P R O F E S S I O N A L L E C T U R E S E R I E S

H e a l t h S c i e n c e s

P e r i o d o n t a l H e a l t h c a r e a n d D e n t a l I m p l a n t D e s i g n

September 23, 2012

PERIODONTIST

Mark C. Fagan, D.D.S., M.S.

Mark C. Fagan, DDS, MS

PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY

Mark C. Fagan, DDS, MS

PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY

EDUCATIONAL HISTORY

4 YEARS OF COLLEGE 3 YEARS MASTER’S DEGREE 4 YEARS OF DENTAL SCHOOL 2 YEARS OF PERIODONTAL RESIDENCY

DIPLOMA Marian Catholic High School

B.S. (BACHELOR OF SCIENCE) UNIVERSITY OF ILLINOIS

M.S. (MASTERS OF SCIENCE) MICOBIOLOGY UNIVERSITY OF ILLINOIS

D.D.S. (DOCTOR OF DENTAL SURGERY) U. of I. Chicago

RESIDENCY IN PERIODONTOLOGY UNIV. CAL. SAN FRANCISCO

REWARDS OF HIGHER EDUCATION

MARK C. FAGAN, DDS, MS

PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY

Tooth Anatomy

Crown ‘white thing’

Root Gum

Bone

PERIODONTAL DISEASE

PERIODONTAL DISEASE TREATMENT

ROOT PLANING (DEEP CLEANINGS) PERIODONTAL SURGERY RESECTIVE REGENERATIVE REPLACEMENT

Guided Bone Regeneration Lower Molar

RECOMBINANT GROWTH FACTORS BONE MORPHOGENIC PROTEIN

GINGIVAL RECESSION

NORMAL RECESSION

-Bone Loss -Tooth Sensitivity -Esthetics

GRAFT SUTURED IN PLACE

ONE MONTH HEALING

BEFORE AFTER

DENTAL IMPLANTS

DENTAL IMPLANT

DENTAL IMPLANT

BONE IMPLANT SURFACE

OSSEOINTEGRATION

DENTAL IMPLANT

BROKEN TOOTH RESTORED IMPLANT

WHAT DO YOU DO IF YOU DO NOT HAVE ENOUGH

BONE? Bone Width

Bone Width

Bone Width

DESIGN ISSUES

SPEED OF OSSEOINTEGRATION (SURFACE TREATMENTS)

ORIGINAL IMPLANTS

PROFESSOR BRANEMARK

ORIGINAL IMPLANTS

Smooth Machined

Surface Healing Time 6

Months Integration Rate

85-90%

Roughen Surface

Increased Osseointegration Rate = 90-98%

Healing Time Reduced to 4 – 6 Months

Chemically active = attractive surface

Effect of hydrophilicity and chemical activity

SLA® SLActive™

Clinical issue: shift the dip

2 weeks 4 weeks 8 weeks

Overall: More bone in the early healing phase

STRAUMANN 28 September 2012

42

Study flow chart

Baseline surgery: extraction of 2nd to 4th premolar and 1st molar in the mandible and maxilla

After 4 months: Implantation, split-mouth, submerged healing

2 weeks 12 weeks

Histology Histology

J Clin Periodontol 34(1), 2007

Results: Highly osteoconductive properties

27% BIC (p<0.001): Bone regeneration started around SLActive

New bone

SLA

SL

Act

ive

Week 2

0% BIC

Week 12

Bone defect

5% BIC

80% BIC (p<0.001): Defect completely filled after 12 weeks

New bone

Old bone

J Clin Periodontol 34(1), 2007

STRAUMANN

Cuts healing time to 3-4 weeks allowing you to complete treatment sooner

SLActive™ - The surface with success built in.™

Achieves secondary stability earlier, increasing predictability in stability-critical treatment protocols

Mark C. Fagan, DDS, MS

PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY

Mixture: CONSULTS AND POST-OPS

Surgery: OFFICE SURGERY

PAPERWORK

RUN A BUSINESS (INC.)

Mark C. Fagan, DDS, MS

PERSONAL BACKROUND SCOPE OF PRACTICE DAY IN THE LIFE USE OF TECHNOLOGY

CONE BEAM CT SCANNER

CONE BEAM CT SCAN

VIRTUAL DENTAL IMPLANT SURGERY

“To do anything less than your best is to sacrifice the Gift” -Steve Prefontaine