Webinar: Short vs Long. Who Is Right, Who Is Wrong?
8 July 2020
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Presented by: Geoffrey Pullen
Host: Guy Laffan
Date: 8 July 2020
The British Society of Restorative Dentistry make a statement in their brochure- ‘It is not necessary to use an implant for every missing tooth if long and stable implants can be placed.” Whereas the European Consensus Conference recently stated that short implants work and that for any patient where a graft is considered they should be offered a short implant as an alternative, where relevant.
So do short implants work and is stability (initial stability) important to long term success? My answer is yes and no. In this lecture I will look at all types of dental implants and where we use them. I will discuss design, surfaces, grafting, simplifying surgery and illustrate all my points with clinical cases where the results are over 5 years. Some will be 20 years old.
- To demonstrate that short implants work at least as well as long implants
- To discuss the limited relevance of initial stability
- To understand the difference that implant design and surgical instrumentation makes to bone healing
- To understand where and when short implants can and should be used
Geoff Pullen qualified from Kings College Hospital in 1997 and then graduated from the University of Southern California with a DDS in 1981. He joined Harold Preiskel’s practice on his return to the UK and was there when Harold was in the first UK cohort to attend the Branemark Clinic. As Harold was already known for his book on Precision Attachments, he was well placed to comment ‘I’ve just seen something that will change the face of dentistry.’
He soon went on to open his own practice as a squat in Knightsbridge before returning the London’s West End and finally ending up in a practice in his then home around the corner from Tony Blair’s house. He sold the practice to another neighbour, James Hull, when the corporates came calling and has since been ‘owned’ by James Hull, Smiles, Oasis and now Bupa. He has been on the clinical boards of each.
He has lectured widely in the UK, in Europe, the USA, Russia and India on treatment planning and the use of short implants. He is a Past President of both the American Dental Society of London and the American Dental Society of Europe. He currently gives the material of periimplantitis for the Royal College of Surgeons Diploma course in Implantology.
He has placed and restored implants in his practice since 1989 using Nobel, 3i, Astra and Straumann but in 1997 started using Bicon. He has hardly used any other implant system since. He is a clinical director of Bicon Marketing limited and in that role has demonstrated live surgery and the restorative aspects of the system to hundreds of dentists in his practice.
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