CAMLOG SCREW-LINE Surgical procedure

17 CAMLOG ® SCREW-LINE IMPLANT INCISION LINE The indication used as an example illustrates the insertion of a Ø 4.3/13 mm CAMLOG ® SCREW-LINE Promote ® plus implant in the lateral mandible. The implantation technique is two-step transperiosteal. A split flap preparation is selected for the incision line. We recommend this procedure in cases where there is sufficient bone width and no bone augmentation has to be performed. We recommend a split flap preparation only where the thick- ness of the mucosa is adequate. Otherwise a full mucoperiosteal flap pre- paration should be performed. After performing a somewhat lingual, paracrestal mucosal incision, a pre- dominantly epiperiosteal flap is created on the vestibular aspect. The mu- scle is divided and the preparation is continued for approximately another 5 mm. The mucosa is separated 2–3 mm lingually to simplify suturing later. After marking the desired implant position (if necessary, with a drilling tem- plate), the periosteum is removed circularly only in the area around this site (with gingival punch or scalpel). Depending on the selected implant diame- ter and implant length, the implant bed is then shaped using the instru- ments designed for the CAMLOG ® SCREW-LINE implant. Initial situation Mucosal incision Epiperiosteal split-flap preparation Removal of the periosteum at the implantation site