SonicWeld Rx® Dental | Clinical Examples

With SonicWeld Rx® and expert soft tissue management techniques,
the preprosthetic surgeon has incredible power to generate bone volume.

A three-dimensional defect is no match for SonicWeld Rx® dental 'shell' and 'frame' techniques.

Shell Technique horizontal with the Alveolar Protector | Dr. Gerhard Iglhaut

Shell Technique horizontal in the posterior mandible | Dr. Lewis Cummings

Shell Technique vertical | Dr. Gerhard Iglhaut

Frame Technique vertical | Dr. Kevin Murphy

Tips from courses | Shell Technique

1 Soft tissue may require augmentation pre-operatively if tissue type is poor. The soft tissue management is the limiting factor to augmentations, and tension free closure is a must. Consider a crestal incision pattern, with vertical incisions only in the anterior region to avoid interrupted blood supply to the wound.

2 Predrill each hole immediately adjacent to the defect. If there is not enough space, you can move to the bone in between the next two teeth.

3 Place two to four Sonicpins rx® around the defect on the buccal side.

4 It is easier to create a curve in the barrier if you weld one side apical and crestal, then place the instrument in the defect. Next weld the apical pin on the other side without attempting to push the barrier against the crest. It will come easily to the bone in a curved shape on the final weld.

Alternatively, you may use a template and the waterbath to thermoplastically shape the barrier into any desired form.


5 Use the flat sonotrode surfaces for welding and smoothing rough edges. The round large sonotrode is for smoothing edges with the radius - this radius will make it more difficult to weld precisely.


6 After smoothing rough edges, overfill the defect with bone until it is dome-shaped. Next drape a collagen barrier over the crest.


Flap edges must come together without tension from the sutures. Consider two levels of suturing – a deep mattress suture to eliminate movement in a wide area of the augmentation zone, and then suturing of the flap edge.

Primary healing is critical and assisted by the diffusion-open collagen membrane that covers and cushions the augmentation and provides an additional barrier under the incision.

For more information on information from expert preprosthetic clinicians, see KLS Martin sponsored content on DentalXP, or during lectures or courses listed on our events calendar.



 

 

The information presented on this page is intended to demonstrate a KLS Martin® LP product. Please refer to package insert for the full list of indications, contraindications, warnings, precautions, and sterilization information. Always refer to the package insert before using any KLS Martin® L.P. product. Surgeons must always rely on their own clinical judgment when deciding which products and techniques to use with their patients.

KLS Martin® LP, a member of the KLS Martin Group