Dental Implant Placement with Immediate Temporary Crown for Missing Lower First Molar (#36)
Surgical Procedure
Chief Complaint
Patient presented for replacement of a missing lower left first molar (#36) with a dental implant.
Clinical Findings
Missing tooth #36.
Adequate bone volume for implant placement following CBCT evaluation.
Inferior Dental Nerve (IDN) identified and mapped pre-operatively.
Implant position planned using CBCT imaging.
Treatment Plan
Dental implant placement at site #36.
Immediate placement of a healing/dual abutment.
Buccal contour augmentation using autogenous bone harvested during osteotomy.
Fabrication and placement of an immediate temporary crown.
Post-operative CBCT to verify implant position.
Pre-operative Assessment
Pre-operative CBCT was reviewed to assess bone availability and identify the location of the Inferior Dental Nerve.
The patient was informed of:
The implant placement procedure.
Expected healing process.
Potential surgical risks and complications.
All questions were answered, and informed consent was obtained prior to treatment.
Anesthesia
Left Inferior Dental Nerve Block (IDN)
Lingual Nerve Block (LN)
Long Buccal Nerve Block (LBN)
Surgical Procedure
The patient was cleaned and draped under sterile protocol.
Crestal incision made and buccal flap elevated.
Implant osteotomy prepared according to the planned implant position.
A Dentium Superline III implant (5.0 mm × 8.0 mm) was placed with satisfactory primary stability.
A dual abutment was connected.
Autogenous bone collected during osteotomy preparation was grafted onto the buccal aspect of the implant site to enhance ridge contour.
Flap released and primary closure achieved with two interrupted sutures.
Haemostasis confirmed.
Immediate Temporisation
A chairside temporary crown was fabricated and fitted.
Occlusion and contours were adjusted.
Implant screw access was sealed with Teflon tape and Cavit.
A post-operative CBCT confirmed:
Implant positioned in the planned prosthetic location.
Appropriate implant angulation and alignment.
Inferior Dental Nerve remained uninvolved.
Post-operative Assessment
Implant demonstrated satisfactory primary stability.
Immediate temporary crown was stable with appropriate aesthetics.
Post-operative CBCT confirmed ideal implant placement.
Inferior Dental Nerve remained intact.
Patient was satisfied with the surgical outcome and temporary restoration.