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Flapless guided implant uncovering (FGIU) using 3D guided surgical stent

Today the keywords to success in implantology have become: security, predictability, quality, economy and the short duration of treatment. It is in relation to these aspects of implantology that fits the speech of FGIU technique. It is minimally invasive so safe for the patient, predictable if you follow the recommended protocol, very economic and able to economize from two to four weeks compared to the timing of a standards implant prosthetic treatment.




From this point of view, the use of this technique join the monophasic technique to the biphasic technique, in which, waited the time for osseointegration, passes directly to the preliminary impression taking to build the custom impression tray and then continue with the next phases prosthetic.

Even in implantology biphasic with FGIU it begins the prosthetic phase on the day of implant exposure with the preliminary impression taking. If we explain the benefits of this technique it is worth noting also the limits.

First, as already mentioned, the operator must be skilled and preferably also the same that performed the first surgery. It is also not indicated in all areas of implantology. Its application field is the biphasic (two stage) implantology without context guided bone regeneration that involves the use of non-resorbable barrier membranes. In view of what has been shown in this work, it is concluded that the evolution in the implantology passes certainly through the use of techniques and principals valid and standardized, in this context, the FGIU technique seems to possess these requirements, then when there is the indication, it would be useful to use it.

1. Wennerberg A, Albrektsson T (2011) Current challenges in successful rehabilitation with oral implants. J Oral Rehabil 38: 286-294.
2. Heitz-Mayfield LJ, Needleman I, Salvi GE, Pjetursson BE (2014) Consensus statements and clinical recommendations for prevention and management of biologic and technical implant complications. Int J Oral Maxillofac Implants 29: 346-350.
3. Gallucci GO, Benic GI, Eckert SE, Papaspyridakos P, Schimmel M, et al. (2014) Consensus statements and clinical recommendations for implant loading protocols. Int J Oral Maxillofac Implants 29: 287-290.
4.Morton D, Chen ST, Martin WC, Levine RA, Buser D (2014) Consensus statements and recommended clinical procedures regarding optimizing esthetic outcomes in implant dentistry. Int J Oral Maxillofac Implants 29: 216-220.
5. Belser U, Buser D, Higginbottom F (2004) Consensus statements and recommended clinical procedures regarding esthetics in implant dentistry. Int J Oral Maxillofac Implants 19: 73-74.

6. Lanza A, Scognamiglio F, De Marco G, Lanza M, Femiano F, et al. (2016) Flapless guided implant uncovering (FGIU): Minimally invasive healing abutment connection surgery. Dent Oral Craniofac Res 2: DOI: 10.15761/DOCR.1000188.



Dr Kamsiah G Haider Prosthodontist, DSD Master & Instructor, BDS, MDSc

A dentist , a continuous education junkie and inspiring other dentists to be a real dentist ! Who do you want to help you improve your smile if you are looking for a dentist? Dr. Kamsiah also known as Dr. Kam is cosmetic dentist with over 30 years experience . As a Master and Instructor of the Digital Smile Design , together with dental implantology , prosthodontics and orthodontics I have the experience and knowledge to handle the most complex cases in cosmetic dentistry. Oral reconstruction, rehabilitation with or without dental implants and conscious sedation dentistry all in one place. She earns her membership of the International Association for Orthodontist (iAOi) in 2014. She has been a Diplomate of the American Board of Prosthodontics and Implantology (ICOI) since 1997. She's into guided surgery and full mouth rehabilitation on failed dentition also known as teeth in a day with the help with digital dentistry. Something she's passionate about since embarking into private practice 23 years ago. Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University and lectures on prosthetics , the All-on-Four concept and recently on the Digital Smile Design. Specialties: Prosthetic Dentistry, Dental Implants, Cosmetic Dentistry, Orthodontics, Invisalign, Bone-Screw Orthodontics, AO4, Teeth in one day.

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