’m just suggesting to you that it’s going to be a five times greater risk. I’m not going to harass you about it, but you’re the one who has to make that decision, not me. And we will modify that we need to see you more often and your home care must be better than average.”
Q: So if someone has really never jumped into the oral-systemic link and wants some research to share with those patients who might be affected, what do you suggest?
A: The American Academy of Periodontology still is the best resource. And for studies, refer to the American Journal of Cardiology when it comes to heart disease. I would start with this paper from Friedewald et al.
Q: Any final thoughts?
A: We dentists, on occasion, still think we are “dentists,” but we don’t realize that we’re actually oral physicians and oral healthcare professionals. Until we see the mouth as an organ and just as important as any other organ, it’s going to be really difficult to truly impact the lives of our patients in a more meaningful way. However, there is still hope.
The comments and observations expressed herein do not necessarily reflect the opinions of DrBicuspid.com, nor should they be construed as an endorsement or admonishment of any particular idea, vendor, or organization.
Read the full article by CLICKING HERE
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]]>The post The mouth-gut axis: How poor oral health may worsen gut inflammation appeared first on Emerginnova.
]]>Is the mouth the gatekeeper of the gut? A new collaborative study suggests IBD may be worsened by poor oral health.
Read about the Study and Implications by clicking the link below.
Read the full article by CLICKING HERE
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]]>The post “I am convinced that the use of ceramic implants will constantly grow in the future” appeared first on Emerginnova.
]]>Dr. Stefan Röhling, Germany
Modern dentistry is evolving constantly and at a fast pace. Straumann strongly focuses on important trends in dentistry in order to offer your patients innovative treatment options that make them smile – and you stand out from the competition. In this EAO issue of “Straumann Live”, we present you what key opinion leaders like Ophir Fromovich, Blackie Swart, Hugo Madeira, and Stefan Röhling have to say about the topics Immediacy, Digital Dentistry and Ceramic Implants.
Stefan Röhling
Dr Röhling received his dental degree from the Ludwig-Maximilians University in Munich, Germany, in 2009. Between 2007 and 2009 he has worked for AO Research Institute, Davos, Switzerland. Since 2009 to this day he has been working for the Clinic of Oral and Cranio-Maxillofacial Surgery and for the High-Tech-Research-Center of CMF surgery of the University Hospital Basel, Switzerland. Between September 2013 and October 2014 Dr. Röhling has worked as a postdoctoral research fellow for the Department of Periodontics, The University of Texas Health Science Center at San Antonio, USA (Chair: Prof. David L. Cochran). Dr. Röhling is a speaker for the International Team for Implantology and since 2006 he has been involved in many experimental and clinical studies dealing with zirconia dental implants. As first and co-author, he has published many journal articles dealing with ceramic implants and he is also first author of a book chapter dealing with dental implant surfaces.
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Want to know more about Zeramex?
Email us at [email protected] with your contact details and we will get in touch with you!
ZERAMEX BROCHURE
Click here to download the Zeramex sales brochure
BUY ONLINE
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]]>The post Straumann asks, “Will ceramics soon become the new material of choice” appeared first on Emerginnova.
]]>What if I told you that the WORLD’S LARGEST TITANIUM IMPLANT COMPANY was asking their leading clinicians this question.
“Will ceramics soon become the new material of choice?”
In the video: Straumann Live at the Esthetic Days 2019 in Baden-Baden, Germany: Esthetic dentistry is developing into a key driver. Patients who are increasingly informed and inspired by the media are proactively seeking esthetic dental care by the practitioner of their choice – with all the corresponding implications, both positive and negative. They asked seven top experts in the field if they think that ceramics will soon become the new material of choice in implant dentistry: Woo-Ttum Bittner, Kai-Hendrik Bormann, Chris Chmielewski, Vincent Fehmer, Gabor Tepper, Kay Vietor, and Julia Wittneben (alphabetical order).
We are witnessing a major shift led by the leading titanium implant companies to question titanium as the best material for tooth replacement.
A driving factor is the global rise in prevalence of peri-implantitis. Recent studies done by the Columbia University College of Dental Medicine, New York City, New York, concluded that approximately 1/3 of the patients and 1/5 of all implants experienced peri-implantitis!
While everyone agrees that cement, ill fitting prosthetics can be part of the cause, this staggeringly negative statistic for titanium implants is leading the investigation for alternative solutions. Ceramic implants are being investigated as the leading candidate.
