Immediate and Delayed Placement of 2 Implants in the Mandible. (Arum Implant) > DENTAL FORUMS

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A 62-year-old patient had diabetes, hypertension, heart disease, and gall bladder-related disease. After the restoration of premolars, he was recommended to get 2 implants (in the missing area and root cracked 1st molar). But he didn’t visit the clinic anymore. Eventually, he made up his mind to get implant installation after a long hesitation because of a root crack. (GClgc)
  
 
   An intraoral photo before the surgery.



  Pre-op panoramic radiograph.
 
 

  The surgery was simulated simply

  Intra-oral view of extraction socket right after tooth removal.

  Indentation as an entry spot was given with a diamond bur in the middle of the septum.
 
 

  Implants were placed after serial drillings and a direction pin was screwed into the implant to check its path.

  A panoramic radiograph was taken.  Arum NB-1 Ø5/10mm




   Torque value at the 1st molar and 2nd molar zone. The fixture in the 2nd molar showed poor initial stability despite less drilling. It was barely 10Ncm.
 

  GBR (Xenograft)
 

  The surgical site was covered with collagen membranes. A healing abutment was engaged in the immediately placed implant.
 
 

  The flap was sutured close.
 
 

  A panoramic radiograph was taken.  Arum Dentistry NB-1 Ø5/10mm
 
 

  The intra-oral photo was taken on the day of the ISQ reading.



  ISQ values at the 2nd molar zone.

  ISQ values at the 1st molar zone.

  Intraoral view on the day of impression taking.



  Customized abutments and prosthesis
 
 

 Abutments were connected to the fixtures
 
 

 Seating trial

 Cementation and access hole filling

 Panoramic radiograph after delivery

  CBCT, 7 months later.