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3º "atraumatic use for bone expanders" de Implant Microdent System

ex12.BMP (34650 bytes)

ex13.BMP (34278 bytes)

ex14.BMP (34278 bytes)
A 21 y/o patient presented with absence of tooth # 21 due to trauma We lifted a partial thickness flap, in which the flap design was based on the guided gingival regeneration protocol and lengtheneo labial flap, with palatal extension.
When opened, we found a large missing mass of bone with a seating surface less than 2.80 mm. in diameter. We started osteotomy with a prism or round bur of 1 mm. 		We began by inserting the expanders sequentially until achieving the desired depth and thickness.
Expander no.1 Art no. 1025
Expander no. 2 Art. no.1830
Expander no. 3 for implants of diam. 3 to 3.30 mm. 

ex15.BMP (34650 bytes)

ex16.BMP (34650 bytes)

ex17.BMP (34650 bytes)
Expander no 4 for implants of 3.85 a 4.20 mm. Since this technique is completely atraumatic and only manual, there is no overhtating and bleeding is profuse. If the implants is self-tapping, basic primary anchoring is achieved. The palatal flap of partial thickness and the underlying connective tissue becomes part of the vestibular flap with total thickness. The final step consists of placing the healing abutment and bringing the flaps together such that they are covered with soft tissue, without creating any stress.