Why Titanium Implants are Better than Teeth Grown with Stem Cells?
Tooth loss is a growing problem worldwide. It has been estimated that about 26% of people lose all their teeth by the age of 74. Currently, the most popular, esthetic and durable option available to dentists is the dental implants. Extensive research had been going to find tooth replacement options which are closer to the natural teeth. What could be natural than growing your own teeth?
Recently, a breakthrough research study has indicated the possibility of growing natural teeth by using stem cell technology.
Stem Cells for Growing Missing Natural Teeth; Is it Really Possible?
A research study published in the reputed Journal of Dental Research has discussed the possibility of using a new tissue engineering technique for growing a brand-new natural tooth by using relevant stem cells. Dr. Jeremy Mao and his team at the Tissue Engineering and Regenerative Medicine Laboratory have used stem cells to redirect the growth of natural teeth and their surrounding struct
This was done by using a three-dimensional scaffold which was made from safe and natural materials. Dr. Mao’s technique involved the preparation of rat incisor shaped and human molar-shaped three-dimensional scaffolds. The incisor scaffolds were introduced into the extraction pockets created in the mandibular incisor region, while the human molar scaffolds were introduced into to dorsum.
Afterward, two growth factors were introduced into the scaffold, and the growth patterns were observed over time. After the passage of nine weeks, the scientists could see the development of the periodontal ligament, alveolar bone in the rat incisor scaffolds. Similarly, in the molar scaffolds, periodontal tissue growth and integration was obs
This is huge! Previously, scientists could only grow natural teeth in a petri dish, in a laboratory. But with this research, the dream of growing natural teeth in a short span of time has now become a reality, and that too at the dental chairside.
So, what does this Stem Cell Technology Mean for the Dentists?
No doubt, this new technique for fabricating natural teeth inside the oral cavity offers a superior alternative to the dental implants and other prosthetic tooth replacement options. If it can be implemented clinically, it will create a breakthrough as to how dentists replace missing natural teeth. Despite this, there are few things which dentists need to consider:
- It’s Just the Beginning – although promising, this technique is just at the research level. There is a lot of testing and further research required before natural teeth can be grown by using the stem cells. Therefore, we can’t expect this technology to be available for tooth replacement at the dental clinics anytime soon! So, this technology is of no benefit to the dentists unless it can be introduced commercially in the market for tooth replacement, which will at least a few years, if not a decade before that happens.
- This Technology May be Very Expensive – whenever this technology will hit the markets, we can naturally expect it to be quite expensive; rather much more expensive than the dental implants. Therefore, this technology may not be affordable by most of the dental patients. As dentists, we have to find a balance between the innovation and quality of treatment, its cost as well its profit margin for their practice. Therefore, unless this technology becomes as cost-effective as the implants, it may not be picked up by the dentists anytime soon.
So, now we know that the natural teeth prepared from the stem cell technology are not coming to general dental practice anytime soon. Therefore, we can expect the dental implants to reign over prosthetic dentistry for the foreseeable future. As dentists, this means that you still need to rely on the dental implant technology for replacing missing teeth of your patients.
Dental implants are by far, the best currently available option for replacing teeth. So, if you’re looking for the best dental implants for your practice, GP implants should be your first choice. Here are a few reasons for you:
GP implants have a proven track record of manufacturing high-quality dental implants which have been backed with authentic research. GP implants also have a fully functional, 24-hour operational in-house manufacturing facility which is being overseen by a dedicated quality assurance (QA department). This means that each implant you will buy from us will have gone through extensive, research, testing and quality control.
Not only this, our implants are specifically designed while keeping the convenience and ease of the dentists. GP implants offer implants which are based on two connections; the internal and the conical hex. Moreover, our implants are designed while ensuring that one platform can be used with all types of prosthetic systems. Therefore, dentists can use a single prosthetic line for each implant platform system.
Finally, GP implants also offer surgical kits which are compatible with all types of implant systems. We also offer surgical kits over a wide range; from basic to very complex surgical instruments.
All these factors combined; GP implant products offer a success rate of 99.6%. What more can you ask for?
