Dental Implant London
The best Implant Surgery

The best Implant Surgery

The judgment on the best surgical technique globally, Galileus Cerclage Sinus®, has primarily been articulated by patients who have undergone the procedure over the years. No one can assess the effectiveness of a surgical technique as well as those who have directly experienced the results in terms of functionality, aesthetics, and the quality of the surgery. Patients provide a valuable perspective, considering their practical experience and personal perception of the achieved results. Therefore, patients’ judgment represents a significant factor in attributing merits to a particular surgical technique.

The Galileus Cerclage Sinus® surgical technique is considered the best implant surgery available for several distinctive reasons. To fully comprehend the excellence of this technique, we will explore four key points and compare them with other implant techniques currently in use globally. We will begin with a general overview of each technique and then delve into the details, highlighting the peculiarities of each and the differences among them, without passing hasty judgments. This approach will enable us to objectively assess the distinctive characteristics of the Galileus Cerclage Sinus® technique compared to other implant alternatives available today.

Exclusive Surgical Technique for Posterior Atrophic Rehabilitation without Grafts and Augmentations – Galileus Cerclage Sinus®:

Our innovative and exclusive surgical technique, Galileus Cerclage Sinus®, is designed for the rehabilitation of posterior atrophy without the need for grafts and augmentations. This advanced method has been developed and personally performed by Dr. Prof. Roberto Conte, a leading expert in implantology with over 45 years of extensive experience.

Key Features of Galileus Cerclage Sinus®:

  1. Avoidance of Autologous Bone Grafts and Large Sinus Lifts: Unlike traditional approaches, our technique eliminates the necessity for autologous bone grafts and extensive lifts of the maxillary sinuses. This ensures a streamlined and more comfortable experience for the patient.
  2. Utilization of High-Quality Isomed Implants: We exclusively use high-quality implants from Isomed, an Italian company known for its excellence in dental implant technology. This choice guarantees the durability and reliability of the implants used in the Galileus Cerclage Sinus® technique.
  3. Fixed Zirconium Ceramic Prostheses: The procedure involves the placement of a minimum of 6/7/8/9 dental implants, depending on the amount of residual bone in the premaxilla area (from canine to canine). Following the procedure, a provisional or removable fixed prosthesis is crafted and utilized for a minimum of 6 months. This interim phase allows for natural osseointegration before the placement of the final circular zirconium ceramic prosthesis, consisting of 14 teeth. The handmade and customized prosthesis ensures aesthetic, functional, and natural results, promising complete satisfaction for the next 30 years.
  4. Patient-Specific Approach: The Galileus Cerclage Sinus® technique is tailored to each patient’s anatomical and physiological characteristics. This personalized approach enhances the overall outcome and addresses the unique needs of individuals undergoing posterior atrophic rehabilitation.
  5. Minimized Discomfort and Recovery Time: By avoiding traditional grafts and large lifts, the Galileus Cerclage Sinus® technique minimizes discomfort for patients. Additionally, the streamlined process contributes to a faster recovery time, allowing individuals to resume normal activities sooner.

Dr. Prof. Roberto Conte, an international expert in dental implants, has successfully applied the Galileus Cerclage Sinus® technique in numerous cases, showcasing its effectiveness in achieving remarkable results. His commitment to innovation and patient satisfaction is evident in this cutting-edge approach to posterior atrophic rehabilitation.

For more information or to explore this exclusive surgical technique further, we invite you to schedule a consultation with us. Experience the future of implantology with Galileus Cerclage Sinus®.

Prosthetic Implant evaluation of the Galileus Cerclage Sinus® surgical technique follows

Autologous Bone Graft

Maxillary sinus lift

All-on-4

All-on-6

Zygomatic QUAD

Zygomatic Pterygoid

Surgical Analysis and Comparison Galileus Cerclage Sinus®

Galileus Cerclage Sinus®:

Addressing Bone Deficiency: The surgical technique of Galileus Cerclage Sinus® specifically tackles bone loss in the posterior upper jaw without resorting to extensive grafts or lifts. It employs 2 pterygoid implants measuring 19/21 mm and 2 nasal implants measuring 18/19 mm to address the atrophic case in approximately two hours.

