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The th International Symposium

The Israeli Association


of Oral Implantology
Restoring the dento-alveolar complex: Successes and limitations

SCIENTIFIC PROGRAM
and
B O O K o f A B S T R A CT S

N ovemb er 18 -21, 20 0 9
R o y a l B e a c h H o t e l , Ei l a t , I s r a e l
Dear Friends and Colleagues,

On behalf of the Israeli Association of Oral Implantology (IAOI), we are pleased to


invite you to Eilat for the 4th international symposium. We will be happy to host you
for this outstanding meeting, which combines an excellent scientific program and
exciting social events for all attendees.

The scientific committee has made great efforts to bring the best speakers in the
field of implantology; distinguished speakers of international repute.

This year we have decided to offer you a few options of accommodation at the
wonderful hotels of the Isrotel chain, while the main share of the Symposium will
be held at the top standard quality Royal Beach hotel.

Hope you will join us and enjoy a great scientific and social program and take part
of this unique event.

Dr. Yossi Kassirer Dr. Zeev Ormianer


Chairman of the Organizing Committee Chairman of Sceintific Committee

OFAKIM Travel and Congresses Ltd. - 80 Menachem Begin St., Tel Aviv 67138 Israel
Tel: 972-3-7610610, 972-3-7610822 (Or), Fax: 972-3-7610799, or@ofakim.co.il

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Restoring the dento-alveolar complex: Successes and limitations
T ABLE OF C ONTENTS
General Information . ............................... 5

Program at a Glance ................................ 6

Conference Program

Wednesday . ............................. 7

Thursday . ................................. 7

Friday ....................................... 9

Abstracts ...................................................... 10

Sponsorship ........................................... 42

Exhibitors . ............................................. 43

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The 4th International Symposium - The Israeli Association of Oral Implantology
G ENER AL I NFORMATION
Conference venue:
Isrotel Royal Beach Hotel is a 5-star deluxe hotel that is located directly on the shores of the Red
Sea. The hotel overlooks the Gulf of Eilat and is close to major tourism attraction, restaurants,
beaches, marinas, scuba diving, wind surfing areas, and shopping centers. The hotel has
three swimming pools, including waterfalls and underwater caves, a modern spa and more.
The Royal Beach Hotel Internet site: www.isrotel.co.il

Conference dates:
November 18-21, 2009.

Language:
The official language of the conference is English.

Registration:
The registration desk will be open starting from November 18th at 10:00 and will be located at
the hotel’s lobby, near the reception desk; there you will find your nametag and all information
and documents required for the conference. Room keys will be given from 15:00; luggage
can be deposited at the hotel luggage room.
Check out time on Saturday, November 21st is 14:00.
The desk will remain open all day long; information and registration desk will be available
at the conference floor throughout the convention.

Climate:
The weather in Eilat is hot and sunny during the day, remaining warm throughout the
evening. Day time temperatures range from 20-25 degrees centigrade. Night can get chilly.

Dress code:
The conference dress code is casual.

Nametags:
The participants are asked to wear nametags throughout the conference; the entrance to
the lectures, workshops, meals (including at the hotel restaurant) and social events will be
allowed only with nametags and vouchers that will be issued for the specific event.

Commercial Exhibition:
A commercial exhibition will take place throughout the conference at the conference floor.
The participants are welcome to visit the exhibition and get information from the exhibitors.

Social Events:
Wednesday, November 18th, 19:30:
“Get together cocktail”
“Lobby Terrace”, Royal Beach Hotel (Entrance floor).

Thursday, November 19th, 20:00:


Gala Dinner
“Pavilion” (Herods Hotel).
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Restoring the dento-alveolar complex: Successes and limitations
P ROGR AM AT A G L ANCE
Wednesday 18.11.2009 Thursday 19.11.2009 Friday 20.11.2009
08:30 – 09:15 08:30 – 09:15
Ophir Fromovich Edwin Scher

09:15 – 10:00
09:15 - 10:15
David Kohavi
Maurice Salama
10:00 – 10:30 Coffee Break
10:00 Registration
10:15 – 11:30 10:30 – 11:15
Micael Pikos Itzhak Binderman

11:15 – 12:00
11:30 – 12:00 Coffee Break Eli Raviv
11:00 – 13:30
Pre-conference Workshop - 12:00 – 12:45 12:00 – 12:45
Michael Pikos Henry Salama Gadi Schneider
12:45 – 13:15
12:45 – 13:30
Zeev Ormianer
Nicolas Cohen

13:15 – 14:15 Lunch Break


13:30 – 14:30 Lunch Break
14:00 – 14:30
Opening Ceremony
14:30 – 16:30 Parallel Sessions
14:30 – 15:30 Surgical – hall A Prosthetic – Hall B
Maurice Salama Mariusz Duda Konstantinos D. Valavanis
Daren Rosen Gideon Hallel
Amnon Mutsafi Yossi Kaplavi
Avi Reyhanian Benatouil Jean
15:30 – 16:30 Adel Byadsi & Shlomo Birshan
Michael Pikos Masarwa Kossai
Amos Yahav

16:30 – 17:00 Coffee Break 16:30 – 17:00 Coffee Break

17:00 – 18:00 17:00 – 18:00


Nitzan Bichacho Workshops

18:00 – 18:45
Ady Palti

19:30
Welcome cocktail reception
20:00 Gala Dinner 20:00 “Shabat” Dinner

* There might be some changes in the order of the lectures

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The 4th International Symposium - The Israeli Association of Oral Implantology
C ONFERENCE P ROGR AM
Wednesday, November 18, 2009
11:00 – 13:30 Workshop – “The Art and Science of Mandibular Block Grafting”
Dr. Michael Pikos
Main Podium Session – Hall A:
14:00 – 14:30 Opening Ceremony
14:30 – 15:30 Site Preparation and Augmentation Techniques in the Esthetic Zone
Dr. Maurice A. Salama
15:30 – 16:30 Esthetic Zone Reconstruction:
Synergy of Soft and Hard Tissue Grafting: Part I
Dr. Michael Pikos
16:30 – 17:00 Coffee Break
17:00 – 18:00 Esthetic success factors in dental implantation:
An inter-disciplinary approach
Prof. Nitzan Bichacho
18:00 – 18:45 4 D Planing for Perfect Esthetics: New Technologies in Oral
Implantology
Prof. Ady Palti
19:30 Welcome cocktail reception for delegates and accompanies

Thursday, November 19, 2009


Main Podium Session – Hall A:
08:30 – 09:15 Complication of Dental Implants Prevention and Treatment
Dr. Ophir Fromovich
09:15 – 10:15 How to Avoid Failures with Implants in the Esthetic Zone:
An Algorithm for Surgical Decision Making
Dr. Maurice A. Salama
10:15 – 11:30 Esthetic Zone Reconstruction:
Synergy of Soft and Hard Tissue Grafting: Part II
Dr. Michael Pikos
11:30 – 12:00 Coffee Break
12:00 – 12:45 Minimally Invasive Implant Protocols and the Management of Risk
Factors in Esthetic Therapy: Success by Design
Dr. Henry Salama
12:45 – 13:30 ”Inflammation and Peri-Implant Diseases”
Dr. Nicolas Cohen
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Restoring the dento-alveolar complex: Successes and limitations
13:30 – 14:30 Lunch Break
14:30 – 16:30 Parallel Session 1 – Surgical Track – Hall A:
14:30 – 15:00 Open sinus lifting as a part of treatment in full mouth reconstructions
Dr. Mariusz Duda
15:00 – 15:20 Inferior alveolar lateralization for placement of dental implants
Dr. Daren Rosen
15:20 – 15:40 Practical Solutions For Dental Implants Compications
Dr. Amnon Mutsafi
15:40 – 16:00 The use of the Erbium Yttrium Aluminum Garnet (2940nm) in a Laser-
Assisted Implant Therapy how much we can push the envolope?
Dr. Avi Reyhanian
16:00 – 16:20 Unilateral Tilted implants vs. sinus lift using a piezoelectric device
Dr. Byadsi & Dr. Masarwa
The use of Bi-phasic calcium sulfate to meet bone augmentation
challenges
Dr. Amos Yahav
14:30 – 16:30 Parallel Session 2 – Prosthetic Track – Hall B:
14:30 – 15:00 Immediate implant placement and provisonalisation:
Gingival consideration for a better aesthetical outcome
Dr. Konstantinos D. Valavanis
The “second round” of implant supported restoration
Dr. Gideon Hallel
15:00 – 15:20 New Waves in Implant Therapy – Breaking the Myths in Restoring the
Dento-Alveolar Complex
Dr. Yossi Kaplavi
15:20 – 15:40 “Immediate loading in atrophic jaws: the B.I.O.concept”
Dr. Benatouil Jean
16:00 – 16:20 Botox administration to masticatory muscles prior to early/immediate
loading in atrophic jaws
Dr. Birshan Shlomo
16:30 – 17:00 Coffee Break

