Straumann Bone Level Implant in D1 bone: how to proceed?

I treatment planned a patient for installation of a 4.1 mm x 12mm Straumann bone level implant in very dense D1 bone.  I attempted a straight surgical pathway using a profile drill and tapped the osteotomy.  When the implant reached a depth of 10mm, the mount broke and I could not advance it any more.  I have never experienced this problem with Straumann tissue level implants.  Have any of you experienced this problem?  How do you recommend that I proceed?

3 thoughts on “Straumann Bone Level Implant in D1 bone: how to proceed?

  1. DR J says:

    It has never happened to me, but i do know some colleagues who experienced the exact same thing. Some of them had extra mounts and all of them broke and he had to trephine the implant out and use another. The mount has its advantages and disavantages. D1 bone is really something hard to manage.

  2. omar guillen says:

    I have had this happened. What i do know for very dense bone is over prepare by 2 mm and profiling and bone tapping. That should do the trick. Be mindful of anatomy of course. I also now set my implant motor to max out at 25 n-cm, so it will sound off when approaching it. If so reverse and proceed and repeat. Once st close full depth go ahead and max out torque. It’s a useful way to proceed.

  3. Frank says:

    When placing the implant, if torque reaches 30 Ncm, unscrew and use bone tap.
    Remember that by hands you can easily reach 100 Ncm which is the breaking point of the mount.
    Straumann Bone level is not a self taping implant.
    You could also have at hand a larger diameter drill to be used. Rather tahn finish with 3.5 drill, go to 3.7mm. Astratech has a 3.7, other companies too. Nobel has 3.6. Sometimes you have to find a way to cope.
    If someone had to trephine to remove such an implant, it was probably torqued manually way over the limit!
    Good luck!

Comments are closed.

Posted in Clinical Questions, Surgical.
Bookmark Straumann Bone Level Implant in D1 bone: how to proceed?

Videos to Watch:

Immediate Implant after Extraction

This video provides some excellent drilling tips, in cases where a decision has been made[...]

Watch Now!
Flapless Surgery and Immediate Loading

This video shows flapless immediate implant placement on a mandibular molar, and issues when considering[...]

Watch Now!
Sinus Lateral Approach followed by Immediate Placement

Immediate loading of implants, is generally considered quite difficult following sinus lift surgery. This video[...]

Watch Now!
Flapless 3-D Computer Guided Implant Surgery

This video shows flapless implant surgery assisted by implant planning software which allows 3D printing[...]

Watch Now!
Sinus Lift Crestal Approach using Hydraulic Pressure

This video demonstrates the crestal approach for sinus lift, following extensive maxillary sinus pneumatization after[...]

1 Comment

Watch Now!
GBR in Labial Plate Bone Fracture

This video case shows guided bone regeneration in a patient who presented with root and[...]

1 Comment

Watch Now!
Ridge Split Technique using Vestibular Incision Approach

The alveolar ridge split technique is a predictable and reliable procedure, though case selection is[...]


Watch Now!
Lateral Sinus Lift: Perforation, Repair, and Implants

These two videos demonstrate the lateral window sinus technique, and implant placement following the repair[...]

Watch Now!
Single Tooth Replacement with Implants in the Esthetic Zone

Dr. Jack Hahn provides tips and reviews cases for implant placement in the esthetic zone.[...]

Watch Now!
Surgical Consideration for the Flapless Approach

In this video, Dr. Jack Hahn discusses and presents cases to review the surgical considerations[...]

Watch Now!
Bond Apatite: Socket Preservation Cases

These 2 videos show the use of Bond Apatite in socket preservation cases, one with[...]

Watch Now!
3D Guided Implant Placement

The placement of multiple implants in this case was helped thru the use of 3d[...]

Watch Now!