Do You See Situations Like This in Your Practice?

Do you see situations like this in your practice?

I bet you do!

Original Source – Engel Institute

Pre-operative CBCT analysis demonstrates adequate bone height.  Being aware of vital anatomy is critical to reduce your anxiety in considering placement of a dental implant in the posterior mandible. Being able to atraumatically extract and diagnose for a single posterior dental implant is an important part of our general dentistry practices.

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Pre-operative digital radiograph of a non-restorable primary tooth indicates the need for extraction. The tooth was removed and the site allowed to heal for a few months, per the patient’s request. The Engel protocol is followed and a two-dimensional radiograph helps in the evaluation of available vertical bone.
  

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The Straumann surgical burs help create proper medial-distal and facial-lingual angulation of the implant, to help ideally place the implant.  Dr. Engel promotes visualizing the final crown BEFORE considering a dental implant.  Therefore, proper implant placement will allow for more predictable restorative results.
  

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The implant was torqued to 35Ncm, so a taller healing abutment is placed, eliminating the need for further anesthesia upon taking the final impression. The Straumann impression technique is used. Our dental laboratory provides a screw retained implant crown to replace the missing first molar.
  

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The final implant crown is torqued to 35 Ncm and our patient is thrilled with the final functional and esthetic result.