First Stage Dental Implant Healing Stages

Welcome back to another exciting case of the week on Chairside Live! Today, we’re diving into the world of implant dentistry and sharing a fascinating case that will surely inspire practitioners who are looking to incorporate this technique into their practice.

Let’s start by introducing our patient, who is missing tooth number 30. As part of the initial consultation and examination, we utilized radiographs and a comb beam CT scan to determine the size of the implant needed for this specific area. These diagnostic tools are readily accessible in most private practices and play a crucial role in treatment planning.

Moving on to the treatment itself, we began by creating a full-thickness flap and carefully designing it based on the location of the patient’s gingival junction and the keratinized tissue on the buckle of the tooth. This flap design allowed us to visualize not only the top of the bone but also the buccal and lingual areas, ensuring precise implant placement.

Once the flap was reflected, we removed any remaining soft tissue and proceeded with the initial osteotomy using a start drill. To ensure accurate implant direction, we inserted a parallel pin into the osteotomy site and took a radiograph. This step helped us confirm that we were on the right track.

Throughout the procedure, we gradually increased the size of the osteotomy using shaping drills. It’s vital to use irrigation during this process to prevent any damage to the bone. With each drill, we double-checked the implant direction using the parallel pin until we achieved the desired positioning.

Once we were confident in the osteotomy and its alignment, we proceeded to place the implant. With the implant driver attached to a torque wrench, we threaded the implant carefully into the bone. This bone-level implant is designed to be placed at the level of the bone, ensuring optimal aesthetics and functionality.

In this case, we opted for a one-stage procedure using a healing abutment instead of a cover screw. The healing abutment is placed through the tissue, allowing it to heal around the implant without the need for a subsequent uncovering procedure. To secure everything in place, a few interrupted sutures were placed using chromic sutures.

With the final radiograph, we could appreciate the successful outcome. The implant was uprighted into the proper position, and it’s now ready for the final restoration. This case represents an ideal scenario for practitioners incorporating implant dentistry into their practice, thanks to an ample amount of available bone and a safe distance from the nearby nerve.

Thank you for joining us for another captivating case of the week. We hope this inspires you as you explore the world of implant dentistry. If you want to learn more or discover other exciting dental topics, head over to Make You Smile for further information. Stay tuned for more intriguing cases in the near future!