Implant Placement Surgery for Teeth #22, #23, #24, and #26
Surgical Removal
Implant Placement
Chief Complaint
Patient requires implant placement for the replacement of missing teeth #22, #23, #24, and #26.
Clinical Findings
Missing teeth #22, #23, #24, and #26.
Pre-operative CBCT revealed poor bone quality.
Shallow bone at #26 site, requiring maxillary sinus elevation.
Treatment Plan
Discussed teeth replacement alternatives with the patient.
Patient decided on implant replacements for missing teeth #22, #23, #24, and #26.
Risks and procedures, including the need for bone grafting and sinus floor elevation, were discussed with the patient.
Quoted cost for bone grafting
Patient understood and agreed to proceed.
Informed consent obtained for implant placement at #22, #23, #24, and #26 sites, along with bone grafting and sinus floor elevation.
Pre-operative Assessment
Anesthesia
Local anesthesia infiltration.
Surgical Procedure
Patient cleaned and draped.
Incision made.
Buccal and palatal flaps raised.
Granulation tissue in #22 and #24 sockets removed.
Implant sites #22, #23, #24, and #26 prepared with implant drills and osteotomes.
Implant Placement:
Tooth #22: 3.6mm x 10.0mm Dentium Superline II implant placed.
Healing abutment 5.5mm (S) placed.
Tooth #23: 4.0mm x 10.0mm Dentium Superline II implant placed.
Healing abutment 5.5mm (M) placed.
Tooth #24: 4.0mm x 8.0mm Dentium Superline II implant placed.
Healing abutment 5.5mm (M) placed.
Tooth #26: 4.0mm x 8.0mm Dentium Superline II implant placed.
Healing abutment 5.5mm (M) placed.
2. Sinus Floor Elevation:
Sinus floor at #26 lifted approximately 3mm - 4mm.
Bone grafting performed around the implant and buccal bone plate deficient undercuts.
3. Closure:
Flap released.
Bioactive synthetic scaffold (BSS) placed x10 for primary closure.
Hemostasis achieved, post-operative instructions given.
Post Operation Gallery
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