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PLANNING

 Standard panoramic x-ray view is not sufficient for closed surgery. Because with these x-rays, a two-dimensional image can be obtained and only the height of the bone can be seen. However, the diameter and depth of the bone cannot be seen. Therefore, the feasibility and ideal position and angle of the implant may not be determined on two-dimensional images. The most accurate evaluation for the diameter and length selection of the implant to be placed will be made with three-dimensional imaging systems. Three-dimensional imaging systems are a very important tool in determining where and how the implant can be best placed without opening the gingiva.

Before closed surgery, a three-dimensional image of the inside of the mouth is taken. Afterwards, the dentist analyzes the patient's teeth and jaw structure in the "surgical guide" preparation program on the computer. Based on the analysis results, it plans where and at which angles and in which dimensions the implant will be made.

Closed surgery cannot be performed with every implant brand. For closed surgery, some implant brands have special drill sets for their implants and parts called "sleve" for plate preparation. You can consult us to get information about the brands that produce solutions in this field.

The digital data generated after the implant planning is transferred to special CadCam systems, and a surgical template is created through these systems without touching. This template is a transparent plastic plate that shows how the dentist who will perform the implant surgery will place the implants in which areas. “Sleves” are attached to this plate that guide the burs used to open the implant slots. Afterwards, this plate is disinfected and prepared for the surgical procedure.

SURGICAL STAGE

A 3-dimensional image of the chin is taken and a "surgical guide" is prepared so that the implants can be placed seamlessly. It is the stable fit of the surgical guide produced as a result of target planning in the patient's mouth.

The prepared plate is placed in the mouth. In accordance with the directions on the surgical plate, small holes are made in the patient's mouth, without making deep cuts with a scalpel, through which only the implants can enter. Then the implants are placed. As a final step, gingival shapers are placed in the area where the implant is placed. The purpose of this is to shape the gums for the prosthesis to be made and to prevent the gum from covering the implant during the healing phase. There is no need for stitches to the gums after this surgery. For this reason, it is also called sutureless surgery.

 

• Surgery time is reduced to one third or even one fourth compared to classic approach.

• Implant positioning can be much more accurate. This has a positive effect on the long-term success of the dental implant.

• In some cases where advanced surgery is required, the implant can be placed without the need for further internevtions.

• Post-surgery bleedings, pain, swellings are seen much less and for a shorter time and no stitches needed.

• Recovery time is much faster.

• It is possible to produce more aesthetic and functional prostheses.

• Cannot be performed for patients who don't have sufficient bone volume and quality.

• It is a little more costly than classical surgery.

• If the treatment has planed badly or the surgery is not performed in accordance with the planning, wanted results cannot be obtained with the closed surgery and the procedures can be continued with the open approach. Dentist's experience and skill in field is extremely important.

One of the most important advantages of guided surgery over classical implant surgery is in prosthesis field. In classic method, implants are placed, then the impression is taken. The prosthesis is planned in the first stage when it comes to guided surgery and the implants are tried to be placed in the most suitable places for the prosthesis. In this way, more aesthetic, more stable and more functional prostheses can be obtained.

Other than that the prosthesis stages are the same as the prosthesis stages in classical surgery.