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Prof. Dr. Norbert Enkling

Germany, Kreuztal

EICHENKLINIK - Praxisklinik für Zahnmedizin, Eichener Str. 60+69, 57223 Kreuztal, Akademische Lehrpraxis der Universität. Oberarzt der Klinik für Rekonstruktive Zahnmedizin und Abteilung für Gerodontologie, Universität Bern (Prof. Dr. U Brägger & Prof. Dr. M. Schimmel) & Oberarzt der Poliklinik für Zahnärztliche Prothetik, Propädeutik und Werkstoffwissenschaften, Universität Bonn (Prof. Dr. H. Stark). Fachzahnarzt für Oralchirurgie. Tätigkeitsschwerpunkt Implantologie (DGI). Fachzahnarzt für Rekonstruktive Zahnmedizin (SSO). Master of Advanced Studies in Reconstructive and Implant Dentistry (MAS), University of Bern. Spezialist für Prothetik (DGZPW/DGPro). Spezialist für rekonstruktive Zahnmedizin, Ästhetik und Funktion (European Dental Association; EDA). Recognized Specialist in Prosthodontics (European Prosthodontic Association; EPA). Spezialist für Funktionsdiagnostik und Funktionstherapie (DGFDT). Weiterbildungsausweis (WBA) Allgemeine Zahnheilkunde (SSO), Assoziierte Professur, Universität Bern. 2014 Habilitation im Fach Rekonstruktive Zahnmedizin und Implantologie, Universität Bern. 2011 Promotion zum Dr. med. dent. 2001 in Bonn und Dr. med. dent. in Bern. 2004 Zertifizierte Weiterbildung in Zahnärztlicher Prothetik (Bonn, Bern), Oralchirurgie (Bochum) und Implantologie (Bern, Bochum). Studium der Zahnmedizin in Bonn und Melbourne, Staatsexamen und Approbation 2000.

Events

  
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47th Congress European Prosthodontic Association (EPA)

19. Sep 2024 — 21. Sep 2024The Stanislaw Moniuszko Podlasie Opera and Philharmonic, Białystok, Poland
Speakers: Norbert Enkling, Frank Lobbezoo, Daniele Manfredini, Eitan Mijiritsky, Marco Nicastro, Argirios L. Pissiotis, Guillermo Pradíes, Daniele Rondoni, Marc Schmitter, Maciej Zarow
European Prosthodontic Association
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Deutscher Zahnärztetag 2018

