NOW - straumann.com.ph

STARGET 03 I 2009 

MAGAZINE FOR CUSTOMERS AND PARTNERS OF STRAUMANN 

FOCAL POINTS 

Straumann ® Anatomic IPS e.max ® Abutment: 

Esthetics by design – in cooperation with Ivoclar Vivadent 

etkon_visual 5.0: The next generation of Straumann’s 

CADCAM software 

“Ceramics – the future of tooth replacement?” 

Interview with Joachim Maier 

Acquisition in the Guided Surgery area: Straumann takes 

over the dental business of IVS Solutions 

New: Long and adapted impression posts for the Straumann ® 

Bone Level Implant 

Clinical cases: Esthetic results with Straumann ® BoneCeramic, 

the Straumann ® Bone Level Implant and Straumann ® CADCAM 

Preview: “Guidelines for the Practitioner” – 18 th Scientific 

Annual Congress of the EAO in Monaco

TABLE OF CONTENTS 

Internet: www.straumann.com/starget or your specific country website www.straumann.(xy)/starget 

03 Editorial 

FOCAL POINTS 

STRAUMANN ® 

ANATOMIC IPS E.MAX ® 

ABUTMENT 

04 Esthetics by Design made 

by Straumann and Ivoclar 

Vivadent 

Background 

10 Ceramics – the future of 

tooth replacement? Interview 

with Joachim Maier 

etkon_visual 5.0 

12 The next generation of 

Straumann’s CADCAM 

software 

Products 

20 New impression posts for 

the Bone Level Implant 

Guided Surgery 

22 Straumann and IVS: an 

integral solution for Guided 

Surgery 

Clinical Cases 

24 A long-term esthetic result 

with BoneCeramic by Ronald 

Jung and Xavier Zahno 

28 Esthetic restoration of a 

RC Bone Level Implant with 

a CADCAM ceramic abutment 

by Raymond Dubs and 

Rudolf Auer 

Events 

© Grimaldi Forum picture on the cover: Monaco Press Centre 

32 18 th Annual Scientific Meeting 

of the EAO in Monaco 

36 FDI Annual World Dental 

Congress 2009 in Singapore 

38 Straumann Solutions @ IDS 

2009 in Cologne 

41 Straumann Corporate Forum 

at the AO in San Diego 

44 95 th Annual Meeting of the 

AAP in Boston 

46 AEEDC Congress in Dubai 

47 ITI Esthetic Course in the UAE 

48 Events overview 2009/2010 

Simply Doing More 

52 Literature alerts 

Imprint: STARGET – An International Magazine for Customers and Partners of Straumann I © Institut Straumann AG I Peter Merian-Weg 12 I CH-4002 Basel I 

Phone +41 (0)61 965 11 11 I Fax +41 (0)61 965 11 01 I Editors: Roberto González I Mildred Loewen I E-Mail: starget@straumann.com I Internet: 

www.straumann.com/starget I Appearance: 4 times per year I Layout/Design: EMS &P Kommunikation GmbH, www.ems-p.com I Printing: Dietschi AG I 

Hauptstrasse 22 I CH-4437 Waldenburg 

Legal Notice: Exclusion of liability for articles by external authors: articles by external authors published in STARGET have been systematically assessed and carefully 

selected by the publisher of STARGET (Institut Straumann AG, Basel). Such articles in every case reflect the opinion of the author(s) concerned and therefore do not necessarily 

coincide with the publisher’s opinion. Nor does the publisher guarantee the completeness or accuracy and correctness of articles by external authors published in

Dear readers, 

This issue of STARGET focuses on prosthetic 

topics and I am happy to introduce to you 

two innovations from Straumann in this area. These offer our customers 

genuine added value and have the potential to set new standards. With 

Straumann and Ivoclar Vivadent two global leaders in their respective 

fields – implant dentistry, prosthetics and CADCAM in one case and 

ceramic materials and highly esthetic restorations in the other – have combined 

their strengths into synergies. The first product of this collaboration 

is the Straumann ® Anatomic IPS e.max ® Meinhard Schmidt 

Head of Business Unit Prosthetics 

Abutment, which was developed 

for high-quality esthetics and stability. 

With the Straumann ® Anatomic IPS e.max ® Abutment, you can take the 

first steps and gain initial experiences with highly esthetic anatomical 

ceramic restorations. These experiences can form the basis for using future 

developments in CADCAM technology such as those of the Straumann ® 

CADCAM system. And in this area, I would like to introduce the second 

innovation: etkon_visual 5.0, the next generation of Straumann’s CAD- 

CAM software. The innovations implemented in this version offer the user 

a very wide range of materials and additional design options developed 

in collaboration with Ivoclar Vivadent. The emphasis is on the additional 

modules of “Ivoclar IPS e.max ® CAD glass ceramic” and “CAD constructions 

of Straumann ® CADCAM abutments”. These two modules allow the 

user to perform computer-assisted modeling of caps and fully anatomical 

crowns made of Ivoclar IPS e.max ® CAD glass ceramic and individual 

abutments made of zirconia and titanium for the Straumann ® Dental 

Implant System. 

These two innovations are important building blocks in a complete chain 

of products and services and in a system with perfectly coordinating 

components, for the benefit of the patient and with the proven Straumann 

quality from the implant to the final prosthetic restoration. 

I trust you will find it interesting. 

Meinhard Schmidt 

STARGET. The information given in clinical case descriptions, in particular, cannot replace a dental assessment by an appropriately qualified dental specialist in an individual 

case. Any orientation to articles published in STARGET is therefore on the dentist’s responsibility. Articles published in STARGET are protected by copyright and may not be 

reused, in full or in part, without the express consent of the publisher and the author(s) concerned. Third party corporate names and brand names that may be mentioned 

may be registered or otherwise protected marks even if this is not specially indicated. The absence of such an indication shall not therefore be interpreted as allowing such a 

name to be freely used. 

Product availability: Certain products and services mentioned in this edition of STARGET may not be available or not yet available in all countries. In case of doubt please 

contact your local Straumann distributor for information on product availability (addresses of Straumann branches can be found on page 55). 

STARGET 3 I 09 03 

EDITORIAL

04 STARGET 3 I 09 STRAUMANN ® ANATOMIC IPS E.MAX ® ABUTMENT FOCAL POINT 

Esthetics by design: the Straumann ® 

The Straumann ® Anatomic IPS e.max ® Abutment 1 – a new flexible and esthetic 

restorative product resulting from technology synergy between Straumann and 

Ivoclar Vivadent 

When two global leaders in dentistry join their know-how and under- 

standing of customer needs, the result is likely to set new standards. 

Straumann is the partner of choice for esthetic restorations 

and innovations in implant dentistry. Ivoclar Vivadent is 

an innovator in all ceramics, specializing in ceramic 

materials and high esthetic restorations. The synergy of 

technologies between the two companies has resulted in 

a premium esthetic solution – the Straumann ® Anatomic 

IPS e.max ® Abutment. 

DESIGN AND PRECISION 

MADE BY STRAUMANN AND 

IVOCLAR VIVADENT

Anatomic IPS e.max ® Abutment 

The Straumann ® Anatomic IPS 

e.max ® Abutment is a standardized 

premium ZrO 2 ceramic abutment, 

designed for high esthetics and 

strength. Featuring a prepared 

mucosa margin for adaptation to 

natural soft tissue contour, formed 

by using the bone level gingival 

former designed for the Consistent 

Emergence Profiles, the proven 

Straumann ® CrossFit Connection 

and pre-shaded IPS e.max ® zirconium 

dioxide material, it is engineered 

for flexible and reliable use. 

FOCAL POINT STRAUMANN ® ANATOMIC IPS E.MAX ® ABUTMENT 


e.max ® Abutment is indicated for 

cement-retained crowns and bridges 

via mesostructure, and for direct 

veneered screw-retained crowns. 

With the use of the Straumann ® 

Anatomic IPS e.max ® Abutment the 

restorative team can apply an anatomically 

formed, ZrO 2 abutment 

and make first steps and experiences 

with highly esthetic, anatomic 

ceramic restorations. These experiences 

might build the basis for 

future use of advanced CADCAM 

technologies such as the Straumann 

CADCAM System. 

A strategic cooperation based 

on complementary strengths in 

restorative dentistry 

The cooperation between Straumann 

and Ivoclar Vivadent builds on 

complementary strengths in restorative 

dentistry and the success of 

both companies to develop and 

provide solutions to the needs of 

dental professionals and patients 

around the world. 

Straumann has pioneered many 

influential technologies in the fields 

of implant and restorative dentistry. 

A complete, comprehensive and 

transparent range of soft tissue and 

bone level implants and prosthetic 

products, combined with an innovative 

regenerative product range, 

make Straumann the partner of 

choice for many dental professionals 

around the world. 

Ivoclar Vivadent is a global leader 

in the development and production 

of ceramic dental restorations, 

offering a comprehensive dental 

product portfolio and an innovative, 

premium ceramic product range at 

its core. Ivoclar Vivadent ceramic 

products are valued and used by 

dental professionals around the 

world for highly reliable and esthetic 

prosthetic solutions. 

By combining core competencies 

and experiences, Straumann and 

Ivoclar Vivadent have jointly developed 

the new Straumann ® Anatomic 

IPS e.max ® Abutment, resulting 

in design and precision made by 

Straumann and Ivoclar Vivadent. 


e.max ® Abutment is exclusively sold 

by Straumann. Local Straumann 

organizations can be contacted for 

more details 2 . 


1 Initially available for 

RC connection only, 

material of the Straumann ® 

Anatomic IPS e.max ® 

Abutment is ZrO 2. 

2 Please note that 

certain products and 

services mentioned in 

this STARGET article 

may not (yet) be available 

in all countries. 

Please contact your 

local Straumann subsidiary 

or distributor for 

information regarding 

product availability.


High esthetic restorations with a high 


e.max ® Abutment is made of zirconium 

dioxide (ZrO 2) and is offered 

on the Regular CrossFit Connection 

(RC) already known in the 

Straumann Bone Level Implant line. 

It is indicated for screw-retained 

single-tooth restorations as well as 

for cement-retained single-tooth 

and bridge restorations (via meso 

structure). With a choice of 2 

colors (MO 0/MO 1), straight 

and angled designs, and 2 different 

gingival heights the Straumann ® 


offers high flexibility in its application 

(see table). 

Color straight 15° angled 

MO 0 White 

MO 1 Shaded 

GH 2mm GH 3.5mm GH 2mm GH 3.5mm 

coronal Ø Ø 4.1mm Ø 4.8mm 

connection Regular CrossFit 

RC 

Executing the same simplified 

and efficient processes of existing 

Straumann Abutments 

The design of the Straumann ® 


corresponds to the Straumann ® 

Titanium Anatomic Abutment 

range. For this reason, the existing 

Straumann ® CrossFit PLAN Set 

can be used for easy and fast intraoral 

prosthetic planning. No additional 

investment in instruments and 

no adaptation to new procedures 

are required. Dentists and dental 

technicians working with the 

Straumann ® Anatomic IPS e.max ® 

Abutment can benefit from the simplified 

and efficient processes they 

are accustomed to and can anticipate 

a superior end result. 

The well-known Straumann ® CrossFit PLAN 

Set can be used to plan restorations with the 

Straumann ® Anatomic IPS e.max ® Abutment. 


e.max ® Abutment, with its anatomically 

pre-shaped design and its prepared 

mucosa margin, supports fast 

adaption to the individual patient 

situation, thereby reducing the need 

for time consuming grinding in the 

dental laboratory and allowing 

dental technicians to work in a 

familiar, standardized restorative 

workflow.

degree of flexibility 

The prepared mucosa margin of the Straumann ® 

Anatomic IPS e.max ® Abutment supports easy 

and fast restorative procedures. 

Consistent Emergence Profiles 

– the state-of-the-art in soft tissue 

management 

The Consistent Emergence Profiles 

concept of the Straumann ® Bone 

Level Implant and prosthetic line 

are state-of-the-art in soft tissue management 

and post-surgical healing 

of the mucosal tissue around the 

implant. Due to matched emergence 

profiles of healing abutment, 

temporary abutment and final abutment, 

the soft tissue can regenerate 

without adapting to new profiles. 

When the Straumann ® Anatomic 

IPS e.max ® Abutment is used for 

a restoration, patients benefit from 

esthetic outcomes and painless 

treatments from start to finish. 


A consistent emergence profile 

from healing abutment to the final 

abutment results in simplified and 

optimized soft tissue management. 

Flexibility in application through 

mechanical properties 

The strength and machining characteristics 

of Ivoclar Vivadent’s IPS 

e.max (ZrO 2) dioxide ceramic make 

this material ideal for the fabrication 

of durable, high-precision and 

highly esthetic abutments. The material 

properties, in combination with 

the design and production process 

technology of the Straumann ® Anatomic 

IPS e.max ® Abutment, result 

in an excellent mechanical stability. 

To test the mechanical properties 

of the Straumann ® Anatomic IPS 

e.max ® Abutment, fatigue strength 

testing according to the ISO 

14801 standard was conducted. 

With 2 million validation cycles 

at 2Hz at the same benchmark 

load as the titanium abutments, the 


Abutment met all acceptance 

criteria. These proven mechanical 

qualities allow the restorative team 

high flexibility for indication and 

application. 

� 

� 

nominal 

bonelevel 

3 

F 

6.5 

11 ±0,1 


A consistent emergence 

profile from healing 

abutment to the final 

abutment results in simplified 

and optimized soft 

tissue management. 

The Straumann ® 

Anatomic IPS e.max ® 

Abutment successfully 

passed ISO-defined 

fatigue strength tests with 

over 2 million validation 

cycles.


With the Straumann 

CrossFit Connection, 

the micro-gap between 

implant and abutment 

has a dimension of 

below 1µm*, which is 

smaller than an E. coli 

bacterium. 

