Winter 2007 - Biomet 3i

Volume 2 / Issue 1 / Winter 2007W E L C O M E F R O M T H E P R E S I D E N TTable Of ContentsPageWelcome From The President 1Product Innovations 2One Nano Step For Man,One Giant Leap For Implant Dentistry…Introducing The NanoTite ImplantAnother Rapid Adjustment For A Winning SmileA Matter Of Degree…And A DayAct TwoSimplicity For Site PreparationAnything Is Possible ProvidingYou Work As A TeamTechnology In Motion 4Immediate Implant Placement AndProvisionalization With A NanoTite Certain ®PREVAIL ® Implant And PreFormance ® PostPoint Of View 6Dr. Pär-Olov ÖstmanLiterature Review: 7Benefits Of An Implant Platform ModificationTechnique To Reduce Crestal Bone ResorptionOptimizing Anterior Esthetics With ImmediateImplant Placement And A Fixed ProvisionalRestoration: A Patient PresentationRandomized-Controlled Histological AndHistomorphometric Evaluation Of NanoTiteAnd Control Site Evaluation Implants (SEI)In The Human Posterior MaxillaDiscrete Calcium Phosphate NanocrystalsRender Titanium Surfaces Bone Bonding Roughness Characterization Of SurfaceWith Discrete Crystalline Deposition Of Nanometer-Scale CaP CrystalsDiscrete Calcium Phosphate NanocrystallineDeposition Enhances OsteoconductionOn Titanium-Based Implant SurfacesProfessional Development Corner 10Master Or Apprentice, There Is A Plan For YouYour “Practice Enhancement Portfolio” Is HereGlobal Education And Events 11Global Meetings Of InterestNorth AmericaEuropeLatin AmericaPacific RimSteve Schiess - PresidentWelcome to Eye On 3i!I truly hope all of you areoff to a great 2007. As wegear up for the Academyof Osseointegration AnnualMeeting, I am happy toshare news on someof our exciting initiatives.We are beginning an exciting new chapter in thehistory of 3i, which has been a division of BIOMETsince late 1999. I am pleased to announce thatBIOMET Inc. will remain independent and becomea private company with plans to be acquired bya consortium of private equity funds later thisyear. Business will continue as normal, and withthe backing of our strong financial partners, wewill be even better positioned to provide you andyour patients with the best in innovative, highquality products.As you may have heard through priorcorrespondence, we are pleased to announcethat our company branding is changing to morefully incorporate the BIOMET ® Name. In orderto have greater consistency in the use of ourname, increase global awareness and recognitionof our parent company BIOMET and leveragethe synergy of consistent imaging among allBIOMET Subsidiaries, 3i Products will soon besold under the “BIOMET 3i” name worldwide.The name BIOMET (“bio” for body and “met”for metallurgical implants) aptly suits the natureof our business and links nicely to the 3i Name.With the transition, we will use the BIOMETCorporate Colors of maroon and (titanium) grey.Thank you in advance for your support as wetransition through this new chapter of our growth.I am thrilled to announce that we have chosen theAO Meeting for the formal introduction of the mostsignificant new product in our recent history. After10 years of proven success with the OSSEOTITE ®Implant, we are introducing our new NanoTite Implant, which appears, based on pre-clinical data,to show a profound impact on early healing and tohave an impact in accelerating the rate andamount of Bone-To-Implant Contact (BIC) inthe early stages of healing.*To learn more about this product, see TechnologyIn Motion, Point Of View and Literature Reviewinside. On page 11, you will find a list of upcomingEvening Programs featuring the NanoTite Implant,where you can join colleagues to learn how thisimplant may impact your practice.Finally, it is my pleasure to announce that plansare underway to celebrate yet another milestone:our company’s 20 years of innovations in implantdentistry. The focal point of this celebration is theBIOMET 3i Global Symposium entitled ScienceAnd Technology Reshape Implant Dentistry inChicago, Illinois, April 24-26, 2008. Mark yourcalendars and join us.As always we look forward to assisting you inyour work to provide patients with the highestlevel of care possible in 2007 and beyond. Enjoythis issue of Eye On 3i and once again pleaseknow how much we appreciate your business!Warm regards,Steve SchiessPresident*Data on fileOnline Access 12Play It Smart When Ordering ProductsGlobal Headquarters4555 Riverside DrivePalm Beach Gardens, FL 334101-800-342-5454Outside The U.S.: +1-561-776-6700Fax: +1-561-776-1272www.3i-online.com

