EVIDENT SUCCESS ®
08_Fascination Titanium II
14_Prof. Dr. C. R. P. Araujo: Cercon® abutment
18_Dr. D. May: SynCone immediate loading
24_Dr. G. E. Romanos: bone-implant interface
28_Dr. J. Eifert: Free-end edentulism
32_Dr. Dr. S. Berg: PepGen P-15 sinus graft
36_Dr. G. Bayer: CELLplus in practice
40_PepGen P-15® Study Group
42_FRIALOC ® / XIVE® TG CELLplus
46_CELLplus goes USA
47_ANKYLOS® goes USA
48_Evian Evident Success
51_Centre of Excellence
Effective January 1, 2004, Dr. Werner Groll assumed overall management
responsibility at DENTSPLY Friadent. After 30 years with FRIATEC AG and
FRIADENT GmbH, Mr. Walter Hund decided to retire for health reasons at
the end of 2003. Under his leadership, FRIADENT developed pioneering
innovations that significantly influenced the field of implant dentistry.
We wish him all the best for the future!
This edition of iDENTity is dedicated to our ANKYLOS® implant system,
which offers the optimum basis for long-term functional and esthetic
restorations. The authors of our interesting articles and comprehensive
case studies are focusing on the advantages, the easy handling and
the developments of ANKYLOS®.
In retrospect, the new FRIADENT® surface that we launched international-
ly at the EAO in Vienna was definitely our highlight of the year 2003. And
this was only the start! An article by Dr. Georg Bayer on page 36 describes
the clinical application of this new generation implant surface.
We also include reports on international events, new partnerships in
Austria (page 12) as well as practical hints and important information on
our products, FRIALIT®/XiVE® and PepGen P-15®.
Lolita Keller / Editor
For more than 50 years,
Campari Soda in the cone
bottle. “Campari Light”,
a shining memorial for
this anniversary designed
by the master of light,
Big commotion for small
pegs: The sound of an
orchestra can depend on
this exact fitting –
small jacaranda cone.
_04 cone_focus 8°
F I R M , S E C U R E , T I G H T – S U C C E S S TA P E R
THE ALL DECISIVE ANGLE
Acceleration, speed, curve
forces, brake delays, cargo
small cone – great success!
One can’t be too sure.
Everything that is very
precious to us, is put under cone_travels
lock and key – secured by With this cone in your ear
the high-security cone of you get everywhere:
the safe. Ear planes made for perfect
hearing during take-off and
Enlightment from above:
within the glassy dome of
the building of the Berlin
Reichstag sticks a gigantic
mirror-cone, directing the
sunlight right into the Plenary
Assembly Room of the German
Parliament´s Lower House.
Secure for everyday: from
the wash basin via the sink
to the bath – this cone is
ANKYLOS® – a successful concept
The ANKYLOS® system, which has been in clinical use since 1987, is noted for its unique design –
the implant-abutment connection with progressive threads. Although this design principle
appears unusual at first, it has clearly proven its superiority through years of clinical experience.
This is based particularly on the high mechanical stability of the taper connection, which
minimizes the possibility of screw or abutment loosening. The requirement for follow-up
treatment is reduced, which makes the system even more economical. Due to its tapered design,
primary stability is increased significantly and the peri-implant bone is extremely stable.
Consequently, no resorption has been noted after restoration and loading, the volume of bone
remaining stable at the implant level.
The system opens the way for new solutions, particularly with regard to esthetics and stability of
the papillae. Due to the taper connection a high degree of flexibility in aligning the prosthetic
abutments is ensured; they are parallel in every case. These characteristics enable implementation
of a unique immediate loading system, which allows the patient to leave the practice with restored
implants after no more than two hours (SynCone concept). The articles by Prof. Dr. Araujo,
Dr. Eifert, Dr. Dr. May and Dr. Romanos specifically focus on the advantages of the ANKYLOS®
system that will be available with the new CELLplus surface in 2004. Let this somewhat different
implant system fill you with enthusiasm and convince you!
Together with our other systems, FRIALIT® / XiVE®, the FRIOS® products and PepGen P-15®, we
offer a complete range of products for implant dentistry. Whatever your needs and interests are,
we have the right answer for you. And of course, our experts are always ready to support you with
our in-house or on-site service wherever you are. Worldwide, we will actively support you, our
customers, in establishing and developing implant dentistry, as a future-oriented treatment option,
by ensuring your and our long-term success. This corporate philosophy is also manifest in our
slogan: “DENTSPLY Friadent – Evident Success®”.
The success of our customers and their patients is our number one priority. This means doing much
more than just developing, marketing and supplying implants. It means taking action to advise and
support our customers in their daily business, during expansion and in advising patients.
■ New practitioner concepts: We make it easy for you, as a new practitioner in implant
dentistry, by assisting you in developing your own individual practice concepts. You receive
detailed information on implementing systems, targeted support in selecting suitable further
education events and practical tips for changing practice procedures.
■ Continuous education: We provide insight on the continuous education options and answers to
the questions: “What kind of professional training do I need, when and why?” We will help you find
the correct solution, so you can invest your time and money sensibly.
■ Patient information: Implant dentistry requires a lot of explanation and is a very sensitive area for
your patients. We offer clearly laid-out brochures and flyers with exactly the information that your
patients need to feel comfortable with their choice.
Last but not least, I would like to take this opportunity to express my appreciation to Mr. Walter
Hund for his decisive contribution to the success of FRIADENT GmbH over his 30-year career in the
field of implantology. Mr. Hund decided to retire for health reasons from his position in the company
management at the end of the year 2003. We are grateful for his untiring dedication to the welfare of
the company and wish him all the best for the future.
And now, enjoy reading the clinical and research reports on ANKYLOS®!
Dr. Werner Groll
F R O M S E M I - F I N I S H E D P R O D U C T T O T I TA N I U M R O D
_08 fascination_titanium II
We accelerate, we are on time, we see better, we can monitor, control and
assist – the wide range of applications for high-quality steel and titanium
rods extends from the automobile industry through measurement and control
technology, pneumatics, watches, jewelry and eyeglasses through to dental
and medical technology.
We published an introductory article on titanium in iDENTity 2/03.
Now we would like to introduce the precision semi-finished product and
take you on a tour behind the scenes at one of our most important certified
suppliers: the ZAPP Group at the Ergste Westig GmbH steel works in
The ZAPP Group, which can look back on more than 300 years of industrial
and business tradition, now includes leading manufacturers in metal
processing and materials technology. The Ergste Westig GmbH has plants
in Schwerte and Unna and is one of the most important companies in this
process industry with its cold rolling mills, drawing and hardening works.
Five hundred employees monitor a complete process around the clock.
Experienced engineers ensure that only the best quality materials enter the
modern high-precision production lines. The semi-finished products in their
progress to titanium rods undergo the following processes before we receive
them: finishing, drawing, straightening, marking, grinding and polishing.
Every single step of the many different stages is exactly inspected and
documented – in conformity with our claim of maintaining your safety with
The pure titanium is supplied in large rolls and runs through a complex
finishing process. Any defects remaining from the hot rolling process are
removed, yielding a rod that is practically free of defects right at the beginning.
It is then cold-formed through multiple annealing stages until it has reached a
strength value that can be reproduced at any time. This ensures a uniformly
After finishing, the wire begins its journey to become the “perfect” rod.
The wire rod runs from the uncoiler, which is what this roll is called,
to the drawing bench. There it is reduced to the exact dimension specified
by DENTSPLY Friadent. The titanium wire is pulled through the die with
complex and coordinated movements of the drawing sledges and
straightened. Specially trained and experienced technicians closely watch
the quality of the material on the monitor of the integrated rod surface
The rods must be cut into precise lengths without crushing the ends.