So, if you want your patients to have esthetically pleasant, long-lasting and fully functional implant-supported teeth, then your best bet is to use the GP implants until the GP implant technology becomes commercially available.
Immediate Implants in The Aesthetic Zone Tips and Tricks That Will Help Your Practice
Nowadays, more and more dentists are placing dental implants using immediate placement protocols. This is because many patients do not prefer waiting for six months after implant insertion before implant loading can be performed. However, despite the advantages of immediate implant loading in the anterior region, there is still a chance for immediate implant treatment failure, especially in the anterior esthetic zone.
This article offers various tricks and tips which can help in selecting, planning and maximizing the success rate of immediately loaded dental implants in the esthetic zone.
- Be Meticulous with the Case Selection
Remember, it all starts with the case selection. Not every patient is a suitable candidate for immediate implant loading. While selecting a patient or preparing a treatment plan, it is best to list down all the risk factors which may be associated with immediate implant loading in the esthetic zone. Then you should note down the presence and severity of each risk factor in each patient as mild, moderate or severe. In this way, you can create a scoring system which can help you in determining the success of immediate implant loading. Some of the risk factors to be considered include:
- Esthetic perceptions
- Lip line
- Gingival biotype
- The shape of the natural tooth crown
- Underlying infection at the implant site
- The bone level at the teeth adjacent to the implant placement site
- Restorative status of neighboring teeth
- Edentulous span
- Soft tissue anatomy
- Bone type and quality
- Selecting the Right Implant
When it comes to immediate implant loading, primary stability is of utmost importance. In some cases, implants placed under the delayed loading protocol could become Osseointegrated without achieving sufficient primary stability, when they are left undisturbed during the healing process. The same cannot be said about immediately loaded implants since there will inevitably be some movement involved in their case.
The ability to dental implants to achieve primary stability depends on various factors, such as:
- Implant Geometry – research has shown that the conical implant geometry tends to achieve better primary stability when placed in fresh tooth extraction sockets, in comparison to cylindrical implants.
- Implant Diameter – research has shown that the implant diameter should be selected according to the buccopalatal width of the bone rather than its mesiodistal dimension. Kan et al. showed that selecting implant with diameters greater than 5mm can have a negative implant on the implant stability. Also, implants with a diameter less than 4.5mm should be chosen for the anterior region, when considering immediate implant loading.
- Implant positioning – the 3D positioning of the implant is very crucial in determining the success of immediate implantology. Therefore, it is necessary to ensure the optimal gap between the buccal and palatal/lingual wall when the implant is in position. The key is to prevent the implant from drifting buccally. An excellent method is to start drilling the palatal wall while avoiding the root tip.
- Utilizing the Power of Sub-epithelial Connective Tissue Graft (SCTG)
Various studies have shown that the simultaneous utilization of the SCTG with immediate loading tends to improve the stability of the peri-implant soft tissues. Yoshino et al. compared the stability of immediately loaded implants with or without SCTG. They showed that SCTG in combination with immediate loading provided higher facial soft tissue levels than without SCTG, thereby maximizing the esthetics.
- Tips Regarding the Prosthetics
Choosing the right type and material of the prosthesis is essential in ensuring implant stability as well as esthetics.
- Using a Provisional Prosthesis – in addition to the definitive prosthesis, a provisional prosthesis has also been shown to maintain the dentogingival architecture around the implant. Some authors recommend the use of PMMA based temporary restorations prepared with the CAD-CAM system, as they have optimal biological and mechanical attributes.
- Emergence Profile – a concave emergence profile of the prosthesis will provide a larger volume to the surrounding soft tissues. This has a positive impact on stability as well as esthetic outcomes.
When we talk about immediate loading in the anterior region, two factors are critical; primary stability and esthetics. Immediate implant loading can be successful, provided case selection, treatment planning, and implant selection are correctly done. Without considering these factors, immediate loadings are bound to fail. If implants are placed while keeping the factors mentioned above in mind, you can expect an excellent esthetic outcome and durability of the treatment.
 Kan, J. Y., and K. Rungcharassaeng. “Site development for anterior single implant esthetics: the dentulous site.” Compendium of continuing education in dentistry (Jamesburg, NJ: 1995) 22.3 (2001): 221-6.
