Dual Dental Implant Placement for Missing Upper Left Molars (#26 & #27)

Implant Surgery

Chief Complaint

Patient presented for replacement of missing upper left first and second molars (#26 and #27) with dental implants.

Clinical Findings

Missing teeth #26 and #27.
Pre-operative CBCT was reviewed to assess available bone and the relationship to the maxillary sinus.
Implant positions were planned prior to surgery.

Treatment Plan

CBCT-guided implant placement at sites #26 and #27.
Primary closure of the surgical sites.
Post-operative CBCT to verify implant position.
Future implant-supported restorations after healing.

Pre-operative Assessment

Pre-operative CBCT was reviewed. The implant procedure, surgical risks, expected healing and future prosthetic restoration were explained. The patient understood the treatment plan and provided informed consent.

Anesthesia

Local anaesthesia administered to the surgical sites.

Surgical Procedure

Crestal incisions were made and buccal flaps elevated.
Implant osteotomies were prepared using sequential drills.
Dentium Superline III implant placed at #26: 5.0 mm × 8.0 mm.
Dentium Superline III implant placed at #27: 4.5 mm × 8.0 mm.
Five interrupted sutures were placed for primary closure.
Post-operative CBCT confirmed satisfactory implant positioning with the maxillary sinus uninvolved.

Post-operative Assessment

Both implants demonstrated satisfactory primary stability.
Surgical sites achieved satisfactory haemostasis.
Post-operative CBCT confirmed satisfactory positioning and preservation of the maxillary sinus.