Pitt-Easy Implant: Any Experience with This System?

Dr. K asks:
Any experience with Pitt-Easy Implants [Innova]? I have put one in the #22 site (FDI Tooth Number) [maxillary left lateral incisor], 3 weeks after extraction. It was 2-stage. Everything was fine, soft tissue healing good for 3 months. Then suddenly the patient complained of tenderness in the area. A radiograph reveals bone loss along one side of the implant. No periapical bone loss. Any suggestion before I remove it? What could have caused the failure , since the whole implant has been covered with a tissue flap without exposure to the oral cavity?

18 Comments on Pitt-Easy Implant: Any Experience with This System?

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steven
5/6/2008
I was once extremly enthusiastic about the implant. I don1t use anymore the implant . Because of its design, total cilindric, its insertion is difficult especially in nut pltafotmed bones. The polished implantcollar is too high; the osseoresorbtion is too big.
alvaro ordonez
5/7/2008
I have placed a good number of Pitt Easy Implants including the 6.5 (will be happy to email clinical pictures to anyone requesting it), and have not have any problems or complications so far that would make the system better or worst than any other system. I am extremely happy with the results, cosmetics, function and range of available diameters. I dont find the implant hard or complicated to place. Hopefully I wont have to eat my words or get a jinx here! I believe the key is selection of the case, Pitt Easy has one of the highest rates of Primary stability of any implant system (we pilot tested a few systems in an animal model and Pitt easy was one of the top three primary stability) therefore the clinician has to be very careful with the placement technique specially in D1 bone since this implant will compress the bone really tight in part due to the thread profile in the apical area, for that reason we dont usually use it in Type 1 bone, but in areas of less dense bone, where you need enhanced stability, it is an extremely good implant. It is also nice to use post extraction. My oldest case could be about three years old and it is a lateral that look extremely nice. I have 6.5 in upper molars(TMD/clencher patient) working great and looking even better due to the improved emergence profile of wides! I am very sorry to hear you are having such problems. Sincerely Dr Alvaro Ordonez Miami
Dr.M.Ramzi
5/7/2008
I have used Pitt-Easy Implants ,for the last five years,and I am extremely happy with the results, it worked always even when failure were expected, infection,no primery stability,in one case it survived in the presence of puss uround for 5 days,it is v.easy to useit is v.handy ,I do most of my cases flapless,and immediate loading,,no lose screw ever happend,actually very good system but no good marketing.
Kevin Herring DDS
5/7/2008
I just had two failures of pitt-easy in same patient at immediate placement sites for upper laterals. There was no infection and no significant post op pain. Upon attempted removal of healing abutment, they unscrewed out of the bone. Never seen that before! I did use some dynagraft 2 to fill in voids at insertion but cortical plate was intact.
dr.kumar
5/7/2008
respected alvaro ordonez sir,can you help me to sent clinical pictures of pitt-eassy implants. with regards dr. kumar email kumardental@yahoo.com
Ruumi Daruwalla
5/8/2008
Pitt-Easy is in existence since past 25 years and millions of implants have been successfully used since then. Pitt-Easy has been widely used in India with high clinical success rates and their users swear by the results. What can one say to the failures experienced by some users (or is it competitive company spokespersons?). I will request Drs MAK, Herring and Tom to post the pictures of their failures. Not 1 or 2 implants but SEVERAL of them. Then and only then should one believe the words of some anonymous people. Coming back to Pitt-Easy, this is the implant which is one of the inspirations of NobelActive. So I shudder to think what will happen to NobelActive. If indeed any implant would come off so easily at the 2nd stage opening like Dr Ali experienced, then the implant would have been off the market long, long ago; or all the Pitt-Easy users must be really masters at letting this not happen to them. Frankly, I almost find it amazing that Dr Ali even posted such a stupid remark! Dr Ali where are you from? Can I visit your clinic to see your cases? Ditto question for the other critical dentists. One word again to users of Osseonews, please do not hide behind anonymous names and write any BS. I think these are company people passing critical remarks, and not actual dentists.
sameh barsoum
5/8/2008
I have placed only my 4 first pitt easy fixtures in one patient. Had another one planned for pitt easy scheduled yesterday however following the comments on osseonews I placed zimmer instead: that's the system I have been happily using for te past 10 years. No particular reason for this shift except that I liked the surgical tray layout and the outstanding local rep efficiency. My main observation in the case where I used the system (that was an immediate extraction, grafting insertion in the upper anterior region): I was not comfortable with external irrigation alone and was wondering whether bone overheating might be the reason for the reported failures? For now I will not place any other pitt easy until I listen to more inout about it.... BTW intimidating posters really puts me off so please maintain the ususal descent standard at least on this thread.
dr.Eslam Mosaad
5/8/2008
