Bicortical implants: thoughts and experience?
I would like to learn more about bicortical, immediate-loading implants. These implants have a smooth surface and depend on osseofixation to the cortical bone for primary stability, not osseointegration. They can be loaded immediately. Has anybody had any experience with these?
11 Comments on Bicortical implants: thoughts and experience?
New comments are currently closed for this post.
rsdds
2/10/2017
I'ts smells like failure I wouldn't put my name to this case that's all i can say
Sb oms
2/12/2017
So I know nothing about bicortical implants-
But I'm just wondering -
Why do you say this case smells like failure?
Yes it looks different, and way overtreated, but what about it makes you think it will fail?
Dr Lukasz
2/13/2017
I have worked with this kind of implants for 10 years and I have knowingly changed on it from two stage implants. You don`t need grafts of even flaps , and there is no peri-implantitis. The prosthetic is delivered in 3 days. It is more efficient and reliable than conventional implants.
More info at simpladent.me
HELBERTH PI-FER
2/14/2017
I placed almost 2,000 implants of this type for the years 1996 to 2002 but when the colleagues saw for some reason a case they always spoke very badly and I was ridiculous before the world, there was a lot of cruelty in their comments, that made me create my own Implant with that bicortical philosophy, today I am happy and no longer mofan tanto.
DR S
2/10/2022
whats the name of implant system?
Dr. Gerald Rudick
2/14/2017
I have never heard of the term "bicortical implants"; but from the xrays supplied, they remind me of the first implant lecture I attended by the late and great Dr. Leonard Linkow, and this was 50 years ago.......but he called them "Screw Vents". If some of our collegues have used them and got excellent results, then there is no reason for criticism...GOOD LUCK!!!!
dr Sunil Kumar
2/15/2017
Yes I had been using them they work excellent as single stage and immediate loading bi-cortical implants. Usually we limit its use for restoring anteriors and premolars , never used for molar replacement.
Surov A
2/15/2017
My personal modest experience with these implants says - nothing good, really. You either have patients with lot of very good quality bone - then things are going to be fine. Or, if you patients bone is subpar quality - it is going to be failure. Acceptance of these implants and this treatment modality in particular, just means that we (all dentists) have very different quality standards. Also, patients low expectations and lack of medical (dental) knowledge also helps to push this mode of treatment into the market. Regarding lectures of Dr. Linkow - we have to admit, that treatment quality standards have been risen quite a bit since that time. So lectures of that time do not apply much to what we do today. Practically, if you like shape of these screws, you can go along - try to treat them as osseointegrated and probably you'll be successful. But I see more limitations, than advantages with them.
Dr Lukasz
2/21/2017
Sorry, but it is completely opposite than what you are saying. If you have the basic knowledge about bone biology you know that in a time of immediate loading no one depend on osseointegration any more. Two stage rough implants sooner or later will develop peri-implantitis. Bicortical implants are made and used in a case when conventional implantologist gave up. We treat cases in 3 days with amazing long term success rate in which you need to perform sinus lifts and bone grafts and wait 6-12 months.
We treat the cases of conventional doctors in which they faild and did not have any other options than removable prosthesis. And about the expectation I make ceramic and zircon prosthetic and I`m 100% sure you won`t find the differences in aesthetics between my and your work. Those implants have the longest observations and can be use always whatever the bone conditions are - can you say the same about your system ?
About the bone biology I would recommend this lecture: https://www.youtube.com/watch?v=GmiNh66vLE8&t=51s
Enjoy :]
ACL
5/13/2017
To be honest, I cannot imagine the right esthetic result with this system, for example in case of missing central or lateral incisor. Because a proper reconstruction in not only a crown levitating in a right place.
Please do attach some photos, some hard data...
What about emergence profile?
What is the length of your observations?
Don't say the results are great, just share with us some photo and x-ray documentation.
I think it can work - but mostly with full arch reconstructions - as a budget fixed alternative to removables. That's the place I see it. What's an approx. cost of one full arch recontruction for the patient in your country?
Kishore kumar
12/2/2017
I too using this type implants its good with predictable result. Traditional implants using 1st cortical bone for their stability . For this type we took support from deeper non resorbing cortical bone for stability. Even all on four concept also they try to using these bones for stability. Simply when we need immediate load either we have to touch deeper bones or perforate with smooth surface implant to gain good primary stability
