Immediate Loading Implantology Today

What is Strategic Implantology?

The term "Strategic Implant" is a registered trademark for the implants of the Simpladent Group. The term "basal implantology" first appeared around 1999; a time of breakthrough in modern dental implantology: immediate loading technology was developed. It simultaneously solved the problem of low bone supply and enabled patients with diabetes and other medical issues to receive safe treatment.

Each implant is fixated in at least two locations in cortical bone. This type of bone provides a high level of mineralization and stability and low metabolism. It can be immediately loaded and practically does not resorb throughout a patient's lifetime. Bone augmentation, sinus lift, bone transplants and waiting periods become unnecessary.

With the help of the Strategic Implant we are able to successfully supply treatment even in cases of severe bone atrophy. The patient receives a beautiful smile within just a few days.

Thousands of patients have been treated globally with over 1.000,000 placed implants.

6 advantages of Strategic Implantology:

Patients requesting implants can be treated practically without exception - regardless of the extent of bone loss or whether residual teeth are present and require extraction.
Only one single surgical intervention is necessary. Strategic Implants are splinted with (permanent or semi-permanent) bridges very soon after the implant placement. If desired, another bridge (for instance of a different material) may be placed after 6-9 months. In many cases however the first bridge will be the final one.
The low number of surgeries and other treatment steps reduces overall cost. Rapid and effective measures can be taken by our qualified specialists should complications occur.
Implants with slim design interfere with the host bone's blood supply much less than comparable conventional implants.
The polished implants are virtually free from peri-implantitis, a dangerous infection found only around conventional implants. Peri-implantitis leads to serious problems and severe bone loss. The infection is not found around Strategic Implants. Please visit www.peri-implantitis.info for further information.
Because Strategic Implants can be immediately loaded, patients can quickly return to their normal life.

The Immediate Loading technology has been continually improved throughout the last decade in the Simpladent research center in cooperation with Dr. Ihde Dental AG. Further information can be found on www.ihde.com and www.strategic-implant.com. The training of specialized implantologists is exclusively conducted by the International Implant Foundation, Munich (www.implantfoundation.org).

For the maxilla-facial field Simpladent GmbH has also developed a revolutionary treatment concept in cooperation with maxillo-facial department of the Belgrade University (Prof. V. Konstantinovic/ Prof. Lazic). These two experts are the pioneers and leading specialists in the placement of lateral and screwable strategic implants in the frontal bone, mastoid, and glabella.

Of course the developments do not stop here. Simpladent's strategic implants are currently the most advanced implant types available and in use around the world.

Implant types

Simpladent GmbH produces more than 50 types of implants for immediate loading to deal with any dental problems. However, not only the right implant choice is important, but also the implantologist's skill. The Simpladent Group's specialists receive a profound basic education, additional schooling for the proper handling of different implant types, and are obligated to seek annual re-training. All training is conducted according to the high quality standard in Switzerland and Germany. This ensures the treatment by an expert professional.

BECES

Used immediately after the removal of teeth directly into the extraction socket. The design of the implants allows anchoring even in remote corticals.
BECES MU

The unique combination of the elastic implant design for cortical fixation and subsequent screw fixation of prosthetics.
BECES EX

Combination implant featuring three different thread designs on one implant: A micro-thread in the first cortical provides stability, the cutting thread in the middle allows secure anchorage in fresh extraction sockets, and the apical compression thread provides stability in the compressible spongious bone.
KOS

Conical compression screw implant for minimally invasive insertion. The implant for a bloodless procedure without surgical incision and flap. As a result, patients experience no swelling and hardly any pain. This implant never requires bone augmentation.
KOS+

The unique design combines technology of compression and cortical implants for areas with non-homogeneous bone density. It reaches enormous primary stability up to 100 Ncm.
KOS MU

Compression screw implant for complex anatomical situations. It is used for fixed bridges and bars.

All Strategic Implants used in the Simpladent Group come from the Simpladent GmbH in Gommiswald, Switzerland. The modern, patented Strategic Implants are certified and registered in many countries.

