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NobelDirect – Analysts` Report on Bone Loss Controversy

Merrill Lynch and UBS have released stock research reports regarding Nobel Biocare`s NobelDirect implant design. Several recent studies suggest more than 3mm of bone loss in 14-55% of patients. An expert panel advising the Swedish Medical Products Agency on the safety of the NobelDirect implant has responded to a recent Nobel Biocare rebuttal letter in a critical manner. The Merrill Lynch analyst suggests a NobelDirect withdrawal may be ahead.

Ceramic VectoDrill Set

Thommen Medical has redesigned their VECTOdrill™ twist drills in a high-strength, alumina-toughened zirconia (ATZ). The drills` ATZ ceramic ensures efficient and consistent cutting performance throughout the life of the twist drill. The pilot drill design features a high efficiency cutting tip which initiates the pilot hole without the need for a round bur and has the ability to cut laterally to correct osteotomy location. These are similar in design to the MIS ceramic drills reported on previously.

BioFunctional Implant Coating – US Patent Issued

Straumann has received a US patent for a bioactive coating for their implants. Their modified sandblasted and acid-etched (SLA) surface is coated with an Arg–Gly–Asp (RGD)-peptide-modified polymer (PLL-g-PEG/PEG–RGD). According to a study by Danny Buser, RGD-coated implants demonstrated significantly higher percentages of bone-to-implant contact as compared with controls at 2 weeks. The hypothesized mechanism is that the attachment of RGD peptides directed towards integrin receptors on the PEGylated surface promotes adhesion of cells of mesenchymal origin e.g. osteoblasts to the

Low Temp Osseo Drill

Osseo Scientific LLC has added a collection of low temperature osteotomy drills to their product line. They claim that the unique design allows for lower force osseous penetration and therefore less heat generation. They display an interesting temperature graph as evidence of this.

MIS Implant`s Abrahmi Drill Kit

MIS Implant Technologies Ltd.`s Abrahmi Drill Guide Kit is a drill guide kit that allows for optimal inter-implant spacing, angulation and parallelism. The kit contains several spacers which the surgeon can select to determine the inter-implant distance. The device features several drill sleeves of different diameters which ensure parallelism of the implants.

Conebeam.com`s Implant Planning and Surgical Guides Review

Conebeam.com a comprehensive website devoted to the art and science of conebeam ct scanners has an excellent review of all the different implant planning and surgical guide products. An astonishing 10 different systems are available. Most of the usual vendors: Materialise, Nobel Biocare Teeth in an hour, Denx and ILS are listed, but also some new and innovative systems from smaller vendors.

RoboDent GmbH`s LapDoc Implant Navigation System

RoboDent`s navigation and implant placement planning software works with its Lapdoc system to give realtime visual feedback on the angle, depth and direction of implant placement. It uses 5mm titanium microspheres attached to the handpiece to track the position of the drill tip in realtime allowing the implantologist to see the depth and angle of implant placement.

A. Titan Instrument`s Easy X-Trac System

A. Titan has introduced an innovative system for atraumatic extractions. This system uses a pin placed in the tooth to be extracted`s root canal and then uses a rachet to pull the tooth out of the alveolus, thereby avoiding the rotational forces usually placed on the alveolus by conventional extraction methods. By removing the tooth in an atraumatic fashion, immediate implant placement is more feasible.

Stoma Instrument`s Implant Surgical Guide and Positioning System

Stoma has introduced an innovative kit to allow for optimal implant positioning and spacing. The system consists of two sets of seating sleeves with increasing diameters, 5 fixation pins and 3 straight and angled bone spreading instruments. The seating sleeves are used to plan the optimal implant diameter for a particular surgical site. They are also useful for determing the proper interproximal spacing in areas where multiple adjacent implants are planned.

Mectron Piezoelectric Bone Surgery System

Mectron`s piezon-electric surgery system can be used for osteotomies and osteoplasty in implantology. Additionally it can be used in periodontal, endodontic and surgical orthodontics. It`s selective cutting action allows for mimimal soft tissue damage, especially useful for opening sinus windows during lateral sinus lift procedures. This unit comes with an array of handpiece tips designed for an array of surgical procedures.