P R O D U C T I N N O V A T I O N SOne Nano Step For Man,One Giant Leap For Implant Dentistry…Introducing The NanoTite ImplantThe NanoTite Implant is a novel surface designed for enhancedimplant integration and performance:• Synergy Of The OSSEOTITE ® Surface And Discrete CrystallineDeposition Of Calcium Phosphate (CaP) – More ComplexTopography And The Biologic Benefits Of CaP May Play A KeyRole In Enhanced Site Response, Potentially Improving ClinicalPredictability And Outcomes• Preclinical Studies Demonstrate A Substantial Improvement On TheRate And Extent Of Osseointegration For The NanoTite Implant VersusThe OSSEOTITE Implant*• Potentially Improved Bone Fixation Leading To More Steady StateImplant Stability During The Critical Early Healing Phases - MayImprove Predictability In More Challenging Clinical Cases*Why Is The NanoTite Implant Different?It all starts with the proven OSSEOTITE Surface and it gets better witha nano-scale calcium phosphate Discrete Crystalline Deposition(CaP DCD ) Surface Treatment.NanoTite Surface at 20,000x magnificationThe OSSEOTITE Surfacehas more than 10 yearsof clinical experiencemaintaining high successrates in various cases*.The NanoTite Implantbuilds on this successby incorporating thepotential benefitsof calcium phosphates.Traditionally, CaP has been plasma sprayed on the implant surface,which may lead to the potential for adverse events such as delaminationand periimplantitis. However, the total amount of CaP material on aNanoTite Implant is so small that it measures less than 20 micrograms.This characteristic substantially distinguishes the NanoTite Implant fromtraditional plasma-sprayed CaP coatings, which have approximately20,000 micrograms of CaP.In addition, DCD increases the micro-surface area by approximately200%, providing greater micro complexity which may be conducive tobone regeneration.Pre-clinical Studies Indicate Superior Bone-To-Implant FixationSeveral preclinical studies indicate the synergy of the OSSEOTITESurface and DCD creates an environment conducive to an improved rateand extent of osseointegration not duplicated when applying DCD to amachined surface*.NanoTiteCertain ® ImplantNanoTitePREVAIL ® Implant• The NanoTite Certain Implant is amodified hybrid where the coverageof both the OSSEOTITE Surface andthe nano-scale crystals go up tothe base of the implant collar• The NanoTite PREVAIL Implantincorporates integrated PlatformSwitching TM and has the OSSEOTITESurface and the nano-scale crystalsto the top of the collar, creating acontinuous bone-loading surfaceSo How Does The NanoTite Implant Benefit You?The NanoTite Implant may be your step forward with:• Immediate And Accelerated Loading Protocols• Immediate Replacement In Extraction Sockets• Simultaneous Implant Placement In Grafted Sites• Aesthetic Areas Where Bone Preservation Is Critical• Implant Placement In Poor Quality Bone• Locations Requiring Short Or Wide ImplantsFor A Giant Leap Forward In Implant Dentistry, Call Your LocalBIOMET 3i Sales Representative Today.*Data on file2

P R O D U C T I N N O V A T I O N S C O N T I N U E DAnother Rapid Adjustment For A Winning SmileWhen you need an aesthetic designwith enduring strength, you have newoptions. PreFormance ® ProvisionalComponents now include the newExternally Hexed PreFormance Postsand Temporary Cylinders in additionto the Certain ® PreFormance Line.The PreFormance Post andTemporary Cylinder are made of astrong, biocompatible material calledPEEK (Polyetheretherketone) that iseasily customized to your patient’s tissue contours and anatomic profile.Intraoral preparation time is much faster and easier than with titanium andyour patients can leave with pleasing aesthetics the day of surgery. As acost-effective option for optimum tissue healing, PreFormance ProvisionalComponents offer some of the longest temporary in vivo use of polymerson the market at 180 days.Easy to use for immediate provisionalization of single and multiple unitrestorations, the PreFormance Post and Pre-Angled 15° PreFormance Postare available in 3.4, 4.1, 5 and 6mmplatforms. All are available in two collarheights of 4mm and 6mm; post heightis 7mm. The Pre-Angled PreFormancePost titanium insert allows for 12point positions.Additionally, the PreFormance TemporaryCylinders are available for longer lasting,immediate single and multiple-unitrestorations. The total height of thePreFormance Temporary Cylinder fromthe platform is 10mm.Both the PreFormance Post and theTemporary Cylinder are packaged withthe appropriate Hexed Titanium Screw.For high performance with immediateresults, please call your local BIOMET 3iSales Representative.External Hex–PreFormance PostExternal Hex–PreFormanceTemporary CylinderA Matter Of Degree … And A DayAct TwoFor another angle on conical abutments, look toour line of Conical Angled Abutments.