What’s new in dental implants? Discovering On1™ at Nobel Biocare symposia
Interview with Dr. Giacomo Fabbri
Discovering what’s new in dental implant treatment is key to making your practice stay ahead. At the recent Nobel Biocare Symposium in Dubai, professionals from around the world came together for hands-on training, masterclasses and presentations from leading experts.1 2 3 4
Dr. Giacomo Fabbri spoke about a new focus given to the importance of soft tissue healing by our latest treatment concept, before leading hands-on training in this new solution – the On1 concept. We spoke with Dr. Fabbri about the On1 concept and opportunities for learning at Nobel Biocare symposia.1
Why is soft tissue healing so important?
Repeated disturbance of soft tissue healing can cause apical migration of epithelial cells and subsequently unstable pockets of tissue around the abutment. And, of course, reopening the original wound exposes the area to external bacteria. Unlike a healing abutment, the On1 concept’s key component – the On1 Base – is during surgery and not removed again. The undisturbed healing allows for soft tissue adherence, preserving the bone-to-implant interface. 1-7
What were your first impressions of the On1 Concept?
The On1 Base raises the prosthetic interface of the restoration from the bone level to a more coronal position. It helps us to optimize the prosthetic outcome while providing a more comfortable treatment plan for the patient. My first reaction was, “Why hasn’t anyone thought of this before?” There was great interest in this new concept from delegates at the Dubai symposium.
Why would you use the On1 concept instead of a traditional tissue-level implant?
If you compare the On1 concept to transmucosal implants, you will find multiple advantages. First of all, the On1 concept implements platform-switching at the bone crest level, facilitating bone maintenance around the implants. Using Nobel Biocare’s conical connection with platform switching means that we can work flexibly in terms of the vertical position of the implant. Additionally, the two base-height options provide the versatility to select the ideal height in relation to soft tissue thickness.
Since we can adjust the selection of the base and also choose the vertical position of the implant, we can achieve an optimal situation for soft tissue adherence. In fact, it is possible to preserve a distance of at least 1.75 mm between bone and prosthetic interfaces, maintaining an ideal sulcus depth in relation to the clinical situations that we are treating. If we use a traditional transmucosal implant this is not always possible.
If it’s necessary to manage an esthetic limitation due to reduced soft tissue thickness, placing the implant reduces the distance between the prosthetic interface and the bone crest, potentially causing contamination and bone remodeling. We can avoid this using the On1 concept.
You have been leading training in the On1 concept at Nobel Biocare Symposia. What has been the response of clinicians?
There has been a very good response from those who have tried the On1 concept. Many trainees at the symposia have been excited to see for themselves the biological, biomechanical and the clinical advantages.
What are the benefits of attending the Nobel Biocare Symposia?
Nobel Biocare Symposia represent an excellent opportunity to stay up to date with innovations in dental implants both from the surgical and prosthetic points of view. Hands-on training is a crucial aspect of these events. Participants can work on animal or plastic models and try new surgical and prosthetic approaches, components and procedures and better understand what opportunities will work best for them and their patients.
The On1 Base is, for example, a restorative concept presented at the Dubai symposium in its practical elements, but also with the theoretical aspects that support it. It is a prosthetic component that crosses between the surgical and the prosthetic steps and therefore it requires specific considerations for a correct use.
Discover more and register for Nobel Biocare Symposia – nobelbiocare.com/symposia
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- This is a very long footnote. Repeated disturbance of soft tissue healing can cause apical migration of epithelial cells and subsequently unstable pockets of tissue around the abutment. And, of course, reopening the original wound exposes the area to external bacteria. Unlike a healing abutment, the On1 concept’s key component – the On1 Base – is during surgery and not removed again. The undisturbed healing allows for soft tissue adherence, preserving the bone-to-implant interface.