 Yoshino, Shuji, et al. “Effects of connective tissue grafting on the facial gingival level following single immediate implant placement and provisionalization in the esthetic zone: a 1-year randomized controlled prospective study.” International Journal of Oral & Maxillofacial Implants 29.2 (2014).
 Güth, Jan-Frederik, and Med Dent. “CAD/CAM-generated high-density polymer restorations for the pretreatment of complex cases: a case report.” Quintessence Int 43 (2012): 457-467.
Dental implants have undoubtedly become the most utilized option for replacing missing natural teeth, owing to their excellent durability, strength, and esthetics. Despite their excellent success rate, a few cases of implant failures have also been observed by dentists. Various studies have shown that the implant-abutment interface is a critical factor in determining the durability and success of two-piece dental implant-supported prostheses,. This article discusses various factors which influence the longevity and clinical service life of dental implants in terms of the implant-abutment interface.
What is the Implant-Abutment Interface?
The two-piece implant system consists of an endosteal part, the implant, and the mucosal part which is the abutment. The mucosal portion is usually attached to the endosteal part after the osseointegration has taken place. However, when the abutment is screwed or attached to the implant, a gap inevitably exists between them, which has been reported in the literature to be about 40-60 µm. This gap allows micromovements between these components which can lead to implant failure due to uneven loading, friction, bone resorption, and bacterial adhesion.
The Importance of Implant-Abutment Interface
Research has shown that the quality and precision of the implant-abutment interface determines the stability and strength of this joint. Let’s take a look at the consequences of an excessive gap formed between the interface of the abutment and the implant.
- Abutment Overloading – when there is the formation of a gap between the implant and abutment, the joint becomes laterally and rotationally unstable. As a result, not only are there higher chances of implant loosening, but excessive movement at the interface can lead to accelerated bone loss as a result of friction and overloading of the implant due to irregular positioning.
- Fracture/ Screw Loosening – as discussed earlier, when there is an unwanted gap or movement at the implant-abutment interface, there are higher chances of implant screw loosening. Also, uneven forces can also lead to the fracture of the prosthesis.
- Bacterial Adhesion and Peri-implantitis – as a result of an excessive gap between the implant and the abutment, bacteria can penetrate and adhere to the interface. This can lead to implant failure as a result of peri-implantitis.
So, What’s the Solution?
Now that we know that the implant-abutment interface is an essential factor in determining the success of dental implants, we will discuss how this interface can be optimized.
Implant-Abutment Interface Geometry
Previously, several externally hexed implants were used to restore a complete arch by using a metal bar which linked them together. Afterward, internally hexed implants were introduced in which the mating components are located inside the implant body. This design helps in improved stress transfer and balance, thereby minimizing implant movement and marginal bone loss, and enhances fracture resistance. Similarly, the use of conical implant-abutment interface has also been shown to improve load distribution. Keeping this in view, we at GP implants manufacture very high-quality implants with a conical interface and an internal hex.
Preventing Micromovement and Microcap
The quality and precision of the implant-abutment interface have been recognized as one of the most critical factors which can cause the development of micrographs. This mainly depends upon the type of abutment chosen for creating the connection. Two types of abutment connections are most commonly used, the butt-joint and the conical connection. Generally, sharp angles vertices at the abutment connections cause higher stresses, wear and bone loss, leading to the microgap formation. To overcome this problem, GP implants design dental implants with minimum microgap between the implant and the abutment. This results in reduced micromovement and improves the stability of the interface and prolongs clinical service life.
Preventing Bacterial Adhesion
Another factor which can lead to implant failure is the penetration of bacteria into the microgap created between the abutment and implant. These bacteria not only can cause peri-mucositis, but they can also lead to peri-implantitis, which has a very high rate of causing implant failure due to bone loss and micromovement. At GP implants, we have eliminated this problem by ensuring high-precision and accuracy of our manufactured implants, so that they have minimal microgap and they can withstand heavy forces without excessive movement or fracture.
Why Choose GP Implants?