Placement of the strategic Implant

Inspection of the oral cavity and x-ray examination are done by the treatment provider. Subsequently the treatment can begin. As a rule this occurs immediately since the precautions and additional steps necessary in conventional implants (pre-operative improvement of oral hygiene, periodontal pre-treatment, etc) are not applicable for the Strategic Implant ®, if the affected teeth are simply extracted.

On the day of surgery the affected teeth are extracted and the implants placed straight away. The prosthetic treatment begins right after the implants are inserted. After three days at the latest the first fixed bridge is fixed and the new teeth can be used for eating, smiling, speaking!

Consultation and discussion of the treatment plan
Removal of affected teeth and implant placement
Trying-in of the bridge
Permanent fixation of the bridge
Correction of bite

Comparison Table of Methods of Dental Implantation

Strategic

stage

Conventional

Inspection Diagnostic procedures Treatment plan	1	Inspection Diagnostic procedures Treatment plan
Preparation of the oral cavity: removal of teeth, roots and cysts. Implant placement, impression taking for the lab, the control of X-ray diagnostics	2	Preparation of the oral cavity: removal of teeth, roots and cysts
Trying of the bridge frame (0-1 day after implant placement)	3	Bone augmentation and sinus-lifting (if there are indications)
Delivery of bridge (1-3 days after implant placement	4	1-2 months after implant placement, adequate bone healing provided.
—	5	Healing of the bone after tooth extraction (2-4 months)
—	6	Placement of gingiva former
—	7	Impression taking
—	8	Fixing of the bridge

Treatment duration: from 1 to 5 days

Number of appointments: 3

Total

Treatment duration: 4 - 24 Months

Number of appointments: 8 - 25

Indications and Contra-indications

Indications for strategic implants:

partly or completely missing teeth, or when fixed bridges are desired
when the procedure of 2-stage implant placement or bone augmentation has failed
slight bone loss up to severe bone atrophy
treatment of smokers is possible with the same chance of success
Diabetes and other serious diseases that delay the healing process.

Contraindications:

prolonged oral or i.v. use of Biphosphonates
cases where bilateral equal mastication can not be arranged, e.g. when chewing muscles or their innervation are partly missing. However, these cases might still be treatable by experienced professionals.

Before and After

Patient had a full adentia on the upper and partial on the lower jaw. Pronounced elongation of all teeth. 9 years after using dentures Simpladent implants were placed and fixed bridges successfully installed within three days.

This patient had just lost the bridges in the upper jaw. All remaining teeth and roots were removed. Only 48 hours later the patient was already equipped with fixed teeth and able to eat everything. 18 month later the first metal-acrylic bridge was replaced (on her request) by a metal-to-ceramic restoration.

None of the patient’s remaining teeth were worth saving. Therefore all teeth in the upper and lower jaw were removed and a total of 19 Strategic Implants were inserted. Two days later the prosthetic construction was ready and the bridges were cemented with definitive cement. Regular chewing function was possible immediately. The lower x-ray was taken 11 months post-operatively. All infected areas in the jaw bones had healed, the picture shows good bone in all places.

The treatment examples shown here provide only an overview on the treatment possibilities. Not in all clinical cases the same results are possible. Note that the appearance of the new teeth depends also on the available volume of the underlying bone and the volume of the soft tissue. Implants do not replace bone or soft tissues. Implants create a stable anchorage for the placement of crowns and bridges. The Strategic Implant® is typically suitable for use without bone augmentation. It works with the available rests of the bone.

Warranty

All Simpladent-Implants are supplied with a lifetime warranty by the manufacturer. This means that the implants and parts will be replaced free of charge.

A guarantee on the services of a doctor can not be offered because healing depends mainly on the patient. Nevertheless the members of the Simpladent Group will typically help either free of charge or at a significantly reduced price, if single implants or prosthetical workpieces must be exchanged due to unexpected events. The period for this kind of guarantee is usually 4 years.

Please note that regular control appointments in a qualified Simpladent-Clinic are necessary to maintain the guarantee's validity.

Guarantee request can be made in every Simpladent clinic of our group.