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Training system under critics
The university implantology training system is under fire for not having invested in cortical implantology and more specifically basal implantology.
Indeed, accusations go even further since they would have consciously invested in less efficient systems under pressure from large international groups to keep their monopoly and sell only their products to the detriment of the patient.
While the UK are recognized in specialties such as orthodontics, oral surgery has lagged considerably behind, mainly due to large multinationals not wishing to lose their monopoly through lobbying actions on French university teachers.
Why few basal implants in UK?
The use of smooth titanium, which is the basis of basal implantology, has been used successfully for many years in specialties such as orthopedic surgery with hip prostheses for example, reconstructive surgery such as titanium implants allowing the reconstruction of bone after a fracture.
Outside France, UK, basal implantology is becoming widespread in many countries (USA, Russia, Canada, Asia and Eastern Europe) and has received authorization from the American Health Safety Agency (known to be strictest in the world). Despite the many studies that indicate a higher success rate, basal implantology, also known as cortical implant or strategic implant, is only taught in a few universities and dental faculties such as London or Cardiff.
Various reasons can be identified:
- Basal implant certifications
It is necessary for dental surgeons wishing to practice immediate basal implantology to review all their knowledge. The rules imposed in traditional dental implantology cannot be transposed to basal implantology.
Some of them will even be strongly contraindicated. Immediate loading is a striking example. When it is necessary to wait 6 months – 1 year for the osseointegration of (traditional) dental implants, basal implants will be loaded within 72 to 96 hours after implantation.
This allows a distribution of chewing forces. To allow timely production of the prostheses, technical means are necessary. The latter are unfortunately still missing in UK since dental clinics with this technology can be counted on the fingers of one hand.
Indeed, the second problem encountered by UK dentists. The material means with the lack of equipment in their offices and clinics which are due to the country with taxes, salary costs, etc.
- Human and material resources
The basal implantology protocol requires significant technical and human resources compared to traditional implantology, which only requires a dental surgeon and his assistant. In latest-generation basal implantology, the prosthesis (bridge) must be fixed within 72 to 96 hours after the placement of the dental implants.
Mouth tests are carried out throughout the process. This requires both that the dental clinic has a dental prosthesis laboratory in its clinic, as well as that these technicians are trained for this type of treatment.
The dental prosthesis laboratory is also specific with specially designed devices. The clinic must have a medical imaging system and appropriate implantology equipment. Given the fact that 90% of implantologists in UK work in a practice, most do not have sufficient infrastructure and the creations of the jawbones must be sent to a specialized laboratory in UK or abroad, which does not allow deadlines to be met. immediate basal implantology.
Who are the big losers?
In conclusion, the losers are of course the patients since there are modern technologies that are safer and less expensive than traditional bone grafts + implants. They will therefore have no choice but to pay pharaonic sums in UK to go to one of the 2 dental surgeons qualified for BAx basal implantology or to go abroad.
Sourire Dentaire works with the co-creator of the basal implant who has been working for more than 20 years on all types of cases, even the most difficult ones. If you wish to have more information on the treatment, do not hesitate to contact us.