Implant Placement Surgery for Replacement of Missing #41, #42, #31 & #32
Surgical Prpcedure
Chief Complaint
Patient presents for implant-supported replacement of missing lower anterior teeth (#41, #42, #31, #32).
Clinical Findings
Missing #41, #42, #31, #32
Full-arch digital scans completed (upper & lower)
Planned PFM Ti alloy bridge over implant sites
CBCT reviewed; adequate bone volume for placement
Risks, benefits, and procedures explained; patient consented
Treatment Plan
Placement of four implants at #41, #42, #31, #32
Bone grafting to support ideal implant stability
Temporary jointed bridge for immediate restoration
Post-op CBCT to confirm implant angulation and graft integration
Pre-operative Assessment
CBCT reviewed for bone density, anatomy, and surgical planning
Implant positions mapped
Patient understood the procedure, risks, and alternatives
Informed consent obtained
Anesthesia
Local anesthesia administered
Patient cleaned and draped in sterile field
Surgical Procedure
Incision made; buccal flap raised
Osteotomy sites prepared with implant drills and osteotomes
Four implants placed: 3.0mm × 10.0mm Dentium Slim Line Implants at #41, #42, #31, #32
Bone grafting performed using Dentium Osteon Collagen II (6.0mm × 10.0mm)
Flap released; BSS ×12 placed for primary closure
Hemostasis achieved; POI given
Temporalization
Temporary 4-unit jointed bridge fabricated
Cemented with temporary bond
Post-operative Assessment
Post-op CBCT taken
Implants well-aligned; optimal positioning
Bone graft dense and well-packed
Inferior dental nerve not involved
Patient satisfied with stability and appearance of temporary bridge