Implant Placement at #31, #35 & #36 with Immediate Temporary Crown at #31
Surgical Procedure
Chief Complaint
Multiple missing lower teeth (#31, #35, #36) requiring implant-supported rehabilitation.
Clinical Findings
Missing #31, #35, and #36
Adequate ridge height but sites required precise planning due to proximity to IDN
Pre-operative CBCT confirmed suitable anatomy and guided implant angulation
Treatment Plan
Implant placement at #31, #35, and #36
Use osteotomes for controlled site preparation
Immediate temporary crown fabrication for #31
Post-operative CBCT verification of all implant positions
Pre-operative Assessment
CBCT reviewed and IDN plotted
Implant positions planned using the latest CBCT imaging
Risks, benefits, and procedures explained
Patient understood and agreed
Informed consent obtained for implant placement at all three sites
Anesthesia
Local anesthesia.
Surgical Procedure
Implant #31 – With Immediate Temporary Crown
Patient cleaned and draped
Incision; buccal flap raised
Osteotomy prepared using drills and osteotomes
Intra-operative CBCT x2 taken to verify angulation and depth
Megagen AnyOne Mini Implant (3.3 × 13.0 mm, plasma-blasted) placed
EZ Post abutment (MIEP3549HT) attached
Temporary crown fabricated chairside using composite resin
Occlusion relieved
Access sealed with Teflon tape and cavit
BSS × 3 placed for primary closure
Hemostasis achieved
Implants #35 & #36
Fresh incision and flap elevation
Implant sites prepared with drills and osteotomes
Dentium SuperLine Implants placed:
#35 → 4.5 × 10.0 mm
#36 → 5.0 × 10.0 mm
Flap released and advanced
BSS × 6 placed for primary closure
Hemostasis achieved
POI given.
Post-operative Assessment
Post-op CBCT confirmed correct implant angulation and safe distance from IDN
Dense surrounding bone observed
Patient satisfied with function and aesthetics of temporary crown