Dr. Gerald NiznickDMD, MSD
Evolution of Implant Prosthodontics
The Evolution of Implant Dentistry
This presentation will cover the evolution of both implant and abutment hardware over the last 40 years as well as the development t of prosthetic treatment protocols. The first documented case with an over denture attached to two free-standing implants was in 1982 (Niznick AAID Journal) and today it is considered as the minimum standard of care for treating the edentulous lower jaw. Implant designs and surfaces have evolved from requiring 3 months of submerged healing to immediate load of single tooth replacement. Implant prosthetics has vacillated between screw-retained and cement retained restorations. Implant design options evolved from one-piece to two-piece and back to application specific one-piece implants, from straight to tapered implant bodies, from external hex to internal hex connections, from butt-joint to conical connections and from non-sterile packaging to sterile All-in-1 packaging. The implant industry has grown from a handful of companies in early 1980’s to over 250 implant companies each trying to capture market share by touting their product’s unique selling proposition, whether it be a new and improved surface, aggressive thread design, tapered or straight body shape, implant/abutment connection designs. Public awareness of implant treatment has evolved from a few members of AAID identifying themselves as implantologists in the 1970’s to the $6B per year global implant market that it is today.
Learning objectives for this lecture:
- Trace the search for the ideal implant
- Know to differentiate between clinical reality and marketing rhetoric when it comes to implant selection
- Immediate load vs non-submerged vs submerged healing
- Explore the treatment options being advocated for restoration of totally edentulous jaws
Dr. Gerald Niznick’s Bio
Dr. Gerald Niznick has trained thousands of dentists around the world on placing and restoring implants and has received 32 US patents in the field of Implant Dentistry. He graduated from the University of Manitoba College of Dentistry and earned a master’s degree in prosthodontics at Indiana University School of Dentistry.
In 2007, Dr. Niznick received Alpha Omega Dental Fraternity’s highest honor, the Achievement Medal, at its Centennial Convention in Israel for his significant contributions to the dental implant field. The United States Department of Veterans Affairs issued a commendation to Dr. Niznick for conceiving and funding the largest dental clinical study, encompassing treatment of over 900 patients with about 3000 implants.
In 2005, Barron’s Magazine referred to Dr. Niznick as “a prosthodontist and entrepreneur who is considered by many as the godfather of American implant dentistry”.