Implant Placement at #47 with Soft Tissue Augmentation
Surgical Procedure
Chief Complaint
Patient presented with missing tooth at #47 and requested implant replacement to restore chewing function.
Clinical Findings
Clinical and CBCT assessment confirmed edentulous site at #47 suitable for implant placement.
Soft tissue profile at the buccal aspect required enhancement to improve long-term peri-implant tissue stability.
Autogenous bone available during osteotomy for grafting support.
Treatment Plan
Implant placement at #47 with:
soft tissue augmentation
autogenous bone support
healing abutment placement for transmucosal healing
Pre-operative Assessment
CBCT reviewed prior to surgery.
Implant position planned carefully.
Risks, benefits and procedural steps explained.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia administered via infiltration at #47 region.
Patient cleaned and draped under sterile protocol.
Surgical Procedure
Incision performed to advance connective tissue toward buccal aspect of implant site.
Buccal flap raised.
Implant osteotomy prepared using implant drills.
Autogenous bone harvested during osteotomy at #47 site.
Megagen AnyOne implant (4.5 mm × 8.5 mm) prepared with plasma blasting prior to placement.
Implant placed.
7.5 mm healing abutment placed.
Buccal flap dekeratinised and repositioned inward into created space to increase thickness of keratinized gingiva.
Primary closure achieved with 5 BSS sutures.
Hemostasis achieved.
Post-operative instructions provided.
Post-operative Assessment
Post-operative CBCT confirmed:
satisfactory implant alignment
stable implant positioning
dense bone adaptation at grafted site
Soft tissue augmentation completed successfully.
Patient tolerated procedure well and was satisfied post-operatively.