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Dental Implant Technologies

Dental implant developments have significantly improved in the past 20 years. The understanding of requirements and implant placement procedures for primary stability have advanced considerably in techniques. Dental implant designs and surface treatments have also evolved. This has led to higher success rates for implant treatments and greater comfort level reported by patients.

Advancement in Dental Implant Technologies and Techniques

A dental implant is a prosthetic device, made of titanium or Roxolid, which is implanted beneath the oral tissues and within the bone to provide retention and support for a fixed or removable prosthesis. If properly care for, many years of successful use of the dental implant can be expected. Dental implants provide advantages over other conventional restorative dental works:

  • Unlike conventional bridgework, dental implants can provide tooth replacement without the need to cut down adjacent teeth.
  • Dental implants also prevent the loss of bone in the area of the missing tooth.
  • Replacing the tooth with an implant restores function to the bone and prevents the resorption of the bone.
  • Dental implants can also be used to anchor full or partial removable dentures. This provides much greater retention and security than traditional techniques.
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1. Digital Tomography for 3D Implant Surgery Planning

The increased use of osseo-integrated implants creats a wider demand for radiographic techniques in the pre-surgical and post-operative evaluation stage of the dental implant treatment process. For prospective site planning, correct topographical information is required to determine the implant location.

BIDC dental implant center uses Planmeca ProMax digital CT Scan and Planmeca ProMax digital x-rays. Both technological systems has effective tomography programs that meet these demands as Planmeca combines several imaging modalities into a single integrated and intelligent x-ray system.

Digital tomography system allows for:

  • Panoramic radiography for general diagnostics of the tooth arch and the jaw.
  • Advanced panoramic radiography for specific diagnostics of the tooth arch, the jaw, maxillary sinuses and temporo-mandibular joints.
  • Dental tomographic slices for detailed morphologic diagnostics of facial bones.
  • Cephalometry for imaging of the skull

Digital Tomography

3D CT Scan romexis

Planmeca ProMax has four digital tomography systems – linear tomography;true linear tomography for film tomography; digital linear tomography and transtomography for digital systems. Planmeca’s tomography system produces straight tomographic slices of any part of the maxilla, mandible or temporomandibular joints. The tomograms can be cross-sectional or longitudinal. It may be adjusted to any specific angle. Therefore, adjustable and uniform image thickness of 1, 3, 6, 9, 18, or 36 mm maximizes the diagnostic value and provides excellent imaging details.

2. 3D CT Dental Implants Imaging

3D Computerized Technology Scans (CT Scan) and pre-operative planning dental implant software are now also available that provides an increased level of confidence during dental implant treatment.

With dental implant planning software, surprises during surgery is eliminates and enables an extra margin of safety for patients. 

  • Dentists can view functionalities of axial, sagital and coronal images as well as cross-sections and panoramic images.
  • There is 3D visualization and simulation of implant placement and bone augmentation procedures.
  • Both the dentist and patient is able to have a constant tool for clear communication.
  • There is accurate and comprehensive information about the patient’s anatomy
  • Flapless surgery is made possible. This refers to cases whereby no incisions are made in the patient’s mouth. 
  • Dentist has comprehensive and non-distorted data of patient’s bone quantity and quality for safer implant treatment.

3D Imaging

dental implant planning

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3. CoDignaostiX™ Guided Surgery

Apart from diagnostic, 3D CT scans and imaging offers the ability to perform the ground-breaking guided implant surgery procedure.This process integrates drill guide, prosthesis design and fabrication.  Thus allows a seamless integration of preoperative and prosthetic procedures.

CoDiagnostiX™ Guided Surgery by Straumann is a concept that:

  • Enables prosthetic-driven planning. Software is used to provide a comprehensive visualization of the dental implant site and allows real prosthetic-driven planning to achieve predictable results.
  • The coDiagnostiX™ supports a digital drill guide design and fabrication directly. Therefore, it allows the design of drill guides with various combination of teeth and bone support.
  • The planning process supported by coDiagnostiX™ shows warnings. If tooth implants are too close to the mandible nerve canals or to other planned implants, alerts are highlighted. This allows for safer treatment.

coDiagnostiX™ Guided Surgery


The CoDiagnostiX™ technology enables a smoother and safer surgical workflow from surgery to prosethetics for patients.

4. Ultrasonics Generators for Pre-Surgery Preparation

BIDC dental implant center uses the Piezotome ultrasonics generator machine. During osteotomy, osteoplasty, sinus lift, syndesmotomy procedures prior to dental implant placement, the unit provides safety during sinus lift treatments and pre-implant surgery.

The modulated piezo signal (alternation between high and low amplitudes of signal) allows tissue relaxation and optimal cell repair for a clean cut and better healing. The generator preserves soft tissue and delicate anatomical components (nerves, arteries and mucous membranes) as it becomes inactive on selective soft tissue cut, thus limiting risks of injury.

Benefits of the piezotome unit includes:

  • Fast healing and reduces post-operative pain. The use of piezoelectric instruments reduces trauma.
  • There is no intraosseous temperature increase, so necrosis risk is limited.
  • The units tips are slim thereby enables very precise cuts. This promotes bone preservation.
  • Irrigation with the Piezotome handpiece has a hemostatic effect on the cut surfaces due to cavitation and in part to the production of nascent oxygen.
  • The piezoelectric effect creates a regular movement without extraneous vibrations for better and increased patient comfort.

