Slow Drilling Technique For Osteotomy Site Preparation

Myths Vs Benefits

Practical Implantology Academy Presents

Dr. Aly Virani BDS (Hons), MJDF RCS (Eng) Dip Imp Dent RCS Ed

Management Of D3 And D4 Bone

D3 and D4 bone types present a set of challenges which require careful handling.

The main issue is control of the osteotomy site to maximise the primary stability of the placed implant.

Traditional drillimg protocols may not be suitable for those bone types as the cancellous bone trabeculae could be crushed and valuable bone support may be lost; leading to further reduced density and "spinning" or loose implants at placement.

Many Solutions Were Advocated

Bone compaction and Osseodensification protocols have been proposed and work rather well, however; the reduced control of osteotomy site preparation and the presence of "smear layer" may present some challenges.

Slow Waterless Drilling

Innovative Protocol- Two Birds With One Stone

Increasing primary stability and collecting autogenous bone in abundance are but two of the many benefts of this innovative technique.

Another Tool In Your Armamentarium

Improve predictability in D3 and D4 bone situations and collect autogenous bone for grafting.

  • Improved control and visibility.
  • Reduced post op pain and discomfort.
  • Collect autogenous bone in abundance for augmentation.
  • Increased primary stability of placed implants.


Earn 3 hours CPD At your Own Pace

  • When you finish this online course email us at hello@practicalimplantology.co.uk with subject line SDpi and your personalised certificate shall be emailed to you.


Course Fee $100

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