In recent years, the innovative immediate restoration therapies from bredent medical have really proven themselves among dental specialists and dental technici-ans. This innovation has now paid off; according to the findings of the Millennium Research Group, bredent medical can now be con-sidered a market leader in the field of immediate restoration. To remain a leader in innova-tion, the company is constant-ly developing and optimising its therapies.

At the IDS 2015, bredent medical‘s main focus will be immediate re-storation. The visitors will gain a thorough understanding of these particular therapies. One of these in particular is the Sky fast & fixed therapy, which is specially suited to the needs of elderly persons with potentially edentulous jaws. In many cases, patients are able to receive a fixed temporary brid-ge immediately after implantation

medical is the only company which doesn‘t solely offer individual com-ponents; it provides complete and comprehensive therapies which en-compass the planing stage, optimi-sed implants for immediate loading and their associated abutments, and dental prosthetic solutions. „We are one“ is the new slogan of the bredent group, which restrengt-hens the collaborative aspect of both bredent and bredent medical - together they form a manufacturer for implantology and prosthodon- tics as well as a partnership between dentists and dental technicians.

At the IDS 2015, visitors will be able to discover innovations in the field of immediate restoration which will be available in the forseeable future. bredent medical welcomes all clients and interested parties (Stand 11.1 in Hall B10) and looks forward to a lively attendance.

without any problems. Bredent has also developed a suitable solution for younger patients with a single tooth gap. Using BioHPP SKY ele-gance abutments, single tooth gaps can be closed immediately. Thanks to the material properties of the high performance polymer BioHPP, the implant is protected from over-loading in the healing phase, which means that no further abutment changes are necessary, and thus the soft tissue is not subjected to repeated trauma. BioHPP SKY elegance abutments can be used as either temporary or definitive abut-ments. As a crown abutment, the tooth gap can even be immediately definitively restored.

bredent medical is forward thinking and future-orientated. With many ideas and projects in the pipe-line, the company is one step ahead of its future competition. This is mainly due to the fact that bredent

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international

In this edition of SKYline, we have once again prepared numerous interesting topics for you.

Overview:

February 2015 | Edition #01

Preview IDS 2015 bredent group - WE ARE ONE

IDS 2015: Excelling in immediate restoration

Review The IFZI Phantom Course: Modules 1 + 2 – The route to becoming an Implantologist

Preview

Read from Page 2!

IDS 2015: Excelling in immediate restoration

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Preview IDS 2015

bredent group - WE ARE ONE

What you can expect at our stand (Subjects are classified according to colour)

The primary goal of the bredent group is to offer patients the best possible treatment. To achieve this, the bredent group offers complete solu-tions directly from one source. The cooperation between both companies, bredent and bredent medical, is at the forefront of this ideology. With the new slogan „WE ARE ONE“, the bredent group will present itself at the IDS 2015 as an interdisci-plinary market-leading provider of holistic therapies and system solutions, as well as a resource for dentists and dental techni-cians - especially in the fields of immediate restoration and physiological prosthetics using advanced materials from modern hybrid materials.

One consortuim- one philosophy- one team- one goal: the best possible treatment for patients!

The bredent group is made up of bredent medical for implantology and dentistry and bredent for den-tal technology. These two affiliated companies make up the bredent group and, with their years of ex-perience in implant prosthetics, these companies have been able to establish themselves as providers of holistic therapies and system solutions.

As an expert in the fields of im- mediate restoration and plastics, especially in prosthodontics with physiological properties such as shock absorption or biocompatibi-lity, the bredent group will present

itself at the IDS 2015 under the slogan „WE ARE ONE“ as a capable partner for dental teams compri-sing dentists and dental technicians who work in these disciplines.

• Physiological prosthetics o BioHPP – Surpassed by nature

only. The material evolution for framework structures and hy-brid abutments.

o visio.lign veneering system – unbeatable beautiful.

Naturally feeling teeth, ve-neers und individualisations in a single system.

• Immediate restoration o SKY fast & fixed therapy

for patients with potentially edentulous jaws. Problem-free fixed bridges – one session is all it takes.

o BioHPP SKY elegance abut-ments: an effective single-

tooth immediate restoration for patients with high demands. An immediate restoration with no abutment change.

o Antimicrobial photodynamic HELBO-Therapy controls bacterial infections. The basis for a successful immediate restoration – proven to preserve teeth and implants.

