Regenerative Oral Surgery

Surgical Procedures – Tissue-Sparing and Well-Tolerated

With rege­ne­ra­tive oral surgery, we at IMPLA·VIO in Berlin-Friedenau pursue the goal of performing surgical proce­dures in the oral cavity in a parti­cu­larly tissue-sparing and well tolerated manner—taking indi­vi­dual health requi­re­ments into account. The focus is on biolo­gical materials, rege­ne­ra­tive proce­dures, and a holistic view of healing and long-term success. A key element is avoiding metallic materials. Ceramic implants offer a metal-free alter­na­tive that is parti­cu­larly well tolerated—for example in cases of allergies, chronic inflamm­a­tory condi­tions, or titanium into­le­rance. We also speci­fi­cally rely on biolo­gi­cally oriented proce­dures in other areas.

Biologically Compatible Procedures – Tailored to the Individual

Sequestrec­tomy is used to remove necrotic tissue or foreign material, for example in cases of chronic inflamm­a­tion of the jawbone. The aim is to relieve the affected struc­tures, promote natural tissue healing, and provide lasting relief of symptoms. PRF or auto­logous blood therapy can support wound healing in a natural way. The growth factors obtained from the blood promote the rege­ne­ra­tion of soft tissue and bone after implant placement, tooth extra­c­tion, or peri­odontal surgical proce­dures.

Depending on requi­re­ments, treat­ments are performed under local anes­thesia, sedation, or general anes­thesia. Together with an expe­ri­enced anes­thesia team, we create the condi­tions for a comfor­table and relaxed treatment.

Is PRF useful?

PRF stands for Platelet-Rich Fibrin, in German: platelet-rich fibrin. A small amount of your own blood is processed without additives. This produces a fibrin-rich material contai­ning platelets, white blood cells, and the body’s own growth factors. Used as a membrane or gel, PRF can support natural wound healing and tissue regeneration—for example after an implant placement, tooth extra­c­tion, bone augmen­ta­tion, or a peri­odontal surgical procedure. PRF is not a standard component for every procedure; it is used selec­tively when the indi­vi­dual tissue and healing situation is likely to benefit.

What are metal-free implants?

Metal-free implants are dental implants whose part anchored in the jaw is not made of titanium but, in most cases, of zirconia ceramic. They offer an option for people who prefer a metal-free resto­ra­tion or who are suspected of having a titanium into­le­rance. At IMPLA·VIO, however, ceramic implants are not selected solely based on the diagno­stic findings: bone, gums, bite forces, and the planned dental resto­ra­tion all play a role, as do personal prefe­rences.

What speaks against ceramic implants?

Ceramic implants can be a metal-free, well-tolerated alter­na­tive to titanium implants—but they are not auto­ma­ti­cally the best choice for every starting situation. The decision should be made indi­vi­du­ally, taking into account the implant system, available bone, the gum situation, load, and the planned resto­ra­tion. At IMPLA·VIO, possible limi­ta­tions and alter­na­tives are discussed openly. A titanium stimu­la­tion test can provide addi­tional indi­ca­tions on request if into­le­rance is suspected.

How much does PRF treatment cost?

At IMPLA·VIO, PRF treatment is an addi­tional, comple­men­tary service. The cost depends on the specific procedure for which the treatment is used—such as after a tooth extra­c­tion, implant placement, bone grafting, or peri­odontal surgery. After the exami­na­tion, Dr. Esther Kluk and her colle­agues will discuss whether PRF is appro­priate for your situation and what the addi­tional cost will be. Statutory health insurance generally does not cover this service—private insurance reim­bur­se­ment depends on the specific policy.

Which is better: ceramic or titanium implants?

Ceramic or titanium: the answer doesn’t come from a materials catalog, but from your indi­vi­dual treatment situation. Ceramic implants can be of interest if you want metal-free treatment or if titanium into­le­rance is suspected. Titanium implants may be suitable in many other situa­tions. At IMPLA·VIO, bone, gums, load, 3D planning, and personal prefe­rences are considered together. This makes the material choice medically sound and under­stan­dable for you.

What is the diffe­rence between PRP and PRF?

PRP stands for Platelet-Rich Plasma, i.e., platelet-rich plasma. PRF means Platelet-Rich Fibrin, in German: platelet-rich fibrin. Both proce­dures are obtained from your own blood. PRP is used as a liquid plasma, while PRF forms a stable fibrin network that can be used as a membrane or gel. At IMPLA·VIO, PRF is used depending on the procedure to support natural wound healing and tissue rege­ne­ra­tion.

How long do ceramic implants last?

The longevity of a ceramic implant does not depend solely on the material. Key factors include bone quality, gum inte­gra­tion, the forces exerted on the implant, the fit of the dental prosthesis, oral hygiene, and a struc­tured aftercare plan. At IMPLA·VIO, Dr. Esther Kluk and her colle­agues combine their expe­ri­ence with all-ceramic implants and 3D planning. A reliable assess­ment of the long-term outlook in your case can only be provided after a thorough evalua­tion and planning.

What are the disad­van­tages of zirconia implants?

Zirconia implants are made of high-perfor­­mance ceramic and enable metal-free resto­ra­tion. Their possible limi­ta­tions lie in the fact that the material, implant system, and starting situation must match precisely. Available bone, gums, load, and prosthetic planning must be carefully assessed. That is why IMPLA·VIO also considers titanium implants and other solutions. The decision for zirconia should be medically sound and perso­nally under­stan­dable.

Ceramic Implants

In the context of biolo­gical oral surgery, we rely on high-quality, biocom­pa­tible materials for implants that are well-tolerated by the body. For patients who consciously desire metal-free, biolo­gi­cally oriented treatment, we offer high-quality ceramic implants.

PRF Treatment

Platelet-Rich Fibrin (PRF) is a procedure to support natural wound healing – without additives, based exclu­si­vely on the patient’s own blood.