Dental Implant Placement at #24 with Crestal Sinus Lift and Buccal Bone Grafting Under Local Anesthesia
Surgical Procedure
Chief Complaint
Px presented for replacement of missing tooth at #24 site.
Clinical Findings
Missing tooth at #24 site
Buccal bone deficiency noted at #24 region
Reduced vertical bone height requiring sinus augmentation
CBCT reviewed for implant planning and sinus assessment
Treatment Plan
Implant placement at #24 site
Crestal approach sinus lift
Sinus augmentation with bone grafting material
Buccal bone grafting for deficient ridge area
Risks, benefits, procedures, and post-operative expectations explained to Px.
Pre-operative Assessment
CBCT reviewed prior to surgery.
Implant angulation, sinus anatomy, and buccal bone deficiency assessed.
Risks including sinus perforation, infection, swelling, implant failure, graft failure, bleeding, and post-operative discomfort discussed.
Px understood and agreed to proceed.
Informed consent obtained for implant placement with crestal sinus augmentation and buccal bone grafting.
Anesthesia
Local anesthesia administered to surgical site.
Surgical Procedure
Px cleaned and draped in sterile manner.
Incision made and buccal flap raised.
Implant osteotomy site prepared using implant drills and osteotomes.
Sinus floor elevated using osteotomes via crestal approach.
Dentium Osteon Collagen II artificial bone grafting material used for sinus augmentation within created space.
Implant prepped with Megagen Plasma X motion prior to placement.
4.5mm x 8.5mm Megagen Anyone Implant placed at #24 site.
5.5mm healing abutment (S) connected to implant at #24 site.
Additional buccal bone grafting performed at #24 using remaining Dentium Osteon Collagen II artificial bone grafting material.
Flap released for tension-free closure.
BSS x7 placed for primary closure.
Haemostasis achieved.
POI given.
Post-operative Assessment
Post-operative CBCT taken.
Implant alignment and positioning satisfactory.
Bone graft adaptation dense and stable.
Sinus augmentation successful.
Px tolerated procedure well and left clinic in stable condition.