To facilitate wound healing, flapless approach is adopted using 1.6 mm pilot drill (Fig.4), followed by 1.4/2.6 mm bone expander.  In fact there is resistance to expansion in the zone 1 (coronal).  Magic expander (3.0 mm) is also tried with difficulty.  It appears that bone density is higher than expected.  The second portion of Magic Surgical Kit is then used: 3.3 mm Magic Drill for 15 mm (gingival level, followed by Final Drill).  A 4x13 mm IBS implant is seated incompletely.  The osteotomy is further enlarged by 3.8 mm Magic Drill for 11 mm and deepened with 3 mm drill until 18 mm.  Finally the implant is placed at a satisfactory level with insertion torque > 50 Ncm (Fig.5).  A 4.5x4(3) mm abutment is placed and periodontal dressing is applied. 

Flapless Last Next

Xin Wei, DDS, PhD, MS 1st edition 02/18/2017, last revision 09/05/2019