Endodontic Stabilizers: Considered Implants?

Dr. M. asks:
I am not sure if this is the appropriate forum for this question. I remember in dental school learning about endodontic stabilizers. These were long, tapered posts that inserted through the root canal system and extended into the surrounding bone. The purpose of using these was to stabilize teeth which had root canal treatment and also had increased bone loss and mobility. In a way these devices can be considered implants as they do implant into the bone and osseointegrate. Does anyone use these? Does anyone know where to purchase these? Any comments on this device?

13 Comments on Endodontic Stabilizers: Considered Implants?

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A:Romano dr med, dr dent
1/13/2009
During my post-universitary studies in zuerich (swiss),from 1968 to 1970 I have seen these demonstrazions, rx and other, but i didn't understood the sense of these works. i think that these post are failed for several questions: root fracture during the drilling and than too; primary stabilisation but then osseous destruction and specially no osseointegration.. from that time i have no more seen these transradicular posts.
Alejandro Berg
1/13/2009
Used to be called intraoseous endodontic implant, but this are not modern implants. Actually I dont think anybody would use this because they fail misserably in most cases and when they come out there is usually no bone arround it.Others fracture the root and most fail to really stabilize the tooth since they dont really integrate. So why would anybody use them?.
Dr. Gerald Rudick
1/14/2009
Looking through my library, I came across a book published in 1972 by Dr. Maurice J.Fagan, of Atlanta, entitled NEW CONCEPTS IN IMPLANT DENTISTRY "IMPLANTODONTICS" who devoted a chapter of ths book to the ENDODONTIC ENDOSSEOUS IMPLANT STABILIZER. Dr. Hans Orlay of London first reported succesful use of Endodontic Endosseous Implant Stabilizers in 1964. Drs. Linkow, Edelman & Frank have established excellent techniques for the insertion of the endodontic endosseous implant. Dr. Alfred Frank, associate professor, department of endodontics, University of Southern California School of dentistry in 1967, wrote an artice entitled "ENDOODONTIC ENDOSSEOUS IMPLANT AND TREATMENT OF THE WIDE OPEN APEX" for the Dental Clinics of North America.He lists in his article indications and contra indications for the use of this device. It may have been an ingenious invention then, but it did not stand the test of time and went the way of the Dinosoars. Gerald Rudick dds Montreal, Canada
John
1/15/2009
I am a young periodontist but I do have experience with one endodontic implant. I was referred a case about a year ago of a patient who needed removal of a mandibular cuspid which had an endodontic implant. Since the patient needed a few mandibular implants, I obtained a mandibular Dentascan prior to removal of the tooth. When I saw this scan, my mouth dropped. The implant appeared to either butt up against or actually engage the cortical plate of the inferior border of the mandible. There was a also a deep radiolucency of about .5-1mm around the entire implant. My concerns about what I saw were 1. fracture of the implant (they are usually stainless steel) and 2. fracture of or communication through the inferior border of the mandible. I consulted a few old attendings of mine who have seen these implants. They said 1. they had a very high failure rate 2. they didn't act as "stabilizers" very well 3. they have have a tendency to fracture easily upon removal When I finally removed the tooth and implant, I was extremely careful (used the Piezo as a periotome) and had good success. No fractures but did require a few minutes to debride the socket. I grafted the site and appears have healed well. I don't know if this answers your question but hopefully provides some insight
Dr John A Murray
1/15/2009
Last time I looked it was 2,009
MD-Zim
1/15/2009
Just for a fair record: I have done a considerable number of these implants, with great success. The types I used were made of titanium - by Straumann, but the line was subsequently sold, some ten years ago, to a small company in Germany (ATEC Medizin Technik). It is a good system for low income countries, because the cost of the implant is low; and effective in resolving cases were the teeth have a poor prognosis. Since, I have lost interest in the system because it is only useful in a limited number of cases; which are usually easier treated with conventional implants.
R. Hughes
1/15/2009
I use endo implants and they work very well. Check a text written by Dr. Charles Weiss and his son Adam. You can buy these from Park Dental in New York, N.Y.
Dr.G.B.Pitassi,DMS &
2/8/2009
I used for around 4 years quite a lot of endo implant when I was practicing as Associate in Oral Surgery & Implantology at Department of Dentistry,Oral & Maxillo Surgery of the University of Napoli (Italy). In my opinion they work well especially if are used to treat same diseases relating the pathology of the apex connected at periodontal bone defects with wide mobility and possibility to loose the teeth especially in the area in between UL3-UR3 & LL3-LR3.The average of failure of the endo implants is very little, when they are used carefully. The surgical procedure to place Endo Implants is not very difficult. Personally I don't use anymore endo implants cause was very difficult the supplying of them as I bought endo implants from Brazil.
R. Hughes
2/9/2009
Dr. Pitassi, you can obtain the endodontic implants from Park Dental Research in New York, New York USA.
Dr Hemal shah
7/5/2009
I am practicing in India.please write me the right address for purchasing the endodontic implants.
Richard Hughes DDS, FAAID
7/5/2009
Dr. Shah, You can obtain endodontic implants from Park Dental Research, New York, N.Y., USA
Dr. Sarda
1/26/2010
Dr. Hughes, what is the price at which you buy these implants from park dental
Richard Hughes, DDS, FAAI
1/27/2010
I do not know the price. You will have to call Park Dental. They have a 212 #.

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