Bicon Dental Implants for Missing Teeth and an Alternative to All on Four or Teeth in a Day
I adopted the Bicon Dental Implant system last year and have been very impressed with this particular dental implant system. It provides a tool to provide dental implant retained teeth for patients with particularly challenging oral environments. The ironic thing about that statement is that a great majority of areas where teeth are missing ARE challenging. Why? Because the body eliminates bony structure where it is not being used. Remove a tooth and a slow but insidious process of remodeling the area of missing teeth begins that over time makes the area we would like to place a traditional 12-16mm long dental implant becomes impossible to restore. Well, at least impossible without additional surgeries to develop bone grafts in the area. The 6mm long Bicon Dental Implant allows us to replace missing teeth in these areas called atrophic maxillas or atrophic mandibles without, yes, I said without, the use of extensive bone grafting. Browse over the photos below to get a feel for how well we are doing dealing with small, tight, atrophic areas.
Side by side dental implants….no problem. The Bicon implant design allows for implants to be put in close proximity.
Most of a dental arch…no problem. These small implants work well as individual teeth and represent a much more authentic tooth replacement option as compared to the more popular All on Four or Teeth in a Day restoration. Why? Because each tooth sits on its own implant with gum tissue and no bulky framework to obstruct phonetics or get in the way of normal sense of taste and temperature.
Scroll down through the frames below which show a slice of the work that I am presenting in an Introductory Lecture on Bicon Dental Implants.
Dr. Mike Meek, DDS
Fellow of the Academy of General Dentistry
Dental Implants for Internal Resorption
As you may know from reading my blog, Bicon Dental Implants are becoming a bigger and bigger portion of my practice. The patient shown below showed up one day with broken lower front teeth. No, he did not have a biking accident. Instead, his roots had been damaged by a process called external resorption. In the radiograph shown below, you can see the holes in the roots of two of the lower front teeth. This is not a decay process, but a reactive process that we see very commonly in daily practice. Check out the radiograph:
The problem with external respiration is that we are unable to fix the damage caused by osteoclasts in the periodontal ligament and the only choice is to remove the teeth and place dental implants. With Bicon dental implants, this is a very plausible scenario. So in the photo below, you can see his two Bicon dental implants along with the restorations seated on them. These photos were taken about six weeks after placement and demonstrate how nicely we can help a patient recover from the devastating effects of external respiration.
Dental Implants for External Resorption
The next dental implant case relates to the first in that the patient had been affected by a similar process called External Resorption. External respiration can affect teeth that have endured a lot of load or restorative care. In this case, it was the later with a canine being the front tooth holding up a long span fixed bridge. The radiograph below show where the root has been destroyed by the resorptive process.
Scroll on down to see how we used Bicon implants, no sinus lifts, and interim temporization to form nice soft tissue contours around our dental implants.
Dental Implants for the Terminal Maxillary Dentition
The terminal dentition is one where most if not all teeth in an arch are at the point of being non restorable or restorable with guarded or poor prognosis. Dr. Widner and I were presented with this opportunity with a patient that had recognized the need to deal with failing upper teeth. Instead of dentures or some form of all teeth on four implants, we determined that individual Bicon implants would present this patient with a much more natural feeling and looking result. Continue on to see how I restored his case and remember that for the placement of the teeth, no local anesthetic was required. That is to say, putting teeth on these implants is not an uncomfortable process.
Delivery time for this case was under one hour with no use of local anesthesia. Now decide if this solution is equivalent or better than an all on four hybrid implant supported bridge?