2 Dental Implantation Methods: A Comparison

by Dental-Pedia
2 Dental Implantation Methods: A Comparison

Since dental implants have been used for a long time, numerous different implant systems made of different materials and different implantation methods have been developed. Roughly speaking, two implantation methods can be distinguished — conventional (KIV) procedures and minimally invasive procedures

Conventional implantation procedures, also known as the KIV procedure, involve incisions and sutures, several operations, and a treatment time of up to one year. 

Minimally invasive procedures are done without incisions and sutures and a treatment time of about 8 to 10 weeks. Swelling and severe, long-lasting pain (up to a week) are rare with this procedure, and many patients even report pain-free treatment. The choice of procedure determines, among other things, the length of treatment, the cost, the level of risk for peri-implant inflammation, and the severity of pain. So, as a patient, it is important to educate yourself about the different implantation methods. Below, we describe the two dental implant methods. 

The Conventional Implantation Procedure (KIV)

1. The Conventional Implantation Procedure (KIV)

The KIV procedure is the classic implantation procedure. The implantologist uses a scalpel to cut open the gum and detach it from the jawbone along with the periosteum. With a clear view of the bone, he drills the implant sites and inserts the implant. In the case of a two-piece implant, the implant body is closed with a surgical closure screw, the gum together with the periosteum is placed over the bone and everything is sutured. 

This dental implant procedure is inevitably associated with the greater risks of infection (inflammation), swelling, bruising, and pain. In the so-called prosthetic phase (after a few months, when the implant has "healed"), the oral mucosa is then opened again, under local anesthesia, and the implant is exposed. The mucosa is shaped, a relatively cumbersome impression is taken (including X-ray control and open impression taking), and, depending on the insertion method, a gingiva former or the implant head is inserted first, onto which the denture is attached in a later session. 

Patients often report that the detachment of the periosteum from the jawbone was particularly unpleasant. 

The following are the disadvantages of the conventional implant procedure: 

  • At least two to six sessions or surgeries, with exposure of the jawbone once or several times 

  • Long total treatment time of up to one year 

  • High material and consumption costs

Minimally Invasive dental implant procedures (MIMI)

2. Minimally Invasive Procedures (MIMI)

In medicine, minimally invasive generally describes surgical procedures that cause little or no damage to the skin and soft tissues. These surgical methods using the keyhole method, such as those used for heart valve, stent, gallbladder, appendix, and knee joint operations, have long been standard in surgery, as smaller or no incisions lead to less pain after the operation and the patient recovers more quickly and can resume his or her usual daily routine more quickly. 

The minimally invasive implantation methods (MIMI) are becoming increasingly popular in implantology. The MIMI method has been established for over 25 years and incorporates modern findings in bone physiology and innovative high-quality prosthetics (dental prostheses). MIMI differs considerably from KIV in organizational and surgical timing, but also in the prosthetic concept. An implant placement using the MIMI procedure is completed in a few minutes in just one session. Openings of the oral mucosa (gums) are usually not required, which also eliminates the need for sutures and suture removal a week later in another session. 

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