Computerized Dental Implants with Laser and AI Integration

Image Description from Left to Right: Occlusal, coronal, and sagittal views of a CBCT scan. The size of the lesion and bone defect can be observed.

The first stage in the computerized dental implant process is the data collection stage.

This is a comprehensive stage designed to plan the treatment, during which the condition of the teeth, gums, and jawbone is thoroughly examined. Quality studio photographs allow the doctor to precisely identify the condition of the patient's mouth and smile, while defining the desired outcome of the treatment.

An intraoral scan (of the inside of the mouth) is performed using digital technology to obtain an accurate 3D model of the patient's mouth. In this way, it is possible to delve into the tooth structure, the alignment nature of the bite, and the structure of tissues adjacent to the treatment site.

One of the most important tools in terms of data collection is the use of CT imaging of the CBCT type. CBCT scans provide highly detailed 3D images of the jawbone, teeth, and adjacent structures in the mouth. This technology is far superior to traditional CT scanning, as it provides very high-resolution images with significantly lower radiation exposure.

CBCT scans allow identification of jawbone quality and density, precise location of nerves and sinuses, and identification of possible pathologies (problems, diseases) that could affect the ideal position of the future implant. These detailed data allow for the preparation of a tailored, precise treatment plan with a micro-surgical (minimally invasive) approach, guaranteeing optimal results.

After comprehensive data collection and advanced CBCT imaging, the results are carefully analyzed to devise an accurate and personalized treatment plan. The scans and images from the previous stage are combined using advanced software to produce a complete digital representation of the oral anatomy of the treated mouth.

A virtual model from an intraoral scan allows for full detailing of the jawbone structure, nerve locations, sinus locations, and any potential anatomical challenge that may affect implant placement.

Using innovative computer-based technology, we perform a complete simulation of the entire implantation process, from beginning to end. From the initial surgical stage to the final implant adjustment.

This comprehensive planning ensures that implants will be placed in the optimal location, taking into account the unique oral anatomy of the patient, according to bone density and the desired and requested aesthetic result. The ability to consider data such as proximity to nerves, sinus position, and jawbone structure allows for creating an optimal treatment plan.

Blood collection from the patient for the preparation of platelet-rich fibrin for faster healing (biological concept).

One of the advanced techniques we use to enable maximum natural healing while reducing the use of antibiotics is the preparation of PRF membranes (layers) of fibrin.

These are fibrin-rich platelet membranes that are 100% natural material, collected from the patient's own body. The material is produced by placing a tube with the patient's blood into a centrifuge. This process concentrates the blood platelets, growth factors, and other beneficial components found in the blood, resulting in a natural, concentrated component for powerful healing.

Before beginning the surgical stage, there are situations where patients need bone augmentation to ensure optimal and stable anchoring between the jaw and the implant. This is important, for example, when patients suffer from bone loss and resorption due to an extraction performed long ago, due to gum disease, or other factors. The quality and density of the jawbone are extremely important for maintaining complete stability of the implant for years to come and even for a lifetime.

There are different sources of bone grafts:

• Sourced from the patient themselves.
• Sourced from another human donor.
• Sourced from animals, such as cow or pig bones.
• Synthetic source, i.e. non-biological.

At "Savion Medical Center," we typically use the highest quality bone source—bone from a human source (each bone type has its characteristics) that we purchase from an American company that is actually a leading global tissue bank. This ensures that the purchased bone is tested under stringent conditions and treated thoroughly and meticulously to prevent the risk of infection (either due to genetic material in the bone or the presence of bacteria).

By using bone available to us without the need for massive harvesting from the patient's bone, and in combination with platelet-rich fibrin drawn from the patient's vein, we can encourage faster healing and good regeneration of new natural bone to support the implant.

To further improve the bone regeneration process, we also incorporate growth factors and white blood cells at the implantation site. Such biological components stimulate the body's natural healing mechanisms, encouraging rapid integration of the new bone with the patient's natural jawbone. This is our way to significantly improve the stability of the implant, with the goal of achieving bone replacement to create natural bone in the implantation area, throughout the patient's life.

Before placing new implants, it is necessary to extract existing non-salvageable teeth. The extraction process is a stage that is performed at Savion Medical Center with special care. Dr. Savion performs each extraction with maximum caution and precision, with a gentle hand like that of an artist no less than that of a doctor. Dr. Savion explains that traumatic extraction can cause unnecessary damage to the surrounding bone and soft tissues. Traumatic extraction can adversely affect healing and future implant stability.

To ensure the extraction is not traumatic, Dr. Savion uses a special technique including the use of a surgical knife from the field of ophthalmology. This delicate instrument allows for precise extraction, with the tooth being easily removed with minimal contact and damage to adjacent structures, bone, and gums. By carefully separating the tooth from the gums and bone, Dr. Savion can gently extract the tooth while preserving a maximum amount of healthy bone and soft tissue.

This approach provides several significant benefits for our patients:

• Reduced pain, swelling, and discomfort after surgery, leading to a more comfortable recovery process.
• Preservation of the natural contours of the jawbone and gum tissue, creating a more comfortable area for dental implant placement.
• Trauma-free extraction encourages faster healing and improved osseointegration (this is the process of fusion between the implant and the surrounding bone).

After the extraction process, we perform 3D scanning and imaging. This way, we can get a "status picture," view the jawbone, soft tissues, and adjacent structures to ensure that the rest of the treatment process can be carried out according to plan or whether certain changes need to be made. The post-extraction 3D scanning and imaging allow us to continue the treatment in the most precise and appropriate manner for the patient before us.

