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Specialist in oral and maxillofacial surgery/plastic surgery. Main focus on facial deformity surgery and new procedures in dental implantology, in particular biomaterials. President of the German Society for Esthetic Dentistry (DGÄZ) and the Frankfurt am Main Dental Association of 1863. Secretary General-elect of the International Federation of Esthetic Dentistry (IFED). Since 2014 also Medical Director and Managing Director of the Carolinum Zahnärztliches Universitäts-Institut gGmbH at Goethe University.
1st Edition 2019 DVD Mediabook; Laufzeit | runtime: 21 min Language: German, English Categories: Esthetic Dentistry, Prophylaxis Stock No.: 6270 ISBN 978-3-86867-415-6 QP Deutschland
Speakers: M. Oliver Ahlers, Bilal Al-Nawas, Thomas Attin, Ben Baak, Georg Benjamin, Peter Bongard, Frank Brüggen, Till Dammaschke, Maximilian Dobbertin, Daniel H.-J. Edelhoff, Stefan Fickl, Roland Frankenberger, Sylvia Fresmann, Christina Gaede-Thamm, Florian Göttfert, Christian Graetz, Betül Hanisch, Kerstin Herz, Johanna Herzog, Petra Hinz, Franziska Höhne, Peer W. Kämmerer, Adrian Kasaj, Marie Kasperek, Yvonne Kasperek, Matthias Kern, Andreas Kessler, Bernd Klaiber, Jan Klenke, Marko Knauf, Norbert Krämer, Joachim Müller, Robert Nicic, Florian Rathe, Robert A. Sader, Keyvan Sagheb, Bernhard Saneke, Ralf Schlichting, Patrick R. Schmidlin, Thomas A. Schwenk, Wolf-Dieter Seeher, Ralf Smeets, Markus Striegel, Anette Strunz, Moritz Tellmann, Ansger Volke, János Winkler, Stefan Wolfart, Christoph Zirkel
Internationale Fortbildungsgesellschaft mbH
ZahnMEDIZIN – mehr als nur Zähne…
12. Oct 2022, 17:00 — 19:00 (MEZ)Online, Germany
Speakers: Dirk Bleiel, Aiste Gintaute, Florian Göttfert, Markus Hambek, Emil E. Krumholz, Max Lemke, Andreas Neff, Gabriele Röhrig-Herzog, Robert A. Sader, Daniel Weber
Quintessenz Verlags-GmbH
2nd International DGÄZ Symposium
5. Oct 2022 — 8. Oct 2022Bellonio Foundation Cultural Centre (situated at Fira, Santorini), Greece
Deutsche Gesellschaft für Ästhetische Zahnmedizin e.V.
Histological, histomorphometrical and clinical results (two years follow-up) from a split- mouth study in humans
In the present study the tissue reaction to a synthetic hydroxyl-apatite-based bone substitute material and a xenogenic bovine-based bone substitute material were analyzed.
A split-mouth sinus augmentation trial was performed to analyze the capacity of new bone formation within the augmented region together with clinical stability of the inserted implants. Six months after augmentation cylindrical bone biopsies were extracted for histological and histomorphometrical investigation. The cellular reaction, a potential inflammatory response and the ratio of newly formed bone, connective tissue and remaining bone substitute material were evaluated. Further, the amount of multinucleated giant cells and the vascularization within the implantation bed was evaluated. Implants placed in the augmented regions were analyzed clinically two years after placement.
Histomorphometric analysis revealed significantly more vessels and a significantly higher vessel fraction in the synthetic study group. Further, significantly more multinucleated giant cells in the synthetic augmentation sides could be detected. In contrast, the differences in fraction of connective tissue, amount of remaining bone substitute and newly formed bone did not show statistical significant differences. Both biomaterials led to a clinical successful implantation in all patients.
The results of this study highlight the different cellular reactions of synthetic and xenogenic bone substitute materials. The significant higher amount of multinucleated giant cells within the synthetic implantation bed seems to not affect its biodegradation. Accordingly, it seems that the
observed multinucleated giant cells within the implantation bed of the synthetic bone substitute material have characteristics rather similar to foreign body giant cells than to osteoclasts.
Keywords: Biomaterial, Bone graft, Histology, Foreign body reaction