Implant insertion is sometimes not the only step in implant care. Additional surgical techniques are needed to establish healthy and stable conditions that will enable aesthetic and permanent implant rehabilitation. Through these regenerative procedures, we regain lost hard and soft tissues.
The Importance of Planning Prior to the Implantation and Use of Techniques to Preserve the Ridge
If we estimate that a tooth has a hopeless prognosis and is intended for extraction, we always plan how to replace it before we perform the procedure. We adjust the extraction technique and regenerative surgery to the planned final care. By doing so we, prepare the optimal conditions for immediate or later implantological care, reduce the recovery time and make sure the lost tooth is replaced immediately or as soon as possible.
Augmentation of the Jaw Ridge
The augmentation technique or the extension of the jaw ridge is used when the loss of hard tissue has occurred due to disease processes or injuries, and if implantation would not be possible due to a lack of vertical and/or horizontal bone dimensions.
If the loss of tissue is substantial and implant insertion is not possible, the augmentation is an autonomous surgical procedure used to prepare the tissue for implant insertion in the next phase. If the insertion of the implant is possible but we cannot provide aesthetic and functional stability without the build-up of the jaw ridge, the insertion and augmentation can be carried out in one procedure.
The procedure is painless in all cases and is performed under local anaesthesia. In case of minor build-ups of the jaw ridge, the symptoms after the procedure are minor and the recovery time is short (1-3 days). In the case of more complex procedures, there may be minor swelling and slight pain in the first few days after the procedure, and the recovery time may be a little longer (3-5 days).
Sinus lift or sinus floor elevation is a surgical procedure that improves the vertical dimension of the tissues at the back of the upper jaw. The nasal sinus is located above the roots of the teeth at the back of the upper jaw. In some cases, tooth extraction can lead to bone loss in the vertical direction and therefore the insertion of the implant is not possible. With sinus floor elevation using regenerative methods, we obtain hard tissue and thus a vertical space that allows implantological care.
The procedure is performed under local anaesthesia and is painless. It may be combined with the insertion phase of the implant, but in more demanding cases, it is an independent surgical phase
PRF Membranes and Stem Cells
PRF (“Platelet-rich fibrin”) is the 2nd generation of platelet-rich plasma concentrates. The high concentration of growth factors and cytokines has a positive effect on healing and the regeneration of tissue. It is a unique concept being developed since 2001 by Dr. Choukroun. Apart from minor changes in the protocol itself, the main vision remains the same throughout: by introducing high concentrations of the patient's own cells, growth factors and cytokines, healing improves and reduces the possibility of complications in various surgical procedures (implantology, periodontal plastic surgery and muco-gingival surgery, regenerative surgery, sinus floor elevation, extraction protection). This is reflected in increased effectiveness and fewer post-operative issues and complications.
At the conference, led by the inventor of the PRF procedure dr. Choukroun, dr. Miljavec and dr. Rus perfected the PRF concept techniques. They use A-PRF or i-PRF, depending on the indications.
The procedure is simple and painless for the patient. We insert the blood of the patient taken from the upper limb into test tubes, which are then centrifuged for 3-10 min. This is followed by a few minutes of final treatment and the autogenous material is ready for use.