The Bicon Conundrum
Now that I have included Bicon in my office as a treatment option there has been a a dilemma that has occurred which I have not had with other implant systems.Â
This system and its protocol puts the provider in a position that can be very foreign. What to do with the bone harvested? Â Due to the slow RPM osteotomy technique of Bicon a large amount of bone is harvested, harvested for us to use instead of being flushed down the drain. Â This is good healthy bone that the body accepts readily and uses, as in it could make you feel almost guilty when you have extra left over after the procedure is completed.
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It also leads to another problem that I have not experienced with other systems, and that is they can be a bit of a challenge to find the bone. Here is a case I just uncovered this past week. It was an immediate placement case performed 12 weeks prior. The initial osteotomy drill has a nice sharp point which is very helpful in these immediates, it creates a purchase point and doesn’t wander. It is the remainder of the osteotomy reamer sequence that allows the practitioner to harvest the autograft.Â
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Once the osteotomy has been completed and the site curretted a 5x6 implant was placed in the osteotomy. A slight tapping with the surgical mallet seats the implant and the carrier is cut converting it to a healing plug. Some of the harvested bone placed on top of the implant and a collaplug was placed and the site allowed to heal without incident
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You can see that after the reflection of the flap the implant can not be immediately seen. There has been a remarkable amount of bone that filled into the surgical site covering the implant. I have had bone overgrowth with some of the other systems I have used, but never to this extent.
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A little exploring with a sharp currete and the healing plug is located, but today it is just the start of the uncovery battle. The bone not only overgrew the implant but it was very dense interfering with the removal of the healing plug. So now with this case not only I had to throw bone away at time of surgery but had to remove a good bit of bone with a currete then the sulcus reamer to get the area prepared to accept the stealth abutment. Guilt sets in again.
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Typical case by a typical General Dentist, with fantastic bone response. It was great going to Bicon last spring with the cerecdoctors Mentor group and learning more about this Implant system. Bicon has made a commitment to raise the bar of Implant Dentistry, and how the Cerec and Galileos integration can combine with Bicon’s products to create esthetic restorations that bone loves. I know Neal Patel has been working very hard, working with Bicon to create some fantastic material for the renovated Level 6 at the Scottsdale center.
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pete, it is amazing to see how much bone it there, not only when uncovering, but years later on the xrays
Brad
Are you going to Boston in April?
This case is nothing compared to the 25 years of documentation they have amassed
Pete,
Those are good problems to have. However, I wish the sulcus reamers were a little
More efficient.
And what happens when you use the Sulcus reamer?
You harvest more bone. Famine to feast w/ this system
placed one last week - excited to see how my implants compare to those we saw in boston. i really like this system.
Dr Chuck
You will love the trip. Great company, Great people.
You will get along w/ Dr Morgan quite well I predict
D
Results are really cool. No surgical tricks to get this to heal just follow the recipe
Hi Peter ,
I have had to get a large round surgical diamond to expose my healing plug on more than one occaision. That was only after three months!
I consider myself a rookie at this , so almost anyone can expext similiar results.
Phil
