Case report
This patient had a no-restorable upper molar due to significant bone loss and infection. The treatment plan consisted of a staged approach with extraction and ridge grafting to restore the missing width of bone, and then a sinus lift at time of implant placement to augment the limited height of bone. Digital workflow used along the entire treatment for optimal accuracy.
Treatment
- Extraction preservation / augmentation bone graft to augment the ridge
- 3-D computer-assisted planning
- Surgical guide fabricated from 3-D work up using 3-D printing
- Single stage conservative sinus lift bone graft at time of implant placement
- Proper placement of a dental implant with ideal axis and position
- Following 6 months of healing, a custom abutment and crown were fabricated and placed.
Success factors
- Bone and soft tissue augmentation
- The diagnostic work up began with the end in mind.
- 3-D digital work flow for diagnostics and planning
- A proper surgical guide allowed accurate placement of the implant.
- Site development with attention to ridge and as well as height of bone
- A conservative sinus lift procedure at time of implant placement
- Well-designed and fabricated implant restoration
- A close collaboration between surgeon and restorative dentist, each doing what they do best.
