Implant Placement for Tooth Number #45
Implant Placement
Chief Complaint
Patient presented with a missing tooth at position #45.
Clinical Findings
Discussed replacement alternatives.
Explained risks and procedures.
Patient understood and chose to replace missing #45 with an implant.
Pre-operative CBCT taken.
Treatment Plan
Implant placement surgery at the missing tooth position #45.
Potential bone grafting if necessary.
Pre-operative Assessment
Pre-operative CBCT taken.
Patient agreeable to proceed with implant placement surgery today.
Informed consent obtained.
Anesthesia
Local anesthesia administered: Right Inferior Dental Nerve (IDN), Lingual Nerve (LN), and Long Buccal Nerve (LBN) blocks.
Surgical Procedure
Patient cleaned and draped.
Incision made.
Buccal flap raised.
Implant site prepared.
Placed 3.6mm x 8.0mm Dentium SuperLine III implant.
Healing abutment 5.5mm (Medium) placed.
Bone grafting performed on buccal side of #45 implant using Ethoss 1.0cc artificial bone grafting material.
Flap released.
BSS x 05 placed for primary closure.
Achieved haemostasis and provided post-operative instructions (POI).
Post-operative Assessment
Post-operative CBCT taken.
Implant position verified as good.
Bone graft appears dense.
Healing abutment not fully seated.
Healing abutment torqued further into implant at 15Nm.