THIN RIDGE
#flapless
#mini_implants
#placing_implants_post_extraction_in_fresh_alveolar_socket
...this is how to avoid advanced major grafting procedures...

Bone regeneration around bicortical implants.
This patient was told he had to undergo bone regeneration/graft before having his lateral incisor replaced with an implant. Further, he would have to have tooth 48 removed. As he came to my office and asked for minimally invasive solution I decided to perform immediate post-extraction implant placement with immediate loading and hemissection of 48 to achieve full rehabilitation with bridge (on patient request). I hadn't seen this patient for 4 years until the day when he brought his wife for a procedure. It was for years without any dentists control. In spite of that we can observe spectacular bone regeneration. This is why periimplantitis never occures in bicortical implantology...

Importance of bicortical (multicortical) stabilisation.
Multicortically engagaged two-piece implant.
This patient came to my office for new fixed teeth. I found that there was only one stabile element between compromised teeth and unstabile bridges- perfectly multicortically engaged two piece implant placed about 5 years ago in another office , so far without any signs of periimplantitis. Although I can assume that at the time of placing that implant the occlusion was stable, the condition changed and the question arrises- would this implant still be perfectly stabile if it was submerged in spongy bone?
Sharing my own experience as far as one piece implants I can say that if you use “adequate implant to available bone”(as my mentor dr Tomasz Grotowski would say) according to bicortical concept described by Dino Garbaccio in the 1970s you can ensure 99,5 succes rate in 5 years observation.

SEVERE BONE DEFECT IN AESTHETIC ZONE.
Young man - as a teenager underwent treatment of totally, traumatically luxated incisors. Recently lost his central incisor together with labial plate.
Asked for a minimally invasive replacement of missing tooth. We found that the lateral incisor had to be extracted as well. After 2hours the patient went home with new teeth.