Implant Placement at #24 & #16 with Internal Sinus Lift
Surgical Procedure
Chief Complaint
Patient satisfied with current #36 implant crown; presented for implant surgery at missing #24 and #16 sites.
Clinical Findings
#36 implant crown asymptomatic, functioning well; removed as one unit for lab finishing
Missing #24 and #16 requiring implant-supported replacement
CBCT confirmed adequate ridge height with need for internal sinus lift at #16
No pathology noted at proposed implant sites
Treatment Plan
Implant placement at #24 and #16
Internal (crestal) sinus lift for #16
Healing abutments placed at both sites
Bone grafting avoided based on intra-operative assessment
Post-operative CBCT verification
Pre-operative Assessment
CBCT reviewed
Implant positions planned digitally
Risks and procedures explained, including sinus lift considerations
Quotation provided for implants, prosthetics, sinus lift, and augmentation
Patient understood and agreed
Informed consent obtained for implant placement
Anesthesia
Local anesthesia.
Surgical Procedure
Patient cleaned and draped
Incision made; buccal flap raised
Osteotomy sites prepared with implant drills and osteotomes
Internal sinus lift performed at #16
Implant Placement:
#24:
Dentium Superline III 4.5 × 8.0 mm implant placed
5.5 mm (M) healing abutment attached
#16:
Dentium Superline III 5.0 × 8.0 mm implant placed
8.5 mm (M) healing abutment attached
Bone grafting intentionally avoided due to sufficient bone support
BSS × 5 placed at each site for primary closure
Hemostasis achieved; POI given
Post-operative Assessment
Post-op CBCT confirmed ideal implant angulation and positioning
Sinus lift successful with intact membrane and no perforation
Patient satisfied with surgical outcome