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Implant surface, a key factor for-long term implant performance
Speaker: Prof. em. Dr. Daniel Buser
The implant surface is a key factor for the long-terem stability of dental implants. Today, hybrid design implants are clearly prefered by our team, such as Tissue Level Implants. They have a hydrophilic, micro-rough implant surface for the endosseous portion of the jaw to optimize implant anchorage. The best documented micro-rough implant surface is SLActive. In the neck area, a machined, smooth implant surface is present in the transrestal area to promote a healthy peri-implant mucosa with long-term stability
Learning objectives:
Understand the concept of a Hybrid Design Implant
Know the advantages of a hydrophilic, micro-rough implant surface
to optimize implant anchorage
Know, why a smooth implant surface is advantageous to maintain a
healthy peri-implant mucosa
Release date: 2020-11-16 | Expiration date: 2023-11-16
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ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group designates this activity for 1 continuing education credits.
This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune International GmbH.
82 Comments
Excellent presentation Dr Buser
What would be most predictable implant size for single implants?
Some companies recommend 5 by 8.
Do you have any implants of 5 by 8 that failed.
95-98% thats failed. What were the sizes
Thank you for your superb presentation. I had lost connection at one point. I don’t if my question has gone through. The question was: Is there a direct abutment (like UCLA) to make a screw retained directly onto the tissue level implant without using an interface such as SynOcta?
Alan Sezer
Thank you for your talk, I too like Tissue Level fixtures. After implant placement and GBR, at second stage surgery, if there was minimal keratinised gingiva, do you use a partial thickness flap and apical repositioning to restore the mucogingival architecture and increase keratinised gingiva ?
The tissue level implants were originally designed to be used with the Solid Abutments or Synocta interface for screw retained or custom abutment. Is there a direct abutment now, like UCLA abutment, in order to make screw retained directly to the implant?
Would you advise to submerge hybrid implant in esthetic zone?
Thank you for your most interesting webinar sir!
thanks for a great presentation
Dr Miremadi
Do you still use tissue level in stetic zone?
Do you use local or general anaestesiya?
In your opinion, is there a correlation between factory-made contamination on implants (as we see in the SEM analysis of inferior quality implants) and early peri-implantitis?
Greetings from Beirut! Thank you for sharing all your knowledge Prof. Buser !!
Do you think that basal implants Like IHDL have true osseointegration because its loaded very early and this lower primary stability which is necessary for good osseointegration ?
Sir, thanks for your great lecture.
How often do you treat patient with all on four implants.
Many thanks. Agnieszka Rączka. 🇵🇱
Pleasecomment on implant allergies and management
Excellent lecture. Thanks
Thank you
Sir, thanks for such a good lecture. Myself had done in Vivo study on dental implants with nanotubes and found promising results. Do you have any idea regarding future of these surfaces? As you are master in dental implants surface.
Any data on implant allergy reactions and how to handle them.
Thank you Professor, greeting from Hungary!
Are all Non-Straumann Implants considered “copy cat” implants?
Thank you Professor Buser and the Straumann Group for the excellent event.
Thank you very much?
What do you think is the most important parameter/feature affecting the impant surface wettability?
when you talk about load times, you take into consideration implants with additional procedures like bone augmentation or sinus floor elevation? do these surgeries modify the current loading times?
thank you
Thank you 👍🏻
Thank you for your excellent presentation from Spain
you prefer tissue level to platform switch ?
thanks from UK
My thanks for your excelent presentation. My question is about the procedure once the periimplantitis is installed. Remove the implant? Grind the threats?
Thanks very clear like always
Can you incorporate anti bacterial material like silver im implant surface to fight bacteria to avoid perimplantitis ?
Thank you for an interesting presentation jesus ruperto Romero from Mexico Df
Different failure from different surfaces… doesn’t it change the ability to even graft the areas ?
What do you do when the rough surface of the implant has been exposed? Do you graft or polished the surface? Thank you!
