Nobel Biocare Corporate Forum

Nobel Biocare Corporate Forum

Moderator:  Sascha Jovanovic, DDS, MS

8:00 – 8:20
Introduction: Horizontal and vertical ridge augmentation using GBR protocols, bone graft mixtures, growth factors, and soft-tissue grafts for predictable implant site development.
Sascha Jovanovic, DDS, MS

Optimal implant site development is important for long-term implant function and esthetics. This brief introduction will address different jawbone site deficiencies and provide the participant the opportunity to understand the fundamentals of GBR, xenograft, GBR membranes, fixation materials, and suture materials.


8:20 – 8:50
Success and Failures of Oral Implants – what has been learned?
Tomas Albrektsson, MD, PhD

The frequency of a disease known as peri-implantitis has received a great deal of discussion in clinical literature, and most reports have not withstood the scrutiny of time. Not all bone loss that happens in the first year after implant placement is due to peri-implantitis, an immunological adverse reaction resulting in marginal bone loss, which may or may not be complicated by bacteria that also may lead to increased bone loss. There are other reasons for bone remodeling and bone loss, and they do not necessarily threaten the integrity of the implant. In this presentation, Prof. Albrektsson will discuss various treatment complications that impact bone, current research findings, and the importance of quality implant systems to long-term success.


8:50 – 9:20
Restorative implant solutions – art and science of monolithic zirconia
Markus Blatz, DMD, PhD

The incredible popularity of zirconia has led to a flood of zirconia manufacturers, brands, and material options—all promising improved esthetics and excellent physical properties. Unfortunately, there are great quality variations among the zirconia raw materials, brands, and milling blanks. Even more so, the various manufacturing parameters and production steps, such as milling, coloring, and sintering, have a significant influence on physical and optical properties and, ultimately, the clinical success of zirconia restorations. This presentation will provide a better understanding of how manufacturing and clinical protocols influence zirconia properties and long-term success, allowing clinicians to offer the best possible treatment to their patients.


9:20 – 9:50
Improving clinical outcomes with integrated digital advances for shorter time to teeth
Peter Wöhrle, DMD, MMedSc

The integrated workflow with digitally assisted treatment planning based on prosthetic outcomes and guided implant placement is here to stay. This treatment approach has been shown to deliver more efficient care with consistently better patient outcomes. Combining intraoral and CBCT data sets with diagnostic and treatment planning skills and properly executed guided surgery based on ideal prosthetics elevates the level of excellence. This treatment modality improves efficiency, safety, and overall patient experience. This presentation will emphasize the latest developments for a digitally integrated treatment workflow for shorter time to teeth.


9:50 – 10:10
Metal-free implant for high-end esthetics
Stefan Holst, DMD, PhD

Ceramic dental implants are becoming more widely accepted in dentistry. The surge of this segment is mainly driven by patients that prefer a metal free-solution. Years of process and production innovation coupled with clinical research expertise has led to developments in this segment. Precision, strength, and biomechanical stability are no longer a barrier to providing patients with metal allergies or specific esthetic requirements with a ceramic implant. This presentation will look at a, hydrophilic micro-surfaced alumina toughened ZrO2 ceramic implant that has been optimized by sandblasting and etching so that osteoblasts grow directly on the implant achieving a firm adhesion at the implant surface to ensure osseintegration.


10:10 – 10:25
Panel discussion and audience Q&A
Moderator:  Sascha Jovanovic, DDS, MS


10:25 – 10:45
Developing the ideal site for implant placement using bone graft substitutes and GBR
Alina Krivitsky, DDS

Once a tooth is extracted, the natural wound-healing cascade paired with irreversible alteration occurs. Grafting techniques (hard and soft tissues) and prosthetic manipulations of the restorative connection are required to attempt to rebuilt the lost tissues and reestablish a proper emergence and prosthetic emergence. Multiple grafting materials (creos™ allograft) and surgical techniques (hard and soft tissue) compounded with biological-driven implant abutment designs (platform switching and conical abutment connection) have been proposed to reduce and repair the amount of ridge deformation.  The presentation will demonstrate optimal patient selection for bone grafting procedures, immediate vs. delayed implant placement with bone and soft-tissue grafting, and the use of resorbable and/or non-resorbable GBR membranes for vertical and horizontal ridge augmentation.


10:45 –11:15
The Trefoil™ system – definitive prosthesis on day of surgery for the mandibular arch
Jay Neugarten, DDS, MD

This presentation will discuss a new innovative concept that offers the possibility of same-day rehabilitation* of the edentulous mandible or a failing dentition in the lower jaw
with a definitive implant-supported prosthesis. This new concept embodies the Nobel Biocare objective, “to treat more patients better,” by offering a simplified clinical workflow. This particular concept was conceived and developed to offer a premium alternative to an entirely
new patient population. It is consistent with P-I Brånemark’s “philosophy of osseointegration” and our common healthcare goal of addressing the needs of many.

* Depending on clinician preference and close cooperation with the dental laboratory.


11:15 – 11:45
Evolution of the All-on-4® treatment concept with implant design
Paulo Maló, DDS, PhD

In this presentation, Dr. Maló will discuss objectives and evidence-based principles for surgical and prosthetic therapy when using the All-on-4® treatment concept to restore complete edentulism and failed dentition cases with a special focus on atrophic maxillae. The most recent advancements of this protocol, as well as new product development with the introduction of implant lineup extension (longer, shorter, and wider), allow clinicians to better address specific clinical situations; because of a wider variety/selection of implant sizes, further graftless solutions can be provided which could not be considered when using other implant systems.

The rehabilitation of the severely resorbed maxilla is a challenge when poor quantity of bone restrains the use of conventional implants. The use of zygoma implants became a good alternative for the rehabilitation of patients with atrophic maxillae, offering obvious advantages for the patient when compared to other approaches – including bone grafting – making it possible to restore speech, prosthetic retention, mastication, and esthetics following an Immediate Function protocol. The extramaxilla technique has the potential to offer better prospects of clinical success to solve the challenges of atrophic maxillae cases; it can avoid the membrane and sinus approach, also allowing the possibility of greater length of zygomatic bone anchorage. This approach is also advantageous for the prosthetic rehabilitation component, since an improved prosthetic screw exit position can be achieved, thus allowing for a more favorable outcome in terms of biomechanics and in-home patient maintenance.


11:45 – 12:00
Panel discussion and audience Q&A
Moderator:  Sascha Jovanovic, DDS, MS