DenX`s IGI Implantology navigation system wins 2006 Medical Design Excellence Award

DenX`s innovative CT-image driven implant planning and placement system, `IGI`, was recently honoured with a Medical Design Excellence Award. IGI allows a virtual implant to be placed on the CT image with the assistance of advanced planning tools. During the surgical procedure, the clinician guides the implant to the precise location, angle and depth required according to the plan. Real-time localization feedback assisted by audio and visual media allows the clinician to monitor the success of the procedure and avoid

Straumann`s Peek/Titanium Composite Implant? – US Patent Pending

Straumann has filed a US patent application for a Peek/Titanium composite one-piece Implant. This implant design features an outer titanium shell (label 1 and 2) and an inner core made of PEEK (label 3 and 4). This designs claims the aesthetic advantage of the white-coloured PEEK at the collar and abutment with the proven osseointegration properties of titanium. This is an interesting design response to the number of zirconium collar (TBR Group) and all zirconium implant (Z-Systems) designs.

MIS Ceramic Composite Implant Drills

MIS has introduced a ceramic composite (Zirconium / Yttrium / Aluminium) drills in 2.0 mm, 2.1 mm and 2.8 mm diameter. They reportedly feature reduced vibration and smoother operation. One important property that Zirconium drills claim over stainless-steel drills is that they maintain their sharp edge for an extended period.

Nobel Biocare`s Groovy Implant Surface

Nobel Biocare has introduced an improvement to their Ti-Unite Surface. By placing micro grooves on the surface they claim to increase the implant stability by up to 30% thereby allowing for more rapid bone formation. This surface improvement takes a mechanical approach to increase Bone-to-Implant Contact as opposed to the chemical surface modification`s introduced by Astra (Osseospeed) and Straumann (SLAtive), their main competitors.

Z-System`s All Zirconium Implants and Surgical Instruments

Z-Systems has introduced a completely metal-free implant and set of surgical instruments for placement of these implants made from 95% Ziconium dioxide and 5% Yttrium tri-oxide. Zirconium is one of five metals shown to support osseointegration (the others are: Titanium, Niobium, Tantalum and Platinum). This new approach has been certified for use in Germany, but FDA clearance for use in the United States is planned. A few animal and human based studies suggest that the bone-to-implant contact percentages (a measure

BTI Bone Expander Drills

B.T.I. has introduced a bone expander drill set. It uses a set of four wedge-shaped bone expanders to expand alveolar bone and condense bone in sites with low bone density. The rotary motion of either an implant handpiece or a torgue wrench is used to slowly expand the bone instead of using the more traditional osteotome/bone condenser/ridge spitter and surgical mallet combination.

Z1 Conic – Zirconium Collared Titanium Implant

T.B.R Group has introduced a unique ziconium collared implant. It features one-stage titanium implant with a zirconium trans-gingival emergence collar. They claim that the Zirconia enhances the fibroblast and osteoblast cell adhesion and proliferation compared to titanium, provides for lower bacterial colonization at the collar and shows evidence of creeping attachment of the gingiva to the zirconium collar.

SLActive – New Hydrophilic Implant Surface Treatment

Straumann has introduced an improvement in their SLA implant surface. SLActive is based on the scientifically proven SLA® surface topography, but exhibits a fundamentally improved surface chemistry. Due to its ideal conditioning, the chemically active and hydrophilic SLActive surface significantly promotes the osseointegration process. Animal studies demonstrate that their new surface allows for accelerated bone remodelling during the entire osseointegration process.

MIS Bone Compression / Sinus Lift System

MIS Implant Technologies Ltd`s new compression kit improves the treatment procedures for sinus lifting and soft bone compression. A simple bone compression procedure enables better implantation and better implant primary stability. The compression kit can be operated either manually or with a contra angle, according to the surgeon`s choice.

Implant Location System

Tactile Tech has introduced the Implant Location System (ILS) which applies tactile sensing technology to offer intra-oral image-guided navigation specifically for dental practitioners. It is a computer-guided sensing, navigation and guiding suite for placement of dental implants designed both for the general practitioner and the expert. It provides safety and restorative accuracy without introducing the great complexity of other navigation systems.