• Plus the intergration of these therapies and system solutions in the digital workflow.

These system solutions allow den-tists and dental technicians to work together economically and harmo-niously, as they offer an increase in efficiency and process reliability. They also ensure long-lasting patient satisfaction, thanks to the best possible treatments.

• Immediate restorations ...

... for potentially edentulous ... jaws

... for single-tooth gaps

With SKY fast & fixed therapy, more than 20,000 patients who were potentially edentulous have been successfully treated after only one session since 2007. Now with the BioHPP SKY elegance abutment

and its body, which can be pressed without gaps, made from the high-performance polymer BioHPP, reinforced with ceramics, we have an abutment which makes it pos-sible to carry out individual tooth

restoration immediately and with-out changing the abutment, both in traditional prosthetic procedures and in digital workflow while the patient is sat in the dentist’s chair.

... with photodynamic HELBO ... therapy

One of the main causes of tooth loss is periodontitis, which is caused by bacteria located in the biofilm. HELBO antimicrobial pho- todynamic therapy, the unique system with sterile components, combats bacterial infections and has been proven to preserve teeth and implants. Scientifically-proven success for over 10 years. No pain. No side effects. No resistances. Ideal for guaranteeing immediate restoration

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Preview IDS 2015

• Bionics - Surpassed by nature only

BioHPP is an optimised high-per-formance PEEK-based polymer that has been specially designed for physiological restorations. The me-chanical properties of this were de-veloped further with a ceramic filler for use in the fields in abutments, as well as superstructures and ter-tiary structures. The wide range of visio.lign products is available for veneering BioHPP. With the visio.lign veneer system, composite veneers without plaque or discol-ouration can be produced for the first time on all dental technical framework materials.

• Products tailored to one an-other for aesthetic and bio-compatible solutions

bredent offers dental technicians tailored system solutions ranging from special casting technology for homogeneous metal structures and injection moulding to colour-coor-dinated plastics and plastics (ther-moplastics) that safeguard against allergies and aesthetic plastic ve-neers. Reliable manufacturing that makes use of these products means that every laboratory runs efficient-ly. Innovative connecting elements between implants and prosthetic restoration complete the system.

• visio.lign veneering system – Unbeatable beautiful

The visio.lign system - natural aes-thetics, durability and individual-ity for physiological restorations, particularly in the field of implant prosthetics. The system consists of

five important groups: Full teeth, veneers, gels and pastes for free-style layering technology, a colour system and elaborate primers and bonders. This system covers all re-quirements to a high degree of quality, the individual groups are tailored to one another and can also be used independently or with other systems.

• SKYplanX implant planning system

SKYplanX is a comprehensive im-plant planning system, ranging from the CoDiagnotiX software and a tried-and-tested sleeve system to the surgical instruments that are optimally designed to be used with this system. In addition to implant planning and drill template con-struction, prosthetic planning can

also be carried out. The SKY implant system, including the abutment, is stored in the software itself. Planning data can be exported and transferred to a selected CAD/CAM system. Smart, radiopaque mate-rials support digital workflow and are presented live on the stand.

• breCAM – Physiological high-performance plastics for digital processing

Under the product line “breCAM consumables”, bredent offers high-performance plastics for dig-ital processing. The double benefit from the CAD workflow: substruc-ture and veneer can be designed in just one working process. When finishing the restoration, the user focuses on the esthetic require-ments of the customer. Available for most CAM systems.

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The IFZI Phantom Course:

Modules 1 + 2 – The route to becoming an Implantologist

The implantation simulator at the International Training Centre for Dental Implantology (“IFZI”) offers practical training in the administration of implant surgery and prosthetics to artificial pa-tients (phantoms). Beginners can learn and train in the basics of implantology and gain an insight into the skills and capabilities of professional implantologists. Experienced implantologists can continue to develop their skills in consultation with experienced trainers, in order to acquire the very latest techniques and to benefit from tried-and-tested tricks used in practice. The ed-ucational trainers observe the actions taken and the method used during practical exercises and offer tips and instruction that will increase effectiveness. Rudolf Moser, Head of Market-ing & Communication at bredent medical, supervised Dentist Timo Selje on the IFZI implantation simulator in November of last

year and then asked him about his experiences.

Rudolf Moser: Shortly after com-pleting your studies in dentistry you began a career in implantology and worked as an Assistant Dental Surgeon for an experienced Im-plantologist. Why did you decide to undergo further training on the IFZI implantation simulator?

