The minimally invasive method in implantology

What is minimally invasive implantology?

Minimally invasive implantology (MII) as a generic term, refers to implant restoration with the least possible trauma (injury to tissue). Just as in many areas of modern surgery, thanks to computer-assisted 3D implant planning, minimally invasive surgery is now easily possible for dental implants as well. The technique is based on three-dimensional X-rays taken using (digital volume tomography, or DVT). This innovation offers patients a faster recovery on the way to new teeth, fewer complications such as swelling or inflammation, and an almost painless treatment. Implants are placed in a minimally invasive way using the smallest of drill holes instead of a scalpel, incision and sutures as well as bloody gum opening. In this way, it is possible to restore the functionality and flawless appearance of the masticatory apparatus in the most tissue-conserving manner.

Comparison of Minimally Invasive Implantology vs. Conventional Implant Procedure

In order to show the fundamental differences between the two methods, it is useful to compare them.

Conventional implant placement CIP

In conventional implantation (CIP = Conventional Implantation Procedure), the gums are opened at the prepared site with a scalpel. Then the mucous membrane and the underlying bone skin are detached from the jawbone and folded to both sides. The advantage for the implantologist is the unobstructed view of the jawbone and the operating field. He sees exactly how the implant needs to be positioned in the bone in order to function optimally later. This is a disadvantage for the patient. The large wound means considerably more pain, an increased risk of inflammation and infection and thus a growing risk of loss of the entire implant.

The video shows a simplified implant treatment using the CIV method:

The minimally invasive method of implantology

Minimally invasive implantology is completely different. She inserts the implant into the jaw through tiny holes with very fine instruments. Only the gum is removed in the size of the implant diameter - i. e. a circle of 2. 9 to 4. 5 mm. This minimally invasive procedure injures the tissue as little as possible.

Since the minimally invasive procedure does not completely expose the operated jaw area, a conscientious diagnosis is necessary. Digital 3D implant planning makes it possible: thanks to it, the condition of the jaw can be displayed in detail before the intervention and the optimum implant position can be determined. On the day of the procedure, this can then be transferred to the jaw using fine drilling templates.

Due to the radically reduced incision area, the minimally invasive surgical technique causes significantly less trauma to the tissue and leaves only a minimal wound area. Further advantages: The periosteum (the periosteum that surrounds and nourishes the bone) is not injured and can continue to fulfil its function completely. The swelling in the surgical area is less pronounced, many patients report hardly any pain and the risk of developing inflammation or infection in the surgical area is considerably reduced. The latest studies also suggest that the incidence of peri-implantitis is significantly reduced when implants are placed minimally invasively without the use of a scalpel and opening up the gums.
Here again is a summary:

Advantages of minimally invasive implant dentistry

• This keyhole method is often nearly painless compared to traditional implants.
• Often fewer sessions are needed before treatment is complete.
• Wound pain and inflammation are extremely rare, due to the minimal injury.
• The 3D drilling template enables precise, navigated implantology in the jaw.
• By optimally positioning the implant in the jaw, bone augmentation can often be avoided.
• Provisional dentures as immediate restorations are almost universally possible with the MIMI procedure.

Disadvantages of minimally invasive implant dentistry

• A sufficient local bone supply is a mandatory prerequisite for minimally invasive implants.
• A meticulous, imaging diagnosis forms the basis and may possibly result in higher costs.
• Since not many implantologists offer a minimally invasive procedure, the search for a dentist can be a lengthy one.
• 3D X-ray procedures may result in increased radiation exposure compared to traditional digital technology

The video shows a simplified minimally invasive implant treatment: