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successful development
IMPLANT DESIGN The situation in the implant market can
be compared with that of the automobile market. There the
designs and models of leading makers are looking more and
more alike. Implants today have also reached a standard at
which the implant designs of the various manufacturers are
becoming more and more similar. The only remaining differences
are marginal. However, I see major developments in the
area of the implant shoulder in coming years. Even now the
controlled trials of platform-switching are very promising.
Developments in this direction can be expected from all
implant manufacturers. This will give us better retention of
peri-implant bone. This will also have a positive effect in the
esthetic region. Unfortunately, this item is not as convincing as
we would like. Therefore, there will be developments in this
area that will allow the interproximal bone to be fully retained.
PORCELAIN IMPLANTS I view the growing market in zirconium
oxide implants with some skepticism. No randomized
controlled trials with these implants have yet been conducted.
Shouldn’t this be the basic requirement before recommending
these implants to patients. I do think we can assume that
urgently required controlled clinical trials will soon be conducted.
IDENTITY | 11
“What are the most promising developments for today and tomorrow in modern implantology”
| Prof. Dr. Markus Hürzeler, Munich (Germany)
SURGICAL TECHNIQUES Microsurgical protocols are becoming
more common. Implants are also increasingly being placed with
navigation equipment. Digitalization is simplifying implantology.
Dentists involved in implantology will sooner or later have to
consider simplifying their work with the available digital options.
The removal of connective tissue is still an invasive procedure.
However, I expect a connective tissue substitute to be developed,
perhaps tissue engineering or synthetic collagens. This will
make it unnecessary to remove connective tissue in the gum.
This development will be a milestone in esthetic implantology.
MEMBRANES We expect new materials in the area of bone
regeneration in coming years. Will growth factors be the great
breakthrough in the near future? This will make autologous
bone harvesting less and less necessary. The question of
the future will then be: can we dispense with a membrane
completely? This will also require improved properties, such
as a sufficiently long barrier function and, most important,
optimum integration into the tissues. This will be decisive
in the development of new membranes.
Prof. Dr. Markus Hürzeler
Privat Institut für Parodontologie
und Implantologie IPI GmbH
Rosenkavalierplatz 18
81925 Munich/Germany
Phone 0049 (0)89 928784-0
markus@huerzeler.biz