Our equipment is always up-to-date and meets the latest technological standards which prevents the microgap formation or implant movement. We are proud to have indigenous high-tech research equipment which helps us in optimizing each aspect of our implant assembly process. The result is the manufacturing of high-quality, FDA approved dental implants at very affordable rates. We also offer international delivery through our web-store and same-day dispatching services. Wherever you are, you can get our products in a matter of 3 to 21 business days.
So, what are waiting for? Try our cutting-edge, safe and cost-effective products today. We are sure that you will love them.
 Zhang, Xiao, et al. “Effects of Dental Implant-abutment Interfaces on the Reliability of Implant Systems.” MATEC Web of Conferences. Vol. 77. EDP Sciences, 2016.
 Steinebrunner, Lars, et al. “Implant–abutment interface design affects fatigue and fracture strength of implants.” Clinical oral implants research 19.12 (2008): 1276-1284.
 Broggini, Nina, et al. “Peri-implant inflammation defined by the implant-abutment interface.” Journal of dental research 85.5 (2006): 473-478.
 Michalakis, Konstantinos X., et al. “The effect of different implant-abutment connections on screw joint stability.” Journal of Oral Implantology 40.2 (2014): 146-152.
 Sailer, Irena, et al. “Fracture strength of zirconia implant abutments on narrow diameter implants with internal and external implant abutment connections: A study on the titanium resin base concept.” Clinical oral implants research29.4 (2018): 411-423.
Currently, most dental practices buy dental implants from distributors or suppliers. This practice often creates a lot of problems and complications such as delayed deliveries or the unavailability of the required type or size of the implant or its components. Understandably, this can create a lot of problems for the dentist in terms of missed appointments, loss of revenue and decline in reputation.
If you are an oral surgeon or an implant dentist, and you are also fed up of delays and excuses from your implant supplier, then we offer the perfect solution for you. Why don’t you buy directly from an implant manufacturer? Now, this idea might seem crazy or infeasible to you in the beginning, but please continue reading, and you will soon find out why it is an excellent idea.
Buying Directly from the Implant Manufacturers
Now let’s talk about why you should cut the middle man and buy implants directly from a renowned manufacturer like GP implants:
At GP implants, we understand that dentists are busy people and they want everything to be performed at its proper time. When you buy directly from us, you will reduce the channels involved in the delivery process. As soon as you order, we will ship your merchandise to your given address. No more delays, no more excuses!
- Cost Savings!
Imagine the scenario when you buy from a supplier. The supplier first bought the implants from a manufacturer or distributor. Therefore, when selling these implants to your practice, the supplier will add the cost of transportation and storage into your bill. Now imagine this. What if you bought the implants directly from a manufacturer? Two things will happen. First, the manufacturer makes implants on a bulk basis. Therefore, you will get a lower price. Secondly, the transportation and storage channels will be eliminated, resulting in speedy and on-time delivery. So, ultimately, you not only save money, but you also protect yourself from the hassle of buying from a supplier. The money you save in this way can be utilized for improving the diagnostic and patient care facilities at your practice.
When you do business with a large organization, you can rest assured that your needs and requirements will be met adequately. When you buy implants directly from a manufacturer, you have the peace of mind that you will get exactly what you paid for!
Why Choose GP Implants?
Now that you know that buying directly from the implant manufacturer is a better option, you might be thinking about which implant manufacturer to choose. Here are a few reasons why GP implants should be your first choice:
- Renowned Implant Manufacturer – at GP implants, we take great pride in providing high-quality implant manufacturing services to dentists for 48 years. We have a state-of-the-art facility where we the best available equipment for implant manufacturing with precision and accuracy.
- Not just a Manufacturer! – At GP implants, we are more than just manufacturers of dental implants. Instead, we are an R & D organization where our qualified and experienced material scientists and dentists continuously strive to develop unique designs which improve the performance and longevity of our implants.
- Designed by the Dentists, for the Dentists – Our products are precisely customized according to the needs of the dentists.
- Unsurpassed Quality – At GP implants, all the stages involved in implant production are done with our in-house, contemporary Swiss and German equipment to ensure that each implant goes through a series of performance checks before it is cleared for distribution. So, you can rest assured that when you buy from us, each implant has been checked with the highest industry quality standards.
