Southern Implants – Max Implant

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Has anyone had experience with Southern Implant’s Max implant – the short, super-wide body implant that was developed by Andrew Ackermann and is designed to fill/occlude large molar sockets? If so, what’s the scoop?

Tony

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Tony:

I have a colleague in Columbus, Ohio who has extensive experience with this implant. He claims great success. He is a very excellent clinician and you may know him from his activities in the Seattle Study Club.

His name is Jason Stoner. Please feel free to e-mail or call him and use my name as a reference.

jasoncstoner@yahoo.com

614-889-8222 (Work)

Warm regards,

Steve

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Tony,

I have placed about 40 of them with complete success. THey are pretty easy to place and have extremely good stability at placement. The surgery kit could use some work, but all in all it has been very successful. Case acceptance has been good because of the shortened tx time as well.

Jason

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Tony,

How do you define complete success? Have they all been loaded?Do you have any photos of the final prosthetics? What are the prosthetic options? What is the longest loaded implant that you have placed?

Thank You

Dominic

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Dominic – for clarity sake: Jason replied to my inquirey. Jason, please answer Dominic’s questions.

Karl

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Steve

I know Jason and I know he is a good guy
I am curious…have you ever seen any of his casework?

Thanks

Mark

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My concerns are on a similar level to Dominic’s. If we look carefully at the clinical work by Grunder and the histo/dog work from Lindhe, Araujo, Hurtzeler and Fickl, we know that there will be 1 – 1.5mm of vertical site collapse after extraction and that there should be, in an ideal world, 2mm of BONE on the facial of our implants. I’m not sure that occluding a molar socket at the time of extraction where, in a significant majority of cases, there’s less than 1mm of buccal bone, is advantageous. (Sorry, but I can’t find the reference of the paper published in the last few months that shows a very small percentage of sites with more than 1mm of buccal bone at the time of extraction, I’ll look for it.)

Bob

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Jason

I have never heard of this system before today

In thinking about this…I should have asked you..

Can you post any x-rays or case work that shows the system and some of what you have done?

Thanks

Mark

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The system is from South Africa, looks like an inverted pyramid (in the mandible, that is!).
They have great results, have not seen them published as of yet.
I know they have been building a sales force and presence here.

Bob

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Attached, find a Wod doc of one of the company’s literature offererings.

Karl

[document redacted]

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Dominic,

I define complete success as osseointegration without mobility, inflammation or pain on function, and no evidence of bone loss after prosthetic completion. These implants have not been out very long (2 yrs). My longest case is 17 mo. (15 mo. loaded). All of the implants have been loaded between 2 and 3 months. I have varying stages of radiographs, but have not evidenced any with bone loss or complications.
The prosthetic options include the ability to utilize parts from either Nobel or Straumann, or you may use Southern parts of course.

Jason

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Bob,

Actually I have never occluded a molar site. There is a jumping distance around the implant that is usually in the 1-2mm range (depending on tooth size). I only use the 8mm diameter (they come in 8 or 9 mm diameter X 6, 7, 9, or 11 length). I would engage neither the buccal nor lingual plates with these implants.

Jason

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Mark,

I will send you a powerpoint and radiographs. Give me a day to put it together.

Jason
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Mark,
Here are some pics I put together for you hastily. The first case was done by my friend James Woodyard in Evansville, IN.

Jason

[document redacted]

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Jason

I have to admit that I was skeptical but those are impressive.
How would you compare the crestal bone loss in these cases with other platform or Astra implants after 12 months?
Thanks for sharing the cases.

Mark

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FYI, the advertisement is a little misleading. This might be splitting hairs, but Dr. Ackermann won the AO Clinical Innovations Award in 2007 for his presentation titled “A New Innovation in Immediate Implant Placement in Molar Extraction Sites”. The AO did not judge the merits of the innovation, just the presentation, which must have been pretty good. Implying that winning the award somehow validates the implant is a misrepresentation.

Jeff

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Mark:

Yes! He’s an excellent clinician. I have been to his office and watched him do surgery. He has been a member of the core group of NASP, and I have gotten to know him very well. We also took the Laser Training for LANAP together.

Steve

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Well, now that I Stephen Brown has endorsed Jason Stoner, I think he should run for Grand Poobah of the Mystic Nights of the Sea.

Stephen

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Steve-

Thanks for the kind words. Sometime you’ll have to tell me about the Mystic Poobah thing- I want it. Haha

Yours,

Jason

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