Timo Selje: After completing my studies and gaining my first expe-riences in implantology during my time as an assistant dental surgeon, I had acquired the necessary theory skills but I wanted to supplement those skills as much as possible by taking part in additional practical training.

My bredent medical regional man-ager, Helmut Finger, then intro-duced me to modules 1-4 of the IFZI implantation simulator. He piqued my curiosity by proposing a full two-day practical course with professionals with many years of experience in implantology, inten-sive training and an exchange of information with other course par-ticipants.

Rudolf Moser: Are there other factors that were important to you in addition to practical orientation? What did the first day of further training consist of?

Timo Selje: It was important to me that the further training was carried out in a manageable group size. I much prefer working closely within a small group than being part of a huge anonymous organisation.

Timo SeljeDentist

Review

IFZI more than fulfilled this require-ment. The first day of further train-ing began with a personal welcome from Prof. Dr. Manfred Lang and a brief introduction to all participants and trainers.

Some time was devoted to the theory of the subject with the pres-entation of the SKY implant system and explanations of the thinking underlying the development of the implant. A discussion of the surgi-cal protocol then ensued. This was great, as the system is simple and self-explanatory.

Last but not least, the IFZI module and the philosophy of the fur-ther training centre was explained, which primarily involves creating a solid foundation for the activities that form part of implant sur-gery and not using dry theory, but more through practical exercises on phantom patients and through passing on many years of experi-ence in the field.After the brief introduction to the theory of the subject, all partic-ipants were able to follow the demonstration of implantation in the maxilla and mandible and the accompanying suturing process carried out by Prof. Dr. Manfred Lang in an adjacent operating the-atre.

That afternoon after a short lunch break, the group was divided into three teams of three in order to carry out the practical exercises.

Rudolf Moser: It sounds like a var-ied morning. How did the afternoon continue?

Timo Selje: It was definitely varied, but it was definitely entertaining. The morning went by in a flash.

After lunch, the teams of three underwent intensive training under the direction of an experienced IFZI trainer, so that we could put what we had been shown that morning into practice.

Every participant played the role of Surgeon, standing Assistant and seated Assistant in a very relaxed and natural environment. Three im-plants were inserted in each case here (3 + 4 quadrant and in the region of the front teeth in the mandible).

Rudolf Moser: Was there even any time left for exchanging in-formation with colleagues after all of that?

Timo Selje: Yes, of course! During the evening we sat down together to eat and found ample time to discuss what we had learnt and to recap on it.

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Review

Rudolf MoserHead of Marketing & Communication bredent medical

However, I have to admit that after the meal I fell into bed with a full stomach and was filled with antici-pation for the following day.

Rudolf Moser: Did the second day manage to surpass the first day in terms of the experience you gained?

Timo Selje: The following day was just as good in every way. We fo-cussed in more depth on the practi-cal exercises in the groups that had been formed.

The next day started at 09:00 on the dot. We inserted 9 implants in the mandible and 7 implants in the maxilla, including internal sinus lift under the guidance of the IFZI trainer. With the knowledge and techniques we learnt on the previous day and the numerous tips and tricks that the IFZI trainer had up his sleeve, we were able to carry out the whole process quickly and effectively. I was genuinely surprised by how safely and quickly

I was able to insert the implant myself.

Time flew by in a flurry of edu-cational material and before we knew it, it was time for a short lunch break at the Italian restau-rant around the corner. The morn-ing programme then continued in a more intensive manner.

Once every person in the group had inserted his/her implant and assisted one another in inserting their implants, an assessment of the phantom model was carried out under the watchful eye of Prof. Dr. Manfred Lang. He offered the occasional tip, ideas for optimising the process or a little constructive criticism to everyone who was in-serting an implant. The day ended with a little celebratory distribution of certificates and we provided our feedback on the course.

Rudolf Moser: What feedback did you give and how would you sum up your experience?

Timo Selje: I personally found the two-day course extremely benefi-cial. I learnt an optimal, efficient and ergonomic technique which will enable me to improve the way in which I carry out implantation.

The exchange of ideas and knowl-edge with the IFZI trainers and with Prof. Dr. Manfred Lang was unbe-lievably beneficial to me and I took away a lot from this. The best part was that all of these people who have tremendous amounts of expe-rience in the field of implantology were happy to share this experience and knowledge with us and did so in a fun way.