MISSERFOLGE - erkennen, beherrschen, vermeiden9. Nov 2018 — 10. Nov 2018Congress Center Messe Frankfurt
Speakers: Karl-Ludwig Ackermann, Sarah Al-Maawi, Bilal Al-Nawas, Kurt Werner Alt, Anna Greta Barbe, Tobias Bauer, Daniel Bäumer, Marco Baz Bartels, Grietje Beck, Katrin Bekes, Christoph Benz, Dirk Bleiel, Johannes Boesch, Martin Boost, Wolfgang Buchalla, Oskar Bunz, Fabian Cieplik, Monika Daubländer, Sybille David-Hebgen, Andreas Dehler, Renate Deinzer, Sonja H. M. Derman, Konstanze Diekmeyer, Ingmar Dobberstein, Heike Dyrna, Thomas Eger, Guido Elsäßer, Anne Sophie Engel, Peter Engel, Norbert Enkling, Susanne Fath, Stefan Fickl, Michael Frank, Roland Frankenberger, Rene Franzen, Kerstin Galler, Carolina Ganß, Roland Garve, Christian Ralf Gernhardt, Werner Geurtsen, Shahram Ghanaati, Petra Gierthmühlen, Christiane Gleissner, Steffani Görl, Werner Götz, Susanne Grässel, Dominik Groß, Stefan Grümer, Claus Grundmann, Martin Guffart, Heinz-Michael Günther, Norbert Gutknecht, Peter Hahner, Elmar Hellwig, Christian Henrici, Katrin Hertrampf, Fabian Huettig, Michael Hülsmann, Bruno Imhoff, Holger Jentsch, A. Rainer Jordan, Ana Elisa Kauling, Moritz Kebschull, Christian Kirschneck, Joachim Klimek, Andrea Klink, Thomas Klinke, Birte Koch, Thomas Kocher, Eva Köllensperger, Heike Maria Korbmacher-Steiner, Bernd Kordaß, Hannah Kottmann, Pablo Krämer-Fernandez, Gabriel Krastl, Birgit Krause, Till Kreutzer, Conrad Kühnöl, Stefanie Kurzschenkel, Thorsten Kuypers, Günter Lauer, Hans-Christoph Lauer, Elfi Laurisch, Tina Lawall, Karl Martin Lehmann, Silke Lehmann-Binder M.Sc., Dirk Leisenberg, Ulrike Lübbert, Michael Lüpke, Thomas Malik, Jutta Margraf-Stiksrud, Lorenz Meinel, Gudrun Mentel, Wibke Merten, Louisa Mewes, Johanna Isabel Moosmüller, Martin U. Müller, Wolfgang Müller, Nicole Nicklisch, Ina Nitschke, Michael J. Noack, Marina Nörr-Müller, Karina Obreja, Dietmar Oesterreich, Puria Parvini, Ingrid Peroz, Waldemar Petker, Oksana Petruchin, Andree Piwowarczyk, Peter Pospiech, Peter Proff, Sven Reich, Katharina Reichenmiller, Katharina Reinecke, Bernd Reiss, Svenja Rink, Christiane Rinnen, Jerome Rotgans, Didem Sahin, Sonja Sälzer, Petra Santander, Heidrun Schaaf, Jürgen Schäffer, Elisabeth Schiffner, Ulrich Schiffner, Markus Schlee, Maximiliane Amelie Schlenz, Peter Schmidt, Andrea-Maria Schmidt-Westhausen, Claas Ole Schmitt, Sigmar Schnutenhaus, Jörg Schröder, Gerd Schröter, Andreas Schulte, Philipp Schwaab, Frank Schwarz, Falk Schwendicke, Clemens Schwerin, Sinan Sen, Önder Solakoglu, Hansmartin Spatzier, Christian H. Splieth, Norbert Staab, Bernd Stadlinger, Sabine Steding, Marcus Stoetzer, Giorgio Tabanella, Gisela Tascher, Hendrik Terheyden, Valentina A. Tesky, Jan Tetsch, Juliane von Hoyningen-Huene, Maximilian Voß, Michael Walter, Alexander Welk, Dietmar Weng, Hans-Jürgen Wenz, Jens Westemeier, Lotta Westphal, Annette Wiegand, Karl Frederick Wilms, Michael M. Wolf, Diana Wolff, Anne Wolowski, Johann-Dietrich Wörner, Sylvia Wuttig, Mohamed Younis, Stefan Zimmer, Lisa Zumpe
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This author's journal articles

  
The International Journal of Prosthodontics, 3/2023
DOI: 10.11607/ijp.7827, PubMed ID (PMID): 35234748Pages 282-292, Language: EnglishEnkling, Norbert / Thanendrarajah, Thanuja / Mathey, Ayse / Janner, Simone / Schimmel, Martin / Abou-Ayash, Samir

Soft Loading Protocol of Short Strategic Implants in Posterior Mandibles Supporting Removable Bilateral Free-End Prostheses: 1-year Results of a Prospective Cohort Study

Purpose: To evaluate 1-year survival and success rates of 6-mm short implants placed in mandibular molar sites with two different abutments (dome/ball) retaining existing removable partial dentures (RPDs). Materials and Methods: In 19 patients, 38 implants of 6-mm length were placed bilaterally. After 4 months, each participant received the dome abutment, which 2 months later was exchanged with the ball abutment. Clinical data were recorded at abutment connection (4 months postsurgery) and at 6 and 12 months postsurgery, including probing depth, bleeding on probing, presence of plaque, and standardized radiographs. Implant success was assessed using the following criteria: presence of pain, mobility, radiographic bone loss, probing depth, and the presence of exudate. For descriptive analyses, mean and SD values were calculated. Paired sample t tests and linear regressions with a significance level of α < .05 were applied to analyze the evolution of peri-implant parameters and the influence of implant placement depth. Results: The overall mean marginal bone level alteration (DMBL) was 1.05 ± 0.69 mm. A statistically significant marginal bone loss over time was observed at the mesial and distal aspects of all implants (P < .05). The implant survival rate was 100%. No implants showed pain, exudate, mobility, or probing depth > 7 mm. Three implants were classified as having satisfactory survival due to a DMBL > 2 mm (resulting success rate: 92.1%). No influence of implant placement depth was found. Conclusion: These short-term results suggest that short implants can be used in mandibular molar sites for additional posterior support of free-end RPDs. However, in individual cases, DMBL > 2 mm may occur.
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The International Journal of Prosthodontics, 1/2023
DOI: 10.11607/ijp.7055, PubMed ID (PMID): 33625384Pages 59-62, Language: EnglishAbou-Ayashmed, Samir / Schimmel, Martin / Worni, Andreas / Enkling, Norbert

O-Ring Attachments on One-Piece Mini Dental Implants: In Vitro Analysis of Retention Force Reproducibility Using Different Pristine Matrix- O-Ring Combinations