Strategic Implant Placement: Pterygoid implants are inserted transversely in the 18/28 section, while nasal implants are placed transversely in the 15/25 zone. In the anterior part (premaxilla), 2 to 5 subnasal implants completely resolve the atrophic case, covering from the canine to canine area.

Avoiding Extensive Grafts and Lifts: The key to the success of Galileus Cerclage Sinus® lies in its ability to overcome bone deficiency without resorting to invasive procedures such as grafts or extensive lifts. Complete resolution of the atrophic case occurs in approximately two hours.

This simplification illustrates how Galileus Cerclage Sinus® effectively addresses bone deficiency, providing a quick and targeted solution for atrophic clinical cases.

Galileus Cerclage Sinus® Prosthetic Analysis and Comparison

The dental prosthesis designed for the Galileus Cerclage Sinus® technique represents an excellence in dental reconstruction. Crafted from zirconia ceramic, this masterpiece is anchored on a variable number of 6/9 dental implants, providing the patient with 14 fixed teeth. The creation process is led by a renowned Italian master prosthetist with over 40 years of experience, working closely with Prof. Roberto Conte, an expert surgeon in the field.

Here is an overview of the process:

  1. Rigorous Protocol: Following specific anatomical indications and patient requests.
  2. Testing Phases: Each stage undergoes technical testing, proceeding only after approval from both the doctor and the patient.
  3. Customized Prosthesis: Tailored to meet the patient’s aesthetic and functional needs.

The final delivery is a touching moment, where the patient can admire their new smile in the mirror. The goal is to ensure not only a complete dental solution but also a positive impact on the patient’s quality of life, ensuring satisfaction at 110%100.

This is followed by Prosthetic Implant evaluation of the surgical technique of the Zygomatic Pterygoid

Zygomatic Pterygoid Implantology
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QUAD Zygomatic Implantology

Zygomatic Pterygoid Implantology: Surgical Analysis and Comparison

The Zygomatic Pterygoid Implantology technique has been developed to provide a fixed prosthesis for individuals with severe bone loss in both the front and back regions of the upper jaw. Unlike All-on-4 or All-on-6 techniques that utilize the premaxillary bone, the Zygomatic Pterygoid method addresses cases where there is a lack of bone in both the front and back areas.

  • Placement of Frontal and Posterior Implants: When a patient exhibits bone deficiency in both the frontal premaxillary region and the posterior region of the upper jaw, the Zygomatic Pterygoid technique involves the insertion of four implants. These implants consist of two frontal zygomatic implants and two pterygoid implants in the posterior basal cortical bone.
  • Use of Zygomatic and Pterygoid Bones: By utilizing zygomatic bones in the frontal area and pterygoid bones in the posterior region, the quadrilateral zygomatic technique aims to provide stability and support for a fixed dental prosthesis.
  • Addressing Severe Bone Loss: In cases where traditional techniques may not be applicable due to severe bone loss, the Zygomatic Pterygoid technique offers a solution by anchoring the prosthesis in alternative areas of the upper jaw.
  • Prosthetic Outcome: The prosthesis provided with this technique is supported by strategically placed four implants, requiring a small false gum to cover a reduced bulk achieved by inserting only two of the 4 designated zygomatic implants in the QUAD implantology technique. This results in a more aesthetically pleasing prosthesis with a chewable surface covering the entire perimeter of both the front and deep posterior upper jaw.
  • Chewing Function and Stability: The Zygomatic Pterygoid technique aims to provide stability and chewing function, covering both the frontal and posterior areas. This strategic distribution of implants throughout the entire perimeter allows for reliance on complete support, translating into greater comfort and functional chewing stability.