* Debutingin Spring 2007, these will include the new 17°and 25° angles for single and multiple-unit,screw-retained restorations. These additionsoffer restoring clinicians a new option for anglecorrection and offer surgeons more choicesfor anatomical implant positioning.Additionally, the Conical 17° and 25° AngledAbutments will be included in the DIEM Guidelines for Immediate Occlusal Loading —expanding the clinician’s options when offeringpatients complete dental care in a day.The new 17° and 25° angles will be available in4.1 and 5mm platforms for versatility of implant17° 25°selection and in 2 and 4mm collars toaccommodate varying tissue heights.The new Conical Angled Abutments willbe available in both the External Hex andCertain ® QuickSeat ® Connections.Conical Angled Abutments with the CertainQuickSeat Connection are supplied with theCertain Hexed Titanium Screw (IUNIHT).The Conical Angled Abutments for externalconnection are supplied with a titanium screwfeaturing a beveled head. Both screws aretightened to 20Ncm.For more information, please call your localBIOMET 3i Sales Representative.17° 25°In addition to the Advanced CuttingTechnology ® (ACT ) Drills, BIOMET 3inow offers two new components formore accurate site preparation:The ACT Drill Extension (ACTDE)features a more positive lock on the drillshank and the drill is easily removed fromthe extension. Clinicians may purchase theACT Drill Extension as an individual itemand it replaces the DE016 in all BIOMET 3iSurgical Kits.The new ACT Pointed Starter Drill(ACTPSD) may be used to begin preparingthe osteotomy in lieu of a round bur. Thesharp pointed tip stays in place on thealveolar ridge to more accurately achievethe desired location of the osteotomy.Depth marks of 4, 7, 8.5 and 10mmprovide reference points when redirectingthe osteotomy in the socket after animmediate extraction.Certain Conical Angled Abutments*510(k) PendingExternal Hex Conical Angled AbutmentsFor more information, please call your localBIOMET 3i Sales Representative.Please Note: Not all products are available outside the U.S. Please contact your local BIOMET 3i Sales Representative for availability.3

P R O D U C T I N N O V A T I O N S C O N C L U D E DSimplicity For Site PreparationHarold Baumgarten (Left), DMD, Philadelphia, PAAnd Alfred D. Nelson (Right), CDT, AmsterdamDental Laboratory, Philadelphia, PABIOMET 3i can help you make site preparation a simple process with two additions to thePSKT Surgical Kit Series:• The Starter Surgical Kit (PSKT01) is an excellent choice for surgeons who want tobegin placing BIOMET 3i Implants. With this basic kit, you can place either ExternalConnection Implants or Certain ® Internal Connection Implants up to 5mm in diameter.Components may be added to the kit as desired.• For surgeons placing only BIOMET 3i Certain Implants, the Certain Surgical Kit(PSKT35) is available.Additionally, the PSKT Surgical Kit Series offers surgeons:• Color-coded Grommets For Simple Replacement Of Instrumentation• Color-coded Steps For Selecting The Appropriate Instrumentation During Surgery• Dedicated Slots For Implant Packaging That Facilitate Hands-Free Implant PlacementFor more information on how simple site preparation can be with the right surgical kit,please call your local BIOMET 3i Sales Representative.Anything Is Possible Providing You Work As A TeamTeam up with BIOMET 3i for a winning product portfolio for simpler restorations. The newaddition to BIOMET 3i ’s line of Provide ® Abutments is the Provide Temporary Cylinder.Available for single-unit and multi-unit cases, the Provide Temporary Cylinder allowsclinicians to temporize abutments with a provisional crown, providing the patient a fast,aesthetic solution. Made out of PEEK material (Polyetheretherketone), Provide TemporaryCylinders offer strength and longevity of up to 180 days in vivo use.This new option for provisionalization isavailable in two EP ® Profiles of 4.8mm and6.5mm and in one post height of 5.5mm. Thesingle-unit Provide Temporary Cylinder has ananti-rotational flat side.Start to finish, BIOMET 3i helps restorationsstay on track. For easy-to-use components,please call your local BIOMET 3i SalesRepresentative.Patients today demand aesthetic looking toothreplacements with short treatment times. Implantdesigns with enhanced surfaces and provisionalabutments provide clinicians with the ability