New Chapter of My Dental Implant Path (Armaments)

IBS (InnoBioSurg) implant system appears to be attractive to me, because of its new concept (90% bone, 10% Titanium, fin design, primary stability), unique osteotomes and short implant (7 mm).  I will embark upon the breaking status quo journey by presenting cases.  Each case starts with Plan (Why an IBS implant is chosen), followed by Surgery (advantage of the implant being placed) and long-termed Outcome (including failure).  

  IBS Plan Surgery F-U Other Implants Plan Surgery F-U
1 Partial Edentulism 7 mm implant >50 Ncm   Four Lower Incisors 2 1-Piece Implants  Restorative Space 2  
2 Over-Contoured Bridge Dual Surgical System   Two Upper Centrals No Tap Abutment Diameter  
3 #14 Crack Septal Expansion Dense Bone Crown Narrow Space at #29 Narrow Implant BEB 2 3 4 5  
4 #30 Tripod Septum Magic Split LCP Osteotomy via Roots   Upper Lateral Incisor 1-Piece Implant Apical Perforation  
5 Crown Fracture, RPD Small Temp #15 Magic Expanders   Implant Failure Long Implant Used As a Rescuer  
6 Crack Tooth (#2) CMC Overprep Ortho #15 Large Defect Sinus Lifter Hard Sinus Floor
7 Several Missing Teeth #14,15 Soft Bone Dual Modes   #29 B-L Uneven Crest Post Upright 5mm Cuff Abutment Redo
8 #21 Residual Root Mesiolingual Entry Lingually Placed   #30 Narrow B-L Width Ortho Gains Bone 1-Piece Implant  
9 #4 Perio Long Implant M-D Uneven Bone   #19 Tripod Septum 7.8 mm Abutment Osteotomy via Roots  
10 #14 Bone Loss BEB Mission Completed   #30 Narrow Ridge Long Termed Edent Shallow Placement  
11 #4 Fractures Sinus Septum PBR   #7,8,10, Flapless Angled 1-Piece Flap for #7,8  
12 #30 Root Tip Fracture Septoplasty Short Implant Screw #10, 14 Space Issues Small Implants 1-P, 15c Fracture  
13 #14,18 Different Height Different Approaches Abutment Cuff 9m Perio, Endo, Bruxism Long Implant, Tap Palatally Placed  
14 Severe Pain Several Years after RCT Thin Septum of #19   Displaced Root of #7 Visibility Subcrestal Place.  
15 Emergency Extraction 9 mm Bone at #2 As Short As Possible Loos 1 Year Post Ext Ideal Trajectory How to Change (tap)  
16 #19 Large Bone Defect Immediate Implant Depth Control Two Molar Implants Surgical Stent Is Helpful
17 From Lateral Window to Crestal Approach 1st CMC (redo)   Long Implant for #21 Abutment with 5 mm cuff  
18 #14 Palatal Defect Buccal Placement Not Large Enough Tatum Long Implant for #6 1 Piece for #7 Socket Shield  
19 Bridge Failure Magicore 1 mm Cuff   Establish Correct Implant Position Avoid Perforation  
20 #14 Long Bone Not Invade Sinus Magic Split   #6,7,15 1-Piece, Magicore Narrow Ridge  
21 Protect Buccal Plate Socket Shield Vertical Height   #7 Root Fracture GSC 15 mm implant 1-Piece Angled Impl  
22 #3 Sufficient Bone Long, Large Implant Large Septum Screw #19 Pointed Ridge CD Trim, 5mm cuff Place with GBR  
23 Perio, Bruxism, Implant Placed Next to IAN Angled Abutment Redo #2 Close to Sinus PRF 7 mm Implant  
24 Residual Roots Septum or Not, Large Not Palatal Enough   #13 Smoker, Bruxer 5 mm Cuff Narrow, Long Impla  
25 #4 Cracks Immediate Implant Without Drill   Failed Lower Ant FPD 1-Piece, 5 mm Cuff Narrow Implant  
26 Advanced Periodontitis Implant Protection Sinus Lift with PRF  Ortho Perio, Bone Loss 3-Wall Contact Perio Surg Ç Graft Redo  2
27 Upright #31 #30 Implantation Continue Upright   Severe Bony Defect Long Implant Locks into M-D Bone  
28 Supraerupted Opposing Magicore Cuff Enough Vertical Space   #8,9 Atrophic Ridge 2.5 mm 1-Piece WH Possible Buc. Perf  
29 #17 Immediate Implant As Upright Anchor Extract for Efficiency   Advanced Perio UL Long Cuff Wax-up 2 Trajectory Change  
30 #28 Narrow M-D Space 1-Piece Implant Buccal Plate Atrophy   Immediately Load FPD Septum Osteotomy Engage Sinus Floor  
31 Periimplantitis-Induced Abscess; Immediate Replacement   #15 Sufficient Height Thick Gingiva Bone Expander  
