In Memory of Professor Per-Ingvar Brånemark

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In Memory of Professor Per-Ingvar Brånemark

Today millions of men and women can smile with pride thanks to Professor Brånemark − what a legacy. Upon hearing the news of his passing, I felt a great loss both professionally and personally. My sincere condolences go out to the Brånemark family. Although we are saddened, we must celebrate this exceptional man for his innovative mind and his tireless work that forever changed the course of dentistry worldwide. Professor Brånemark literally ushered in the age of “Implant Dentistry” by legitimizing the once maligned therapy through scientific studies that accurately documented the benefits of “Osseointegration” in oral rehabilitation. I first met Professor Brånemark at an oral surgery symposium in Canada in the late 1990’s where he gave a presentation in the morning and I followed with a presentation in the afternoon. I was beyond honored and my wish was to meet Professor Brånemark and get a photograph with him if possible. We briefly shook hands, but nothing more. A few years later, our paths crossed at an author’s dinner hosted by Quintessence publishing. I did not expect Professor Brånemark to remember me, but he did. He asked me and my wife to join him at his table. He said he wanted to make up for not having any time to talk in Canada. And so I learned – not only a brilliant doctor and accomplished researcher, but a true gentleman as well. In short order, he began to quiz my knowledge regarding the science and clinical applications of osseointegration. He corrected me when I used the term “Implant” instead of “fixture” and that implants were synonymous with tissue grafts. I shared with him how osseointegration had allowed me to help so many suffering patients and how this work had profoundly added purpose to my life. I was inspired by both Professor Brånemark’s genius and his humbleness. I believe that his spirit will forever guide those who continue to apply his scientific innovations. His ground-breaking work will live on for generations and for that we are all deeply grateful.

Anthony G. Sclar OMFS

Miami, Florida

 

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Achieving Successful Bone Grafts

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Achieving predictable results with intra-oral bone grafting and oral soft tissue grafting procedures requires advanced training and experience.

To begin with, the implant surgeon must fully comprehend:

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Peri-Implant Soft Tissue Healing

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In addition to playing a role in the biologic integration of an implant, peri-implant soft tissues play an important role in the vascularization of the bone. Without sufficient peri-implant tissues to supply nutrients, resorption of peri-implant bone and underlying bone grafts occurs. Adequate soft tissues also provide a walling off phenomenon to protect the underlying bone from oral micro-organisms.

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Dental Implant Complications in the Esthetic Zone

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Esthetic implant complications and failures can be devastating for a patient and the doctor rendering treatment. Although the course of action required to deliver an esthetic implant restoration may, in certain instances, seem straightforward it has been rightfully suggested that the delivery of esthetic implant restorations be considered a complex treatment modality requiring advanced training and experience.

Providing acceptable esthetics for patients who desire implant replacements requires in depth knowledge of biologic mechanisms, superior patient management skills, and highly developed diagnostic acumen. Therefore, it is imperative that clinicians who want to provide esthetic implant therapy qualify themselves by obtaining additional education and experience specific to this advanced treatment modality.  That’s why all of our Sclar Center training courses include both functional and esthetic considerations, and we offer a comprehensive Esthetic Implant Site Development Course.

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Avoid Dental Implant Complications with Cone Beam-CT Technology

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I believe Cone Beam-CT technology and treatment planning software have the greatest potential for helping doctors avoid or reduce the frequency of implant complications. Our in office I-Cat cone beam CT (Imaging Sciences International) scanner allows us to evaluate the patient’s anatomy in 3D and accurately identify the location and course of vital structures such as the inferior alveolar nerve. In addition, dental pathology not seen on plain films occasionally becomes readily apparent with this technology.

When combined with a scan guide derived from a diagnostic wax up that duplicates the proposed final implant restoration, we are able to perform 3D treatment planning as we evaluate all of the restorative and surgical information on the screen. We can then convert the scan guide into a conventional surgical guide to prepare our sites for implant placement or to guide our 3D hard tissue site development procedures.

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