2013 NEOBIOTECH SYMPOSIUM

Transcription

1 2013 NEOBIOTECH SYMPOSIUM Innovations In Implant Dentistry Sejong University, Seoul, Korea

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3 Contents 03 CONTENTS Greetings Symposium Moderators Symposium Schedule Dentist Section International Dentist Section ~ 20 21~23

4 Meet the New Neobiotech Greetings Thank you for your participation in the 2013 Neobiotech Symposium, titled Innovations in Implant Dentistry. In this symposium, 27 specialists in different fields of dentistry will be lecturing three major topics AnyTime Loading, Digital Dentistry, and Peri-implantitis that will bring a new paradigm into implant dentistry. We will also present the new treatment concepts and our 20 new products. We hope you experience innovation and find our symposium interesting and stimulating. Thank you again for being a valuable part of our Neo Symposium. Neobiotech Co., Ltd _ President Young Ku Heo _ CEO In Ho Kim

5 2013 Neobiotech Symposium Moderators 05 Professor Myung- Rae Kim Professor at Ewha Womans University School of Medicine Former Head of Ewha Womens University, Graduate School of Clinical Dentistry Former President of Korean Academy of Oral & Maxillofacial Implantology Former Chief of Korean Association of Maxillofacial Plastic and Reconstructive Surgeons DDS, MS, PhD from Seoul National University and Yonsei University School of Dentistry Exchanging Professor at Tokyo Dental College,University of Michigan, and Duke Medical School Clinical Fellow at U. Florida post-doc, Harvard Dental University, and MGH Professor In - Ho Cho Graduated from Seoul National University School of Dentistry Clinical Training of Periodontology at Seoul National University Dental Hospital Professor at Dankook University, Dental School, Department of Prosthodontics Visiting Professor at UCLA School of Dentistry Visiting Professor at University of Gothenburg, Sweden Dean of Dankook University School of Dentistry Vice President of Chunan Campus, Dankook University Professor Sang - Wan Shin Graduated from Seoul National University School of Dentistry Residency in Hanyang University Department of Prosthodontics MSD from Graduate School of Public Health Seoul National University PhD from Korea University College of Medicine MSD from King s College London Dental Institute, Prosthodontics Visiting Professor at University of Toronto Implant Dentistry Head of Korea University Graduate Clinical of Clinical Dentistry Visiting Professor at Washington University Implant Center Co-President of Asian Academy of Osseointegration President of International Association for Dental Research, Implant Research Group President of International Association for Dental Research Korea Professor Yi- Hyung Woo Director of Kyunghee University Dental Hospital President of Korean Dental Hospital Association Chairman of Korean Officials Dental Association Professor at Kyunghee University Board of Directors of Korea Institute for Healthcare Accreditation Professor Chul - Won Lee Graduate from Seoul National Univ. Dental School Trained from The Dept. of Dentistry St. Mary s Hospital Master & Ph.D. The Graduate Dental School of Yonsei University of Korea Full Time Instructor Kangnam St. Mary s Hospital Assistant Professor at Kangnam St. Mary s Hospital Visiting Associate Professor at The University Lowa Hospital Dentistry & Oral Maxillofacial Surgery Associate Professor at Kangnam & Our Lady s Mercy Hospital Now Professor at St. Mary s Hospital / Dean of Graduate School of Clinical Dental Science Chairman of Department of Dental Implantology Professor Jung -Suk Han Professor at Seoul National University School of Dentistry, Prosthodontics President of Korean Academy of Stormetognethic Function and Occlusion Vice President of Korean Academy of Prosthodontics Director of Cheongju Korea Hospital, Department of Oral Surgery Vice President of Korean Academy of Implant Dentistry Vice President of Korean Academy of Periodontology Vice President of The Korean Officials Dental Association Professor at Yonsei University College of Dentistry Professor Soo - Nam Yang Professor Sung -Ho Choi