Microsurgical Laser Therapy

Computerized dental implantation with light energy carefully utilizes the enormous advantages of laser energy to improve several aspects. The method advocated by Dr. Savion allows for disinfection of the extraction area during treatment as well as significantly reducing bleeding. This approach, used by only a few practitioners in Israel and worldwide besides Dr. Savion, provides our patients with many important benefits worth knowing:

• Selective and precise removal of diseased tissues – The goal in MLT is to remove only the infected tissues, without damaging adjacent tissues during extraction and before implantation. We achieve this through precise and controlled use of laser energy.
• Antibacterial action – The laser in MLT treatments helps with local disinfection, which means a dramatic reduction in the chances of post-implantation infection.
• Easier treatment and recovery – MLT allows us to provide the gentlest treatment, yet also the most effective. The result is minimal pain alongside incomparably faster recovery times.
• Minimum anesthesia – The microsurgical nature of MLT allows for minimal use of anesthetic materials, which translates into a very safe procedure and much easier and faster recovery.
• We note that as part of our philosophy, the combination of laser, fibrin, and the highest quality membranes allows the body to recover more easily and natural healing processes are maximized.

A surgical guide template is a highly useful tool in dental implantation. The template is an assistive device that helps ensure the placement of implants in the most precise location according to the treatment plan and the computerized imaging produced in previous stages. It is important for us to clarify that the guide (which you can see here in pictures and also in the accompanying video) is a personalized device, built using data collected in scans and 3D imaging.

The surgical guide template fulfills several valuable roles:

• Position determination –The guide helps identify the optimal location for each implant, taking into account factors such as bone density, nerve location, and aesthetic considerations.
• Setting the implantation angle – The guide ensures the insertion of implants at the correct angle, a very important component to achieve a stable result. This results in a stable implant that is positioned in the most correct and aesthetic manner.
• Control over implantation depth – The guide can assist in positioning the depth of the implants so that they are placed in the ideal location within the jawbone.
• Real-time precision aid – During implantation, the implants are inserted through the guide positioned in the mouth. The guide serves as a physical reference point, preventing any deviation, preventing any mistakes, and ensuring that the implants are positioned exactly as planned in real-time.

Wet, hydrophilic implants provide several prominent and dramatic advantages during healing, recovery, and even in the expected lifespan of the implants.

• First, the use of these implants helps accelerate the process of osseointegration (healing and building of bone around the implant).
• The wet implant comes in a moist, wet package and is able to absorb the patient's blood onto its surface more easily.
• During treatment, blood adheres to the screw structure of the implant, in a way that is beneficial for fast and good healing. Scientifically, what happens is that the implant surface remains moist and creates faster and better fusion with the bone (new bone cells are formed more quickly). This type of implant attracts more blood cells, more stem cells, and even immune system cells.
• When performing the procedure correctly and using hydrophilic implants, you get a strong, durable implant that gives a natural feeling that can serve patients for life.
• The implant of this type is connected in a unique way to the structure (tooth crown), in a way that allows for exceptional durability. This is in contrast to regular implants, which tend to break down more over time.

In the stage of hard and soft tissue renewal, we use an Ossix type membrane.

Powered by GLYMATRIX® Technology — What is important to know:

This is a technology of creating collagen bonds, similar to the natural process that occurs naturally in our bodies (called glycation). It is a clinically proven technology that uses sugars to cross-link collagen molecules and thus create a membrane structure in the form of a collagen matrix. This structure is biologically adaptable and can be adjusted to provide solutions with desired physical properties that last over time.

This is a unique membrane that serves as a barrier to mixing between epithelial cells and bone granules. It is a sugar cross-linked collagen membrane that is absorbed over time (after half a year). In other words, there is no need for an additional treatment stage to remove the membrane. The membrane streamlines healing and assists in building bone around the implant.

After inserting the membrane, comes the moment when bone can be inserted in a way that fills the "holes" where teeth were extracted. Afterward, fibrin is inserted, which is designed to support faster healing. Dr. Savion carefully takes the pre-prepared mixture of bone and PRF, which comes in a flexible fibrous texture. This mixture serves as a substrate that stimulates new bone growth.

Using the microsurgical instruments that Dr. Savion uses, the cavities are filled and then the fibrin sheets are added, using the microsurgical method.

At this point, we will mention that the microsurgical approach and the use of a microscope with 39x magnification allow for precise implantation, action without unnecessary trauma to tissues, improved integration of the implant with the bone, improved safety, precise work, and much faster healing than is conventional.

Now, in the final stage of the surgery, it is already possible to install the individual crowns, one by one. This involves loading the screwed crowns, all without stitches and without incisions. As Dr. Savion explains, it is really possible to go home with a natural-looking smile, even when dealing with a very complex treatment, as evidenced by the implantation Dr. Savion performed for a patient who had already undergone implantations in the past and suffered from loose teeth, teeth that could not be saved and had to be extracted, bone resorption, and additional problems.
And all's well that ends well, the satisfied patient returns home with a big smile. For you or your family member, Dr. Savion will provide the treatment with the same dedication, professionalism, and advanced methods that combine laser, microscope, fibrin, and growth factors that help the body heal itself.

The treatment is complete when the patient leaves the clinic with temporary crowns screwed directly onto implants.