Hybrid Implants for Crown and Bridge: Any Feedback?

Dr.I A few things with these hybrid implants: I have used a few of them but first thing is I saw that you mentioned "advertisement"...don't let a ad fool you. The ad will tell you it is the best thing ever! If you really are interested in possibly using these implants, try and see if there is actually non-bias research on them i.e. the research is done independently without support from the company. The one thing that you will find with these one piece implants is that you are limited on your restorative capabilities. If you place it and have non-ideal placement of this implant, you will have a nightmare to restore it do to the one piece aspect of them. If you decide to use these implants, the ideal site is a lateral incisor or a lower incisor do the diameter of the implant. However, why use this implant if we have so many excellent root form implants that have some many great restorative components and solutions for them on the market?? Good Luck

Impladent makes an excellent implant that can be used in the max lateral incisor and mandibular incisoe regions. It is only 3.3 mm. in diameter and can be immediately loaded.

I think you should be very skeptical. There is a lot of treatment planning involved with implants and I agree that a root form, 3 or 3.3 can be used with much better prosthetic outcome. I don't know of any mini implants that can claim no or min. bone loss over a long period of time. I don't see much use for something so controversial at this time when there are better solutions.

Hybrid Implants are from Imtec (recently acquired by 3M) Imtec are also the premier company for mini Implants typically used for denture stabilization and select fixed cases One of the fastest growing implant companies in the world Primarily because they sell a good product that is basically a clone of the other stuff that works Their “master stroke” however is the marketing to General dentists with much simpler protocol and fewer parts and very importantly a much lower price. Imtec/3M Implants are all around $100-110 a piece This is a very big deal …availing a fully certified and approved system to the huge population of General Dentists who in turn have many more patients than the specialists I have placed and restored thousands of implants with the pioneering systems (the big 5) and more recently in the last 5 years various Imtec standard and Mini Implants The Hybrid is a response to the demand for a simple mini implant protocol to do fixed cases (flapless,…partial depth osteotomy one drill…,auto-advance… and self tapping and immediate load..economically accessible ) The advantage of the mini implants is …relative simplicity ..minimal invasive surgery..fewer contra indications ..greater tolerance for the aged and economically compromised. The Hybrid succeeds in all of the above but also provides a relatively robust implant compared to the mini Indications are like all implant systems, subject to..clinical and patient factors (eg bone volume)..,operator expertise ,..patient economics etc Hybrids can be used with CORRECT PROTOCOL and PROPER biomechanical planning in almost all areas of the mouth. Mini Implants can be used like this as well..and indeed have been for years in my office and many others around the world . Hybrids are the same but the biomechanics are better for fixed cases It is a fantastic adjunct to my office I now place implants EVERY day ..serve more people that could otherwise not afford or were put off by the need for grafting . A single hybrid placement takes 15 minutes I have had the occasional failure ..same as with traditional… the difference being that I allow healing and replace soon after The osteotomy is minimal so no huge hole and Ive never seen bone level drop No big performance ..I don’t feel it financially to replace at no charge , my presentation initially to the patient is such that nobody is upset I really do not see a down side ? Limitation …I do agree is the lack of an angled abutment so case selection and prosthodontic protocol are very important I also agree not every case is a hybrid case But then not every case is an implant case for every patient The only warning I have is to ensure you have engaged in a through teaching course that teaches you to handle the multiple differences in Mini Implant placement protocol

Thanks Dr SenGupta- you always provide excellent information.

Hybrid, intermediate etc.pp is always a new name for the same idea. Imortant for load bearing are wide distant placed threads, and a narrow neck for infection/invasion control. A root form is helpfull. In case of need I even cut innecessary length off. Implants have to meet patients provided anatomical status- not the other way round ! Some company`s offer even bendable one piece implants. Look for Dr.Ihde Germany/Switzerland and KOS-implants. (compression screws avilable in 3,0/3,3/3,7/4,1 and 5,0 mm, the bendable are from 3,0 to 4,1). One piece implants don`t fracture that easy even if they are bendable ones- the less if they are embeded in a multiimplant concept. They fracture even less if analogue condensation/ bone spreading screws are used before placement of the implant to be bended. As it is reported Astra, Noble have thei`re problem with fractures too. I´m not a salesman- I´m a dentist. I`ve to solve patients need timely. I can`t guarantee absence of bone osteolysis or periimplantitis to come. I´m a provider for solutions for 10 years +/- 5 years mastication- not for eternity, nor for hapiness nor for industrial to be corrected dogmata. And this only just because change happens.