A study was conducted by the Department of Oral Reconstruction and Rehabilitation Graduate School, Kyushu Dental University, Fukuoka, Japan about the soft tissue biological response to Zirconia and metal implant abutments compared with natural tooth.
These results suggest that blood flow in tissue surrounding zirconia abutments is similar to that in soft tissue around natural teeth. Moreover, zirconia abutments could be advantageous for the maintenance of immune function by improving blood circulation.
“Will ceramics soon become the new material of choice?”
What if all the responses were, YES
ZERAMEX is a Zurich Switzerland manufacturer poised to lead this transition. Since 2006, ZERAMEX has been focused on evolving ceramic implants to a design that is 100% reliable and easy to use.
The ZERAMEX® XT is the first and only completely metal free system that functions surgically and restorative, like traditional titanium implants.
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Contact
Want to know more about Zeramex?
Email us at [email protected] with your contact details and we will get in touch with you!
ZERAMEX BROCHURE
Click here to download the Zeramex sales brochure
BUY ONLINE
The post Straumann asks, “Will ceramics soon become the new material of choice” appeared first on Emerginnova.
]]>The post Titanium Corrosion in the Oral Environment appeared first on Emerginnova.
]]>Metals rust and corrode as the result of the metal breaking down when exposed to extreme, wet or acid dominated environments. This is the case of the titanium that is common today.
Titanium is a popular metal that is recognized as more durable and stronger than steel, yet is lighter and more flexible than steel. These properties of titanium make it a popular metal used in chemical plants, airplanes, various military and engineering applications and dentistry. Titanium is also used in rifles and air guns.
Titanium Corrosion Mechanisms in the Oral Environment
Titanium (Ti) and its alloys are broadly used in the design of dental and orthopedic implants. The corrosion resistance of Ti and its alloys is a result of the material’s ability to spontaneously form passive oxide films (TiO2) when in contact with oxygen. Ti oxide is a stable and dense layer, which acts as a protective barrier to continued metallic oxidation. In the event of damage, TiO2 has the ability to spontaneously reform under normal physiological conditions.
However, events, such as abnormal cyclic loads, implant micromotion, acidic environments and their conjoint effects, can result in permanent breakdown of the oxide film, which may consequently lead to exposure of the bulk metal to an electrolyte.
Corrosion of titanium dental implants has been associated with implant failure and is considered one of the triggering factors for peri-implantitis.
Corrosion of dental implants is concerning, because a large amount of metal ions and debris are generated in this process, of which accumulation may lead to adverse tissue reactions in the oral environment. In summary, the main events linked to Ti implant degradation in the oral environment seem to be related to: (1) electrochemical factors, acidity caused by the presence of inflammatory processes, oral bacteria or the use of solutions that can attack the surface of the implant; (2) mechanical factors, induced by mechanical loads that can lead to fretting and excessive wear of the surface; and (3) synergistic action of electrochemical and mechanical factors (tribocorrosion).
The infiltration of saliva into the multi-metallic structures on titanium implants brings different types of alloys into temporary or permanent contact. In this way a galvanic cell is established as a result of their potential difference. The galvanic cell phenomenon is compounded by another type of corrosion resulting from the geometry of the assembly: localized crevice corrosion.
References:
https://titaniumprocessingcenter.com/does-titanium-rust/
https://www.sciencedirect.com/science/article/pii/0300571294902003
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452779/
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]]>The post Oral cancer diagnoses in the U.K. increased 50% in 10 years appeared first on Emerginnova.
]]>November 6, 2019 — Approximately 8,300 people in the U.K. are diagnosed with oral cancer every year. That number is about 50% higher than it was a decade ago and 135% higher than it was 20 years ago, according to U.K. officials. Thus, the Oral Health Foundation is stressing the need for greater awareness of oral cancer and its signs and symptoms for this year’s Mouth Cancer Action Month.
“The sad fact is that the number of mouth cancer cases continues to increase year on year,” said Nigel Carter, PhD, chief executive of the Oral Health Foundation, addressing the U.K. Parliament. “When we took on this campaign nearly two decades ago, we were looking at just over 3,000 cases each year. In the last year or so, we have had over 8,300 recognized cases of mouth cancer. That is a huge increase, and it is one of the few cancers where the number of cases has started to increase.”