In summary, the Zygomatic Pterygoid Implantology technique addresses cases of severe bone loss in both frontal and posterior areas, offering a solution for fixed prostheses. By providing four points of support for an atrophic upper jaw, anchoring implants in the basal residual bones, it achieves a renewed stable and definitive chewing function with an aesthetically acceptable functional appearance. Considering the needs and preferences of individual patients is crucial in choosing the most suitable implantological technique.

Prosthetic Analysis and Comparison: Zygomatic Pterygoid Implantology:

The technique of the Pterygoid Zygomatic is employed when Galileus Cerclage Sinus® cannot be performed. The only hindrance to executing Galileus Cerclage Sinus® is when, upon examination, the absence of both the posterior bone of the upper jaw and the entire frontal bone (premaxilla) is noted. In such cases, the standard approach would be the Quad Zygomatic, as mentioned earlier, but it only involves four frontal implants, supporting a frontal prosthesis without posterior teeth and support.

To address this limitation and because we also utilize pterygoid implants, we employ an additional zygomatic technique called Pterygoid Zygomatic. This technique involves only two frontal zygomatic implants, one for each zygoma. In the deep posterior zone of the upper jaw, two additional pterygoid implants are inserted. This allows us to achieve complete support around the entire perimeter of the upper jaw, placing four implants in the four corners, providing dental support for the complete chewing function of a fixed prosthesis.

This fixed prosthesis comprises 14 zirconia ceramic teeth, ensuring both aesthetic appeal and functional performance in both the frontal and posterior regions.

Prosthetic Implant evaluation of the Allon4® surgical technique follows

Allon4®
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Galileus Cerclage Sinus®

Galileus Cerclage Sinus®

All-on-4 Prosthetic Analysis and Comparison

The All-on-4 technique has been designed to address tooth loss in the atrophic posterior areas of the upper jaw. This approach involves anchoring dental implants in the frontal area of the upper jaw, known as the premaxilla. The goal is to support a fixed prosthesis for stable chewing. The strategic choice to focus on the frontal area implies the utilization of 60-100% of the peripheral zone of the upper jaw.

However, due to this strategy, the fixed dental prosthesis created using this technique will only chew on 60-100% of the peripheral zone of the upper jaw. Since there are no additional dental implants planned for the posterior areas, the resulting prosthesis may lack deep premolars and molars, limiting the ability for 100% complete chewing.

The prosthesis created using this surgical technique is described as a classic “Toronto bridge,” incorporating a false gum made of permanent composite material and consisting of 12 teeth.

All-on-4 Surgical Analysis and Comparison

The All-on-4 surgical technique is designed to address posterior atrophic areas of the upper jaw by utilizing the non-resorbed bone in the frontal region known as the premaxilla, extending from canine to canine. This approach allows, without intervening in atrophic areas, the establishment of a fixed frontal support through the insertion of only 4 implants, enabling the anchoring of a dental prosthesis to restore both aesthetics and a fixed chewing function up to 60% of complete functionality.

  1. Surgery for Frontal Implant Insertion: The procedure begins with the insertion of a minimum of 4 implants in the premaxillary region, strategically placed to support a fixed prosthesis. This avoids the need for intervention in the atrophic posterior zones of the upper jaw.
  2. Premaxillary Bone Utilization: By focusing on the premaxillary bone, the surgical technique aims to provide stability and support for the frontal section of the upper jaw. This approach minimizes the need for additional implants in the atrophic posterior areas.
  3. Chewing Function and Stability: Despite the increase in the number of implants to 4, the force and resistance to chewing are enhanced. However, the extension of the perimeter of chewing remains limited to the exclusive premaxillary area, still at 60% of the total potential.
  4. Prosthetic Outcome: The prosthesis offered for this comprehensive rehabilitation technique is often a traditional Toronto bridge prosthesis. This prosthesis, made with a composite material, features a false gum area and 12 teeth. However, the posterior zone lacks teeth since no additional implants are placed to support chewing in the posterior region.

