Minimally Invasive Flapless Surgery using a Single Incision Approach (SIA)

A placement of an implant is planned for tooth site #5 in the upper arch of the mouth. A small incision will be created instead to minimize potential bone loss from a conventional flap. On the other hand, a conventional flap may be used if there is a lack of attached (keratinized) gingiva on the alveolar crest.

Following a single incision to expose the crestal bone, an implant drill is used to create the implant space (osteotomy) via a freehand technique.

The implant site is prepared by sequentially increasing drill sizes to enlarge the osteotomy.

The implant is placed, and a hex driver is used to attach a cover screw. The driver is left seated on the screw to indicate the position and angulation of the implant.

The incision area is sutured.

A CBCT image confirms and verifies the implant placement.

A CBCT image confirms and verifies the proper placement from a cross-sectional view.