Q. What are the unique features of Tramonte implants?
A. Tramonte implants are single stage (one-piece) implants with compulsory immediate loading. They are made of titanium grade 2 and they are parallelized by bending them. They have large spires and long pitches (extremely coarse threads), with an emergence diameter of only 2.25 mm.
Q. What are the advantages of Tramonte implants?
A. Tramonte implants advantages are essentially of surgical nature: exceptional primary stability, micro-invasivity, maximum biological respect, maximum ease of handling, exceptionally economical use, maximum speed of use, excellent adaptability to anatomical conditions, possibility to customize the therapy, reduction of contraindication number and intensity, respect of therapeutical ethics imperatives. Clinical advantages: micro invasivity, minimal post-operative reactions, always the possibility of installing a fixed temporary prosthesis, best economics in immediate loading, requires much less expense and treatment time compared to deferred loading.
Q. What are the cases most suitable for Tramonte implants?
A. Tramonte implants are suitable to treat any anatomical condition; the exceptions are very rare.
Q. What are the protocol differences between Tramonte implants and submerged implants?
A. Tramonte implants protocol is one of compulsory immediate loading. Submerged implants protocol is typically one of deferred loading, that recently is trying to move towards immediate loading. Their conceptual basics are opposite, their biomechanical realities opposite, their design criteria are opposite.
Q. Is it possible to take training courses to place Tramonte implants?
A. Several types of courses are available. For updated information please visit:
Q. The practical part of the course is a live observation of the teacher Silvano Tramonte or by closed-circuit television?
A. This depends on the type of course, but live observation is encouraged as much as possible.
Q. Do the prosthetic parts of the courses include examples of patients at different treatment stages?
A. Yes. The more comprehensive courses include preparation, impression taking, managing the bar welded to the implant heads after their placement, osteointegration tests, welding tests, aesthetic aspects, check-ups at a distance.
Q. Is there a practical part performed by students under supervision?
A. Such practical part is performed on simulation models and includes placement techniques, parallelization techniques, safety maneuver, welding, identification of surgical risks.
Q. I have the impression that this technique is difficult to learn, especially because it is flapless. How can you describe the learning curve?
A. The learning curve aims to reaching a certain manual dexterity: it depends on the possibility to practice the acquired notions and to exercise one’s hand skills. It is necessary to strictly follow the protocol taught during the courses, which is suitable to replace the experience being gathered. Flapless surgery is possible very often, but not indispensable nor compulsory. However, safety techniques are taught, that can allow controlled surgeries.
Q. Since the implant can be bent, is it suitable to replace a single tooth?
A. Yes, by respecting the appropriate protocol.
Q. Tramonte implants and the intraoral welder are legal for distribution and use in European countries?
A. Yes, Tramonte implants and the intraoral welder are CE certified.
Q. Is this a technique for experienced dentists, or can it be learned easily when first approaching implantology?
A. The protocol taught in the courses can be learned by any dentists with basic surgical training, able to build an appropriate prosthesis from the occlusal point of view.
Q. What are the contraindications for Tramonte implants?
A. There are no specific contraindications for Tramonte implants. These implants are actually suitable to treat very difficult anatomical conditions, where it would be impossible to perform immediate loading with submerged implants or others derived from them, and not even deferred loading surgeries would be feasible without massive bone augmentation.
Q. What could be the dangers of using Tramonte implant clones?
A. Tramonte implants have such a low cost, that in order to produce their economically viable clones it can be necessary to reduce the quality of the materials used or of the production techniques. Either case can present considerable risks for the final results.
Q. What is the use of the intraoral welder?
A. The intraoral welder is used to brace the implant heads with each other. This builds a single structure able to distribute the load inevitably applied to it in a balanced way on the greatest possible number of implants, and dissipates such load inside the bone on the greatest possible surface. It is also used to maintain the implant micro-movements below the danger threshold during the osteointegration phase.
Q. At what temperature does the intraoral welder operate close to the implants?
A. At about 800°C during 4 thousandths of a second, sufficient to achieve syncrystallization. It does not produce an amount of heat capable of damaging live tissues.
Q. Do Tramonte implants have treated surfaces?
A. Tramonte implants are available in both versions: treated or machined surfaces.
Q. Can Tramonte implants be removed in case of failed osteointegration?
A. Yes, more easily than submerged implants, because they are single pieces and can simply be unscrewed. Also, their removal leaves bone defects much smaller than the ones left by buried implants, because their shafts are much smaller than the average ones found in submerged implants.
Q. What are the unique features of Tramonte implants?