Thanks for your nice information professor, what is the meaning of txl and bxl
What’s the difference between TLX & BLX
What do you think about, how important nanostructure?
With thin buccal bone on the cervical area, do you prefer bone graft or is it better if you reposition the implant more lingually?
Very Informative lecture sir. Thank you. Greetings from Pakistan.
How do you cover the tissue level implants? . Healing screw or suture?
great to see you again Dr. Buser after 25 years from your 6 month seminars at Baylor of Dallas with Dr. Triplett. Thanks again for sharing. Panos Kessaris OMS – Greece
Excellent lecture! Do you have any opinions about 3 splinted implants vs. implant-supported bridges in Mx or Md?
Thank you
which liquid is used for SLactive?
thank you again
Thanks for excellent presentation 🙏🙏🙏
Very well explained sir…
Thank you…
Thank you it was interesting
Thank you
What do you do about implants that don’t integrate after 2 weeks?
Thank you Prof for clearing the doubts
Thank you for sharing your knowledge and experience
Can you evidence any clinical or animal studies putting in relation poor implant surface cleaning and osseointegration failure?
Thank you. That was excellent! From Canada 🇨🇦
Dear Professor, would you say that so called “epidemic of periimplantitis” is a result of a strong commercial/marketing push to make every dentist and “implant dentist”? Thank you!
What role does soft tissue thickness play around implant success rates? How much thickness is ideal?
Do we sometimes risk to create an iatrogenic deep pocket when we place the polished surface subcrestally, that is not easy to clean?
can Struman incorporate Calcium ions or nano particles with the Ti-Zr surface to may have better oseointegration ?
Dear Professor Dr Buser
Thank you very for your nice useful clear lecture
Hi Prof, thanks for your amazing lecture.
How would you treat exposed micro-surface implant surface which is associated with peri-implantitis.
Excelente Sesion.!! Saludos desde la Cdmx
What is best type instrument type/compositionfor hygienist or dentist to scale and deplaque implant
Do you see accelerated bone loss if peri-implantitis occur on grafted site with
xenograft?
Thank you for the great lecture. Regarding SLActive, loading can be done at 4 weeks; how would you take impression of the implant before 4 weeks to deliver the prosthetic crown?
What about the effects of wide threds
Kindly let us know the role of surface modified short implants compared to conventional implants
Dr Buser.
What is the minimum insertion toque value below which you would not place an implant,
Fred FArhat. DDS
Dear sir,
What advantages do we have for tissue level implants over bone level implants both in anteruor and posterior areas.
Regards
Dr. Amit Wadhawan (India)
Prof – great lecture – the SLA and SLA active how do they both respond to bacterial challenge ?
Thanks.
Sir…thank you for your lecture.Sir…we have invented new technique…DV-PIMS technique.that is…injecting iprf through body of dental implant and new collar design..any feedback about it..Dr.Deepak Vikhe,INDIA.thank you
even dipping with i-PRF and then place the implant which will have enough of bmp -2 and 4 plus growth factors
what about your take on covering the implant with PRF Membrane
What do you think about the surface biocompatible reactions and unsuccessful prosthetic implant supported treatments?
I respect you. Before implant surgery, I always watch your surgery videos. Regards
Yoji Kamiura
Greetings To Professor Dr Daniel Buser from me and Baghdad
We met in ITI Regional congress in Istanbul in 2011
Hi Everyone and Greetings!
Prof. Dr. Fazal Ghani From Peshawar, Pakistan,
How important is the type of surface versus the geometry and macro design of the latest generation dental implants?
HELLO FROM BAGHDAD
Dr Saad Yasin
User of Struman BLT SLA ACTIVE ROXOLID IMPLANTS and BLX and Reader of ITI Implant Guides
Prof. Re Buser, some authors wrote that a moderate rough surface is more prone to have a periimplantitis. What is your opinion? Thanks. Dr. Roberto Di Felice
Advantages of laser treated implant surface in comparison to SLA and which is better and when?
Thank you
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