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P R O F E S S I O N A L L E C T U R E S E R I E S
H e a l t h S c i e n c e s
P e r i o d o n t a l H e a l t h c a r e a n d D e n t a l I m p l a n t D e s i g n
September 23, 2012
PERIODONTIST
Mark C. Fagan, D.D.S., M.S.
Mark C. Fagan, DDS, MS
PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY
Mark C. Fagan, DDS, MS
PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY
EDUCATIONAL HISTORY
4 YEARS OF COLLEGE 3 YEARS MASTER’S DEGREE 4 YEARS OF DENTAL SCHOOL 2 YEARS OF PERIODONTAL RESIDENCY
DIPLOMA Marian Catholic High School
B.S. (BACHELOR OF SCIENCE) UNIVERSITY OF ILLINOIS
M.S. (MASTERS OF SCIENCE) MICOBIOLOGY UNIVERSITY OF ILLINOIS
D.D.S. (DOCTOR OF DENTAL SURGERY) U. of I. Chicago
RESIDENCY IN PERIODONTOLOGY UNIV. CAL. SAN FRANCISCO
REWARDS OF HIGHER EDUCATION
MARK C. FAGAN, DDS, MS
PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY
Tooth Anatomy
Crown ‘white thing’
Root Gum
Bone
PERIODONTAL DISEASE
PERIODONTAL DISEASE TREATMENT
ROOT PLANING (DEEP CLEANINGS) PERIODONTAL SURGERY RESECTIVE REGENERATIVE REPLACEMENT
Guided Bone Regeneration Lower Molar
RECOMBINANT GROWTH FACTORS BONE MORPHOGENIC PROTEIN
GINGIVAL RECESSION
NORMAL RECESSION
-Bone Loss -Tooth Sensitivity -Esthetics
GRAFT SUTURED IN PLACE
ONE MONTH HEALING
BEFORE AFTER
DENTAL IMPLANTS
DENTAL IMPLANT
DENTAL IMPLANT
BONE IMPLANT SURFACE
OSSEOINTEGRATION
DENTAL IMPLANT
BROKEN TOOTH RESTORED IMPLANT
WHAT DO YOU DO IF YOU DO NOT HAVE ENOUGH
BONE? Bone Width
Bone Width
Bone Width
DESIGN ISSUES
SPEED OF OSSEOINTEGRATION (SURFACE TREATMENTS)
ORIGINAL IMPLANTS
PROFESSOR BRANEMARK
ORIGINAL IMPLANTS
Smooth Machined
Surface Healing Time 6
Months Integration Rate
85-90%
Roughen Surface
Increased Osseointegration Rate = 90-98%
Healing Time Reduced to 4 – 6 Months
Chemically active = attractive surface
Effect of hydrophilicity and chemical activity
SLA® SLActive™
Clinical issue: shift the dip
2 weeks 4 weeks 8 weeks
Overall: More bone in the early healing phase
STRAUMANN 28 September 2012
42
Study flow chart
Baseline surgery: extraction of 2nd to 4th premolar and 1st molar in the mandible and maxilla
After 4 months: Implantation, split-mouth, submerged healing
2 weeks 12 weeks
Histology Histology
J Clin Periodontol 34(1), 2007
Results: Highly osteoconductive properties
27% BIC (p<0.001): Bone regeneration started around SLActive
New bone
SLA
SL
Act
ive
Week 2
0% BIC
Week 12
Bone defect
5% BIC
80% BIC (p<0.001): Defect completely filled after 12 weeks
New bone
Old bone
J Clin Periodontol 34(1), 2007
STRAUMANN
Cuts healing time to 3-4 weeks allowing you to complete treatment sooner
SLActive™ - The surface with success built in.™
Achieves secondary stability earlier, increasing predictability in stability-critical treatment protocols
Mark C. Fagan, DDS, MS
PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY
Mixture: CONSULTS AND POST-OPS
Surgery: OFFICE SURGERY
PAPERWORK
RUN A BUSINESS (INC.)
Mark C. Fagan, DDS, MS
PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY
CONE BEAM CT SCANNER
CONE BEAM CT SCAN
VIRTUAL DENTAL IMPLANT SURGERY
“To do anything less than your best is to sacrifice the Gift” -Steve Prefontaine
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