In summary, premolars and molars in the posterior area are missing due to the intentional design of the technique to avoid atrophic zones. If a complete and more efficient chewing function, optimal force distribution, and enhanced aesthetics without a false gum are desired, the Galileus Cerclage Sinus® surgery could be considered as a viable alternative.

Prosthetic Implant evaluation of the Allon6® surgical technique follows

All-on-6®
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Galileus Cerclage Sinus®

Galileus Cerclage Sinus®

All-on-6 Surgical Analysis and Comparison

The All-on-6 surgical technique is devised to address posterior atrophic areas of the upper jaw, utilizing the non-resorbed bone in the frontal region known as the premaxilla, extending from canine to canine. This method allows, without intervening in atrophic areas, the establishment of a fixed frontal support through the insertion of 6 implants, enabling the anchoring of a dental prosthesis to restore both aesthetics and a fixed chewing function up to 60-100% of complete functionality.

  1. Surgery for Frontal Implant Insertion: The procedure initiates with the insertion of 6 implants in the premaxillary region, strategically placed to support a fixed prosthesis. This avoids the need for intervention in the atrophic posterior zones of the upper jaw.
  2. Premaxillary Bone Utilization: By focusing on the premaxillary bone, the surgical technique aims to provide stability and support for the frontal section of the upper jaw. This approach minimizes the need for additional implants in the atrophic posterior areas.
  3. Chewing Function and Stability: Despite the increase in the number of implants to 6, the force and resistance to chewing are enhanced. However, the extension of the perimeter of chewing remains limited to the exclusive premaxillary area, reaching up to 60-100% of the total potential.
  4. Prosthetic Outcome: The prosthesis offered for this comprehensive rehabilitation technique is often a traditional Toronto bridge prosthesis. This prosthesis, made with a composite material, features a false gum area and 12 teeth. However, the posterior zone lacks teeth since no additional implants are placed to support chewing in the posterior region.

In summary, premolars and molars in the posterior area are missing due to the intentional design of the technique to avoid atrophic zones. If a complete and more efficient chewing function, optimal force distribution, and enhanced aesthetics without a false gum are desired, the Galileus Cerclage Sinus® surgery could be considered as a viable alternative.

All-on-6 Prosthetic Analysis and Comparison

The All-on-6 technique has been designed to address tooth loss in the atrophic posterior areas of the upper jaw. This approach involves anchoring dental implants in the frontal area of the upper jaw, known as the premaxilla. The goal is to support a fixed prosthesis for stable chewing. The strategic choice to focus on the frontal area implies the utilization of 60-100% of the peripheral zone of the upper jaw.

However, due to this strategy, the fixed dental prosthesis created using this technique will only chew on 60-100% of the peripheral zone of the upper jaw. Since there are no additional dental implants planned for the posterior areas, the resulting prosthesis may lack deep premolars and molars, limiting the ability for 100% complete chewing.

The prosthesis created using this surgical technique is described as a classic “Toronto bridge,” incorporating a false gum made of permanent composite material and consisting of 12 teeth.

Prosthetic Implant evaluation of the QUAD Zygomatic Implantology® surgical technique follows

Galileus Cerclage Sinus®
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QUAD Zygomatic Implantology

Galileus Cerclage Sinus®

Prosthetic Analysis and Comparison QUAD Zygomatic Implantology®

The technique of quad zygomatic implants, within the context of Galileus Cerclage Sinus®, represents a solution for individuals with significant bone loss in the front and back areas of the upper jaw. Below, I provide a prosthetic analysis and comparison:

Prosthesis Offered: The procedure involves the placement of 4 front zygomatic implants, each ranging from a minimum of 35 mm to a maximum of 50 mm, with two implants per zygoma. The provided prosthesis supports only the front area of the upper jaw, allowing limited chewing to this area. The lack of posterior implants reduces the extension of the prosthesis, resulting in limited coverage and chewing restricted to 50% to 100% of the upper jaw.

