Field report of an IMPLA user

Situation

August 2010:
A 49 year old patient had repeated troubles with tooth 26. After an attempt of preserving the tooth endodontically, the tooth had to be extracted nevertheless. The extraction was carried out by a dentist in France (as the patient was on vacation in France at the time). Based on the well-preserved neighboring teeth, I recommended an implant-supported restoration to the patient. The bone seemed compact on the x-ray image, but a clinical examination showed that the buccal area was a bit sunken and narrow. The x-ray image also showed that the availability of vertical bone was limited extremely by the sinus. An evaluation with a template showed a bone height of about 8 to 8.5 mm. As the patient refused a sinus lift (risk of perforation of the sinal mucosa and extended healing times), I decided on inserting an IMPLA Cylindrical Implant with a diameter of 5.4 mm and a reduced length of 8.0 mm.

Surgery

December 2010:
After conditioning the implantation site a cylindrical implant by Schütz Dental GmbH was inserted. IMPLA Cylindrical ensures an extremely high primary stability. Afterwards, a periosteal incision was made and the buccal bone was augmented with a bone graft material and a membrane (Bio-Oss and Bio-Gide foil). Therefore, submerged healing was indicated. Subsequently, the mucous membrane was closed with button sutures.

Prosthetics

August 2011:
The implant was uncovered with help of the gingiva punch, then the necessary impressions and a mush bite were taken. The individual abutment was placed on top of the implant and the metal-ceramic crown  was fixed in a semi-permanent way with TempBond.

Recall

March 2012:
The result is a very good red/white aesthetic, as neither gingiva nor marginal bone have degenerated. Furthermore, a formation of pockets around the implant shoulder could not be detected and the x-ray image showed good healing and integration of the implant into the bone.