*0.6 ± 0.3µm (n=36) 


e.max ® Abutment allows the dental 

technician to directly veneer the 

restoration (CTE (100–500 °C) 

10,80 ± 0,25 10 -6 K -1 ) with a 

layering ceramic like IPS e.max ® 

Ceram or use the IPS e.max ® 

ZirPress ingots for the press-ontechnique, 

which reduces the time 

needed to build the final restoration. 


e.max ® Abutment is part of the 

Straumann ® Bone Level Implant line, 

which features the unique Cross- 

Fit Connection. In addition to its 

mechanical benefits, the CrossFit 

Connection prevents bacterial 

infiltration and related infections 

through its shape and through a 

minimal micro gap between implant 

and abutment of smaller then 1µm, 

which is below the industry standard. 

Studies indicate that dimension 

and shape of the micro gap can 

substantially reduce the risk of infection 

and related complications and 

are therefore one of the key factors 

for crestal bone preservation, which 

is the fundament for esthetic longterm 

results. 

Titanium Titanium/ Gold 

Ceramics 

Crowns and bridges 

EFFICIENCY ESTHETICS 

Cementable 

Visible results: The esthetics of 

the Straumann ® Anatomic IPS 

e.max ® Abutment 

Anatomic 

Dentists and dental technicians aim 

for highly esthetic results, which 

increase the likelihood that patients 

will be most satisfied with their treatment 

result. This can promote the 

involved dental professionals within 

their community because satisfied 

customers are one of the most effective 

advertisements for any dental 

business. In connection with this, the 

all-ceramic Straumann ® Anatomic 

IPS e.max ® Abutment enables highly 

esthetic results by avoiding shimmering 

through of metal and resembling 

natural tooth characteristics such as 

shape and color. 

The Straumann ® Anatomic IPS e.max ® 

Abutment complements the Straumann ® 

Dental Implant System in the field of 

bone level applications. 

Gold 

SIMPLICITY FLEXIBILITY 

Hybrid LOCATOR ® , bar 

Multi-Base 

for bridges only 

Customized 

Customized 

Individualized bar, 

telescopic construction 

Clinical cases involving the 


Abutment are in preparation and 

will be presented in the future 

issues of STARGET. 

The new Straumann ® Anatomic 

IPS e.max ® Abutment in the 

Straumann ® Dental Implant 

System 


e.max ® Abutment completes the 

prosthetic product range of the 

Straumann ® Bone Level Implant 

line. With this new abutment, the 

restorative team has the possibility 

to choose from a range of standardized, 

anatomic all-ceramic abutments 

made by Ivoclar Vivadent

from the IPS e.max ® (ZrO 2) material. 

The prosthetic solution is still 

selected on basis of the patient’s 

specific situation and clinical indication, 

but now with the option of 

using an all-ceramic pre-shaped 

abutment. 

By using the Straumann ® Anatomic 

IPS e.max ® Abutment the restorative 

team can apply an anatomically 

formed, ZrO 2 abutment and make 

first steps and experiences with 

highly esthetic ceramic restorations. 

That demand can be fulfilled 

with cemented all ceramic crowns. 

These can be zirconia-based 

crowns (IPS e.max ® ZirCAD framework) 

veneered with the highly 

esthetic layering ceramic IPS e.max ® 

Ceram or fully anatomic pressed/ 

milled lithium-disilicate ceramic like 

IPS e.max ® Press or IPS e.max ® 

CAD. 

These experiences with highly 

esthetic all-ceramic crowns and the 


Abutment might build the basis for 

future use of advanced CADCAM 

technologies such as the Straumann 



Characteristics 

2 color shades 

2 gingiva heights 

Straight and angled form 

CrossFit Connection 

Consistent Emergence Profiles 

Summary 

Integrated into the Straumann ® 

Dental Implant System 

CrossFit PLAN Set 

Direct veneering option 

IPS e.max ® (ZrO 2 ) material 


e.max ® Abutment enables dentists 

and dental technicians to provide 

patients with a highly esthetic 

restorations with a high degree 

of flexibility. 

Advantages 

Better esthetics through flexible adaption to patient 

teeth color and anatomy. 

Flexible adaption to patient dental anatomy and 

implant placement. 

The self-guiding connection makes handling easier, ensures 

precision and offers long-term stability as well as restorative 

flexibility. 

• Optimizes and simplifies the soft tissue management process 

throughout the treatment 

• Eases the fabrication of temporary restorations 

The choice for dentists and dental technicians to select the 

best solution under clinical and economic considerations. 

Use of the proven and familiar Straumann ® CrossFit PLAN Set 

• No new investments necessary 

• Application of the same prosthetic procedures, 

no change required 

The Straumann ® Anatomic IPS e.max ® Abutment allows the 

dental technician to directly veneer the restoration or use the 

press-on technique, which reduces the time needed to build 

the final restoration. 

High quality zirconium oxide ceramic from Ivoclar Vivadent 

with outstanding esthetic and material properties. 

Supports first experiences with anatomically formed ceramic 

abutments which might be a basis for possible future use of 

advanced CADCAM technologies such as the Straumann 


Availability 


e.max ® Abutment will be available 

for use with the Straumann ® 

RC Bone Level implants as of July 

2009 2 . Clinical cases are in preparation 

and will be presented in 

future STARGET issues together 

with a comprehensive conception 

of the IPS e.max ® system. 


2 Please note that 

certain products and 

services mentioned in 

this STARGET article 

may not (yet) be available 

in all countries. 

Please contact your 

local Straumann subsidiary 

or distributor for 

information regarding 

product availability.

10 STARGET 3 I 09 BACKGROUND 

Ceramics: the future material of choice 

for tooth replacement? 

An interview with Joachim Maier, Master Dental Technician 

Ceramics play a major role in 

modern dentistry. What makes 

them so important? 

The discovery that high-performance 

ceramics could be used in 

dental engineering was made more 

than ten years ago, when zirconium 

oxide had proven to be highly 

resilient in extreme conditions, for 

instance in hip prostheses, or in 

motor vehicle brakes. The stability 

it showed was comparable to that 

of precious metal alloys in common 

use, but it was lighter and biocompatible. 

Ceramics are particularly attractive 

to patients who prefer to have 

what are considered ‘bio-materials’ 

in their mouths rather than metal 

alloys. In my lab, the bio-lifestyle 

has led to an enormous increase in 

demand over the past few years. 

At the same time, there has been 

a clear increase in the number 

of people who have allergies to 

metal. For them, metal-free replacements 

are the solution. 

Will demand for ceramics in dentistry 

continue to increase? 

I’m certain it will. In Switzerland 

and Germany, probably 80 percent 

of all crowns and bridges will 

be metal-free in ten years’ time. 

The trend towards biocompatible 

materials is increasing, because 

people today are well-informed, 

especially by the specialist health 

and lifestyle magazines, and selective. 

The most compelling argument 

for ceramics is their esthetic properties. 

It is crucial for the patient that 

a bridge or a single artificial tooth 

should look natural. We apply up 

to five ceramic layers one on top of 

the other, which in turn are stained 

with up to 15 different shades. It 

is the interplay between these different 

stains that confers a natural 

look. This process is done by hand, 

which means that on average our 

dental technicians make only one 

or two units a day. 

Then a ceramic bridge must be 

more expensive than a conventional 

metal bridge? 

No, in some cases a ceramic 

solution actually costs less than, 

for example, a crown with a gold 

substructure. Although making substructures 

from high-performance 

ceramics is labor-intensive, the 

material costs are considerably 

lower and usually offset the labor 

charges. This is especially true for 

gold crowns, which have become 

very expensive with the rising price 

of gold. Ceramic solutions are an 

affordable alternative and make it 

possible for the patient to invest in 

an esthetically more sophisticated 

and more appealing veneer. The 

color, shape, natural appearance 

and esthetics of new teeth are like 

a personal visiting card, especially 

in the anterior region of the mouth. 

Here, too, we do our utmost for the 

patient.

“IN SWITZERLAND AND GERMANY, PROBABLY 80 PERCENT OF ALL CROWNS 

AND BRIDGES WILL BE METAL-FREE IN TEN YEARS’ TIME.” 

What developments are necessary 

in the next few years? 

There is still quite a lot to do in 

the field of ceramic veneering. 

For example, silicate ceramic is a 

material that offers outstanding optical 

properties for natural looking 

prosthetics but its mechanical resilience 

has to improve before it can 

be used more widely. Alternative 

veneering ceramics are available, 

which meet our company’s stability 

requirements. 

Are ceramic prosthetics subject 

regulatory requirements e.g. for 

quality? 

Of course they are tested and have 

to meet certain standards. But the 

loads in the mouth are many and 

diverse and different for every individual. 

It is difficult to exactly simulate 

these loads in studies. 

What would be the biggest 

breakthrough in dental ceramics? 

A really big breakthrough 

would be if the osseointegration 

of ceramic implants could be 

improved to increase their success. 

Then it would be possible to offer 

an all-ceramic, metal-free solution, 

which would go a long way 

towards satisfying preferences for 

biomaterials. The most well-known 

ceramic implants have a one-piece 

design. During the healing phase 

of 4–6 months they have to be 

protected from the tongue and 

cheek pressure. The splints and 

interim prostheses used for this are 

not always comfortable for the 

patient. A further problem at the 

moment is also the lower success 

rate of these implants in the more 

porous bone of the mandible. In 

this respect ceramics are still at the 

stage where titanium implants were 

20 years ago. In the mandible, 

the osseointegration characteristics 

of the best titanium implants is far 

superior. But this can change. 

Joachim Maier 

BACKGROUND 

Joachim Maier is a master dental technician 

and a leading expert in high-quality 

dental replacement. His company, Oral 

Design Bodensee, works, among other 

materials, with high-performance ceramics. 

He predicts a bright future for these 

materials. 

STARGET 3 I 09 11

12 STARGET 3 I 09 ETKON_VISUAL 5.0 

The next generation Straumann CADCAM software 

New materials and design options 

The new version 5.0 of the etkon_visual software was one of the many 

highlights presented by Straumann at this year’s IDS. It implements a 

number of innovations that offer the user a broader range of materials and 

design options and greatly improve its user-friendliness, which produced 

great interest in visitors to the show.

Introduction of the new etkon_visual software version 5.0: impressions from IDS 2009. 

Software modules for Ivoclar IPS e.max ® CAD glass ceramic and for CAD construction 

of Straumann ® CADCAM abutments 

The additional modules, “Ivoclar IPS e.max ® CAD Glass Ceramic” (in cooperation with Ivoclar 

Vivadent AG) and “CAD Construction of Straumann ® CADCAM Abutments”, represent the 

most significant innovations in version 5.0 of the etkon_visual software. These two modules 

allow the user to carry out computer-assisted virtual modeling and fabrication of both caps and 

fully anatomical crowns made of Ivoclar IPS e.max ® CAD glass ceramic and also individual 

ZrO 2 and titanium abutments. 

ETKON_VISUAL 5.0 

STARGET 3 I 09 13


Straumann ® CADCAM Solutions 

Proven Straumann quality from 

implant to final restoration 

The complete product range from 

implants through implant-supported 

CADCAM prostheses to conventional 

prosthetic CADCAM restorations 

with high-tech materials guarantees 

the quality-conscious customer a 

complete system with coordinating 

components. From the implant to the 

final prosthetic restoration, you can 

count on proven Straumann quality. 

1 

2 

3 

etkon es1 with etkon_visual 5.0 

Straumann CADCAM 

production center 

Left: Straumann ® CADCAM Abutment 

Right: IPS e.max ® CAD Restorations by 

Straumann ® CADCAM

IPS e.max ® CAD restorations from Straumann ® 

CADCAM: working esthetically with reliability 

With the addition of the “Ivoclar IPS e.max ® CAD Glass Ceramic” module, etkon_visual software 

version 5.0 provides the customer with access to a high-quality material for esthetic and at the same 

time economic solutions. The cooperation between Ivoclar Vivadent AG and Institut Straumann AG 

combines years of experience in the field of dental ceramics with the benefits of Straumann’s prov- 

en CADCAM system and enables a unique range of materials and indications for highly esthetic 

results to be offered together with a high level of safety and efficiency. With Ivoclar IPS e.max ® 

CAD lithium disilicate glass ceramic for the Straumann ® CADCAM system, users will in future have 

the option of ordering translucent, fully anatomical crowns and veneered caps. 

Full control due to dynamic minimum wall thickness and flexible 

positioning of the retaining sprue 

Dynamic minimum wall thickness control makes etkon_visual software 

version 5.0 even safer and more user-friendly. Like the distance warning 

system in modern cars, the dynamic minimum wall thickness control signals 

to the user immediately and depending on the situation whether the minimum 

wall thickness falls below what is indicated. The parameters for this 

dynamic minimum wall thickness depend on the material, the tooth position, 

the indication (crown, caps) and the type of reduction. 

Diagram of the dynamic minimum 

wall thickness. 

Zone 1 

1.2 mm minimum wall thickness 

High quality with complete 

cost control 

Dental technicians who are already 

using the Straumann ® CADCAM 

System are enabled to construct 

high-quality, fully anatomical 

Zone 2 

1.5 mm minimum wall thickness 

crowns and veneered caps without 

any additional investment. The 

centralized industrial fabrication 

guarantees the production quality 

of Straumann CADCAM GmbH. 

In addition, investments and costs 

for acquiring and maintaining 


Indication of when minimum wall thickness falls 

short with the areas in question marked in red. 

the production units are stored at 

Straumann. This guarantees the user 

complete cost transparency while 

at the same time guaranteeing 

quality, thus strengthening the partnership 

with Straumann. 


Fully anatomical single 

crown made of Ivoclar 

IPS e.max ® CAD lithium 

disilicate glass ceramic.


The CAD construction module for Straumann ® 

The new CADCAM abutment module allows the user to construct a customized abutment on 

the screen in a simple and efficient way. Manual steps for abutment modeling and wax-up are 

therefore not needed. Precision, simplicity and efficiency in designing the ZrO 2 and titanium 

abutments are the obvious advantages. 

Straumann ® Scanbody 

Precision is no accident: the new 

Straumann ® Scanbody 

The new Straumann ® Scanbody 

for the etkon es1 scanner functions 

as a digital impression post. The 

software thus defines the original 

position of the implant in the digital 

master model. This information is 

a fundamental requirement for all 

subsequent steps. Once it has been 

scanned, the software calculates an 

initial suggestion, depending on the 

situation, which can then be customized 

in a variety of ways. 

