Follow the Bone- a Case Report
32DenteCare, 1A-Rassaz Green, Mira Road East, Thane, Mumbai, India
INTRODUCTION
Dental Implants have become treatment of choice in India since a decade. With proper patient education and relative success rates the major part of Indian population (MIG) are opting for Implant as treatment modality. Since India, being a developing country, large percentage (%) of population cannot afford expensive treatment. Several modification and alternatives are followed to fetch best possible outcome. Instead of costly bone grafts and surgical procedures, natural resources and alternative procedures are utilized. In short, due to economic barrier between the patient and the Implantologist, the surgical procedure becomes challenging.
CASE REPORT
1.Female Patient aged 62years, complained of endentulous space with respect to maxillary and mandibular posteriors.
2. Presence of Grossly decayed tooth structures
Pre-Operative Pictures
TREATMENT PLAN
Patient was explained about fixed prosthesis using dental Implants. On CBCT and bone mapping, D3 type of bone and undercuts where well evaluated. 10 Implants, wherein 4 mandibular and 6 maxillary regular platform MODE Implants from MODE Medikal INDIA were utilized in this case. Indirect sinus lift was performed in both the quadrant of maxilla with respect to 16, 17, 26, 27. A flapless and graft less approach was carried out utilizing MODE Implant kit by incorporating ‘Osseo-Densification’ and ‘Follow the Bone’ concept. Ridge split and socket densification were performed for mandibular area. Sinus lift of approximately 6mm was performed with respect to 27. Gingival collars were placed immediately after the placement and healing was allowed with definite Osseo integration. Over the next 4-month patient was in good health with no post-operative symptoms. Challenging was to restore the maxillary posteriors. The second stage started with closed tray impression after significant healing. Abutment were placed and tightened at a torque of 35 Ncm. A HCRP (Hybrid Cement Retained Prosthesis) was Preferred. High points were checked and cementation was done in centric. Patient was advice to maintain good oral hygiene.
STAGE-2
After 1 Year
CONCLUSION
Perfect treatment plan and approach with precision in work along with utilization of available resources, on basis of correct scientific studies and selection of good Implant system or instruments, with blend of modifications can give better and impressive results in economic way.
POSITIVE PERCEPTION
Studied are closed group, they merely guide you.
If you are technically precise and have a perfect treatment plan, failure is no more than a myth.
Case done by Dr. Shadab Khan, Director-CEO, MODE Medikal India, Website: http://www.drshadabkhan.com
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The views and opinions expressed in articles published in Guident are solely those of the authors and do not necessarily reflect the views of the editors, the editorial board or the publisher, Ivory India. Guident does not endorse any product, technique or treatment described. Clinical content is intended for qualified dental and medical professionals and is not a substitute for individual clinical judgement. Guident, its editors and the publisher accept no liability for any consequence arising from the use of information published in the journal.
How to cite this article
Dr. Shadab Khan. Follow the Bone- a Case Report. Guident. 2021 Feb;14(3). Available from: https://guident.in/articles/implantology/follow-the-bone-a-case-report.html
