The document discusses the advantages of 1-stage dental implants compared to 2-stage implants, including reduced bone loss, fewer appointments for patients, and lower costs. It also summarizes a study that found less bone loss when the top of a dental implant is placed slightly above the bone crest compared to being flush with the bone. Additionally, it presents a case example of placing a SwissPlant dental implant and discusses the SwissPlant system's advantages like lower costs compared to other implant systems.

1. SwissPlant
&
the
advantages
of
1-­‐stage
implants
Barcelona,
October
24th
2009
Jan
Willem
Vaartjes,
ITI
Member

2. Many factors have an influence on bone loss
Ketabi et al, 2009

3. Advantages
of
1-­‐stage
implants
for
den8sts
• No
micro-­‐gap
near
the
bone
• No
bone
loss
following
abutment
dis/reconnec8on
• No
need
for
second
stage
surgery
• Reduced
material
cost
and
chair
8me
• Strong
prosthe8c
connec8on
• Excellent
emergence
profile
for
(pre)molars
• Simple
prosthe8cs
and
cement
removal
• Predictable
and
evidence
based
solu8on
for
decades
• Can
be
used
in
the
majority
of
my
implant
cases

4. Advantages
of
1-­‐stage
implants
for
pa8ents
• No second stage surgery, less pain
• Reduced amount of appointments
• Cost effective
What a patient wants...
• A quick reliable, predictable, fast and as painless as possible
treatment for a reasonable price
What treatment would be ideal?

5. Go
for
8ssue
level
in
the
(pre)molar
area!
1.
Minimal
bone
loss 2.
Strong
prosthe8c
connec8on
3.
Easy
prosthe8cs 4.
Tissue
health

6. 1.
Minimal
bone
loss

7. 1.
Minimal
bone
loss

8. 1.
Minimal
bone
loss

9. 2.
Strong
prosthe8c
connec8on
• prosthetic connection is wider than the ridge

10. 2.
Strong
prosthe8c
connec8on

11. 2.
Strong
prosthe8c
connec8on
It’s not just fiction, but reality!

12. 3.Easy
prosthe8cs
• Straight forward and easy prosthetics

13. 3.Easy
prosthe8cs
• Straight forward and easy prosthetics

14. 3.Easy
prosthe8cs
• Straight forward and easy prosthetics

15. 4.
Tissue
health

16. 4.
Tissue
health

17. Subcrestal
Placement
in
molar
region?
• Are you or your patient looking forward to find this
implant during the second stage surgery?
*photos
from
Bicon.com

18. Subcrestal
Placement
in
molar
region?

19. Subcrestal
Placement
in
molar
region?

20. Subcrestal
Placement
in
molar
region?

21. PlaSormshiTing
in
the
anterior
region,
yes!
Grey
shimmering
of
the
implant
through
the
mucosa
should
be
avoided
Subcrestal
placement
can
be
advantageous
Tarnow’s
research
showed
that
1mm
of
bone
can
be
the
difference
between
a
papilla
or
a
black
triangle
PlaSormshiTing
can
decrease
the
amount
of
crestal
bone
loss
and
is
an
interes8ng
treatment
concept
in
the
aesthe8c
areas

23. There
are
many
factors
influencing
the
aesthe8c
outcome

24. There
are
many
factors
influencing
the
aesthe8c
outcome

25. The
Swissplant
implant
system

26. The
Swissplant
implant
system

27. The
Swissplant
implant
system

28. The
Swissplant
implant
system

29. Cost
efficiency
analysis
SwissPlant Implant 4.1mmD X 10mmL, 145 EUR Ø 4.1 mm RN Ø 4.8 mm, L 10 mm Ti, SLA, 215,00 EUR
RN Healing cap H 3.0 mm Ti, 33,00 EUR
Healing cap included, 0 EUR
RN snap-on impression cap H 8.0 mm plastic, 9,00 EUR
SwissPlant Implant Transfer, 25 EUR
RN Positioning cylinder, H 12.0mm, 19 EUR
SwissPlant Implant Analog, 15 EUR
RN synOcta® analog, 30,00 EUR
Straight abutment included as fixture mount, 0 EUR
RN synOcta® cementable abutment H 5.5 mm Ti , 99,00 EUR
Plastic Castable Coping, 12,5 EUR
RN synOcta® plastic coping, crown, H 7.0 mm burn-out plastic 23,00 EUR
• Total of 197,50 EUR • Total of 428 EUR

30. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
RESULTS:
FiTy-­‐eight
of
the
implants
integrated
and
were
analyzed
on
each
proximal
surface.
Bone
loss
occurred
around
all
implants
over
the
6
months
of
the
study.
In
general,
implants
placed
with
the
top
of
the
SLA
surface
above
the
bone
crest
had
significantly
less
bone
loss
than
implants
with
the
top
of
the
SLA
surface
placed
flush
with
the
bone
level.
Apically
placed
implants
had
greater
bone
loss
than
coronally
placed
implants.
The
magnitude
of
bone
loss
around
paired
control
and
test
implants
was
approximately
the
same.
DISCUSSION
AND
CONCLUSION:
The
least
bone
loss
with
each
implant
type
was
observed
when
the
top
of
the
implant
was
placed
above
the
alveolar
crest.
When
there
was
no
machined
collar,
the
least
distance
from
the
implant
top
to
the
bone
crest
(not,
however,
the
least
bone
loss)
was
observed
when
the
top
of
the
implant
was
level
with
the
bone
crest.

31. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
• A.N. Alomrani, J.S.Hermann, A.A. Jones, D. Buser
Int J Oral Maxillofacial Implants 2005;20:677-686

32. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
0.63mm 0.37mm 0.69mm
0.63mm 0.37mm 0.69mm
0.43mm 0.40mm 0.74mm

33. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
0.63mm 0.37mm 0.69mm
0.63mm 0.37mm 0.69mm
0.43mm 0.40mm 0.74mm

34. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
0.63mm 0.37mm 0.69mm
0.63mm 0.37mm 0.69mm
0.43mm 0.40mm 0.74mm

35. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants mm
0.63mm 0.37 0.69mm
0.63mm 0.37mm 0.69mm
0.43mm 0.40mm 0.74mm

36. The
Effect
of
a
Machined
Collar
on
Coronal
Hard
Tissue
Around
Titanium
Implants
0.63mm 0.37mm 0.69mm
0.43mm 0.63mm
0.40mm
0.37mm 0.69mm
0.74mm

37. SwissPlant
Case
Par8ally
horizontally
resorbed
ridge,
site
46 45:
Straumann
Standard
Plus
4.1x14mm,
Regular
Neck

38. SwissPlant
Case
2.2mm
Pilot
Drill,
12mm 2.8mm
Drill
(narrow
neck
implant)

39. SwissPlant
Case
3.5mm
Drill,
Standard
4.1
implant
SwissPlant
Countersink
Drill

40. SwissPlant
Case
Osteotomy
SwissPlant
4.1x12mm
Dual
Blast

41. SwissPlant
Case
32
Ncm
with
hand
piece

42. SwissPlant
Case
Manual
final
torque
Coverscew
with
Extender
&
Fixturemount

43. SwissPlant
Case
Extender
and
cover
screw
in
situ
Sutures,
Vicryl
5:0

44. SwissPlant
Case
ATer
2
months
osseointegra8on
period Excellent
8ssue
health

45. SwissPlant
case
Straumann
closed
tray
impression
post
Implant
Direct
Analog
used

46. SwissPlant
case
Master
cast
Fixture
Mount

47. SwissPlant
case
Fixture
Mount
transformed
to
Abutment Further
prepara8on
of
the
Abutment

48. SwissPlant
case
Castable
wax Porcelain
fused
to
gold
crown

49. SwissPlant
case
Abutment
in
situ Pocket
depth
2mm

50. SwissPlant
case
Crown
in
situ Stable
Crestal
Bone
Levels

51. Thank
you
Jan
Willem
Vaartjes,
ITI
Member