|
BEST FUNKTION AND ESTHETICS BY FOLLOWING THE PRINCIPLE OF „DIFFERENTIATED OSSEOINTEGRATION“ |
|
The principle of differentiated osseointegration therefore dictates the innovative implant design.
Macro-retentions have to be limited to the interdental space where plenty of spongy bone is present in order to lead to a differentiated osseointegration. That is to say, in region of macro-retentions first a resorption of the fractured spongy bone in the extraction socket takes place. On the opposite in areas without macro retentions no fracture or impression induced resorption takes place and primary osseointegration occurs without delay, that means, primarily and completely undisturbed. None of the existing implants takes the slightest considerations according the completely different bone quality and quantity of an extraction socket dictating a quite different osseointegration speed and capability after implant placement. Only by consideration of these different healing modalities osseointegration can be accomplished in conical or root-analogue formed implants.
.
|
|
Advantages of the novel method:
No bone drilling and associated risks: in contrast to conventional rotationally symmetric dental implants with this novel approach bone drilling accompanied by loss of healthy bone is avoided. It is absolutely meaningful and logical to adapt the implant to the bone and not vice versa. No injury: avoiding bone drilling equals avoiding operative trauma, damage to neighboring structures including dental roots, mandible nerve injury, or maxillary sinus complications. No costly drilling guides are necessary. Maximal primary stability is achieved: The exact fit of the implant leads to an optimized implant-bone contact surface and thus maximal primary stability with shorter healing periods, because there are no gaps between the implant and the bone. Minimal invasive and naturally flap less: The exact fit of the implant makes any additional surgical interventions like bone augmentation, guided bone or tissue regeneration completely unnecessary. Absolute no discoloration is possible: The exclusive use of root colored Zirconia leads reproducibly and predictably to satisfying esthetic results as opposed to conventional titanium implants where discolorations cannot be completely excluded especially in the patients future live. Even in case of soft and hard tissue recession the outcome equals the natural exposure of the neck of tooth. Simple and logic approach: The implantation of a root analogue Zirconia dental implant is easy to use and does not require special skills and extensive training by the dental surgeon. High patient acceptance: This intervention takes only a few minutes and minimizes the strain to the patient. Early healing adequate loading of bone: The single piece implant is exposed to a reduced functional load from the beginning preventing bone and soft tissue resorption due to involution atrophy during the healing period. Absolutely no secondary prosthetic parts are necessary. No specific surgical instruments, drilling equipments screw drivers and so on are required. The single stage implant is put in place by use of a mallet and a hammer. Absolute no tool kit is necessary. No knowledge necessary, about the confusing and highly company specific numerous secondary implant parts and there individual names. Additionally, no catalogues have to be studied and no handling and storing of expensive secondary prosthetic parts. No dependency on future availability of spare parts. No platform switching necessary, infected micro gaps and screw loosening are impossible. Easy adaption: The crown stump can be adapted by means of grinding at any time by use of conventional dental equipment. Completely open system to all common methods of crown reconstruction. |
|
Disadvantages:
At the present time patients with damaged periodontal ligament are excluded (careful extraction is mandatory) Position of misaligned tooth cannot be corrected. Recruited dental communities are still clueless and remain ignorant. |
|
The principle of “DIFFERENTIATED OSSEOINTEGRATION”
The fundamental advantage of this innovative implant system is not only the reconstruction of the anatomy of the individual tooth, but also the fact, that it is possible to consider the underlying bone quantity and quality. This way the surface of the implant can be modified accordingly. Macro-retentions (protrusions) are a conditio sine qua non for the safe fixation of a root-formed and therefore conical implant in the bone. Macro-retentions have to be strictly limited to spongy bone, since only spongy bone can absorb pressure without fracture at a remote site. Micro fractures cannot be avoided, but in contrast to fractures of cortical bone fractures in spongy bone remain limited with reduced damage and quick regeneration due to the excellent blood supply always present in spongy bone. Another reason for the high regenerative potential of spongy bone lies in its extensive vascularization. Retentions in the area of the thin cortical bone leads irrevocably to fractures, sometimes at remote sites, with subsequent bone resorption. In order to be on the safe side and avoid fracture of the thin cortical bone at any cost, the implant is reduced at the buccal and lingual face by approximately 0.1 – 0.2 mm.
|
|
5 YEARS FOLLOW UP IMMEDIATE MANDIBULAR FIRST MOLAR IMPLANT |
