Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd
Medical Case Report
| Sex / Age: Male/39 |
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| First Visit: 20/03/2015 |
Implant Surgery: 21/10/2015 |
| Others Surgery (GBR…):21/10/2015 |
Final Restoration: 13/05/2016 |
| First Recall: 26/05/2016 |
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| Chief Complaint: Missing a posterior tooth in the upper left region, the patient requests fixed restoration. |
| Consideration(s): Maxillary sinus lift |
CASE OUTLINE
The upper left tooth 6 is missing. After a maxillary sinus lift procedure, a C-Tech implant (Model: EL-5109) was placed. A subsequent application of an oxidized zirconia full crown is planned for final restoration.
TREATMENT PLAN
The width of the alveolar bone in the region of the upper left tooth 6 measures 7.8mm, with a bone height of 9.5mm. Following the maxillary sinus lift procedure, the C-Tech implant (Model: EL-5109) will be conventionally placed.
TREATMENT
1. Perform standard disinfection and drape the area with cloths. Administer local anesthesia to the upper left teeth 5 to 7 region.
2. Make incisions along the crest of the alveolar ridge for tooth 6 in the upper left region. Make additional incisions inside the grooves between teeth 5 and 7 in the upper left region. Carefully reflect the gingiva and gently scrape the bone surface.
3. Precisely position the C-Tech implant (Model: EL-5109) in the location of tooth 6 in the upper left region. Use a pilot drill and tapered drills to create boreholes measuring 4.6*8mm. Perform a sinus lift procedure by gently elevating the sinus membrane approximately 2mm using the tapping osteotome technique. Conduct a Valsalva maneuver to ensure the integrity of the sinus membrane. Insert gelatin sponge and implant the C-Tech implant (EL-5109) with closure screws. Apply a torque of 20N, achieving a marginal bone height of M1.5D1B1L1, and securely suture the area.
4. After 6 months, take an impression and replace the restorative abutment with Model: EL-4503F. Permanently fix it with adhesive fixation, and apply an oxidized zirconia full crown for long-lasting restoration.
