Bicon Implant Fell Off Upper Lateral: Reasons?

Can you elaborate on why using Bicon was a mistake, either in this instance or generally?

I’ve been using Bicon since 1986, over 7000 implants. Very few problems Could be a fracture of the buccal Wall. Did you remove a tooth first? Or was it an edentulous space.

"The first mistake is using Bicon." If it happens to be a "mistake" to use Bicon.... What would be your "explanation" for the BICON implant system being continually successful and still in existence, or even going strong for several decades? Could it (such success) be made possible by proper/ly, A. Understanding the methods and materials involved, in the first place and B. By following, at least, minimally meticulous operative procedures and then C. Execution of 1. The required and "incident specific" procedures being followed and 2. Finally, making sure, that necessary, appropriate and "clearly made understood" post operative instructions being delivered and religiously followed by the patient/s. *********** I am ready to admit, that placing a titanium "wood screw" would be a mistake... Just kidding!!!

Yes, what Dr. Kurtzman said. You need primary stability and you choose too narrow an implant. Did you graft around it and place a membrane? You need something to hold it still because if it moves it will not form bone around it.

100% agree with Dr. Kurtzman. I have been placing Bicon implants for many years and have not had any issue with it. As he mentioned ,you must engage the bone for stability.

I too have had massive success with Bicon and wholeheartedly endorse them. Some people would say that immediates are a good place for a threaded implant to engage bone at the apical extent of the osteotomy and that is true. However if you choose a Bicon size that is roughly the same as the diameter of the tooth being extracted, or otherwise provide for some bony walls in contact with the implant, a Bicon will integrate. If you take a tiny Bicon and place it into a cavernous extraction site with no graft and it is just rattling around in there, the odds are it can not integrate.

Can you be more specific? You push an implant into synthetic graft material with no frictional fit of the site whatsoever and they integrate? Why do you do that? What implant and what material? What are the specifics? I am not doubting you but it files in the face of every article written about primary stability and would love to hear if that is false.

Yes agree , and hence only an idea not a protocol but have done over 100 cases with only 1 failure in 3 years .. Will post a video case with 2 year follow up here soon . This is merely for thought I am not saying for anyone to do it . But it helps us learn more about host healing and bone regeneration .

I can attest to this. I am in the process of restoring an implant inserted in the LR6 region following surgical removal of the 6. A 5.1mm implant was simply pushed in the socket after I had filled it with Ethoss. The only stability obtained by the implant was through the hardening of the calcium sulphate. Closed primarily. 6 months later I had to remove hard healthy bleeding bone off the top of the implant to access the cover screw. I tried reverse torque of more than 60ncm and it wouldn't budge. PA rad shows nice homogenous bone all around. Given the right conditions the bone will heal well. No movement, no pressures on the site no co morbidities, and allowing enough time for the body to heal will produce amazing results. Of course this cannot always be reproduced due to a multitude of factors which are different for each case. However experience and keeping abreast with current research helps us make the right choices. Good luck

Overheat is the reason, no primary stability doesn t give pain.

I think it was a combination of factors before we assume overheating the original poster should list how he performed the procedure

Yes Buccal bone on a maxillary incisor Implant is extremely important.

Bicon has been around since 1985.

There is no insertion torque value with Bicon, because it is simply placed in an osteotomy. But it can't be rattling a round loose. If the socket is filled with blood and grafting material and you get good closure then that can work just fine, but if it is just moving around every time the patient takes a step, it is likely to fail. There should be enough contact with the adjacent walls that the implant is held still, and ideally graft material placed into the gap around it. I would encourage you to take all of Bicon's courses and then do their observation day to ask any questions you still have. Their courses are excellent and relatively affordable.