6 of. s Neobiotech Symposium Schedule DENTIST SECTION_B2 CONVENTION HALL A,B Time Location Lecture Topic Speaker Moderator 09:00~10:30 10:30~11:00 11:00~12:30 12:30~14:00 14:00~14:45 14:45~15:30 15:30~16:00 16:00~16:45 16:45~17:30 A,B Hall A Hall B Hall A Hall B Hall A Hall B Hall A Hall B Hall Management of Implant Complications : Classification, Prevention and Management Decision tree used to select treatment modalities for the management of implant complications How to properly manage peri-implantitis Etiologic factors that may contribute to implant complications C J E R How to prevent future implant complications Coffee Break What are The Next Neo Solution for Stress - Free Implant Dentistry? Lunch All in One Digital Solution from CT & Intraoral Scan Data to Final Restoration Soft Tissue Control for GBR Precision Guided System : NeoGuide vs Nobel Guide Future of Sinus Lift Coffee Break Immediate Loading with NeoGuide & Provisionals Peri- implant Complications & Solutions Various Clinical Applications of Zirconia Implant Prosthesis Soft Tissue Management for Complicated Defects Around Anterior Implants C J E R C CHI J JAP E ENG R RUS Prof. Hom - Lay Wang Dr. Young-Ku Heo Dr. Jong-yub Kim Dr. Dae-Hee Lee Prof. Ji-Man Park Dr. Nam-Yoon Kim Dr. Hyun-Ki Roh Dr. Do-Young Kim Dr. Soo-Bok Her Dr. Byung-Do Ham DENTIST SECTION _B1 CONFERENCE ROOM A 14:00~14:45 Simple, Easy & Safe Sinus Graft Dr. Young-Joon Cho E E E E E R E R E R E R Prof. Myung-Rae Kim Prof. In-Ho Cho Prof. Jung-Suk Han Prof. Soo-Nam Yang Prof. Jung-Suk Han Prof. Soo-Nam Yang Prof. Yi-Hyung Woo Prof. Sung-Ho Choi Prof. Yi-Hyung Woo Prof. Sung-Ho Choi INTERNATIONAL DENTIST SECTION_B1 CONFERENCE ROOM B 14:00~15:30 Problem Solving for Problematic Implants 15:30:~16:00 Coffee Break 16:00:~17:30 Socket Preservation Treatment in Conjunction with GBR & Sinus Graft E E Dr. Kent Hwang Dr. Young-Joon Cho

7 NEOBIOTECH SYMPOSIUM Dentist Section

8 08 Dentist Section Professor Hom-Lay Wang DDS, MSD, PhD Dr. Hom-Lay Wang, Collegiate Professor of Periodontics, Professor and Director of Graduate Periodontics at the University of Michigan. Dr. Wang received his DDS from Taipei Medical College, Taipei, Taiwan, DDS, MSD from Case Western Reserve University, Cleveland, Ohio and Ph D from Hiroshima University, Japan. He published more than 22 book chapters/invited reviews and more than 300 scientific articles. Dr. Wang is a Diplomate and a Former Co -Chair and Director of the American Board of Periodontology and is the Diplomate and Former President and Board Director of the ICOI. He serves as an Associate Editor for The International Journal of Oral & Maxillofacial Implants, ejournal of Oral & Maxillofacial Research, and International Chinese Journal of Dentistry, and Founding Editorial board member for newly introduced Clinical Advances in Periodontics Editorial and many others. Dr. Wang is the recipient of following awards/honors : AADS clinical research fellowship award (1992), Best papers in Journal of Oral Implantology (2004) and Implant Dentistry (2004), Morton L. Perel Annual Award for Dental Implant Educator (2007), and AAP special citation award (2013). Management of Implant Complications: Classification, Prevention and Management This lecture addresses common implant complications, both biologic and biomechanical aspect as well as the approaches to avoid these problems before they occur. A decision tree of how to manage these complications will be presented. The pros and cons of techniques used to treat implant diseases/complications such as chemotherapeutic agents, apically positioned flap, implant surface detoxification, guided bone regeneration, soft tissue grafts, implant removal as well as re-implantation will be discussed. Learning Objectives Decision tree used to select treatment modalities for the management of implant complications How to properly manage peri-implantitis Etiologic factors that may contribute to implant complications How to prevent future implant complications