toperform immediate implant placement andprovisionalization procedures in one appointment.The patient leaves the office with an aesthetic toothcoloredrestoration supported by a dental implant.New surface technology techniques allow thedeposition of individual nanometer-sized crystalsof calcium phosphate onto the proven OSSEOTITE ®Implant Surface. This is called Discrete CrystallineDeposition or DCD . This new NanoTite Implantfeaturing the DCD Surface may enhance outcomeswhen used for indications such as immediateextraction sockets. The speed to the definitiverestorative stage may enhance patient satisfactionand help build referrals from patients or dentists.The following Clinical Case Presentation demonstratesthe combined techniques of tooth extraction withimmediate placement of a NanoTite Certain PREVAIL ®Implant and immediate provisionalization with aPreFormance ® Post in one visit.A 57-year-old female presented with a fracturedall-ceramic crown on tooth #7. A post was in placewith much of the coronal tooth structure missing(Figure 1). Radiographic examination revealed thepresence of a short root with a post that was thickrelative to the diameter of the tooth root (Figure 2).Rather than attempting to remove the large postand risk weakening the remaining root further, thedecision was made to extract the root (Figure 3)and place an implant-supported restoration.Following careful extraction of the tooth root withperiotomes and without raising a soft-tissue flap,a 3.25mm diameter, 13mm length NanoTiteCertain PREVAIL Implant was placed. A PreFormancePost (made from PEEK— polyetheretherketone) with a6mm collar and a 3.4mm restorative seating platformwas placed into the internal interface of the CertainPlease Note: Not all products are available outside the U.S. Please contact your local BIOMET 3i Sales Representative for availability.4

T E C H N O L O G Y I N M O T I O NImmediate Implant Placement And ProvisionalizationWith A NanoTite Certain ® PREVAIL ® Implant And PreFormance ® PostImplant with an audible and tactile click to confirmproper seating. Minor modifications were performedintraorally with a coarse diamond and high-speedhandpiece using copious irrigation. Then, themodified post was removed for minor extraoraladjustments and polishing with a carbide bur andgreen stone on a slow speed handpiece (Figure 4).A polycarbonate crown shell was selected andrelined intraorally over the modified abutment.The abutment and crown were removed and themargins of the crown were refined extraorally. Afterpolishing, the PreFormance Post was placed backinto the implant and the abutment was securedwith an abutment screw tightened to 20Ncm. Thecrown was cemented with temporary cement anda periapical radiograph was taken to ensure therewas no remaining cement in the sulcus (Figure 5).The crown was adjusted out of occlusal andinterproximal contacts following the principlesfor immediate non-occlusal loading (Figure 6).Figure 1Figure 2Figure 7Figure 8After five weeks, the provisional crown wasremoved revealing healthy soft tissue surroundingthe PreFormance Post (Figure 7). The PreFormancePost was then removed and an Osstell Smartpeg was placed into the implant (Figure 8) to measurethe stability of the implant. An ISQ value of 70confirmed that the implant was very stable andcould therefore receive a definitive restoration.Figure 3Figure 9An Impression Coping 3.4mm(D) was placed(Figure 9) and an impression was made with afirm body impression material. An impressionof the opposing arch, a bite registration andshade were sent to the dental laboratory forfabrication of a custom abutment and a Captek crown. The PreFormance Post and provisionalcrown were replaced.Figure 4Figure 10Upon receipt of the definitive restoration from thelaboratory, the provisional crown was removed andthe custom abutment was placed into the internalinterface of the implant (Figure 10) with an audibleand tactile click to ensure complete seating. Aperiapical radiograph was also taken. The customabutment was then secured with a Gold-Tite ®Abutment Screw tightened to 20Ncm. The definitivecrown was tried in, followed by adjustment of theocclusion and interproximal contacts, then cementedwith Temrex ® Cement (Figure 11). The patient’streatment was concluded with a natural looking,implant-supported restoration in nine weeks afterextraction of the failed tooth (Figure 12).Figure 5Figure 11Figure 6Figure 125