This is done by “flying shears” in the direction of the rods.
How important this work is, becomes clear at our Mannheim production facili-
ties: If the rods were crushed, they would rattle around in the lathes. After
straightening, the product is ready for the next stage where the surface is ground
and polished. The rods are fed into the pregrinding machine from a bundle
loader, which delivers the rods one by one to the intake rollers from the rod
bundle. Sensors monitor and ensure that every rod is captured by the grinding
machine. The finished, ground and polished rods are finally discharged from the
machine and immediately packed into shipping cases to protect them from Next issue:
From the titanium rod to the implant.
damage. There is nothing to remind the observer of the original material now.
Final result? We, at DENTSPLY Friadent receive polished titanium rods of
We express our gratitude for the illustrations to:
Kronos Titan GmbH & Co. KG, Leverkusen
Deutsche Titan GmbH, Essen
Stahlwerk Ergste Westig GmbH / Henning Christoph / Das Bildarchiv
The implant dental team A new partnership in the DENTSPLY group of companies has given us a new
at the EAO: drive. Effective January 1, 2004, the team from FRIADENT-SCHÜTZE with the
Petra Kolinsky, Christian FRIALIT®-2 / XiVE® and the team from DeguDent with the ANKYLOS® implant
Weilguni, Michael Fuchs, system were combined into the new “DENTSPLY Friadent Implantats Division”
Jacob Zwaanswijk, of DeguDent Austria Handels GmbH in Vienna under the management of
Jacob Zwaanswijk. This makes us the leading dental implant company in
Ferdinand Mayer, Robert
Austria. Even before the integration was completed, we made our successful
Dedl, Helga Hansmann,
debut at the EAO in the Vienna Hofburg, where we first introduced our new
Beate Bruckner, Christian
CELLplus implant surface.
Markovits, Heinz Moser Customer service is very important to us; this is why our seven marketing
employees will now be covering smaller regions. This enables us to provide
you with more intensive and personal service. Our internal teams will also be
reinforced so we can further improve our range of services and provide a more
effective and smoother flow of information to you and your patients.
Within the international DENTSPLY group, DeguDent Austria will concentrate
on product and system solutions for clinicians and dental laboratories.
We place particular emphasis on integrated system solutions and product
concepts that can ensure high-quality, unified service.
DeguDent customers benefit from our years of experience in technology and
materials, particularly in the area of implants, noble metals, dental alloys
and ceramics. The quality and compatibility of our products is backed by
multi-year clinical studies.
This initial basis is unique and also ideal for you, because we offer solutions
from one single source from the implant right to the prosthetic restoration.
For example, the esthetic implant restoration with the ANKYLOS® Cercon
Balance abutment coping of zirconium oxide matches optimally with the
Cercon porcelain crown. Our experts also assist the surgeon, dentist and
dental technician to work together, making it easier for you to meet your
Into the future as a guest of DENTSPLY Friadent
Who has not already dreamed of the benefits of the high-tech world of
tomorrow? The refrigerator that sends off the shopping list by e-mail while
you are at work in your practice. And the robot lawn mower cutting the
grass automatically. All just a dream? Not at “Living Tomorrow” in Vilvoorde
in Belgium. The house of the future is open for inspection.
On September 27, 2003, “Living Tomorrow” was the site of the Belgian
DENTSPLY Friadent Symposium. The new manager, Aarnaud Schiettekatte,
and his team presented FRIADENT products for the implant dentistry of the
future in this futuristic background. The main topics were XiVE® implants
with the new growth-activating CELLplus microstructure, the implant surface
of the next generation, and PepGen P-15®, the bone regeneration material
of the future, which has been clinically proven to enhance cellular activity
and bone formation. DENTSPLY Friadent is the future of implant dentistry
today – this was the impression that the approximately 90 participants took
with them from the presentation at “Living Tomorrow”. The Belgian DENTSPLY Friadent team:
Kris Gielens, manager Aarnaud Schiettekatte, Nathalie
Geerts, Vera Goes and Christine Smet (left to right)
partner_russia D E N T S P LY F R I A D E N T K I C K - O F F
D I ST R I B U TO R M E E T I N G I N RU S S I A
The teams from Stomus, Status, Simko and Satellite.
It has taken us a long time to find the right point-of-contact for the
Russian market. Our new partners Stomus, Status, Simko and Satellite
have now enabled us to service the entire country. After discussing
and specifying the partners’ strategies, the foundation was laid with
new product material about XiVE® / FRIALIT® and ANKYLOS® in Russian,
web site, product registration, first advertising campaign in the most
important dental journals and on-site employee training. The products
were introduced at the “Dental Salon” trade fair in Moscow in
To support our dental partners Stomus, Status, Simko and Satellite
Dr. Dr. Gregor Hundeshagen and his team from Dessau/Germany visited
St. Petersburg in November. During the International Congress
Dr. Dr. Gregor Hundeshagen gave a lecture about “Osteoplasty prior to
implant placement”. The benefits of the ANKYLOS ® implant system
were demonstrated in several live surgeries by Dr. Dr. G. Hundeshagen
Professional training with Dr. Dr. Gregor Hundeshagen
in the Stomus Clinic. Dr. Britta Hundeshagen lectured about the
prosthetic aspects with round-table discussions and hands-on training
for the dental technicians. A new chapter has been opened for
DENTSPLY Friadent in Russia and will be continued with events on XiVE ®
ankylos ®_Cercon abutment
At present, translucency and opalescence are The “X technique” (picture on the left) is a
desirable qualities for esthetic ceramic restora- simple procedure that can be used to place the
tions. Implant dentistry has been dealing with implant in the esthetically correct position.
the challenge to produce such type of restora- State-of-the-art dentistry requires that
tions because there are always visible metallic implants have the proper amount of buccal
components underneath the restorations. The bone in order to obtain a nice soft tissue
evolution of new ceramic materials has opened contour. The adequate esthetic position of
new opportunities to the dental field. Ceramic an implant can be determined by drawing an
crowns and bridgework components have been “X” connecting the buccal right papilla to the
introduced to the field of implant prosthodon- left lingual one and vice versa. A suture sling
tics and are now routinely used for multiple can be used to help find out the precise loca-
situations to enhance the esthetic result. tion. Subcrestal positioning of the implant is
With the introduction of zirconium ANKYLOS® important and creates the possibility of a
Cercon abutments, DENTSPLY Friadent has set natural emergence profile aligning the
new trends in esthetic implant rehabilitation. differences between the diameter of the
For the first time in dentistry, it is possible to implant and the adequate diameter of the
offer metal-free units in full extension with emerging restoration.
the advantage of connecting them directly to
the original titanium implant via a hermetically Reopening of an ANKYLOS® implant is
tight connection. One of the multiple require- performed very conservatively. Small healing
ments for an esthetic implant restoration is the components are used for three to six weeks
precise location of the implant. prior to mechanical stimulation of the delicate
C L I N I C A L C O N S I D E R AT I O N S O N E S T H E T I C Z I R C O N I U M I M P L A N T C O M P O N E N T S :
T H E A N K Y LO S® C E RCO N B A L A N C E A B U TM E N T
C A R L O S R . P. A R A U J O , D R . O D O N T. , M C O D O N T. , D E P A R T M E N T O F P R O S T H O D O N T I C S ,
U N I V E R S I T Y O F S Ã O PAU LO , S C H O O L O F D E N T I ST RY O F B AU RU , B R A Z I L
M A R I A A N G É L I C A R E H D E R A R A U J O , S P E C I A L I S T I N I M P L A N T S U R G E R Y, M A S T E R S T U D E N T,
F E D E R A L U N I V E R S I T Y O F S A N TA C ATA R I N A C E P I D , F L O R I A N Ó P O L I S , B R A Z I L
_1 _2 _3
connective soft tissue. The literature reports abutment is partially prepared by the technician.