Purpose: To analyze the influence of pristine matrix and O-ring dimensions on retention force and its reproducibility in single one-piece mini dental implants (MDIs) with ball patrices under in vitro conditions. Materials and Methods: Three different matrix/O-ring combinations (MH1, MH2, and MH3) were evaluated (n = 50 measurements each) on 1.8-mm–diameter implants. The matrices were manually mounted on the implants and subsequently removed in a vertical linear manner using a metal pin with two strain gauges, which recorded the maximum force during disconnection. The O-rings were exchanged after five disconnections, and the mean retention force was calculated, resulting in a total of 50 values for each matrix/O-ring combination. Mean and SD retention forces with 95% CI were calculated. ANOVA was used to test the global difference, and post hoc pairwise comparisons were subsequently applied. The level of significance was set at P < .05. Results: ANOVA (global P < .0001) and pairwise comparisons (all P < .001) demonstrated statistically significant differences between the three different matrix/O-ring combinations with mean values of 5.18 N (MH 1), 6.73 (MH 2), and 9.08 (MH 3). Within each combination, retention force variations of > 1 N could not be demonstrated; ie, by exchanging O-rings, a similar retention force can be reestablished. Conclusion: Matrix and O-ring dimensions have a significant influence on retention forces in one-piece MDIs. Pristine O-rings demonstrated highly reproducible initial retention forces in all matrices.
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DZZ International, 1/2022
Open Access Online OnlyClinical SnapshotsDOI: 10.53180/dzz-int.2022.0001Pages 3, Language: EnglishEnkling, Norbert

Osseoperception: tactile sensibility of dental implants?

Today, missing teeth can be replaced with alloplastic implants with a high probability of survival. Such restorations come close to a "restitutio ad integrum". However, the question regarding the extent to which dental implants are integrated into the existing stomatognathic control circuit remains unanswered: does the "implant as a foreign body" need to be protected in a special way, or can it be considered a "fully fledged replacement tooth" with its own sensory perception? Keywords: dental implants, osseoperception, tactile sensibility
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Deutsche Zahnärztliche Zeitschrift, 1/2022
PraxisDOI: 10.53180/dzz.2022.0002Pages 12, Language: GermanEnkling, Norbert

Osseoperzeption: Tastempfinden an dentalen Implantaten?*

Osseoperception: tactile sensibility of dental implants?
Zu physiologischen Grundlagen des Tastempfindens von osseointegrierten Implantaten und ihre klinische Relevanz Keywords: Osseoperzeption, Tastempfinden, dentale Implantate
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Quintessence International, 4/2021
DOI: 10.3290/j.qi.a45603, PubMed ID (PMID): 33491392Pages 360-373, Language: EnglishBürklein, Sebastian / Brodowski, Christoph / Fliegel, Eva / Jöhren, Hans Peter / Enkling, Norbert

Recognizing and differentiating dental anxiety from dental phobia in adults: a systematic review based on the German guideline “Dental anxiety in adults”

Objectives: The prevalence of “dental anxiety” (DA) is often underestimated and numerous diagnostic methods are available for dental practitioners. It is difficult to differentiate between a dental phobia requiring an interdisciplinary approach and DA, which can be managed by dental practitioners alone. The appropriate use of diagnostic tools is key for the successful management of highly anxious and/or phobic patients. The aim was to provide a guideline to recognize dental fear and to differentiate DA from patients who are highly anxious or even have a phobia. Data sources: In total, 8,929 articles that were selected for the development of the German guidelines for “Dental anxiety in adults” in PubMed, Web of Science, Embase, and MedPilot were filtered for diagnosis of DA disorder. The focus for this review was on the use of scales to measure DA levels. The methods and tools used in the 51 reviewed articles to assess DA levels were evaluated in terms of their practicability and suitability in daily practice to differentiate between phobia (ie, DA disorder) and nonpathologic anxiety. In addition, the internal consistency (Cronbach alpha) of the questionnaires/tools was determined. Conclusion: All identified DA questionnaires validated in the German language had an acceptable to excellent internal consistency (0.7 to 0.986). The only validated questionnaire-free method was galvanic skin reaction measurement. For the assessment of DA and diagnosis of a DA disorder in adults, the survey by means of any suitable questionnaire or even several questionnaires in combination with a behavioral observation of the patient is currently the method of choice. Keywords: dental anxiety, dental phobia, diagnosis, probability, scale
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Deutsche Zahnärztliche Zeitschrift, 3/2021
PraxisDOI: 10.3238/dzz.2021.0013Pages 142, Language: GermanEnkling, Norbert

