Telekonsultation – 2023-10-03 14:18

I have a loose upper premolar tooth with little bone

Dear [Patient’s Name],

As a specialist in Dental, Oral, and Maxillofacial Surgery, I am writing to share a detailed and patient-centered treatment plan, adapted to your unique oral health status and requirements. Based on your responses during our initial evaluation, we believe that ultra-short BICON implants present an optimal solution for your loose upper premolar tooth.

Before delving into the specifics of your proposed treatment plan, I would like to provide an overview of ultra-short BICON implants and their associated benefits:

  • Reduced Need for Bone Grafting: Owing to their design, BICON implants can be placed without extensive bone grafting procedures. This makes them particularly suited for cases like yours, where little bone is present.
  • Less Invasive: BICON implants are less invasive than traditional implants, thereby bypassing the need for more extensive bone augmentation or sinus lift procedures.
  • Shorter Treatment Span: The utilization of ultra-short BICON implants can potentially expedite your treatment span, simplifying the overall process.
  • Cost-Effectiveness: These implants can potentially be more cost-effective than traditional implants, as they eliminate the need for additional surgical procedures such as bone grafting or sinus lifts.
  • Potential for Lower Risk of Complications: Simplified procedures and a reduced need for additional surgical interventions may lead to a lower risk of complications.


Your treatment plan involves a series of steps, each of which is designed to ensure an optimal outcome:

The first step involves the insertion of four to six ultra-short BICON implants in your upper jaw under local anesthesia, with sedation available if requested. This surgical procedure is expected to last one to two hours. We recommend two follow-up visits, scheduled 24 hours and 48 hours post-surgery to monitor your progress. If you currently have a removable prosthetic, it can be re-adjusted two days after surgery.

Three months after your BICON implant placement, we will schedule a second appointment. During this visit, a small incision will be made in the soft tissue, and the prosthetic component will be affixed. This process will help us create a stone model to indicate the implant’s position. You will then have the opportunity to try a replica of the prosthetic and discuss your desired aesthetic modifications with our prosthodontist. You will leave the office with healing abutments to allow for proper healing of the soft tissue surrounding each implant.

The final step takes place three days post-impression-taking. Once again, you will have the chance to try the prosthetic replica and make last-minute aesthetic adjustments. The final prosthetic will be inserted 48 hours later.

One significant advantage of our procedure is that the fixed prosthesis is anchored to the implant abutments with a tight friction system. This mechanism eliminates the need for cementation or screws. If any issue arises with the prosthesis in the future, we can easily remove and rectify it without requiring special devices.

The estimated cost for this treatment ranges between 12.000€ and 20.000€ per arch, depending on the number of implants and the type of prosthetic selected.

We believe that this comprehensive treatment plan offers a timely and effective solution to your oral health concerns. We look forward to working with you and are here to answer any further questions you may have.

Kind regards,

Prof. Dr. Mauro Marincola

**Important Terms:**

  • Ultra-short BICON implants: These are dental implants that measure 8mm or less in length and offer several benefits, including reduced need for bone grafting, less invasiveness, a shorter treatment span, greater cost-effectiveness, and potential for lower risk of complications.
  • Bone Grafting: This is a surgical procedure that uses transplanted bone to repair, rebuild or strengthen bones. It is often necessary in traditional dental implant procedures when there is insufficient natural bone in the mouth.
  • Sinus Lift Procedure: This is a surgery that adds bone to your upper jaw in the area of your molars and premolars to make it taller. It is often done when the sinus wall is very thin and unable to support dental implants.
  • Prosthodontist: This is a dental specialist who designs and fits artificial teeth, including dental implants, bridges, dentures, and other prosthetics.
  • Healing Abutments: These are components that are temporarily attached to the implant during the healing phase. Their purpose is to guide tissue healing and shaping around the implant.


Ordination Dr. Michael Truppe Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66

Diese Antwort wurde mit künstlicher Intelligenz (KI) für einen virtuellen Patienten im Rahmen eines Forschungsprojektes erstellt. Die Angaben der Behandlungskosten wurden mit KI durch Abfrage der öffentlich zugänglichen Autonomen Honorarrichtlinien erstellt. Ein Behandlungs- und Heilkostenplan wird nach den Richtlinien der Zahnärztekammer erst nach einem Termin in der Ordination erstellt.

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