L I T E R A T U R E R E V I E WRoughness Characterization Of Surface WithDiscrete Crystalline Deposition Of Nanometer-Scale CaP CrystalsPrabhu Gubbi, PhDZachary Suttin, MSMEAlexis Goolik, MSCE–BMEA Poster Presentation To The Academy Of Osseointegration Annual Meeting,March 8-10, 2007, In San Antonio, TexasThe objective of this study was to characterize the surface roughnessof polished titanium disks with nanometer-scale calcium phosphate (CaP)crystals deposited by a new proprietary surface treatment called DiscreteCrystalline Deposition (DCD ).Materials And MethodsTi (Ti-6Al-4V-ELI) disks, 20mm in diameter and 1.5mm in thickness, weremachined and polished on one side to a mirror finish (Control group). Agroup of polished disks were deposited with nano-scale CaP crystals usingthe DCD process (CaP group). Atomic Force Microscopy (AFM), widelyemployed to quantify surface measurement parameters of surfaces withnanometer topographical characteristics, was used to obtain surface maps.Using AFM (Model MMAFM-2, Digital Instruments) in tapping mode, twodisks from each group were analyzed with various spot sizes. The datawere post-processed using a 3x3 low filter, with background subtractionand line by line averaging with a 3x3 degree polynomial. The key roughnessparameters obtained were Sq (root mean square variation over the surface)and Sa (absolute mean height deviation).ResultsThe calculated overall means for the Control group (N = 20 data points)were Sq = 5.04nm ± 3.62nm and Sa = 3.29nm ± 2.37nm. For the CaP group(N = 18 data points), the corresponding values were Sq = 19.3nm ± 6.4nmand Sa = 14.8nm ± 5.1nm.ConclusionThe surface roughness characterization using AFM suggests that thedeposition of nanometer-scale CaP crystals over a polished surfacesubstantially increases the topographical complexity.These atomic force microscopy (AFM) images compare a polished titaniumdisk surface (left) to the complex topography resulting from the DCDof nanometer-scale CaP crystals (right).Discrete Calcium Phosphate Nanocrystalline Deposition EnhancesOsteoconduction On Titanium-Based Implant SurfacesVanessa C. Mendes, DDS, MSc, PhDJohn E. Davies, BDS, PhD, DSc, FSBEA Poster Presentation To The Academy Of Osseointegration Annual Meeting,March 8-10, 2007, In San Antonio, TexasThe surface microtopography of implants influences biological response inthe periimplant compartment by enhancing early periimplant healing andpromoting increased Bone-To-Implant-Contact (BIC). A recent technology hasbeen developed, in which nano-structured calcium phosphate (CaP) crystalsare deposited onto microtopographically complex titanium surfaces, addinganother level of complexity to them. Our study was aimed at analyzing andcomparing osteoconduction, measured asBIC, on micro and nano-textured titaniumimplant surfaces, using a bone ingrowthchamber model.Back-scattered imaging modeclearly distinguishes between theT-Plant chamber wall and thesurrounding, and ingrown, bone.Custom T-shaped bone ingrowth chamberswere fabricated from either commerciallypure titanium (cp) or titanium alloy (Ti64).All chambers were dual acid etched (DAE)and half of them were modified by aDiscrete Crystalline Deposition (DCD)of CaP on the surface. Four groups weregenerated (cp, cpDCD, Ti64, Ti64DCD) with a total of 130 implants placedinto both femora of male Wistar rats for nine days. After harvesting, sampleswere resin embedded and back-scattered electron images of multiple planesof the implant chambers were produced. Quantitative analysis of BIC wasperformed on a total of 1087 micrographs.This bone ingrowth model was effective to demonstrate the osteoconductivebehavior along surfaces with differences in complexity of their microtopography.Newton-Coles numerical integration formula was used to determine boneingrowth as a function of anatomical location of the chamber opening andthe implant surface. All groups exhibited osteoconduction, but Ti64 groupsshowed a higher chance to grow more bone than cp, although this wasnot statistically significant. However, osteoconduction on both DCD groups(26.95% cpTiDCD, 29.73% Ti64DCD) was statistically significant whencompared to the results of non-DCD groups (12.01% cpTi, 16.97% Ti64).The proximal opening of the chamber consistently showed significantlyhigher bone ingrowth (17.49% cpTi, 30.37% cpTiDCD, 23.19% Ti64, 34.88%Ti64DCD) than the distal side (8.31% cpTi, 24.46% cpTiDCD, 12.60% Ti64,25.55% Ti64DCD).This can be explained by the direction of the predominant blood supply tothe distal femur. We conclude that the DCD enhanced osteoconduction duringearly stages of periimplant healing and that the anatomical location plays animportant role in bone growth in this model.9