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The 4th International Symposium - The Israeli Association of Oral Implantology
17:00 – 18:00 Workshops:
Zimmer Dental – Choosing the correct Implant and abutment to
achieve an esthetic and functional result in cases of missing teeth
Dr. Maurice A. Salama & Dr. Zeev Ormianer
A.B. Dental – Immediate Loading & All at Once
Dr. Gil Yehuda
Alpha Bio Tec. – Advanced practical aspects in use of narrow
implants for narrow ridges
Dr. Yatzkaier Gustavo
Adin Dental Implants
20:00 Gala Dinner

Friday, November 20, 2009


08:30 – 09:15 What went wrong?
Complications, Errors, and how to solve the problem
Dr. Edwin L.C. Scher
09:15 – 10:00 Bone-Implant interface; from birth to self distraction system.
Research updates
Prof. David Kohavi
10:00 – 10:30 Coffee Break
10:30 – 11:15 Effectiveness of scffolds in tissue engineering of bone
Prof. Itzhak Binderman
11:15 – 12:00 Short-Wide Diameter Implants.
An alternative to bone grafting procedures
Prof. Eli Raviv
12:00 – 12:45 The predictable surgical way for teeth in a day
Dr. Gadi Schneider
12:45 – 13:15 The atrophic jaw, prosthetic solution and complications
Dr. Zeev Ormianer
13:15 – 14:15 Lunch

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Restoring the dento-alveolar complex: Successes and limitations
Dr. Maurice A. Salama, DMD (USA)

Dr. Maurice A. Salama completed his undergraduate studies at


the State University of New York at Binghamton in 1985, where
he received his BS in Biology. Dr. Salama received his DMD from
the University of Pennsylvania School of Dental Medicine, where
he later received his dual specialty certification in Orthodontics
and Periodontics, as well as his implant training at the Branemark
Center at Penn.
Dr. Salama is currently on the faculties of the University of
Pennsylvania and the Medical College of Georgia as Clinical
Assistant Professor of Periodontics. Dr. Salama is a permanent member of the Scientific
Committee of the world’s leading online Dental Education Website DENTALXP.com
He is also a member of the Team Atlanta Dental Practice which is a multidisciplinary
practice world renowned for their clinical research in reconstructive and esthetic
dentistry.

Main Podium Session – Hall A • Wednesday, November 18, 2009 • 14:30 – 15:30

Site Preparation and Augmentation Techniques in the Esthetic Zone


To be a viable treatment choice in the partially edentulous case, the implant-supported
restoration must cosmetically equal or surpass that of conventional crown and bridge.
This requires development of the edentulous ridge or potential implant restorative
site to mimic that of a natural tooth. The essence in the creation of this illusion of
reality is the soft tissue restorative frame.
The three-dimensional reconstruction of the implant receptor site comprises two
distinct phases:
• Development of the hard tissues
• Reconstruction of the soft tissue 
Orthodontic tooth movement can be synergistically combined with periodontal plastic
surgical techniques, guided bone regeneration and osseous grafts to effectively
establish the optimal foundation for functional and esthetic implant restorations.
Vertical soft tissue and interdental papilla enhancement is frequently combined with
innovative second-stage periodontal plastic surgery to create an ideal restorative frame.    
This program will cover site preparation techniques prior to and at the time of implant
placement.
Educational Objectives:
1. Diagnosis and classification of implant recipient sites
2. Preservation techniques available for implant replacement
3. Management of the “deficient” site through augmentation techniques

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The 4th International Symposium - The Israeli Association of Oral Implantology
Main Podium Session – Hall A • Thursday, November 19, 2009 • 09:15 – 10:15

How to Avoid Failures with Implants in the Esthetic Zone:


An Algorithm for Surgical Decision Making
Controversies remain regarding tooth replacement decisions being made for the
partially edentulous patient. Part of this difficulty evolves from the lack of understanding
regarding quite normal and natural behavior of the bone and soft tissue prior to,
during, and after implant placement.
The literature has provided us with many tools and techniques to avoid failure in
this arena. Unfortunately, many of these studies have not yet presented the clinical
team a complete algorithm for decision making in this area. This presentation will
highlight the available data from a multi-year clinical study, as well as, the pertinent
and significant research studies pertaining to tooth replacement and tissue response
in the “Esthetic Zone.”
Many times clinical failure may cause emotional strain on the patient and staff, as
well as economic loss to the dentist due to the multiple procedures required in order
to repair damage surgical sites. This problem has been a complicated one which
has involved almost every practicing implant dentist in the world. What to do when
things go wrong and how to surgically and restoratively recover from these clinical
failures will be discussed. This presentation will most importantly highlight a new
“Tooth Replacement Algorithm” to assist the implant team in making improved
clinical decisions and to reduce esthetic failures.

References:
Tarnow D., et al. J of Perio 1992, 2000
Salama H, Salama M, Garber D. PPAD 1998

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Restoring the dento-alveolar complex: Successes and limitations
Dr. Michael A. Pikos, DMD (USA)

Dr. Michael A. Pikos is originally from Campbell, Ohio. He attended


The Ohio State University where he graduated Summa Cum Laude
and Phi Beta Kappa. He also graduated with honors from The
Ohio State University College of Dentistry. Dr. Pikos completed
residency training in Oral & Maxillofacial Surgery at the University
of Pittsburgh, Montefiore Hospital.
He is a Diplomate of the American Board of Oral and Maxillofacial
Surgery, Diplomate of the American Board of Oral Implantology/
Implant Dentistry, and Diplomate of The International Congress of
Oral Implantologists. Dr. Pikos is the recipient of the 2006 Aaron Gershkoff Memorial
Award from the American Academy of Implant Dentistry.
He is an Adjunct Assistant Professor, Department of Oral & Maxillofacial Surgery
at the following institutions: The Ohio State University, College of Dentistry, the
University of Miami, School of Medicine, and Nova Southeastern University, College
of Dental Medicine. He is also a Courtesy Clinical Associate Professor, Department
of Periodontology, at the University of Florida, College of Dentistry.
Dr. Pikos has extensive experience in implant surgery and hard and soft tissue grafting
procedures. He emphasizes interactive CT technology along with foundational principles
of prosthetics and biomechanics that dictate the ultimate success of comprehensive
implant rehabilitation.
He is a well published author who has lectured extensively on dental implants in North
and South America, Europe, and the Middle East. Dr. Pikos is an active member and
frequent lecturer for the American Association of Oral and Maxillofacial Surgeons, the
American Academy of Periodontics, the Academy of Osseointegration, the American
Academy of Implant Dentistry and the International Congress of Implantology.
Dr. Pikos is founder and CEO of the Pikos Implant Institute. Since 1990, he has been
teaching advanced bone and soft tissue grafting courses with alumni that now
number more than 2200 from all 50 states and 32 countries. Dr. Pikos maintains a
private practice which is limited exclusively to implant surgery in Palm Harbor, Florida.

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The 4th International Symposium - The Israeli Association of Oral Implantology
Main Podium Session – Hall A • Wednesday, November 19, 2009 • 15:30 – 16:30
Main Podium Session – Hall A • Thursday, November 19, 2009 • 10:15 – 11:30

Esthetic Zone Reconstruction: Synergy of Hard and Soft Tissue Grafting


The loss of alveolar ridge contour in the esthetic zone compromises both esthetics
and function. This clinical presentation will focus on the application of both hard
and soft tissue grafting in the esthetic zone implementing state of the art interactive
CT diagnosis and treatment planning for optimal esthetic implant reconstruction.
Emphasis will be on indications, graft and harvest site assessment, timing, use of
bioactive modifiers, and surgical protocol utilizing a range of bone grafting protocols
in conjunction with connective tissue grafts, acellular dermis matrix, and related
soft tissue procedures to avoid functional and esthetic pitfalls. Pre and post-grafting
prosthetic workup, interactive CT graft assessment and prosthetic driven implant
planning, stent driven implant placement, and computer milled abutment fabrication
will be featured. Both single and multiple tooth cases will be presented.
Objectives:
• Upon completion of this course, participants should be able to:
• Diagnose and treatment plan both single and multiple tooth replacement in the
esthetic zone.
• Understand the application of interactive CT imaging in the development of
prosthetic driven implant placement in the esthetic zone.
• Describe the indications for and sequencing of hard and soft tissue grafting in the
esthetic zone.
• Understand the role and surgical protocol of mandibular block autografts, connective
tissue grafts, acellular dermal matrix, and use of bioactive modifiers in the esthetic
zone.

References:
Pikos MA. Atrophic posterior maxilla and mandible: alveolar ridge reconstruction with
mandibular block autografts. Alpha Omegan. 2005 Oct;98(3):34-45.
Pikos MA. Mandibular block autografts for alveolar ridge augmentation. Atlas Oral Maxillofac
Surg Clin North Am. 2005 Sep;13(2):91-107.
Langer B, Calagna L: The subepithelial connective tissue graft: A new approach to the
enhancement of anterior esthetics. Int J Periodont Restor Dent 1982;2:23.
Tavares, Juan M., Ferrucci, Joseph T. (2002). Radiology: Diagnosis-Imaging-Interpretation,
Volume 3. Philadelphia, PA: Lippencott Williams & Wilkins, Inc.

