--- title: "DESS® Conical BLT Surgical Protocol: A Step-by-Step Guide to Implant Placement" description: Discover the DESS Conical BLT surgical protocol, a streamlined approach for implant placement that integrates smoothly with existing Straumann workflows. 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The **DESS® Conical BLT implant system**, now available through Voxel Dental, is designed for compatibility with the Straumann Bone Level restorative connection. Its surgical protocol incorporates familiar concepts, including sequential osteotomy preparation, controlled implant insertion, and restorative component placement. But what does the process actually look like? In this article, we'll walk through the DESS Conical BLT surgical workflow using a detailed 3D animation from DESS Dental Smart Solutions, highlighting the instruments, clinical considerations, and steps involved in preparing and placing the implant. ## Watch: DESS Conical BLT Implant Surgical Protocol   The animation demonstrates the surgical instruments, implant preparation sequence, implant insertion, and healing abutment placement using a mandibular model. For clinicians evaluating Conical BLT, it's a useful visual introduction to the system and its instrumentation. *Clinical note: This video and article are educational overviews. Implant selection, drilling sequence, instrument compatibility, rotational speeds, insertion torque, and loading protocols must follow the current DESS instructions for use and surgical documentation for the selected implant.* ## What Is the DESS Conical BLT Implant? DESS Conical BLT is a bone-level tapered dental implant designed around a restorative connection compatible with Straumann Bone Level. The system combines a tapered implant body with a conical internal connection, offering clinicians another implant option within a familiar restorative ecosystem. For dentists who already work with Straumann Bone Level implants, one potential advantage is the ability to evaluate DESS without necessarily replacing every component of their existing surgical and restorative workflow. However, compatibility must be verified at the individual instrument and component level. A compatible restorative connection does not automatically mean that all surgical instruments, implant dimensions, or restorative components are interchangeable. ## Step 1: Evaluate the Implant Site and Plan the Osteotomy Successful implant placement begins well before the first drill contacts bone. The clinician must evaluate the proposed implant site, including available bone volume, anatomical structures, restorative requirements, and intended implant position. CBCT imaging can provide three-dimensional information about the alveolar ridge and surrounding anatomy, while digital planning can help relate the proposed implant position to the final prosthetic restoration. In the video, DESS uses a cutaway mandibular model to demonstrate the relationship between the instruments, prepared osteotomy, and surrounding bone. This visualization reinforces an important principle: the osteotomy must be planned around the selected implant's dimensions and the patient's anatomy. ## Step 2: Prepare the Initial Osteotomy The surgical sequence begins with the instruments used to establish the implant site and prepare the initial osteotomy. The animation illustrates how the drill advances into the planned implant position, creating the pathway for subsequent preparation. During this stage, clinicians must maintain appropriate positioning, angulation, and depth control. The initial osteotomy influences the trajectory of the remaining preparation and, ultimately, the position of the implant. Appropriate irrigation, drilling technique, and speed limits are essential to minimizing thermal injury and maintaining the integrity of the surrounding bone. ## Step 3: Progress Through the Drilling Sequence Once the initial osteotomy has been established, the site is prepared using additional drills according to the selected implant diameter, length, and bone conditions. The video highlights the DESS surgical kit and its organized instrumentation, including drills with identifying markings. It also shows individual drill selections and rotational-speed guidance, illustrating the importance of following the manufacturer's specified sequence rather than treating every implant preparation identically. Sequential drilling allows the clinician to develop the osteotomy in a controlled manner. The final preparation should be based on the implant dimensions and applicable DESS protocol, with consideration given to bone density and the clinical situation. **Why does this matter?