Pre-Implant Surgery Preparation

dental implant modulation
dental implant piezotome

The ultrasonics generator allows tissue relaxation and optimal cell repair for a clean cut and better healing

5. Dental Implant Surgical Set for Safer Impant Surgery

The implant surgical cassette is designed for secure storage and sterilization of surgical instruments and auxiliary parts. Dental implant surgical sets are normally composes of a simple color-coded application pathways layout based on the surgical procedures. This convenient format enables dentists to clearly arrange and organize all instruments they need for dental implant treatment. Thus, the procedure is readily stream-lined.

At BIDC dental implant center, our implantologist and surgical team always conducts a pre-verification check before surgery as well as a post count after surgical treatments.

dental implant surgery

Dental implant sets are organized and clearly labelled for easy implant surgery readiness check

6. Dental Implant Motor System

The MD 30 implantology motor system is based of 40 years of research and development in the field of implantology. The motor system provides implantologists with a solution for quick and safe dental implant placement.

The implant motor system provides assistance on several roles. 

  • It has a light and compact housing with easy to clean surfaces for safe hygiene and sterilization.
  • Work steps are large, simple and clearly arranged on its display with high contrast for clear visibility.
  • Tube sets can be easily inserted with low noise pump drive for patient comfort.
  • The dual motor principle is unique in this class. It saves cubersome reconfiguration of the surgical handpieces and contra angles. Thus it saves time for quick reaction.
  • There is an integrated calibration function for every contra angle to provide precise results during implantation of implants.

Implant Motor System

dental implant nouvag

7. Innovative Dental Implant Surfaces for Faster Osseointegration Process & Materials for Strength

Material developments and techniques such as the titanum oxide layer on dental implant surfaces now allows shorter treatment time. This includes titanium implant posts by Straumann and Nobel Biocare.

Both implant post systems has chemically active surface ranges – SLActive surface and NobelActive that enhances osseointegration between the patient jaw bone and implant posts. Active implants are has implant posts with chemically-coated hydrophilic surface. Therefore, it significantly promotes the initial healing reaction. This leads in terms enables faster osseointegration of bone to the implant posts. There is higher implant stability and thses active surface implants gives additional confidence especially for one day implants, same day implants, immediate loaded implants and immediate function full jaw implants cases. Active surface implants can cut down the healing timing requirements from 6-8 weeks to 3-4 weeks.

Active surface implants assists in several ways:

  • Faster osseointegration.
  • Immediate function for patients.
  • Enhanced bone formation processes. There is ideal texture and porosity for bone apposition.
  • Dental implants have a higher implant stability during the early critical weeks of osseointegration. 
  • Substantially increases protein adsorption. The implant surface structures similar to human cancellous bone, it thus absorbs blood proteins and aids bone growth.
  • Soft tissue integration for healthy connective and epithelial tissue. It gives a natural-look gingiva.

TiO + Chemical Active Surface

slactive surface

Chemically Active Implant Surface for Faster Implant and Bone Integration

Faster Healing Time

slactive time

The optimized osseointegration process with SLActive® leads to a higher implant stability between week 2 and 4

Higher Treatment Predictability

slactive higher predictability

This substantially higher bone-to-implant contact (BIC)  value results in improved treatment predictability and helps to minimize the potential for early implant failures.

Reference source are taken from Straumann

Aside from innovative active surfaces, Straumann and Nobel Biocare has also new implants post materials. Straumann now treats implants cases with Roxolid implants that are titanium ceramic implants to smaller and stronger implants. Nobel Biocare and Straumann also has all ceramic implant posts for individuals allergic to metals. BIDC’s team of dentist has always been at the fore-front of implant innovations and techniques. Our leading dental implant team of dentists is the first in Thailand to treat SLActive and BLX implants. 

8. Regenerative Systems with Membranes

With advancement in periodontal and implant techniques, there is now post implant surgery periodontal regeneration treatment or gum treatment available to enable faster treatment timings and increased success for implant osseointegration.

The development of new types of membrane such as Straumann’s Emdogain uses breakthrough knowledge of the basic biology of tooth development, enamel matrix proteins to support the development of tooth-supporting tissues. Comprised of various proteins, the membrane self-assemble to create a matrix and formation of cementum on the root of the developing tooth. This allows a foundation for all necessary tissues associated with a true functional attachment.

By mimicking the biological processes of natural tooth development, Emdogain by Straumann forms an insoluble three dimensional extra-cellular matrix. This matrix remains on the root surface for 2-4 weeks and allows for the selective colonization, proliferation and differentiation of cells.

Tissue Regeneration

dental implant regenerative tissue

Emdogain stimulates the biological processes of natural tooth development for regeneration of lost periodontal hard and soft tissues

Higher Treatment Predictability

dental implant regenerative

The gel-like consistency of regenerative menbrane, MembraGel, allows for the precise application to the surgical site and stabilizes the underlying bon regeneration

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