Small Diameter Implants (SDIs) in Fixed Restorations:Clinical Cases Considerations During 4 Years Follow-Up

Minimally invasive dentistry is a reality that in the last several years has involved all branches of dentistry. In implantology these minimally invasive techniques have revolutionized the standard treatments and are showing a high possibility of increased practice. Some examples applied in implantology include digital radiology, CT reconstructions, and their evolution with maximum reduction of radiation dose – CBCT Cone Beam to cite an example and the software for three-dimensional reconstructions (advocated by Ganz already in 1995). The digital dentistry has and is continuing to contribute significantly to the growth and spread of minimally invasive dental treatments. These minimally invasive technologies have also stimulated the development of minimally invasive surgical techniques. Ten years ago, we were not talking about flapless or a sinus lift with crestal approach, whereas today minimally invasive procedures have achieved highly successful performance and predictability and they are used in a dental practice on daily basis [1]. The numerous advantages of the flapless surgery in implantology are well highlighted in the literature and are not just about minimizing surgical trauma but also achieving a fast healing process and good tissue response in the early stages of Osseointegration [2-4]. Strict guidelines are present in the literature about the directions of the flapless technique, and they have been proven to be highly functional in surgeries along with the use of software with the application of surgical guides [5,6]. The flapless procedure was applied with successful results on reduced diameter implants and was not only established to be safe but also decreases gingival healing period when combined with immediate loading [7].