Immediate implant placement using the osteotome technique is a gentle technique and offers several significant advantages over the traditional graded series of drills:
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This technique retains total bone mass, which is necessary to preserve the remaining bone and improve its quality, mainly when the alveolar bone is compromised in quality or quantity.
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It is an alternative to block grafting in select cases to increase the ridge width for implant placement.
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It allows immediate placement of implants in narrow ridges at the time of expansion.
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Osteotomes take advantage of the fact that bone is visco-elastic and can be compressed and manipulated. Compression creates a denser bony interface with increased bone to implant contact and therefore good initial stabilisation of the dental implant.
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Heat is a major detriment to osseointegration, but the osteotome technique is essentially heatless and therefore should not destroy the viable bone-forming cells.
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This technique also allows for greater tactile sensitivity.
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It is minimally invasive and cost-effective.
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Faster prosthetic restoration is possible.
In spite of this Straumann dental implants with an SLA endosseous surface offer a promising solution for rapid anchoring in the bone and the bone-to-implant contact is found to be higher on rougher surfaces than on smoother interfaces with high percentage contact in descriptive histo-morphometric studies and high removal torque values in functional studies. This procedure for a better and faster bone integration of SLA implants in the initial healing period, which is optimised mechanically and topographically. – Bentham Science Publishers