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A flapless single molar implant placement using guided surgery for function in a maxillary region.

This 60 year-old, female patient’s chief complaint was a missing first molar on the upper left which had been extracted several months earlier. The site presented significant loss of hard and soft tissues which could eventually compromise the implant planning and treatment. The overall health status was good and there was no concomittant oral disease; therefore, a one-stage implant procedure was initially proposed  without bone grafting nor sinus lifting. The case was  planned using the Blue Sky Bio software .

Using Blue Sky Plan software . Surgical guides exported directly from Blue Sky Plan to STL files for 3D printing.
Using Blue Sky Plan software . Surgical guides exported directly from Blue Sky Plan to STL files for 3D printing.

Unfortunately the torque was inadequate during the surgical stage .

With guided surgery, the treatment is more precise, easy to implement and can save time while—at the same time—allowing for an accurate transfer of the treatment plan to the case at hand.
With guided surgery, the treatment is more precise, easy to implement and can save time while—at the same time—allowing for an accurate transfer of the treatment plan to the case at hand.

6 months waiting period while waiting for the hard and soft tissue healing was uneventful, with significant regain in facial soft tissue contour and maintenance of interproximal bone and papilla height. A screw-retained final crown with screw-channel abutment was planned. This allowed for the central positioning of the screw-access hole without the need for a cement-retained restoration.

Direct comparison of guided and freehand implant placement confirms that patients experience less post-operative discomfort after the guided procedure.
Direct comparison of guided and freehand implant placement confirms that patients experience less post-operative discomfort after the guided procedure.
A short and wide diameter implant was use as planned to avoid sinus lift and grafting.
A short and wide diameter implant was use as planned to avoid sinus lift and grafting.

The patient was very satisfied with the overall treatment result, despite having to staged the surgery. A shorter implant was used to avoid sinus lifting and bone grafting since the case was planned well. The final crown is in function as desired by this patient.

Dr Kamsiah G Haider Prosthodontist, DSD Master & Instructor, BDS, MDSc

Dr. Kamsiah is also known as Dr. Kam is cosmetic dentist with over 30 years experience . Areas of interest are prosthodontics , dental implants and orthodontics as part of smile make over. . . . Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University . She still lectures , mentors and conduct courses on the Digital Smile Design .

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