dio european meeting 2013 - rome by peter fairbairn
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The Use of Dio SM Implants in reduced Bone situations
Dr Peter JM FairbairnVisiting Professor , Department of Periodontology and Implant Dentistry, University of Detroit Mercy School of Dentistry,USA
Dr Peter J M Fairbairn
My Faculty in Detroit , USA
Shift in Perceptions
“The Body wants to Heal , Lets work with it “
Dr Peter JM Fairbairn , Bone experts Forum , Zurich 2008
Dr Peter J M Fairbairn
Bone the Key to Soft Tissue Success !
TRUE BONE RESTORATION THROUGH GBR IS VITAL FOR LONG TERM SOFT TISSUE AESTHETICS AS SEEN IN MANY ASPECTS OF DENTISTRY FROM RESTORATIVE , ORTHODONTIC AND PERIO-DONTIC TO IMPLANTOLOGY , GARBER SAID IT AND IT REMAINS SO TODAY
Dr Peter J M Fairbairn
Balance of healthy tissues the key to AESTHETICS
Dr Peter J M Fairbairn
Patient Physiology ?
Dr Peter J M Fairbairn
But , what is the “gold Standard “ Graft Material ?
The IMPLANT ?
Prof Pinholt , Uni Copenhagen Synchtron
study
Dr Peter J M Fairbairn
Bone Modelling !
• “This Study indicates that concerning the optimal dimensions of the alveolar bone , it would be favourable to place the implant as soon as possible following tooth extraction.”
• Schropp L , Wenzel A , et al “ Bone Healing and soft tissue contour changes following single tooth extraction ; A clinical and radiographic 12 month study” Int Journal Periodontics Dent 2003 ; 23, pgs 313-323
Dr Peter J M Fairbairn
My Routine 10 year old Protocol !
Atraumatic Extraction and leave for three weeks for soft tissue closure , then raise site specific flap place and graft.
In rare cases where socket too big or Vital tissues ( IAN , Sinus ) an issue then Socket Graft and place at 3 Months
Dr Peter J M Fairbairn
Traditional particulates with a non- resorbable or bio-resorbable membrane to stabalize (Schenk ) the graft and to exclude soft tissue in-growth may lengthen the healing period by excluding the Vital periosteal blood supply (Gutta) !
Guided Bone Regeneration
Dr Peter J M Fairbairn
Particulates and Traditional Membranes can have Difficulties
Dr Peter J M Fairbairn
Membranes; A help OR a Hinderance ?
BLOOD IS THE KEY TO BONE REGENERATION IN HEALING (Angiogenesis) 85-100% from Periosteum
I now have not used a traditional collagen membrane for last 10 years by making the graft its own cell occlusive graft.
Dr Peter J M Fairbairn
Benefits of BTcP , Membrane Free !
• Stromal cell derived factor 1 (SDF 1 ) is induced in the periosteum of injured bone and promotes bone healing by recruiting mesenchymal cells to the injured site .
• Type 1 collagen is the predominant component of newly formed Osteoid and serves as the basis for the mineral scaffold .
• Zhao J, Watanabe T et al , “Transcriptome analysis of BTcP implanted in dog mandible ,” Bone , Elsevier , pages 864-877
Dr Peter J M Fairbairn
Alloplasts ! No Autogenous ?
Beta Tri-Calcium Phosphate Hydroxy-Apetite
Poly-Lactides
Calcium Sulphate
Prof. Klaas de Groot
Emeritus Prof . Bio-materialsAuthor ; Bio-Ceramics of CaP
Dr Peter J M Fairbairn
There are many types of Graft Particulates, WHY ALLOPLASTS ?
• “A major concern with the use of grafting materials is the presence of residual particles which might interfere with normal healing and bone - implant contact. As such bone quality could thus be as critical as quantity in determining the long term function and stability of Dental Implants and the peri-implant host tissues “
• “ Residual particles ( xenograft ) led to up to 23 % less bone in a site whereas alloplasts led to up to 22% increase of bone in a graft site , all materials led to reduced CT “
• Chan H-L , Wang H-L et al “ Alterations in Bone Quality after Socket Preservation with Grafting Materials: A Systemic Review “ JOMI ( Quintessence ) Vol 28 No 3 2013 , pgs 710 - 719
ResearchSocket grafting using β-tricalcium phosphate in a hydroxyl sulphate matrix.
Minas Leventis, DDS, MSc, PhD1, Orestis Vasiliadis, DDS1, Nadia Theologie-Lygidakis, DDS, MScM, MScD, PhD2, Peter Fairbairn, BDS3 and Ioannis Iatrou, MD, DDS, PhD4
1 Clinical Assistant, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece2 Lecturer, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece3 Private Practice, Kensington, London, UK4 Professor, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece
NEWER RESEARCH !Experimental Study of the Biological Response to β-Tricalcium Phosphate/Calcium Sulfate Synthetic Graft Material.