Sofortimplantation, Sofortversorgung und Sofortbelastung: Therapieoptionen für die Praxis?*

Immediate dental implant placement, immediate restorative treatment and immediate loading: treatment options in dental practice?
Hintergrund Sofort-Therapie-Konzepte in der zahnärztlichen Implantologie werden immer populärer, da von den Patienten die Verkürzung der Behandlungszeit sehr geschätzt wird und unbequeme provisorische Versorgungen vermieden werden können. Bei der richtigen Indikationsstellung sind die Prognosen für die Implantate und die Prothetik vergleichbar mit den konventionellen, verzögerten Therapiekonzepten. Sofortbehandlungskonzepte sollten daher in der täglichen Praxis als Therapieoption Berücksichtigung finden.
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DZZ International, 3/2021
Open Access Online OnlyClinical SnapshotsDOI: 10.3238/dzz-int.2021.0011Pages 91, Language: EnglishEnkling, Norbert

Immediate dental implant placement, immediate restorative treatment and immediate loading: treatment options in dental practice?

Immediate treatment concepts in dental implantology are becoming increasingly popular because the reduction in treatment time is highly appreciated by patients and uncomfortable provisional restorations can be avoided. Given the correct indication, the prognoses of immediately placed implants and their prosthetic restoration are comparable to conventional, delayed treatment concepts. Thus, immediate treatment concepts should be considered as therapeutic options in routine dental practice.
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DZZ International, 5/2020
Open Access Online OnlyClinical SnapshotsDOI: 10.3238/dzz-int.2020.0155-0159Pages 155, Language: EnglishEnkling, Norbert

Are mini-implants an alternative to standard-diameter implants?

Dental implants are an indispensable part of the dental treatment spectrum and represent an integral component of contemporary prosthodontic treatment concepts. The use of implants for both removable and fixed prosthodontics offers clinically relevant advantages, which have been recorded for patients in the form of an improvement in the oral health-related quality of life and masticatory function, as well as, better long-term restorative treatment prognosis.
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Deutsche Zahnärztliche Zeitschrift, 5/2020
PraxisDOI: 10.3238/dzz.2020.0270-0274Pages 270, Language: GermanEnkling, Norbert

Sind Miniimplantate eine Alternative zu Standard- durchmesser-Implantaten?*

Dentale Implantate sind aus dem zahnmedizinischen Behandlungsspektrum nicht mehr wegzudenken und sind fester Bestandteil aktueller prothetischer Behandlungskonzepte. Sowohl bei der herausnehmbaren als auch bei der festsitzenden Prothetik zeigen sich klinisch relevante Vorteile durch den Einsatz von Implantaten, die sich für die Patientinnen und Patienten über eine Verbesserung der mundgesundheitsbezogenen Lebensqualität, über eine verbesserte Kau¬funktion und über bessere Langzeitprognosen des Zahnersatzes dokumentieren.
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Quintessence International, 4/2018
DOI: 10.3290/j.qi.a39947, PubMed ID (PMID): 29484310Pages 267-276, Language: EnglishWorni, Andreas / Hicklin, Stefan Paul / Mericske-Stern, Regina / Enkling, Norbert

Performance and marginal bone level alteration around immediately loaded narrow-diameter implants. A prospective clinical study: Results after 1 year

Objective: The aim of the present prospective clinical study was to assess the survival rate and the radiologic crestal bone level alteration around four interforaminal immediately loaded narrow-diameter implants (NDIs) in the edentulous mandible. Method and Materials: A total of 20 participants received each 4 NDIs (MDI, 3M Espe; diameter 1.8 mm, length 13 or 15 mm) in the edentulous mandible. Immediate loading was performed if insertion torque was 35 Ncm or higher. The implants were loaded the same day by converting the existing full denture into an implant overdenture. Follow-up visits were performed five times (baseline to 52 weeks). Standardized radiographs were taken at baseline and 12, 26, and 52 weeks post-loading. Clinical parameters (Plaque Index, probing depth, bleeding on probing) were assessed. The nonparametric ANOVA test was used to assess crestal bone level changes. Results: In all 20 patients the healing of the total 80 implants was uneventful and no implant was lost. Sixty-eight (85%) implants were loaded immediately. All clinical parameters showed healthy, stable, and well-maintained peri-implant soft tissue conditions. The mean (± standard deviation) radiographic bone loss after 1 year was 0.78 (± 0.64) mm. Conclusion: According to the 1-year results of this prospective clinical study, NDIs seem to be a reliable alternative to support prostheses in edentulous patients with a reduced horizontal mandibular bone volume. Keywords: bone loss, edentulism, immediate loading, mandibular overdenture, narrow-diameter implants
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