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Restoring the dento-alveolar complex: Successes and limitations
Prof. Nitzan Bichacho, DMD (Israel)

Prof. Nitzan Bichacho heads the Ronald E. Goldstein Center for


Aesthetic Dentistry and Clinical Research at the Prosthodontics
Department of the Faculty of Dental Medicine at the Hadassah
Medical Campus, holding the post of expert in prosthodontics at
the rank of professor at the Faculty of Dental Medicine, Hebrew
University, Jerusalem, where he received his D.M.D. in 1984.
He is Past President and an active member of the European
Academy of Esthetic Dentistry - EAED, (www.eaed.org). He also
serves as scientific editor of the American professional journal
Practical Procedures & Aesthetic Dentistry, (www.PPAD.com), The Middle East
Journal of Oral Health, and the Implantology section of The European Journal
of Esthetic Dentistry, (www.quintessenz.de) and as editorial board member of
several international publications.
Prof. Bichacho has been publishing and lecturing worldwide in the fields of dental
implant therapy, fixed prosthodontics, and innovative treatment modalities in esthetic
dentistry.
He is the conceptor and co-inventor of the NobelActive Implant System.
In his private practice in Tel Aviv, he collaborates with multinational colleagues and
dental technicians.

Main Podium Session – Hall A • Wednesday, November 18, 2009 • 17:00 – 18:00

Esthetic success factors in dental implantation:


An inter-disciplinary approach
A critical goal to support dental implant therapy is the achievement of optimal soft
and hard tissue integration, to support a functional and aesthetic restoration. The
implantation and restorative techniques will be thoroughly discussed to enable a
clear insight of the factors influencing satisfactory results in various situations. Special
emphasis will be dedicated to the pros and cons of immediate implantation and
immediate restoration which, due to obvious reasons, has gained popularity among
patients and dentists.
This lecture will discuss the rational for different restoration techniques, and for the
various restorative phases. The pros and cons as well as indications, contra-indications
and case selection will be referred through numerous treatments that will be presented.

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The 4th International Symposium - The Israeli Association of Oral Implantology
Prof. Ady Palti, DDS (Germany)

Ady Palti, DDS, Baden Baden/Germany, currently professor at


New York University College of Dentistry and clinical professor
at Boston University Dental School Center of Implantology. He
is president of the German Society of Oral Implantology (DGOI)
since 2004 and President Elect of the International Congress of
Oral Implantologists (ICOI).
Ady Palti lectures worldwide and publishes on new technologies in
oral implantology main focus on 3D technologies and immediate
loading.
Private practice in Baden-Baden Germany limited to implantology and esthetic dentistry.
Involved in development of surgical instruments, implant design, membranes and
augmentation materials since 1980.
Director of the International Academy of Implantology (IAI )in Baden Baden, Clinical
Director of the Videnti Clinic in Baden Baden focusing on Implantology and Esthetic
Dentistry.

Main Podium Session – Hall A • Wednesday, November 18, 2009 • 18:00 – 18:45

4 D Planing for Perfect Esthetics: New Technologies in Oral Implantology


The expectations of our patients concerning perfect aesthetics, functionality and
phonetics demands a high standard of implant skills. Todays patients are also expecting
to have an immediate restoration after loosing their teeth.
Although the success rate of 90-95 is impressive, we should try to avoid the 5 to 10
percent failures and complications. The new technique of 3D planning and navigation
could bring us closer to this goal. By using a CT which is fed into the computer in
digital form the dentist is able to carry out perfect implant planning. Both, the position
of the implants in the vicinity of anatomical structures and the future prostheses can
be planned exactly.
To optimise this technique in the daily practice, we transfer the 3D data to the dental
lab with a special Lab Technology (GPIS) the lab technician is preparing a surgical
guide, temporary or final abutments and a provisional restauration for the patient.
This method saves time and has a very high acceptance for our patients.

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Restoring the dento-alveolar complex: Successes and limitations
Dr. Ophir Fromovich, DMD (Israel)

D.M.D Dentistry, University of Bucharest, Romania, 1983-1988


Post-graduate training in Orthodontics, University of Bucharest,
Romania, 1988-1990
PROFESSIONAL MEMBERSHIPS: ICOI International congerss of
oral implantology, January 2003; DGZI Deutsche Gesellschaft für
Zahnärztliche Implantologie, November 2003; IAOI Iraeli Association
of Oral Implantology, May 1998
LICENSES AND CERTIFICATIONS: Dental License in Israel, 19.11.1990;
ICOI Diplomat, 30.05.1998
OCCUPATIONAL HISTORY: Private practice, Israel, Since 1988; C0-Innovator and
Managing Director of Alpha Bio Implant Systems, Since 1988; CEO of Alpha Bio Ltd.,
Petch-Tikva, Israel, Since 1988
ACADEMIC APPOINTMENTS: Research associate at the laboratory of dental technology
in The faculty of Dental Medicine The Hebrew University-Hadassah Jerusalem, Since
2004; Prof. A/C degli Studi G. d’Annunzio Chieti University, Italia, October 2005
RESEARCH: Implant surface Tehnion, Haifa, Israel; Animal histology, Zurich University, Swiss
PUBLICATIONS: Israeli dental journal; Esthetic zone trauma complication treatment,
Adekan Israel dental update No’ 83– Pages 86-87 was published at May 2006; Esthetic
zone type of dental implant bone augmentation, Adekan Israel dental update No’
85– Pages 88-89 was published at September 2006; Close sinus lift using balloon
techniques’, Adekan Israel dental update No’ 81– Page 90 was published at January
2006; Complication in dental implants prophylactic, treatment, Adecan Israel dental 7/07
INVITED PRESENTATIONS:
2007 EAO - European association for osseointegration, Barcelona Live Surgery
2007 Moscow, World Tour Live Surgery
2007 Las Vegas, Nobel Biocare World Tour Live Surgery
2007 AAO - American academy of ophthamology, Live Surgery
2007 AAP - American academy of pediatrics, Live Surgery
2007 AAID - American academy of implant dentistry - Las Vegas
2007 International Congress of DGZI, Düsseldorf, Germany
2005 London Study Club
2007 GIDE Global Institute for Dental Education
2007 ICOI - International congerss of oral implantology, Korea
2007 S.I.M.O.
2005 ADI, United Kingdom
2005 London Study Club
Awards and Honors: “Yakir Akim”- an award for volunteering from the president of Israel,
Dec 2005; Appropriation award for volunteer from the minister of health, 20/12/2007

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The 4th International Symposium - The Israeli Association of Oral Implantology
Main Podium Session – Hall A • Thursday, November 19, 2009 • 08:30 – 09:15

Complication of dental implants prevention and treatment


Dental implants have a treatment modality for patients with missing tooth, are well
documented in literature.
However, information is needed on the complications that accrue with dental implants
how to prevent and how to treat in the filed of the sugary and the prosthetic treatment.
This lecture will deal with complications on the fields of:
• Sinus lift
• Hemorrhagic related complications
• Replacing broken dental implant
• Crown lentang treatment implants
Etc.
After 20 years of experience with dental complication we got the knowledge and
the experience how to treat many of those complications.
We need to focus on biological and mechanical consideration in order to avoid
further complication.

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Restoring the dento-alveolar complex: Successes and limitations
Dr. Henry Salama, DMD (USA)

Dr. Salama received his post-doctoral specialty certificates in both


periodontics and periodontal-prosthesis, fixed prosthodontics
from the University of Pennsylvania. He is the former director of
the Implant Research Center, at the University of Pennsylvania,
where he continues to be a Clinical Assistant professor in the
Department of Periodontics.
Dr. Salama is currently in private practice in Atlanta limited to
advanced restorative and implant therapy. His clinical research
activities focus on long-term stability of esthetic soft tissue
enhancement techniques, as well as immediate and early loading of root form implants.
Dr. Salama is also a featured Xpert content provider and member of the Scientific
Board of the leading Web based Dental Education site www.DentalXP.com.

Main Podium Session – Hall A • Thursday, November 19, 2009 • 12:00 – 12:45

Minimally Invasive Implant Protocols and the Management


of Risk Factors in Esthetic Therapy: Success by Design
Clinicians today have access to an astounding array of new technology, tools and
materials to utilize in their increasingly esthetically oriented practices. However, none
of them can ensure success if the treatment design is inadequate. This presentation
puts an emphasis on identifying the risk factors to successful esthetic outcomes as
well as on developing appropriate solutions to overcoming them. A clear blueprint to
designing beautiful smiles will be outlined which will incorporate synergistic surgical,
restorative and orthodontic techniques aimed at overcoming esthetic challenges and
predictably achieving successful results in any environment.
In addition, a focus will be placed on the biological, clinical and biomechanical factors
that may allow clinicians to simplify implant protocols with minimally invasive surgical
protocols and, when possible, to reduce or completely eliminate the waiting period
to implant loading without sacrificing predictably successful osseointegration.

