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 : 6,890/ 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▲Initial intraoral viewPanoramic radiograph▲Panoramic 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 placement▲Surgery simulation on the OBCT image before implant placementSurgery simulation on the OBCT image before implant placement▲Surgery 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 membrane▲The grafted site was covered with a collagen membraneThe flap was closed.▲The flap was closed.CBCT scan image focused on 1st molar zone▲CBCT 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 done▲Tissue punching was doneHealing abutments were engaged to the implant▲Healing abutments were engaged to the implantISQ value reading▲ISQ value readingISQ value reading▲ISQ 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 impression▲Intraoral 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 prosthesis▲Customized 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 material▲The screw holes were filled with temporary filling materialCrown seating trial▲Crown 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 delivery▲Panoramic radiograph was taken after restoration deliveryCBCT after restoration delivery▲CBCT after restoration deliveryCBCT after restoration delivery▲CBCT after restoration deliverypanoramic radiograph. almost 1 year later.▲panoramic radiograph. almost 1 year later.
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