Implant Placement Surgery at #25 and #26
Surgical Procedure
Chief Complaint
Missing upper left premolar and molar (#25 & #26) requiring implant-supported replacement.
Clinical Findings
Edentulous spaces at #25 and #26
Adequate ridge volume with need for ridge expansion
Sinus proximity requiring internal sinus lift
Pre-operative CBCT confirmed suitable anatomy for implant placement with augmentation
Treatment Plan
Implant placement at #25 and #26
Ridge expansion and internal sinus lift
Sinus augmentation with autogenous and collagen-based bone graft
Buccal bone grafting
Healing abutment placement
Post-operative CBCT evaluation
Pre-operative Assessment
CBCT reviewed; implant positions planned digitally
Risks and procedures explained
Quotation given
Patient fully understood and consented
Informed consent signed for implant placement at sites #25 and #26
Anesthesia
Local anesthesia.
Surgical Procedure
Patient cleaned and draped
Incision made; buccal flap raised
Osteotomy preparation using implant drills and osteotomes
Ridge expansion and internal sinus lift performed at both sites
Sinus augmentation using:
• Autogenous bone from osteotomy sites
• Dentium Osteon II collagen artificial bone graft (6.0 mm × 10.0 mm)Megagen AnyOne Implants placed:
• #25: 4.5 × 8.5 mm
• #26: 4.5 × 8.5 mmDentium healing abutments placed:
• #25 → 6.5 mm (S)
• #26 → 6.5 mm (S)Additional buccal bone grafting applied over both sites
BSS × 5 placed for primary closure
Hemostasis achieved; post-operative instructions provided
Post-operative Assessment
Post-op CBCT taken and reviewed
Maxillary sinus intact post sinus lift
Dense bone graft observed
Implant angulation and positioning ideal
Patient shown postoperative images and satisfied with results