32 Cantilever FPD Largest Implant Change Trajectory Redo Sur   Periodontitis/Bruxism Explore Socket YZW Large Implant at #18  
33 #3 Large Septum Provisional Margin Sinus Membrane Perf D Wide Premolar Space 2 of 2 mm 1-Piece Possible Deciduous  
34 Soft Bone at #2 Bone Condensation Magic Expanders 11m Never too big  ZCY Mesial Socket Perimplantitis Redo 2
35 Upper 2nd Molar Osteotomy M-D Control     #29,30 Type I or II Overprep  
36 #31 Narrow M-D Space Narrow Implant Flap Surgery LW   #30 Class V Furcation Involvement Spongy Bone Intrus
37 #18 Wide Ridge WJM Trajectory Control Mesial Socket Place.   Bruxer, #31 Long Impl Supraerupted Shorter than Planned  
38 Implants Change Cl II Occlusion to Cl I One Ridge Reduction HSF   #31 RPD abutment Reliable Landmark Temp Provisional  
39 #3,4 Residual Roots DC Underprep, No Prep Short Clinical Crown   2nd Surg #7,13 (Perio)   5 mm Cuff  
40 Post Socket Preservation Magicore Flapless Surgery   #7 Partial Edentulism Socket Shield Long Implant  
41 #30,31 Advanced Perio Tap Drill, Upright Narrow Implant High T   29-31 Severe Bone Loss; Long Sockets Uneven B-L Bone  
42 #4,5 Long Implants Split, Expanders Less is More Mod LR Ant Residual Root Narrow Long Impl 1-Piece Implant  
43 Advanced Perio Long Cuff UL 1.6 mm Sinus Floor Mob #31 Residual Roots, RPD Bony Landmark Simplified Temp  
44 #13 Varied Density Flapless, ME Flexible System   #24 Horizontal Fracture Implant 2 mm Cuff Angled 1-Piece  
45 Deciduous Molar Wide Ridge Dense Bone   Failing FPD 2-4 Dual Modes Osteotomy Depth  
46 #19 1 or 2 implants?   Dual Post Socket Pres.   #18 RCT Failure Mesial Wall Mesial Socket  
47 Place #18 implant at #17 Socket Depth Control #9-11, 4 months post ext Gold-coated Abut. 1-Piece Implants
48 #4 Post-Induced Root Fracture 5 mm Implant Mod Periimplantitis Smoker Redo, CMC/BEB 7-8 mm Gingiva  
49 #29 Post Socket Preservation #30 BEB   #3 Buccal Roots Expose 6 mm Cuff PRF Membrane   
50 #20 Long Roots Long Implant Mental Loop   #26 Buccal Fistula Lingual Placement Loss of Buccal Plate  
51 #14 2 layers of Sinus Floor PRF for Sinus Lift   #13 Bruxism Increased PDL Sinus Floor Perf 12
52 #13 Crown Fracture PRF for Sinus Floor Change in Trajectory   #4 Periimplantitis Thread Removal PRF instead of Graft  
53 #14 Paper Thin Sinus Floor Magic Lifter Simultaneous Implant   #2 Crack Tooth Implant Fills Socket 8x17 mm Implant  
54 #13 Crack 4x15 mm Implant Plug for Sinus Lift   #20 Root Fracture Buccal Defect Take Pan for Height  
55 #15 Thin Bone; Prevent Implant into Sinus Sinus Floor Thickens   #22,24 UF, 1-Piece Implants Depth Control  
56 #14 Endo-Perio Disease Single Drill Core Type II Bone   #8 Post Osseous Surgery Intraligamental Injec.  
57 #18 2nd Caries IBS or Tatum Adjust Trajectory   #23 Endo Perio Dz Determine Cuff First Narrow M-D Space  
58 #14 Low Density Place Deep Bone Graft Where Needed   #14 Sufficient Height Bone Expanders Combined with Drill  
59 #28 Perio Angled Abutment Short, Small Implant   #25 Lingual Abscess Center Placement Allograft Fills Defect  
60 #14 Endo Perio Dz IBS Tap Bone Height   LR Failing Bridge #29 Large Defect Close to Loop  
61 #2 4 Months Post Ext PRF/Graft Pre-dum Wide Ridge, Wide Implant   Soft, Long Bone, Perio Implant/Bone Ratio Time for Surg Guide  
62 #19 Periimplantitis Etiology & Treatment Long-Cuffed Abutment   #5,12,13 Long Bone PA after 1st Drill Soft Bone 16 mm Impl  
63 #30 Thin Septum Septal Resection 6 mm Implant   #30 Long Defect Long Implant Nearly Hit Nerve  
64 #15 Vertical Clearance Control Initial Depth Soft Bone not Underprep   #30 Drifting, 7mm Abutment  6 mm Cuff Sinus Master Kit  
65 #2 Trifurcated Roots Septum Resection Mesial Slope Mod #3 4 mm Bone Height 6 mm Gingiva Buccal Socket  
66 #14 BEB through Residual Root Socket Flap Transfer   #30 Low Bone Density Expansion or 1-Piece Ridge Reduction  
