Dr Peter Fairbairn's lecture on DIO SM and UF dental implants placed in reduced bone cases where synthetic graft material is used to ethically grow new bone in around 10 weeks.

1. The Use of Dio SM Implants in reduced
Bone situations
Dr Peter JM Fairbairn
Visiting Professor , Department of Periodontology and Implant Dentistry, University of
Detroit Mercy School of Dentistry,USA

2. My Faculty in Detroit , USA
Dr Peter J M Fairbairn

3. Shift in Perceptions

4. “The Body wants to Heal , Lets
work with it “
Dr Peter JM Fairbairn , Bone experts Forum ,
Zurich 2008

5. Bone the Key to Soft Tissue Success !
TRUE BONE RESTORATION THROUGH
GBR IS VITAL FOR LONG TERM SOFT
TISSUE AESTHETICS AS SEEN IN MANY
ASPECTS OF DENTISTRY FROM
RESTORATIVE , ORTHODONTIC AND
PERIO-DONTIC TO IMPLANTOLOGY ,
GARBER SAID IT AND IT REMAINS SO
TODAY
Dr Peter J M Fairbairn

6. Balance of healthy tissues the key to
AESTHETICS
Dr Peter J M Fairbairn

7. Patient Physiology ?
Dr Peter J M Fairbairn

8. But , what is the “gold Standard “ Graft Material ?
The IMPLANT ?
Prof Pinholt , Uni Copenhagen
Synchtron study
Dr Peter J M Fairbairn

9. Bone Modelling !
•
“This Study indicates that concerning the optimal dimensions of the alveolar
bone , it would be favourable to place the implant as soon as possible
following tooth extraction.”
•
Schropp L , Wenzel A , et al “ Bone Healing and soft tissue contour changes
following single tooth extraction ; A clinical and radiographic 12 month
study” Int Journal Periodontics Dent 2003 ; 23, pgs 313-323
Dr Peter J M Fairbairn

10. My Routine 10 year old Protocol !
Atraumatic Extraction and leave for three weeks for soft
tissue closure , then raise site specific flap place and graft.
In rare cases where socket too big or Vital tissues
( IAN , Sinus ) an issue then Socket Graft and place at
3 Months
Dr Peter J M Fairbairn

11. Guided Bone Regeneration
Traditional particulates with a non- resorbable or bioresorbable membrane to stabalize (Schenk ) the graft
and to exclude soft tissue in-growth may lengthen the
healing period by excluding the Vital periosteal blood
supply (Gutta) !
Dr Peter J M Fairbairn

12. Particulates and Traditional
Membranes can have Difficulties
Dr Peter J M Fairbairn

13. Membranes; A help OR a
Hinderance ?
BLOOD IS THE KEY TO BONE REGENERATION
IN HEALING (Angiogenesis) 85-100% from Periosteum
I now have not used a traditional collagen membrane for last 10
years by making the graft its own cell occlusive graft.
Dr Peter J M Fairbairn

14. Benefits of BTcP , Membrane Free !
•
Stromal cell derived factor 1 (SDF 1 ) is induced in the periosteum of
injured bone and promotes bone healing by recruiting mesenchymal cells to
the injured site .
•
Type 1 collagen is the predominant component of newly formed Osteoid
and serves as the basis for the mineral scaffold .
•
Zhao J, Watanabe T et al , “Transcriptome analysis of BTcP implanted in dog
mandible ,” Bone , Elsevier , pages 864-877
Dr Peter J M Fairbairn

15. Alloplasts ! No Autogenous ?
Calcium Sulphate
Beta Tri-Calcium Phosphate
Hydroxy-Apetite
Poly-Lactides
Dr Peter J M Fairbairn

16. Prof. Klaas de Groot
Emeritus Prof . Bio-materials
Author ; Bio-Ceramics of CaP

17. There are many types of Graft Particulates,
WHY ALLOPLASTS ?
•
“A major concern with the use of grafting materials is the presence of
residual particles which might interfere with normal healing and bone implant contact. As such bone quality could thus be as critical as quantity in
determining the long term function and stability of Dental Implants and the
peri-implant host tissues “
•
“ Residual particles ( xenograft ) led to up to 23 % less bone in a site
whereas alloplasts led to up to 22% increase of bone in a graft site , all
materials led to reduced CT “
•
Chan H-L , Wang H-L et al “ Alterations in Bone Quality after Socket
Preservation with Grafting Materials: A Systemic Review “ JOMI
( Quintessence ) Vol 28 No 3 2013 , pgs 710 - 719
Dr Peter J M Fairbairn

18. Research
Socket grafting using β -tricalcium phosphate in a hydroxyl sulphate matrix .
Minas Leventis, DDS, MSc, PhD1, Orestis Vasiliadis, DDS1, Nadia Theologie-Lygidakis, DDS,
MScM, MScD, PhD2, Peter Fairbairn, BDS3 and Ioannis Iatrou, MD, DDS, PhD4
Clinical Assistant, Department of Oral and Maxillofacial Surgery, Dental School, University of
Athens, Athens, Greece
2
Lecturer, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens,
Athens, Greece
3
Private Practice, Kensington, London, UK
4
Professor, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens,
Athens, Greece
1

