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KMID : 0602720090130040238
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Implantology
2009 Volume.13 No. 4 p.238 ~ p.245
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Flapless implant surgery with 3D digital dental CT; A case report
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Jang Myung-Jin
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Abstract
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Today’s oral implantology tends to evolve into a less time-consuming, a more aesthetic and a less invasive way to restore a lost dentition. A flapless implant surgery is easy to perform for the surgeon and beneficial for patients. In the past, the surgeon used to decide on the chosen implant position once the flap was raised, the bone exposed and with the template as a direction indicator. As a consequence, an extended flap was needed to visualize the bone sufficiently in order to avoid perforations of critical anatomical structures. Minimizing the surgical flap can have advantages for soft tissue healing and patient comfort. If a surgeon wants to conduct flapless surgical procedures, an exact transfer of the anatomical information obtained via the CT images to the intra-oral situation during surgery is necessary. In my case, dental implants were installed without open flap. There was about 8-9 mm horizontal bone volume which was analysed by 3D digital CT before surgery. In most cases, surgical stent is usually necessary for ideal position & angulation of the implants. In conclusion, flapless implant surgery is an effective treatment option for the patient who has sufficient horizontal and vertical ridge volume.
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KEYWORD
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flapless implant surgery, 3D digital CT, surgical stent
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