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The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Nicolas Cohen, DDS, PhD (France)

Dr Nicolas Cohen Associate Professor in the Department of


Periodontology, at the University of Paris, France and also maintains
a private practice. He received his Dental Degree from the University
of Paris. He performed his research in a French research institute
“Institut Paris-Sud sur les Cytokines” focused on immune tolerance,
more particulary on the tolerance induced by oral biofilm published
in Journal of Dental Reseach in 2004, Blood 2003, 2006, and 2007.
1- ADDIN EN.REFLIST Berrebi D, Bruscoli S, Cohen N, Foussat
A, Migliorati G, Bouchet-Delbos L, et al. (2003). Synthesis of
glucocorticoid-induced leucine zipper (GILZ) by macrophages: an anti-inflammatory and
immunosuppressive mechanism shared by glucocorticoids and IL-10. Blood 101(2):729-38.
2- Cohen N, Morisset J, Emilie D (2004). Induction of tolerance by Porphyromonas gingivalis
on APCS: a mechanism implicated in periodontal infection. J Dent Res 83(5):429-33.
3- Cohen N, Mouly E, Hamdi H, Maillot MC, Pallardy M, Godot V, et al. (2006). GILZ
expression in human dendritic cells redirects their maturation and prevents antigen-
specific T lymphocyte response. Blood 107(5):2037-44.
4- Hamdi H, Godot V, Maillot MC, Prejean MV, Cohen N, Krzysiek R, et al. (2007).
Induction of antigen-specific regulatory T lymphocytes by human dendritic cells expressing
the glucocorticoid-induced leucine zipper. Blood 110(1):211-9.

Main Podium Session – Hall A • Thursday, November 19, 2009 • 12:45 – 13:30

Inflammation and Peri-implant Diseases


Pathogens are known to play an important role in the development of inflammatory
periimplant lesions. Mucositis is a reversible inflammatory reaction of peri-implant soft
tissues, in contrast to peri-implantitis which is an irreversible process that affects soft tissue
and supporting bone around implants. Like other chronic inflammatory diseases, it appears
that the inflammatory process play an important role in the progression and severity of
peri-implant disease. The host immune response, by cytokines involves a T helper (Th) 1
response (interleukin (IL)-1β, IL-12, a cell mediated process by interferon (IFN) – γ], while
cytokines from the Th2 response (e.g., IL-4, and IL-10) predominantly stimulate antibody
production. In this way, the different expression of inflammatory mediators is consistent
with a change from the Th1 to the Th2 immunological profile in chronic diseases. Previous
studies have also demonstrated that bone resorption is controlled by the interaction of
the receptor activator of the NF-kB ligand (RANKL) and osteoprotegerin (OPG), whose
expressions are regulated by inflammatory mediators and bacterial products. A lot of
studies have evaluated various non-surgical and surgical approaches in the treatment of
peri-implantitis. The outcome of non-surgical treatment seems to be unpredictable. Studies
have also evaluated resective and regenerative surgery, as well as the adjunctive use of
antibiotics and lasers. We will discuss the biological events of the host immune response
that may be associated with a success or a failure of these peri-implantitis treatments.
19
Restoring the dento-alveolar complex: Successes and limitations
Dr. Mariusz Duda, DDS, PhD, Diplomate ICOI (Poland)

Clinic of Oral and Maxillo - Facial Surgery at Silesian University of


Medicine lecturer, Oral Implantology Clinic Silesia-Med owner,
organizer and author of implantologic courses, author of 48
articles, mainly in the field of oral implantology.
Well recognized lecturer in Poland, President 2007 - 2011 and
founder of Polish Society of Oral Implantology PSI, since 2004
Vice President of International Congress of Oral Implantologists
for Poland.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

Open sinus lifting as a part of treatment in full mouth reconstructions


The most common open sinus lift procedure complications are membrane laceration,
damage of the intraosseous vessels of the sinus wall and inflammation of the paranasal
sinuses as an adverse effects during and after surgery. Sinus membrane tear can lead
to graft infection and early failure although in case of minor perforations prognosis
is good.
The characteristic sinus features which are crucial for the surgical procedure of the
open sinus lift difficulty level will be outlined in the presentation.
Sinus lift can be recognized as a safe but sensitive to surgeon’s skills procedure
not predisposing for postoperative acute or chronic sinusitis. The occurrence of
postoperative chronic sinusitis appears to be limited to patients with a predisposition
for this condition. Avoiding of the open sinus lift procedure regarded sometimes as
invasive, troublesome and offensive for the patient in the cases where it could be
performed with high predictability seems to limit the possibilities of applying valuable
implantoprosthetic solutions for the patient.

20
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Daren Rosen, DDS (Israel)

Upon graduating the New York University College of Dentistry,


Dr. Daren Rosen completed a residency in Oral and Maxillofacial
Surgery at the Rambam Medical Center in Haifa.
Over the years, Dr. Rosen has published several articles in his field
and has lectured both nationally and internationally.
Currently, Dr. Rosen serves as a senior surgeon in the Department
of Oral and Maxillofacial Surgery at Meir Hospital, Kfar Saba, in
addition to his private practice in Raanana.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

Inferior alveolar lateralization for placement of dental implants


Not many procedures in implant dentistry are as challenging and unpredictable as the
vertical ridge augmentation.  Bone blocks, sandwich osteotomies, particulate bone
covered with titanium membranes and distraction osteogenesis are the procedures most
often utilized for recreating vertical bone volume. Nevertheless, accompanying these
procedures is a wide array of possible mishaps including exposure of the surgical site,
unpredictable form of the augmented bone, and failure of the procedure. Lateralizing
the inferior dental nerve bypasses vertical grafting procedures utilizing the available
bone inferior to the neurovascular bundle. By doing so, the time lapse from implantation
to restoration is shortened, and treatment prognosis is increased to that of implants
placed in non-grafted sites. The purpose of this presentation is to highlight the
surgical technique of inferior nerve lateralization for placement of dental implants.

21
Restoring the dento-alveolar complex: Successes and limitations
Dr. Amnon Mutsafi, DMD (Israel)

Graduated from U.N.A.M University - Mexico City, Dental school in


1992 certificate of excellence(Mencion honorifica). Active in private
practice of general dentistry focus on dental implantology. Part
of a teem working in oral and maxillofacial department-Kaplan
Hospital-Israel, performing general dentistry in compromise patient,
including implantology, oral rehabilitation, minor and major surgery.
Diplomat of the ICOI, former member of audit committee member
of IAOI and member of the DGOI. Elected VP for the IAOI (Israeli
Association of oral implantology) for 2010.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

Practical solutions for dental implants compications


Dental implant, GBR (Guided Bone Regeneration), GTR (Guided Tissue Regeneration)
represents a widely accepted solution for rehabilitation of partially and totally edentulous
ridge. Many successes cases, complications and failures reported at the literature,
as well, different definitions for complications. This presentation will focus on the
clinical aspect for complications classification: Intra/Post surgical complications (bone,
tissue, implant), and prosthetic complication in order to achieve predictable solution
for success.

22
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Avi Reyhanian, DMD (Israel)

Dr. Reyhanian graduated from the University of Bucharest, Romania


in 1988. He then participated in a fellowship program at the
Oral & Maxillofacial Department Rambam hospital in Israel. He
is a member of the academic staff at the Institute of Advanced
Dental Education in Haifa, Israel and he currently practices general
dentistry and oral surgery in Netanya, Israel.
Dr. Reyhanian’s practice has employed dental lasers since early
2002. He is a member of the ALD – Academy of laser dentistry-
and is a member of the Israel Society of Dental Implantology.
Three wavelengths are used in his practice: Erbium:YAG (2940nm), CO2 (10600nm)
and Diode (830nm).
Dr. Reyhanian has been publishing and lecturing extensively worldwide in the field
of dental laser. He is a reviewer of several dental Journals.
Dr. Reyhanian was the global opinion leader of Lumenis company for dental laser
division.
Today he is a luminary doctor of Syneron Company for the dental laser division.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

The use of the erbium yttrium aluminum garnet (2940nm) in


a laser-assisted implant therapy. How much we can push the envolope?
The array of available clinical applications for laser assisted dentistry is growing rapidly,
with the greater number of applications being for oral surgery. Er: YAG is a laser
wavelength which is located in the infrared zone of the electromagnetic spectrum, is
considered to be extremely safe, and is the dominant wavelength in dentistry today.
Er: YAG is one of the most suitable wavelengths for bone applications.
The presentation will demonstrate the use of the Er:YAG laser in the world of
implantology, and the advantages vs. conventional treatment methods.
My purpose in this presentation is to put some order into the chaotic information
surrounding the subject and to provide some answers to the most common and
frequent questions I often meet: How far we can go with this technology? Is it just
a marketing tool or proven therapy? Where is the line between reality and fantasy?
Does the new technology completely replace the conventional methods and if not,
at which point do we lay the laser’s hand piece down and re-employ the “old” tools
and conventional ways?
This lecture will exhibit, beyond any doubts, that Er:YAG laser is very valuable tools for
implantology. and will show cases studies with five-year follow-ups, each procedure
explained in detail including video exhibitions.
23
Restoring the dento-alveolar complex: Successes and limitations
Dr. Adel Byadsi, DMD (Israel) & Dr. Masarwa Kossai, DMD (Israel)

Dr. Adel Byadsi


Dr. Byadsi Studied Dentistry at Goethe University in Frankfurt
(Finished 1986) and in 1990 studied a one-year-program in Oral
Surgery at the same university. Since then he runs two private
clinics and has taken many courses in Implantology and Bone
Augmentation. In 2003 Dr. Byadsi obtained a Diploma Implantology
of the ICOI and “Specialist Implantology” of DGZI. In 2009 M.Sc.
in Oral Surgery-Implantology, Donau University Austria. Dr. Byadsi
has lectured in implantology both locally and internationally.
Dr. Byadsi is Co- Founder of IAOI and member of ICOI since 2001.

Dr. Masarwa Kossai


Dr. Masarwa started his academic studies of mathematics and
computer sciences at the Hebrew University in Jerusalem (1988).
He earned his dental degree at the Westphalia Wilhelm’s University
in Muenster, Germany (1996) and continued his education in
Bioinformatics at the Tel-Aviv University (2003). As an active
member of various international professional dental organizations,
Dr. Masarwa lectures about techniques for avoiding sinus graft.
In his private practice, he mainly practices implant surgery and
prosthodontics of the extremely atrophic jaws using tilted implants.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

Unilateral Tilted implants vs. sinus lift using a piezoelectric device


In cases of low bone height in the maxillary sinus region, sinus elevation is routinely
performed by applying different techniques.
Mostly, the buccal sinus wall is cut with burs while kept attached the membrane,
rather than being coronally elevated. Cutting with burs causes a greater loss of bone
substance. In such cases, most practitioners use a synthetic membrane to cover the
buccal site of the sinus.
Dr. Byadsa presents a technique for totally removing the buccal wall of the sinus with
a 45- degree cut, using a piezoelectric device. This procedure enables the repositioning
of the removed sinus wall without the need for membranes, screws or sutures.
In the second part, Dr. Masarwa presents tilted implants and screw-retained prosthodontics
as an alternative to sinus-lift or crest-augmentation. The technique may be applied in cases
where enough bone is found in the premolar and retro-molar zone. A flat connection
abutment allows tilting the implants to much higher angles. The big advantage is the
ability of immediately loading the implants and a one session surgery.
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The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Amos Yahav, DMD (Israel)

Started his dental profession career as a dental technician in 1980.


Graduated “Carol de Vila” university of Bucharest Romania in 1992.
He experience thousands of implant dentistry and mouth
rehabilitation cases as of 1993 in his private clinic in Netanya.
Dr. Yahav has invented and developed dental tools, accessories
and materials for implants and dental surgery. He also serves as
an advisor for international companies in that field.
Dr. yahav is the current CEO of Augma biomaterials which has developed the Bond
bone™.

Parallel Session 1 – Surgical Track – Hall A • Thursday, November 19, 2009 • 14:30 – 16:30

The use of Bi-phasic calcium sulfate to meet bone augmentation challenges


Optimal placement of dental implants is essential for obtaining functional and esthetic
reconstruction. Current statistics reveal that one of three dental implant placements
requires augmentation procedure. The contemporary practitioner frequently faces an
arsenal of bone grafts to choose from in order to achieve the optimal result.
Bone augmentation procedures require vast experience and practice to obtain the
desired outcomes. The current research and development is in a constant search for
the ultimate bone augmentation procedure.
In order to obtain an optimal bone regeneration rather than bone repair we need a
temporary space maintainer that in time will be replaced with natural bone. However,
there is no such material that can provide an optimal solution for all augmentation
challenges.
The lecture will present a novel bi- phasic calcium sulfate bone augmentation material
that is suitable to be used by its own for defects that are lower than 10mm in size and
have at least two bone walls supports in order to obtain a complete regeneration.
This material is self- reinforced therefore is easy to handle. When used in combination
with other augmentation materials there is no defect size or morphology limits. It may
act as a binder matrix for a granular reinforcement. Finally, it may act as a membrane
for other augmentation materials.
The bi- phasic calcium sulfate graft can significantly reduce treatment time as well
as to improve the dental implantation result.

25
Restoring the dento-alveolar complex: Successes and limitations
Bi Phasic Calcium sulfate
Calcium sulfate bone grafting materials have proved safe for more than 110 years in
dental and orthopedic practice; they were first used by Dreesmann in 1892.
Throughout the years its hemihydrate phase was known to be a cementable, highly
biocompatible and osteoconductive material that is fully resorbed. However, due to its
disadvantages such as fast resorption and instability in blood and saliva environment
the use of calcium sulfate hemihydrate has declined. Its other phase, dehydrate
provides higher stability however it is not cementable.
Recently, a novel bi - phasic calcium sulfate was developed. It is composed of both
phases: hemihydrate and dehydrate. These phases are dispersed within each other
in a unique and controlled particle size distribution that enables faster and low
exothermic reaction during setting. The final graft obtained after setting is calcium
sulfate dehydarate of high stability, its microstructure contains both micro and macro
pores and its degradation time matches bone formation.

26
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Konstantinos D. Valavanis, DDS (Greece)

Dr. Valavanis attended the Kapodistrian University of Athens, Dental


School, Greece, where he received his degree in dentistry in 2000.
After graduating he was trained in implant dentistry in Kraichtal
Germany and Goldman school of dental medicine, Boston MA.
Dr. Valavanis is senior partner in Athens Dental Institute, Athens
Greece.
He is currently board member of the SENAME (Naples) implantology
association, member of the scientific committee of the society
of Hellenic dentistry (SHD), founding member and implantology specialist of the
German implantology society (DGOI) and Diplomate in the international congress
of oral implantologists (ICOI). He lectures nationally and internationally mainly on
aesthetic implant dentistry.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

Immediate implant placement and provisonalisation:


Gingival consideration for a better aesthetical outcome
The achievement of an aesthetic implant-supported restoration is a constant challenge
to the restorative dentist.
Due to the circular shape of the implant and its smaller diameter, when compared
to the root of a natural tooth, a dilemma inevitably occurs of how to construct an
artificial crown that will imitate the natural tooth crown form.
The appearance of the surrounding soft tissue is of major importance, and various
techniques have been developed to guide its topography.
The lecture will show step by step clinical procedures from diagnostic models through
provisional restoration therapy to the definitive restorations.

27
Restoring the dento-alveolar complex: Successes and limitations
Dr. Yossi Kaplavi, DMD (Israel)

Dr. Yossi Kaplavi received his DMD degree from the Faculty of
Dental Medicine, Hebrew University in Jerusalem - Israel. (1983).
Dr. Kaplavi is a Diplomate of the International Congress of Oral
Implantology (ICOI), and active member of the IAOI, DGOI, and EAO.
Dr. Kaplavi maintains in Ramat-Gan, an active private practice
limited to both surgical and prosthetic rehabilitation of dental
implants with 21 years of experience.
During the recent years he is focusing in Immediate Loading,
Immediate Implantation and in Graftless Implant Rehabilitation by using tilted implants.
Dr. Kaplavi has lectured and presented his experience in Graftless Implant Rehabilitation
and in Immediate Loading and Implantation, at numerous international conferences
on dental implants.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

New Waves in Implant Therapy – Breaking the Myths in Restoring


the Dento-Alveolar Complex
Objectives of the investigation:
Very often the placement of implants in the posterior maxilla and mandible, is
impossible without prior bone grafting. Graftless rehabilitation by placing implants
in the remaining bone volume is a challenge. Immediate function and immediate
loading on implants placed in post extraction sockets add to this challenge.
The objectives of this study are to evaluate:
• The surgical outcome of Tilted Implants (CSR and marginal bone loss) as alternative
to Bone Grafting.
• The Prosthodontic Outcome of Cemented Restorations and Screw Retained Restoration
on Tilted Implants.
• Predictability of Immediate loading especially in the Maxilla.
• Predictability of Immediate Implantation with and without Immediate loading.
Experimental method:
143 full arches, 21 hemi arches and 65 posterior partial segments (all in both jaws),
were restored without prior grafting, by the use of 371 Tilted Implants and 760 Axial
Implants. (Total 1131 implants).
The Tilted Implants were placed in extreme angularity up to 45 degree located mesially
to the maxillary sinuses, or to the mental foramens.

