  
CONCEPT
BioHexTM
One Piece-One StageTM Implant & Restoration System |
The BioHexTM One Piece-One StageTM System
is the result of more than ten years of research and was developed
to overcome certain challenges associated with current implant system.
This System is defined by an elegantly simple
clinical protocol that enables the dentist to achieve an extremely
high standard of clinical efficacy independent of skill and experience.
The system consists of a unique one-piece, implant-abutment device,
together with certain other novel components and certain unique
methods for the placement of implants and the restoration of teeth.
The system is based upon two novel physical
concepts, namely, (1) a common, or standard, hexagon-shaped abutment,
and (2) a combined or “one-piece” implant and abutment.
By virtue of its one-piece design, the system is at the forefront
of the trend to perform single-stage implant procedures. By installing
the implant and final abutment at the same time and without any
further step, surgical or otherwise, the BioHexTM system offers
the only true single-stage implant and restoration procedure. Although
elegantly simple in its approach, the one-piece design incorporating
a standard abutment has been used to create a truly universal system
that allow dental practitioners to manage the entire implant and
restoration process safely and predictably.
The One-Piece, One-Stage Implant and Restoration
Protocol is a prosthetically driven implant placement concept. Each
step is determined by, and related to, the final prosthetic objectives.
By adhering to the protocol, predictable aesthetic and functional
results are assured.
Traditional dental restorative procedures
require considerable skill and expertise. Typically, the procedure
and the components used for each patient are highly customized.
Independent placement of the implant requires selection of an appropriate
abutment from hundreds of different options. Essentially, the abutment
is selected to both compensate for implant placement inaccuracies
and to address the final aesthetic and functional characteristics.
Such compromise rarely produces optimal or desirable results for
the patient.
By comparison, the One-Piece, One-Stage Implant
and Restoration is based on three fundamental concepts that ensure
a common procedure, common components and straightforward predictable
results: (a) the position of the abutment determines the position
of the implant, (b) the position and shape of the abutment determines
the ultimate success of the prosthesis, both aesthetically and functionally,
and (c) development and use of a common, optimally-designed abutment
obviates the variations and risks involved with abutment selection,
whilst ensuring optimal function, stability and aesthetic appearance.
The optimal abutment design addresses all
critical parameters, including (a) strength, (b) crown retention,
(c) crown resistant, (d) crown irretrievability, and (e) aesthetics.
In addition, elimination of the abutment-implant interface ensures
the long-term survival of the prosthesis and implant.
The One-Piece, One-Stage Implant and Restoration
Protocol supports the basic principle that the primary objective
of a dental implant is to replace missing Dentition. The term ‘dental
implant’ is therefore a misnomer, in that it implies that
the objective is merely to successfully place an implant. Under
the One-Piece, One-Stage Implant and Restoration Protocol, only
the visual aspects of the final prosthesis need to be customized
by prescription from dentist to laboratory.
The System has demonstrated safety and reliability
of its implants at success rates of over 90 percent, representing
full integration of the implant with the bone. In addition, the
System has also demonstrated the overall safety and reliability
of its system with a current success rate of 97.44 percent, representing
stability and utility of the prosthesis for all events over a five-year
period. A formal clinical study, involving 172 implant patients,
has been ongoing for more than 10 years. Whereas the osseointegration
results are comparable to the results of other implant systems,
the overall performance of this system is superior to that of any
other system.
After animal and extensive biomechanical bench
testing started in 1992, the BioHexTM One Piece-One StageTM System
was first introduced in 1995, as a two-piece device, although used
as a one-piece in a single stage procedure. FDA 510(k) clearance
was received in May 1997. After validation and satisfaction with
respect to Good Manufacturing Practices (“GMP”), the
one-piece device was introduced in October 1999, as substantially
equivalent to the unified two-piece device.
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