This was definitely enjoyable and helps motivate people to achieve more!

I will be putting modules 3+4 in my compulsory programme at the next possible opportunity!

I would recommend this course to anybody - regardless of whether

they are a beginner or an experi-enced professional. Anyone who takes part will take something away with them for their own practice.

Rudolf Moser: Many thanks for speaking with me and for allowing me to accompany you.

HELBO® antimicrobial photodynamic therapy (aPDT)is the unique system with sterile components and provenfor the preservation of teeth and implants.

• No pain.• No side effects.• No resistances.

For more information about the patient-friendly HELBO® therapy from the market leader, call (+49) 0 73 09 / 8 72-4 40.

HELBO

Controls bacterial infect ions

„Success scientifi cally proven for more than 10 years“

PHOTODYNAMIC THERAPYHELBO®

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Request productinformation athttp://helbo.bredent-medical.com

bredent medical GmbH & Co. KG | Weissenhorner Str. 2 | 89250 Senden | Germany | T: (+49) 0 73 09 / 8 72-4 40 | F: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com

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Innovations Based on Therapeutic Concepts

Beginning with the end in mindNeil Cooper is one of those peo-ple who enthuses you from the start. So it comes as no surprise when he tells you that he himself starts everything with the end in mind. It is an approach that has helped him build one of the most successful implant practices in the country.

Working in close harmony with dental technician, Steve Taylor, Neil and his team have gained an enviable reputation for Crossbank Dental Care in Kendal. Just how that reputation has been made not only makes interesting reading, but serves as an inspiration to any as-piring dentist who is told that their dream ‘won‘t work‘.

‚When I bought the practice in Kendal back in 2006, I was ‚reliably‘ informed that I could never have a successful implant practice based in Cumbria‘, recalls Neil,‘ we now have over 70 dentists referring work to us, which tends to suggest that one should take much of the advice one is given with a pinch of salt.‘

Where it started

After Neil graduated from Sheffield, he got a locum post in Kendal. The dentist was approaching retirement and suffering from back pain so Neil talked to the lady principal with a view to purchasing the practice. She quickly agreed it would be to everyone‘s advantage, so together with his colleague and friend from Sheffield, John Rees, the deal was done. That was in 2001 and Neil and John immediately put in place an overnight conversion to become the first private practice in Kendal. In 2006, Neil and John agreed that they wanted to pursue different directions and an amicable arran-gement was reached. Neil was now the principal.

At this stage in his career Neil was a prosthodontist with burgeoning skills as a surgeon and a keen desire to hone those skills. ‘I was greatly helped by Fazeela Khan Osborne‘ says Neil,‘ she not only taught me a great deal about placing implants, but she introduced me to a number of leading (and very successful) practitioners.‘ With unending com-mitment to learn more he travelled all over Europe and further afield to meet those who had achieved more than he ever dreamt possible.

Working within your ablities

As his skills developed, Neil con-sistently assessed his own capa-bilities. Comparing himself with the best demanded a realistic and objective view of implant cases he could comfortably undertake at that stage and those that he, in turn, should refer.

‚Basically, if you can hold a pen in a steady hand, you can drill a hole,‘ he believes,‘ what you may lack is the knowledge that comes only with experience. Some of this may be gleaned by rubbing shoulders with the finest implant surgeons, but mostly it is gained by doing only implant cases that you know you can confidently handle‘. Fun-damentally he feels that you work up to the more complex cases. He also acknowledges that this may be stating the obvious, but he takes a dim view of clinicians who punch above their weight. Like all the best practitioners, Neil likes to be confident but free from arrogance.

Neil’s knowledge grew by small steps. Realistically he assessed one of his major strengths as spacial awareness, but, equally realistically he did not see himself as an acade-mic. His approach was to develop and refine his practical skills and

then reinforce these by acquiring the appropriate and relevant scien-tific knowledge. Alongside this, his enthusiasm and passion for the true

benefits of placing implants grew apace. ‘The huge changes implants can make to people’s lives truly in-spired me’ is how Neil sees it.

patient presentation

BioHPP bridge for use the SKY fast & fixed therapy

BioHPP bridge in situ

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Innovations Based on Therapeutic Concepts

More inspiration

In his studies and research, Neil became increasingly aware of the growing interest in same day im-plants. The SKY fast & fixed system developed by bredent medical par-ticularly caught his eye and visits to Michael Weiss’s practice in Ger-many confirmed his view that this was the best immediate loading protocol on the market.

