Inserting implants without cutting open the mucous membrane – does that work?
Well, if there is enough stable gum tissue (gingiva fixa) around the implant to hold it in place! But this kind of minimally invasive implantation cannot always be performed!
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Nowadays we know that if implants/teeth are surrounded by enough gingiva fixa, then less plaque builds up there.
Teeth or implants held by more loose gum tissue are more prone to developing periodontitis, gingivitis and/or cavities.
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So if there is very little stable gum tissue, then it is not good to use a puncher, as it removes what little gum tissue is left!
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But if the implant is to heal underneath the mucuous membrane, then it is not necessary to make cuts for this type of operation!
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