Implants for Everybody
Learn how to insert implants and bridges
- without waiting times: the implants heal under full functional loading.
- without bone augmentations or «sinuslifts»
- without peri-implantitis
thanks to a reliable treatment plan, performed by trained dentists. Suitable for all patients!
The Technology of the Strategic Implant®
The term Strategic Implant® is a protected term for the implants from Simpladent® GmbH / Switzerland. The formerly used term "basal implants" was first used around 1999. At that time, one of the greatest breakthroughs in implantology began: the technology of immediate loading of implants was born. Since then, many further developments have been made and the technology is now available to patients almost all over the world.
With the help of the Strategic Implant®, the problem of the lack of bone was solved. Today, practically every patient can be treated immediately with these implants. The method can also be used in patients with previous illnesses, e.g. diabetics, patients with high blood pressure and many other comorbidities. Smokers can be treated with the same probability of success as non-smokers.
Each implant is anchored in resorption-stable cortical bone. This bone is very stable, can immediately absorb the chewing load and is practically not resorbed in the course of life. Bone augmentation, sinus lift, waiting times and bone transplants are therefore no longer necessary today, although such treatments are still offered and carried out today.
With the technology of the Strategic Implant®, we can also treat severe bone loss and severe, acute periodontitis successfully and help the affected patients to have a radiant smile, beautiful aesthetics and good chewing ability in just a few days.
According to several international studies, implants of the Strategic Implant® type do not lead to the dreaded periimplantitis, which with conventional implants greatly shortens the period of use and often reduces the quality of life of the patients treated with them.
For this reason, treatment with the Strategic Implant® can be described as the safer treatment alternative.
The Advantages of the Strategic Implant®
- Patients can be treated almost without exception – regardless of bone loss and the question of whether teeth are still present or whether prostheses are already worn.
- Only one surgical procedure is required. The implants are splinted with permanent temporary bridges and loaded immediately or at an early stage. If necessary, another bridge can be made after six to nine months. In many cases, the final bridge is created immediately.
- The small number of procedures and treatment steps reduces the overall costs. In the event of a complication, intervention can be carried out quickly and efficiently.
- Periimplantitis is a serious infection that occurs only after conventional implant procedures and leads to serious problems with severe bone loss. So far, it has not been observed in the immediate loading procedure. Visit www.peri-implantitis.info for more information.
- Basal implants feature a space-saving design. Therefore, they interrupt the blood supply to the implanted bone far less than comparable conventional implants.
- Because these implants can be loaded immediately, patients can return to their normal lives right away.
In the last 10 years, the technology of "Immediate Loading Implantology" (immediate implantology) has been developed in the research area of Simpladent® GmbH in cooperation with Dr. Ihde Dental AG further developed. Implantologists specializing in these implants are trained exclusively by the International Implant Foundation IF®, Munich (www.implantfoundation.org).
In addition, Simpladent® GmbH has developed a new treatment concept for maxillofacial prosthetics together with the Department of Maxillofacial Surgery at the University of Belgrade (Prof. V. Konstantinović / Prof. Lazic). The two experts are the pioneers and leading specialists in the field of prosthesis replacement in the nose, ear and eye socket area.
And of course development does not stop there. Today, the Strategic Implant® from Simpladent® GmbH are the most highly developed types and are in use around the world. This technology is used at many universities around the world today.
The modern Strategic Implant® used in the Simpladent® group all come from the production of Simpladent® GmbH, Gommiswald / Switzerland. Quality Made in Switzerland. The implants are CE-certified and nationally approved in many countries.
Introduction in Basal Cortical Integrated Implantology
The mainstream in dental implantology today uses conventional screw-type (and two-stage) implants. But the limitations provided by the native bone either prevent treatments at all or make them complicated and lengthy. Through this technology many patients could not be treated with implants at all, even though they needed and wanted them.
At the turn of the century, the time had come for us to search for true progress in dental implantology. That this would require a new way of thinking has become obvious, since the development of traditional implant systems seem to have been locked in attempts to modify implant surfaces. The inherent limitations of cylindrical and screw implants were, and are, unfortunately too often taken for granted and never seem to be questioned. On the contrary – more and more complicated and at the same time risky surgical procedures are being included into routine protocols, and bone graft donor regions are identified, all in an attempt to adapt the shape of the bone to the shape of the conventional implant rather than the other way around. In doing so, great effort is expended to force the build-up of bone in regions of the body where there had never been any bone in the first place or where the body had (often for good reasons) eliminated any bone that may once have been present. These bone augmentation procedures are associated with additional pain, considerable risks, and enormous cost. The require treatments often over many years and in some case stable results are nevertheless not achieved. That such attempts are made at all, is usually justified by pointing out the alleged absence of alternatives.
But alternatives, true alternatives, exist – and they work.
The BOI® principle has allowed to provide fixed restorations for every patient, without exception, who has ever approached for them. The distal areas of the mandible no longer present with borderline situations from the point of view of the implantologists, nor does the maxillary posterior region. The situation has improved tremendously.
We are today able to provide implants to patients where bone augmentation procedures and implants placed by oral and maxillofacial surgeons have failed.
Prognosis for the Future
Prof. Dr. Stefan Ihde sees the dentistry market undergoing a massive change: “Traditional dentistry is not able to provide large numbers of patients with fixed teeth until the end of their lives. On average, the tooth structure is too poor for this, and it has been “repaired” too often over the course of a lifetime. Conventional 2-phase implants are too complicated, they require too much bone substance, which patients simply do not have, and the much-praised bone augmentation too often fails miserably. And who wants to be treated for 1 - 2 years when the alternative is ready in 3 days?”
