Minimally Invasive Dental Rehabilitation

What is it?

In recent years osseointegrated implantology has seen substantial developments in materials and procedures of any kind. In addition, innovative techniques such as All-on-four/V-II-V/All-on-six and computer-assisted systems have made it possible to substantially reduce waiting times and the discomfort felt by patients,  facilitating the work of those involved in the manufacture of prostheses. The truly revolutionary aspect, however, is that with these methods it is now possible to restore fixed teeth to most patients with severely compromised or edentulous teeth in a single day.

When is this procedure indicated?

In compliance with modern procedures for non-invasive rehabilitation of atrophic jaws, fixed rehabilitations are performed in collaboration with the Oral Surgery Department according to a screw-retained procedure, using the "all-on-four" and "all-on-six" techniques, which involve the use of a small number of implants for functional restoration of an entire arch. Complete and partial rehabilitations of the stomatognathic apparatus are also performed. In close cooperation with the Department of Implant Surgery, rehabilitations using osseointegrated implants as support are performed. Of particular interest are rehabilitations achieved with the use of osseointegrated implants, which make it possible to solve cases of considerable complexity even in the presence of very extensive edentulias (toothlessness) and considerable loss of supporting bone, which would once have been solved with removable prostheses.

How is it performed?

Minimally invasive techniques differ from traditional procedures mainly in the tilting of the implants, which, in the posterior sectors, are no longer inserted perpendicularly into the bone. This allows better use of all residual bone, eliminating, in most cases, the need for challenging bone grafting and reconstruction and thus extending the possibility of immediate loading, i.e., fitting fixed teeth the same day the implants are inserted.

The application of computer-assisted techniques that allow computer reconstruction of the anatomical situation of the patient's mouth and elaborate the ideal implant-prosthetic surgery plan on this basis.

After taking a CT scan and uploading the data to special software to have an absolutely faithful three-dimensional reconstruction of the patient's bone and important anatomical structures, it is possible to study each case in great detail and virtually place implants and new teeth. When the optimal solution is identified, all that is left is to send the files of the programming itself to the implant house, which on the basis of the data will create a surgical guide, which will take into account all the information about the patient and the type of rehabilitation, as well as models on the basis of which the dental technician can prepare the new teeth even before the surgery itself. In this way, all implants are applied at the same time in one step and without the need to incise and peel the gingiva, greatly reducing the risk of bleeding in the immediate period as well as pain, swelling, and functional discomfort in the postoperative period. Each implant is automatically inserted in the correct position. Immediately thereafter, the technician's previously prepared fixed teeth can be fitted.

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