9 Dentist Section 09 Dr. Young-Ku Heo DDS, MSD, PhD Dr. Heo received his DDS from DanKook University Dental School, Korea, completed his advanced graduate study in prosthodontics, and received his degree of Master of Science at the Boston University, School of Dental Medicine. He was a full-time Professor at Catholic University, Medical School, Department of Dentistry, Seoul Korea, and received his Ph. D. in Medical Science/Dentistry, Catholic University. He was an Adjunct Assistant Clinical Professor at Center for Implantology, Boston University, and Adjunct Associate Clinical Professor at DanKook University. Dr. Heo has lectured intensively on dental implants worldwide and has developed numerous innovative devices such as sinus crestal and lateral approach kits, fixture remover, screw remover, customized titanium membrane, autogenous chip bone maker, tools for treating implant complications, etc. He maintains a private practice limited to prosthodontics, implantology and esthetic dentistry in Seoul Korea. He is also the President & CEO of Neobiotech Co., Ltd. What are The Next Neo Solutions for Stress-Free Implant Dentistry? The wave of digital technology in dentistry is drastically increasing today. Custom abutment and full zirconia Cr. & Bridge have become popular in dental implants and digital impressions taken by the intraoral scanner facilitated immediate loading. Moreover, emphasis on painless, minimal swelling, and minimally invasive surgery emerged a prominent trend of minimum-incision or flapless surgery. This lecture will introduce Neobiotech s 20 new products and newly developed surgical concepts for stress-free dental surgery. Among them, Cameleon 5 axis Milling Machine and 3Shape s TRIOS intraoral color scanner, as well as the NeoGuide system, will be emphasized. Methods for precise implant placement and immediate loading through the use of NeoGuide system, which does not require any complicated prior preparation and is quickly manufactured with great accuracy, will be discussed. In this case, immediate restoration can be easily applied due to advanced manufacture of the custom abutment, precise temporary abutment, or custom healing abutment through using TRIOS intraoral scanner and Cameleon Milling Machine. Particularly, this lecture will present the protocols, clinical results, and guidelines for 100% success rate of AnyTime Loading. In addition, the SinusAll Kit that combined the prior SCA and SLA kit drilling tools for implant placement and various sinus surgeries will be introduced.this lecture will lastly discuss the current hot topic of prevention and treatment methods for implant complications, such as periimplantitis, and present our newly developed R-Brush, the groundbreaking solution for managing periimplantitis.

10 10 Dentist Section Dr. Jong-yub Kim Graduated from DanKook University, Dental School Clinical training, Oral & Maxillofacial Surgery, DanKook University Regidency, Postdoctoral Prosthodontics, Boston University, Goldman School of Dental Medicine Clinical Faculty, Postdoctoral Prosthodontics and Implantology, Boston University Adjunct Professor, Dankook University, Dental School Adjunct Professor, Ehwa women s University, Medical School Adjunct Professor, Catholic University, Medical School Adjunct Professor, Korea University, Medical School Private Practice (Seoul, Korea) - SMart Dental All in One Digital Solution from CT & Intraoral Scan Data to Final Restoration Computerized navigation implant placement method was introduced many years ago and became more popular. Basic principle of fabrication of precision computerized navigation surgical stent is using CT data and virtual model via either model scan or intraoral scan. Navigation surgery helps dentist to place implants where exactly he or she wants with desired angulation and depth. At the same time we understand more about loading protocol like immediate, early or anytime loading. From the CT data and virtual model, we can fabricate precision navigation surgical stent and prosthesis at the same time through CAD/CAM technology with many other materials. In this oral presentation, I d like to show cases which I treated with Precision guide system and CAD/CAM restoration and future possibility.

11 Dentist Section 11 Dr. Dae-Hee Lee Graduated from Seoul National University, Dental School Internship and residency in Seoul Central Paik Hospital (Oral Surgery) Received MSD and PhD from Seoul National University Adjunct Professor at Seoul National University, Dental School Adjunct Professor at Sanggye Paik Hospital Former President of F&I Implant Research Director of Dr. Lee Daehee s Seoul Dental Clinic Soft Tissue Control for GBR It is widely known that flap design is usually the result of horizontal incision and vertical incision. The quantity of keratinized gingiva for primary or secondary surgery is determined mostly by the bucco-lingual position of horizontal incision. Also, papilla involved or preserved incision, which often is replaced by long crevicular incision, may be determined by the intersection of vertical incision. Furthermore, the amount of keratinized gingiva would be changed by the size of the healing screw in non-submerged surgery. GBR case often lacks flap coverage and has the risk of postoperative side effects as a result of soft tissue dehiscence, thus requiring overall soft tissue control for flap design and strategic suture technique. In Mandibular posterior area, most flap coverage can be managed through mandibular lingual surgical flaps using a dull Prichard, Seldin, or periosteal elevator for Pikos finger dissection of mylohyoid m. up to mylohyoid ridge along with buccal releasing incision within buccal mucosa. However, high degree of caution is necessary when releasing the mental n. branch area. Since the posterior mandibular gingiva is thinner than those of the maxillary area, a horizontal mattress suture and simple interrupted suture with a relatively light tensional force may be enough. Maxillary posterior area, on the other hand, is nearly incapable of advancement of the palatal side that flap coverage should be obtained through the extensive dissection and releasing of the buccal gingiva, and often times require the removal of torus and thinning of the connective tissue in the palatal side. A strong tensional force by vertical mattress suture and simple interrupted suture is required in these thick flap area. In the maxillary anterior area, excessive releasing incision is esthetically unpleasing, and vertical incision should take the form of the scar tissue that horizontal extension of the flap through long crevicular incision is advantageous with performing vertical incision around the canine area. Connective tissue or free gingival graft is helpful when the maxillary anterior area does not have enough flap when operating GBR. I will discuss the precautions, techniques, and clinical cases based on different areas in this lecture.