Software design 

The module for CAD construction 

of Straumann ® CADCAM abutments 

in version 5.0 of the etkon_ 

visual software was developed 

so that the desired shape of the 

customized CADCAM abutment 

could be designed with a minimum 

of clicks in the great majority of 

cases, at the same time providing a 

variety of construction applications 

that enable the greatest possible 

design flexibility.

CADCAM abutments in etkon_visual 5.0: 

a customized abutment with just a few clicks 

Mesostructure or scaled-down 

tooth shape 

Construction of the emergence profile and object positioning 

The first step is to place the shoulder line manually on the sulcus and 

this can be moved freely in space on a faded-in auxiliary level (Fig. 1). 

Furthermore, the convexity of the subgingival region can be altered 

through “Object properties“ (Fig. 2). In this way, the gingiva can be 

supported according to the specific clinical situation. 

The module for CAD construction of 

Straumann ® CADCAM abutments 

offers the user a choice between a 

mesostructure and a scaled-down 

tooth shape. While the mesostructure 

is suitable for cemented restorations, 

ceramic abutments can be 

veneered directly by choosing the 

scaled-down tooth shape. 1 2 

Fig. 1: 

Construction of the emergence profile 

Finished ceramic 

mesostructure 

Finished scaled-down 

tooth shape 


Fig. 2: 

Designing the subgingival region 

Bridge abutments: uniform 

abutment axial alignment of 

the mesostructure in the bridge 

context 

If more than one CADCAM abutment 

is constructed at the same 

time, the software provides the user 

with the option of aligning their 

axes in a joint angle of insertion for 

a cemented bridge restoration. 

STARGET 3 I 09 17


We invest, you profit 

Whether made of titanium or 

ceramic, the Straumann ® CAD- 

CAM abutments fabricated in 

the central production center are 

convincing in quality and precision. 

Straumann invests regularly in the 

technical infrastructure of modern 

production plant; together with the 

experience and professional competence 

of the dental technician, 

optimal results can be achieved, 

with high patient satisfaction in consequence. 

Completed mesostructure 

in the master model 

Conclusion 

With the introduction of etkon_ 

visual 5.0 Straumann provides a 

striking extension of the possibilities 

of the Straumann ® CADCAM 

System, making it simpler, more 

flexible and more efficient. 

Due to its high translucency 

and the broad range of shades 

(IPS e.max ® CAD, LT 20 shades, 

MO 5 shades), the integration of 

IPS e.max ® CAD glass ceramic 

provides the user with a variety of 

options in the restoration of esthetically 

demanding cases, with maximum 

economy at the same time. 

The newly developed CAD 

abutment module offers a high 

level of efficiency and flexibility. 

The software guides the user in a 

few steps to an individual result, 

while numerous tools allow customized 

adjustments to be made at 

any time. 

Various general improvements 

to the etkon_visual software – for 

instance, simple order placement 

– increase user-friendliness and 

increase the enjoyment of working 

with the Straumann ® CADCAM 

System.

20 STARGET 3 I 09 PRODUCTS 

NOW 

AVAILABLE! 

1 

ART. NO. 

025.2205 

025.4205 

Make a strong impression 

New open tray impression posts for the Straumann ® Bone Level Implant 

Additional ease of use for impression-taking on Straumann ® Bone Level implants with the new impres- 

sion posts by way of long guide screw and improved retention and grip, designed to ensure precise 

restorations from the beginning. 

+7.5 mm 

PRODUCT NAME DIMENSION 

NC Impression Post Open Tray, long L 24.0 mm 

RC Impression Post Open Tray, long L 24.0 mm 

Your input matters 

The positive market feedback we 

have received since the global 

launch of the Straumann ® Bone 

Level portfolio confirms that users do 

not only appreciate the ease of use 

and flexibility of this new product 

line, but also value its comprehensiveness. 

To make good solutions 

better, we process ideas and inputs 

from our customers to steadily 

improve our product range. 

NEW 

Easy to remove guide screw 

Enhanced grip of guide handle 

Improved retention 

Featuring the unique 


Impression-taking made easier 

With the latest addition to the portfolio, 

impression taking on Straumann ® 

Bone Level implants will be even 

easier; the Straumann ® NC and 

RC Open Tray Impression posts 

come with a long guide screw and 

improved retention and grip and are 

designed to ensure precision from 

the beginning of the restoration. As 

usual, the posts feature the unique 

CrossFit Connection.

Product availability 

2 

ART. NO. 

025.2202 

025.4202 

The new open tray impression posts 

are already available; the designadapted 

open tray impression posts 

(025.2202 and 025.4202) will 

be introduced in Q4 2009 in most 

markets. Get in touch with your local 

Straumann representative for more 

detailed information on product 

availability. 

+1.5 mm 

PRODUCT NAME DIMENSION 

NC Impression Post Open Tray, short L 16.5 mm 

RC Impression Post Open Tray, short L 16.5 mm 

For detailed handling instructions 

refer to our brochure “Straumann ® 

Bone Level Implant Line, Basic Information 

on the Prosthetic Procedures” 

(Art. no. 152.810). 

PRODUCTS 

ADAPTED 

Space-saving 

Enhanced grip of guide handle 

Improved retention 

Featuring the unique 


STARGET 3 I 09 21

22 STARGET 3 I 09 GUIDED SURGERY 

STRAUMANN AND IVS 

An integral solution for 

Guided Surgery 

Straumann expands its digital dentistry portfolio by acquiring the dental business of IVS Solutions AG, 

a provider of state-of-the-art software for computer-based implant planning and surgical template fabri- 

cation. IVS products ideally complement the Straumann ® Guided Surgery instrument kit. 

Top range software for guided 

surgery 

IVS Solutions AG, based in Chemnitz, 

Germany, develops solutions for 

computer-based implant planning 

and for the fabrication of surgical 

templates. Besides its high-end 

technical solutions, IVS enjoys an 

outstanding market acceptance. The 

acquisition includes the full range of 

Fig. 1: 

Visualization of anatomical structures 

allows for accurate implant planning. 

IVS preoperative planning software 

products, the technology to fabricate 

templates accordingly as well as 

their world class software development 

team. On the other hand, 

Straumann adds clinical expertise 

to the software and planning 

know-how of IVS. This combination 

provides a complete solution out of 

one hand, creating benefits for both 

dental professionals and patients. 

Fig. 2: 

A user-friendly, simplified mode supports the 

planning of an implant through a step-by step 

approach. 

Computer guided surgery for 

prosthetically driven implant 

placement in combination with 

complex and esthetic cases 

Computer guided surgery is an 

emerging trend in implant dentistry. 

Based on a three- dimensional computed 

tomographic image of the 

patient’s jaw, the dental surgeon 

plans the position, angulation and 

depth of the implant using sophisticated 

planning software. Thus, 

implant placements can be based 

on the available bone situation 

to produce the desired prosthetic 

outcome. In a second step, the 

planning is transferred to a surgical 

template, the interface between the 

software-based planning and the 

surgery to be carried out with the 

Straumann ® Guided Surgery instrument 

kit. 

Stress-free surgery and increased 

predictability of surgical and prosthetic 

outcome are only two of the 

many benefits resulting from guided 

surgery.

Fig. 3: 

Maintaining the open system approach with 

respect to both software and hardware. 

Immediate compatibility and 

pursuing of the open-system 

approach 

The acquired technology is in line with 

the previously launched Straumann ® 

Guided Surgery instrument kit as 

IVS products were already a recommended 

complement to Straumann 

guided instruments before the acquisition. 

After successful planning, 

the IVS software provides a set of 

parameters for the production of the 

surgical template (on a local basis 

by the dental lab) and the protocol 

for the surgical procedures. The 

latter provides the dental surgeon 

with information on the appropriate 

Straumann instruments and ensures 

that the implant is placed exactly in 

the planned position. 

An open system 

Software 

IVS coDiagnostiX ® 

Open to all major implant 

systems 

Straumann ® Guided Surgery will 

remain an open system in the future. 

On the one hand, this means that 

Straumann instruments maintain their 

compatibility with other planning 

software systems and, on the other 

hand, that IVS software will still 

be compatible with other implant 

systems. 

Hardware 

Straumann ® Guided 

Surgery Instruments 

Compatible with various 

Guided Surgery planning software 

systems 

Perfect fit of the surgical 

template 

The scan template is reworked 

into the surgical template on 

a very robust and precise coordinate 

table (gonyX). Using the 

same template for CT scanning 

and surgery ensures a perfect 

fit of the surgical template on 

the remaining teeth or on any 

anchoring device such as temporary 

implants. 

Fig. 4: 

Visualization can also be used as a useful tool 

for patient communication. 

Product availability 

The IVS software is currently 

available in Germany, Austria, 

Switzerland, the United States and 

Canada. It will be continuously 

adapted to the Straumann needs. 

Please contact your local Straumann 

distributor for information 

on product availability (addresses 

of Straumann branches can be 

found on page 55). 

Learn more about IVS on www.ivs-solutions.de 

GUIDED SURGERY 


Fig. 5: 

The IVS device allows 

for precise surgical 

template fabrication 

(gonyX).

24 STARGET 3 I 09 CLINICAL CASES 

1 L. Cordaro, Dieter D. 

Bosshardt, Piermario 

Palattella, Walter Rao, 

Giuseppe Serino, Matteo 

Chiapasco. Maxillary 

sinus grafting with 

Bio-Oss or Straumann ® 

Bone Ceramic: histomorphometric 

results from a 

randomized controlled 

multicenter clinical trial. 

Clin. Oral Impl. Res. 19, 

2008; 796–803. 

2 Z. Artzi, Miron 

Weinreb, Guy Carmeli, 

Rony Lev Dor, Michel 

Dard,Carlos E 

Nemcovsky. Histomorphometric 

assessment of 

bone formation in sinus 

augmentation utilizing 

a combination of autogenous 

and hydroxyapatite/biphasic 

tricalcium 

phosphate graft materials 

at 6 and 9 months in 

humans. Clin. Oral Impl. 

Res. 2008; 19: 686-692 

3 G.-G. K. Zafiropoulos, 

O. Hoffmann, A. Kasaj, 

B. Willershausen, O. 

Weiss, T. E. Van Dyke. 

Treatment of intrabony 

defects using guided 

tissue regeneration and 

autogenous spongiosa 

alone or combined 

with hydroxyapatite/ 

beta tricalcium phosphate 

bone substitute or 

bovine-derived xenograft. 

Periodontol. 2007; 78: 

2216-2225 

A long-term esthetic result with 

Straumann ® BoneCeramic 

by Ass. Prof Dr Ronald Jung and Xavier Zahno, Master Dental Technician 

Straumann ® BoneCeramic is a fully synthetic bone graft sub- 

stitute, consisting of 60% hydroxyapatite and 40% tricalcium 

phosphate in a homogeneous composite (biphasic calcium 

phosphate). The morphology and composition of Straumann ® 

BoneCeramic allow it to be gradually replaced by the patient’s 

own bone. Straumann ® BoneCeramic was introduced to the mar- 

ket in 2004. Several clinical and preclinical studies have been 

published and/or presented to date, documenting the use of the 

material in the treatment of dehiscence type defects, intrabony 

defects and for sinus floor elevation, as well as for ridge dimen- 

sion preservation 1-8 .The following case describes the use of 

Straumann ® BoneCeramic in an esthetically demanding indica- 

tion, such as replacement of a central incisor. 

Figs. 1, 2: 

Pre-treatment clinical situation. 

1 

2 

Initial situation and 

pre-operative planning 

The 30-year old female patient presented 

a fracture of the tooth root 

of the central incisor in position 11 

as a result of trauma. On the buccal 

aspect a periodontal pocket 

of 11 mm was recorded including 

suppuration. In addition, the crown 

of tooth 21 revealed a fracture line 

within the ceramic crown (Figs. 1, 

2). The treatment plan required the 

replacement of the fractured tooth 

by a dental implant and a new 

crown in position 21. 

Figs. 3–5: 

Autogenous soft tissue graft sutured to the 

margins of the socket, following extraction of 

the incisor 11. 

3 

4 

5

Fig. 6: 

Buccal bone loss visible after 

flap elevation. 

6 

Figs. 7–9: 

Insertion of a Straumann ® TE Implant in the 

socket of the former incisor and coverage by 

a healing cap. 

7 

8 

9 

Treatment 

As a first step the incisor 11 was 

gently extracted revealing a partially 

missing buccal bone plate. 

In order to support the tissues, a 

socket preservation technique was 

used including the application of 

an autogenous soft tissue graft 

harvested with a punch from the 

palate (technique according to 

Jung et al. 2004). The punch was 

carefully sutured to the margins of 

the socket to increase the keratinized 

tissue and eventually facilitate 

a submerged type of healing 

procedure (Figs. 3–5). Six weeks 

later, the mucosa was completely 

healed and the implant placement 

procedure could be carried out. A 

mucoperiosteal flap was elevated 

with one distal vertical relieving incision. 

The papilla was kept intact. 

Following flap elevation, a certain 

degree of buccal bone loss was 

visible (Fig. 6). The remaining graft 

material which helped to maintain 

the outer contour was removed. 

The implant bed was prepared in 

the socket of the former incisor. 

A Straumann ® TE Implant was 

inserted (Ø 4.1/4.8mm, 12mm 

SLActive) and closed by a healing 

cap (Figs. 7–9). As the patient 

required either an autogenous 

bone graft or a synthetic bone substitute 

material the implant surface 

was first covered with autogenous 

bone chips harvested from the 

neighboring area and complemented 

with Straumann ® BoneCeramic 

(particle size 500–1000 microns) 

to increase the buccal bone volume 

10 

11 

CLINICAL CASES 

Fig. 10: 

Bone augmentation with Straumann ® 

BoneCeramic. 

Fig. 11: 

Membrane fixed by absorbable pins. 

Figs. 12, 13: 

Healed mucosa following suture removal. 

12 

13 


4 S. J. Froum, S. S. Wallace, 

S.C. Cho, N. Elian, 

D. P. Tarnow. Histomorphometric 

comparison of 

a biphasic bone ceramic 

to anorganic bovine bone 

for sinus augmentation: 

6- to 8-month postsurgical 

assessment of vital bone 

formation. A pilot study. Int. 

