30 May 2022

Dental implants without surgery 

In the mid-1980s, dental implants began to be placed in patients and since then there  have been many advances. 

Today, thanks to technological developments, it is possible to  perform an implant surgery being as non-invasive as possible, that means, damaging as little as possible the periodontal tissues around the implant. 

Techniques  to perform dental implants

There are different techniques  to perform this surgery, such as guided surgery or flapless surgery (no flap is raised).  

The flapless technique

The flapless technique is a procedure that is usually used when there is sufficient  keratinized gingiva (a minimum of 2 mm is required) and bone. 

This technique consists of,  as its name says, placing an implant but without raising any flap. Normally, what is done  is a circular incision, thanks to the punch, to remove the gum where the dental implant is going  to be placed. 

One of the advantages of this technique is that by not raising a flap, healing  is faster and there is less risk of infection. 

Guided surgery technique

Another option to place an implant is through guided surgery. In order to perform this  technique, it is necessary to do a very good digital planning where it is essential to have a  3D X-ray of the patient (CBCT), and some models of the patient’s mouth. Based on all  this information, the dentist is able to plan the surgery and see which is the best option to  place the implant, thanks to a software

Once the dentist has been able to determine  where he wants to place the implant with the software, a dental splint is made which will  fit perfectly in the patient’s mouth and will help the clinical to place the dental implant where it  was planned to be.

The main goal of this technique is to help the implantologist to preserve  the anatomical structures, but it also allows him to perform an immediate aesthetic and  be less invasive. 

The advantages of performing this type of surgery is the increased  precision when placing the implants, the incidence of human error is reduced, it is faster and easier to place the implants, the results can be anticipated, and the postoperative  period is faster and comfortable, especially in those where it is not necessary to raise a  flap. 

As for the postoperative period, the more conservative the dentist has been, the more  likely it is that the recovery will be better and faster and may even be painless. 

To have a  good postoperative and reduce pain as much as possible, it is essential to follow the  instructions that the professional gives.


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    Dr. José Nart Molina

    Dr. Jose Nart received his dental degree in 2001 from Universitat Internacional de Catalunya (UIC), Barcelona, Spain, and his Advanced Certificate in Periodontics and Implant Surgery from Tufts University in 2007. Dr. Nart was awarded Diplomate status by the American Board of Periodontology on May 2008, and he obtained his PhD in Dentistry in 2010 with the highest degree. Currently, he is Professor, Chairman and Program Director at the Department of Periodontology at UIC-Barcelona, and President for the Spanish Society of Periodontology and Osseointegration (SEPA). He maintains, with his family, a well-known multispecialty private practice in Barcelona, Nart Dental Clinic, as medical director. Dr. Nart is author of many international high-impact JCR publications (+110), worldwide speaker and reviewer of the highest impact factor Periodontology and Implant Dentistry journals.


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