Minimally Invasive Surgery
Minimally Invasive Surgery
For an implantation procedure to be minimally invasive, sufficient bone quality and mass is essential: taking the standard implant of 4 mm width for example, it can achieve stability with a bone width and depth of more than 6 mm. With regard to soft tissue, gum tissue is preferably keratinized with a width of 1.5 mm as it is prone to destruction during the procedure. With less than 1.5 mm of keratinized gum tissue remaining, the incidence rate of peri-implant inflammation exceeds 66.6%. 
Current challenges
Patients may long for efficiency and ease like shopping in a convenience store, and thus expect minimal bleeding and swelling. Unfortunately, other dentists may lack sufficient experience or be deceptive through fear of losing a potential client by challenging their expectations or prioritizing convenience and simplicity. Cases of laser drilling resulting in soft tissue and bone damage have also been reported. Such treatment can result in uneven wounds which impede a secure contact point between the implant and the bone, thus resulting in gum damage.Minimally invasive implantation is not indicated for the following:
- Insufficient alveolar bone width and depth
- Insufficient bone mass
- Absence of ideal gum tissue
- Unhealthy expectation: considering only efficiency and convenience but not physiological condition
- Avoidance caused by the fear of bleeding, the drill sound or dentist visit for these patients, the application of proper sedation is more prioritized than minimally invasive procedure.