J. Periodontics Restorative 

Dent. 2008; 28: 273-281 

5 Schwarz F., M. Herten, 

D. Ferrari, M. Wieland, 

L. Schmitz, E. Engelhardt, 

J. Becker. Guided bone 

regeneration at dehiscence-type 

defects using 

a hydroxylapatite/beta 

tricalcium phosphate 

(BoneCeramic) or a 

collagen-coated natural 

bone mineral (BioOss ® 

Collagen). An immunohistochemical 

study in dogs. Int. 

J. of Oral & Maxillofacial 

Surgery 2007; 36:1198- 

1206 

6 Jensen SS, Yeo A, Dard 

M, Hunziker E, Schenk 

R, Buser. Evaluation of a 

novel biphasic calcium 

phosphate in standardized 

bone defect. A histologic 

and histomorphometric 

study in the mandibles of 

minipigs. Clin. Oral Impl. 

Res. 2007; 18: 752-760 

7 Mardas N. et al. Socket 

preservation with synthetic 

bone substitute or a bovine 

xenograft. Poster, IADR 

2008 

8 van Assche N. et al. 

BoneCeramic as alternative 

for BioOss ® in the treatment 

of bony dehiscencies 

along implants. Oral 

presentation, EAO 2007. 

Poster, EAO 2008


Figs. 14–16: 

Augmentation of gingival tissue by means 

of connective tissue, harvested from the 

palatal region. 

14 

15 

16 

(Fig. 10). The grafted site was covered 

by an absorbable collagen 

membrane tacked with absorbable 

pins (Fig. 11). Following the augmentation 

procedure, the flap was 

mobilized and care was taken to 

ensure tension-free wound closure. 

Ten days later the mucosa looked 

healthy and the sutures could be 

removed (Figs. 12, 13). 

With the aim of ensuring an optimal 

esthetic outcome, the gingival tissue 

was augmented by means of connective 

tissue harvested from the 

palatal region (Figs. 14–16). 

One month later, the healing cap 

was exposed by using a U-shaped 

incision. The impression for the 

provisional restoration was taken 

by means of a polyether material. 

Subsequently, a screw-retained 

provisional was positioned in order 

to shape the soft tissue and to 

allow the formation of a correct 

emergence profile (Figs. 17, 18). 

Figure 19 shows the provisional 

crown in situ. 

A customized ceramic abutment 

was designed. The shape of the 

abutment was checked in the 

patient’s mouth (Fig. 20) and the 

final restoration was performed 

(Fig. 21). On the X-ray, a wellintegrated 

implant and stable periimplant 

bone contours were visible 

(Fig. 22). 

Figures 23–25 show the final 

restoration, 3 years after implant 

placement. 

Figs. 17, 18: 

Soft tissue conditioning and contouring prior 

to the placement of the provisional crown. 

17 

18 

Fig. 19: 

Provisional crown in situ. 

19 

Fig. 20: 

Customized ceramic abutment. 

20 

Fig. 21: 

Final restoration. 

21

Fig. 22: 

Well integrated implant and stable 

bone contours. 

22 

Figs. 23, 24: 

Follow-up, 3 years after implant placement. 

23 

24 

25 

Outcome 

Three years after implantation, the 

patient displayed a healthy mucosa, 

a perfectly preserved alveolar 

ridge contour and a very satisfying 

esthetic result overall. 

Conclusion 

The use of Straumann ® Bone- 

Ceramic in the demanding case 

described here involving the 

replacement of one of the upper 

central incisors with an implant 

allowed successful restoration of 

esthetics and function. 

Fig. 25: 

3 years follow-up X-ray. 

Ass. Prof Dr med. dent. 

Ronald E. Jung 

www.dent.uzh.ch 

ronald.jung@zzmk.uzh.ch 


Scientific Department Head at the 

University of Zürich 

Vice Chairman at the Department of 

Fixed and Removable Prosthodontics 

and Dental Material Sciences, Center 

for Dental and Oral Medicine, 

University of Zürich, Switzerland 

Visiting Associate Professor at the Department 

of Periodontics, Health Science 

Center, University of Texas, San Antonio/ 

USA 

Xavier Zahno 

www.dent.uzh.ch 

xavier.zahno@zzmk.uzh.ch 

Chief Dental Technician at the Department 

of Fixed and Removable Prosthodontics 

and Dental Material Sciences, 

Center for Dental and Oral Medicine, 

University of Zürich, Switzerland 

STARGET 3 I 09 27


Initial situation 

Esthetic restoration of a Straumann ® 

RC Bone Level Implant with a CADCAM 

ceramic abutment 

by Raymond Dubs, Dental Technician and Dr med. dent. Rudolf Auer 

1 2 3 

Fig. 1: 

Model with gingival mask ready 

for modeling. 

The middle-aged patient had lost tooth 21 following an accident. On examination, the 

anterior maxillary area was caries-free. The patient and dentist opted for implantation of 

a Straumann ® RC Bone Level Implant (Ø 4.1mm, SLActive). 

Fig. 2: 

Diagnostic modeling in wax of tooth 21. 

Procedure 

After the implant healing phase, the 

dentist took an impression with a 

custom open tray. This was sent to 

the dental laboratory, where a precise 

master model with removable 

gingival mask was made (Fig. 1). 

Since the gap was about 1.5 mm 

narrower than the homologous 

tooth, a wax-up was made first in 

order to examine the situation for 

the final restoration (Fig. 2). 

Fig. 3: 

Pliable silicone index, labial. 

The wax-up showed a satisfactory 

situation so that an index could 

now be made from the labial side 

with pliable silicone (Fig. 3). 

A RC wax-up sleeve was placed 

in the master model analog and 

the shape of the mesostructure was 

modeled with Scan wax (etkon 

CopyCad) (Fig. 4). The dimension 

of the waxed-up abutment was 

checked with the index made previously 

of pliable silicone (Fig. 5).

Fig. 4: 

Wax modeling on wax-up sleeve, 

labial view. 

4 5 6 

Fig. 7: 

Finished CADCAM zirconia abutment from 

labial aspect. 

The abutment modeled from wax 

was then positioned in the RC 

wax-up sleeve holder and this was 

placed in scan cylinder no. 7 of the 

etkon es1 scanner (Fig. 6). 

After the modeled abutment was 

scanned by the etkon es 1 scanner, 

the design could be adjusted and 

optimized through various operating 

elements in the etkon_visual 

software. With a little experience, 

the scanning and processing takes 

only a few moments. The digital 

dataset of the customized abutment 

is then sent to the Straumann 

CADCAM production center via 

an Internet connection. 

Fig. 5: 

Wax modeling on wax-up sleeve with index, 

labial view. 

Fig. 8: 

Finished CADCAM zirconia abutment from 

palatal aspect. 

7 8 9 

After a few working days, the 

CADCAM ceramic abutment fabricated 

in the Straumann production 

center is sent to the laboratory by 

post or directly by courier. It is there 

checked again for precise fit on 

the model before it is sent to the 

dentist for try-in (Figs. 7, 8). 

Together with the CADCAM 

ceramic abutment, the dentist was 

supplied with an insertion aid made 

in the laboratory. The insertion aid 

is supported on the neighboring 

teeth and allows correct and simple 

positioning of the ceramic abutment 

in the implant (Figs. 9, 10). 


Fig. 6: 

Wax modeling on the wax-up sleeve holder 

in scan cylinder no. 7, ready for scanning. 

Fig. 9: 

Placement aid for the dentist. 

At this point it is important to check 

the abutment with regard to support 

of the gingiva and the final 

crown margin. After the try-in at the 

dentist’s, the CADCAM ceramic 

abutment was sent back to the 

dental laboratory where the final 

restoration was made. To do this, 

the CADCAM ceramic abutment is 

positioned in the es1 scanner and 

scanned. A CADCAM cap made 

of zerion ® is then constructed in 

etkon_visual software. This is done 

without any wax-up. The zerion ® 

cap can be designed with simple 

operating elements exclusively on 

the screen. After finalizing the cap, 

it is ordered from the Straumann 

CADCAM milling center via the 

STARGET 3 I 09 29


Fig. 10: 

CADCAM abutment in situ. 

10 11 

Fig. 12: 

Veneered zerion ® cap on CADCAM 

zirconia abutment in situ. 

12 13 

etkon_visual software. The cap is 

sent within a few working days to 

the laboratory by post or courier 

from central Straumann CADCAM 

production. 

The zerion ® cap is now veneered 

in the laboratory using the standard 

method. This is where the talents of 

the dental technician are needed 

as knowledge, experience and 

good observational ability are 

important requirements for successful 

ceramic work (Fig. 11). 

Fig. 11: 

Finalized zerion ® crown on the model. 

Fig. 13: 

Final restoration. 

Final restoration and conclusion 

The finalized veneered zerion ® cap 

was then sent to the dentist, who 

carried out the final implant restoration. 

The patient was provided with a 

completely natural-looking and 

high-quality single tooth restoration 

using a Straumann ® Bone Level 

Implant and CADCAM-fabricated 

ceramic prosthesis (Figs. 12, 13). 

Raymond Dubs 

Dental Technician 

Own dental laboratory in Kloten/ 

Switzerland, specializing in all-ceramic 

and zirconium oxide restorations, implant 

restorations and CADCAM prosthetics 

ITI member 

Dr med. dent. Rudolf Auer 

dr.auer@zam-sh.ch 

Practice in Schaffhausen/Switzerland 

Member of SGI, SSOS, ZPGS, SSP 

ITI member 

Special interests: oral surgery, 

prosthetic reconstructions

32 STARGET 3 I 09 EVENTS 

© Photos: Monaco Press Centre 

PREVIEW 

“Guidelines for the practitioner” 

18 th Annual Scientific Meeting of the European Association 

for Osseointegration (EAO) 

30 September to 3 October 2009 at the Grimaldi Forum in Monaco 

With great excitement the European Association for Osseointegration (EAO) is looking forward to its 

18 th Annual Scientific Congress. The scientific committee has produced a fascinating program focusing 

on the guidelines for practitioners as derived from the best scientific and clinical evidence. 

Straumann Satellite Symposium 

Straumann, as one of the EAO 

Founding Gold Sponsors, will host 

the satellite symposium “Advanced 

solutions – reliable, precise, esthetic” 

on October 1 at 11:00 a.m. 

In addition to a first class group 

of European speakers who will 

present the latest results of preclinical 

and clinical research on 

Straumann’s advanced solutions, 

one of the top health care and 

practice management consultants 

from the United States will present 

how to increase patient acceptance 

of implants.

Monaco 

Situated in the heart of Mediterranean 

Europe, the Principality 

of Monaco is an exquisite emerald 

in a setting of craggy rocks 

rising from the azure-blue Mediterranean 

Sea, basks between 

enchanting French Medieval 

villages and the ski trails of the 

Alps. Its surface area is limited 

to 2 square kilometers, lying 

in a narrow coastal strip. The 

Principality has only one land, 

Monaco, whose limits are the 

same as those of the state. 

Monaco has a colorful and fascinating 

history filled with Princes 

and even a movie star. Prince 

Rainier III ascended to the 

throne in 1949 and later caught 

the world’s attention with his 

storybook marriage to actress 

Grace Kelly. Today, Monaco 

Updates by e-mail 

If you would like to receive updated 

information on the Straumann 

Symposium and any other of our 

activities during the EAO Monaco, 

please send us an e-mail with your 

name and address at events@ 

OVERVIEW 

Date: 

Time: 

Venue: 

Title: 

Speakers: 

Languages: 

still stands as a proud monarchy 

with their son, H.S.H. Prince 

Albert II as its head of state. 

With over 300 days of sunshine 

a year and mild temperatures, 

one of the loveliest times to 

be in Monaco is early autumn 

with average temperatures still 

around 20 °C. It celebrates with 

passion the arts, culture, restoration 

of mind and body, and 

high-adrenaline activities like 

the Formula One Grand Prix, 

casino gaming, land and water 

sports and exciting nightlife. 

Official tourism information site: 

www.visitmonaco.com 

straumann.com. Registration for the 

EAO Congress and hotel bookings 

can be made though the official 

website www.eao.org. It is highly 

recommended to register early, not 

only to benefit from substantially 

reduced fees, but also to secure 

EVENTS 

your admission as both the congress 

and hotels are expected to 

be sold out in no time. 

STRAUMANN SATELLITE SYMPOSIUM 

Thursday, October 1, 2009 

11:00 a.m. to 1:00 p.m. 

Salle des Princes, Grimaldi Forum (same as EAO) 

Advanced solutions – reliable, precise, esthetic 

Luca Cordaro, Italy 

Bilal Al-Nawas, Germany 

Ronald Jung, Switzerland 

Javier Fábrega, Spain 

David Schwab, USA 

English – simultaneous translation available in French and Italian 

STARGET 3 I 09 33


Luca Cordaro, MD, DDS, PhD 

Currently Head of the Department of Periodontology 

and Prosthodontics at the Eastman 

Dental Hospital in Rome. Graduate 

of the University of Rome “La Sapienza”. 

Post-graduate degree in dentistry and oral 

surgery. Author and co-author of several 

papers published in Italian and international 

journals and renowned lecturer at 

national and international congresses in 

Europe and the Americas. Winner of the 

H. Goldman Prize of the Italian Society 

of Periodontology (2007). Professional 

interests: Periodontology, Implantology 

and Oral surgery with special focus on the 

reconstructive treament of alveolar atrophies. 

Education Delegate of the Italian 

Section of ITI and serving in the Education 

Core Group of the ITI. 

Esthetic and flexible – predictable results with 

Straumann ® Bone Level Implants of the Straumann ® 

Dental Implant System 

Luca Cordaro, Rome/Italy 

The Straumann ® Bone Level Implant line has been part of the Straumann ® 

Dental Implant System for 2 years now. It brings additional esthetics and 

flexibility into dental treatment procedures. With a prosthetic perspective 

focusing on the importance of pre-planning, a step-by-step case will demonstrate 

how these concepts can be translated into clinical practice to ensure 

the best esthetic (soft tissue) outcomes. Results of pre-clinical and clinical 

studies demonstrate not only the success and reliability of this implant line 

but also its versatility. Straumann SLActive ® , with its very high success rates 

and superior osseointegration, continues to be the gold standard in surface 

technology and provides the surgeon with confidence when treating high 

risk and demanding cases. 

