Implant Treatment Without Surgery

We offer guided dental implant procedures in addition to conventional implant surgery. Guided surgery is one of the latest high-tech technique in dentistry which can be applied by only few advanced clinics at the moment.

Guided dental implant surgery is a cutting edge technology that allows us to replace your missing teeth with the minimum amount of surgery and the maximum level of preplanning foresight. Standard panoramic X-rays do not offer enough detail for closed surgeries. Two dimensional panoramic X-rays may not offer accurate images about the applicability and placement of implants. Best images for implant can be taken by CT scan. 3-D scanners allow your dentist to determine the place and the method of placement of the implant without cutting your gum. Your dental impression is transferred to a special software after the scanning process and analyzed by your surgeon. To carry out the surgery exactly as planned, a custom surgical guide and a guided surgery kit are needed. We have all the technological devices and programs to fulfill all the guided implant processes in our clinic.

Pros:

More comfortable for patients, shorter surgery time, less bleeding and pain after surgery, no cutting or stitches at the surgery, shorter recovery time for patient.

Predictable surgery, immediate loading technique  is possible, graft usage can be minimized.

Cons:

Can not be applied to patients who have not enough bones, need additional time to plan implants before surgery, more expensive than standard surgery.


 

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Standard panoramic x-rays do not offer enough detail for closed surgeries. Panoramic x-rays give a two dimensional image which shows the height and width of your jawbone, but not the size and depth of it. For this reason, two dimensional panoramic x-rays may not offer accurate images about the applicability and placement of implants. Best images for implant can be taken by 3-D scanners. 3-D scanners allow your dentist to determine the place and the method of placement of the implant without cutting your gum.

Before closed surgery, your dentist takes 3-D images of your teeth, soft tissues, nerve pathways and bone in a single scan. Your dental impression is transferred to a special software after the scanning process and analyzed by your surgeon. With a special software, the surgeon can position the implants in the desired locations virtually. The correct width and length of the implants are selected to assure safe placement with respect to surrounding nerves and sinuses. Finally, the surgical guides are prepared. These surgical guides allow the surgeon to place the implants according to the 3-dimensional virtual work-up. The surgical guides are made to fit patient’s mouth with precision, and allow the surgeon to position the implants exactly as planned.

It is not possible to use any implant brand for guided closed surgery. Only some implant brands offer special drill sets and special sleeves for plaque preparation that are specific to guided closed surgeries. You can contact us for detailed information about these implant brands.

After planning, the digital data is transferred to special CAD / CAM systems to fabricate the surgical guide template. This template is a transparent plastic plaque which guides the surgeon to position the implants with precision. Special sleeves that guide the drills to open implant holes, are located on that template. Finally the template is being disinfected to be ready for surgical operation.

If the patient has removable denture, barium sulfate is put into that denture to get the implant template. With this method, the distance between the gum and the bone can be measured more precisely. Another method is that, the surgeon places 2 or 3 mini implants within the jawbone of the patient by using minimum anesthesia and takes a 3-D image of patient’s mouth. The aim of this method is to make sure that the planned surgical guide fits patient’s mouth with precision.

The surgery is typically performed under local anesthesia and often requires no sutures. The template that have been produced is securely fixed in position on the jaw. The openings in this template form precise guides for the placement of the implants. So the implants will be accurate in terms of position, width and depth. If necessary, a new oral 3-D image is taken to be sure that the template and the practice are identical. The surgeon makes a cut to open patient’s gum and expose the bone. Holes are drilled into the bone where the dental implant metal post will be placed. Finally, a gum shaper is placed in the implant to prepare the gum for  the prosthesis. As this procedure often requires no stitches, it is also known as flapless guided implant surgery.

After guided implant surgery, the patient may have fixed prosthesis on the same day of implant placement procedure. As there are no sutures and minimum swelling, the prosthesis measures are taken more accurately.

In standard implant treatment, first the implants are placed and then the prosthesis measures are taken to manufacture the prosthesis. However with guided implant procedures, the prosthesis is planned at the beginning of the procedure and the implants are placed to the points that are best for the prosthesis. Thus, more aesthetic, stable and functional prostheses can be made.

Other prosthesis phases are same with the standard implant treatment.