Implant depth, what do we think about it?

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Posted on By Jorge Campos In Implants

Periimplantiitis is the SLA contamination by oral bacteries. If we don´t have any SLA exposed to oral fluids, and remains DEEP integrated in the bone, PROTECTED by the biologicall width....We have done the first step in avoiding periimplantitis.
How do we achieve this? Simply by understanding that the soft tissue thickness protects the bone and the implant.
Second step is oral higyene by the patient....




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7 Comments


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This is the concept behind avoiding PERIIMPLANTITIS. The depth of the local soft tissue DICTATES the implant depth.


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It makes sense from a bilogical standpoint, but burying an implant more than 1 or 2 mm makes the prosthodontic phase much more difficult. I find it easier to bury 1 mm and add CTG or multiple layers of PRF to get to that 4mm total tissue barrier. As far as the Densah oseotomy, we don`t see any bleeding from the compressed site and how do you find this to affect healing? Is placing a narrower implant in a non expanded site and have initial stability through compressed medullary bone ONLY (underprepared medullary bone) a more biological way of doing things.


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HI Laurent, burying an implant has no problem at ALL. I usually do. The biological width establishment makes the bone resorption till the shoulder, avoiding SLA exposure. When there is no posibility to bury the implant , I do the CTG, but this implies a donor site....It´s more easy and equaly efective to bury the implant IMHO. The Densah site preparation has no bleeding because all the bone that we usually extract is inside, on the lateral walls and the apex. There is a BETER BIC so the healling is improved, because there are more cells on the walls. Histologically the osifications nucleous are more than in a normal osteotomy. There is NO ischemia! This is a proved concept. Regards Jorge


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Absolutely Jorge, With thin tissue you will always loose crestal bone. So it's all about what you have exposed to that sulcus ( rough implant surface, or polished neck/abutment). 100% agree!


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Andoni, you catch the concept very well! It´s true, thin tissues makes bone resorption when implant is BONE LEVEL, but, if we bury the implant the effect is the same as having THICK tisues! Regards Jorge


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