12 12 Dentist Section Dr. Young-Joon Cho Graduated School of Dentistry, Kyungpook National University Intern & Resident in Dept. of Periodontics, Kyungpook National University Hospital Graduated PhD program, Postgraduate School of Dentistry, Kyungpook National University Completed University of Pennsylvania Perio-implant course Advisory member of Korea Academy of Oromaxillofacial Implant Part time lecturer of School of Dentistry, Kyungpook National University Presently, Director of Mac Dental Hospital Simple, Easy & Safe Sinus Graft When preforming sinus graft procedures, it is the expectation of the patient, as well as the goal of the dentist for the treatment to be conducted as effectively and efficiently as possible with minimal risk of potential adversities. As the health of the patient is always of paramount priority the ultimate goal of success is directly linked to the degree of safety measures which are in place prior, during and following the operation. To ensure this safety it is often best for the practitioner to focus on the simplicity of application when preforming the procedure. This simplicity in turn helps to create a method which can be implemented with a significant amount of ease thus reducing unnecessary or additional steps for the dentist while simultaneously decreasing the amount of inconvenience for the patient. In doing so it shortens the overall operation time, contributes to a higher success rate of the sinus graft procedures and minimizes a number of pre-operational complications that often arise. In this lecture, we will look into theoretical considerations and simple clinical approaches in order to assist practitioners in confidently conducting sinus grafts with the greatest possible ease. The topics to be covered will be The Surgical and Biomechanical Factors, Simple and Effective Treatment Planning, Anatomical Structure Around the Maxillary Sinus, Healing Procedures, and Timing. Within these main topics we will also explore graft materials which have recently been shown to be very effective in maxillary sinus operations, such as PRF. In addition we will examine the effectiveness and efficiency of instruments used in the procedure such as the Sinus Crestal Approach Kit and the Sinus Lateral Approach Kit. Along with this we will spend time focusing on several methods that can be applied to assist in decreasing potential complications that may arise throughout the process as well as introducing safeguards to aid in any unpredictable circumstances that have the potential to effect to procedure. The overall objective of this lecture is to promote methods and practices which will help both the practitioner and the patient undergo the entire sinus graft process as simply, safely and easily as possible.

13 Dentist Section 13 Professor Ji- Man Park Graduated from Seoul National University School of Dentistry Clinical training of Prosthodontics at Seoul National University Dental Hospital Received MSD and DDS from Department of Prosthodontics, Seoul National University Affiliated Professor at Ewha Womans University Graduate School of Clinical Dentistry Assistant Professor at Ewha Womans University School of Medicine Associate Director of Academy of Prosthodontics, Academy of Oral & Maxillofacial Implantology, and Korean Technologist Association Director of Information and Communication Technology of The Korean Officials Dental Association and Association of Orthodontists AO, ICP, IADR member Precision Guided System : NeoGuide vs Nobel Guide Computerized tomography (CT) has been greatly developed since 1972 when Hounsfield introduced the image technique of computed axial transverse scanning and today, devices such as the multi-slice spiral CT, Cone beam CT, etc have been introduced that reduced both the radiation irradiation dose and the scanning time compare to the past and became more practical to operate. In addition, the spread of PACS (Picture Archiving Communication System) standardized CT scan s filename extensions and created the DICOM (Digital Image Communication in Medicine) standard, which facilitated further development of other software programs allowing 3D imaging analysis and diagnosis in the medical world. Among medicine, dentistry is considered highly digitized and some great examples are the manufacturing of restorations using optical scanner, touch probe scanner, or CAD/CAM technology, as well as the implant planning through CT image and the guided surgery. While CT image reconstruction to 2D-3D have been used for diagnostic purpose in implant dentistry field for quite a bit, it was not until the 21st century that the guided implant surgery, which reflected preoperative diagnosis and treatment planning, actually allowed the implant surgery to be performed. Fontin and others defined the concept of Computer-Guided Surgery (CGS) in order to emphasize the importance of accurately delivering the prior treatment planning to the actual implant placement. This lecture will analyze different types of guided systems, recognize their limitations, and finally introduce the NeoGuide through various clinical reports.

14 14 Dentist Section Dr. Nam-Yoon Kim Graduated form Dankook University, School of Dentistry Intern, and Residency Program, Department of Periodontology, Dental Hospital, School of Dentistry, Dankook University MS and DDS from Dankook University, Graduate School of Dentistry, Department of Periodontology Director of Report Affairs of Korean Academy of Periodontology Director of Information Correspond Affairs of Korean Academy of Oral & Maxillofacial Implantology Clinical Adjunctive Professor, Dental Hospital, Samsung Seoul Medical Center Associate Clinical Adjunct Professor, School of Dentistry Dankook University Director of Global Academy of Osseointegration Director of Kim Nam Yoon s Dental Clinic Future of Sinus Lift 80% of Korean dentists perform implant surgery and among them, more than 50% have experience in performing advanced implant surgery involving maxillary sinus augmentation. Today, sinus lift operation has become one of the common practices. Various drills and devices for lifting sinus without damage(perforation) of the sinus membrane via alveolar crestal approach have been developed as well as instruments for more advanced procedure such as sinus lateral approach. This lecture will discuss methods for diagnosis, prognosis and to prevent ENT problems. Clinical cases of sinus crestal and lateral approach using Neobiotech s new product the SinusAll Kit will be introduced. Furthermore, methods for creating an optimal position of window to the sinus lateral wall, prediction and preparing a reasonable quantity of bone graft materials prior to operation, and managing acute postoperative maxillary sinusitis following sinus lift will be presented.

15 Dentist Section 15 Dr. Hyun-Ki Roh Graduated from Seoul National University School of Dentistry Received MSD and DDS from Department of Prosthodontics, Seoul National University Adjunct Professor of Department of Prosthodontics, Seoul National University Dental Hospital Former Head of Kepko Medical Center Hanil Dental Hospital AO and EAO Active member Active Member of Korean Academy of Prosthodontics and Korean Academy of Oral & Maxillofacial Implantology Clinical Consultant of Antomage Inc., United States Immediate Loading with Neoguide & Provisionals There have been various attempts to apply CT based CAD/CAM technology to the actual clinical cases for the past several years. In comparison to the conventional implant surgery that relied on panoramic radiography, today both practitioners and patients benefit from the sufficient preoperational diagnosis and information available that leads to more predictability in implant surgery. The generally known concept of CT-guided implant surgery does not necessarily require the manufacture of surgical guides. Depending on the accuracy of data reproduction, surgical procedures are classified differently. Even without the exclusive 3D software, the generally used 2D image of CBCT allows much more accurate image compare to those from panoramic radiography. When the CT image is made three-dimensional through the 3D software, a clearer anatomical structure is reproduced. Knowledge of the anatomy and potential situation of the surgery site without flap opening and positioning of implants exactly on the planned area can minimize surgical trauma. In cases without GBR, or if minor GBR can be performed through minimal flap opening, prediction of the surgical recovery and outcome is possible. In addition, the contour of the customized abutment can be used in manufacturing not only the temporary prosthesis, but also the final prosthesis. The ultimate goal of the surgical guide is to perform minimally invasive surgery and successfully predict the surgical outcome.