In 2018, approximately 2,700 people died from mouth cancer, according to the U.K.’s State of the Mouth Cancer Report, which was published by the foundation and Simplyhealth Professionals.
Other troubling findings from the report include that about 45% of British admitted to not knowing anything about oral cancer, including risk factors. A whopping approximately 75% were unaware of the symptoms, and about 80% didn’t know where oral cancer appears.
The numbers reveal a dangerous, widespread lack of awareness about the disease, which is most often caused by smoking, drinking alcohol excessively, poor diet, and the human papillomavirus (HPV), which can be transmitted through oral sex.
Depending on where the cancer strikes and how early it is diagnosed, the 10-year survival rate is between 19% and 58%. That is why it is equally important for individuals to check their own mouths for changes in between dental visits, Rutland added.
Read the full article by CLICKING HERE
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]]>The post Oral health plays an increasing role in overall health during aging appeared first on Emerginnova.
]]>by Courtney Chandler, University of Connecticut
Oral health is a critical component to overall health for all ages, but according to dental and medical experts from UConn Health, vigilance is especially critical for the elderly.
In a review article recently published in the Journal of the American Geriatrics Society, the authors outline the potential complications that can arise from poor oral hygiene in older adults and cite the role of all health care professionals in working to promote good oral hygiene in this population.
“All health care professionals should work to promote good oral hygiene for their older patients,” said Dr. Patrick Coll, professor of family medicine and medicine at the UConn School of Medicine and lead author of the review article. They “should consider an oral examination during an annual wellness visit, especially for those patients who are not receiving regular dental care.”
The need is evident, say the authors. Data from the National Center for Health Statistics indicates that the prevalence of cavities is more than twice as high in older adults than younger adults. The prevalence of periodontitis—a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth—also increases with age. As many as 64% of older adults in the U.S. have periodontitis.
Periodontitis is associated with a variety of medical conditions including cardiovascular disease and diabetes. Patients with replacement heart valves and prosthetic joints should be particularly careful regarding their oral hygiene, according to the authors.
It is well recognized that manipulation of teeth and their support structures can result in bacteria present in the oral cavity being released into the bloodstream, which may lead to infections in parts of the body far removed from the oral cavity, they write.
“Even tooth brushing for those who have poor oral hygiene can cause bacteria to be released into the bloodstream and these bacteria can potentially cause joint infections and heart valve infections,” says Coll.
Read the full article by CLICKING HERE
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]]>The post How to start talking to patients about the oral-systemic connection appeared first on Emerginnova.
]]>November 7, 2019 — There is no question that there is a direct link between patients’ oral health and overall health. However, many dental professionals have reported that communicating that connection is more difficult than expected. Additionally, when topics are difficult, we human beings often push them into the background of our priorities.
Adults who have lost teeth due to nontraumatic reasons may have a higher risk of developing cardiovascular disease according to a presentation at the American College of Cardiology Middle East Conference 2019 togeth
With those difficulties in mind, the team reconnected with dental pharmacology expert Tom Viola, RPh on the latest episode of the Dental Assistant Nation podcast series, powered by IgniteDA.net. Viola is passionate about dental professionals discussing the oral-systemic connection with their patients as well as making connections with medical professionals for referrals, etc.
In this episode, Viola talks about the importance of every dental team member (including the dentist, hygienist, and assistant) feeling comfortable talking to patients about their overall health and the effects that periodontal disease and other oral issues can cause. Kevin Henry also got to talk with Viola about how dental professionals can start the conversation, and they were able to touch on some of the changes happening with dental insurance in the coming year that are going to help bridge the gap between the dental and medical worlds.
Click below to hear the discussion and some frank talk about the important role every dental professional plays in patients’ oral and overall health.
er with the 10th Emirates Cardiac Society Congress. The conference is Oct. 3-5 in Dubai, United Arab Emirates.
The causal association between oral disease and cardiovascular disease is not well known, so researchers in this study conducted a secondary analysis of the 2014 Behavior Risk Factor Surveillance System that looked at tooth loss not caused by trauma, as well as cardiovascular disease, including heart attack, angina and/or stroke.
“Our results support that there is a relationship between dental health and cardiovascular health,” said Hamad Mohammed Qabha, MBBS, lead author of the study and Chief Medical and Surgical Intern at Imam Muhammad Ibn Saud Islamic University. “If a person’s teeth fall out, there may be other underlying health concerns.
Listen to the Podcast by CLICKING HERE
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]]>