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What is dental implant?

“Any piece of titanium could be an implant, the more important is where and how it is placed and when it is put in function. “
Prof.Dr. Stefan Ihde

When there are missing tooth/teeth, one of the treatment options is to place implants.

Dental implant is a piece of titanium in different shape, what is placed in the jaw bone and serves for replacement of one or more missing teeth.

What is BOI dental implant?

BOI dental implants considerably differ from conventional dental implants with regard to its design and area of placement. Exactly these differences make BOI implants superior to conventional implants.

How dental implants are being placed?

There are few protocols for insertion of dental implants  available:

  • the bloodless insertion of dental implants: this is so called flapless insertion of dental implants. In this technique dental implants are being inserted directly through the gums. In that way there is no blood during the surgery, and the swelling and pain after that are virtually missing.

We endeavor to place implants flapless ( bloodless) in any possible case.

  • Insertion of dental implants with open flap technique. In this approach the dental implants are placed after the gums are peeled of and pushed away from the bone. Eventually the gums are sutured back in place. After surgery patient may have swelling in the area of treatment, but the pain is virtually missing.
  • Insertion of dental implant directly into the extraction socket. In this technique the dental  implants are placed directly after extraction of the ailing teeth. That renders the second surgery redundant, what in turns decreases the risk and discomfort for the patient, and last but not least saves time for both parties, what pushes the cost of the treatment down.

See clinical cases.

Do I need to take antibiotics before dental implant treatment?


There is no scientific evidence in the medical literature about the benefits of antibiotic premedication prior to implant treatment. The only  proved is the benefit of the local antiseptics – chemicals like Betadine –  applied directly in the site of intervention.

Is the dental implant procedure painful?


 The dental implant procedure is not painful. Normally local anesthetics are being used. The  nervous and anxious patients could be additionally sedated.   That is a procedure,where the patient, with the help of pharmaceuticals, is put to sleep. In this way the stress from the intervention is avoided. In some implant placement techniques, swelling and minor pain is possible in the site of treatment. It is important to know that these are normal post treatment tissue reactions, but not complications of the procedure. They could be easily managed by the clinician.

Who is candidate for dental implant treatment?

Every patient with one or few missing teeth is a candidate for dental implant treatment, irrespectively of diabetic or osteoporotic conditions, or smoking habits.

Are the periodontal patients good candidates for dental implant treatment?


 Very advanced, hopeless periodontal condition can be treated with basal implants in one session.

Per definitionem: after the removal of all periodontally involved soft tissues and the teeth, the “periodontal disease” is cured  instantly, and the case is immediately ready for implant placement.

Are the patients with low bone supply good candidates for implant treatment?


 The basal implants do not require bulky bone in order to be placed. That is why every patient can be treated immediately, irrespectively of  the level of the bone atrophy, without any additional bone build-up procedures. Bone regenerative procedures are limited just in the upper front area, in patients with high lip and smile lines, and with very high aesthetic expectations.

Are the smokers good candidates for dental implant treatment?


 Every patient, irrespectively of his smoking habit, can be treated with basal implants, without increasing the risk of complications.

Is it possible the bone to “reject” the dental implants?

Fortunately in very few cases (3-4%), the implant needs to be explanted (removed), because the bone failed to adapt to it, and such implant can’t do its function. Even in such rare cases the failed implant can be replaced immediately with new one, and the patient will keep its chewing function unaffected.

Is that “new “concept safe?

The durability and reliability of the basal implants are proved by numerous authors in numerous publications. See publications.

What is the cost of treatment with basal implants?

The cost of treatment with basal implants , is not calculated per implant. Every case is individual and because of that, it requires individual treatment approach and respectively individual treatment cost estimation.

In any case the price – benefit ratio of the treatment with basal implants is far more in favor of basal implants comparing to conventional implants. That is due to the clever and simplified implants design, and innovative surgical techniques.

When the dental implant treatment has been calculated, normally the price of the implants, restoration, and the surgeon expertise are being considered. But just few of the patients, take in to consideration, the time spent because of  the higher number and length of the visits. Few of the patients calculate the time when they will experience, some times serious discomfort, because of  loss of  normal chewing function, while waiting for the conventional implants to “heal”, or newly augmented bone to get its vitality and implant bearing capacity. Some times, in complex cases, when employing conventional techniques, it takes up to year, year and a half  from the beginning to the desired  end result- fixed teeth. The patients treated with the concept  of basal implantology will get stable, fixed on implants teeth in just a few days, irrespectively of the complexity of the treatment.

Has the concept of basal implantology any disadvantages?

The concept of basal implantology differs considerably from the treatment approaches in conventional dental implantology. That is why, only clinitians with appropriate and comprehensive training in basal implantology, are in position to treat their patients safely and successfully, while employing the techniques in immediate load protocols.

How long the treatment with dental implants takes?

The first, main stage takes up to three days. In just three days the patent will be provided  with aesthetically pleasing, stable and firmly anchored on dental implants teeth. With this though, the treatment doesn’t finish. The restoration of the normal chewing function brings about an array of tissue adaptive mechanisms, as a response to this,  in the whole chewing organ. The dentist could monitor these processes and to take any corrective measures if necessary. This is time consuming process. That is why the regular check-ups are so important.

 The nature sets the pace, we just follow it.

In the first three days after the implant installation, the bone is getting prepared for the important processes of Modeling and Remodeling. In that way the bone heals around dental implants. These processes are  taking place predominantly in the spongy(soft) bone. During the course of Modeling and Remodeling the bone softens even further and the implants are getting temporary unstable. Their stability increases again during the course of bone healing, what takes at least 6 months. Because of that it is very important to place implants in the very hard compact bone and to get them splinted through the restoration in the first three days (that is what we are doing).

Alternatively the dental implants can be placed in the soft bone and to be left undisturbed for 3 to 6 months (what is doing the conventional dental implantologist),  and only then to be put to function.

After acquiring the normal chewing function, the processes of tissue adaptation sets off in the whole chewing organ, as a response to the new functional demands. These processes of active tissue adaptation continues 12 to 18 months. That is the rationale for the necessity of regular check-ups, especially in the first two years after the treatment.