that connective tissue needs more maturation However, it is preferable to do the final custo-
time before being mechanically stimulated. mization directly in the patient’s mouth due to
Esthetic healing components can now be used its extreme delicacy (figs. 5 a, b, c). Grinding of
to mould adequate soft tissue contours (fig. 1). the zirconium abutment is perfectly possible
The availability of standard abutments (fig. 2) and safe yet some material characteristics
might help the clinician at this point to start must to be considered. Zirconium must only
using the provisional crown (fig. 3). be ground under an adequate irrigation other-
The comprehension of advanced contouring wise, flaws and cracks may occur. Abutment
techniques is mandatory to develop the proper preparation must result in a correct subgingival
provisional contour, to study future esthetic extension of the buccal margin. In addition,
results, and to produce an adequate environ- some preparation may be necessary at the
ment for the impression. subgingival abutment section.
The impression technique and the master cast
provide a replica of the soft tissue contour for Adequate concavities at this part of the abut-
the dental technician. The technician can select ment can be created with a round bur (fig. 6).
the adequate zirconium abutment and start its This simple procedure can change the position
customization before sending it to the dentist. of the natural gingival margin easily. A more
Figures 4 a, b depict the esthetic contour coronal positioning of the gingival margin
obtained via the provisional crown and its may be achieved by additional grinding, while
reproduction by an artificial gingiva as a a little more convexity might place it more
regular laboratory technique. The zirconium apically.
_4a _4b _5a _5b _5c
One always has to consider the fact that zirco- The Cercon system allows for production of a
nium abutment surfaces need to be finished coping with mechanical characteristics that
and polished. This procedure recovers the ori- resemble the metal ones very closely .
ginal resistance of zirconium and sometimes The double-scan-technique can reproduce the
may even improve it. So regular rubber wheels wax-up of the inner as well as of the outer
and felt devices can be used to bring back surface (fig. 7 a, b). Esthetically full-ceramic
luster and shine to the zirconium surface. After crowns can now be used in conjunction with
the abutment has been completed in the the zirconium abutment reproducing natural
patient’s mouth, it is sent back to the laboratory. translucency, excellent color, opalescence and
The lab technician positions it back on the still maintaining a very good resistance.
model cast and, taking advantage of the new
metal-free units, produces a full-ceramic After fabrication of the crown, the dental
crown. The new CAD CAM technologies make technician provides an acrylic matrix or a
it possible nowadays to fabricate a very template which will help the clinician to place
resistant, but also a very esthetic translucent the abutment in the patient’s mouth precisely
crown. Due to the fact that state-of-the-art (fig. 8 a, b). The conical or tapered characteri-
implant dentistry requires that an esthetic stics of the ANKYLOS® system, which have
implant is placed in a more lingual position been scientifically and clinically proven over
in order to have a thicker buccal plate and a the past 15 years, can now be used with its
more stable soft tissue margin, sometimes it is full range of advantages together with the
difficult to have adequate occlusal clearance at possibility of reproducing perfectly natural
the lingual aspect. teeth.
_6 _7a _7b _8a _8b
Zirconium Cercon Balance abutments can Due to the pro-active cell adhesion, an
now be connected to ANKYLOS® implants accelerated cell spreading and activation is
providing long-term bone support and over- initiated with rapid osteoblast differentiation
laying esthetic stability of the soft tissue. and accelerated bone formation.
However, even greater possibilities will open
up in the future. Besides the taper connection, Consequently, the beautiful esthetic results
different behavior characteristics of bone will come together with the faster healing
growth on the implant have been observed. of the peri-implant bone, diminishing the treat-
The new FRIADENT CELLplus surface is starting ment time by still guaranteeing wonderful
to establish itself as the latest scientific esthetics.
achievement to change the behavior of osteo-
blasts allowing them to dock into the micropits
of the new surface. Consequently, the
bone-to-implant contact is enhanced in a
much faster way than before. The cellular
extensions of osteoblasts (filopodia) find
ideal retention with multiple contacts in the
Prof. Dr. Carlos
dos Reis P. de Araujo
Maria Angélica Rehder Araujo
Rua Alfredo Ruiz, 1239
_18 syncone_immediate loading
I M M E D I AT E L O A D I N G W I T H
T H E A N K Y LO S ® S Y N CO N E CO N C E P T
D R . D I T T M A R M AY
Implant prosthodontic rehabilitation with a fixed single-tooth or bridge
replacement is now considered a routine procedure given suitable anatomical
prerequisites. The retention and support of complete or partial dentures by
implant superstructures are also no longer a problem. If one follows recent
scientific publications and conferences, it becomes clear that the latter
indications are now the focus of practice and science that cannot be over-
looked. Bar constructions on two or four interforaminally placed implants
are considered standard anchors for complete mandibular overdentures.
Ball-and-socket attachments are also recommended and should not be
overlooked. However, telescopic connections offer better stability for
Implants can also be easily used to compensate the loss of strategic abut-
ment teeth. Telescopic abutments and also the well-known retentions with
ball and socket are frequently used as superstructures with this indication.
It is also no longer a problem to anchor partial or complete overdentures over
implants for a successful rehabilitation with full chewing function.
An important point of discussion at present is the time of implant loading.
More than 20 years ago Ledermann showed the successful delivery of a
prosthesis immediately after surgery in the edentulous mandible on four
interforaminally placed implants primarily splinted with a bar. All other
known retention and support elements are only occasionally the subject of
reports related to immediate loading.
The ANKYLOS® SynCone concept was developed more than five years ago for
immediate loading and restoration of the edentulous mandible. Four inter-
foraminally placed ANKYLOS® implants are secondarily splinted with the
prosthesis via tapered crowns. The innovation of this system is the use of
prefabricated tapered abutments and SynCone caps with an inclination angle
of 4°, which are positioned accordingly immediately after implant placement
(figs. 1 - 5). The great advantage of this is that the primary restoration
can be carried out without requiring expensive assistance from a dental
laboratory. The resulting reduction in the time required means that the
patient can leave the practice during the anesthetic phase.
A detailed description of the surgical-prosthetic procedure for the SynCone
concept would take up more space than is available for this article. The time
of implant placement will also not be discussed. In principle, the ANKYLOS®
implant is well suited for immediate implant placement. It ensures very high
primary stability due to its progressive special thread. This article will
concentrate on describing clinical examples taking into consideration the
range of indications for this system.
_1 _2 _3 _4
The experience and results of many years with close examination of the
standard pre-operative criteria have demonstrated that immediate restoration
in the partially edentulous mandible and maxilla and in the fully edentulous
mandible can be very successful with SynCone.
The edentulous mandible
After simultaneous placement of four ANKYLOS® implants, the taper abutment
is seated taking into consideration the soft tissue thickness. Depending on
the time of extraction, the edentulous mandible may already be showing
signs of atrophy, and simultaneous preparation of the implant site may no
longer be possible. The resulting different implant axis inclination can be
corrected with the 15° angled abutment to allow parallel insertion of the four
tapered crowns polymerized in the prosthesis. The abutment, in the internal
cone, is adjusted until it is parallel to the adjacent abutments. The parallel
gauges available in the system are used for a visual check (figs. 4 - 11).