16 16 Dentist Section Dr. Do-Young Kim Graduated from Seoul National University, Dental School Clinical Training of Periodontology of Seoul National University Dental Hospital Received MSD and PhD from Department of Prosthodontics, Seoul National University Adjunct Professor at Seoul Samsung Hospital Visiting Professor at Seoul National University Dental Hospital Adjunct Professor at Seoul Asan Medical Center Director of Insurance Affairs of Korean Academy of Periodontology and Korean Academy of Oral & Maxillofacial Implantology Director of Kim & Chun Dental Clinic Peri-implant Complications & Solutions Complications associated with dental implant can be divided into two big categories: biologic complications and mechanical complications. The known cause of biologic complications is the bacterial infection inside the biofilm and they share similar aspects of periodontal diseases. Consequently, treatment methods for implant complications are similar to those of periodontal diseases. In fact, the treatment modalities as well as the treatment strategies for implant complications so far are not much different from the management of periodontal diseases. The critical factor for treating periodontal diseases is not the tissue regeneration, but the stop of spread of defects through controlling inflammation. The periodontal treatment objective is to remove the causative factors in the short term and to reduce the depth of periodontal pocket for plaque control in the long term. The two types of per-implant diseases are the peri-implant mucositis and the peri-implantitis. Obviously, treating peri-mucositis is much more effective than dealing with peri-implantitis associated bone loss. Appropriate management of peri-implant mucositis through its reversible process can possibly restore the site to its original condition and stop its progression into peri-implantitis. Therefore, detecting peri-implant diseases in its early stages and preventing aggravation are recommended. If the area progressed into the stage of peri-implantitis and peri-implantitis-associated bone loss has already started, surgical approach is recommended.

17 Dentist Section 17 Dr. Soo-Bok Her DDS, MSD, and PhD from Seoul National University School of Dentistry PhD in Dental Medicine, Dental Biomaterials Science Major Internship and residency in Ewha University Hospital, Department of Prosthodontics Adjunct Professor of School of Dentistry, Seoul National University Adjunct Professor of Samsung Seoul Hospital, Sungkyunkwan University Former President of Korean Academy of Bio-Zirconia Director of Korean Academy of Digitalized Dentistry Director of Seoul Mirae Dental Clinic Various Clinical Applications of Zirconia Implant Prosthesis 1. Clinical performance of Zirconia Prosthesis With the increasing interest in esthetics, zirconia, a high-strength ceramic, extended its range of clinical application to the posterior region and, furthermore, to implant abutments (Koutayas et al. (2009) Zirconia in Dentistry : Part 2. Evidence-based clinical breakthrough). The reliability of zirconia framework seems verifiable through inferring couple of 5-year clinical data and one 10-year clinical follow-up study (Sax et al. (2011) 10-year clinical outcomes of fixed dental prosthesis with zirconia frameworks). 2. Background of Full Zirconia Nonetheless, zirconia prosthesis showed higher percentage of veneer chipping than PFM, and the main concern in the field now focused on finding a solution to this complication, which yet remains as an on-going problem (Al-Amled et al. (2010). Review article Clinical trial in zirconia). Thus, full zirconia crown or monolithic zirconia crown without veneer may be an alternative to veneered zirconia crown. Full zirconia prosthesis is more convenient for clinical use and became popular and its application in implant prosthesis became a growing trend today. However it is necessary to think over the following two aspects of zirconia. 1) Effect of Zirconia Surface treatment on Mechanical properties and Low Temperature Degradation 2) Attrition of Opposing Teeth 3. Zirconia Abutment 1) Optical Properties (Esthetics) 2) Biological Properties (Biocompatibility) 3) Clinical Applications

18 18 Dentist Section Dr. Byung-Do Ham PhD, Seoul National University School of Dentistry Adjunct Professor of Seoul National University School of Dentistry Adjunct Professor of Korea University School of Medicine Adjunct Professor of Ewha Womans University School of Medicine Founder and Director, Institute of Periodontics and Implant Dentistry Director of Kainos Dental Clinic Soft Tissue Management for Complicated Defects Around Anterior Implants Nowadays clinicians have faced multiple challenges in treating patients who present with failing, failed implants, or both: they must identify the cause of failure, find ways to salvage the restoration, and satisfy an unhappy patient. If the cases are located in the esthetic zone, more precise level of surgical & restorative approaches are demanding to reach the optimal goal of implant dentistry. This presentation, a collaborative effort by a concept of interdisciplinary approaches, offers clinical guidelines as well as practical strategies for treating common types of failure especially about soft and hard tissue management in anterior implant cases. Emphasizing the need for diligent planning, precise techniques, and complete communication among all specialists of the implant procedure, I would like to advocate a sequential treatment approach and to show summarized data from the literatures to enhance patient comfort and function and to improve treatment predictability. I would also like to share strategies I have learned through experiences for reducing surgical complications in the esthetic zone. Detailed clinical cases demonstrate the most common types of failure and the steps taken to restore function and esthetics. All members of the implant procedure and clinicians who have faced more complicated cases than average will benefit from the suggested approach presented in this presentation. Lecture Contents 1. Iatrogenic ridge defect - Failed augmented sites on #21 2. Failed augmented sites on #21, Iatrogenic ridge defect - Failed implant site on #11 4. Profile change around implant on #22 5. Iatrogenic ridge defect Failed implant sites on #11, Long history of tooth missing on #11-#22

