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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 BDS, MDSc

A dentist , a continuous education junkie and inspiring other dentists to be a real dentist ! Who do you want to help you improve your smile if you are looking for a dentist? Dr. Kamsiah also known as Dr. Kam is cosmetic dentist with over 30 years experience . As a Master and Instructor of the Digital Smile Design , together with dental implantology , prosthodontics and orthodontics I have the experience and knowledge to handle the most complex cases in cosmetic dentistry. Oral reconstruction, rehabilitation with or without dental implants and conscious sedation dentistry all in one place. She earns her membership of the International Association for Orthodontist (iAOi) in 2014. She has been a Diplomate of the American Board of Prosthodontics and Implantology (ICOI) since 1997. She's into guided surgery and full mouth rehabilitation on failed dentition also known as teeth in a day with the help with digital dentistry. Something she's passionate about since embarking into private practice 23 years ago. Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University and lectures on prosthetics , the All-on-Four concept and recently on the Digital Smile Design. Specialties: Prosthetic Dentistry, Dental Implants, Cosmetic Dentistry, Orthodontics, Invisalign, Bone-Screw Orthodontics, AO4, Teeth in one day.

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