After tightening the clamping screw in the tapered coping to a torque of 15 Ncm a
saliva-proof wound closure is accomplished. A few weeks after surgery a fixed,
non-irritating collar of connective tissue is formed above the implant shoulder in
the region of the reduced-diameter neck of the taper abutment (fig. 6).
Consequently, vestibuloplasty is not necessary. After the surgical phase the posi-
tioned tapered crowns are polymerized in the prepared prosthesis. The resin
hardens in the patient’s mouth in occlusal position.
_5 _6 _7
After finishing and polishing the overdenture, which is now exclusively
implant-supported, is delivered. The secondary splinting of the implants is Fig. 5
one week post-op
retained for two weeks, except for an interruption after one week for cleaning
the wound and to remove the sutures. Besides the mandatory antibiosis, Fig. 6
two weeks post-op
antiseptic mouthrinse and soft food only are recommended for this period.
A new rotary, atraumatic, transgingival tissue punch is now available from four weeks post-op
DENTSPLY Friadent, which also marks the cortical bone with a central milling
tool (figs. 5-7). In appropriate anatomical conditions, this punch developed by
Jesch of Vienna, can greatly reduce the time required for the surgery (fig. 8).
Replacing strategic abutment teeth
Bilateral support of partial overdentures is extremely important for their function.
The loss of a molar can be extremely significant for the life of the residual
dentition and result in significant problems with the chewing function.
Two ANKYLOS® implants can be immediately loaded here to replace the lost
abutment teeth as immediate or delayed implant placement based on the
Under certain circumstances, assistance from a dental laboratory may be
required for preparing the partial prosthesis for the tapered crowns (figs. 9 - 15).
_9 _10 _11 _12
_13 The edentulous maxilla
Assessment of the bone quality and quantity is of course extremely important
for planning and use of SynCone in the maxilla. If the local bone condition is
such that there are no problems with implant site preparation and four or six
implants have sufficient primary stability, the experienced dentist can also
apply the SynCone immediate loading concept successfully in this region.
_14 The anatomical conditions of the maxilla must be considered when aligning the
taper abutment in parallel. The palatal axial inclination of the implants placed
requires that the 15° and 22.5° angled coping be used almost exclusively
The ANKYLOS® SynCone system for immediate loading is noted for its
prefabricated components. As a result, time-consuming dental laboratory pro-
cedures become unnecessary. The total treatment costs are reduced as well as
the period required for treatment. The patient can leave the practice after
about two hours during the anesthetic phase. The implant-supported
prosthesis as a wound cover provides optimum permanent coverage of the
Dr. med. Dittmar May
wounds for a week and reduces swelling and pain to a minimum. Ernst-Becker-Str. 13
Delayed restoration of SynCone will be the subject of a second article.
_16 _17 _18
Cost savings with ANKYLOS® SynCone
Immediate interforaminal loading of four implants in the mandible
Dental fee** 38 % 37 %
Laboratory costs*** 38 % 6 %
Material costs 24 % 19 %
Total 100 % 62 %
Finished after > 8 hours approx. 2 hours
Sessions until delivery 2 1
The fee varies greatly from dentist to dentist, while the relation between the various cost
blocks generally remains constant. For this reason, actual charges have not been used. The
total fee for the bar has been set at 100%, and all other values are calculated with reference
to that. While the share of the dentist’s fee with the bar is only 37%, at exactly the same
amount it rises to 60% if SynCone is used.
Short treatment time with high-quality connection components and a competitive price!
* Oval bar, without extensions, ** 2.3 times the standard rate, *** without overdenture
Histology of peri-implant bone
around immediately loaded implants
showing dense bone formation
in the cervical and middle section.
Staining: toluidine blue.
B O N E - I M P L A N T I N T E R FA C E A R O U N D T I TA N I U M
I M PL A N TS U N D E R D I FFE R E N T LOA D I N G CO N D I T I O N S .
A H I S T O M O R P H O M E T R I C A L A N A LY S I S I N T H E M A C A C A
FA S C I C U L A R I S M O N K E Y
G . E . RO M A NO S , C . G . TO H , C . H . S I A R ,
H . W I C H T, H . YA C O O B , G . H . N E N T W I G
J P E R I O D O N TO L 2 0 0 3 ; 74 ( 10 ) : 1 4 8 3 - 1 4 9 0
Introduction: Bone healing around titanium implants is dependent on
implant-interface loading conditions. The aim of this study was to evaluate
histomorphometrically bone response around unloaded, late and immediately
loaded implants with a progressive thread design that were placed in the
mandibular posterior region of monkeys.
Methods: Nine adult monkeys (macaca fascicularis) were used in this study.
After extraction of the second premolars, first and second molars in the
Fig. below mandible, the bone was allowed to heal for a period of 3 months. Six 8 mm
High magnification of the
peri-implant soft tissue with thin long, 3.5 mm diameter ANKYLOS® implants were placed according to the
sulcus epithelium, ingrowing
following protocol. In two of the monkeys, six implants were placed and left
connective tissue and macrocellular
formation. Apically, the ingrowth of to heal submerged for 3 months (group A). In seven monkeys, 21 implants
the epithelium is not deep. A dense
fibrous tissue collar is surrounding were placed in one side of the mandible and loaded after 3 months of
the abutment in the cervical region.
submerged healing (group B). The group B implants were loaded with
Staining: toluidine blue.
temporary resin bridges at the same time as another 21 implants were loaded
_1 _2 _3
immediately (group C) after placement in the contralateral side of the
mandibles of the same monkeys. The occlusion of groups B and C implants
was checked for optimal relationship of the resin bridges that were replaced
1 month later with metal bridges and loaded for a further period of 2 months.
The group A animals were sacrificed after 3 months of submerged healing
without loading; group B and C animals were sacrificed only after 3 months
of implant loading. Specimens were examined histologically and histomor-
Results: All implants osseointegrated without presenting any gap in the
metal-bone interface. Dense cortical bone was found in contact with the
implant surfaces. Group A implants characteristically demonstrated cancel-
lous bone with loose connective tissue at the interface. Group B and C
implants showed a thick cortical plate with extensive bone trabeculae
formation. There was a significant difference in bone-to-implant contact
(BIC) at the interface between the various loading conditions. No significant
difference (p 0.05) was found between group B and C implants. There
was an increased area of bone (BA) within the threads as well as around the
apices of group B and C implants.
Conclusions: Implant loading might have stimulated increased bone
formation at the interface and thus may be a key factor in influencing
positive osseointegration. In addition, immediately loaded implants may
osseointegrate in a similar manner as delayed loaded implants.
_8 _9 _10
_4 _5 _6 _7
Legends to Figures
Fig. 1: Non-loaded ANKYLOS® implants in the mandible: The implant has
osseointegrated. The loose bone structure, filled with fat spaces surrounds the
titanium surface. This is a sign of missing functional irritation.
Fig. 2: Surgical site: The abutments were connected to the implants and loaded
Fig. 3: Immediately loaded ANKYLOS® implants after primary splinting with the
provisional crowns with occlusal contacts at the intercuspal position.
Fig. 4: Specimen of loaded implants from the mandible for histological
Fig. 5: Histological examination showing peri-implant new bone formation around
delayed loaded implants. The implants have osseointegrated.
Fig. 6: Histological examination of immediately loaded implants shows newly
formed bone at the titanium interface, specifically around the implants and the _27
adjacent tooth (bone reaction due to functional loading).
Fig. 7: New bone formation around the immediately loaded ANKYLOS ® implants is
in close correlation with the implant surface.
Fig. 8: New bone formation around immediately loaded ANKYLOS ® implants in the
posterior mandible: The Howship lacunae are filled with active cells (toluidine
Fig. 9: Cross section of the posterior mandible with immediately loaded implants.
