ISSUE 2 FEATURED ARTICLES

A Histomorphometric Comparison of Anorganic Bovine Bone (ABB) and Calcium Sulphate (CaS) Used in Sinus Augmentation Procedures: A Study in Sheep
Antonio Scarano, DDS, MD / Adriano Piattelli, MD, DDS / Gabriele Pecora, MD, DDS / Lucio Petrizzi, DVM / Luca Valbonetti, DVM / Vincenzo Varasano, DVM / Giovanna Iezzi, DDS, PhD

The selection of an appropriate grafting material is one of the factors that is important in achieving adequate bone formation following sinus grafting. Histologic and histomorphometric examination is the best method for evaluating the outcome of a sinus augmentation procedure as one can evaluate both the degree of vital bone formation and the implant-bone interface. The aim of the present study is to perform a histologic and histomorphometric comparison of ABB to CaS in sinus augmentation procedures in sheep.
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Considerations in Implant Treatment in Diabetic Patients
Jun-Beom Park DDS, MSD, PhD

It is reported that approximately 15 million people have diabetes mellitus in the United States, and type 2 diabetes constitutes about 90 to 95% of those cases. Dental implants have become an integral part of rehabilitative therapy, and the demand of implant treatment in diabetic patients is on the rise.
In this report, the relationship between diabetes mellitus and dental implants is evaluated. The mechanism of diabetes mellitus on bone formation and osseointegration is examined and the considerations in implant treatment with the diabetic patients are reviewed.

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Revised Maxillofacial Anatomy: The Mandibular Symphysis in 3D
Robert J. Miller, MA, DDS / Warren C. Edwards, DDS / Carlos Boudet, DDS / Jonathan H. Cohen, DDS

Placement of dental implants in the anterior mandible is considered by many clinicians to be a relatively low risk procedure. However, hemorrhagic episodes following implant placement in the mandibular symphysis are regularly reported and can have serious consequences. The use of high resolution focused cone beam scanners has given us the ability to visualize the intricate neurovascular network of the intraforaminal region without distortion and in greater detail. Knowledge of the arterial supply, and navigated implant placement in the mandibular symphysis, can help to avoid these potentially life-threatening emergencies.
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Early Bone Formation in Furrows at Titanium Implants: A Study in the Rabbit Tibia
Patricia Miranda Burgos, DDS / Luiz Meirelles, DDS, PhD / Lars Sennerby, DDS, PhD

Previous studies have shown a preference for bone formation in macroscopic furrows as compared to other parts of the implant surface. The aim of the study was to describe the early events of bone integration of furrowed oxidized titanium implants.
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Immediately Loaded Implants Placed with Simultaneous Sinus Lift Procedure and Cross Arch Rehabilitation: A Case Report After 5 Years
George E. Romanos, DDS, DMD, PhD

The immediate loading treatment concept in implant dentistry seems to be successful in cases of cross-arch stabilization. This report presents the restoration of an edentulous maxilla using an immediately loaded prosthesis supported by 6 implants with a progressive thread design placed in poor bone qualities. Specifically, 2 of these implants were inserted simultaneously after a sinus lift elevation and augmentation of the sinus cavity using autogenous bone grafting material. A cross-arch stabilization using a provisional bridge provided immobilization of the implants until healing. The final restoration was delivered 4 months after loading. The case report presents clinical and radiographic evaluation of the immediately loaded implants with an excellent result 5 years after loading.
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Ossean Surface: Another Marketing Buzz or a Real Technological
Breakthrough?

Interaction between an artificial device and living tissue is a fascinating field of exploration and science. In the last 30 years, we have been observing an ever-increasing convergence of diverse and multiple branches of science. Today, a good specialist can no longer rest on what was learned from the elders on the benches of the University. Cross-discipline education and constant perusal of the scientific literature is a must for the contemporary practitioner. Thus, a periodontologist must have a basic understanding of advanced immunology, the immunologist must
understand some advanced biochemistry, and the biochemist needs to remain updated in advanced physics and mathematics. In addition, all can benefit from a good dose of philosophy, which is indispensible for gaining a perspective on matters and for the conceptualization of complex theories.

The concept of ˇ°gaining a perspective on mattersˇ± begs the question, ˇ°Are we seeing a new ˇ°renaissanceˇ± taking revenge on the ultra-specialists from the seventies?ˇ± Is this generation, who were sadly lacking in even the most rudimentary skills required for good communication and understanding, isolated in their ˇ°ivory towersˇ± and simply ˇ°too intelligentˇ± to impart the essence of their arcane knowledge beginning to wane? Is a new generation, a ˇ°missing linkˇ± between the intellectually gifted and the ˇ°genericˇ± practitioner beginning to emerge? If that be true, it would indeed be a boon to all mankind. One can only hope for the best and for the proliferation of this rare ˇ°new breedˇ±.
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©2009 Titanium Magazine