Praxis Dr. Boris Bill
Tattenbachstrasse 12
D-80538 München
Praxis Andreas Müller
Nürnberger Strasse 20-22
D-63450 Hanau
Professor
(Univ. Split, HR)
Dr. Dr. Josip S. Bill
Mund-Kiefer-Gesichtschirurg
Cranio-Maxillo-Facial Surgeon
Ästhetische und Wiederherstellende Gesichtschirurgie
Aesthetic and Reconstructive Facial Surgery
Termine-Appointments:
Dental Implantology
Today, dental implanvology is the best choice for tooth loss when special emphasis is placed on perfect aesthetics and function. Dental implants have become the standard for high-quality restorations.
Professor Bill cooperates closely with colleagues working in implantology and specialises in bone augmentation in complex cases of bone loss, including after implant loss, injuries, tumours and malformations as a preparatory measure to create a suitable implant site.
Today, computer simulation using digital volume tomography (DVT) is part of the standard of care. Within the framework of so-called navigation-supported implant planning, computer-controlled individual surgical templates are produced, which offer you optimum safety and precision in implantological treatment.
In addition, an implant-supported temporary restoration can be fabricated before procedure. This means that, ideally, you will leave the practice with teeth in your mouth after surgery!
Professor Bill is one of the first surgeons worldwide to use 3D models based on CT or MR data for surgical planning. These models enable very precise planning of surgery, which has the advantage that surgical results can be better predicted, surgery time can be significantly shortened and the risk of complicated procedures can be reduced.
Professor Bill has received several national and international awards for his work in the development and application of surgical 3D models, including dental implantology.


Procedure
Dental implantology is usually performed on an outpatient basis under local anesthesia. Very extensive procedures also can be performed under sedation (sleep combined with local anesthesia) or under general anesthesia. You can be discharged after a few hours.
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If possible surgery is minimally invasive using the latest techniques and methods, including special drills and thread cutters, as well as ultrasound instruments for tissue-sparing bone preparation (piezo surgery).
Video Dental Implantology
Bone Augmentation
in Dental Implantology
If there is a lack of bone, bone augmentation (bone grafting) may be necessary before implantation. The augmentation technique depends on whether the bone deficiency is in the lower jaw or the upper jaw.
Mandible
Bone augmentation or the creation of an implant site on the mandible is carried out using bone augmentation plasty or by bone spreading or distraction.
Maxilla
In the maxilla, the implant site is created by augmentation in the area of the maxillary sinus floor.
This procedure is known as a sinus lift: The mucous membrane of the floor of the maxillary sinus is lifted and the resulting space is filled with bone augmentation material. There are three different surgical procedures for this:
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External sinus lift:
With visualisation of the maxillary sinus mucosa from the lateral upper jaw.
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Internal sinus lift:
​Displacement of the maxillary sinus mucosa from below through the prepared implant site using special instruments.
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Balloon sinus lift:
​Displacement of the maxillary sinus mucosa from below through the prepared implant site using a special balloon.

Various bone augmentation materials are used:
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Patient's autologous bone:
This can be obtained from different regions. This is usually bone from the mandible, maxilla or pelvic bone.
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Donor bone:
Specially prepared donor bone. The great advantage of this bone is that no autologous bone has to be harvested. This shortens surgery time and healing phase.
In combination with patient's own bone marrow stem cells, this is the most efficient bone augmentation procedure.
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Alloplastic bone grafting material:
There are a variety of materials available for this. These can be used for smaller bone augmentation.
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Autologous bone marrow stem cells:
These are obtained from the patient's own pelvic bone via a small incision with subsequent preparation for autotransplantation.
This procedure delivers excellent results. Anyway it is practically no longer feasible in our speciality in Germany due to legal regulations (Medicines Act, Transfusion Act, Transplantation Act).
The most suitable procedure is determined on an individual basis.