P R O F E S S I O N A L D E V E L O P M E N T C O R N E RMaster Or Apprentice , There Is A Plan For YouReshape Your World!Make your plans now to attend the BIOMET 3i GlobalSymposium, April 24–26, 2008 in exciting downtownChicago, Illinois.At BIOMET 3i, we believe in “the art of the plan.” Whether you are new to strategicbusiness planning or have a great deal of experience, our Dental Business Marketing &Consultative Support can help you paint a masterpiece.Our implant dentistry and marketingspecialists may be able to help youdevelop a personalized strategic practiceor laboratory marketing plan. Best of all,they are only a phone call away when itis time for implementing that plan.The answers to expanding yourbusiness lie in the developmentand execution of your strategicmarketing plan.For more information on BIOMET 3i ’s Marketing And Consultative Support, please talkwith your local BIOMET 3i Sales Representative to find out how you can qualify.The following are some real world scenarios we help customers work through:• “I need images for a brochure, website and help developing an ad.”• “My staff members need more information about treatment coordination, workingwith referrals and talking to patients about implants.”The “Windy City” will be host to the BIOMET 3i 2008Global Symposium entitled “Science And TechnologyReshape Implant Dentistry” taking place at the HyattRegency in Chicago, IL. Held in a fun, exciting city withsomething for the whole family, the 2008 GlobalSymposium will include informative and timely topics,world renowned speakers and a variety of program optionsfor pre-symposium courses. The symposium will offersomething for all dental professionals regardless ofspecialty or level of experience. Running concurrent to themain program will be an enlightening and timely programdesigned especially for auxiliary personnel. Participants willhave the opportunity to earn CE credits.An elite assemblage of internationally renownedclinicians has agreed to present some of the latesttechnologies and concepts in dental implanttherapy. Those who have already confirmed theirparticipation include:Dr. Harold BaumgartenDr. Michael BlockDr. J.E. DaviesDr. David GarberDr. Ueli GrunderDr. Markus HürzelerDr. Laureen LangerDr. Alan MeltzerMs. Joy MillisDr. Myron NevinsDr. Pär-Olov ÖstmanDr. George PriestDr. James SwiftDr. Dennis TarnowDr. Tiziano TestoriDr. Stephen WheelerRumor has it that the infamous Blues Brothers areplanning to be in town to help BIOMET 3i celebratethis world-class event. Stay tuned for all the details!Your “Practice Enhancement Portfolio” Is HereIn today’s increasingly competitive business environment, it is up to you and yourdental team to leverage available tools to help build your business and keep it growingsuccessfully. For some new ideas on how to paint a new picture for your practice, orderthe new publication entitled Tools For The Art Of Business Building (ART798) available fromBIOMET 3i. Cover to cover, you can read about options that could help you and your staffgrow to the next level. Topics include:• Dental Business Marketing & Consultative Support• BIOMET 3i Patient Marketing Program• Professional Education Programs• BIOMET 3i Innovative Dental Seminars ® (BIOMET 3i IDS )• ARCHITECH PSR ® Program For Laboratories• Patient Awareness & Education PortfolioTo get your copy of Tools For The Art Of BusinessBuilding (ART798), please call your local BIOMET 3iSales Representative or our Customer Support Team at1-800-342-5454. Outside the U.S., please call +1-561-776-6700.Please Note: Not all products are available outside the U.S. Please contact your local BIOMET 3i Sales Representative for availability.10

G L O B A L E D U C A T I O N A N D E V E N T SGlobal Meetings Of InterestThe 9th International Symposium OnPeriodontics & Restorative DentistryJune 7-10, 2007 • Boston, MABIOMET 3i Pre-Symposium SessionImplant Dentistry, Biologic Applications AndRestorative AdvancesJune 7, 2007 • 8:00am to 4:30pmDr. Richard Lazzara will serve as Moderator for thissession, which is presented at no additional chargeto all symposium participants. Presented by severalnoted clinicians, objectives of this session include:• Understand the relationship between implantsurface and osteogenic conduction• Learn to use biologic principles when creatinga prosthesis• Understand the biologic principles that affectthe gingival margin of dental implantsPresentationsCase Specific Selection Of Implant TypeAnd Surgical TechniqueDr. Ueli GrunderOptimal Implant Aesthetics: Biologic Basis,Clinical Techniques And