Immediate implant placement using the osteotome technique is a gentle technique and offers several significant advantages over the traditional graded series of drills:
1. This technique retains the total bone mass which is necessary to preserve the remaining bone and improve its quality, mainly, when the alveolar bone is compromised in quality or quantity.
2. It is an alternative to block grafting in select cases to increase the ridge width for implant placement.
3. It allows immediate placement of implants in narrow ridges at the time of expansion.
4. Osteotomes take advantage of the fact that bone is viscoelastic and can be compressed and manipulated. Compression creates a denser bony interface with increased bone to implant contact and therefore good initial stabilization of the dental implant.
5. Heat is a major detriment to osseointegration, but the osteotome technique is an essentially heatless and therefore should not destroy the viable bone-forming cells.
6. This technique also allows for greater tactile sensitivity.
7. It is minimally invasive and cost effective.
8. Faster prosthetic restoration is possible.
In spite of this Straumann dental implants with an SLA endosseous surface offer a promising solution for rapid anchoring in the bone and the bone-to-implant contact is found to be higher on rougher surfaces than on smoother interfaces with high percentage contact in descriptive histomorphometric studies and high removal torque values in functional studies. This procedure for a better and faster bone integration of SLA implants in the initial healing period which is optimized mechanically and topographically.
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Reference: Al-Almaie, S. et al. (2016). Immediate Dental Implant Placements Using Osteotome Technique: A Case Report and Literature Review, Open Dent. J ., DOI: 10.2174/1874210616021001367