Single restoration in the upper jaw, 8-year follow-up
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: Female/55 | |
First Visit: 16/01/2014 | Implant Surgery: 21/02/2014 |
Others Surgery (GBR…):21/02/2014 | Final Restoration: 13/09/2014 |
First Recall: 16/01/2014 | |
Chief Complaint: Missing an upper anterior tooth, the patient seeks implant restoration. | |
Consideration(s):Immediate Implantation + GBR |
CASE OUTLINE
The crown on the upper left tooth 1 became loose and was subsequently extracted. Immediately after the extraction, a C-Tech implant (Model: EL-4311) was placed. A follow-up treatment with an oxidized zirconia porcelain crown is planned for restoration.
TREATMENT PLAN
The width of the alveolar ridge in the upper left tooth 1 region measures 9.17mm, with a bone height of 13.5mm. After extraction, an immediate C-Tech implant (Model: EL-4311) will be placed. Simultaneously, a guided bone regeneration procedure will be performed, followed by the fabrication of a temporary removable denture for interim restoration.
TREATMENT
1、Collect 20ml of venous blood to prepare Concentrated Growth Factor (CGF) for future use.
2、Perform standard disinfection and drape the area with cloths. Administer local anesthesia to the treatment area, ensuring minimal discomfort. Make a minimally invasive incision along the groove of the upper left tooth 1. Gently extract the affected tooth with intact roots and thoroughly clean and scrape the wound.
3、Precisely position the C-Tech implant (Model: EL-4311) in the location of the upper left tooth 1. Use pilot drills to reach the working length and gradually prepare the borehole to 3.7*13mm (near the centre). Implant the C-Tech implant (EL-4311) with a closure screw, applying a torque of 45N. Place bone graft material on the lip side where bone loss is present. Cover it with membrane and suture the wound with reduced tension, ensuring proper closure.
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 porcelain crown for long-lasting restoration.