InnovativeProduct DesignsDr. Anthony SclarBiologic Principles For OptimizingEsthetic OutcomesDr. Dennis TarnowCrestal Bone Preservation Through PlatformSwitching: Rationale And Clinical ApplicationsDr. Tiziano TestoriAccelerated Peri-implant Endosseous HealingDr. J.E. DaviesOptimal Results In The Esthetic Zone WithCAD/CAM Implant AbutmentsDr. George PriestFor further information, visit www.quintpub.comNorth AmericaNew Surgical Programs InCanada And The U.S.Find out about BIOMET 3i ’s new NanoTite SurfaceTechnology during an informative evening. Registrationand reception begin at 6:30pm; the program runs from7:00 to 8:30pm. The NanoTite Programs arecomplimentary; no CEUs are available. To register,please visit www.3i-online.com and click onContinuing Education.NanoTite Surface TechnologyEvening Sessions In CanadaMarch 27 Vancouver, BC Dr. Michael BlockApril 11 Dorval, QC Dr. Michael BlockMay 1 Toronto, ON Dr. Lee SilversteinEvening Sessions In The U.S.March 14 Independence, OH Dr. Alan MeltzerMarch 15 Indianapolis, IN Dr. Alan MeltzerMarch 21 Burlington, MA Dr. Harold BaumgartenMarch 21 St. Louis, MO Dr. Alan MeltzerMarch 22 Wilmington, DE Dr. Harold BaumgartenMarch 22 Oklahoma City, OK Dr. Michael BlockMarch 28 Baltimore, MD Dr. Robert HoltMarch 28 Spokane, WA Dr. Michael BlockMarch 29 New York, NY Dr. Robert HoltMarch 29 Garden Grove, CA Dr. Michael BlockApril 11 Rosemont, IL Dr. Alan MeltzerApril 12 Philadelphia, PA Dr. Michael BlockApril 18 Salt Lake City, UT Dr. Stephen WheelerApril 19 Ft. Lauderdale, FL Dr. Alan MeltzerApril 19 San Francisco, CA Dr. Stephen WheelerApril 25 Florence, KY Dr. Robert EmeryApril 25 Orlando, FL Dr. Alan MeltzerApril 26 Richmond, VA Dr. Harold BaumgartenMay 2 Albany, NY Dr. Lee SilversteinMay 2 Portland, OR Dr. Stephen WheelerMay 3 Bridgewater, NJ Dr. Lee SilversteinMay 3 Seattle, WA Dr. Stephen WheelerMay 9 Grand Rapids, MI Dr. Michael BlockMay 9 Arlington, VA Dr. Robert HoltMay 9 La Jolla, CA Dr. Lee SilversteinMay 10 Melville, NY Dr. Michael BlockMay 16 Trumbull, CT Dr. Robert HoltMay 17 White Plains, NY Dr. Harold BaumgartenTwo Programs, One SouthFlorida LocationEssential Skills For The Implant TeamDo you want to offer more implant dentistry to yourpatients? The Essential Communication Skills For TheDental Implant Team program is designed to focus onthe marketing, management and communication skillsthat go hand-in-hand with the clinical skills necessaryfor providing quality implant dentistry. Presented byMs. Joy Millis, CSP, the course will be held at theBIOMET 3i Institute For Implant And ReconstructiveDentistry in Palm Beach Gardens, Florida on April 13,2007. For further information, visit www.3i-online.comand click on Course Catalog.Presented by Ms. Anita Daniels, RDH, on April 14,2007, Essential Surgical Assisting Skills In DentalImplant Therapy is designed for the surgicalassistant, an integral part of the implant treatmentteam. Participants should have a workingknowledge of the necessary procedures involvedin surgical assisting, instrumentation and surgicaloperatory preparation and sterilization techniques.For further information, visit www.3i-online.comand click on Course Catalog.New York BeckonsIf you love New York, visit New York University inthe spring when an advanced clinical course inimplantology is set for April 23-25, 2007.Taught by Dr. Harold Baumgarten, Dr. Dennis Tarnowand Dr. Stephen Wallace, The Advanced ClinicalCourse In Implantology is a highlyinformative three-day program with leadingexperts in the field of implant dentistry whowill provide you a unique opportunity to learnfrom the masters while enjoying the excitingsurroundings of New York University. To see thecomplete course listing and to register, visitwww.3i-online.com and click on Course Catalog.New Texas Two-StepHow to assist in patient consultations and offersupport for referring offices are just two of thetopics covered in this course for Surgical ImplantTreatment Coordinators. Introduction To The Role OfThe Surgical Implant Treatment Coordinator will betaught by Dr. Robert Blackwell and Ms. CynthiaBollinger in Irving, Texas, July 13-14, 2007. To see thefull course listing, visit www.3i-online.com and clickon Course Catalog.The Role Of The Advanced Surgical Implant TreatmentCoordinator is designed to take the coordinator roleto a new level of practice management and marketingthat is more directly involved in the growth andefficiency of the implant practice. Ms. CynthiaBollinger will teach the course offered August 17-18,2007 in Irving, TX. To see the full course listing, visitwww.3i-online.com and click on Course Catalog.BIOMET 3i Receives PrestigiousBusiness AwardBIOMET 3i proudly received the prestigiousGovernor's Business Diversification Award forExport Excellence from Florida Governor Jeb Bush.The awards program, developed by Enterprise FloridaInc., is designed to recognize companies for theirefforts to diversify and enrich the state's economyContinued on page 1211