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The 4th International Symposium - The Israeli Association of Oral Implantology
Immediate function was applied on 205 Tilted Implants, and on 297 Axial Implants.
(Total 502 implants)
Immediate implantation in post extraction sockets, was applied on 79 Tilted Implants
and on 403 Axial Implants.(Total 482 implants).
Immediate implantation followed with immediate loading was applied on 52 Tilted
Implants and on 172 Axial Implants. (Total 224 implants).
The patients were followed periodically for 6-60 months after the surgery, with
clinical and radiographic evaluation.
Results:
13 Titled Implants were failed (CSR=96.50%), from which 7 implants were immediate
loaded (CSR=96.59%), and 2 implants were immediate implanted (CSR=97.47%).
19 Axial Implants were failed (CSR=97.50%), from which 9 implants were immediate
loaded (CSR=96.97%), and 9 implants were immediate implanted (CSR=97.77%).
100 % success in cases, after reimplantation of strategic implants, with no mechanical
complications.
Implants with oxidized surface did not show any advantage on implants with rough
surface.
Conclusion:
Graftless rehabilitation of the atrophied maxilla and mandible, using titled implants
with immediate function and immediate implantation should be considered as a
viable treatment approach with considerable benefits.
Sinus grafting and Onlay Bone grafting can be avoided in majority of cases.

29
Restoring the dento-alveolar complex: Successes and limitations
Dr. Benatouil Jean Charlemagne, DMD (Israel)

Private practice limited to implant dentistry.


2006-2009 – In charge of courses in Basal Implantology and PRF.
2003-2005 – Diploma of NICE University in Basal Implantology
faculty of Medicine, Department of Maxillofacial Oral Surgery.
2004 – Expert DGOI; Diplomate ICOI. Scientific committee Member
ICI, Member IAOI.
2001-2003 – Diploma of Boston University in Implantology.
Seminars: Diskimplant, Astra, Bicon, 3I, Sulzer, Secure.
1991-2001 – Seminars: TBR, Corvent, ITI, GBR-GTR, Perio-Esthetic, ICDE, Applied
Dental Technology in Implantology, Sinus Lift, Diskimplant.
1986-1990 – Lecturer in Science of Materials Tel Aviv University School of Dental
Technology. Seminars: Branemark, Diskimplant.
1985-1987 – Medical Director in KETER’s Dental Clinics
1983 – Diploma of Doctor-DMD- Dental Surgeon, University Paris VII.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

“Immediate loading in atrophic jaws: the B.I.O.concept”


The conditions for immediate loading on screw-type implants are well-known today
but limited to patients with abundant jaw-bone.
There is another protocol, clinically-proven for 25 years, that widens the immediate
loading indications even in atrophic jaws.
This technique is based on cortical anchorage of tilted implants combined with especially
designed implants laterally impacted in the basal cortical bone.
This revolutionary concept,called “Basal Implantology”, already gave an immediate,
functional and aesthetic alternative to thousands of patients suffering from teeth
and bone loss.
It is a powerful addition to implantologists armamentarium.

30
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Gideon Hallel, DMD, MPA (Israel)

Dr. Hallel received his DMD from Tel-Aviv University (Israel) in 1991
and his MPA from Clark University (USA) in 1999.
Utilizing implants (both surgery & restoration) since 1992, entered
to the field of Basal implantology in 2003 under the instruction
of Dr. Gerard Scortecci (France), since than focused mainly in
this field.
Works in his private practice in Tel-Aviv & serves as an instructor
for Israimplant’s Basal implantology Seminars.
Dr. Hallel is a Diplomate of the ICOI, and an expert in implantology of the DGOI.
Dr. Hallel is a co-writer of the first prize winning research in the Nobel-Biocare 2007
Las-Vegas World Conference.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

The “second round” of implant supported restoration


“Doctor, how long will my implants will last?” a frequently asked question in our
daily practice.
Can we give an accurate answer? Should we consider the potential failure & its
consequence from the very first time of implant placement?
After more than two decades of implantology, we quite often are facing patients
who need a “second round” of implant placement & reconstruction - after failure
of the previous implants supported restoration.
The “second round” cases are far more challenging comparing to the “first round”
implant placement.
In most of those cases the remaining bone and the anatomical structures (inferior
alveolar nerve, maxillary sinuses, etc.) dictate three treatment options:
• Usage of extensive surgery for bone augmentation prior to implant placement.
• Utilizing special implant system that was specially developed for minimal residual
bone (basal implantology).
• In some extreme cases removable prosthesis is the only solution left.
The already complicated clinical challenge is aggravated by the need to restore the
patient trust. (both of the implant therapy process and the dentist).
Various “second round” cases will be discussed, including the surgical & prosthetic
solution.
The supposed failure factors will be discussed as well, since complete understanding
of them – is the key for correct & successful treatment planning.
31
Restoring the dento-alveolar complex: Successes and limitations
Dr. Birshan Shlomo, DMD (Israel)

Dr. Birshan Shlomo graduated from the university of Tel Aviv,


Israel - with honors in 1998. Hypnosis and dental treatments under
general anesthesia licenses by the ministry of health.
Between the years 1998-2000 Dr. Birshan was a clinical instructor
in the department of restorative dentistry, Tel Aviv university.
Dr. Birshan is Diplomate of the ICOI and expert of the DGOI.
Works in a private practice, mostly implantology and rehabilitation
in a multidisciplinary clinic, Tel Aviv.

Parallel Session 2 – Prosthetic Track – Hall B • Thursday, November 19, 2009 • 14:30 – 16:30

Botox administration to masticatory muscles prior to


early/immediate loading in atrophic jaws
Botulinum toxin is a medication and a neurotoxic protein produced by the bacterium
Clostridium botulinum. It is the most toxic protein known.
Researchers discovered in the 1950s that injecting overactive muscles with minute
quantities of botulinum toxin type-A would cause a decreased muscle activity by
blocking the release of acetylcholine at the neuromuscular junction, thereby rendering
the muscle unable to contract for a period of 3 to 4 months.
Despite Botulinum toxin being one of the most lethal naturally occurring substances
known to science, it is still widely used for cosmetic purposes in a purified and
isolated form.
Besides its cosmetic application, Botox is used in the treatment of:
Cervical dystonia, excessive blinking, excessive sweating, Achalasia, Local intradermal
injection of BTX-A is helpful in chronic focal painful neuropathies, Migraine and other
headache disorders, although the evidence is conflicting in this indication.
Other uses of botulinum toxin type A that are widely known but not specifically
approved by FDA include treatment of:
Pediatric incontinence,Anal fissure, Spastic disorders associated with injury or disease
of the CNS, TMJ pain disorders, Diabetic neuropathy, Wound healing, Excessive
salivation, Vocal cord dysfunction a spasming of the vocal cords, Reduction of the
Masseter muscle for decreasing the size of the lower jaw.
Injecting botox to masticatory muscles substantially reduces the forces applied to the
implants via the prosthetic framework during the crucial period of osteointegration. The
lecture will describe the material (source, properties, and clinical use), the theoretical

32
The 4th International Symposium - The Israeli Association of Oral Implantology
and practical basis of injecting botox to masticatory muscles, how to do it, current
literature review, and a complete case presentation of early loading in extremely
atrophic jaw.
Dr. Birshan has graduated Dental medicine school, Tel Aviv university with honors
in 1998. ICOI Diplomate, Expert in oral implantology (DGOI ), and a member of the
IAOI. Working in a private practice, multidisciplinary clinic in Tel Aviv.

33
Restoring the dento-alveolar complex: Successes and limitations
Dr. Edwin L.C. Scher, BDS (UK)

• BDS (London), LDS RCS Eng., MFGDS RCS Eng.


• Graduate, University College Hospital, London, UK, 1973.
• Registered on GDC Specialist List in Oral Surgery and
Prosthodontics.
• Visiting Clinical Professor, Prosthodontic and Implant Dept,
Temple University, Philadelphia, USA.
• Member of Faculty, Lyon University
• Honorary Senior Lecturer in Dental Implantology, School of Health Care Professions,
University of Salford
• Honorary Lecturer at EastmanDental Hospital.
• Diplomate, American Society of Osseointegration
• Founder Member and past President, Association of Dental Implantology, and
current elected Board member
• Fellow, Honorary Diplomate and Director on Board of ICOI
• Scientific Chairman, ADI International Symposia 1989, 1991.
• Host Chairman, ICOI World Congress XI 1992
• Chairman of Editorial Board Implant Dentistry Today.
• Director, Osseointegrated Year Course (20th year)
• Lectures worldwide and published extensively in referred journals
• Scientific Chairman of ICOI World Congress August 2003
• Scientific Chairman of ADI International Congress May 2003
• Scientific Chairman of ICOI World Congress Las Vegas June 2004
• Scientific Chairman of Nobel Biocare conference September 2006
• Scientific Chairman of ADI International Congress May 2007
• President of Alpha Omega UK 2008/9
Dr Scher graduated from University College Hospital, London, UK in 1973. He is
registered on the GDC Specialist List in Oral Surgery and Prosthodontics.
He is a Visiting Clinical Professor at the Prosthodontic and Implant Department, Temple
University, Philadelphia, USA. He is also a Member of Faculty at Lyon University,
France, and an Honorary Senior Lecturer in Dental Implantology, School of Health
Care Professions, University of Salford, UK. and Honorary lecturer at the Eastman
Dental Hospital.
34
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr Scher is a Fellow and Diplomate of the ICOI, and a Director on its Board. He is
also a founder member and past President of the Association of Dental Implantology,
UK, and still serves as an elected board member. He also holds a Diplomate from the
American Society of Osseointegration.
He is the Director of the Osseointegrated Year Course (now in its 20th year), and
is the chairman of the editorial board of Implant Dentistry Today. He is published
extensively in refereed journals.
Dr Scher was Scientific Chairman at the ADI International Symposia in 1989 and
1991, and was Host Chairman of the ICOI World Congress XI, 1992. He has also
been Scientific Chairman of ICOI World Congress August 2003 and 2004; Scientific
Chairman of ADI International Congress in May 2003; Scientific Chairman of Nobel
Biocare Conference in September 2006; and Scientific Chairman of ADI International
Congress in May 2007. He is President of Alpha Omega UK 2008/9.

