CONELOG SCREW-LINE surgical procedures

17 CONELOG ® SCREW-LINE IMPLANT INCISION LINE The indication used as an example illustrates the insertion of a Ø 4.3 mm, L 13 mm CONELOG ® SCREW-LINE implant, Promote ® plus in the lateral mandible. A split flap preparation is selected for the incision line. We re- commend 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 thickness of the mucosa is adequate. Otherwise a full mucoperiosteal flap preparation 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 CONELOG ® SCREW-LINE implant. Initial situation Mucosal incision Epiperiosteal split-flap preparation Removal of the periosteum at the implanta- tion site