False Gum: To cover the front zygomatic implants and mitigate the imperfections resulting from this invasive technique, an abundant false gum is used. This aesthetic solution is necessary to conceal the implant bodies and make the appearance of the prosthesis more pleasant.

Problem Solved: The quad zygomatic technique addresses bone deficiency in both the front and back areas, offering a fixed prosthesis. However, the absence of implants in the posterior area and the limited extension of the prosthesis can impact chewing, reducing it to approximately 50% to 100% of full functionality.

Advantages:

  • Provides a fixed denture for patients without bone in the front and back areas.
  • Avoids the need for bone grafts or lifts.

Limitations:

  • Chewing limited to the front area, approximately 50% to 100%, without posterior support.
  • Use of false gum to cover invasive front implants.
  • Significant bulk of the prosthesis and lack of posterior molar teeth.

In conclusion, the quad zygomatic implants technique of Galileus Cerclage Sinus® offers a solution for patients with significant bone loss but has limitations in chewing and prosthesis extension. It is important to carefully evaluate the benefits compared to available alternatives.

Prosthetic Implant Evaluation of QUAD Zygomatic Implantology®

The Quad technique has been devised for the same reason: to avoid atrophic posterior zones of the upper jaw. However, when the posterior bone of the upper jaw is absent while the frontal bone, or premaxilla, is present, surgical techniques like All-on-4 and All-on-6 can be utilized. The challenge arises when both the posterior and frontal bones are missing simultaneously. In such cases, All-on-4 and All-on-6 are not feasible, leading to the adoption of the Quad Zygomatic technique.

The Quad Zygomatic technique exclusively leverages the zygomatic bones to anchor four zygomatic implants, ranging in length from 35mm to 55mm, utilizing two zygomatic implants for each zygoma. This approach involves a Toronto Bridge prosthesis with a substantial false gum to cover the four large bodies of the zygomatic implants, making hygiene and cleaning challenging. The masticatory surface is predominantly frontal, covering approximately 50-100% of the perimeter of the upper jaw. This is because the abutments of the four zygomatic implants appear in the palate frontally. Since there are no additional implants planned to support a prosthesis in the posterior region during chewing, this technique does not include posterior molars.

Surgical evaluation of the autologous bone graft technique follows

Autologous Bone Graft
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Galileus Cerclage Sinus®

Galileus Cerclage Sinus®

Maxillary Sinus Lifts: Surgical Analysis and Comparison

The technique of Maxillary Sinus Lifts is designed to address the challenges of bone loss in the posterior region of the upper jaw. During the procedure, the maxillary sinus is opened, followed by the insertion of bone graft material. Subsequently, a waiting period of approximately six months is observed to allow for healing and osseointegration.

  • Maxillary Sinus Opening Surgery: During this phase, an opening is made in the wall of the maxillary sinus to create a space where the bone graft material will be placed.
  • Bone Grafting and Waiting Surgery: The bone graft material is carefully inserted into the created space, providing the necessary support for the future integration of dental implants. Immediately after graft insertion, a waiting period of about six months is observed to allow for healing and osseointegration.
  • Dental Implant Placement: After the waiting phase, dental implants are placed in the reconstructed bone. This step is crucial to provide stable anchorage for the future dental prosthesis.
  • Dental Prosthesis Screw-in: At the end of the post-implantation waiting period, the dental prosthesis is screwed in place. It is important to closely monitor healing and check stability under the force of chewing.
  • Medium to Long-Term Monitoring: Once the procedure is completed, constant monitoring is essential to assess the stability of the implants over time, especially under the pressure of chewing forces. It should be noted that there is no guarantee of absolute success, and results may vary based on individual conditions.

This analysis aims to provide a detailed overview of the surgical phase of Maxillary Sinus Lifts, highlighting critical steps and important considerations.