- Single Day Delivery – we understand that delays are unacceptable for dentists. Therefore, we offer free worldwide shipping with only one-day processing. You can even trace the progress of your package delivery. We also provide round the clock support services should our esteemed clients have any queries (Only in USA). Contact us to ask about delivery to the rest of the world.
In today’s modern world, it’s all about making smart decisions. When you decide to buy your implants directly from a manufacturer like GP implants, you eliminate all the unnecessary cost, delays and processes which are involved when you order through a supplier. So, step into a world of convenience and ease by letting GP implants taking care of all your dental implantology needs. Whether you need implants, implant components or implantology equipment, we are your one-stop shop for your dental implant needs.
Our implants meet the requirements of the ISO, CE, and FDA.
Patient acceptance plays an important role in dental practice. Following the recent trends, the patients don’t want a denture or other treatment options that were done during their parent’s time. Surprisingly, it may be possible that the implant will be the only restorative option for the missing teeth in the future. However, few management and marketing techniques can help making the resources and the expertise for dental implants to be more rewarding.
It’s never too late to start: Many dentists refer the implant cases to oral surgeons, as they don’t want to venture this stream. The study conducted by American Academy of Implant dentistry states that more than 35 million of Americans are missing one or more teeth in their jaw. Realizing the scope and the potential of implant treatment, the dentists should start treating the implant patients themselves. However, proper knowledge and skills should be gained before beginning with this process.
- Educate the patient: Case reports and testimonials can be used for convincing the patient for the implant treatment. Moreover, the patient should be educated about the entire treatment procedure with implants.
- The implant coordinator in the team: It is important to have an implant coordinator in the team. The coordinator bridges the gap between the doctor and the patient and helps to bring more flow of implant cases.
- Manage your schedule well: Many times the proper management of appointments can help to spare more time that can be utilized only for implant cases. Few doctors with a busy practice like to designate few days in the week only to implant patients.
- The surrounding matters: Having a separate space that is specifically dedicated to implant treatments helps to create a perfect surrounding for the treatment. Also, the successful implant cases and experiences of the patients after the implant treatment can be kept in the display.
- Talk about the finances: In many countries, implant treatment is included in the dental insurance. However, it is important to talk about the finances with the patient. Providing variety of finance options to the patients for implant treatment can increase the number of patients.
- Proper treatment: Every case of implant should be treated efficiently. Sometimes a successful case is the best way of advertisement.
- Learn the art of presentation: Many dentists go into too much detail when explaining the implant procedure to the patients. The way of presentation, the language, as well as the medium used for imparting education regarding the implants, should be patient-centric. Many times keeping the presentation simple and only sharing the key benefits helps.
- Emphasize the esthetic benefits of implants: If the patient is a teenager or adolescent, then it is natural for the person to be conscious about self-image. In this scenario, if the esthetic benefits of implants are highlighted, then it surely attracts the patient. Also, in this 21st century, more patients opt for esthetic solutions for their dental problems.
- Train the staff very well: Many times, a small word of reassurance that the treatment option of an implant is very useful and helpful by an assistant or the receptionist helps to reinforce the message.
- Make sure you are present at every appointment: Many times the dentists with a busy practice hand over the restorative procedures or other less crucial steps in the implant process to the junior dentists. If possible, the dentist should try to do all the steps by himself or at least be present in person when the other steps are being carried out.
- Keep a record: It is important to track all the appointments and keep a record of all the implant patients.
- Follow-up: Frequently, a small follow-up call or message after the initial appointment in which the patient is educated about the dental implant helps to convince the patient for treatment, if he is in doubt. The reinforcement of the benefits helps to convince the patient for the treatment procedure.
- Know your mistakes: Not every patient that is advised an implant turn up for the actual treatment. However, it is very important to keep a track of patients that didn’t return for the treatment and solve the causes behind it.
- Social media management: In this technologically advanced era, the presence of doctors on social media platforms influences the patients. A doctor can use various social media platforms spread the message to the public in an interesting way.
- Hire the professionals: There are professional agencies that help to increase the influx patients in the dental clinic. A dentist can take help from such agencies to increase the number of implant cases.
