Implant Placement Surgery with Ridge Split and Bone Grafting at #22 & #23
Surgical Procedure
Chief Complaint
Replacement of missing teeth #22 and #23.
Clinical Findings
Missing #22 and #23 identified.
Ridge width insufficient for implant placement without augmentation.
CBCT reviewed showing favourable bone height and need for ridge splitting to accommodate implants.
Adjacent structures, including maxillary sinus, not involved.
Treatment Plan
Ridge split procedure to widen the alveolar ridge.
Implant placement at #22 & #23.
Bone grafting with artificial grafting material for volume maintenance.
Primary closure for optimal healing.
Post-operative CBCT and follow-up review.
Pre-operative Assessment
CBCT reviewed.
Implant position and angulation planned digitally and clinically.
Risks, alternatives, and surgical steps explained to the patient.
Patient fully understood and consented to implant placement with ridge split + bone grafting at #22 & #23.
Anesthesia
Local anesthesia infiltration administered.
Surgical Procedure
Patient cleaned, draped, and prepped under sterile conditions.
Incision made; buccal and palatal flaps raised.
Ridge split performed using piezoelectric surgery.
Ridge expanded with chisels and spreaders.
Implant osteotomies prepared with implant drills and bone spreaders.
Dentium Slim Line 3.0 × 10.0 mm implants placed at #22 and #23.
Bone grafting completed using Dentium Osteon II collagen bone graft material.
Flap released and BSS × 10 placed for primary closure.
Hemostasis achieved and post-operative instructions given.
Post-operative Assessment
Post-op CBCT taken confirming ideal implant positioning.
Maxillary sinus not involved.
Stability and alignment of implants good.
Patient satisfied with the procedure.
Healing reviewed and no immediate complications noted.