G L O B A L E D U C A T I O N A N D E V E N T S C O N C L U D E Dby creating high-wage jobs and investing in theircommunities."Florida's economy continues to lead the nationthanks to the commitment and success ofexcellent companies such as our award winnersand nominees," Bush said in a release. "I amconfident that with their engagement, we willcontinue to be a model of economic prosperity."New Agreement SignedPredictable Esthetics In ImplantsProf. Dr. Markus HürzelerBone Engineering And NanoTite Surface TechnologyDr. John E. DaviesFor more information, please contactsimposio@dentalmax.com.ar.Florida Governor Jeb Bush (left) presented the Governor'sBusiness Diversification Award for Export Excellence toBIOMET 3i Company Representatives Ed Sabin, SeniorVice President-Finance and Administration (center) andGlenn Criser, Senior Vice President-Division Counsel.Europe3rd Ukrainian ImplantologyCongress In MarchDr. Harold Baumgarten (USA) will present afour-hour, pre-congress course and a mainpodium lecture at this event on March 29-31, 2007in Lviv, Ukraine. In addition to Gold Sponsorshipof the congress, BIOMET 3i will also host a galareception to celebrate the 75th anniversaryof Polish distribution partner Dental Depot.For more information, go towww.implantcongress.com.Prof. Thomas Hoffmann, President of the GermanSociety of Periodontology (DGP), and PeterBrunzel, Business Area Manager of BIOMET 3iGermany, have signed a renewable five-yearagreement installing the "Research Fund forPeriodontology-Implantology" to promoteperio-implantology research in Germany.Save The Date!Mark your calendarand join BIOMET 3iSwitzerland tocelebrate its 10thanniversary on April20, 2007 in Zurich.For more information, call +41-1-3804646.Latin America8th BIOMET 3i Latin AmericanSymposiumSponsored by BIOMET 3i and DentalmaxSeptember 14-15, 2007Hilton–Puerto Madero, Buenos Aires, ArgentinaWorld renowned clinicians will present clinicalsituations of the most advanced surgical andprosthetic treatment options available toachieve predictable and aesthetically optimaltreatment results.Pacific RimThe 5th World CongressOf The International FederationOf Esthetic DentistryHosted by the Korean Academy Of Esthetic DentistryMay 4-6, 2007 • COEX, Seoul, KoreaSpeakers And Topics Include:Esthetics In DentistryNatural Esthetics And FunctionDr. Ronald GoldsteinEsthetics In DentistrySoft And Hard Tissue AugmentationDr. Dennis TarnowImplant And EstheticsOne-Visit Magic EstheticsDr. David GarberImplant And EstheticsNatural Esthetics And FunctionDr. Henry SalamaImplant And EstheticsOne-Visit Magic EstheticsDr. Maurice SalamaFor information, visit the website atwww.2007ifed.org.O N L I N E A C C E S SPlay It Smart When Ordering ProductsThe new BIOMET 3i Online “Smart” Product Catalog offers you a moreconvenient way to initiate orders for implant dentistry products.Designed for convenient selection, the “smart” pages are organizedby implant systems, site preparation, regenerative technologies,restorative technologies and patient education. Each page has linksthat guide you to related products.An easy-to-use shopping cart system allows you to send your orderto a Customer Service Representative who will contact you within onebusiness day. Currently available to U.S. customers, the Smart ProductCatalog is available online at www.3i-online.com.For questions or help with ordering BIOMET 3i Products, pleasecall 1-800-342-5454. Outside the U.S., please call +1-561-776-6700.3i Innovative Dental Seminars, Advanced Cutting Technology, ARCHITECH PSR, Certain, EP, Gold-Tite, ImplantInnovations, OSSEOTITE, PreFormance, PREVAIL, Provide and QuickSeat are registered trademarks and 3i IDS,ACT, Bone Bonding, DCD, DIEM, Immediate Occlusal Loading and NanoTite is a trademark of Implant Innovations,Inc. Osstell and Smartpeg are trademarks of Integration Diagnostics. Temrex is a registered trademark of TemrexCorporation. Instron is a registered trademark of Instron Corporation. Captek is a trademark of The PreciousChemicals Corporation inc. BIOMET is a registered trademark and BIOMET 3i and design are trademarks and ofBIOMET. ©2007 Implant Innovations, Inc. All rights reserved.12