Introduction15 years ago, when I started working in the field of dental implantology, not a lot was known about dental implants and only a few colleagues had some experiences. At that time, achieving osseo-integration (direct contact between bone and the implant`s surface) was the main aim of the treatment. And a lot of patients remained untreated: as soon as bone was lacking or reduced, or when general diseases were known, patients were simply denied treatments. This is so until today in many regions of the world. As a matter of fact: those patients who needed help most, were as a rule not treated at all. This exclusion of patients from the therapy was of course not justified. It is astonishing, that very few scientists spent time and thinking on the question, how help could be given those severely compromised patients.
One mainstream of the development in dental implantology concentrated in the last years on surfaces of the implant, although it was clear from the beginning, that any clean titanium surface would integrate equally well. Another section of our profession worked on different techniques of “bone augmentations”. We know today that bone augmentations are indicated only in very few cases and almost never for the sake of anchoring the implants. Hence in most cases the steps to “build up bone” are unnecessary additional operation in most of the cases. This fact is barely accepted by many practitioners and it is not so well known among the patients.
Likewise it is forgotten, that polished titanium surfaces may reach just as well a good osseo-integration and that those surfaces are quite resistant against bacterial colonialisation. This is why my implants which feature a thin mucosal penetration diameter and polished surfaces show little tendency to maintain a mucosal infection (“peri-implantitis”).
My FocusIn the last 15 years I have developed a variety of solutions in dental implantology. The basic idea is to create makro-mechanical anchorage and design the implants and prosthetics in such a way, that they can be immediately loaded: these implants heal in under normal chewing function. The techniques resembles what orthopedic surgeons do, when they fix fractures and when they replacing joints.
In the period between 1998 ans 2002 I have worked on creating fracture-proof implant designs, which will work in minimal rests of bone. The implants are today patented in Europe and the USA. Before this invention, even basal implants were thick and non-elastic and they demanded more bone for their placement. The development of the fracture-proof design marked a big step ahead in basal implantology.
Between 2002 and 2008 the development focuses on implant designs, which could be anchored with larger stability in the available bone. We were lucky, that during this time the possibilities to manufacture intricate designs of implants on precision machines improved dramatically. It was also fortunate that the responsible production engineer was willing and able to present new designs quickly. During this period a large number of developments were turned in to real products and could be applied on patients. This speeded up the development. Again most developments were turned into international patents. This prevents the usage of the products through competitors. It also guarantees the quality of treatment, because the number of users is limited and their abilities can be controlled.
Between 2005 and 2010 screwable designs of basal implant were introduced. All the experiences which we had made during the development of lateral basal implants were transferred into this new technique. In order to place these implant, new instruments and operation techniques had to be developed. As a result the treatment time was reduced dramatically and in many cases the treatment became minimally invasive. The new designs with screw blades of up to 12 mm require drilling of about 2mm only. With the new designs of screwable basal implants the reliability was again increased.
Until about 10 years ago we were careful and sometimes hesitating when it came to treat under immediate load conditions. Today however we are sure, that if the right design of implant and the right technique are used, best results are attainable in immediate loading protocols. We have found, that delays in loading (“healing time”) are connected with larger risks, compared to the immediate loading and splinting. In some cases of single tooth replacement immediate loading is however not possible.
SummaryI have been developing devices and technology for a patient-friendly technology of dental implantology.
The efforts have been successful:
- Today I am able to treat almost every patient with dental implants, regardless of the bone situation and almost regardless of accompanying diseases
- This all is possible without bone buildup, solely by utilizing the available bone in a clever way.
- Also smokers may be treated with the same chance of success, because my technology avoids bone buildup procedures.
- My technology avoids costs and time and the risks of bone buildup procedures and it leads to a quick result,- i.e. to fixed teeth.
Nevertheless all patients have to be under lifetime control to enable necessary adjustments of the bridges to the changing function.
- No technology for treating life patients is 100% safe in all daces and in all details. I have come to the conclusion however, that my technology leads (if used correctly) to safe and effective results. The results are durable. This has been proven in several prospective and retrospective studies.
- Unfortunately my technology requires intense training and a complete change of mindset for the treatment provider. Since my capacity for teaching is limited, the number of trained implantologists is still small (but growing). I assume that the appearance of the second textbook (issued in 2010 in the english and the russian language) will support my efforts to spread the technology. This will make quick implantological services available to more patients and at an affordable price.
The implants and the technology is available only in specialized centers.
In those centers,- on your demand- , treatments can be performed under my direct supervision or
your plant placement procedure can be performed by myself.
You are invited to come to a satisfactory treatment result right away and avoid unnecessary D-tours.