Minas D. Leventis, DDS, MS, PhD1), Peter Fairbairn, BDS2), Ismene Dontas, DVM, PhD3), Gregory Faratzis, MD, DDS, MS, PhD1), Lubna Khaldi, MD, PhD5), George Kostakis,
MD, DDS, MS, PhD1) and Efstathios Eleftheriadis, MD, DDS, PhD6)
1) Clinical Assistant, Department of Oral & Maxillofacial Surgery, Dental School, University of Athens, Greece
2) Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA
3) Professor of Experimental Surgical Research, School of Medicine, University of Athens, Greece
4) Registrar in Maxillofacial Surgery, Department of Maxillofacial Surgery, Greek Anticancer Institute, St Savvas Hospital, Athens, Greece.
Clinical, histological and micro-CT findings of sockets grafted with β-TCP in a calcium sulphate matrix or bovine bone mineral. A case report.
Minas Leventis, PhD1, Peter Fairbairn, BDS2, Les Coulton, PhD3 and Charles Mangham, PhD4
1 Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece
2 Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA
3 Department of Human Metabolism, Medical School, University of Sheffield, Sheffield, UK
4 Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
Socket grafting using in situ hardening β-tricalcium phosphate: a case series.
Minas Leventis1, Peter Fairbairn2, Annette Lindner3 and Heiner Nagursky3
1 Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece2 Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA3 CTA - Cell Tissue Analysis, Department for Oral and Maxillofacial Surgery, University Clinic of Freiburg, Freiburg, Germany
Socket preservation in molar sites without primary wound closure. A clinical study.
Minas Leventis,1 Orestis Vasiliadis,1 Peter Fairbairn,2 Vasileios Margaritis,3 Demos Kalyvas1
1 Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece2 Department of Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA3 School of Health Sciences, Walden University, USA.
Study 1
Study 2
Study 3
Study 4.
Dr Peter J M Fairbairn
ProTemPermanent or
temporary mini implants
NarrowFix Small osteotomy sites
SM Submerge
d
Root-form submerged implant
Extra Wide
Larger surface area
Biotite-H Bioactive SM implants
Implants for any Case and Any Bone !
Dr Peter J M Fairbairn
Standard Protocol , ( Tarnow Type B)but always 3 week delay for
soft tissue
Dr Peter J M Fairbairn
Radiographs
18 Months
Dr Peter J M Fairbairn
Re-direction of path of Insertion
Dr Peter J M Fairbairn
Ridge Expansion
Dr Peter J M Fairbairn
The Solution:DIO Bone Expander
Dr Peter J M Fairbairn
Expansion with SM Taper
Taper can be used to expand the bone !
Dr Peter J M Fairbairn
Even NO Primary !!
Dr Peter J M Fairbairn
Case Radiographs
Dr Peter J M Fairbairn
Loaded
1 year 2 Years
Dr Peter J M Fairbairn
Loaded 2 years
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Loading at 3 Months
Dr Peter J M Fairbairn
18 Months Loaded
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
So Is It Bone ??
The graft bio-absorbs fully , thus only host bone !
Dr Peter J M Fairbairn
Micro Ct Cores
Dr Peter J M Fairbairn
core From socket at 3 months , Fairbairn , Laventis et al 2012
H and E Staining
Dr Peter J M Fairbairn
BIO-TITE H AND OSTELL
Dr Peter J M Fairbairn
18 Months Loaded
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Research on coated Implants with nano-particulate CaP
Dr Peter J M Fairbairn
Where Next ?
3 months
Dr Peter J M Fairbairn
Radiographs
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Bone in 10 weeks !
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Close to the IAN !
Dr Peter J M FairbairnCore Sample Site
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
2 Years Loaded
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Sinus Augmentation with Low Primary Stability
Dr Peter J M Fairbairn
Loading with Osstell readings ( 34 to 68 ) at 4 months.
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Azure 2 and pararosaniline staining
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
UF , New From DIO
Dr Peter J M Fairbairn
JUST YESTERDAY !
Dr Peter J M Fairbairn
Ten weeks in Line with Healing !
Dr Peter J M Fairbairn
So Lets Help the Body !!!
Bio-compatible , Bacterio-Static fully Bio-absorbed synthetic particulates , return the body to its healthy state.
No Foreign or Donor material ! your patients will appreciate it ! Happy Patient Happy Dentist
Dr Peter J M Fairbairn
Thank You Jason and all at DIO Implants, South Korea, for
helping me to move ethical Implantology Forward
Dr Peter Fairbairn
Scarsdale Dental and Implant Centre
67 Earls Court Road
Kensington
London
W8 6EF
reception@scarsdaledental.co.uk
020 7937 2160
Dr Peter J M Fairbairn
Dr Peter J M Fairbairn
You Tube Case
Placed the lateral Implant and grafted similarly, can be
seen on “YOU TUBE” Fairbairn DIO .
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