Owner of a prominent implant center, a Fellow of the Royal College of Dentists of Canada and a Diplomate of the American Boards of Periodontology and Prosthodontics, Dr. Bobby Birdi is one of the few board-certified dual specialists in both periodontics and prosthodontics across North America. He is also the co-founder of the Digital Dentistry Institute, one of the leading dental educational organizations in Canada.
Dr. Birdi was also one of the first Canadian dentists to adopt the Xeal™ and TiUltra™ surfaces. Here, he discusses how they have benefitted his practice, and why he is confident that they can help him achieve positive long-term treatment outcomes.
Dr. Birdi, could you please give us a brief summary of your professional activity?
I own a multi-specialty practice in Vancouver called BC Perio Dental Health & Implant Centre. It’s a leading implant center in Canada and provides all aspects of periodontal and prosthetic treatment including surgical planning, implant placement, digitally-guided navigational therapy, as well as the fabrication of prosthetic parts.
At our office, we’re really focused on offering immediate loading for single implant cases through to full-arch restorations. I would estimate that about 40% to 50% of the implants we place are immediately loaded.
Approximately how many cases have you used Xeal and TiUltra for since adopting them in your practice?
We place over 700 implants per year, and about 90% of those are Nobel Biocare implants for all types of cases, including full arch. As soon as we were able to integrate these surfaces—approximately July 2019—we quickly switched to using Xeal and TiUltra versions for all the products available with the new surfaces. The biggest portion of our implant stock is NobelParallel CC, and now we only order with the TiUltra surface.
In terms of Xeal and TiUltra, what was it that first excited you about these new surfaces?
When we look at implant surfaces throughout the world and how they’re created, it’s rare to get the opportunity to work with an implant surface that has different, gradually changing zones of roughness like TiUltra does. It’s about time that we have a surface designed to meet the needs of integration of tissue at every level.
Regarding Xeal, I was impressed that, through the Mucointegration™ process, it has been designed to promote soft tissue attachment with the abutment, which is important in terms of preventing bone loss and contamination.1,2,3,4
The golden hue was also something that I looked forward to witnessing a natural appearance for patients with a thin biotype, we’ve already seen improvements in their transmucosal appearance.