** An osteotomy that is improperly sized or positioned can affect insertion resistance, implant stability, and surrounding bone. For this reason, clinicians should confirm the exact drilling sequence and any permitted protocol modifications before surgery. ## Step 4: Prepare for Implant Insertion After completing the osteotomy, the clinician can prepare the implant for placement. The animation demonstrates the implant being engaged with an insertion instrument before positioning it within the prepared site. This is an important transition in the procedure. The drilling sequence establishes the osteotomy, while the insertion process brings the implant into its intended final position. Clinicians should verify that the appropriate implant driver is being used and that it is properly engaged with the implant connection. ## Step 5: Insert the Conical BLT Implant The DESS Conical BLT implant is then advanced into the prepared osteotomy. The video demonstrates insertion along the established pathway, with the implant threads engaging the surrounding bone as placement progresses. The tapered implant geometry is designed to contribute to primary stability, but actual stability depends on factors including bone quality, osteotomy preparation, implant dimensions, and placement technique. During insertion, the clinician must monitor resistance and follow the manufacturer's specified torque limitations. The goal is controlled placement at the planned depth and orientation, not simply achieving the highest possible insertion torque. Final implant position should be consistent with the surgical plan and the intended restorative approach. ## Step 6: Place the Healing Abutment Following implant placement, the animation demonstrates the placement of a healing abutment. A healing abutment connects to the implant and extends through the surrounding soft tissue, helping establish access to the implant connection during the healing phase. The appropriate component depends on the implant platform, soft-tissue dimensions, and planned restorative protocol. Healing abutments are one of several restorative options available for implant treatment. Depending on the clinical situation, alternative approaches may include a cover screw, temporary abutment, or other manufacturer-approved restorative components. The selection of a healing component does not independently determine whether an implant is suitable for immediate loading. ## Understanding the DESS Surgical Kit One of the most useful features of the video is its detailed presentation of the surgical instrumentation. The animation shows an organized surgical kit containing multiple drills, drivers, and associated instruments, with visual markings to help distinguish components. For clinicians considering a new implant system, instrumentation is an important part of the purchasing decision. Questions worth asking include: - Which instruments are required for the selected Conical BLT implant? - Which existing instruments have been validated for use with the DESS protocol? - Are additional implant drivers or adapters required? - What drilling sequences apply to different implant dimensions and bone conditions? - Which restorative components are available for the selected implant platform? DESS Conical BLT is intended to offer compatibility with established workflows, but clinicians should confirm the exact surgical kit and additional instrumentation requirements before placing their first implant. ## What Happens After Implant Placement? The surgical procedure is only one part of implant treatment. Following healing and appropriate clinical evaluation, the implant can be restored using compatible prosthetic components. DESS offers restorative solutions that can support single-unit, multi-unit, and full-arch treatment planning. For example, clinicians performing full-arch dentistry may select straight or angled multi-unit abutments to establish an abutment-level restorative platform. DESS also offers MUA+, an enhanced multi-unit abutment platform incorporating an anatomical emergence profile. From there, compatible scan components and digital restorative workflows may support prosthetic design and manufacturing. For practices already using CBCT, intraoral scanners, photogrammetry, CAD software, and in-house 3D printing or milling, implant treatment can become part of a broader digital workflow. ## Why Consider DESS Conical BLT? For many clinicians, the appeal of DESS Conical BLT is not simply the introduction of another implant. It's the opportunity to evaluate another manufacturer while working with a familiar restorative connection. DESS has a history of manufacturing precision restorative components compatible with established implant systems. Conical BLT extends that philosophy into the implant itself. For practices already invested in Straumann Bone Level restorative workflows, this can create additional purchasing and treatment-planning options. Of course, selecting an implant system requires more than comparing connections or pricing. Clinicians should evaluate regulatory status, clinical documentation, surgical requirements, restorative compatibility, manufacturer support, and suitability for the intended patient population. ## Shop DESS Conical BLT Implants at Voxel Dental Voxel Dental now offers DESS implant systems and restorative components, including: - **DESS Conical BLT** — compatible with Straumann Bone Level - **DESS Active Hex** — compatible with NobelActive CC - **DESS ONE MORSE** — compatible with Neodent Grand Morse - **DESS MUA and MUA+** — restorative solutions for compatible implant platforms Our team also supports the technologies surrounding implant dentistry, from CBCT imaging and digital scanning to photogrammetry, 3D printing, milling, and restorative design. Whether you're exploring an alternative implant system or building a more comprehensive digital implant workflow, Voxel Dental can help you evaluate your options. **Explore DESS implants and restorative solutions at** [**https://voxeldental.com/implants**](https://voxeldental.com/implants)**.