Bilal Al-Nawas, Ass. Prof Dr Dr 

Chief of the Oromaxillofacial Surgery 

Department, Mainz University Hospital. 

Studied medicine and dentistry in Frankfurt, 

Saarbrücken and Zürich. Doctorate 

in medicine and dentistry. Additional 

qualification in plastic surgery. Specialist 

in oromaxillofacial surgery. ITI fellow. 

Special research and professional interests: 

implant dentistry, infection diseases, 

hard tissue, clinical trials (GCP). 

Small diameter implants – 

where advanced materials 

make a difference 

Bilal Al-Nawas, Mainz/Germany 

Small diameter implants are especially 

beneficial in cases of narrow 

bone ridges. Due to their reduced 

dimensions bone grafting procedures 

might be avoided. But narrow 

implants are as well susceptible to 

complication due to their reduced 

strength or reduced osseointegrated 

surface. In order to achieve a wider 

use of narrow diameter implants a 

new material has been developed. 

The new material combines high 

strength and outstanding osseointegration. 

The newest outcomes of various 

pre-clinical and clinical studies 

show very promising results. Cases 

will show the use of these narrow 

implants in the daily practice.

Ronald Jung, Ass. Prof Dr 

Currently Vice Chairman of the Department 

of Fixed & Removable Prosthodontics 

and Dental Material Sciences at the 

University of Zurich in Switzerland (Chairman: 

Prof Dr Ch Hämmerle). Trained in 

oral surgery, prosthodontics and implant 

therapy. Visiting Associate Professor at 

the Department of Periodontics at the 

University of Texas Heath Science Center 

at San Antonio, USA (Chairman: Prof Dr 

D. Cochran) in 2006. Accomplished and 

internationally renowned lecturer and 

researcher, best known for his work in the 

field of hard and soft tissue management 

in implant dentistry and his research on 

new technologies for tissue regeneration. 

Guided bone regeneration – 

innovation continues 

Ronald Jung, Zurich/Switzerland 

Guided bone regeneration using 

barrier membranes is a well documented 

and established procedure 

to augment bone in conjunction 

with dental implant surgery. The 

availability of a synthetic and 

absorbable membrane that can be 

customized intra-operatively for an 

individual defect represents a potential 

improvement for future GBR 

procedures. Different experimental 

and clinical studies have evaluated 

a newly developed synthetic hydrogel 

for use in bone regeneration 

therapy. The studies demonstrated 

that the hydrogel is a highly effective 

barrier membrane for bone 

regeneration and that the in situ 

formed material can simplify clinical 

handling. 

Javier G. Fábrega, MD, DDS 

Certificate in Prosthodontics from the 

University of Southern California. Assistant 

Clinical Professor at the Department of 

Restorative Dentistry at the University of 

Southern California (1993). Assistant Clinical 

Professor at the Department of Graduate 

Periodontics and the Post-Graduate 

Program in Esthetic Dentistry (since 1994) 

at the University of Madrid. Education 

delegate of the Iberian section of the ITI 

(since 2004). Private practice limited to 

restorative dentistry in Madrid/Spain. 

Highly esthetic tooth 

restoration – advanced 

ceramic technology in 

clinical practice 

Javier G. Fábrega, Madrid/Spain 

The new generation of all-ceramic 

solutions provides an excellent 

foundation for restorations that are 

virtually indistinguishable from natural 

teeth. The latest ceramic abutments 

can be pre-shaded and anatomically 

formed or even fully customized 

with CADCAM technology. 

They can offer multiple advantages, 

including enhanced esthetics, greater 

efficiency and more predictability 

for a natural-looking tooth base. 

The use of lithium disilicate ceramic 

materials can furthermore provide 

a combination of choice for highly 

esthetic outcomes in the final restoration. 

Advantages and limitations of 

each all-ceramic restorative option 

will be discussed and an attempt to 

identify possible indications will be 

made through the presentation of 

challenging clinical situations. 

David Schwab, PhD 

EVENTS 

Internationally known seminar speaker 

and practice management consultant 

working extensively with dental professionals. 

Former Director of Marketing 

for the American Dental Association and 

as Executive Director of the American 

College of Prosthodontists. Own marketing 

consulting firm, David Schwab & 

Associates, Inc. The company provides 

in-office seminars and other practice 

management services for fee-for-service 

dentists in the U.S. and Canada. Author 

of practice management and marketing 

articles which have appeared in numerous 

publications, including the Journal of 

the American Dental Association, Dental 

Economics, the Journal of the Canadian 

Dental Association, and the Seattle 

Study Club Journal. 

How to increase patient 

acceptance of implants 

David Schwab, Orlando/USA 

There can be no implant cases 

without patient acceptance. It is 

imperative, therefore, that patients 

be educated in a way that allows 

them to understand and accept 

implant treatment and allow clinicians 

to help them improve their 

lives with dental implants. This presentation 

will address topics that will 

assist the clinician in communicating 

about dental implants with their 

patients. 

STARGET 3 I 09 35


PREVIEW 

FDI Annual World Dental Congress 2009 

September 1–5 in Singapore at the Suntec Singapore 

International Convention & Exhibition Centre 

Singapore 

Singapore is known as the crossroads of the world and is made up of not just one 

island but a main island with 63 surrounding islets. It is a city full of life, rich in diversity 

and business. It operates the busiest port in the world. Overflowing with energy, this 

little island embodies the finest of both Eastern and Western worlds. Singapore was a 

wonderful host city to the FDI congress in 1990 and the FDI is once again looking 

forward to the warm and forthcoming welcome the city offers. 

In September 2009, over 10,000 dental and industry professionals from around the world are 

expected to arrive in Singapore for the FDI Annual World Dental Congress. The FDI’s Annual World 

Dental Congress is one of the world’s leading dental events and the prime meeting point for leaders 

and key individuals of the dental profession and industry. The FDI consists of 191 member associa- 

tions from 136 countries representing more than 1,000,000 dentists. 

Straumann is one of the corporate sponsors of the FDI Congress and will be present in the exhibition 

(Booth #s O 01–O 04). Come visit the booth to learn more about the latest innovations offered.

Limited Attendance Course and Lecture in Scientific Program 

sponsored by Straumann 

Limited Attendance Course 

James Ruskin, Dean Morton: “Sinus Lift Implant Surgery” 

This presentation is designed to provide 

the experienced surgeon with a 

comprehensive overview of grafting 

procedures and surgical techniques 

as they relate to implant placement 

in the area of the maxillary sinus. 

Current clinical and scientific trends, 

diagnosis and treatment planning 

considerations as well as anatomical 

factors and anomalies will be 

Lecture in Scientific Programme 

James Ruskin, Dean Morton: 

Implantology – The State of the Art 

Evidence-based success has resulted 

in increasing utilization of dental 

implants in the treatment of all 

forms of edentulism. This program 

will emphasize communication between 

treatment ‘TEAM’ members 

and the effect of communication on 

treatment outcomes. Diagnosis and 

planning procedures utilizing the 

SAC (Straight-forward-Advanced- 

Complex) and ERA (Esthetic Risk 

Assessment) patient classification 

OVERVIEW 

Dates: 

Venue: 

Exhibition hours: 

Conference hours: 

Registration fees: 

Information & registration: 

presented.. Specific procedures 

discussed will include lateral window 

sinus approach (Caldwell-Luc), 

lateral window sinus grafting with 

simultaneous implant placement 

and osteotome sinus lift (Summers 

approach) with and without immediate 

implant placement. 

Tuesday September 1, 

09.00am–11.30am 

systems will be highlighted. The 

use of technology in diagnosis and 

planning for individuals with advanced 

and complex needs as well as 

advances in implant surface technology 

to optimize patient outcomes 

will be central to this education 

program. 

Wednesday September 2, 

09.00am–1.30 am and 

02.00pm–04.30pm 

Dean Morton 

September 1–5, 2009 

Suntec Singapore, International Convention & Exhibition Centre 

Wednesday through Friday: 09.00 am–06.00 pm 

Saturday: 09.00am–02.00 pm 

Refer to program for details 

Dentist (member) € 440 

Dentist (non-member) € 550 

Hygienist/Technician € 135 

Auxilliary/Office personnel € 135 

Dental Student € 135 

EVENTS 

BDS, MS, FICD, FACP, is a Professor 

and Assistant Dean for Implant and 

Aesthetic Dentistry at the University of 

Louisville, USA. He has served as Director 

of Advanced Education in Prosthodontics, 

and Director of the Center for 

Implant Dentistry at the University of 

Florida. Dr Morton is widely published 

and maintains a practice limited to 

Implant Dentistry and Prosthodontics. 

James D. Ruskin 

DMD, MD, FACS, is a Professor in the 

Department of Oral and Maxillofacial 

Surgery at the University Of Florida 

College Of Dentistry. He is a Fellow of 

the American College of Surgeons, the 

International College of Dentists and the 

American College of Dentists. Dr Ruskin 

is a Diplomate of the American Board 

of Oral and Maxillofacial Surgery, a 

member of the ITI Education Core Group 

and the Forum Implantologicum Editorial 

Board. 

For more information about this congress and to register, please visit the 

official website at www.fdiworldental.org 

STARGET 3 I 09 37


REVIEW 

Straumann Solutions @ IDS 2009 

With over 106,000 visitors, the 33 rd International Dental Show 2009 in Cologne celebrated a new 

record. On its 450 square meter stand, Straumann presented innovations in the CADCAM area 

and Guided Implant Surgery from March 24 to 28 and announced its new partnership with Ivoclar 

Vivadent and its takeover of the Dental business area of IVS Solutions AG. 

The modern, bright and open-plan 

stand in the entrance area of hall 

4.2 welcomed visitors with the central 

topic of ”Straumann Solutions“. 

Three different segments of the 

stand invited visitors to get better 

acquainted with the broad product 

portfolio of the Swiss med-tech 

company – in the Product Experience 

Zone it was even possible to 

test some of the newest products 

directly on the spot. 

Partnership with Ivoclar Vivadent 

On the eve of the opening of the 

fair, Straumann announced its new 

partnership with Ivoclar Vivadent. 

IPS e.max ® , the high-performance 

ceramic of the company from 

Schaan, will be used in future for 

dental prosthetic solutions for both 

implant- and tooth-based restorations. 

From the first day of the show, 

visitors were able to look closely at 

the first joint product – Straumann ® 

Anatomic IPS e.max ® Abutment. 

The abutment, made of high-quality 

and durable zirconium oxide is 

available in two shades, two gingival 

heights and two configurations 

(straight and angled), thus providing 

a flexible “ready-to-use“ solution 

that can be modified easily by both 

dentists and dental technicians. 

The new abutment will be available 

in Europe from April and in North 

America from July. In the course 

of the year, the IPS e.max ® lithium 

disilicate ceramic will be available 

in Europe for prosthetics with 

Straumann ® CADCAM (etkon). 

This is a high-performance material 

that combines strength with translucency 

and the possibility of shading 

– key hallmarks for restorations 

that cannot be distinguished from 

natural teeth.

New etkon CADCAM software 

In both the CADCAM Zone and in 

the Product Experience Zone Straumann 

provided an insight into a further 

update of its high-performance 

etkon CADCAM software, which 

is designed to make the work of 

the dental technician easier than 

ever. The newest version, etkon 

visual 5.0, is downloaded automatically 

and offers a number of new 

functions. For instance, the tooth 

library that was added last year 

is now supplemented by an occlusal 

surface database with which 

the dental technician can adapt 

the prosthetic construction to the 

patient’s bite (full crowns or crown 

frameworks for veneering). This 

is particularly important for the 

IPS e.max ® ceramic and enables 

Straumann to be the first company 

to offer this material via a centralized 

milling service. 

At the 15 CADCAM terminals on 

the stand, an additional function for 

designing the undercut of bridges 

was presented, which supplements 

the existing crown undercut function. 

The other new functions also 

include the new ”Scanbody“ 1 , 

which fully digitalizes the CAD- 

CAM process of abutment construction 

for all Straumann implant 

platforms. These extensions, combined 

with the speed, precision, 

comfortable operation and practical 

design of the laser scanner, 

position the Straumann CADCAM 

package as the solution of choice 

for dental laboratories. 

Guided implant surgery – 

Straumann takes over IVS 

On the second day of the show, 

Straumann announced that it had 

signed an agreement to take over 

the Dental business area of IVS 

Next IDS: 22–26 March 2011 in Cologne. 

More information on the IDS at www.ids-cologne.de 

EVENTS 

Solutions AG. The company, with 

headquarters in Chemnitz, Germany, 

develops and sells proprietary 

software applications for computerguided 

implant surgery and for 

designing and producing surgical 

drilling templates. The takeover 

includes the entire range of IVS 

software products for preoperative 

planning along with the top-class 

software development team. It 

therefore strengthens the potential 

and technical knowledge of Straumann’s 

own software development, 

which has hitherto concentrated 

on restorative CADCAM dentistry. 

Straumann expects to introduce IVS 

systems this year. 

The combined use of three-dimensional 

imaging technology and 

computers for planning and implementing 

precise implant insertion is 

a pioneering trend in dental implantology. 

With the aid of computed 


1 CE registration procedure 

is in course.


2 Fatigue tests according 

to ASTM ISO 14801 

3 Gottlow J. Preclinical 

data presented at the 

23 rd annual conference 

of the Academy of 

Osseointegration (AO), 

Boston, February 2008, 

and at the 17 th annual 

scientific conference of 

the European Association 

for Osseointegration 

(EAO), Warsaw, September 

2008. 

tomographic scans of the patient’s 

jaw, the clinician plans the position, 

angulation and depth of the implant 

on a computer with special software. 

The design is transferred to a 

plastic template, which the surgeon 

uses as a guide for drilling, profile 

drilling and thread tapping. Computer-guided 

surgery based on modern 

CT scanning methods offers the 

dentist a clear image of the bone 

condition and final implant position, 

in addition to simplifying the planning 

and performance of complex 

procedures. In this way, it also 

reduces the risk of surgical and 

prosthetic complications. 

