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 | Incomplete | Two Upper Centrals | No Tap | Abutment Diameter | |
3 | #14 Crack | Septal Expansion | Dense Bone Crown | Loose | Narrow Space at #29 | Narrow Implant | BEB 2 3 4 5 | |
4 | #30 Tripod Septum | Magic Split LCP | Osteotomy via Roots | loose | 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; Distalize | Bone Graft | #30 Narrow Ridge | Long Termed Edent | Shallow Placement | |
11 | #4 Fractures | Sinus Septum M | PBR M | #7,8,10, Flapless | Angled 1-Piece | Flap for #7,8 | ||
12 | #30 Root Tip Fracture | Septoplasty | Short Implant; Trajectory off | Screwx2, Bury | #10, 14 Space Issues | Small Implants | 1-P, 15c Fracture | |
13 | #14,18 Different Height | Different Approaches | Abutment Cuff | 21m redo | Perio, Endo, Bruxism | Long Implant, Tap | Palatally Placed | |
14 | Severe Pain Several | Years after RCT | Thin Septum of #19 | Screw x3 | Displaced Root of #7 | Visibility | Subcrestal Place. | |
15 | Emergency Extraction | 9 mm Bone at #2 | As Short As Possible | Low Torque | 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) | 10 Years | 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,19 | Screw, hex fracture | #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. | Redo | 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 | Mobx2 | Periimplantitis Smoker | Redo, CMC/BEB | 7-8 mm Gingiva | |
49 | #29 Post Socket | Preservation | #30 BEB | Intentional fix | #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 | 12mRedo | #2 Crack Tooth | Implant Fills Socket | 8x17 mm Implant | Fails |
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 | Remove | #25 Lingual Abscess | Center Placement | Allograft Fills Defect | |
60 | #14 Endo Perio Dz | IBS Tap | Bone Height | 10 m | 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 | 23 m loose | #26, 27 (RCT) | Splinted Provisional | Prevent Perforation | |
69 | #15 Mesial Shift | Pre-implant Ortho | #14 Narrow Ridge 11 m | Redo | #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 | Remove | #31 DO Subgingival Caries | Long Implant | Calculate Length | |
72 | #30 Pain Post RCT Retreat | Multi-Drills; 5.5x13 | Tap with Soft Tissue Mark | Necrosis | #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 | Redo | #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 | Loose 2y8m | #2,3,5 perio, bruxism | 5 mm Cuff | Mill Abutments | |
78 | #14 PARL Post RCT | Osteotomy Shifting | Hard Bone Shorter Implant | No Occl Contact | #10 Fractured Crown | 1 or 2-Piece Implant | Existing Crown | |
79 | #15 Place Implant | Not So Deep | Septum Shorter than CT | Remove | #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 | 1st Guide | #4 Periapical Radiopaque | 2 Point Engagement | Executed as Planned | |
85 | #15 Severe MB Bone Loss | Distopalatal Placement | 1 mm Sinus Floor | Remove | #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 | Chemotherapy, Crowding 2 Premolars | One Tooth Width | Underprep->Incomplete Seating | 5.5 M | #12 Crown Fracture, Next to | PARL | RPD Clearance | |
88 | #2 Fractures | Dense Bone | Osteotomy Depth Landmark | x2 6,9m | #8 Horizontal Root Fracture | Longest Implant | Hollowed Crown | Sticky Bone |
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 | Loose | ||||
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 | Ortho |
Professionals Improvement Bone Classification Thread Patterns Training Chinese Dr. Wang's Visit 4 5 6 Study 2 Apical Diameter (FC Magicore) Fibrointegration Immediate Loading Lifter Anniversary 2 Tap Parallel Pin Magicore Cases Screw Profile Drill Prosthetic Planning Kit
Xin Wei, DDS, PhD, MS 1st edition 07/24/2016, last revision 05/20/2021