Some things do belong together: just as Yin needs the Yang, implantology needs periodontology. At EuroPerio 2018, W&H presents “No Implantology without Periodontology”, NIWOP for short, a systematic and evidence-based workflow for a sound and healthy tissue situation around the implant.
Millions of people around the world are affected by periodontitis. This chronic disease significantly increases the incidence of biological complications in implant placement with a risk of implant loss (1). Peri-implantitis and its preliminary stage mucositis also occur in a substantial proportion of patients (2). The cause is frequently found in the pathologically altered biofilm (dysbiosis) with its specific microflora (3, 4). Untreated periodontitis patients therefore have an increased risk of peri-implant inflammation through to implant loss (5). However, even patients who were treated initially and are not included in a recall program exhibit an increased risk (6). Where necessary, periodontological pre-treatment and appropriate follow-up care (supportive periodontal therapy, follow-up care in recall) is important for these patients in order to create the optimum conditions for successful implantation and retention of the implant.
Increased implant success with NIWOP
Not only does W&H provide all the products necessary for treatment, but with NIWOP it also supplies a holistic workflow which enables the best possible treatment of patients. Pre-treatment, implantation, follow-up care – the evidence-based, systematic NIWOP workflow and the associated W&H products such as Implantmed, Piezomed, Tigon or the extensive range of tips, help to achieve lasting success of the implant. Presentations and the experience of key opinion leaders round off the NIWOP package.
1. Veitz-Keenan A , James R, Implant outcomes poorer in patients with history of periodontal disease, Evidence Based
Dentistry 18, 5 (2017)
2. Derks J, Schaller D, Hakansson J, Wennstrom JL, Tomasi C, Berglundh T. Effectiveness of Implant Therapy Analyzed in
a Swedish Population: Prevalence of Peri-implantitis. Journal of dental research 2016;95:43-49.
3. Lafaurie GI, Sabogal MA, Castillo DM, Rincon MV, Gomez LA, Lesmes YA, et al. Microbiome and Microbial Biofilm
Profiles of Peri-Implantitis: A Systematic Review. J Periodontol 2017;88:1066-1089.
4. Hajishengallis G. Immunomicrobial pathogenesis of periodontitis: keystones, pathobionts, and host response. Trends in immunology 2014;35:3-11.
5. Veitz-Keenan A, Keenan JR. Implant outcomes poorer in patients with history of periodontal disease. Evidence-based
6. Tan WC, Ong MM, Lang NP. Influence of maintenance care in periodontally susceptible and non-susceptible subjects
following implant therapy. Clin Oral Implants Res 2017;28:491-494
Diagnosis & establishing a stable periodontal situation
According to anatomy & measurement of stability and status of osseointegration
Periodic inspection and biofilm management, supportive periodontal therapy
Transalveolar sinus floor augmentations produce fewer postoperative complaints compared with the lateral access. This case report describes the advantages of the piezosurgical procedure and a newly introduced instrument set for preparing the implant bed and lifting of the Schneiderian membrane.
W&H is completing the range for prophylaxis and periodontology treatment with the new Proxeo Aura air polishing solution. The system is suitable for all supra- and subgingival indications, including the treatment of peri-implantitis, and allows efficient, thorough and controlled working with just one device.
W&H has expanded its portfolio by a cordless polishing system for more comfort and greater freedom of movement during prophylaxis or periodontitis treatment. The Proxeo Twist Polishing System allows dentists and hygienists to use the cordless polishing handpiece entirely without constraints and control it using the wireless foot control.
Some things do belong together: just as Yin needs Yang, implantology needs periodontology. With “No Implantology without Periodontology”, NIWOP for short, W&H presents a systematic and evidence-based workflow for a sound and healthy tissue situation around the implant.
At EuroPerio9, W&H unveiled the “No Implantology without Periodontology” (NIWOP) treatment workflow. With this workflow, W&H highlights the importance of a healthy periodontal condition prior to implantation. In this interview, Bernhard Eder, W&H Product Manager of Prophylaxis and Periodontology, discusses why W&H is setting standards in periodontology and which advantages users may expect.
Biofilm is the most significant cause of inflammatory bone loss around teeth and implants. Diagnostics, biofilm management and, where necessary, treatment help in patients with this problem. The W&H No Implantology without Periodontology workflow should provide stable tissue prior to implantation through prevention, and implant success in the long term through aftercare – something that is advantageous to both the patient and the treatment team.
