Intraoral Welding to Increase the Predictability of Implant Placement?

Failure of implants can be caused by micromotion and stress exerted on the implants during the healing phase. This risk is especially acute in immediate loading cases. Improved primary stability can be achieved via welding titanium bars on implant abutments directly in the mouth, in a technique known as intraoral welding. But, is the technique also beneficial when using computer-guided implant placement. A recent study1, tackled this question when investigating implant placement in 10 patients. The implants were functionally loaded using the intraoral welding technique on the day of surgery.

The conclusion:

Despite the inaccuracy registered, this guided-welded approach allowed successful achievement of a passive fit of the full-arch prosthesis on the inserted implants the same day of the surgery and provided a high implant and prosthetic survival rate at the 1-year follow-up.

Does anyone have experience with intraoral welding in immediate loading cases? What are your thoughts on the technique and it’s potential?

(Editor’s note: You may also be interested in these prior two cases: Intraoral Welding to Achieve Predictable Primary Stability in Immediate Loading and Immediate Implant placement, sinus lifts and function

1.Stability of implants placed in fresh sockets versus healed alveolar sites: Early findings. Use of Intraoral Welding to Increase the Predictability of Immediately Loaded Computer-Guided Implants. Albiero AM, et al.

7 Comments on Intraoral Welding to Increase the Predictability of Implant Placement?

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Rand
7/11/2017
The success of intraoral welding is documented. I have not be able to find an FDA approved intraoral welding system as of yet. Dentsply sells one in Europe but they cannot sell it here.
Cris
7/11/2017
There are a few more makes of intraoral welders in Europe, where this technique, originated in Italy, has been used for the past 40 years. Dentsply is a newcomer in this field. True, there is no FDA approved intraoral welder. It is not true that it may not be sold in the US, but it may not be marketed. FDA is a marketing entitlement.
Turner A
7/11/2017
Weld one Dentsply . Inventor Dr. Marco Degidi
Cris
7/12/2017
Actually, the inventor of the first intraoral welder was Prof. Pierluigi Mondani, in 1978. http://www.dentistaitaliano.it/documents/274.html Of course this was the first one, they have changed a lot since. Some versions are very powerful, you have to be careful because they may melt some types of implants instead of welding them (Dentsply). Question for the Moderator: am I allowed to post a list of the intraoral welder manufacturers I know? One make has been posted already, it seems unfair to leave it at that.
OsseoNews
7/12/2017
Yes, of course. Feel free to post manufacturers. However, please do not post personal emails or phone numbers of any contacts at the manufacturers, as the post will get rejected. Company Names, and Company websites of manufacturers (links must work) is perfectly acceptable and enough information for readers to get more information, should they choose to do so. Thanks.
Cris
7/15/2017
All the following sites have information in English: Dentweld http://www.implatech.com.tr/dentweld-561 Implant-Weld 300 http://www.cez.com/intraoral-welders.html Intraoral Titanium Implant Welders https://www.dentaltix.com/en/intraoral-titanium-implant-welders Intraoral Welding Machine http://robotools.eu/en/intraoral-welding-machine/ Smart IW http://lasercreation.eu/en/portfolio/intraoral-welding-smart-iw/ Synchromedical welding machine http://comepre.it/index.php?option=com_content&view=article&id=192&Itemid=746&lang=en
Rand
7/17/2017
Thanks for the update, very helpful!

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