dear dr.Sameh ; i think it is not scientifically fair to judge a 25 years old implant system as a failed system,,if you kindly look upwards to the comments you will have a clear vision of the Pitt-Easy prognosis from the clinical experience,, i know there were lots of marketing problems in the past with the last agent but this is not the case in the mean time the new launch of the direct sales office that took place in 1/3/2008 has changed the past and bad situation, they have a regional scientific office and they have reduced the products` prices...my advice for you is to call thier scintific director for data and scientific assistance on number 0127392600... looking forward to hear from you...
alvaro ordonez
5/12/2008
To Kevin Herring: Dear Kevin, I have had many implants coming out in similar situations like the one you describe in your post, in different brands not just in one, and actually that situation has nothing to do with brands, we have 15 different systems in our office, we use all of the major brands, they all have failures. I have to be honest with you, we dentists always have to blame it on the poor dental assistant or on the products or devices that we use. We never admit we are not god! To Dr Kumar: I will be happy to email a sequence of a Pitt Easy implant placed on a lateral to you. Let me know if you need anything else.
dr.kumar
5/16/2008
Respected Dr. Alvaro Ordonez , Sir, I am very much obliged by getting very elaborating and informative pictures with discriptions on Pitt Easy Implants. It will help me a lot to increase my knowledge and experience in pitt Easy Implants. It will give me an immense pleasure If you send me more information and literature on Pitt Easy Implants.Once again Thank You Very Much. With Regards Dr.Kumar
Dr.Eslam Mosaad
5/16/2008
dear Dr.alvaro ordonez : if you plese kindly send me the pictures of your cases on my e-mail: dentislam@hotmail.com .. really appreciated. thanks.
alvaro ordonez
5/20/2008
Dear Dr Kumar, I am very happy to know you enjoyed the pictures and the case I sent you. I will be sending a different one to Dr Eslam Mosaad with copy to you (Dr Kumar) just give me sometime since I just got back from a lecturing trip and will be leaving again this weekend. Thanks Dr Alvaro Ordonez
Dr Sujit B
5/21/2008
oraltronics is one of the moost reliable system that i have worked with besides the other systems which i have worked on.i believe most systems work as there is a lot of research that has gone in them.i do believe that this problem is not system based but probably technique related.i assume that the supporting labial bone was adequately thick. we would also need th know the reason for the extraction which may give vital clue to the phenomenon.one more thing i have noticed that if the cover screw is not tightened it may lead to unexplained bone loss.you may look into this also.if the primary stability of the implant is good tou can salvage the situation by bone grafting rather than removal of the implant. let me assure the system is good and potential users should not worry dr sujit bopardikar
prof.Dr.Dr.Hossam Barghas
5/22/2008
this is like somebody was driving a car brand(x)then he made an accident ,then he said i'm not going to drive this kind of car again. actualy implant failuer espcialy before loading,means go back &check your operative notes. we supposed to talk at scientific leve.those who talks more commercial are so obvious because there is no scientific rational behind there comment.I do respect doctores who explain there comment on sientific bases. dear dr.K there are many explanation for what happened ,(rather than the kind of the implant you are using,& I can't belived that someone comment was to stop using the kind of implant you are mentioning because of what u describing), check the reason for tooth extraction,technique of extraction,&surgical implantation procedure. you said every thing was fine, this in your eyes,but what you are describing telling v.v.
Dr.Eslam Mosaad
5/24/2008
dear Dr.alvaro ordonez : iwould like to thank you fo your reply and for the very nice photos you sent, the shots are very clear and inforamtive, the x-ray images are very clear,,but i would like to comment on the success of this case although failure was expected by: i think the most important factor for the success of any implant case is the proper treatment planing and the experience of the a qualified operator, the co-factor of an easy and precise implant system has a helping hand for the success rate.. However; thank you again and looking forward to hear from you.......
Rob D'Orazio
8/12/2008
You perforated the buccal plate. The major diameter is not tapered. The buccal alveolar process often has a concavity in the maxillary lateral position. Your description is consistent with your findings. Next time, either use osteotomes, double check buccal plate with probe or flap more to visualize the area. The implant is not the problem.
Dr. Khalid al-Hamdan, BDS
8/18/2008
Failure could happen with any implant system. I'm using the system my slef since 2004 and happy with biologicl and esthetic results. Immediate implantation and loading work well with the system. I think what happend in your case is a surgical trauma. Regatds!
Gopianandan alagarsamy
4/2/2017
In fact I learned implants from the Indian dealer of "Oraltronics" in December 1995.Though they taught me all the three (bi-cortical,Pitt easy bio-oss and Blade implants), I bought the kit for Pitteasy and inserted the first implants in 26th February 1996,till date it is functional and to my surprise there is not even a bit of crestal bone loss around implants? even after 20 years (Xray was taken in Jan 2016.Please let me know how to send the photo of xray.

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