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Implantology distance control - Will it replace the drilling template?
An innovative implant positioning aid makes it easier to find the optimum implant position – will it therefore replace the drilling template?
User report: Dr. Lang, Dr. Michalides (Bremen)*
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There are a number of possible sources of error in dental implantology which can result in the loss of the tissue, the appearance or even of the implants. Specialist literature identifies the distance between the implants as one of the key factors.
The optimum drilling distance must be allowed for, to the extent that is has to vary with the diameter size, i.e. the drilling distance is correspondingly greater with large implant diameters than it is with smaller diameters.
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The core part of the IDC is a special adapter which can be attached directly to the contra-angle handpiece. The secondary attachments which are in the cassette are selected according to the required implant diameters. In this area there are a number of diameters which mean that it is possible to find the optimum distances irrespective of the implant system. After a short period of adjustment, the procedure is astoundingly easy and does not require a significantly longer amount of time during the operation.
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left: Second primary hole at the correct distance from the neighbouring hole. centre: Impressively even optimum hole spacing. right: Inserted implants.
left: Front view. centre: Equip implants with sulcus formers. right: Imposing emergence profile after healing.
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Conclusion
W&H’s IDC is a cost-effective and simple aid for standard implantology. If you want to achieve easily replicable results with a low amount of effort, the IDC is an excellent opportunity for optimising the implantology. However, it is not a replacement for the established 3D planning options. This system is mainly aimed at beginners or dentists who are less familiar with dealing with implantology.
Following a brief adjustment phase, it is possible to work quickly and confidently using the IDC. Even if you need to work without wax-up, drilling templates or extensive planning, it is possible to at least find the distance of the implant holes easily, quickly and without any problems. This is a key point in the use of this kind of system. It is not intended to complicate the work, but instead should eliminate certain error sources in implantology. Our experience has shown that regular use results in better judgement of and a more trained eye for the correct implant positioning. All in all, it is a useful little tool for use in implantology.
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* Source: Implantology Journal of the DGZI (German Association of Dental Implantology).
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