Dr. Famiglio has spent over 25 years placing dental implants and has extensive experience in all phases. His expertise has allowed him to be on the cutting edge of dental implant surgery. He has explored new options to make surgery more comfortable for patients with quicker completion of the treatment plan.
1) Minimally Invasive Dental Implant Surgery "Incision and Suture Free"
It is now possible for us in many cases to place single or multiple dental implants without the use of the traditional incisions and sutures. When there is adequate quality and quantity of bone and soft tissues we are able to do a technique called a "flapless" surgery. This technique allows us to place the dental implant without the traditional incision and reflection of tissue which does cause postoperative discomfort and swelling. We find that most of our patients have very little, if any, discomfort with this procedure.
2) Immediate Temporization (Immediate Tooth Placement)
Due to advances in Implant design and our extensive experience with this technique we feel is an excellent option for cases that affect your smile. This usually will be limited to your front teeth where esthetics are a concern. On the same day of your dental implant procedure either a temporary abutment (post) or a permanent abutment (post) can be placed followed by a visit to your general dentist who will place a temporary tooth. This tooth will fill all esthetic requirements; however, function on this tooth should be avoided. After a healing period of three months (which allows the bone to integrate or grow into the implant), a final tooth (restoration) can be placed by your dentist and normal function can resume.
3) Immediate Loading Dental Implants
When multiple implants are placed it is possible in some instances to immediately function, eat, chew and carry on as normal immediately following surgery. This will be dependent upon the quality and quantity of bone along with soft tissues in the area. This is typically performed when we are accomplishing full reconstructive cases involving six or more implants in either the upper or lower jaw.
4) BMP (Bone Morphogenetic Protein)
This is the greatest advance in bone physiology to date. Bone Morphogenetic Protein has been synthesized in the lab and when placed with our traditional bone grafting materials sends a signal to the body to produce bone. Bone Morphogenetic Protein was realized many years ago; however there was always a technical problem of obtaining enough material to be useful clinically. In the past to collect it from human sources which would require several thousand cadaver bones to obtain a microscopic amount which may be enough to treat a very small area. It is available now synthetically, although there are high material costs we strongly recommend its usage in cases where advanced bony reconstruction is needed. The results are excellent.
5) Zirconium Abutments
When implants are placed an abutment or post is placed into the implant at either the time of surgery or at three months. The post traditionally is a titanium metal. Titanium does present several problems in that there is a metal margin underneath the gum tissue which can cause grayish hue around the tissue. Another concern is when recession of the gingiva (gum) occurs with age, you will find in some cases you will see that metal margin which is esthetically unacceptable. The White Zirconium post eliminates this esthetic concern.