How can peri-implant infections be avoided and treated as needed? In addition to the newly presented classifications, this issue was a key topic at EuroPerio held in Amsterdam in June. In a symposium organized by the Austrian dental company W&H, Dr Karl-Ludwig Ackermann (Filderstadt, Germany) presented his clinical concept based on the NIWOP workflow (“No Implantology without Periodontology”).
EuroPerio9 was held in Amsterdam from 20 to 23 June and was the largest congress to date with more than 10,000 attending. There was great interest in the causes and successful management of periodontitis and peri- implantitis. Two new classifications provided answers to the aetiology. Scientifically based and practice-oriented presentations demonstrated how to prevent and, if necessary, treat these inflammatory diseases.
The preparation of implant beds has to be efficient - and, at the same time, requires a great deal of feeling. The 9 new Implant/Crestal instruments for the Piezomed from W&H are specially indicated for fine maxilla bone and the internal sinus lift. Compared with standard rotary instruments, they offer improved tactile feedback, are less invasive and encourage osseointegration.
In the age of minimally invasive treatment, dental surgeons and oral and maxillofacial surgeons are increasingly employing piezoelectric devices for the preparation of bone tissue. They allow particularly atraumatic preparation of hard tissue on the basis of ultrasonic surgery technology and the cavitation effect allows an almost blood-free operating field.
In modern dental treatment, the professional, mechanical removal of plaque and biofilm is an integral part of the prophylaxis workflow. In the new Proxeo TWIST LatchShort polishing system, W&H is now presenting a system with a working height 4 mm shorter than standard latch systems.
Osstell, the developer of the ISQ diagnostic technology (Implant Stability Quotient), now presents the next leap in the evolution of implant diagnostic instrumentation: The Osstell BeaconTM, an innovative and highly intuitive tool designed to guide implant treatments for more predictable results. It tells you when an implant is ready for loading in a matter of seconds, by using proprietary and evidenced-based RFA technology, backed by more than 900 scientific studies.
EuroPerio is the world’s largest scientific congress focusing on the specialist fields of periodontology and implantology. The latest of these triennial meetings, EuroPerio9, took place in Amsterdam from 20 to 23 June 2018 and brought together more than 10,000 experts. With “No Implantology without Periodontology” short “NIWOP”, W&H presented a systematic and evidence-based workflow for a sound and healthy tissue situation around the implant. The NIWOP workflow, introduced as part of the congress, was not only topic at the W&H booth, but as well at the lecture of Dr. Karl-Ludwig Ackermann.
Oral surgeon Dr. Karl-Ludwig Ackermann has a practice in Filderstadt (Germany) and teaches implantology and aesthetic dentistry at two universities. He has placed several thousand implants over the last 38 years. Since autumn 2016, Dr Ackermann has been working with the new, enhanced implantology motor - Implantmed by W&H.
Dr. Fred Bergmann - President of the German Society of Oral Implantology (DGOI) explains why implantation with the W&H Implantmed surgical unit is simpler and more reliable, that the Osstell module offers the only available option for measuring the osseointegration again at a later time and why the cordless control for multiple surgical units is a real hit.
In edentulous patients implant-retained fixed prostheses improve mastication and quality of life. Due to resorption and extensive pneumatization of the sinuses a patient had only a minimal posterior maxillary bone height. The implant sites were prepared with a piezoelectric device and a new set of dedicated instruments.
The correct measurement of implant stability and osseointegration has always been a fundamental criterion for the success of the treatment. The explicit patient demand for streamlined treatment processes combined with an increasing number of patients with risk factors result in progressive and ambitious protocols in which conventional processes such as the torque or percussion test are being strained to their limits.
Maria Semmler treats up to eight prophylaxis patients daily and highly values the functions and properties of the W&H piezo scaler. The Tigon+ boasts a high degree of functionality and user-friendliness. In addition, the expanded tip range from W&H allows you to work in a way which preserves the remaining tooth substance. In a recent interview, she gave us an insight into her experience with the W&H device.
The expanded tip range for periodontal use from W&H now offers users an optimized set of instruments for modern periodontal therapy. In addition to improved access from shallow to very deep periodontal pockets, the tip range offers support in the rapid and at the same time atraumatic cleaning of even angled roots.
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