Implantology
Dental Restoration
Digital Dentistry
Dental Labrotary
Socket Lift and Implant Placement in the right maxilla.
HAPPYTOGETHER
Views : 1,154/ Jan, 19, 2023
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 view▲Panoramic radiograph▲The troubled tooth was removed in the first place.▲Surgery simulation on the OBCT image before implant placement▲Surgery simulation on the OBCT image before implant placement▲On the day of implant placement, intra-oral view after 2months of 1st molar extraction.▲CGF was applied after osteotomy using sinus reamers.▲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.▲ 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 membrane▲The flap was closed.▲CBCT scan image focused on 1st 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).▲Tissue punching was done▲Healing abutments were engaged to the implant▲ISQ value reading▲ISQ value reading▲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.▲Intraoral scanning for digital impression▲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 prosthesis▲Custom abutments were connected to the fixtures.▲The screw holes were filled with temporary filling material▲Crown seating trial▲The crown was cemented permanently and the access hole was filled with composite resin.▲Panoramic radiograph was taken after restoration delivery▲CBCT after restoration delivery▲CBCT after restoration delivery▲panoramic radiograph. almost 1 year later.
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