Implant development and materials
Implant forms
Implant procedure
Implantation with alveolar ridge production

Implantation with alveolar ridge production

Cantilever situation in left lower jaw
Formation of a mucoperiosteal flap
Build-up with own bone

Bone augmentation and
guided bone regeneration

The prerequisite for simultaneous implantation and bone augmentation is a stable fixture of the implants.

  • Stable implant insertion.
  • Replacement of lacking bone substance with the body's own bone or through insertion of bone substitute material and covering with a resorbable membrane.

In case the bone available for stable implant fixation is insufficient, a dual-phase procedure is required:

  • Only bone augmentation can be performed during the first phase.
  • The implantation follows after 3 – 4 months.
Newly formed bone after 9 months
Condition after implantation
End situation after insertion of implant crowns

Implantation with alveolar edge build-up through the body's own bone

This operation is mainly performed in the lower jaw.

  • Removal of an iliac crest transplant.
  • Adjustment of the transplant to the maxillary arch, division into two parts may be required.
  • Fixation of the transplant with screw implants, which need to grip far into the local bone.

Sinus lift with augmentation and implantation:

During this operation the mucosa is detached from the base of the maxillary sinus and relocated upwards.

Bone or bone substitute material is inserted into the cavity between the bony maxillary sinus base and the maxillary mucosa. 

Simultaneous implantation is only possible with sufficient residual bone height in the upper jaw.

Sinus lift with pericrestal access:

  • Positioning of bore holes for the implants without perforating the maxillary sinus mucosa.
  • Insertion of bone or bone substitute material via the bore holes, whereby the maxillary sinus mucosa is detached and lifted. Perforation should be avoided.
  • The implants are inserted after sufficient augmentation.

Sinus lift via a bone window:

  • A bone lid is prepared near the fossa canina without detaching and opening the maxillary sinus mucosa.
  • Starting at the bone incisions, the maxillary sinus mucosa is detached from the maxillary sinus base together with the bone lid and cranially displaced.
  • The cavity between the maxillary sinus base and maxillary sinus mucosa is filled with bone or bone substitute material.

Transposition of the nervus alveolaris inferior:

In the case of atrophies in the side tooth area, insufficient bone substance above the nervus alveolaris inferior for the acceptance of implants can be overcome by a transposition of the nerve with subsequent insertion of longer implants.