New Facility Means Expanded Services

By Steven Pigliacelli, CDT
Vice President, Marotta Dental Studio

Marotta Dental Studio has recently relocated to a newly renovated facility that now includes a private conference room and spacious training area. The conference room is available to Marotta customers for patient consultations and case planning meetings with referring colleagues. Reserving the conference room is easy. Just call and let us know the date and time you wish to reserve. Conveniently located just minutes from the Farmingdale train station, we can even arrange transportation for you and/or your patients from the station to the studio.

As part of our comprehensive practice support program, Marotta Dental Studio now sponsors a Professional Enrichment Training Series, featuring some of the most respected names in dentistry. Recognizing your need for continued education but mindful of your busy schedule, this series of lectures, demonstrations and workshops require only a few hours of your time. Each program takes place in our spacious new training area, which is also available for study club meetings that include a presentation by Leonard Marotta.

The next Professional Enrichment Training program, titled “ All You Need to Know About Impression Taking” and co sponsored by 3M Company, is scheduled for January. See details below.

An Open Invitation
Marotta Dental Studio presents the second program in our Professional Enrichment Training Series, “All You Need to Know About Impression Taking.” Scheduled for January.
This lecture/demonstration covers the latest advancements inimpression-taking materials andtechniques, criteria for their selection and troubleshooting.

Co-sponsored by 3M Dental Products Division, the program will feature a demonstration of Imprint, a vinyl polysiloxane (VPS) impression material that is as accurate and distortion free as polyethers, but cleaner and Easier to use.

3M will also unveil its latest innovation, an electronic anesthesia modality. Inaddition, Marotta Dental Studio will present a tabletop demonstration of the Prism Crown, a“butt shoulder” porcelain crown with metal substructure that assures super strength and versatility while allowing an optimal amount of light penetration onto the root.

For further information about the program, please call Marotta Dental Studio at 866-627-6882 or 866-MAROTTA.

Dental Implant Market Expected to Grow Over 275% by 1995
By Steven Pigliacelli, CDT
Vice President, Marotta Dental Studio

According to government and other independent sources, dental implants constitute the fastest growing segment of the dental industry. While the overall market for dental supplies is expected to expand at a compound annual growth rate of only 9% between 1990 and1995, “… dental implant sales will see the strongest growth, increasing from $70.7 million in 1990 to $195.2 million” just five years later. 1

The publication U.S. Industrial Overlook, which provides statistical information and forecasts economic trends for every type of industry, reports the following in its section on “ Dental Equipment and Supplies”[SIC 3843] By the tear 2000, “…6 percent of the health care dollar is expected to be spent on dental care, spurring development in certain dental implant technology, frostered by stricter FDA requirements, will expand, driven by a market where one half of the U.S. population is missing one or more teeth.” 2

1 Find/SVP, U.S. Dental Supplies Report, 1991, as stated in SRDS Media & Market Planner: Healthcare Markets, 1992.

2 U.S. INDUSTRIAL OUTLOOK- Medical and Dental Equipment and Supplies, “Dental Equipment andSupplies.” pp 45-7 and 45-8.

Progressive Loading with Temporary Prosthesis
Can Assure Success of Permanent Implant Restorations

By Steven Pigliacelli, CDT
Vice President, Marotta Dental Studio

Progressive loading with a provisional restoration after second stage surgery can be a viable treatment option for many implant cases. It helps diminish pressure on healing bone and soft tissue, giving implant fixtures additional time to fully osseointegrate without depriving the patient of the convenience of a fixed prothesis. Temporary restorations also serve as diagnostic tools for determining final abutment selection and assessing emergence profiles, occlusal schemes and esthetics under functional conditions. With the provisional prothesis as a model, a more esthetic and problem free permanent prothesis can be fabricated. Instances in which provisional restoration and particularly effective as diagnostic tools include cases involving TMJ (to establish proper vertical heights) and “mix n' match” abutments (to preevaluate abutment selection).

Prior to the availability of mass-produced temporary components, provisional protheses required laboratories to make custom components and abutment modifications often using untested materials and designs. Now with the proliferation of standardized temporary components, available from most major implant manufacturers, including the recent introduction of Branemark System temporary cylinders from Nobelpharma, progressive loading with provisional restorations has become more feasible.

As with implant cases, we apply the Marotta Procedure System to the making of temporary protheses, making modifications as

needed to assure that the restoration fulfills its function for the intended duration. Which brings us to the question, “How long is temporary?” We would guess that the average provisional protheis is intended for use up to six months. In some

Occlusal load, many temporary restorations require the support of a custom metal frame to reinforce the acrylic and prevent it from fracture and failure. The frame must not make contact with either tissue or occlusion; otherwise it would negate the purpose of progressive loading. We've found that many short-term provisional restorations can also benefit from reinforcement, only with a lighter, less elaborate frame. We have presented here some of the benefits and considerations of using progressive loading with a temporary prothesis for treating dental implant patients. With the introduction of standardized components and procedures, surgeons and periodontists are recommending progressive loading as part of case planning with greater frequency. Therefore, the proper utilization of progressive loading and temporary protheses becomes an important part of the practice of implantology.

For further information about progressive loading with temporary restorationsor a case consultation, please contact Marotta Dental Studio at 866-627-6882 or 866-MAROTTA.