New surgical kit for computerguided 

implant placement 

The new products presented by 

Straumann in Cologne also include 

a comprehensive instrument kit for 

guided implant surgery. The kit, 

developed and produced with 

proven Straumann precision, contains 

all the instruments, drills, profile 

drills and taps that are needed for 

placing Straumann implants with the 

aid of drilling templates; these templates 

are currently produced with 

open (non-exclusive) 3D software 

systems, including IVS, Materialise, 

med3D, iDent and siCAT. Like other 

Straumann products, the storage 

cases and all the items in the kit are 

color-coded for easier handling. 

Naturally, the kit follows the proven 

Straumann method and was tested 

clinically. 

Product Experience Zone – 

Straumann ® Roxolid 

In the Product Experience Zone 

interested visitors were able to test 

the drilling templates planned with 

IVS software in conjunction with the 

new surgical kit on special mandible 

models. The bending strength 

of Roxolid, the innovative highperformance 

material from Straumann, 

which is much more stable 

than titanium 2 , could also be tested 

there. Initial preclinical tests have 

4 Fraunhofer-Institut für 

Nachrichtentechnik, 

Heinrich-Hertz-Institut, Berlin 

5 Quintessenz Verlags- 

GmbH, Berlin 

shown that the new material might 

be better integrated in the bone 

than titanium 3 . The combination of 

material strength and improved 

osseointegration allows patient 

safety and predictability to be 

increased. Because of its improved 

stability, Roxolid paves the way 

to implants with a smaller diameter, 

which will be helpful in situations 

where space is limited, for instance 

in the anterior region. Thinner 

implants might also be valuable in 

situations where the bone is too thin 

to accept a conventional implant 

without additional bone augmentation. 

In the final analysis, Roxolid 

might offer substantial cost savings 

and simplified procedures. 

Straumann Lounge 

In the Straumann Lounge intensive 

professional discussions could take 

place. A multimedia expert presented 

the Straumann implant system 

on a big plasma screen in a playful 

way with the „iPoint Presenter“ 4 and 

the „Digital Explorer“ 5 . 

As a souvenir, visitors to the 

Straumann stand were given a 

farewell gift of a trendy bag made 

of truck plans and safety belts in a 

reduced black and white design. 

Over 8,000 of these bags became 

the new companion of Straumann 

customers and prospective customers 

over the five days of the show.

REVIEW 

A New Wave in Implant Therapy 

The Annual Meeting of the Academy of Osseointegration is an important date on the calendar for implant 

surgeons, periodontists, prosthodontists and general dentists around the world, and also has large sections 

of the program devoted to the interests of dental hygienists and dental laboratory technicians. This year the 

meeting was held in San Diego, CA, USA, and Straumann was again one of the main corporate sponsors 

of the meeting. In addition to the Corporate Forum, Straumann sponsored the badge lanyards and electronic 

lead retrieval cards, and co-sponsored the President’s VIP Dinner. 

Optimal Esthetics with High Predictability and Low Risk 

for Complications 

Prof Dr Daniel Buser, University of Bern/Switzerland 

Prof Dr Urs Belser, University of Geneva/Switzerland 

Prof Daniel Buser (University of 

Bern, Switzerland) and Prof Urs 

Belser (University of Geneva, Switzerland), 

over three sessions in the 

corporate forum, discussed how to 

achieve optimal, predictable esthetics 

without an increased risk for 

complications. 

The first of the three sessions was 

on treatment planning and risk 

assessment, particularly what is 

important for an esthetic outcome 

and challenges in implant therapy in 

the esthetic zone. Important factors 

for a good esthetic outcome are 

a harmonious gingival line, intact 

papillae, convex buccal contour of 

keratinized mucosa and harmonious 

volume and shape of the crown. 

The placement of implants postextraction 

has increased dramatically 

in the last 10 years, and the 

majority of patients are aged 40 

or over. 1 This means that many of 

them have compromised adjacent 

dentition and/or bone and soft 

Prof Dr Urs Belser, 

University of Geneva/ 

Switzerland 

EVENTS 

Straumann Corporate Forum at the Annual Meeting of the Academy of Osseointegration 

in San Diego, California 

Prof Dr Daniel Buser, 

University of Bern/ 

Switzerland 


Ass. Prof Dr Frank Schwarz, 

Heinrich-Heine University, 

Düsseldorf/Germany 

1 Bornstein MM, Halbritter 

S, Harnisch H, Weber 

HP, Buser D. A retrospective 

analysis of patients 

referred for implant 

placement to a specialty 

clinic: indications, surgical 

procedures, and 

early failures. Int J Oral 

Maxillofac Implants 

2008;23:1109-1116.


tissue dehiscences. Esthetic complications 

are difficult to deal with 

and the potential for correction of 

problems is small; complications 

should therefore be prevented as 

much as possible. These compromised 

clinical situations therefore 

require systematic treatment planning. 

Advances in the understanding 

of the underlying tissue biology 

have highlighted the necessity of 

detailed esthetic risk management 

and correct 3-D implant positioning, 

In the second session, Profs Buser 

and Belser focused on esthetic 

single-tooth replacement. Most studies 

do not assess esthetic parameters, 

but the pink esthetic score 

(PES) and the white esthetic score 

(WES) have both recently been 

introduced. These have been used 

together in a recent retrospective 

study assessing maxillary singletooth 

replacement, where successful 

and predictable results were 

shown. 2 

THE GOALS OF IMPLANT THERAPY ARE SUCCESSFUL TREATMENT OUTCOMES 

WITH HIGH PREDICTABILITY AND LOW RISK OF COMPLICATIONS. SECONDARY 

GOALS ARE TO REDUCE SURGICAL PROCEDURES, MORBIDITY AND HEALING 

TIMES FOR THE PATIENT. 

2 Belser UC, Grütter L, 

Vailati F, Bornstein MM, 

Weber HP, Buser D. Outcome 

evaluation of early 

placed maxillary anterior 

single-tooth implants 

using objective esthetic 

criteria: a cross-sectional, 

retrospective study in 45 

patients with a 2- to4year 

follow-up using 

pink and white esthetic 

scores. J Periodontol 

2009;80:140-151. 

3 Buser D, Halbritter S, 

Hart C, Bornstein MM, 

Grütter L, Chappuis V, 

Belser UC. Early implant 

placement with simultaneous 

guided bone regeneration 

following singletooth 

extraction in the 

esthetic zone: 12-month 

results of a prospective 

study with 20 consecutive 

patients. J Periodontol 

2009;80:152-162. 

and this has been aided by implant 

designs, CADCAM and effective 

risk assessment procedures, such as 

that outlined in Volume 1 of the ITI 

Treatment Guide, where various risk 

factors are categorized and tabulated, 

and can be easily assessed. 

The goals of implant therapy are 

successful treatment outcomes with 

high predictability and low risk of 

complications. Secondary goals 

are to reduce surgical procedures, 

morbidity and healing times for the 

patient, but these should not compromise 

the primary objectives. The 

treatment approach should therefore 

be conservative, using only 

materials and procedures that have 

good scientific documentation, to 

keep the risk of complications low. 

Straumann’s Bone Level Implant is 

a new development designed to 

make esthetic outcomes easier. It 

incorporates platform switching, a 

new connection (CrossFit) and a 

wide range of prosthetic components. 

Clinical procedures are similar 

to those for tissue level implants, 

and the surgical instruments are 

the same. Immediate placement 

in the esthetic zone may carry 

an increased risk for facial bone 

resorption and subsequent soft tissue 

recession, so early placement 

is the treatment of choice. Several 

cases using Straumann ® Bone Level 

Implant treatment were presented, 

outlining the prosthodontic elements 

and the CrossFit connection. 

Straumann ® Bone Level Implants 

Weitere Informationen finden Sie auf der offiziellen 

IDS-Website: www.ids-cologne.de 

were used in a study of early 

implant placement following single 

tooth extraction in the esthetic zone 

in 20 patients. 3 Successful tissue 

integration was observed with all 

implants at 12 months, with maintenance 

of the keratinized mucosa 

and good to excellent esthetics. 

Mean bone loss was 0.18mm, 

and there were no implant failures. 

Esthetic sites with multiple missing 

adjacent teeth were discussed in 

the third session of the Corporate 

Forum. This is probably the most 

challenging situation for a clinician 

to produce a good esthetic 

outcome, and some of the challenges 

were illustrated through a 

number of clinical cases. Placement 

of adjacent implants should be 

avoided, since the loss of vertical 

bone height in such cases is well 

documented, 4 but other options 

are possible with good treatment 

planning, depending on the situation. 

Adjacent Straumann ® Bone 

Level Implants may be a promising 

option in certain situations, but 

further documentation is required 

before this can be recommended.

The Impact of Surface Technologies and Bone 

Regeneration on Osseointegration 

Ass. Prof Dr Frank Schwarz, University Düsseldorf/Germany 

Dr Frank Schwarz (Heinrich-Heine 

University, Düsseldorf, Germany) 

explained that many patients requiring 

implant present with compromised 

dentition and defects at the 

proposed implant sites. Titanium 

implant surface modifications may 

enhance bone healing through altered 

surface chemistry, e.g. hydrophilicity, 

which increases the surface free 

energy. Preclinical data with the 

SLActive ® surface have demonstrated 

enhanced early osseointegration, 

with strong surface responses by 

blood and osteogenic cells. For 

example, rapid woven bone formation, 

with highly mineralized bone 

covering the defect at the SLActive ® 

implant surface, compared to only 

connective tissue with SLA ® , was 

observed in a preclinical dehiscence 

study, 5 and similar results were 

observed in a dehiscence study 

using submerged or non-submerged 

SLA ® and SLActive ® implants. 6 

Other implant surface modifications 

have been developed, and 

one of these, Nanotite, has been 

evaluated in a preclinical study in 

dehiscence defects versus SLActive ® . 

In this study, new woven bone 

formation approaching the implant 

shoulder was observed at the 

defect sites with SLActive ® implants, 

whereas only minimal new bone 

formation was observed at the 

sites with Nanotite implants; the 

differences were significant at both 

4 and 8 weeks. Another clinical 

pilot study using Straumann ® Bone 

Level Implants with the SLActive ® 

surface in combination with a PEG 

membrane showed the formation 

of newly formed bone tissue in 3 

months, with almost complete filling 

of the defect. 

Dr Schwarz reiterated that treatment 

concepts should be conservative 

when trying to change estab- 

lished, predictable procedures, 

and that the clinical reality is often 

very different to the experimental 

situation. However, implant surface 

modifications such as hydrophilicity 

and growth factors may have the 

potential to support bone regeneration 

at deficient implant sites, 

although experimental data should 

always be interpreted as proof of 

principle rather than treatment suggestions. 

ANOTHER CLINICAL PILOT STUDY USING STRAUMANN ® BONE LEVEL IMPLANTS WITH THE 

SLACTIVE SURFACE IN COMBINATION WITH A PEG MEMBRANE SHOWED THE FORMATION 

OF NEWLY FORMED BONE TISSUE IN 3 MONTHS, WITH ALMOST COMPLETE FILLING OF 

EVENTS 


THE DEFECT. 4 Tarnow DP, Cho SC, 

Wallace SS. The effect of 

inter-implant distance on 

the height of inter-implant 

bone crest. J Periodontol 

2000;71:546-549. 

5 Schwarz F, Herten M, 

Sager M, Wieland M, Dard 

M, Becker J. Bone regeneration 

in dehiscence-type 

defects at chemically modified 

(SLActive) and conventional 

SLA titanium implants: 

a pilot study in dogs. J Clin 

Periodontol 2007;34:78-86. 

6 Schwarz F, Sager M, Ferrari 

D, Herten M, Wieland M, 

Becker J. bone regeneration 

in dehiscence-type defects 

at non-submerged and submerged 

chemically modified 

(SLActive) and conventional 

SLA titanium implants: an 

immunohistochemical study 

in dogs. J Clin Periodontol 

2008;35:64-75. 

The lectures given at the AO can be viewed here as audio presentations 

with original sound: www.straumann.us/ao2009.


PREVIEW 

American Academy of Periodontology 

95 th Annual Meeting 

12–15 September 2009 in Boston, Massachusetts/USA 

at the Convention & Exhibition Center 

Straumann Corporate Forum 

Saturday, September 12 

13:00–16:45 

Boston Convention & Exhibition Center 

Straumann will participate as a major sponsor at the AAP and in 

addition, host a corporate forum during which time updated infor- 

mation will be provided on current and forthcoming products in the 

company’s portfolio. We are pleased to provide an overview of the 

speakers and their planned presentations. Clinicians who wish to 

attend the Straumann Corporate Forum need only to register for the 

AAP Meeting – access to the Forums are included. 

For further information and to view the AAP Preliminary Program, 

please visit the official AAP website at www.perio.org. 

Robert Jaffin, DMD 

Graduate of the University of Pennsylvania. 

Certificate in Periodontics from 

Columbia University. Diplomate of the 

American Board of Periodontology. 

Fellow of the Academy of Osseointegration. 

Section Chief of Periodontics at 

Hackensack University Medical Center. 

ITI Fellow of the ITI. Lecturer and international 

author. 

Achieving Predictability 

through Simplicity in Implant 

Treatment 

This lecture will focus on clinical and 

practical application of implant therapy 

that leads to simplicity of treatment 

and predictable long term results. 

Dr. Jaffin will address how to achieve 

optimal clinical and esthetic outcomes 

through implant selection, surface technology, 

and loading protocol.

Hans-Peter Weber, DMD 

Chair, Department of Restorative Dentistry 

and Biomaterials Sciences, Harvard 

School of Dental Medicine, Boston, MA. 

Raymond J. and Elva Pomfret Nagle 

Professor of Restorative Dentistry at Harvard 

School of Dental Medicine. Dental 

Degree from the School of Dental Medicine, 

University of Berne (Switzerland). 

Certificates in Removable Prosthodontics 

and Periodontics, combined with Fixed 

Prosthodontics. Awarded with the Swiss 

Board Certification as a Periodontist 

(1986). Visiting Assistant Professor in the 

Department of Periodontics at the University 

of Texas Health Science Center at 

San Antonio. DMD degree at the Harvard 

School of Dental Medicine (1990). 

