Socket Lift and Implant Placement in the right maxilla. > DENTAL FORUMS

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Implantology Dental Restoration Digital Dentistry Dental Labrotary
Socket Lift and Implant Placement in the right maxilla.

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HAPPYTOGETHER
Views : 1,154/ Jan, 19, 2023

<GCacg>  A 56-year-old male patient complained of pain in the right upper and lower jaws. And he wanted the upper first molar to be pulled out first.

Initial intraoral viewInitial intraoral viewPanoramic radiographPanoramic radiographThe troubled tooth was removed in the first place.The troubled tooth was removed in the first place.Surgery simulation on the OBCT image before implant placementSurgery simulation on the OBCT image before implant placementSurgery simulation on the OBCT image before implant placementSurgery simulation on the OBCT image before implant placementOn the day of implant placement, intra-oral view after 2months of 1st molar extraction.On the day of implant placement, intra-oral view after 2months of 1st molar extraction.CGF was applied after osteotomy using sinus reamers.CGF was applied after osteotomy using sinus reamers.The Membrane-Lifter was applied to lift the sinus membrane.The Membrane-Lifter was applied to lift the sinus membrane.Choice of graft material was applied into the osteotomy site then was pushed up using a Bone-Packer and Sinus-Lifter.Choice of graft material was applied into the osteotomy site then was pushed up using a Bone-Packer and Sinus-Lifter.  2 implants were placed in position with Arum-Dentistry NB-1 Ø5.0/L10mm. Initial stability was 50Ncm in the 1st molar area and 40Ncm in the 2nd molar area. 2 implants were placed in position with Arum-Dentistry NB-1 Ø5.0/L10mm. Initial stability was 50Ncm in the 1st molar area and 40Ncm in the 2nd molar area. The grafted site was covered with a collagen membraneThe grafted site was covered with a collagen membraneThe flap was closed.The flap was closed.CBCT scan image focused on 1st molar zoneCBCT scan image focused on 1st molar zoneCBCT scan image focused on 2nd  molar zone,CBCT scan image focused on 2nd molar zone,4.5months post-op. Intra-oral photo on the day of implant uncovery(2nd surgery).4.5months post-op. Intra-oral photo on the day of implant uncovery(2nd surgery).Tissue punching was doneTissue punching was doneHealing abutments were engaged to the implantHealing abutments were engaged to the implantISQ value readingISQ value readingISQ value readingISQ value reading5months post-op. The healing abutments would be switched with scan abutments for intra-oral scanning.5months post-op. The healing abutments would be switched with scan abutments for intra-oral scanning.scan abutments were connected and a panoramic radiograph was taken to make sure of the connection.scan abutments were connected and a panoramic radiograph was taken to make sure of the connection.Intraoral scanning for digital impressionIntraoral scanning for digital impressionThe patient complained of some sharpness and it hurt his tongue due to a scan abutment  in the 2nd molar zone. That was replaced with a healing abutment after intra-oral scanning.The patient complained of some sharpness and it hurt his tongue due to a scan abutment in the 2nd molar zone. That was replaced with a healing abutment after intra-oral scanning.Customized abutments, orientation jig, and prosthesisCustomized abutments, orientation jig, and prosthesisCustom abutments were connected to the fixtures.Custom abutments were connected to the fixtures.The screw holes were filled with temporary filling materialThe screw holes were filled with temporary filling materialCrown seating trialCrown seating trialThe crown was cemented permanently and the access hole was filled with composite resin.The crown was cemented permanently and the access hole was filled with composite resin.Panoramic radiograph was taken after restoration deliveryPanoramic radiograph was taken after restoration deliveryCBCT after restoration deliveryCBCT after restoration deliveryCBCT after restoration deliveryCBCT after restoration deliverypanoramic radiograph. almost 1 year later.panoramic radiograph. almost 1 year later.
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