The remodeled bone at the interface represents the formation of new, lamellar
bone, as a reaction to functional loading.
Fig. 10: Fluorescence marking of immediately loaded implants at the interface:
The yellow marking at the bone-to-implant interface is a proof of vital, new bone.
Priv. Doz. Dr. G.E. Romanos
Poliklinik für ZÄ Chirurgie
R E S T O R AT I O N O F M A N D I B U L A R F R E E - E N D
E D E N T U LI SM W I T H A N K Y LO S® I M PL A N TS I N
REDUCED BONE VOLUME
D R . J O A C H I M E I F E R T, H A L L E , G E R M A N Y
Implant-supported reconstructions in the lateral dental region, particularly
free-end edentulism, make up about half of all implant placement cases in
practice. If the bone volume is sufficient, implant restoration in this region
generally presents no problems. Unfortunately, in this region of the jaw, both
in the maxilla and the mandible, dynamic atrophy of the alveolar bone often
occurs in correlation with tooth loss. As a result, the residual bone height
makes implant placement difficult and requires bone remodeling treatment.
The following techniques are now an option:
■ Grafting treatment with autogenous bone grafts
■ Bone grafting materials
■ Distraction osteogenesis
_1 _2 _3
Vertical grafting of the dental arch and distraction osteogenesis are very The x-ray image shows the
status after surgery. After ten
demanding procedures, which require a precise indication. days, the bone gap has been
widened to 11 mm.
Distraction osteogenesis improves the bone volume by 10 to 12 millimeters
The remaining teeth requiring
within three months. The great advantage of this method is the simultaneous treatment were restored with
porcelain restorations and
extension of the covering soft tissue. It requires a sufficiently wide alveolar metal-ceramic crowns –
as requested by the patient.
ridge. For distraction, a segmental osteotomy is conducted in the existing
residual bone after securing an adequate bone base. Subsequently, the two
bone halves are connected with a distractor and the mucous membrane is
sutured. After five to seven days the distraction begins with a set screw being
turned twice a day (approximately one millimeter). With appropriate instruc-
tion, the patient can also do this independently to the planned height.
The slow stretching of the bone fragments induces the formation of new bone
in the gap; the soft tissue grows to match at the same time. After this process
the distractor remains in situ for eight weeks. The implants can be placed
after removal of the distractor.
A 43-year old patient presented in the office desiring a fixed free-end
restoration in the mandible and simultaneous improvement of the esthetic
and functional situation of her teeth. The x-ray image (fig. 1) showed a
highly atrophied mandible after loss of teeth 36 and 37 and all wisdom
teeth. Some teeth had semi-permanent fillings.
The patient was not satisfied with the esthetic situation in the anterior
region. Because of the low residual bone height, a digital volume sectional
image was made for three-dimensional assessment of the bone (fig. 4).
A residual bone height of five millimeters could be measured over the inferior
alveolar nerve; the bone width was 10 millimeters. After detailed discussion
with the patient and an explanation of other options, distraction osteogenesis
was selected as the means of improving the bone volume.
Surgery was performed under intubation anesthesia (anesthetist:
Prof. Dr. Dr. Hidding, Director of the Clinic for Oral and Maxillofacial Surgery,
Bethesda Hospital, Mönchengladbach, Germany). Subsequently, the segmental
osteotomy was conducted after placement of the distractor (Martin)
(figs. 5 , 6 , 9) and the wound was sutured. The x-ray image (fig. 1) shows the
status after the surgical procedure.
The rest of the treatment was carried out in the office on an outpatient
basis. After one week, the patient started to turn the distractor twice a day,
corresponding to about one millimeter (fig. 8). After ten days, the bone gap
was widened to 11 millimeters (fig. 2). Three months later, the distractor was
removed in the office (fig. 11) and well-vascularized, wide bone with a
vertical height increase of 11 millimeters could be detected (fig. 10).
Four weeks later, ANKYLOS® implants B 11 and C 8 were placed (fig. 12).
According to Misch the bone quality could be classified into classes D I and
D II. For this reason, implant placement immediately after removal of the
distractor would also have been an option. After a healing phase of three
months the metal-ceramic crowns on standard copings were placed in the
implants (figs. 3 , 13 , 14). The Periotest measurement yielded the value -4 for
implant 36 and -6 for implant 37. The remaining teeth that required treatment
were restored with porcelain and metal-ceramic crowns, a result that met the
patient’s desires and expectations.
In conclusion, it can be noted that distraction osteogenesis is a very good
option where the bone volume in the lateral dental region of the mandible
is reduced. However, specific anatomical conditions are required.
When selecting patients, note that the patients must develop an appropriate
attitude to this type of treatment.
Dr. Joachim Eifert
Leipziger Straße 85
ONE-SESSION SINUS LIFT WITH PEPGEN P-15® OR
O STE O G R A F® / N A N D A N K Y LO S ® I M PL A N TS
D R . D R . S T E FA N B E R G
pepgen p-15 _sinus lift ®
After decades of consolidation, implant The one-stage method generally requires a
dentistry is today well-established as a dental minimum bone height of four to five milli-
specialty. We are now in a position to find new meters to ensure that the implants can be
– expanded – indications. As a result, sinus placed with sufficient primary stability. The
floor elevation is considered an obvious and sinus floor elevation, particularly in the event
accepted procedure. This technique is used to of multiple implant placements in this region,
restore the atrophied lateral maxilla for is conducted through a lateral window.
implant placement by elevating the floor of the
maxillary sinus. Apart from the correct technique selection,
suitable material is decisive for the success of
Various techniques are used depending on the implant placement. With their proven progres-
volume of bone required. A detailed diagnosis sive thread, ANKYLOS® implants offer high
in the planning phase – with input from the primary stability, even in bone of reduced
patient – helps with the selection of the correct quality. A large, multicenter study has been
procedure. This also clarifies whether a one or able to demonstrate that the success rate of
two-stage procedure will be selected. The placing ANKYLOS® implants in local bone does
one-stage procedure has some advantages. not differ from the success rate of ANKYLOS®
The time required can be arranged more easily, implants in augmented regions. Whether the
the surgical trauma is minimized, and the implant is placed in the maxilla or mandible
improvement of the bone site is more cost- does not change the probability of survival.
efficient with simultaneous implant placement. Autogenous bone is still considered the gold
However, the anatomical conditions of the standard when it comes to selecting the bone
specific case must also be considered. grafting material.
_1 _2 _3
It combines all the parameters required for unlimited availability and minimum stress on
new bone formation. They include the bone- the patient. Most bone replacement materials
inducing cells and their precursors and the are physiologically passive, meaning that they
non-cellular components, such as BMPs, GFs simply fill defects; they do not induce new
and other osteoinductive substances. Finally, bone formation (osteoconductivity). In contrast
the autogenous bone not only forms a passive to such substances the PepGen P-15® bone
osteoconductive matrix but, with its organic replacement material actively supports new
components, it acts as a physiological frame- bone formation in a unique manner. A peptide
work for bone-inducing cells to bond and of 15 amino acids is irreversibly bound to the
activate them. However, harvesting autogenous surface of the hydroxyapatite granules.
bone, which requires an additional surgical This peptide is an exact match to the cell-
procedure at the donor site, generally involves binding domains of the naturally occurring
increased morbidity and increased cost for Type I collagen.
patients. In addition, the increased resorption
kinetics of autogenous bone, which often A bond to these domains or similarly to the
requires a significant overcontouring of the peptide P-15 is the signal for proliferation and
bone defect, are the main reasons for the differentiation of bone-inducing cells. This
increasing use of bone replacement materials. prerequisite is decisive for initializing the casca-
de of events that ultimately leads to new bone
All bone replacement materials must be formation. The increased and immediately
measured against the gold standard. They available cell binding points on PepGen P-15®
must have at least the bioactive potency of can optimize cell binding, enabling the formation
autogenous bone in combination with an of a large quantity of vital bone in a short time.
