After analyzing the volumes and bone quality at the site to place the implant, we selected the implant brand to be used with the dimensions as length and diameter according to bone volume. Clinical laboratory tests will be ordered to evaluate coagulation, glycemia and thyroid, if in the clinical history any abnormality is detected, additional examinations will be ordered. All our patients will be evaluated their blood pressure with heart monitor and if the patient requires conscious sedation, will be further evaluated by our anesthesiologist. All those hypertensive people, with hormonal problems such as thyroid or diabetic, are subject to control and regulation of their disease by their specialist doctor in each area, having controlled the condition, can have a normal life and be candidates without impediment to implant dental
Having the 3D position of the crown processed, it is determined in the computer the correct location of the implant that will support said restoration either in porcelain or zirconium. Then he is ordered to computer and the CAD - CAM robotic system, manufacture a surgical guide for maximum precision when placing the implant. All our equipments are Sirona brand of Germany, Orthophos SL 3D tomograph, CEREC Omnicam intraoral scanner and CEREC MCXL Premium milling machine, in addition all our professional staff in the area has been trained and certified in Bensheim Germany with the Train the Trainer Integrated Implantology level and CEREC Trainer.
The surgical guide is the result of a computer-based planning, prior to surgery, where the location of the crown is first determined from the aesthetic and functional point of view to then locate the implant with total three-dimensional control. All the previous planning is done in the computer, then ordered to a robotic machine (cad-cam) the manufacture of the guide in PMMA that is a rigid and transparent material, in which are the places where the drill will penetrate to prepare the implant bed. Given the high precision of a surgical guide, it is not necessary to use a scalpel, nor separate the gum from the bone to observe directly where the perforation will be made, suture is not done or stitches are taken, only a cut is made in the gingiva of 3 or 4 millimeters in diameter, round, where the drill penetrates and then the titanium implants with perfect direction and depth. With this high-tech procedure, without traumatizing the tissues and with little bleeding, the recovery is almost immediate, being able to return to work in a couple of hours.