PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Research Article

Volume 6 Issue 6

Two Milling Techniques for Dental Implant Placement in a Fully Recovered Patient

Felipe Cedillo Jimenez, Yoshamin Abnoba Moreno Vargas and Juan Antonio Espinoza Navarro*

November 27, 2025

DOI : 10.56831/PSSRP-06-232

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Abstract

Introduction: Total edentulism represents a condition that significantly affects masticatory function, aesthetics, and the patient's quality of life. Modern implantology offers predictable rehabilitative solutions through the use of osseointegrated implants. Among the surgical variables that influence treatment success, the bone bed milling technique—whether biological or traditional—plays a determining role in bone preservation and osseointegration.

Objective: To restore masticatory function in a completely edentulous patient by placing two upper implants using the biological milling technique and two lower implants with traditional milling, for subsequent adaptation of an implant-mucosa-supported prosthesis.

Material and Methods: A 68-year-old male patient, completely edentulous. A Cone Beam Computed Tomography (CBCT) scan was performed to analyze bone density in Hounsfield units. Four Adin Touareg® implants (4.2 × 10 mm) were placed: two in the maxilla using the biological milling technique (50 rpm without irrigation) and two in the mandible using the traditional technique (800-1200 rpm with irrigation), applying a torque of 35 Ncm. After three months, healing screws (4.5 × 4 mm) were placed for 30 days to shape the emergence profile, subsequently replaced by 3 mm Grip® attachments. Finally, the implant-mucosa-supported prosthesis was installed.

Results: Adequate soft tissue healing and proper osseointegration of the implants were observed. No complications were reported during the procedure or in the postoperative period. Both techniques proved effective, with prosthetic stability and good masticatory function.

Conclusion: The application of biological and traditional milling techniques allowed for the successful placement of implants in a completely edentulous patient. The combination of both strategies, selected according to bone density, offers predictable long-term functional and aesthetic rehabilitation.

Keywords: Total edentulism; Dental implant; Biological milling technique; Traditional milling technique; Implant-mucosa-supported prosthesis

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