Abstract
This lecture explores how implant macro-geometry directly influences clinical performance, long-term stability, and surgical predictability. The Bicon Dental Implant System is presented as a design-driven solution emphasizing plateau geometry, a 1.5° locking taper bacterial seal, a sloping shoulder, and a hemispherical abutment base. These features are analyzed in contrast to conventional screw-retained systems, highlighting differences in force distribution, bone remodeling, micromovement, and maintenance complications. Clinical evidence demonstrating crestal bone stability and bone gain over long-term follow-up is reviewed. Indications for SHORT® and NARROW® implants in limited vertical bone, posterior maxillae, and proximity to anatomical structures are discussed, with emphasis on reducing surgical morbidity and avoiding augmentation procedures when appropriate. The session concludes by examining how simplified surgical and restorative protocols may enhance efficiency, reduce complications, and improve overall practice profitability.
Learning Objectives
At the conclusion of this lecture, participants should be able to:
- Explain how implant macro-geometry influences bone remodeling and long-term clinical performance.
- Differentiate between the “pressure principle” of threaded implants and the “callus principle” of plateaued implants.
- Describe the biomechanical and microbiological advantages of a 1.5° locking taper bacterial seal.
- Identify clinical indications where SHORT® and NARROW® implants may reduce or eliminate the need for augmentation procedures.
- Evaluate how simplified prosthetic protocols without screws or splinting can improve efficiency, reduce complications, and enhance practice outcomes.