Thursday

Flapless Implant Procedure

Here is a video of a flapless implant placement. This technique is most commonly used in placement of mini implants like IMTECH or MILO type of implants. Flapless implant placement needs more experience and properly prepared stents to guide the implants in the planned direction. since there is limited visibility of the implant direction in this case care should be taken to see that the implant is not lingually or bucally directed and avoid perforation of the cortical plates.
This video dose not have clear commentary and the sounds of instrumentation at times is quite loud. It is a nice video if you want to watch the procedure.
Read the exclusive comments by Dr Luchetti (comments section) to understand the video better.



Thanks to Dr Cesar Luchetti for this video

2 comments:

Dr. Cesar Luchetti said...

First to all, thanks for include my video here and for your comments.

The implant used in this case is a tapered, two pieces with an internal hex, 4 mm wide and 13 mm long,

The first thing to do in a case like this after you have made the imaging diagnosis, and before you decide to go flapless, is to do a ridge mapping with a anesthetic needle.

Then, the first bur, 1,5 mm wide is used to the final length of the osteotomy.

The procedure continues using threaded expanders, sequentially, to finish the preparation of the surgical socket.

The use of the expanders gives two major benefits. First, you achieve the best initial fixation you can get in order to make the immediate loading. Also, since you are not drilling, you almost eliminate the possibility to break the bucal or the palatal plates.

After the procedure is done, the top of the implant carrier is cut to transform it in a temporary abutment. Then, an acrylic, chair side, temporary crown is made.

Flapless procedures in cases like this are really easy, but people need to have some experience to do it well. In our University, I always prefer that my students learn first conventional approaches, raising a flap, and then after they achieve some skills, I teach them how to do it flapless.

Finally, the major noise in the video comes from the aspirating device. I know it could be loud, but I preferred to maintain the real sound.

I hope the comments here will help your readers. Also, I invite you to visit my blog at
http://oral-implantology.blogspot.com/

Sincerely,


Prof. Dr. Cesar Luchetti
Associate Professor. Department of Implant Dentistry
National University of La Plata
Buenos Aires, Argentina

Perio Talk said...

Thank you Dr Luchetti for those exclusive comments. I am sure it will help the readers understand the video better.

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