Microsurgery comprises high precision surgical procedures, sometimes with the aid of optical magnification instruments. This type of dental implant surgery reduces trauma on tissues and increases precision in sutures, essential factors in the healing process. Microsurgery is very important, since it doesn’t damage the micro vascular formations so necessary in an aesthetic healing, where traditional surgery has limitations.
Microsurgery is time consuming and comes with a higher price tag. It requires multiple qualifications.
We use microsurgery in guided bone regeneration, where the result of bone augmentation is directly dependent on a full recovery under the protection of micro sutures, in implantology and periodontics.
The natural, seamless transition from a natural gingiva to one which has been operated on is only achievable through microsurgery which reduces and most of the times eliminates unaesthetic scars, especially in visible areas.
Microsurgery allows the dentist to perform highly precise procedures, with smaller instruments and more delicate suture materials. All instruments are micro: scalpel, forceps, scissors, elevators, needles, sutures, to ensure a precise incision and a minimum amount of damage to the surrounding tissue.
Dental microsurgery benefits at micro level are obvious and go from:
Microsurgery has applications in dental aesthetics, periodontal surgery, implantology, prosthetics for the correct adaptation of inlays, veneers and dental crowns.
Extractions trigger the process of bone resorption. In the first year, the body loses around 25% of the initial bone volume, after that the process is slower, but continuous. If we want to insert an implant into the new cavity, bone augmentation is mandatory, because the stability of a dental implant requires a certain height and width of the bone.
Augmentation is done in the same session as implant insertion, if the situation allows it. It can be done as long as there are no local infections, to repair minor defects. If the process is gradual, then we first make the bone augmentation, and after a few months, we can insert the implant. Bone augmentation is a complex procedure, but has good, predictable results. As with any dental surgical procedure, a local anesthetic is administered. After surgery, the patient must follow a treatment composed of antibiotics, anti-inflammatories and pain killers, and for a faster gum healing, we recommend disinfectant and healings gels.
The augmentation process requires a bone graft. We use the patient’s own bone (autogenous) and/or artificial bone. The bone grafts we use are Bio-OSS, MAXgraft and Cerabone. They are bovine bones and especially treated to remove any organic matter. All that’s left is an inorganic matrix of bone characteristic minerals. They lack specific cells. For this reason, contamination or rejection are impossible. They are a very reliable matrix that the body uses to create new bone where it was missing. The patient’s cells start to populate the artificial bone graft turning it into new and resistant bone. The artificial bone is colonized in stages, growing by around 1mm each month. The newly formed bone needs an additional 2 months for a full mineralization.