General Questions

What is an immediate dental implant?
An immediate dental implant is an artificial tooth root which is placed into the tooth socket immediately after tooth extraction. Conventional implants are made out of titanium or ceramic, and are placed by drilling and screwing. Because of the completely different form of the tooth socket and screw, interventions are commonly performed to fill the gaps with animal/cadaver bone or bone substitutes. In general after a healing period lasting 3 to 6 months a crown can be fixed onto a conventional titanium screw type implant.
What is a Non-Surgical Tooth Replacement Solution?
We replicate the destroyed tooth in an optimized form (This directed press fit according to bone quality and quantity is patented) so that drilling or filling voids with cadaver bones is completely unnecessary. The anatomical implant is simply tapped into place. In other words the anatomical implant simply fits the patient without any surgery.
BioImplant™ is the world’s first immediate ‘anatomic ceramic dental implant’. This means that it is designed to fit perfectly into the space left behind when your hopeless tooth is gently removed. BioImplant™ optimizes the form and surface of the anatomic implant on basis of your original tooth according to the principles of differentiated osseointegration (patented)  to achieve secure osseointegration and  therefore we do not just replicate a tooth by copy milling. In general there is no need for any surgery or other procedure, and it takes less time to place than the tooth removal. BioImplant™ is the only implant of its type, and has been clinically proven over 12 years.
In short, BioImplant™ is simple, logical, and most of all non-surgical. There is no alteration of your natural anatomy by surgery. The implant simply fits you and therefore there is absolutely no need to make you fit to the implant by surgery. Since no metal is used, the ceramic implant has the best bio-compatibility  you can get at the moment. No ugly metal show or gray discoloration possible as regularly seen when using titanium screw type implants.
BioImplant™ is only suitable for an immediate implant (where extraction and implantation are part of the same procedure). BioImplant™ can only be placed directly into the fresh tooth socket, immediately after tooth extraction.
Your dentist may not know about it yet, but the best thing is to talk to her/him and maybe they will be happy to join our Crowdfunding page to be able to provide this treatment option. It is so simple that any dentist who is able to remove a tooth will be able to place this implant. This is a revolutionary treatment, but implant companies would rather that you use their products instead. It is very hard to overcome 50 years of plain screw-type implants.
Currently, you must come to our Vienna clinic. We are happy to receive international patients. However, we will shortly be starting a crowdfunding campaign to make BioImplant™ available worldwide. Please see our Crowdfunding page.
Depending on your personal situation and the quality of the CT or DVT scan, gentle tooth removal and implant placement can be done in one appointment. In some cases an additional appointment is necessary for a temporary restoration in the esthetic zone. So the average time to stay in Vienna is 1-3 days. But consider Vienna is always a visit worth. ?
The cost depends on the location of the tooth which has to be removed, whether it’s single- or multi-rooted, time of extraction, with or without a protective splint (used for esthetic reasons). In general the cost is comparable with that of conventional treatment, which usually involves bone augmentation or further procedures. Here, the benefit is that you never need bone augmentation, or a sinus lift.
In our clinic we have successfully treated patients for more than 12 years, with over 90% success rate; please see our scientific publications in the Dentist section for details.
Medical grade zirconia has been used for over 20 years as an implant material on humans, and is very well known to be highly biocompatible. All studies so far indicate that it osseointegrates as well as, if not better, than titanium.
We are proud that BioImplant™ was developed completely without the use of animal trials. We will not support any animal trials as all studies so far confirm, that zirconia osseointegrates as good or even better than titanium.

In general there are only two ways how you can lose an osseointegrated dental implant.

  1. Implant fracture which necessitate revision surgery, typically with implant removal
  2. Incurable implant infection so called periimplantitis.

In 11 years we never experienced any implant fracture or periimplantitis. In only two cases an implant was lost due to aseptical disintegration.

In contrary recent meta-analysis showed that titanium screw type implants will get periimplanitits in 30-50% in 5-10 years follow-up due to screw windings which cannot be cleaned by the patient. In general it is impossible to stop periimplantitis on screw type implants as it is absolute impractical to keep the screw threads, beneath the gumline, clean.

At the moment we are preparing to submit an application to the FDA. We don’t anticipate any problems, as zirconia has been used in medical implants for over 20 years, and our method eliminates any risk resulting from alteration to the anatomy caused by drilling and filling.
Our website is updated on a regular basis, but you can always Contact us to be informed of updates.
We will shortly be starting a crowd-funding campaign to make this treatment available world-wide. Please see our Crowdfunding page, or write an e-mail via our Contact page so we are able to inform you when we launch BioImplant™.
Unfortunately, there are several reasons why this cannot work. Firstly, during the early healing period, the implant must not have any load, and needs to be protected. Secondly, for esthetic reasons the crown is hand-made and colored by a technician so it matches neighboring teeth in form, color, and translucency. This would not be possible if it was milled out of a block. Lastly, it is always better if a part which can be worn out can be easily replaced.
During the seating of the implant, the contact between the metal driver and the much-harder zirconia sometimes leaves marks (since zirconia is almost as hard as diamond). These marks can be removed at any time by a dental burring tool immediately after implant placement or during the preparation of the crown stump.