Main Podium Session – Hall A • Friday, November 20, 2009 • 08:30 – 09:15

What Went Wrong?


Complications, Errors, and how to solve the problem:
It is rare for a presenter to talk about failures in implant dentistry. Prof. Carl Misch
will suggest to you that it will cost you the profit of your next three cases to sort out
a failed case. My late Father who was a Professor of Surgery would have told you
that you must “learn by other peoples mistakes” especially in surgery.
This presentation will share with you many of the complications and problems that
have been seen at my practice. Some of the problems are my own whereas others
have been referred for problem solving. The presentation will be divided into treatment
planning, surgical and prosthetic problems and will show some novel ways of getting
out of trouble.
Educational Objectives
• How important the Treatment Planning Phase is to avoid problems.
• The importance of using a surgical template.
• The importance of using a CT scan.
• Illustrating the importance of the smile line especially if it is unfavourable.
• Understanding the need for soft tissue support when choosing which type of
prosthesis.

35
Restoring the dento-alveolar complex: Successes and limitations
Prof. David Kohavi, DMD (Israel)

Prof. David Kohavi is associate professor in prosthodontics at the


Hebrew University Hadassah School of Dental Medicine, Jerusalem,
Israel. Prof. Kohavi received his DMD from the Hebrew University,
and a certificate in Periodontics and Perio-prosthesis from the
University of Pennsylvania. He has published numerous articles
in the field of Implantology and lectures internationally. He is
currently the director of the Oral Implant Center at the Hebrew
University Hadassah School of Dental Medicine.

Main Podium Session – Hall A • Friday, November 20, 2009 • 09:15 – 10:00

Bone-Implant interface; from birth to self distraction system


Research updates

This lecture is describing three stages in the bone-implant interface. The first part
describes the early protein adsorption onto the Ti surfaces. Do we need to stick to
the Branemark protocol and wet the surface during insertion? Or rather keep it dry,
because of the concerns raised recently by Davis? Which is the best wetting solution?
What are the clinical consequences of unwetting?
The second part is based on our study: “Parathyroid hormone enhances titanium
implant anchorage in low-density trabecular bone: a correlative micro-computed
tomographic and biomechanical analysis”. This part will describe a novel pharmaceutical
approach aiming at improving bone-implant interface.
The third part of the lecture is based on our recent work: “Titanium leakage to the
peri-implant gingival tissue from human failing Plasma Sprayed Titanium Implants:
Elemental Analysis and Clinical Observations”. These findings illuminate new insights
into the implants’ failure mechanisms related to surface topography. Most of the
presented studies were done in collaboration with the Oral Implant Center at the
School of Dental Medicine, Hebrew University and Hadassah, Jerusalem.

36
The 4th International Symposium - The Israeli Association of Oral Implantology
Prof. Itzhak Binderman, DMD (Israel)

Professor in Dentistry, Department of Oral Biology


‘Sackler’ Faculty of Medicine, The Maurice and Gabriela Goldschleger
School of Dental Medicine and Department of Bio-engineering,
Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.
Graduate of Faculty of Dental Medicine, Hebrew University, Jerusalem.
Specialization Certificate in Prosthetic Dentistry.
Former Head of Department of Dentistry and Hard Tissues Laboratory,
“Souraski” Tel Aviv Medical Center, Tel Aviv University.
1985-2009, Senior Scientist and Consultant in the Department of
Structural Biochemistry, Hospital for Special Surgery, NYC and Cornell Medical School ,NYC.
1976-1978, Visiting Scientist, National Institute of Health, NIDR, Bethesda ,USA.
Honorary Life Member of International Congress of Oral Implantology (ICOI).
Honorary Life Member of Deutshe Geselshaft of Zahnartzliche Implantologie (DGZI).
Appointed by Minister of Health as a member of Israeli Research Council.
Main research areas:
The effect of Microgravity on in vitro calcification, NASA 1994 and 1995.
Co Principal Investigator. In vitro initiation of biological calcification, Consultant and
investigator, NIH grant RO 1-AR37661-01A1,periods 1996-2009.
Genetic expression of mechanical stress in osteoblasts.
The biology of marginal gingiva and alveolar bone resorption.
Local treatment of bone resorption by Alendronate.
Cell-matrix interaction in generation of bone.
Selected publications:
I. Binderman, D. Gazit, Y. Chait, R. Yahav, S. Weisman, Y. Eilon and N. Fine, Development
of bone implant interface during healing phase of dental implants.
In: Interfaces in Medicine and Mechanics. Volume 2: 352-360, 1991. Elsevier.
I. Binderman, Growth factors,bone and oral implants
Advances in Dental Research 9: 15,1995.
A. H. Reddi and I. Binderman, Bone morphogenetic proteins in context: New concepts
for Stomatology and craniofacial biology.
In: New Concepts in Stomatology, 1996.
Binderman I, Adut M, Yaffe A.
Effectiveness of local delivery of alendronate in reducing alveolar bone loss
following periodontal surgery in rats. J Periodontol.,71(8):1236-40, 2000.
Binderman I, Bahar H, Yaffe A.
Strain relaxation of fibroblasts in the marginal periodontium is the common trigger for
alveolar bone resorption: a novel hypothesis. J periodontal.; 73:1211-1216, 2002 .
Jansen EJ, Sladek RE, Bahar H, Yaffe A, Gijbels MJ, Kuijer R, Bulstra SK, Guldemond NA,
Binderman I, Koole LH.
Hydrophobicity as a design criterion for polymer scaffolds in bone tissue engineering.
Biomaterials. 2005 Jul;26(21):4423-31.

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Restoring the dento-alveolar complex: Successes and limitations
Bahar H, Benayahu D, Yaffe A, Binderman I.
Molecular signaling in bone regeneration. Crit Rev Eukaryot Gene Expr. 2007;17(2):87-
101. Review.
Binderman I, Bahar H, Jacob-Hirsch J, Zeligson S, Amariglio N, Rechavi G, Shoham S,
Yaffe A.
P2X4 is up-regulated in gingival fibroblasts after periodontal surgery.
J Dent Res. 2007 Feb;86(2):181-5.
More than 100 publications

Main Podium Session – Hall A • Friday, November 20, 2009 • 10:30 – 11:15

Effectiveness of scffolds in tissue engineering of bone


Itzhak Binderman, Hila Bahar, Naser Gadban, School of Dental Medicine and Department
of Bio-Engineering,Tel Aviv University and Avinoam Yaffe, Hadassah Faculty of Dental
Medicine, Jerusalem.
Generation of bone is the challenge faced by current technologies in tissue engineering,
depending very much on bioactive scaffolds and on osteoprogenitors. Today, the major
solid components of bone or their synthetic counterparts have demonstrated clinical
effectiveness in terms of defect fill, for augmentation and bone restoration procedures
in dentistry and orthopedics. The materials used for bone augmentation or repair are
measured as being biocompatible, bioactive and being able to undergo total degradation
without toxic residues. Most of experimental models which test bone derived matrices
are taking place in conjunction with the native bone. However, it is critical to test the
relative effectiveness of bone matrix components and other synthetic biomaterials
in cell-directed osteogenesis model in an non-osseous environment. It seems that
predictable bone generation for craniofacial and periodontal application is difficult to
achieve. Partly, because a lack of critical mass of multipotential mesenchymal cells (MC)
present in the near vicinity of the scaffold. We found that cell-biomaterial interaction
and further cellular and molecular commitment for bone generation starts very early
after scaffold implantation.
A series of calcium posphate minerals are employed in bone grafting procedures, some
derived from bovine bone mineral treated at high temperature and alkaline solution
and others are chemically prepared as medical grade calcium sulfate or biphasic calcium
phosphate(β-TCP). Also, an intimate mixture of hydroxyapatite (HA) and β-tricalcium
phosphate (β-TCP) offers the potential for bone reconstruction since it has a chemical
composition close to biological bone apatite. All of them show high biocompatability
, but lack bio-active properties. Recently, we found that the synthetic scaffold material
which consists of silicium dioxide and nanocrystals of HA is a highly bioactive material
that generates bone apposition directly on the material, creating a connectivity of hard
tissues. Moreover, its remodeling is directly replaced by newly formed bone.
38
The 4th International Symposium - The Israeli Association of Oral Implantology
Prof. Eli Raviv, DMD (Canada)