67 #20 Close to Mental Loop Implant within Apex RPD as Surgical Guide #30 Long Termed Missing 3 mm Magicore 1-Piece Implant
68 #18 Fistula after RCT with Several Canals Distortion of PAs   #26, 27 (RCT) Splinted Provisional Prevent Perforation  
69 #15 Mesial Shift Pre-implant Ortho #14 Narrow Ridge   #23,25 Incisive Canal 14 mm 1-Piece 2 & 2.5 mm 1-Piece 2nd
70 #31 Perimplantitis Redo 2nd Redo   Atrophic Upper Ridge #8-13 2-3 mm 1-Piece Implants  
71 #2 PARL,Crack, 2 Fistulae Severe Bone Loss 6.5x11 mm, Control Depth   #31 DO Subgingival Caries Long Implant Calculate Length  
72 #30 Pain Post RCT Retreat Multi-Drills; 5.5x13 Tap with Soft Tissue Mark   #14,15 Narrow Mesiodistal Space            Resistant  to Expanders  
73 #2 Long-Termed Residual Roots 1st Magicore for Immediate   #14 No Sinus Floor 6 mm Cuff Failed Placement  
74 #14 Halt Transition from Perio to Periimplant Septal Slope: Sequential Os   #24,25 One Implant Two Crowns 4 mm Cuff  
75 #14 Severe Bone Loss Sinus Lifter & IBS Fin Retrieve Impl. from Sinus   #29 Distally-Deviated Root Mesiolingual Entry Just Avoid Loop  
76 #3 Residual Roots BEB with Implant Sinus Lift with Implant   #30 Small Diameter Implant with Premolar Width #31 Socket Preserv  
77 #30-32 Failed FPD Magicore FC Instead   #2,3,5 perio, bruxism 5 mm Cuff Mill Abutments  
78 #14 PARL Post RCT Osteotomy Shifting Hard Bone Shorter Implant   #10 Fractured Crown 1 or 2-Piece Implant Existing Crown  
79 #15 Place Implant Not So Deep Septum Shorter than CT   #8,9 Post-Related Crown Fracture Existing Crowns  
80 #19 Pontic: Magicore or 1-Piece Implant Wide Ridge: Magicore   Lower RPD Retained by Ball Abutment at #17 Short and Quick  
81 #9 Crown/Post Fracture Metal Shade Abutment 4 mm Abutment   #4 Distally Displaced Root Mesial Slope Entry Shifting of Implant  
82 Initial Treatment plan #31 Upright #30 FC Ortho #23-26 Severe Mobility 1 or 2-Piece Narrow Change Osteotomy  
83 #31 9 mm Implant 4 mm Native Bone Placement Failure   #6 Severe Atrophy 6 mm Cuff   or Mill Abutment Change to Large Imp  
84 #18 Large Radiolucency Taps/Dummy/Osteotomy 8x14 mm Screw Implant   #4 Periapical Radiopaque 2 Point Engagement Executed as Planned  
85 #15 Severe MB Bone Loss Distopalatal Placement 1 mm Sinus Floor   #3 Thick Gingiva Mill Abutment Bone Expansion  
86 #18 Limited Vertical Space Magicore FC Placed Deeper   #15 Fistula post RCT Mesial Slope Avoid Extracting #16  
87 Crowding 2 Premolars One Tooth Width Underprep->Incomplete Seating   #12 Crown Fracture, Next to PARL RPD Clearance  
88 #2 Fractures Dense Bone Osteotomy Depth Landmark   #8 Horizontal Root Fracture Longest Implant Hollowed Crown  
89         #4 Extraction For A Molar Implant Executed as Planned  
90         #3-5 Extraction for Provisional FPD Control Osteotomy Depth  
91         #13 Root Tip Curves Distal Mesial Slope Trajectory Correction  
92         #11 Equigingival Fracture Socket Shield Has to be Done  
93         #29 Avoid Mental Loop Reduce Ridge/1-Piece 11.5 mm Implant  
94         #14 Crack Control Depth 8.5 mm Depth  
95         #3 Used as Surgical Guide Prior to Extraction Septal Undercut  
96         #30 Narrow Ridge 2 of 1-Piece Implants 2.5 mm 1-Piece Implants  
97         #30 Buccolingual Fistulae Long Implant Depth Control  
98         #4 Crack 4x16 mm Implant Placed Deep  
99         #4 Vertical Root Fracture Post Apicoectomy As Long As Possible  
100         #18-20 FPD will be Sectioned Twice No Drill Osteotomy  
101         #15 Residual Roots with Reduced M-D Space Bone Graft Should be 1st  
102         #18,19 Anchors to Upright #20 Buccolingual Plate  

Professionals Improvement Bone Classification Thread Patterns Training Study 2 Apical Diameter Fibrointegration Immediate Loading Lifter Anniversary 2 Chinese Dr. Wang's Visit Tap Parallel Pin

Xin Wei, DDS, PhD, MS 1st edition 07/24/2016, last revision 12/09/2017