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 .
Unfortunately the torque was inadequate during the surgical stage .
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.
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.