Placing Dental Implants

3 minute read
Drilling Pilot Hole for Hiossen Implant

Here at Midwestern we learn four different dental implant systems: Hiossen, Biohorizons, Bicon, and Straumann. We are promised two Bicon implant placements each year we are in the clinic, in addition to any other implants we place using the other systems. 

Bicon Implants

We learned how to place Bicon implants during our first implants rotation. The company claims that there are some distinct advantages of Bicon implants over other systems.

First, they are very short which makes them advantageous for areas with limited vertical bone dimension.

Second, they feature a locking taper design between the implant and the abutment. The company says that this provides an elegant and simple bacterial-seal.

Last, Bicon implants are tapped into place. This system requires no cements, helping to mitigate the risk of peri-implantitis.

All of that said, Bicon implants account for only ~5% of the dental implants market. I will definitely be doing my due-diligence to ensure that I use the optimal implants system for a given situation. I don’t believe that any one dental implant system is the best for everything.

Bicon is interesting in that it involves the use of so many hand instruments. It also makes use of low speed latch reamers.

After cutting to the desired depth with the pilot drill, the rest of the drilling sequence features flat-ended reamers. It would be pretty hard, if not impossible to drill too far with this system.

The surgical kit is designed to be as fool-proof as possible. Everything is color-matched and well described. Instrument selection is very straightforward.


One of the big advantages of using Bicon has to be the Trinia dental prosthetics system. We will be using those during our clinical years here at Midwestern. Trinia is a non-metal fiber-reinforced composite material used for all kinds of prostheses including bridges and all-on-four dentures.

Hiossen Implants

The Hiossen system is slightly different from Bicon. Probably the most notable difference is its use of threaded implants as opposed to Bicon’s tap-in version.

For our first dental implants rotations we have mostly been developing a feel for the handpieces and placing the implants into simulated mandibles. We didn’t use a surgical guide because our instructors want us to get a feel for angling the drill through the bone. In the clinic and during later rotations we will be using surgical guides.


Because Hiossen implants are threaded, we had to use wrenches to torque them into place. The wrenches we use tell us exactly how much torque we are applying to the tooth. Also, we didn’t learn during this rotation, but we will be figuring out what type of bone we are drilling into later. If an implant is torqued in sufficiently, it becomes a candidate for same-day loading.

I don’t know when we have the Straumann rotation, but I will be sure to talk about it when I do. Although we don’t learn Biohorizons in our simulation clinic, we will be using them in the clinic. We are lucky to be learning so many dental implants systems this year. We will be able to use whichever system we prefer for the cases we’ll see starting next year.

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