Prof. Raviv received his dental degree from Tel-Aviv University


and his certificate in Prosthodontics from the Hebrew University
in Jerusalem, Israel.
Prof. Raviv is an Associate professor in the Faculty of Dentistry,
McGill University - Montreal, Canada.
Director of Prosthodontics and Associate Director of the Department
of Dentistry, Sir Mortimer B. Davis - Jewish General Hospital,
Montreal, Canada.
He has been awarded several awards. The Julius Michman Prize, London.
First prize for Best Presentation - American Academy of Osseointegration.
Ordre des Dentistes du Québec, Montreal, Québec and more. He is a member of the
Editorial Review board of Quintessence International Journal.
For the past 23 years prof. Raviv is involved in teaching and research of Prosthodontics
and Implant Dentistry.
He published in local and international peer reviewed journals.

Main Podium Session – Hall A • Friday, November 20, 2009 • 11:15 – 12:00

An alternative to bone grafting procedures


Dentists often face challenges when placing implants in an area of reduced alveolar
bone height. This situation is seen in both the posterior maxilla and mandible due
to alveolar bone resorption, pneumatization of maxillary sinuses and the presence
of anatomic structures (e.g. inferior alveolar nerve). The accepted solution for this
problem has been conventionally to perform a bone grafting procedure. Despite good
predictability and success rate of grafting procedures, patients are often reluctant
to undergo the surgery due to the risks, morbidities, and costs of the procedureand
the stress of undergoing an invasive procedure. Short implants (≤ 8mm) have been
introduced recently as a potential treatment alternative to bone grafting procedures
in patients with limited alveolar bone height in the posterior maxilla and in the
severely atrophic mandible.
In this presentation we will discuss the criteria for successful clinical application of
short wide diameter implants.

39
Restoring the dento-alveolar complex: Successes and limitations
Dr. Gadi Schneider, DMD (Israel)

Dr. Schneider received his D.M.D. certificate at the Jerusalem Hebrew


University, Hadassah Dental School in 2000. Post-graduate studies
in Periodontolgy at the Jerusalem Hebrew University, Hadassah
Dental School. Specialist in Periodontology since 2004.
Received his European Federation Certificate of Periodontology
in 2004.
Dr. Schneider worked as an instructor at the Jerusalem Hebrew
University, Hadassah Dental School.
Research & education consultant and Lecturer at Alpha-Bio Tec’s Educational Center,
He leads seminars and courses in implantology and implant surgery.
Holds a private practice which specializes in Periodontics and Implantology.

Main Podium Session – Hall A • Friday, November 20, 2009 • 12:00 – 12:45

The predictable surgical way for teeth in a day


Immediate implantation and immediate loading (teeth in a day) are becoming more
and more popular in the world of implantology. Due to the complexity of these
procedures, it is crucial for the implantologists to master the full scope of these
procedure in order to achieve predictable results.
This lecture will discuss the theory and the rational behind immediate implantation,
immediate loading and the surrounding bone and how to apply the theory behind
these procedures in day by day clinical practice.
The lecture will discuss the optimal conditions for performing these procedures as
well as the surgical procedures that are crucial in order to restore and/or maintain the
bone envelope around the implants in order to make the procedure as predictable
as possible.
Complicated cases in which immediate implantation, immediate loading and guided
bone regeneration procedures were used will be presented.

40
The 4th International Symposium - The Israeli Association of Oral Implantology
Dr. Zeev Ormianer, DMD (Israel)

Zeev Ormianer, Israel


Dr. Ormianer earned his dental degree (1988) at Tel-Aviv University.
He continued at Tel-Aviv University to complete his clinical training
in management of TMJ disorders (1991) and the post-graduate
prosthodontic program (1996) and continued as member of Oral
Rehabilitation Department in the University. Dr. Ormianer is a
member of numerous professional organizations and he is the
Founder and Past President of the Israeli Association of Oral
Implantology, Diplomate and Vice President of the ICOI for Israel
and is a member of the editorial board of Implant Dentistry. In his private practice,
Dr. Ormianer concentrate mainly in implant prosthodontics and published more that
20 articles on this topic in the dental literature.
Dr. Ormianer has lectured internationally in the Middle East, Europe and the Americas.

Main Podium Session – Hall A • Friday, November 20, 2009 • 12:45 – 13:15

The atrophic jaw, prosthetic solution and complications


The atrophic jaw, prosthetic solution and complications.
Restoring the atrophic jaw is a challenge to the restorative dentist. The
prosthetic device has to repair not only the lost dentition but part of the
oral tissue as well.
The oral implants enhanced denture support and retention. Implant-supported
removable dentures improve patients’ quality of life.
The aim this presentation is to discuss the different implants-denture anchoring
systems, its advantages and complications.

41
Restoring the dento-alveolar complex: Successes and limitations
Platinum Sponsorship

Zimmer Dental is a market leader in the development of world-class


Implantology products, practice-building strategies and educational
programs by Zimmer Institute which focused on empowering clinicians
and shaping the future of implant dentistry.
Certified for ISO 13485, Zimmer Dental offer one of the most comprehensive
dental implant product lines that meets and exceeds the industry’s most
stringent quality standards.
Zimmer Sental, Ltd.
143 Bialik St. Ramat Gan 52523 Israel
Tel: +972-3-6124242, Fax: +972-3-6124243
www.zimmerdental.co.il

Gold Sponsorship
A.B.Dental Devices is an international superior implant technology company.
We manufacture, develop and market state of the art dental implants and prosthetic
accessories.

A.B. Dental Devices, Ltd.


D. N. Evtach Nir Galim 79245 Israel
Tel: +972-8-8531388, Fax: +972-8-8522562
www.ab-dent.com

Alpha-Bio Tec. – Market leader in innovative Implantology and Prosthetics Solutions,


specializes in the development and production of advanced dental solutions.

Alpha-Bio Tec.
7 Imber St. P.O. box 3936 Petah Tikva 49511 Israel
Tel: +972-3-9291000, Fax: +972-3- 9235055
www.alpha-bio.net

Silver Sponsorship
Luxembourg Medical is one of Israel’s leading healthcare product suppliers, specializing in
pharmaceuticals, medical devices and instrumentations. Own by the Lapidot group.
The dental department offers high quality products such as: Soredex (X-Ray Diagnostic Equipment,
Digital panoramic, Cone beam CT, Digital sensors), Ecleris (Dental Microscopes), HEINE & Zeiss (Binocular
Loupes and Headlights), Salli (Saddle Chairs), and Airel (Dental units).
The company headquarters is located in Caesarea, and employ more than 280 employees, the logistic
complex is more than 8,000 m2, with Technical service lab that include 11 engineers and fully computerized
24/7 call-center.

Luxembourg Medical
Dan Hallali - Tel|: +972-4-6309630

42
The 4th International Symposium - The Israeli Association of Oral Implantology
Exhibitors

A.B 2000 Dentex Lab


Ariel Edri Betina Skladnik
Tel: +972-54-2050357 Tel: +972-9-8841244

Adin Dental Implants Diplomat Distributors


Tel: +972-4-6426732 Tel: 1-800-666775

Alfa Gate Divident


Mazen Zahalka Tel: 1-800-244666
Tel: +972-52-2484953

ARDS Implant Direct Israe


Michal Rosner Tel: +972-3-6099951
Tel: +972-3-9643320

Israimplant
Biohorizons Israel 2004 Milhovitch Michel
Koby Hillel Tel: +972-9-7743615
Tel: +972-54-496332

Itzmad
Cortex Dental Industries Tel: +972-9-9571571
Tel: +972-4-9873970

Matrix
CTS Orit
Dana Weizer Tel: +972-77-2180160
Tel: +972-9-7626260

Omplant
Dancare Dental Tel: +972-54-9142442
Gabi Levi
Tel: +972-50-2703687
Or Hashen
Moti Zicherman
Delta Chakir
Tel: +972-50-5219532
Moshe Zuckerman
Tel: +972-52-2909994

Shaked
Dental Care Ran Levi
David Keinan Tel: +972-50-3948817
Tel: +972-52-6434050

V-Med
Dental Master Asaf Via
Tel: +972-3-7517332 Tel: +972-52-6660280

43
Restoring the dento-alveolar complex: Successes and limitations
Coming Soon

www.zimmerdental.co.il

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