After opening the gums at the planned implant site, the bone will be prepared for the planned implant size using a special water-cooled. With proper anesthetics the drilling will be completely pain free, only the vibration of the drill is noticeable.
Using x-ray monitoring, a special metal pin is used to ensure the correct position and planned size of the implant so it can later be placed with a secure grip.
Most implant systems have a screw thread that will achieve a safe grip once drilled into the bone canal. A firm grip (primary stability) is an important factor for rapid healing.
After applying the implants, the gums are being sutured together (closed method). After the implants have healed together with the bone, the gums will be opened again in small patches, to continue the prosthetic process.
As an alternative, during the “open method”, small shafts can be mounted on top of the implants, which helps to properly shape the gums.