Medical Questions

M1    "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.

M2    ​"Who should do the tooth removal?"

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.

M3    ​"Do I need a sinus lift when I have an upper molar implant?"

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.

M4    "My dentist told me that infected bone must be taken out. Is this the case with BioImplant™?"

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.

M5  ​"What are the indications for a BioImplant™?"

A fractured tooth, failed root channels, or severe tooth decay.

M6  ​"What are the contra-indications for a BioImplant™?"

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.

M7    ​"My dentist told me I will need bone augmentation before I can have an immediate implant. Is this really the case?"

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.

M8    ​"During the healing period, can I have a provisional crown for esthetic reasons?"

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).

M9    ​"Can I have a BioImplant™ if I have an infection of the apical region of the root?"

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.

M10    ​"​If the BioImplant fails in my case, is it still possible to use a conventional implant?"

In contrast to the conventional method where bone always has to be milled away with the drill, the BioImplant method has the advantage that the anatomy does not have to be changed when the implant is inserted.

Even in the case of implant loss, if you remove the implant quickly, you have the same options as before your tooth was extracted, with the advantage that the inflammation in the bone has healed in the meantime.

In short, after an implant loss with the BioImplant method, there are no restrictions to use the conventional screw implants with drill and fill methods.

In any case, the reverse is not possible, because you have an anatomical bone shape for a BioImplant only once after tooth extraction, and immediately after that bone remodelling begins, so a BioImplant cannot be used after 4 to 6 weeks.

With the conventional method, the natural alveolus is altered by drilling and bone augmentation to such an extent that a BioImplant is no longer possible.

M11    ​"Is it possible to have a BioImplant™ with a case of periodontitis?"

It depends on the progression of the disease. If the tooth is already moveable we do not recommend BioImplant™.

M12    ​"What happens to the periodontal ligament?"

We take it out by curettage, immediately after extraction, as well as immediately before placing the implant, as can be seen in our videos.

M13  "Will root end resection or other surgical changes disqualify the tooth from replacement with BioImplant™?"

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.

M14 "If I'm missing several teeth next to the tooth I want to have replaced, can I have a BioImplant™?"

BioImplant™ is currently a single tooth replacement, where the neighbouring teeth have either been restored (with implants), or are not missing.

M15  ​"Can I have a bridge from a BioImplant™ to another implant?"

In general, implants should not be connected with natural teeth, but you can have an implant bridge from a BioImplant™ to other implants.

M16   "How many implants can be placed in one session (appointment)?"

We recommend placing only one implant at a time. If several implants are placed in one session, it is absolutely necessary that you are able to show up to follow-ups at any time, so we do not recommend multiple implants in one session for international patients.

M17  ​"Is BioImplant™ suitable for all implant cases?"

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.

M18  ​"What is the success rate?"

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.

M19  ​"Can healing be speeded up?"

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.

M20  "Which type of crown should be fixed to a BioImplant™?"

You can fix any conventional crown that would normally be fixed on natural teeth.

M21   "How should my general dentist care for the implant?"

In general, there is no need to do professional implant cleaning as a routine, because zirconia is not prone to bio-film. There is absolutely no need for this routine, so skip it unless there is a problem. If it looks good, never ever touch it, you will only disturb sealing. Sometimes, the biological width of sealing is higher or smaller. There is no reason to measure the height of the sealing. Probing is painful, and can result in infection.

M22  ​"Are there any long-term follow-up publications?"

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.

M23   " How can the adhesive cementation of a crown be improved?"

We grind small undercuts in the crown stump and cement the crown with adhesive cement.

Please see minute 2:40