19 Dentist Section 019 Dr. Chong-Hwa Kim D.D.S., School of Dentistry, University of Michigan M.S., Department of Prosthodontics, University of Minnesota Fellow, International College of Dentists Co-Director, Global Academy of Osseointegration Director of Public Relation, Korean Academy of Esthetic Dentistry Private Practice, Seoul, Korea Neo Prosthetic System (Impression, Abutment Selection, & Restoration) During fabrication process of implant prostheses, we often realize the clinical and laboratory procedures are still quite old-fashioned and inefficient in some aspects that these procedures can make both patients and clinicians quite uncomfortable and fatigued. Over the past 20 years, dental implant therapy has been enormously beneficial to both clinicians and patients. However, it also has reported numerous technical problems and clinical complications concerned with implant prostheses. This shows why long term prognosis of implant prostheses must be re-emphasized. What clincians have constantly sought is a way to perform implant therapy easily and efficiently without jeopardizing the quality of prostheses. The effort to find the way that can facilitate the maintenance and trouble shooting, as well as the fabrication of implant prostheses has never ceased. This presentation will be focused on general review of Neo Prosthetic System in terms of post-surgical procedures to fabricate implant prostheses.

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21 NEOBIOTECH SYMPOSIUM International Dentist Section

22 22 International Dentist Section Dr. Kent Hwang UCLA Undergraduate Biology UCLA Dental School, Doctor of Dental surgery International Congress of Oral Implantology (ICOI) Director of AIC Implant Research American Dental Association (ADA) California Dental Association (CDA) International Association for Orthodontics Problem Solving for Problematic Implants In this course you will learn innovative approaches to solving problems Drs. encounter with failing implants. You will learn how to use innovative products Screw Remover kit, Fixture Remover kit, ACM (AutoChip Maker), CTi-mem (Customized Ti Membrane) and Neo GBR kit and how to integrate these into your implant practice as well as some key things to keep in mind while using these innovative products.

23 International Dentist Section 23 Dr. Young-Joon Cho Graduated School of Dentistry, Kyungpook National University Worked as an intern & resident in Dept. of Periodontics, Kyungpook National University Hospital Graduated PhD program, Postgraduate School of Dentistry, Kyungpook National University Completed UPENN Perio-implant course Advisory member of Korea Academy of Oromaxillofacial implant Part time lecturer of School of Dentistry, Kyungpook National University Presently, Director of Mac Dental Hospital Socket Preservation Treatment in Conjunction with GBR & Sinus Graft In recent years there has been a significant increase in the demand for dental implants from patients who have suffered from tooth loss. As a result more dentists are expanding the procedural options which may be available to their patients. However, one of the most significant aspects to consider in determining which procedure would be in the best interest of a successful implant is the amount and quality of alveolar bone, has often been overlooked in regard to its importance. Along with this factor, is the criteria used to determine the potential benefits and shortcomings which may result from the appropriate timing or mistiming if extraction is deemed necessary. In cases where implant treatment is a viable option it is often in the best interest to opt for a quick extraction to prevent any possibility of further damage while simultaneously creating a more favorable environment. Following extraction and in order to create the enhancement of alveolar bone quality and quantity, socket preservation treatment is a recommended procedure which should be implemented in most traditional situations. The focus of this presentation will be addressing these issues and will be divided into the following three sections; methods and the prevention of reduction in the amount of lateral and vertical augmentation, discussion of the necessary materials needed to ensure success of the treatment and the exploration of the clinical effects of the treatment. The overall objective is to present the benefits which socket preservation treatment has to offer for both patient and practitioner when implemented correctly.

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