To be able to offer SKY fast & fixed to the standard Neil wanted required working with a really skil-led dental technician. And this is where Neil simply got lucky. He was lined up to make a presenta-tion at a BAAD conference which, if successful would earn him full membership, when he met Steve Taylor , a technician with more than 20 years’ experience implant expe-rience and considerable expertise in immediate restorations using a reduced number of implants.

In short, it was the perfect match and Neil cites a number of specific reasons for this being the case:

• a shared appreciation of the im-portance of special awareness

• a total commitment to fulfil-ling the patient’s requirements in terms of the size, shape and orientation of the restoration

• an agreement that a problem exists only in the absence of a good conversation

• the ability to understand and process information gained th-roughout the planning process and recognise how this can translate into a final result that will look natural

• the desire to communicate rather than work in a bubble

• an absence of ego

It was clear from the start of their relationship that Neil and Steve un-derstood and appreciated the value of teamwork. Diagnostically it was important that everyone involved, from clinician through to nurse, was ‘tuned in’. ‘Neither Steve nor I are big fans of the Hollywood smile…..what we are looking to achieve is what I call “immaculate deception”, believes Neil, ‘which to us means giving patients a natural, healthy smile with pleasing im-perfections This way the patient’s edentulousness goes unnoticed and their privacy is protected ’.

The Crossbank Team

Dupont, but its use in the fa-brication of dental restorations is a relatively new innovation. The enhanced BioHPP is a semi crystal-line material that offers patient biocompatibility, flexibility close to the bone, no metal in the mouth, patient discoloration stability, no corrosion and a range of applica-tion. It can help overcome such problems as chipping and produce optimum aesthetic results even in difficult situations. It is stronger than acrylic and more forgiving than porcelain.

‘I would recommend to every den-tist that a close working partners-hip with his or her dental tech-nician brings massive benefits to practice and patient alike,’ thinks Neil, ‘I believe it broadens horizons, makes work more enjoyable, en-hances skills and creates a perfect environment for bouncing ideas around. All of which produces the optimum end result for the patient and the dental team’.

Neil Cooper is principal at Crossbank Dental Care, 116 Highgate, Kendal, Cumbria LA9 4HE www.crossbank-dental.com.

One of the things Neil feels can be missing from the dentist/technici-an partnership is a sharing of the overt excitement every fast & fixed restoration provides. Steve agrees that, all too often, the technician can sit at a bench and become al-most anonymous: ‘Like Neil I want to share the pleasure patients have when the surgery is completed and a look in the mirror tells them their life has changed for the better. I also believe that technicians can help reassure and encourage pati-ents by showing that they genui-nely love the creative “buzz” that goes with fast& fixed. Every patient is unique and that’s what’s exciting’.

Keep on learning

Both Neil and Steve have the ex-perience and wisdom to know they will always benefit from acqui-ring more experience and wisdom. Complacency is not a word that is in their individual or collective vocabularies.

A good example of their ‘ahead of the game’ thinking is Neil’s use of a material that is relatively new to the UK. PEEK (BioHPP) was first developed in the early 1960’s by

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bredent medical GmbH & Co.KG | Weissenhorner Str. 2 | 89250 Senden | Germany T: (+49) 0 73 09 / 8 72 - 6 00 | F: (+49) 0 73 09 / 8 72 - 6 35 | www.bredent-medical.com | @: info-medical@bredent.com

Various practical cases, both scientifically and clinically-documented and complete with illustrations. Discover new approaches to restoration options and take away ideas that you can use in your own practice or laboratory. Interesting and fascinating content in all four Scientific & Clinical Cases volumes with university prefaces.

• Immediate restorations - SKY® fast & fi xed therapy • Physiologische Prothetik• Sofortige Einzelzahnversorgung• Regeneration und Biofi lmmanagement

bredent medical GmbH & Co. KG | Weissenhorner Str. 2 | 89250 Senden | Germany | T: (+49) 0 73 09 / 8 72-4 40 | F: (+49) 0 73 09 / 8 72-4 44 | www.bredent-medical.com | @: info-medical@bredent.com

The online version of Scientifi c & Clinical Cases can be viewed by scanning the QR code or by visiting

www.bredent-medical.com/en/scientifi c

Scientific & Clinical Cases online

The CompendiumScientific & Clinical Cases

Scientific & Clinical Cases Available in German and English.

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