STRATEGIC IMPLANTOLOGY – THE RATIONALE
(Please note: this post has been created for my dental & medical fraternity friends. I would request my doctor friends to share this post… even if you are not interested, some of your friends may be interested.)
I felt it is important to spread awareness about the philosophy behind Strategic Dental Implantology which is gaining acceptance at a rapid pace in different parts of the world. Here is a short description on the philosophy behind this highly advantageous and advanced system of implantology and relevant images taken from the slides of my presentation made in Montenegro during the Mentors Training Program of the International Implant Foundation (IF).
Strategic Dental Implantology has its roots in Orthopedic Traumatology which deals with management of orthopedic injuries and defects with bone plates and screws… and permits mobilization of the patient within 3 days of the surgery. Likewise, with Strategic Implantology techniques, we are able to offer our patients immediate loading solutions, even in the most hopeless “no-bone” situations – without bone grafting, ridgesplits and sinus lifts as we engage deeper cortical bone areas which are not easily affected by infections or resorption. Since most of the implants are placed employing key-hole placement strategies, the risk of bone resorption around the implants and related problems such as peri implantitis is considerably reduced. In addition, the new implant surface – “NoItis” surface, introduced by Prof. Ihde, offers tremendous advantages too.
We are also able to provide maxillofacial prostheses (provisions for ear, nose and eye reconstruction)… again following the immediate loading protocols.
A wide range of Immediate Load Implant designs are available so as to facilitate their use based on varied bone situations.
Strategic Implantology may be classified into four broad subdivisions:
1) Crestal Implantology – Rules of conventional 2 & 3 piece implantology work here… however, monobloc or single piece implants are mostly employed.
2) Basal Implantology – Anchorage of the implants is taken from the highly mineralized basal or cortical bone which is least prone to infections and resorption
3) BOI Implantology – where open placement of lateral implants are employed… this is one form of Basal Implantology.
4) Combinations of the above.
Regarding training in Strategic Implantology, The International Implant Foundation offers courses in Strategic Implantology in different parts of the world.