Prosthetic Analysis and Comparison

This is followed by the surgical evaluation of the large maxillary sinus lift technique

Maxillary sinus lift
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Galileus Cerclage Sinus®

Galileus Cerclage Sinus®

Autologous Bone Graft: Surgical Analysis and Comparison

The Autologous Bone Graft procedure is a surgical solution to address the lack of bone volume, often necessary before dental implant placement. Here is a detailed surgical analysis and comparison of the procedure:

  • Autologous Bone Harvesting Surgery: Initially, the surgery involves harvesting autologous bone from a donor region, often taken from the iliac crest. This phase requires precision to ensure the quantity of bone necessary for the success of the graft.
  • Autologous Bone Graft Surgery in the Posterior Maxillary Sinus Areas: After harvesting, the autologous bone is carefully inserted into the posterior areas of the maxillary sinus, where bone volume loss has occurred. This phase is essential to provide a solid substrate for subsequent dental implants.
  • Dental Implant Placement and Waiting Surgery: Once the graft is completed, dental implants are placed in the reconstructed bone. Subsequently, a waiting period of about six months is observed to ensure proper osseointegration.
  • Screwing in the Dental Prosthesis: After the waiting phase, the dental prosthesis is screwed in place. This phase is critical to ensure proper functionality and stability during chewing.
  • Medium to Long-Term Monitoring: The subsequent phase involves medium to long-term monitoring to assess the stability of the implants and the overall health of the bone tissue. It is important to note that, despite the procedure’s success, there is no absolute guarantee of success.

This analysis provides a detailed overview of the Autologous Bone Graft procedure, highlighting critical steps, and offering a basis for comparison with other surgical techniques.

Prosthetic Analysis and Comparison

Galileus Cerclage Sinus®: Surgical Analysis and Comparison

  1. Surgical Technique Overview:
    • Traditional Approaches vs. Galileus Cerclage Sinus®: Traditional methods often involve autologous bone grafts and extensive maxillary sinus lifts, leading to increased patient discomfort and longer recovery times. In contrast, Galileus Cerclage Sinus® eliminates the need for such procedures, ensuring a smoother experience and quicker recovery.
    • Avoidance of Autologous Bone Grafts: Galileus Cerclage Sinus® excels in atrophic rehabilitation without relying on autologous bone grafts. This approach minimizes the invasiveness of the procedure and enhances patient comfort.
    • Utilization of High-Quality Isomed Implants: The technique exclusively uses Isomed implants, renowned for their excellence in dental implant technology. This ensures the durability and reliability of implants in the Galileus Cerclage Sinus® procedure.
  2. Prosthetic Analysis and Comparison:
    • Zirconia Ceramic Prosthetics:
      • Galileus Cerclage Sinus®: The procedure involves placing a minimum of 6/7/8/9 dental implants, depending on the remaining bone in the premaxillary area. Afterward, a provisional or removable prosthesis is crafted, allowing for at least 6 months of natural osseointegration. The final circular prosthesis, composed of 14 teeth and made of zirconia ceramic, ensures aesthetic, functional, and natural results for the next 30 years.
    • Patient-Specific Approach:
      • Galileus Cerclage Sinus®: Tailored to the anatomical and physiological characteristics of each patient, this personalized approach enhances overall outcomes and addresses the unique needs of individuals undergoing posterior atrophic rehabilitation.
    • Reduced Discomfort and Recovery Time:
      • Galileus Cerclage Sinus®: By avoiding traditional grafts and extensive lifts, this technique minimizes discomfort for patients. The streamlined process contributes to a quicker recovery, allowing individuals to resume normal activities faster.
    • Result: Dr. Prof. Roberto Conte, an international expert in dental implants, has successfully applied the Galileus Cerclage Sinus® technique in numerous cases, demonstrating its effectiveness in achieving extraordinary results. His commitment to innovation and patient satisfaction is evident in this cutting-edge approach to posterior atrophic rehabilitation.

For more in-depth information or to explore this exclusive surgical technique, we invite you to schedule a consultation with us. Experience the future of implantology with Galileus Cerclage Sinus®.

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