Fact: Every fifth implant develops peri-implantitis.

Up to 80% of implants present mucositis symptoms confined to the soft tissue around the implant. It is characterized by redness, swelling and bleeding on probing. The mucositis around implants, combined with low adherence to a protocol of oral hygiene, dramatically increases the risk of peri-implantitis. (5th ITI Concensus Conference). 

18225329

Implants affected by peri-implantitis.
Every 7 seconds another implant is added to the list

23%

Percentage of implants
affected by peri-implantitis

Peri-implantitis is caused by Gram-negative anaerobic bacteria and is influenced by various other factors:

Fact: Every 2-piece implant system has microgaps

Various studies have indicated that the connection between the implant and abutment of a two-piece dental implant is more complex than it may seem. At the implant-abutment junction, there is always some kind of micro-gap. This gap is subject to change in width when mechanical loads, like chewing, are applied. When the implant and abutment system stays under applied forces, they move slightly, creating a suction effect that draws saliva through the micro-gap into the implant and abutment сhannel.

Bacteria within the saliva are also drawn inside. While aerobic bacteria may not survive, anaerobic bacteria stay inside and multiply. Some implant systems featuring Cone Morse platform connections promise a “cold-weld” phenomenon and no implant-abutment gaps – an impossible commitment! Studies confirm that even macroscopically good fit reveals severe flaws under SEM examination.

Despite the growing precision at the implant manufacturing process, the metal-to-metal implant-abutment structure cannot be perfectly sealed.

Standard milling tolerance  ±,0.05mm = 50μm (!)
Implant-abutment microgap is 2-40μm (gap grows under mechanical load: сhewing)
Bacteria size is 0.4-1.0μm

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So the possible solution lies outside the implant design…

Fact: Implant systems internal conditions are ideal for bacteria proliferation

The implant screw-channel provides a perfect environment for harmful anaerobic bacteria to grow due to optimal temperature, nutrition, and anaerobic conditions.
When implants are loaded, they experience mechanical micro-movements that create a suction effect (like a pump). This effect draws saliva from the mouth into the implant, allowing bacteria to penetrate inside.

While aerobic bacteria die, anaerobic bacteria thrive in this environment. If the colonies of these bacteria occupy a larger volumes (and the volume inside the abutment is higher than the deepest possible periodontal pocket), it can lead to complications: Inflamed and bleeding soft tissues,  foul smell, Mucositis and, eventually, Peri-implantitis with a crestal bone loss.

Fact: Most of the screw channel fillers are not made for this purpose

Most dental implant systems are made of two components: the titanium implant that is placed into the bone and the abutment that is mounted onto the implant. The connection between the two components is secured by a screw. Crowns or bridges can be cemented over the abutments or can be fixated to the abutment utilizing the same screw. In both cases, the abutment access tunnel after screw fixation needs to be filled with a material prior to сlosing the access hole from the oral environment with composite or cement. 

Before Sil-flow was introduced, dentists used different materials to fill the abutment screw channel, such as temporary cement, cotton pellets, gutta-percha, Teflon tape, or wax. All those materials were not developed for this mission, some are not even considered medical devices. As a result, the lack of internal sealing creates the perfect conditions for the proliferation of anaerobic bacteria inside the implant/ abutment system and eventually leads to the development of Mucositis and  Peri-implantitis.

Sil-Flow is a specifically designed and certified material to seal the implant /abutment systems.

Sil-Flow helps to prevent one of the main problems relating to dental implants: internal bacterial proliferation, which is widely recognized as a causative cofactor for the development of peri-implant diseases like Mucositis and Peri-implantitis.

Why is Sil-Flow your perfect choice?

With SIl-flow, you can finally improve your workflow, while removing non-certified unstable materials, which can promote bacterial growth, or composite, which can present a challenge to removal.

DSI Sil-Flow has been created with the needs of dental professionals in mind for a maximum chair utilisation rate. It allows easy placement and just as easy removal. The light-cured material flows smoothly, making application quick, simple and comfortable.

 It securely obturates the screw access channel to prevent food and debris impaction while protecting the screw head. In addition, no intermediate layer is required, greatly simplifying applications and removal. 

The cured material shade is semi-transparent white, which blends with the natural tooth colour.. The removal is easy and fast, with only a basic hand instrument necessary, as DSI Sil-Flow stays elastic and is removed in one piece as a cork.

Discover how Sil-Flow can help you in a daily workflow and prevent peri-implant diseases.

Sil-Flow is an innovative medical device that achieves a 100% hermetic seal of the implant systems. It prevents bacterial growth inside dental implants, which is a major cause of peri-implantitis.

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