Active member of several professional 

organizations, including the International 

Team for the Promotion of Oral Implantology 

(I.T.I.). Current work: Research and 

teaching, as well as intramural practice 

in all phases of implant dentistry and 

related disciplines. Author of numerous 

articles in the areas of periodontics and 

implant dentistry. Lecturer at national and 

international events. Associate Editor of 

Clinical Oral Implants Research. 

Roxolid: biological and 

clinical potential of a stronger 

implant 

A new material has been developed 

to address the challenge of fulfilling 

the requirement to combine greater 

implant strength and uncompromised 

biocompatibility. Indications, treatment 

steps, and clinical studies of smaller 

diameter implants made of this new 

material will be presented. 

Will Martin, DMD, MS 

Clinical Associate Professor in the Departments 

of Oral and Maxillofacial Surgery 

and Prosthodontics at the University of 

Florida’s College of Dentistry. DMD with 

honors from the University of Florida and 

Completion of MS and Certificate in 

Prosthodontics from Baylor College of 

Dentistry. Joined the faculty at the University 

of Florida in 1999 and serves as the 

Clinical Director of the Center for Implant 

Dentistry. Diplomate of the American 

Board of Prosthodontics. Fellow of the 

American College of Prosthodontists, International 

College of Dentists, International 

Team for Implantology (ITI) and member 

of numerous professional organizations 

including the Academy of Osseointegration, 

ADA and FDA. Research interests 

include implant design, loading protocols, 

and implant biomechanics. Practice limited 

to Prosthodontics within the Center for 

Implant Dentistry. Lecturer at national and 

international events on esthetic and implant 

dentistry. 

Indications, Planning and 

Restorative Techniques Utilizing 

the Bone Level Implant 

– Early Results from a Multi- 

Center Clinical Trial 

This presentation will introduce current 

treatment modalities and review 

implant designs that influence the planning 

and treatment of anterior cases. 

One-year result of a prospective 

clinical trial of Straumann ® Bone Level 

Implant will be reviewed. Restorative 

techniques enhancing esthetic outcomes 

through utilization of CAD- 

CAM technology will be highlighted. 

Michael K. McGuire, DDS 

Graduate of Baylor University. DDS and 

Certificate of Periodontics from Emory 

University School of Dentistry. Full time 

private practice limited to periodontics in 

Houston, Texas. Clinical Assistant Professor 

of Periodontics at both the University 

of Texas Dental Branch at Houston and 

the University of Texas Health Science 

Center at San Antonio. Diplomate of the 

American Board of Periodontology and 

past president of the American Academy 

of Periodontology. Participation in clinical 

research and publication of many papers 

in prestigious journals as well as contribution 

of chapters to textbooks. Awarded 

1997 by the American Academy of 

Periodontology with the Clinical Research 

Award recognizing a series of his papers 

as the most clinically relevant periodontal 

research published that year. Serves 

on the editorial board of the Journal of 

Periodontology, the International Journal 

of Oral and Maxillofacial Implants, and 

the International Journal of Periodontics 

and Restorative Dentistry. Member of the 

American Dental Association’s Council on 

Scientific Affairs. Many continuing education 

programs throughout the United States 

and abroad. 

Treatment of Recession 

Defects with Coronally 

Advanced Flaps and 

Emdogain 

EVENTS 

This presentation will provide evidence 

on the effectiveness of coronally 

advanced flaps with the use of 

Straumann ® Emdogain in the treatment 

of recession defects. This clinicallyoriented 

lecture will blend diagnostic 

guidelines and step-by-step techniques 

to provide a well-rounded understanding 

regarding this treatment option and 

when it is indicated. 

STARGET 3 I 09 45


REVIEWS FROM THE MIDDLE EAST 

AEEDC Congress in Dubai 

Dubai 10–12 March at the Dubai International 

Convention & Exhibition Center 

The 13 th Annual UAE Dental Conference 

and Arab Dental Exhibition 

(AEEDC) was a successful meeting 

drawing over 6,000 professional 

conference delegates and over 

20,000 trade visitors from 113 

countries. H. H. Sheikh Hamdan 

Bin Rashid Al Maktoum, Deputy 

Ruler of Dubai, Minister of Finance 

and President of the Dubai Health 

Authority inaugurated the congress 

on the morning of the first day, 

March 10. 

The exhibition included 700 

companies from 65 countries. 

Straumann recently launched the 

Straumann ® Bone Level Implant 

in the Middle East region, which 

made AEEDC an ideal congress to 

showcase this new addition to the 

Straumann ® Dental Implant System. 

As an appreciation for the support 

of customers from all over the 

Region, Straumann hosted a gala 

dinner at Jumeirah Beach Resort 

with the famous Burj Al Arab as the 

backdrop to the already beautiful 

evening.

ITI Esthetic Master Course at the University 

of Sharjah, United Arab Emirates 

13–14 March at the University of Sharjah 

Following immediately after the 

AEEDC, Straumann organized the 

first ITI Esthetic Master Course at 

the University of Sharjah (UAE), 

with Prof Dean Morton from Louisville 

University (USA) and Prof 

William Martin from Florida University 

(USA). The completely booked 

course covered state-of-the-art techniques 

in the treatment of high-end 

esthetic implant cases. 

Besides receiving high level theoretical 

lectures based on the ITI 

consensus and treatment planning 

approach through clinical guidelines 

and cases from Dr Martin‘s 

and Dr Morton‘s remarkable experience, 

the 30 participants had the 

opportunity to exercise these often 

advanced techniques during clinically 

based practical sessions. Procedures 

such as making provisional 

restorations, surgical templates for 

esthetic-driven procedures and 

EVENTS 

customizing impression transfers for 

post mucosa forming impression 

taking were performed. 

We are most grateful to the University 

of Sharjah for the opportunity 

for providing us with the necessary 

premises and support to carry out 

this course. 

STARGET 3 I 09 47


7.2009–8.2010 

Worldwide 

Key Dental Events Calendar 

LAND 

COUNTRY MEETING DATES FULL MEETING NAME SHORT NAME CITY WEBSITE 

Argentina Nov. 4–7, 2009 Associacion Odontologica Argentina AOA Buenos Aires www.aoa.org.ar 

Argentina Aug. 4–7, 2010 Expodent Expodent Buenos Aires www.expodent.com.ar 

Australia Aug. 20–22, 2009 New Zealand Dental Association NZDA Wellington www.nzda.org.nz 

Australia Nov. 4–7, 2009 Australasian Osseointegration Society AOS Broadbeach - www.aosconference.com.au 

7 th Biennial Conference Gold Coast 

Austria Oct. 1–3, 2009 Österreichischer Zahnärztekongress ÖZÄK Innsbruck www.zaek-innsbruck2009.at 

Belgium Oct. 24, 2009 Conférence International de CIDAE Brussels www.cidae.be 

Dentisterie Adhésive et Esthétique 

Brazil Sept. 3–5, 2009 Congresso Internacional Comemorativo – 20 Anos São Paulo www.implantnews.com.br/ 

20 Anos de Osseointegração Osseointegração 20anos 

Brazil Jan. 30– Congresso Internacional de CIOSP São Paulo www.ciosp.com.br 

Feb. 3, 2010 Odontologia São Paulo 

Canada Oct. 12–17, 2009 Canadian Association of Oral and CAOMS Toronto www.caoms.com 

Maxillofacial Surgeons Annual Meeting 

Canada March 3–6, 2010 Joint meeting of the American and AADR, CADR Washington, www.iadr.org 

Canadian Association for Dental Research DC (USA) 

Canada April 15–17, 2010 Pacific Dental Conference PDC Vancouver www.pdconf.com/cms2010 

Canada May 13–15, 2010 Ontario Dental Association ODA Toronto www.youroralhealth.ca 

Annual Meeting 

Canada May 27–30, 2010 Canadian Academy of Periodontology CAP Vancouver www.cap-acp.ca 


Canada May 29– Journee Dentaires Internationales JDIQ Montreal www.ordredesdentistesdu 

June 1, 2010 du Quebec quebec.qc.ca 

China Oct. 28–31, 2009 13 th China International Exhibition & DenTech Shanghai www.dentech.com.cn 

Symposium on Dental Equipment, 

Technology & Products 

China March 29– Dental South China Dental South Guangzhou www.dentalexpo.cn 

April 1, 2010 China 

Denmark Sept. 24–25, 2009 Dental Fair Dental Fair Vejle www.dentalfair.dk 

Denmark April 15–17, 2010 Scandinavian Dental Fair Scandefa Copenhagen www.scandefa.dk 

Finland Aug. 27–29, 2009 Scandinavian Society for Prosthetic SSPD Naantali www.congress.utu.fi/ 

Dentistry sspd2009

COUNTRY 

MEETING DATES FULL MEETING NAME 

EVENTS 

SHORT NAME CITY WEBSITE 

Finland Nov. 12–14, 2009 Finnish Dental Congress and Exhibition Odontologi Helsinki www.apollonia.fi 

France Nov. 24–28, 2009 Association Dentaire Française ADF Paris www.adfcongres.com 

Germany July 11, 2009 Symposium Young ITI Young ITI Munich contact: 

„Dentale Implantologie – was bleibt, info.de@straumann.com 

was geht, was kommt?“ 

Germany Sept. 10–12, 2009 44 th Meeting of the Continental European IADR-CED Munich www.ced2009.org 

Division of the International Association 

for Dental Research 

Germany Nov. 5–7, 2009 Deutscher Zahnärztetag ZÄ-Tag Munich www.dgzmk.de 

Hungary Oct. 15–17, 2009 Dentalworld Dentalworld Budapest www.dentalworld.hu 

Israel Feb. 3–4, 2010 The Annual Meeting of the Israel Perio Tel Aviv www.perio.org.il 

Periodontal and Osseintegration Society 

Italy Oct. 9–10, 2009 XIX Congresso Internazionale della SICOI Milano www.sicoi.it 

Società Italiana di chirurgia Orale ed 

Implantologia 

Italy Nov. 13–14, 2009 XXII Giornate milanesi di Implantologia. Cenacolo Milano www.cenacolo.org 

I° Congresso di video chirurgia. Milanese 

Italy Nov. 28, 2009 Corso di aggiornamento. SIO Padova www.osteointegrazione.it 

L‘ausilio del computer in implantoprotesi: 

dal software diagnostico al cad-cam 

Japan Sept. 25–27, 2009 Japanese Society of Oral Implantology JSOI Osaka www.jsoi.org 

Japan Oct. 9–11, 2009 Japanese Society of Oral and JSOMS Sapporo www.jsoms.or.jp 

Maxillofacial Surgeons 

Korea Oct. 31– The Korean Academy of Prosthodontics KAP Seoul www.kap.or.kr 

Nov. 1, 2009 

Lithuania Sept. 25–27, 2009 1 st Baltic Sea Conference in BSCOSO Vilnius www.orthognathicsurgery. 

Orthognathic Surgery and Orthodontics info/conference 

Malaysia Nov. 5–8, 2009 13 th International Congress of Oral ICOI Kuala Lumpur www.13icoi-apscongress 

Implantologists - Asia Pacific Section 2009.com 

Mexico Sept. 24–26, 2009 VI Congreso Nacional E Internacional AMIB Guadalajara Jal. www.amibdental.com 

De Implantología Bucal 

Mexico Oct. 29–31, 2009 Congreso Nacional E Internacional ADM Mexico City www.adm.org.mx 

De La ADM 

STARGET 3 I 09 49


LAND 

COUNTRY 



Monaco Sept. 30– 18 th Annual Scientific Meeting of the EAO Monaco www.eao.org 

Oct. 3, 2009 European Association for Osseointegration 

Netherlands Sept. 25, 2009 ITI Congres der Lage Landen ITI Deurne www.iticongres2009.nl 

Netherlands Nov. 5–6, 2009 53 rd NVMKA congres NVMKA Utrecht www.nvmka.nl 

Philippines Sept. 23–27, 2009 Philippine Dental Association PDA Convention Manila www.pda.ph 

Annual Convention 

Portugal Oct. 9–11, 2009 5 th European Federation of Oral EFOSS Oporto www.socportco.com 

Surgery Societies 

Portugal Oct. 17–18, 2009 28 th Congresso da Sociedade Portuguesa SPMED Coimbra www.spemd.pt 

de Estomatologia e Medicina Dentária 

Portugal Nov. 20–22, 2009 17 th Congresso da Ordem dos OMD Oporto www.omd.pt 

Médicos Dentistas 

Singapore Sept. 1–5, 2009 Annual Congress of the FDI World FDI Singapore www.fdiworldental.org 

Dental Federation 

Singapore April 16–18, 2010 IDEM Singapore IDEM Singapore www.idem-singapore.com 

South Africa Sept. 10–13, 2009 13 th Meeting of the International ICP Cape Town www.icp-org.com 

College of Prosthodontists 

Spain Sept. 17–19, 2009 7 th Congreso Anual de la Sociedad SECIB Almería www.secibonline.com 

Española de Cirugía Bucal 

Spain Oct. 9–11, 2009 39 th Reunión de la Sociedad Española SEPES Barcelona www.sepes.org 

de Prótesis Estomatológica 

Spain Nov. 12–14, 2009 43 th Reunión Española de la Sociedad SEPA Las Palmas www.sepa.es 

Española de Periodoncia y Osteintegración 

Spain July 14–17, 2010 88 th General Session & Exhibition IADR Barcelona www.iadr.org 

of the International Association for 

Dental Research 

Sweden Sept. 2–4, 2009 Annual Meeting of the Swedish KKF Visby www.kkf.nu 

Association of Oral and Maxillofacial 

Surgeons (KKFs årsmöte) 

Sweden Sept. 9–11, 2009 Annual Meeting of the Swedish Society SFOP Halmstad www.sfop.se 

for Prosthodontics (Tylösandsdagarna)

COUNTRY 


EVENTS 


Sweden Nov. 12–14, 2009 Swedental, Stockholm Swedental Stockholm www.swedental.se 

Switzerland Oct. 11–17, 2009 Oralchirurgie und Stomatologie SSO Flims www.fortbildungund 

für den Privatpraktiker erholung.ch 

Switzerland Oct. 30, 2009 SSRD Jahrestagung SSRD Bern www.ssrd.ch 

Ist das Alter in der rekonstruktiven 

Zahnmedizin von Bedeutung? 

