"Study of the Month", August 2024: Consensus on BIC and PES after Immediate Ceramic Implant Placement Introduction

Welcome to the August 2024 “Study of the Month.” This edition highlights the first of five consensus statements from the Joint Congress for Ceramic Implantology (JCCI) on ceramic implants. Published in the renowned Journal of Oral Implantology, it summarizes insights from leading global experts, covering bone-implant-contact (BIC), pink esthetic score (PES) after immediate implantation, implant design, and their impact on clinical outcomes.

Objectives

Consensus Statement 1 – Using BIC to assess vertical bone loss

• BIC% measures the direct contact between implant and surrounding bone, typically determined histologically.
• To monitor vertical bone loss (VBL) clinically, the consensus recommends standardized CBCT measurement.
• Accuracy depends on patient stability, using the same imaging device, and consistent software analysis. Discrepancies between radiological and histological assessments are less likely when the bone wall is thicker than 0.5 mm.
• VBL is defined at specific time points: immediately post-implantation (T0) and after 12 months (T2).
• Example: After immediate implantation in the molar region, VB was 11.37 mm at T0 and 13.27 mm at T2. Bone loss is calculated as the difference between these measurements.

Conclusion

The consensus emphasizes standardized BIC% and VBL measurement to ensure predictable outcomes with ceramic implants. Clinical trials, preclinical investigations, and patient-reported outcome measures (PROMs) form the basis for safe immediate implant placement, enhanced esthetics, and improved oral health-related quality of life.

References

Full consensus statements were published under the title „Ceramic Implant Rehabilitation: Consensus Statements from Joint Congress for Ceramic Implantology: Consensus Statements on Ceramic Implant.“ in in the Journal of Oral Implantology, August 2024.

Prof. Dr. med. dent. E. Schnurr (Scientific Advisor, SDS)

Provides scientific guidance for SWISS DENTAL SOLUTIONS. She researches the oral microbiome, biofilm infections, and their impact on overall health: from clinical research and data analysis to drug development.

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