_4 _5 _6
To fill large defects (sinus floor elevation) Then the maxillary sinus was filled with a
PepGen P-15® can be mixed with other hydro- mixture of OSTEOGRAF® / N and PepGen P-15®
xyapatite materials (OSTEOGRAF® / N; FRIOS® in a ratio of 2:1. This compound was mixed with
ALGIPORE®) in the ratio of 1:2 to reduce costs blood. Then the bone cavity was finished with
for the patient. the tapered grinder to receive the implants
(fig. 4). The ANKYLOS® implants were placed
Material and Method subcrestally in accordance with the surgical
The 46-year old patient presented with a tooth- protocol to ensure undisturbed healing
bound gap and a free-end situation in the (figs. 5 and 6). Subsequently, the wound was
maxilla (fig. 1). An implant restoration in the closed with sutures (fig. 7).
maxilla was planned with fabrication of a fixed After a reduced healing time of five months
overdenture (regions 16, 25, 26, 27). Because the ANKYLOS® implants were uncovered
of the reduced bone volume a sinus floor with a laser. The referring dentist provided the
elevation was necessary in both quadrants prosthetic restoration (fig. 8).
(fig. 2). The maxillary sinus was divided by
strong septa. The residual height of the local Result
bone was sufficient for simultaneous place- The clinical checks and the radiological images
ment of the implants. Initially, the maxillary showed that all implants were successfully
sinus was exposed by an external access and osseointegrated. The prosthetic rehabilitation
the Schneiderian membrane was lifted (fig. 3). could be implemented according to the
The implant site was now prepared to the step treatment plan. All implants were completely
of the parallel-walled drill shaft hole. loaded.
_7 _8 _9 _10
Extended surgical techniques and selection
of the correct materials have been able to
significantly reduce the time required for
prosthetic rehabilitation of patients. As a
result, a second surgical procedure to harvest
autogenous bone is no longer necessary. This
eliminates the associated increased morbidity
and expense for the patient. PepGen P-15®
can actively support the formation of new
bone. The large number of cell-binding peptides
on its surface combined with the activation of
the bone-inducing cells forms vital, high-quality
bone in a short time.
The ANKYLOS® implant with its progressive
thread ensures primary stability even in
difficult bone conditions and in grafted
Dr. med. Dr. med. dent. Stefan Berg
regions. Ebertplatz 2
FRIADENT® CELLPLUS –
F R I A L I T ® - 2 W I T H N E W S U R FA C E –
A C A SE STUDY
D R . S T E F F E N K I S T L E R , D R . G E O R G B AY E R ,
DR. FRANK KISTLER, L ANDSBERG, GERMANY
Both science and industry have dealt with the topic of surface structure of
titanium implants for years. Even though various parties seem to be
introducing “the” revolutionary surface over and over again, until now the
only scientific confirmation has been that artificially roughened surfaces
are superior in the healing phase to surfaces that have only been machined.
With reference to long-term stability no significant clinical differences among
the various surface characteristics have yet been established. However, in
vitro studies can clearly indicate that certain methods of surface conditioning
can yield significantly better and longer lasting results, particularly in the
initial phases during the healing and bone deposition processes. This is also
reflected over the long-term in the clinical success statistics of implants
manufactured with this type of treatment. The FRIALIT®-2 stepped screw has
had an artificially roughened surface since its introduction to the market,
and the long-term results confirm the value of this treatment. However, the
scientific developments over the past ten years must also be taken into
account. In experiments, the newly developed FRIADENT® CELLplus surface
demonstrates significantly improved values, particularly with initial adhesion
of osteoblasts. This makes it an excellent clinical means of achieving
safe healing of implants and a higher osseointegration rate under loading,
particularly in defective bone.
It should further increase the reliability of implant treatment, especially
in difficult anatomical regions. These are the regions that will always pose
a challenge to implant dentistry in the future.
The following case study demonstrates the surgical handling of
FRIALIT® CELLplus implants.
The 54-year old patient presented in our practice after the loss of teeth 21 to 23.
The case history and diagnosis showed that the loss had been caused by
years of osteitic processes in this region, which could never be properly treated,
with the final result that the only remaining option was to remove the teeth.
* FRIALIT® CELLplus study implants with TempBase, not normally available.
The diagnosis indicated that the bone structure was likely to be defective,
in spite of the favorable clinical situation. The implant region was completely
uncovered after a palatally offset crestal incision. The very thin compact bone
of the alveolar ridge and the strong tendency to bleeding were notable features
in this case.
Implants were planned for regions 21 and 23, while region 22 was not
selected as an implant region. An implant-supported bridge solution with a
pontic at 22 was planned for the subsequent prosthetic phase to achieve a
more esthetic and above all predictable result.
The next steps were to determine the implant position and axis with a surgical
template and then to prepare the implant site with the standard FRIALIT®-2
stepped drills. Stepped drills, 15 mm long and 4,5 mm in diameter, were used
at each site. The bone quality at both implant sites was between D III and D IV.
When the implants with the new surface are removed from the package, the
lighter color, which is similar to the HA-coated surfaces, is immediately
obvious when compared to the old surface structure. While placing the
implants into the prepared bone site, the strong affinity of the surface to
fluids, in this case blood, becomes obvious. It is clear that four related
properties have a direct influence on implant healing: the chemical composition
of the surface, the surface energy, the surface roughness and the morphology.
The high degree of microroughness of the implants could be noticed clinically
with an unexpectedly high torque and high primary stability of the implant in
defective bone. The FRIOS® Unit E recorded an insertion torque of more than
35 Ncm with both implants – a value that many authors consider sufficient for
immediate restoration of the implants.
After placement of the implants, the labial bone deficit at implant 23 was
augmented with autogenous bone and covered with a collagen membrane.
After closure of the wound a removable provisional denture was delivered.
Because of the unusually high primary stability, uncovery of the implants,
the prosthetic restoration was planned as early as three to four months
The extent to which the new FRIADENT® CELLplus surface offers clinically
significant advantages compared to the old FRIADENT® DPS surface will be
demonstrated in long-term studies. The histological results of the in vitro and
in vivo studies and our own experience with the surgical treatment after
placing around 120 implants of the previous model are certainly very Dental Practice
Dres. G. Bayer, F. Kistler,
promising. Therefore, we believe that, particularly in difficult situations, S. Kistler, A. Elbertzhagen
this new surface will offer a predictable and successful implant restoration
86899 Landsberg am Lech/Germany
for our patients. firstname.lastname@example.org
* FRIALIT® CELLplus study implants with TempBase, not normally available.
P E P G E N P - 1 5 ® S T U D Y G R O U P E S TA B L I S H E D I N M A N N H E I M
PepGen P-15® is the only biomimetic bone replacement material in the
world that actively supports and accelerates the formation of new bone.
The synthetically manufactured peptides on the surface of the particles,
which consist of 15 amino acids, correspond to the cell-binding domains
found in natural Type I collagen. The mesenchymal osteoblast precursor cells
bind to the synthetic peptides (P-15) as easily as to the analogous structures
in the collagen. This biochemical stimulus brings about their differentiation
and an increased proliferation rate. An increased number of contact points
on the PepGen P-15® enables binding to an increased number of cells. This
accelerates natural bone formation. Cell binding is therefore the prerequisite
The prerequisites for clinical success are experience and knowledge –
apart from selection of the correct material!