**   ![Juan Estrada](https://learn.voxeldental.com/hs-fs/hubfs/Voxel%20Bios%20(15).png?width=150&name=Voxel%20Bios%20(15).png) #### Juan Estrada Regional Account Manager - Texas With over 15 years of experience in the dental technology field, Juan Estrada is a leading expert in digital integration for modern dental practices and labs. As the Digital Solutions Engineer at Voxel Dental Solutions, he specializes in advanced systems including photogrammetry, intra-oral scanning, 3D printing, milling, CBCT, facial scanning, CAD/CAM and design software. Juan’s background in robotics engineering, industrial electronics, and networking gives him a unique edge in streamlining complex digital workflows. He has successfully contributed to the buildout and launch of over 100 new dental offices and laboratories across the U.S., supporting clinicians and lab technicians with tailored, tech-forward solutions. ## Related Articles [![alliedstar scanpro implant workflow](https://learn.voxeldental.com/hubfs/VOXEL%20Blog%20Images%20(88).png)](https://learn.voxeldental.com/blog/full-mouth-preps-implants-a-step-by-step-workflow-with-alliedstar-sensa) [I/O SCANNERS](https://learn.voxeldental.com/blog/tag/i-o-scanners) [IMPLANTS](https://learn.voxeldental.com/blog/tag/implants) [GENERAL DENTISTRY](https://learn.voxeldental.com/blog/tag/general-dentistry) [ALLIED STAR](https://learn.voxeldental.com/blog/tag/allied-star) ### [Full Mouth Preps & Implants: A Step-by-Step Workflow with AlliedStar Sensa](https://learn.voxeldental.com/blog/full-mouth-preps-implants-a-step-by-step-workflow-with-alliedstar-sensa) As implant dentistry becomes increasingly digital, clinicians are seeking scanning technologies that offer **precise control, flexible workflows**, and **intelligent software...** ![Phil Leinberger](https://learn.voxeldental.com/hs-fs/hubfs/Profile%20Pic.png?width=45&name=Profile%20Pic.png) [Phil Leinberger](https://learn.voxeldental.com/blog/author/phil-leinberger) [Read More](https://learn.voxeldental.com/blog/full-mouth-preps-implants-a-step-by-step-workflow-with-alliedstar-sensa) [![dess conical blt straumann bone level compatible implants](https://learn.voxeldental.com/hubfs/VOXEL%20Blog%20Images%20-%202026-10-27T135114.676.png)](https://learn.voxeldental.com/blog/dess-conical-blt-what-dentists-should-know-about-cross-platform-compatible-dental-implants) [IMPLANTS](https://learn.voxeldental.com/blog/tag/implants) [DESS](https://learn.voxeldental.com/blog/tag/dess) ### [DESS® CONICAL BLT: What Dentists Should Know About Cross-Platform Compatible Dental Implants](https://learn.voxeldental.com/blog/dess-conical-blt-what-dentists-should-know-about-cross-platform-compatible-dental-implants) If you've been placing Straumann® Bone Level/BLT implants for years, you're probably comfortable with more than just the implant itself. You know the connection, the... ![Juan Estrada](https://learn.voxeldental.com/hs-fs/hubfs/Voxel%20Bios%20(15).png?width=45&name=Voxel%20Bios%20(15).png) [Juan Estrada](https://learn.voxeldental.com/blog/author/juan-estrada) [Read More](https://learn.voxeldental.com/blog/dess-conical-blt-what-dentists-should-know-about-cross-platform-compatible-dental-implants) ###### About Voxel Dental We are a dedicated team of dental technology consultants, specializing in digital imaging, software, 3D printing, and digital workflow solutions. CONTACT US Phone: [(281) 789-7270](tel:2817897270) Email: [info@VoxelDental.com](mailto:info@voxeldental.com) - [Facebook](https://www.facebook.com/VoxelDental) - [Instagram](https://www.instagram.com/voxel_dental/?hl=en) ###### Quick links - [About Us](https://voxeldental.com/pages/about-us) - [Voxel Training Facility](https://www2.voxeldental.com/facility) - [Our Blog](https://learn.voxeldental.com/blog) - [Send Us an Email](mailto:support@voxeldental.com) - [Terms of Service](https://learn.voxeldental.com/policies/terms-of-service) - [Refund policy](https://learn.voxeldental.com/policies/refund-policy) - [FAQ](https://learn.voxeldental.com/pages/faq) - [Careers](https://voxeldental.com/pages/careers) American Express Apple Pay Diners Club Discover Meta Pay Google Pay Mastercard Shop Pay Visa - [Contact Us](https://voxeldental.com/pages/contact) © 2024 Voxel Dental. 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