 

Medical Questions

My dentist told me that my tooth must be pulled out - what can I do if I want to have a BioImplant™?
In most cases there is no reason to pull a tooth immediately; your dentist will know of ways to delay the extraction of a tooth so you gain time for decision making.
It should be done by the person placing the implant, because tooth removal must be very gentle and non-traumatic, and this alone takes much longer than implant placement. Careful extraction is essential, because what remains is the healthy tooth socket into which the new implant must heal.
No, you don’t need a sinus lift.
The multi-rooted implant completely fills the tooth socket and there is absolutely no need for autogenous, animal, or cadaver bone transplants, thus eliminating completely the disadvantages or risks associated with such procedures.
Before implant placement, all infected tissue will be removed, as is common in any dental implant procedure, but we only take out infected soft tissue, and never any bone.
BioImplant™ does not need any bone augmentation as it fits your tooth socket.
In contrast, immediate implant placement with titanium or zirconia screws very often won’t work without transplantation of your bone, the use of artificial, animal, or cadaver bone.
In non-esthetic regions you often don’t need a provisional, but you can have one if desired. Otherwise, a Maryland bridge can be fixed to neighbouring teeth, without any contact with the implant, and without harming the teeth (it is held in place by a temporary bond).
This is not a problem at all. Generally, it is state-of-the-art that after the tooth extraction, whether or not you have an implant, the infected tissue will be removed.
It depends on the progression of the disease. If the tooth is already moveable we do not recommend BioImplant™.
We take it out by curettage, immediately after extraction, as well as immediately before placing the implant, as can be seen in our videos.
In general a root resection is a desperate attempt to save a tooth. It has poor success rates and is not helpful for an implant therapy, because the apical root is drilled out, together with some additional bone, ending up with less bone than before. In some cases it will not be a problem, but in others it definitely is, so it can only be decided on the basis of a dental X-ray or CT scan. We do not recommend apical root resection as a truly anatomic ceramic implant is the better option if you want to avoid risky and painful interventions, additional bone loss and a life with encapsulated germs, and to maximize the success rate.
BioImplant™ is currently a single tooth replacement, where the neighbouring teeth have either been restored (with implants), or are not missing.
In general, implants should not be connected with natural teeth, but you can have an implant bridge from a BioImplant™ to other implants.
Since this treatment does not alter the anatomy, you have exactly the same options as you did before your tooth was extracted. You can try to have the BioImplant™ placed again, or you can still have the standard treatment option with a common screw-type implant (but it is not possible to do this the other way around).
A fractured tooth, failed root channels, or severe tooth decay.
As it is an immediate dental implant, it cannot be applied if the tooth has already been pulled out weeks/months ago.
It is not possible if the tooth is already movable. This is the regularly the case if you suffer from severe periodontitis.
Acute infection is, as in any other dental implant procedure, a contra-indication.
Chronic infection is generally not a contra-indication, depending on the severity, because the cause of the infection is the infected tooth, and the tooth and the infected tissue will be removed before implant placemen. Therefore an infection is not a contra-indication.
BioImplant™ is the ideal solution for a single tooth replacement when an immediate dental implant is required, and where the gum and jaw are both mostly healthy, with no severe bone resorption or periodontitis. In general, if the tooth is not moveable, this is a good indication. BioImplant™ is not recommended if you need dentures.
The success rate is already 90%. The early healing period (the first 12 weeks) is the most critical. After primary healing in, implant loss is very rare.

Osseointegration is a natural process, exactly like the healing of a broken bone, and cannot be rushed.

As bone healing is very slow, the best and simplest way to speed up osseointegration is to avoid gaps which have to be bridged by bone or bone substitutes, or covered by membranes (regularly found when using screw-type implants), and to avoid any trauma to soft tissue (e.g. rising flaps) and especially to the bone caused by drilling.

As it is a single piece implant, there is always a reduced load on the crown stump. Further reduced loading is possible on molars and premolars; the patient is instructed to avoid hard food and to chew on the other side for 12 weeks. For esthetic reasons, or if the patient is not compliant, a provisional or protective splint may be advisable.
During the seating of the implant, the contact between the metal driver and the much-harder zirconia sometimes leaves marks (since zirconia is almost as hard as diamond). These marks can be removed at any time by a dental burring tool during the preparation of the crown stump.
The crown stump can be shaped to your specific needs at any time, using conventional dental equipment. No prosthetic parts are needed.
You can fix any conventional crown that would normally be fixed on natural teeth.
The final crown can be done regularly after 8-12 weeks, depending on your personal situation.
It is highly implausible that a BioImplant™ will ever break due to its profile of a natural tooth (generally, a non-uniform oval), as this natural geometry is much stronger than the original tooth, as well as any screw type implant.
We have attempted to publish papers in leading journals, but have repeatedly encountered resistance to this innovative idea from “The Establishment”. Dental industry perferes to sell simple titanium screw type variations at the price of 200 Euros (a middel class cellphone!) and industry recruited experts simply prefere to make money with risky and costly operations and love to teach confusing drill sequences and fill guide lines.