"The far bigger problem is the demographics of the population: in the baby boomers (my generation), millions more teeth are falling out every day than can even be repaired with conventional dentistry. On average, young dentists are less accustomed to working hard at the chair than my generation. They will not be able to stop the decay of teeth with conventional methods!"
"As a result, I can only strongly recommend that patients with multiple previous damage to their teeth and periodontium have their teeth removed at the age of (statistically speaking) 45 - 55 years and then have a restoration fitted on the Strategic Implant®. Many colleagues who work with this method even offer warranty plans (due to the low frequency of damage) that can be extended until the end of life. This makes the enjoyment of fixed teeth calculable for everyone."
Why Strategic Implant®?
1. Utilization of the patient’s own bone substance
- Avoidance of augmentation procedures unless really needed for aesthetic reasons.
- Avoidance of additional surgical risks.
- Cost and time savings.
Cost saving is only one consideration. It is certainly an advantage to be able to save one-third of the overall treatment costs by avoiding bone augmentation procedures. They are today unnecessary for the treatment concept with the Strategic Implant®. But what is much more important for many patients is that the Strategic Implant® allows to get the treatment option which patients really want.
2. Immediate/early loading
- Avoidance of interim dentures and provisionals.
- No reentry/implant exposure surgery.
3. Very little external material
- Basal implants displace up to 60% less bone substance than comparable screw implants.
- Bone integrity and perfusion are barely impaired by basal implants.
4. Immediate implant placement after extensive tooth extractions
- Immediate implantation is possible even in cases with periodontal involvement (cleaning, perio treatment and implant placement in a single step).
- Considerable time savings can be realized and risks are reduced.
- The cost/benefits ratio is excellent.
5. Favourable distribution of biomechanical loads
- Masticatory loads are distributed only to the cortical regions.
- The cortical regions are more resistant to resorption and stronger and also regenerate more quickly.
- Enossal force transmission occurs far away from the site of bacterial invasion.
- Immediate loading is possible thanks to bicortical support and immediate prosthodontic splinting.
6. Few complications during the surgical phase
- Strategic implants® is very resistant to preoperative or intra-operative infection – and our patients are not subject to excessive oral hygiene requirements. Therefor the Strategic Implant® may be used in patients, who have difficulties to perform regular cleaning efforts.
- Even heavy Smoker are eligible for treatment.
7. Pleasing the surgical and restorative members of the team
- The Strategic Implant® allows dentists to treat even difficult cases in their own office.
- Thanks the Strategic Implant® returns these cases to the skilled implantologist: hospital stays, bone transplants (in as much as their only purpose is to create a suitable implant bed for screw implants) and many other unnecessary steps are not necessary.
Still unconvinced after all these arguments? Just take a look at this patient case, and you will see that a screw implants would have been impossible to place.
Pre-op
Minimal bone supply in the mandible; inflammation and hopeless teeth in the anterior region. This patient didn’t find a treatment provider who would even dream of handling this situation.
5 years post-op
All five BOI® continue to be fully functional. The patient is extremely satisfied.
Treatment time: 30 hours
Operation time: 65min
A real effective solution
BCS® Implants
Screwable basal implant: the implant is inserted like a conventional imlpant, but it transmits loads into the opposing cortical. This means:
- Virtually every patient can be treated without bone augmentation
- Because bone augmentation is avoided, also risk groups, such as smokers and diabetics, can be treated
- Cortical anchorage of the implant guarantees safe load transmission. After initial osseo-fixation in the cortical the vertical implant part then slowly osseo-integrate under full function.
To get more information regarding strategic implants visit the official website of Simpladent® GmbH.
What is the Difference?
The advantages of the technology of the Strategic Implant® can be summarized in five points:
- All patients who require an implant restoration can be treated almost without exception. There is no such thing as “too little bone” with us.
- Only a single surgical intervention is required. Strategic Implant® implants are immediately loaded and thus splinted.
- The low number of interventions and treatment steps reduces the overall costs. Quick and efficient intervention is possible in the event of complications.
- Strategic Implant® hardly interrupts the blood supply to the implanted bone, or much less than comparable conventional implants.
- As Strategic Implant® can be fitted immediately, it is possible for patients to return to their normal lives soon.
Before the Strategic Implant® was available, all patients who had too little bone for immediate implantation had to undergo the difficult treatment described below:
- Removal of all teeth (if necessary), cleaning of the bone of granulations, cysts and unwanted residues
- Bone augmentation about two months later; this may involve possible problems at the donor site; then a waiting period of at least 6 months
- The insertion of axial implants (conventional screw implants)
- After a further six months, the long-awaited bridge or prosthesis was finally inserted
In addition to this unfavorable treatment plan, steps often had to be taken to correct the soft tissue. During this 4-stage treatment phase, surgical risks accumulated: despite all efforts and assurances, the clinical success of dental implantology is no longer predictable. This is particularly true as soon as bone augmentation measures become necessary.
This procedure of axial implants put patients in a paradoxical situation: for many months they had to do exactly what they wanted to avoid at all costs, namely wear a prosthesis. In many cases it was even worse: it was often not even possible to wear a prosthesis after bone augmentation and/or after insertion of the implants in the first phase of the waiting period.
