General Questions

G1   ​"Where can I get a BioImplant™?

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.

G2    ​"Is BioImplant a biological implant? "

Yes. Biomaterials are usually optimized to prevent the activation of immune cells which can cause inflammation, and decrease toxicity, and extend the lifetime of implanted devices by physical and chemical properties.

The immune system cannot react to zirconia – it is therefore invisible for the immune system, so that is one reason why it is the ideal dental implant material. Zirconia is almost as hard as diamond and has therefore the best physical and chemical properties for a long-lasting dental implant.

G3    ​"​How long do dental implants last"

Normally, there is no limit to the lifetime of a dental implant material, either titanium or zirconia. It is therefore very seldom that implant fracture occurs. The main reason an osseointegrated implant fails is due to an infection around the implant called peri-implantitis. Once the peri-implantitis reaches the screw threads, it is impossible to keep the threads clean of bio-film and germs. Then it’s just a question of time until the implant fails completely, as the infection works its way along the windings, deeper and deeper. In reality there is no way to stop this infection, as no one can keep a screw winding clean in their mouth. In contrary, BioImplant has no threads, and zirconia is not as prone to bio-film as titanium.

G4    ​"​Does the implant have side effects?"

There are no known side effects in terms of allergic or electro-chemical reactions, and there is no toxicity.

G5    "Why is ceramic much better than titanium

No ions. A BioImplant starts to meet the exact needs in terms of size, shape, and color already with the root and not with the crown.

G6    ​"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.

G7     "Why is it still not common?"

Because the dental community is not interested and they want to make money with butchery.

G8    ​"What is unique about BioImplant™?

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.

G9    ​"What are the advantages of BioImplant™ in comparison to a screw type implant?"

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.

G10    "My tooth was pulled a year/month ago, can I still have a BioImplant™?" 

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.

G11    ​"Can I have a BioImplant™ at my family dentist?"

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.

G12    ​"​Why is it called “BioImplant?"

We call our implants “BioImplant” because they are the first dental implant that perfectly resembles the form and color of a natural tooth root, made out of zirconia – the most biocompatible material currently available. In contrast to off-the-shelf titanium screw-type implants, which obviously do not show a natural form or color at all, and are much less biocompatible. This is the reason why they are well-known to be easily prone to peri-implantitis.

G13    ​"How long do I have to stay in Vienna?"

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

G14    "​What does the price depend on?"

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 and there will be almost no risk for peri-implantitis

G15   "How long has BioImplant™ been around?"

In our clinic we have successfully treated patients for more than 17 years, with over 90% success rate; please see our scientific publications in the Dentist section for details. Depending on the location and your initial situation and cut sent complaint.

G16  ​"Were animal trials used during development?"

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.

We are sure we will be able to keep this because we love all animals, especially our Snoopy.

G17   ​"How long will a truly anatomic, ceramic dental implant last?"

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.

G18  ​"​Is it legal to treat patients with anatomical implants without FDA clearance?"

No doctor needs FDA clearance to place custom implants in their patients. 

This is not possible for the very reason that each implant is a custom-made product, comparable to a dental crown.

Ultimately, therefore, it is only a question of patient information and the subsequent patient consent (informed consent).

FDA approval is only necessary if someone puts implants on the market and sells them to practitioners.

G19   ​"How can I get the latest information on BioImplant™?"

Our website is updated on a regular basis, but you can always Contact us to be informed of updates.

G20   ​"60 years of simple screw type implants with no or little innovation but endless screw variations is enough! I want to be one of the first to offer this CAD/CAM treatment in my country. How can I participate?"

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™.

G21   ​"Why do you not produce a full copy of the tooth, with a fixed crown, and implant it?"

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.

G23    " Where can I buy a BioImplant?"

At the moment, BioImplant is only available in Vienna, Austria. If you’re interested as a dentist to be part of the dental implant revolution, please contact us using the contact form, and we will be happy to put you onto the first rollout list. Anyway, we’re ready to scale worldwide with the help of investors.

G24    "Is a sinus lift necessary?"

In the width of indication, a sinus lift is not necessary.

G25    "Is it environmentally friendly?"

Production is highly environmentally friendly, since everything is produced on demand. Implant has just one or two parts, and there are no other prosthetic parts: screwdrivers, drills, instruments, which have to be kept in stock. This reduces CO2 emissions due to transportation.

Milling and sintering just needs electricity and doesn’t leave any hazardous waste. In contrast, the milling of titanium requires a tremendous amount of oil.

G26    " What is a root extension and why is it necessary?"

In cases of periodontitis or short roots due to root apex resection or root resorption, it is possible to extend the natural root beyond the apical region by a cylindrical lengthening to achieve better implant stability.

The normal crown-to-root ratio is 1:2, and when the ratio is 1:1, it is advisable to perform root lengthening to restore the normal ratio and to provide security for the future so that you can lose bone due to aging without immediately compromising the implant. You are therefore well advised to have reserves in the foundation of an implant so that bone loss does not quickly lead to implant loss.

G27    " How is a root extension done?"

In cases where root extension is advisable, the anatomical implant is already planned with a cylindrical extension and a drill guide. After tooth extraction, the drill guide is placed on your teeth and the doctor drills the root extension. This usually requires one to two drilling procedures. The lengthening is usually between 3-6 mm.

In cases with periodontitis and apicoectomy, we can expand the indications tremendously with this procedure. It is a perfect combination of a natural emergence profile and a cylindrical shape in the apical area. However, this method requires a sufficient amount of bone in the apical root area.

G28    " What follow-ups should be done on this implant?"

As with ordinary implants, a normal x-ray examination (single tooth x-ray) should be performed every year. Feel free to send us your x-rays and we will get back to you if everything is fine, as your dentist may not be familiar with this type of implant.

G29    " Is it necessary to probe the gingiva?"

Probing makes no sense at all. It has no therapeutic effect and in any case destroys the tight bond between the gingiva and the zirconium oxide implant. The thin epithelium to the implant is detached from the implant by the probes and is also damaged, so that it must bleed in any case.  We recommend not to probe at all.

What is it good for?

In any case, a dentist can determine healthy or diseased gums by external examination alone.

In any case, a physiological gingival width of 3 to 6 mm is absolutely normal, just as with screw implants.

G30    " Do I need a follow-up CT/CBCT scan?"

For follow-up examinations, a normal X-ray is much better than a CT/CBCT scan, as the zirconia artifacts do not allow a good diagnosis compared to a normal dental X-ray.

G31    "Should I floss the implant?"

No, it is absolutely not necessary. Our experience is that flossing does more harm than good.

Even more so, since not everyone has the skill to handle dental floss. The same applies as for the question G29 "Is it necessary to probe the gingiva?