_40 pepgen p-15 _study group ®
This is why the PepGen P-15® study group was established after the 10th
International FRIADENT Symposium in Mannheim. The international members
of the group, clinicians and practitioners met for the first time in Mannheim to
exchange experience and knowledge accumulated from clinical studies.
DENTSPLY Friadent is increasing its competence in bone regeneration with
this concentrated knowledge – for the benefit of all dentists and maxillofacial
surgeons involved in bone grafting. After an address of welcome from
Dr. Werner Groll (DENTSPLY Friadent General Manager), Dr. Jörg Neugebauer
(University of Cologne) started with a lecture on grafting in different indications.
Visiting Prof. Dr. Dr. A. Valentin (Mannheim) presented an overview of the pos- Dr. Werner Groll,
Dr. Jörg Neugebauer,
sibilities of receptor engineering, which described the beginnings of a new era Vis Prof. (Nippon Dental
in bone rehabilitation and its practical use today with PepGen P-15®. University Japan)
Dr. Dr. Andreas Valentin,
Dr. Jochen Weber (DENTSPLY Friadent) focused on the goals and possibilities Dr. Jochen Weber
of a PepGen P-15® study group and offered preliminary views of future
Finally, new research results were outlined with respect to the behavior of
osteoblasts on the surfaces of various grafting materials. The significantly
increased adhesion of vital cells to the PepGen P-15® granules and their
biological potency was clearly demonstrated. The concluding discussion
extended long after the official end of the meeting. The experts were
unanimous in their opinion that this new product and its clinical possibilities
are very exciting. We are looking forward to the next meeting.
XI V E ® TG C E LLPLU S R E PL AC E S FR I A LO C ®
XiVE® TG CELLplus is now fully available with all the advantages of the
FRIALIT® / XiVE® platform concept. For this reason, DENTSPLY Friadent has
decided to stop production of the FRIALOC® implant line at the end of the year
screw 2003. “XiVE® TG CELLplus offers significant advantages compared to the well-
known FRIALOC® system,” says Werner Groll, General Manager responsible for
development. The movable abutments greatly extend the range of indications,
and a wider range of implant lengths and diameters give the user maximum
flexibility during surgery.
The unique FRIADENT® platform technology allows the same prosthetic
components and procedures to be used with the identical implant-abutment
connection, regardless of whether XiVE® CELLplus, XiVE® TG CELLplus or
FRIALIT® CELLplus is used in practice.
_42 frialoc ®_xive tg cellplus
Now that XiVE® TG is available with the new FRIADENT® CELLplus surface
since December 1, 2003 it has yet another advantage over the FRIALOC®
system. The company believes that there is no better concept for easy
and fast single and multiple implant restoration. DENTSPLY Friadent has
developed two very attractive offers for users who want to upgrade from
FRIALOC® to XiVE® TG.
Please contact your local DENTSPLY Friadent distributor for more information.
SMALL BUT VERY EFFECTIVE
How to become a referring dentist? And what criteria does a referring
dentist use to select the best implant surgeon?
Both are well aware that implant dentistry defines the prosthetics of
the future. One small but important innovation makes it easy to start
out in implant prosthodontics and simplifies teamwork with surgical
colleagues: the Mini Prosthetic Set from DENTSPLY Friadent.
This compact set contains all the instruments that the dental specialist
needs for prosthetic restoration of implants in one compact, sterilizable
plastic tray, which means exactly three. The Mini Prosthetic Set is availa-
ble for ANKYLOS® and for both FRIALIT® and XiVE®. It contains the three
essential instruments for implant prosthetics.
depending on the system.
Article no. 31036165 Article no. 46 - 7000:
ANKYLOS® Mini FRIADENT®
The Mini Prosthetic Set makes it easy and economical to start out in Prosthetic Set Mini Prosthetic Set
Contents: ANKYLOS® (for FRIALIT® and XiVE®)
implant prosthetics with DENTSPLY Friadent. Even better, the prosthetic prosthetic ratchet, Contents:
1.0 mm hex screwdriver FRIADENT ratchet,
set gives maxillofacial surgeons their most convincing argument for
and setup aid 0.9 and 1.22 mm hex
referring dentists to work with them to establish a successful and screwdriver, short
profitable partnership for both sides. The Mini Prosthetic Set allows both
dentist and surgeon to concentrate on what is important – and to deliver
the optimum restoration for their implant patients. The Mini Prosthetic
Set for ANKYLOS® and for FRIALIT® / XiVE® will be available from February
2004. Order the Mini Prosthetic Set for your referring dentist – you don’t
need anything else to start out in implant prosthetics!
EAO 200 3 IN VIENNA
IN FOCUS: FRIADENT® CELLPLUS
eao_vienna The 12th annual EAO (European Association of Osseointegration) meeting was
held in Vienna from October 9 to 11, 2003. Around 1800 delegates from all
over the world traveled to the Vienna Hofburg to see the latest trends and
technologies in implant dentistry against the opulent background of the
former Habsburg empire. DENTSPLY Friadent, as a Founding Gold Sponsor of
the EAO, was also a sponsor of the congress in 2003.
FRIADENT® CELLplus – the next generation implant surface
This was the DENTSPLY Friadent slogan used to introduce the FRIADENT®
CELLplus surface innovation at an international event.
Numerous delegates to the congress took the opportunity to see live and in
3D the unique combination of properties in this new implant surface at the
DENTSPLY Friadent booth:
■ Unique three-dimensional microdesign for optimum osseointegration
■ Excellent wetting properties for maximum biocompatibility
■ Increased cell adhesion for accelerated new bone formation
■ Improved bone quality for predictable long-term success
The view through the 3D-glasses made it clear that the perfect interaction of
biology and engineering is the key to the innovations of the future. Natural
structures that can be imitated to yield valuable potential for optimizing the
design of the implant surface of tomorrow. These speculations have become
reality with the FRIADENT® CELLplus surface. With its optimum synergy of
biological functional principles and leading-edge technology FRIADENT®
CELLplus imitates nature more closely than any other implant surface.
It offers implant dentistry new perspectives for accelerated implant therapy
and a maximum degree of safety in treatment.
FRIADENT® CELLplus – scientifically proven and clinically tested
Prof. Rachel Sammons (Birmingham) and Prof. A. Novaes (São Paulo)
presented comprehensive results of studies on the development of
the FRIADENT® CELLplus surface on scientific poster. During the DENTSPLY
Friadent workshop Dr. G. Romanos, PD Dr. Gómez-Román and Dr. S. Wheeler
discussed the results of initial practical experience with the new surface.
Pilot users Prof. A. Piatelli (Italy) and Dr. Shahvier Nooryezdan (India),
who both appeared as lecturers in the main program, also focused on the
positive evaluations of the innovative FRIADENT® CELLplus surface.
FRIADENT® CELLplus – available now from DENTSPLY Friadent
The presentation of the CELLplus surface during the EAO congress was
also the official European launch of sales of the new generation of
surfaces on FRIADENT® implants.
The screw implants of the two product ranges will become available with
the new surface in all European markets over the following months under
the brand names FRIALIT® CELLplus and XiVE® CELLplus.
ANKYLOS® CELLplus implants will be available in 2004.
The advantage for you, our customer:
Effective immediately, DENTSPLY Friadent supplies its FRIALIT® and XiVE®
implants with the new growth-activating microstructured surface. The
FRIADENT® CELLplus implant surface (DENTSPLY Friadent, Mannheim,
Germany) enhances surface wettability, osteoblast recruitment, bone
quality and bone formation. It positively influences cell attachment and
improves bone apposition to implants – for an optimal treatment success
and shorter healing periods.