- Continuing dental education matters: It is very important to learn and follow the latest techniques followed in implant dentistry. One should keep oneself constantly updated with the latest dental techniques and materials.
- Use high-quality materials: Apart from the technique and expertise required in implant dentistry, it is important that the dentist uses high-quality products for the implant procedures.
- Track your inventory: It is important that the dentist has a sufficient number of implants and other dental materials ready in stock. It is better to have few extra implants than to lose a patient.
- The logo matters: Many dentists rename their clinic as “implant center.” This is a useful trick as it advertises the clinic to the target audience.
Thus, following these simple yet effective steps will unleash the influx of more implant patients.
Due to the recent advancements in implant dentistry, bone grafting is done in few clinical cases. Nevertheless, there isn’t a complete elimination of this surgical process. The clinical cases with reduced bone density, low bone volume or compromised quality of bone mostly warrant the placement of bone graft. Earlier, autogenous grafts were used in bone grafting. Then, these were replaced by xenografts. Most commonly, bovine bone grafts are used for guided tissue regeneration.
A proper technique for graft placement and a graft with excellent properties are essential for the successful outcome of the treatment procedure with bone grafting. The different types of bone grafts include autograft, allograft, xenograft, and alloplastic. This classification is based on the source of the bone grafting material. Alloplastic bone grafts are synthetically derived products that are used for bone grafting. The main advantage of using alloplastic material is that the chances of disease transmission are eliminated and also these types of graft have osteoconductive properties. Finding the ideal material for bone grafting has long been the target of the medical researchers and this led to the development of the synthetic bone. Since it is not derived from human or animal resource and is manufactured synthetically, it can be modified to get utmost advantages.
The advantages of Bongraft include:
- It is a synthetic product and so the risk of transmission of disease like HIV, HBV, etc. is eliminated.
- It is completely absorbed within 4-6 months.
- It has osteoconductive properties. The material is completely replaced by the trabecular bone.
- It acts as a physiologic space maintainer as it is well accepted by the biologic tissues and the chances of rejection of the graft material are almost nil.
- It is not radiopaque and so the formation of the new bone can be radiographically monitored.
- In some situations, the use of the membrane in guided bone regeneration procedures can be avoided.
- It is scientifically tested and costs less when compared to similar products in the market.
The co-polymers of polylactic acid and polyglycolic acid with different molecular weights have been used successfully in orthopaedics and oral and maxillofacial surgery. The advantage of this material available in 3 different forms i.e. gel, sponge and powder makes the use of this product possible in almost every type of bone defect.
|BONGRAFT||Newly formed bone
The data in this table is the result when Bongraft was compared with other products like bioglass, bio-coral, DFDBA, and others . This study proves that Bongraft is an ideal physiologic bone grafting material .
The Bongraft can be used in gel, powder or sponge form and even either of these forms can be combined for getting the successful treatment outcome.
- The gel form can be effectively used in the sinus lifting procedure of the maxillary sinus with minimally invasive technique . It can be easily injected into the sinus cavity and it exerts a hydraulic pressure on the membrane and raises it effectively in the most atraumatic manner.
- Bongraft sponge can be used for the best results in the post-extraction sites .
Bongraft powder can also be combined with the gel and used in surgical situations. Also, the Bongraft gel can be used in diverse clinical scenarios like treatment of root fractures after endodontic treatment. The combination of the sponge and gel form can be done, especially in situations that eliminate the need of membrane for guided regeneration .
Thus, expertise of the surgeon and the choice of the material play an important role in bone grafting procedures. Bongraft is the ideal space maintainer with many favourable properties that can be used to achieve effective treatment outcomes in wide variety of surgical procedures.
- Piatelli A. Biomaterials used in bone regeneration: histologic results. Implantologia-Orale. 2003; 4:77-80.
- Bucci Sabattini V, Salvatorelli G. 1999.
- Serino G, Biancu S, Iezzi G, Piattelli A. Clinical-Oral-Impl-Res. 2003; 14.
- Stancari F, Zanni B, Bernardi F, Calandriello M, Salvatorelli G. Quintessenz (De) 2000; 51