19. NEWER RESEARCH !
Study 1
Experimental Study of the Biological Response to β - Tricalcium Phosphate/Calcium Sulfate Synthetic Graft Material.
Minas D. Leventis, DDS, MS, PhD1), Peter Fairbairn, BDS2), Ismene Dontas, DVM, PhD3), Gregory Faratzis, MD, DDS, MS, PhD1), Lubna Khaldi, MD, PhD5), George Kostakis,
MD, DDS, MS, PhD1) and Efstathios Eleftheriadis, MD, DDS, PhD6)
1)
Clinical Assistant, Department of Oral & Maxillofacial Surgery, Dental School, University of Athens, Greece
2)
Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA
3)
Professor of Experimental Surgical Research, School of Medicine, University of Athens, Greece
4)
Registrar in Maxillofacial Surgery, Department of Maxillofacial Surgery, Greek Anticancer Institute, St Savvas Hospital, Athens, Greece.
Study 2
Clinical, histological and micro-CT findings of sockets grafted with β-TCP in a calcium sulphate matrix or bovine bone mineral. A case
report.
Minas Leventis, PhD1, Peter Fairbairn, BDS2, Les Coulton, PhD3 and Charles Mangham, PhD4
1
Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece
2
Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit, USA
3
Department of Human Metabolism, Medical School, University of Sheffield, Sheffield, UK
4
Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
Study 3
Socket grafting using in situ hardening β-tricalcium phosphate: a case series.
Minas Leventis1, Peter Fairbairn2, Annette Lindner3 and Heiner Nagursky3
Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece
Visiting Professor in Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit,
USA
3
CTA - Cell Tissue Analysis, Department for Oral and Maxillofacial Surgery, University Clinic of Freiburg, Freiburg,
Germany
1
2
Study 4.
Socket preservation in molar sites without primary wound closure. A clinical study.
Minas Leventis,1 Orestis Vasiliadis,1 Peter Fairbairn,2 Vasileios Margaritis,3 Demos Kalyvas1
Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece
Department of Periodontology and Implant Dentistry, School of Dentistry, University of Detroit Mercy, Detroit,
USA
3
School of Health Sciences, Walden University, USA.
1
2

20. Implants for any Case and Any Bone !
ProTem
Permanent or temporary
mini implants
NarrowFix
Small osteotomy sites
SM
Submerged
Root-form submerged
implant
Extra Wide
Larger surface area
Biotite-H
Bioactive SM implants
Dr Peter J M Fairbairn

21. Standard Protocol , ( Tarnow Type B)but
always 3 week delay for soft tissue
Dr Peter J M Fairbairn

22. Radiographs
18 Months
Dr Peter J M Fairbairn

23. Re-direction of path of Insertion
Dr Peter J M Fairbairn

24. Ridge Expansion
Dr Peter J M Fairbairn

25. The Solution:
DIO Bone Expander
Dr Peter J M Fairbairn

26. Expansion with SM
Taper
Taper can be used to expand the bone !
Dr Peter J M Fairbairn

27. Even NO Primary !!
Dr Peter J M Fairbairn

28. Case Radiographs
Dr Peter J M Fairbairn

29. Loaded
1 year
2 Years
Dr Peter J M Fairbairn

30. Loaded 2 years
Dr Peter J M Fairbairn

31. Dr Peter J M Fairbairn

32. Loading at 3 Months
Dr Peter J M Fairbairn

33. 18 Months Loaded
Dr Peter J M Fairbairn

34. Dr Peter J M Fairbairn

35. So Is It Bone ??
The graft bio-absorbs fully , thus only host bone !
Dr Peter J M Fairbairn

36. Micro Ct Cores
Dr Peter J M Fairbairn

37. H and E Staining
core From socket at 3 months , Fairbairn , Laventis et al 2012
Dr Peter J M Fairbairn

38. BIO-TITE H AND OSTELL
Dr Peter J M Fairbairn

39. 18 Months Loaded
Dr Peter J M Fairbairn

40. Dr Peter J M Fairbairn

41. Research on coated Implants with nano-particulate CaP
Dr Peter J M Fairbairn

42. Where Next ?
3 months
Dr Peter J M Fairbairn

43. Radiographs
Dr Peter J M Fairbairn

44. Dr Peter J M Fairbairn

45. Dr Peter J M Fairbairn

46. Bone in 10 weeks !
Dr Peter J M Fairbairn

47. Dr Peter J M Fairbairn

48. Close to the IAN !
Dr Peter J M Fairbairn

49. Core Sample Site
Dr Peter J M Fairbairn

50. Dr Peter J M Fairbairn

51. 2 Years Loaded
Dr Peter J M Fairbairn

52. Dr Peter J M Fairbairn

53. Sinus Augmentation with Low Primary
Stability
Dr Peter J M Fairbairn

54. Loading with Osstell readings ( 34 to 68 ) at
4 months.
Dr Peter J M Fairbairn

55. Dr Peter J M Fairbairn

56. Azure 2 and pararosaniline staining
Dr Peter J M Fairbairn

57. Dr Peter J M Fairbairn

58. Dr Peter J M Fairbairn

59. UF , New From DIO
Dr Peter J M Fairbairn

60. JUST YESTERDAY !
Dr Peter J M Fairbairn

61. Ten weeks in Line with Healing !
Dr Peter J M Fairbairn

62. So Lets Help the Body !!!
Bio-compatible , Bacterio-Static fully Bio-absorbed
synthetic particulates , return the body to its healthy
state.
No Foreign or Donor material ! your patients will
appreciate it ! Happy Patient Happy Dentist
Dr Peter J M Fairbairn

63. Thank You Jason and all at DIO
Implants, South Korea, for helping me to
move ethical Implantology Forward
Dr Peter Fairbairn
Scarsdale Dental and Implant Centre
67 Earls Court Road
Kensington
reception@scarsdaledental.co.uk
020 7937 2160
London
W8 6EF
Dr Peter J M Fairbairn

64. Dr Peter J M Fairbairn

65. You Tube Case
Placed the lateral Implant and
grafted similarly, can be seen on
“YOU TUBE” Fairbairn DIO .
Dr Peter J M Fairbairn