The worldwide market launch of the new CELLplus
implant surface started at the Annual Meeting of the
American Association of Oral and Maxillofacial
Surgeons (AAOMS) from September 10 to 13, 2003.
It was not by chance that the USA were selected to
introduce this innovative surface first. The conferences
in the largest and most important implant market in
the world are always attended by a large number of
visitors which means, an enormous growth potential
for DENTSPLY Friadent.
To cover east and west, the CELLplus surface was
presented again one week later at the American
Academy of Periodontology (AAP) Meeting in San
DENTSPLY Friadent was represented with speakers in
the main program at both events. Presentations at
the exhibition stands also provided information on
the growth-activating microstructure of FRIADENT®
CELLplus to numerous delegates. The new FRIADENT®
surface has been available on FRIALIT® and XiVE®
implants in the USA since September 2003.
American ANKYLOS® pilot users met for the first time at the DeguDent training
center in Hanau from 30 October to 1 November 2003. A total of 13 surgeons,
prosthodontists and dental technicians had the opportunity of spending
two days to study all details of the system. The team of leading lecturers
consisted of Prof. Dr. Nentwig, director of the Department for Dental Surgery
at the Frankfurt University Clinic, PD Dr. Michael Stiller, senior physician at the
Benjamin Franklin Hospital in Berlin and Dr. Nigel Saynor, implant specialist
from Manchester (UK). All features and options of this implant system were
presented under the direction of Dr. Werner Groll (DENTSPLY Friadent, General
ANKYLOS® pilot user
Manager) and with the support of Dr. Eduard Eisenmann, Pascale Grote and meeting in the training
center at DeguDent in
Thomas Lange (all employees of DENTSPLY Friadent). The program ended with
a live surgery and hands-on.
ankylos ®_goes usa _47
There was, of course, time to relax after such an intensive and successful
meeting. The dinner in the exciting atmosphere of the world-famous Frankfurt
Tiger Palace was an event in every way.
The obviously content group returned to the US full of enthusiasm and praise
for the unique ANKYLOS® system and the first-class event – they were looking
forward to use the system in practice as soon as possible.
The Hotel Ermitage in Evian was the meeting place for the most
powerful people in the world at the World Economic Summit 2003.
On September 18 and 19, 2003, the exclusive hotel overlooking Lake
Geneva was the site of a unique symposium organized by FRIADENT
About 100 delegates attended to hear the latest information and
practical examples of the application of the FRIADENT® systems
ANKYLOS® and FRIALIT® / XiVE® systems in presentations by
Dr. S. Altglas, Dr. A. Amiach, Dr. A. Benhamou, Dr. C. Chavrier,
Dr. P. Moheng, Dr. P. Missika and others.
_ 48 evian_evident success
The competitors for the
DENTSPLY Friadent Golf
Trophy in the Royal Parc
Dr. Dr. Andreas H. Valentin and Dr. Jochen Weber presented lectures on
PepGen P-15® during the conference. This bone regeneration material is
available now from FRIADENT France. Delegates were able to see the
clinical application of PepGen P-15® and the FRIADENT® implant systems
in a live surgery performed by Dr. Jean Maddaleno in his practice.
The alternative was to compete in a golf tournament before the impressi-
ve panorama of Evian.
The unanimous conclusion: Evident Success in Evian – a high-quality
event in a beautiful environment.
NEW ACTIVITIES IN POL AND
Implant treatment is of more and more interest for patients and dentists
in Poland. Our first workshop with Priv.-Doz. Dr. German Gómez-Román
(University of Tübingen/Germany) in Kielce in November 2003 was com-
pletely sold out. Dr. Gómez lectured on the advantages of the FRIALIT®
system at the Quintessenz Congress Kielce in the main program and 86
dentists attended his evening workshop. Our new distributor in Poland
is ROWAX. The new team will be happy to provide the best possible
support to our customers.
For additional information please contact:
email@example.com or dial: +48 43 8273023
friadent ®_tour _49
S E A RC H FO R E XC E LLE N C E – E ST H E T I C S A N D FU N C T I O N
This was the title of three one-day conferences held in September at Helsinki,
Gothenburg and Copenhagen. DENTSPLY Friadent was there for customers
with all available products and four well-known lecturers: Dr. B. Saneke,
Dr. G. Romanos, PD Dr. G. Gómez-Román and Dr. J. Weber. The feedback was
very good and planning for the next meetings is already under way.
On the road to success with our
customers in three Scandinavian
J. Bagby, FRIADENT Scandinavia,
Dr. G. Romanos, University of Frankfurt,
O. Schmidt, FRIADENT GmbH,
PD Dr. G. Gómez-Román, University of
A. Wiberg, FRIADENT Scandinavia,
Dr. J. Weber, Mannheim (left to right)
and Dr. B. Saneke, Wiesbaden (front)
OFFICIAL MARKET INTRO DUCT ION IN SPAIN –
TMV managing A COMPLETE SUCCESS!
director Jorge Suárez
(right) with Prof. Abel
Garcia (University of
Santiago de Compostela).
XiVE® and the new surface were officially introduced to the market
together at the Holiday Inn Hotel in Madrid on October 18, 2003.
_50 hola_xive About 300 dentists from all over Spain responded to the invitation
from TMV Medica, the Spanish distributor. In addition to the extremely
interesting program of lectures, the delegates also had the option of
getting acquainted with the system in detail at the information stands.
The Spanish lecturers Dr. Julio Acero and Dr. Fernando Luengo shared
their comprehensive clinical experience with the audience, as did
Prof. F. Khoury, who not only spoke about working with XiVE® but also
described options for improving local bone volume. The congress,
Dr. Santiago Barona and Dr. Victor De Paz as chairmen, also included
the latest insights into receptor engineering and the application of
PepGen P-15® by Dr. A. Valentin, Visiting Prof. at Nippon University.
All members of the audience were able to follow the lectures due to
simultaneous interpretation into Spanish and English. The final event was
the presentation of the new CELLplus surface, in which Dr. R. Jansen,
placed particular emphasis on the scientific studies that were crucial to
the development of the new DENTSPLY Friadent surface.
The participants were not only enthusiastic about the topics and presen-
tations but also praised the relaxed atmosphere and the excellent organi-
zation, which made the event a complete success.
D E N TA L S Y M P O S I U M 2 0 0 3 :
D E N T S P LY I N D U B A I
The Dental Symposium 2003 in Dubai from September 11 to 15, 2003,
attracted 270 participants from all over the world following the invitation
of DENTSPLY Middle East and Africa. DENTSPLY Friadent presented the
ANKYLOS® and FRIALIT® / XiVE® implant systems in lectures and hands-
on sessions. FRIADENT presenters for novices and experienced users
included Dr. G. Bayer, Dr. Dr. S. Berg and Dr. Dr. D. Haessler.
But what would such an event be in the country where the stories from
the thousand and one nights contrast with the progress of the 21st
century without an appropriate side program. A jeep safari, camel rides
in the desert, a beach barbecue party and a dinner in the exclusive
Burj el Arab, the only 7-star hotel in the world, were all attractions
offered for the delegates and contributed to a relaxed atmosphere for
exchanging practical tips and experiences with implant dentistry.
iDENTity Evident Success® · Published: three times per year Publisher: FRIADENT GmbH · P.O. Box 71 01 11 · D-68221 Mannheim
Tel.: +49 (0) 621 43 02-13 62 · Fax: +49 (0) 621 43 02-23 62 · Internet: http: / / www.friadent.de Editorial team: Lolita Keller (editor-in-chief )
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