Is the Smile Technique Invasive?

I have been intensively training with one of my mentors, Dr. Denns Shanelec, a periodontist in Santa Barbara who is the father of microsurgical periodontics and implant dentistry, over the last three years. I regard Dr. Shanelec as one of the finest periodontist’s in the world. I have integrated many of his microsurgical techniques into my New York City practice.

Several years ago, Dr. Shanelec developed SMILE Technique Implants (Simplified Microsurgical Implant Lifelike Esthetics).  This technique has only been taught to a small handful of microsurgical periodontists worldwide.  This is a microscopic technique for aesthetic tooth replacement.  Soon, Dr. Shanelec will publish a controlled study of over 250 consecutive patients with only 2 failures. This is a higher success rate compared to other published studies on immediate implant placement and immediate provisionalization.

SMILE Technique Implants employ minimally invasive extraction, immediate implant placement, socket bone grafting, often soft tissue grafting, and a provisional to support the soft tissue anatomy.

Patients don’t have to go without a tooth and can often avoid multiple surgeries with removable temporary teeth. The SMILE Technique allows patients to leave the office after their appointment with a comfortable and esthetic temporary replacement tooth. This is not possible with other methods of implant treatment that involve multiple surgeries and removable temporary teeth. SMILE Technique Implants are single-visit, one-step treatments that require minimal healing time.

More importantly, SMILE Technique Implants address two of the important factors that impact the final aesthetic properties of a dental implant restoration: the bone loss and the gum tissue that collapses into the socket once a tooth is removed.

My results with SMILE Technique Implants in New York City have been very successful.  Using the microscope, hopeless teeth can be atraumatically removed and the entire socket easily visualized.  With increased magnification and xenon light illumination, one can thoroughly degranulate the socket and create the most ideal osteotomy.  The last surgical step is the creation of the provisional.  The provisional is part of the closure of the surgical site.  I fabricate the provisional prior to placing any grafting materials to avoid interfering with graft placement or wound healing.

Below, view two such cases (on the left is a pre-op photo / the right shows1 week post SMILE Technique).

Dr. Shanelec has seen a very promising success rate with SMILE Technique Implants. Both his patients and my own have been consistently satisfied with the results. Advanced techniques like the SMILE technique are constantly being advanced in the field of periodontics, and even common procedures like dental implants can always be improved. Patients at my New York City practice can be assured that I use the most advanced and proven techniques to treat their dental issues. SMILE Technique Implants and micro-surgical techniques allow for a better experience post-op for the patient due to greater accuracy and a more precise operation.

Come in or call my office at (212) 702-9088 for a consultation and we can discuss what we can do for you.