Immediate placement and loading in the posterior mandible

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



Patient: 55 years old male
Medical status: healthy
Chief complaint: "I want to replace my missing teeth."
Teeth 35 and 37: extracted earlier at another clinic
Tooth 36: localized advanced periodontitis
Treatment plan: immediate placement and loading on #35, #36 & #37
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Based on the clinical and radiographic findings, it was decided to remove tooth 36, resulted in an edentulous space with three missing teeth.

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The flap was raised up with a crestal incision and a large defect was found around the extraction socket.

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3 external implants (CMI EB) were placed with 45Ncm of insertion torques in that area.

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Autogenous bone chips harvested from the adjacent ridge area was grfated in the defect.

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Healing abutments were connected to the fixtures.

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Non-submerged approach was done and the wound margins were closed with sutures.

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Postoperative panoramic radiograph showing 3 implants placed in the mandibular left posterior area.

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10 days after the surgery.

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An impression was made with pickup impression coping 2 weeks after the surgery.

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SCRP prefabricated abutments were connected.

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A definitive 3 unit SCRP prosthesis was delivered 3 weeks after implants placement.

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Radiograph taken on the day of final restoration.

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8 years postoperative panoramic radiograph showing well maintained implants without any noticeable bone loss.
This case presents 3 external implants (CMI EB) immediately placed with 45Ncm of insertion torque values on the edentulous mandibular left quadrant and a definitive 3 unit SCRP prosthesis delivered 3 weeks after implants placement.

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