Switzerland Nov. 5–7, 2009 Fachtagung SGK/SSODF SGK Zürich www.swissortho.ch 

Switzerland Nov. 12, 2009 Fachtagung der SGI SGI/SSIO Luzern www.sgi-ssio.ch 

Switzerland April 14–17, 2010 ITI World Symposium ITI WS Geneva www.iti.org 

UAE March 9–11, 2010 UAE International Dental Conference & AEEDC Dubai www.aeedc.com 

Arab Dental Exhibition 

UK Dec. 11–13, 2009 British Association of Oral Surgeons BAOS Birmingham www.baos.org.uk 

Conference 

UK March 19–20, 2010 The Dentistry Show NEC Birmingham www.thedentistryshow.co.uk 

USA Sept. 12–15, 2009 Academy of Periodontology‘s AAP Boston, MA www.perio.org 


USA Oct. 1–4, 2009 American Dental Association‘s ADA Honolulu, HI www.ada.org 


USA Oct. 12–17, 2009 American Association of Oral and AAOMS Toronto www.aaoms.org 

Maxillofacial Surgeons Annual Meeting (Canada) 

USA Nov. 4–7, 2009 American College of Prosthodontic‘s ACP San Diego, CA www.prosthodontics.org 


USA Nov. 28– Greater New York Dental Meeting GNYD New York, NY www.gnydm.org 

Dec. 1, 2009 

USA Jan. 27–31, 2010 Yankee Dental Congress Yankee Boston, MA www.yankeedental.com 

USA Feb. 25–27, 2010 Chicago Mid-Winter Meeting Mid-Winter Chicago, IL www.cds.org 

USA March 3–6, 2010 Joint meeting of the American and AADR, CADR Washington, DC www.iadr.org 

Canadian Association for Dental Research 

USA March 4–6, 2010 Academy of Osseointegration‘s AO Orlando, FL www.osseo.org 


STARGET 3 I 09 51

52 STARGET 3 I 09 SIMPLY DOING MORE 

1 The abstracts of 

the quoted articles are 

publicly available from 

the database PubMed 

(www.pubmed.gov). 

The complete articles 

can be ordered there 

for a fee. 

SELECTED LITERATURE OF RECENTLY PUBLISHED JOURNALS 1 

LITERATUREALERTS 

STRAUMANN ® EMDOGAIN 

Crea A, Dassatti L, Hoffmann O, 

Zafiropoulos G-G, Deli G. Treatment 

of intrabony defects using guided 

tissue regeneration or enamel matrix 

derivative: a 3-year prospective ran- 

domized clinical study. 

J Periodontol 2008;79(12):2281- 

2289. 

Intrabony defects ≥ 4 mm in 40 

patients were treated with guided 

tissue regeneration (GTR) or EMD, 

with clinical evaluations at baseline 

and after 12 and 36 months. 

Reductions in probing depth and 

mean clinical attachment level 

gain were significantly greater in 

both groups compared to baseline, 

and there was a significant 

improvement with EMD compared 

to GTR. Radiographic bone fill was 

also greater with EMD after 36 

months. 

Hoidal MJ, Grimard BA, Mills MP, 

Schoolfield JD, Mellonig JT, Mealey 

BL. Clinical evaluation of demineral- 

ized freeze-dried bone allograft with 

and without enamel matrix deriva- 

tive for the treatment of periodontal 

osseous defects in humans. 

J Periodontol 2008;79(12):2273- 

2280. 

In 32 patients, 41 intrabony 

defects ≥ 2 mm were treated with 

demineralized freeze-dried bone 

allograft alone or in combination 

with EMD. Clinical measurements 

were recorded at baseline and 

after 6 months. There was a significant 

difference from baseline in 

each group but no significant difference 

between the groups. Both 

treatments were therefore safe and 

effective. 

I 

STRAUMANN ® DENTAL 

IMPLANT SYSTEM 

Bergkvist G, Nilner K, Sahlholm S, 

Karlsson U, Lindh C. Immediate load- 

ing of implants in the edentulous 

maxilla: use of an interim fixed pros- 

thesis followed by a permanent fixed 

prosthesis: a 32-month prospective 

radiological and clinical study. 

Clin Implant Dent Relat Res 

2009;11(1):1-10. 

A total of 168 Straumann implants 

were placed in 28 patients and 

immediately loaded with an interim 

prosthesis; a permanent prosthesis 

was placed after 15 weeks. 

Mean marginal bone loss values 

were 1.6 ± 1.16 mm, 0.41 ± 

0.63 mm and 0.08 ± 0.49 mm 

for baseline to 8 months, 8 to 

20 months and 20 to 32 months, 

respectively. After 32 months, the 

implant survival rate was 98.2 %, 

similar to survival rates obtained 

with conventional loading.

Bornstein MM, Halbritter S, Harnisch 

H, Weber H-P, Buser D. A retrospec- 

tive analysis of patients referred for 

implant placement to a specialty clin- 

ic: indications, surgical procedures, 

and early failures. 

Int J Oral Maxillofac Implants 

2008;23(6):1109-1116. 

A total of 1,206 patients (573 

male, 633 female) who had 

received 1,817 Straumann 

implants over a 3-year period 

were retrospectively analyzed. 

Maxillary single-tooth replacement 

was the most frequent reason for 

referral (28.7%), and 40% of 

implants were placed in the anterior 

maxilla. Bone augmentation 

was performed with 51.7% of 

implants. The early failure rate 

was 0.7%, although significant 

failure etiologies were not identified. 

Chen ST, Darby IB, Reynolds EC, 

Clement JG. Immediate implant 

placement postextraction with- 

out flap elevation. J Periodontol 

2009;80(1):163-172. 

Immediate single-tooth Straumann 

implants were placed in 85 patients 

using a flapless technique, and the 

change in mucosal level assessed. 

After 1 year, significant recession 

of the mesial and distal papilla and 

facial mucosa were observed, and 

recession was greater for implants 

placed facially than lingually. 

Where the gingival margin was 

initially level, recession > 10% was 

more common in thin than thick 

biotypes. However, the majority of 

sites (> 80%) achieved acceptable 

esthetic outcomes. Immediate flapless 

implant placement was therefore 

associated with some recession, 

and tissue biotype and implant 

position were the main contributory 

factors. 

PEG-MEMBRAN 

SIMPLY DOING MORE 

Jung RE, Hälg GE, Thoma DS, Häm- 

merle CHF. A randomized controlled 

clinical trial to evaluate a new mem- 

brane for guided bone regeneration 

around dental implants. Clin Oral 

Implants Res 2009;20(2):162-168 

Straumann implants were placed in 

37 patients with an osseous defect 

in the posterior maxilla or mandible, 

and the defects were grafted with 

bovine bone mineral and covered 

with either a poly ethylene glycol 

(PEG) hydrogel or a collagen 

membrane as control (19 and 

18 patients, respectively). After 6 

months, well-vascularized regenerated 

bone was found at all sites, 

similar to native bone. Mean defect 

fill and mean vertical defect fill were 

94.9% and 5.63 ± 1.84mm in the 

PEG membrane group and 96.4% 

and 4.25 ± 1.16mm at control 

sites. Results indicated that the PEG 

membrane was as successful as a 

collagen membrane for dehiscence 

defects, with easier clinical handling. 


Selected literature of 

potential interest from 

recently published 

journals.

54 STARGET 3 I 09 SIMPLY DOING MORE 

Selected literature of 

potential interest from 

recently published 

journals. 

STRAUMANN ® SLACTIVE 

Lai H-C, Zhuang L-F, Zhang Z-Y, 

Wieland M, Liu X. Bone apposition 

around two different sandblasted, 

large-grit and acid-etched implant 

surfaces at sites with coronal circum- 

ferential defects: an experimental 

study in dogs. Clin Oral Implants Res 

209;20(3):247-253. 

Following extraction of mandibular 

premolars and first molars, three 

Straumann implants with SLA ® 

or modified SLA ® surfaces were 

placed in each side of the mandible 

of six dogs; the implants had 

either a 0.5mm gap, a 1.0mm gap 

or no gap between implant and 

bone in the coronal 5mm of the 

implant. The bone apposition pattern 

was similar for both surfaces, 

but BIC, new bone fill and distance 

from most coronal BIC to defect 

bottom were significantly greater for 

the modified SLA ® surface at 2 and 

4 weeks, but the difference was not 

significant at 8 weeks. The modified 

SLA ® surface may therefore 

enhance bone apposition in coronal 

circumferential defects ≤ 1mm at 

non-submerged implants. 

Schwarz F, Wieland M, Schwartz Z, 

Zhao G, Rupp F, Geis-Gerstorfer J, 

Schedle A, Broggini N, Bornstein MM, 

Buser D, Ferguson SJ, Becker J, Boyan 

BD, Cochran DL. Potential of chemi- 

cally modified hydrophilic surface 

characteristics to support tissue inte- 

gration of titanium dental implants. 

J Biomed Mater Res B Appl Biomater 

2009;88(2):544-557. 

The available evidence on hydrophilic 

surface modifications on 

implants was evaluated. Evidence 

suggests that hydrophilic surface 

properties have a significant effect 

on cell differentiation and growth 

factors, and improve early stages 

of soft and hard tissue integration 

of submerged and nonsubmerged 

implants. Preclinical data has been 

corroborated by results from clinical 

studies.

■ 

Switzerland 

Institut Straumann AG 

Peter Merian-Weg 12 

4002 Basel 

Tel. +41/61 965 11 11 

Fax +41/61 965 11 01 

Subsidiary companies: 

Australia/New Zealand 

Straumann Pty. Ltd. 

7 Gateway Court 

Port Melbourne 3207 

Victoria 

Tel. +61/39 64 67 060 

Fax +61/39 64 67 232 

Austria/Hungary 

Straumann GmbH Austria 

Florido Tower 

Floridsdorfer Hauptstr. 1 

1210 Wien 

Tel. +43/12 94 06 60 

Fax +43/12 94 06 66 

Belgium 

Straumann 

Belgicastraat 3 

1930 Zaventem 

Tel. +32/27 90 10 00 

Fax +32/27 90 10 20 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

Brazil 

Straumann Brasil Ltda 

Rua Funchal 263 

04551-060 São Paulo 

Tel. +55/11 30 89 66 83 

Fax +55/11 30 89 66 84 

Canada 

Straumann Canada Ltd. 

4145 North Service Road 

Suite 303 

Burlington/ON-L7L 6A3 

Tel. +1/905 319 29 00 

Fax +1/905 319 29 11 

Denmark 

Straumann Danmark ApS 

Hundige Strandvej 178 

2670 Greve 

Tel. +45/46 16 06 66 

Fax +45/43 61 25 81 

Finland 

Straumann Oy 

Fredrikinkatu 48A 7 krs. 

00100 Helsinki 

Tel. +358/96 94 28 77 

Fax +358/96 94 06 95 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ ■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ 

■ ■ 

■ ■ 

■ ■ 

■ 

■ 

■ 

■ 

■ ■ 

■ ■ 

■ ■ 

Subsidiary companies 

Distributors 

■ 

France 

Straumann France 

3, rue de la Galmy - Chessy 

77701 Marne-la-Vallée cedex 4 

Tel. +33/164 17 30 00 

Fax +33/164 17 30 10 

Germany 

Straumann GmbH 

Jechtinger Straße 9 

79111 Freiburg 

Tel. +49/76 14 50 10 

Fax +49/76 14 50 11 49 

Great Britain 

Straumann Ltd. 

3 Pegasus Place, Gatwick Road 

Crawley RH109AY, 

West Sussex 

Tel. +44/12 93 65 12 30 

Fax +44/12 93 65 12 39 

Italy 

Straumann Italia s.r.l. 

Viale Bodio 37a 

20158 Milano 

Tel. +39/02 39 32 831 

Fax +39/02 39 32 8365 

WORLD-WIDE NEAR TO CUSTOMERS STARGET 3 I 09 55 

■ 

■ 

■ 

■ 

■ 

■ ■ 

■ 

■ 

■ ■ 

Japan 

Straumann Japan K.K. 

3-231-3 Hamaderakoen-cho 

Nishi-ku, Sakai-Shi 

Osaka, Japan 592-8346 

Tel. +81/722 64 18 82 

Fax +81/722 64 18 24 

Mexico 

Straumann México SA de CV 

Rubén Darío # 281 int. 1702 

Piso 17 

Col. Bosque de Chapultepec 

11580 México DF. 

Tel. +52/55 5282 6262 

Fax +52/55 5282 6289 

Netherlands 

Straumann B.V. 

Postbus 338 

3400 AH IJsselstein 

Tel. +31/30 60 46 611 

Fax +31/30 60 46 728 

Norway 

Straumann AS 

P.O.Box 1751 Vika 

0122 Oslo 

Tel. +47/23 35 44 88 

Fax +47/23 35 44 80 

■ 

■ 

■ 

■ 

South Korea 

Straumann South Korea 

(formerly: B.I. Trading Co. Ltd.) 

1467-75, Seocho3 -Dong, 

Seocho-Gu, Seoul 

Tel. +82/72 265 8777 

Fax +82/72 265 8797 

Spain/Portugal 

Straumann S.A. 

Edificio Arroyo - A 

Avda. de Bruselas, 38 

Planta 1 

28108 Alcobendas (Madrid) 

Tel. +34/902 400 979 

Fax +34/913 449 517 

Sweden 

Straumann AB 

Fabriksgatan 13 

41250 Göteborg 

Tel. +46/31 708 75 00 

Fax +46/31 708 75 29 

USA 

Straumann USA, LLC 

60 Minuteman Road 

Andover, MA 01810 

Tel. +1/800 448 8168 

+1/978 747 2500 

Fax +1/978 747 2490

STRAUMANN ® DENTAL IMPLANT SYSTEM 

THE NEXT BEST THING TO NATURAL TEETH 

Featuring the 

unique 

SLActive surface! 

07/09 152.500 e

NOW - straumann.com.ph

Create successful ePaper yourself

Delete template?

Save as template?