Simultaneous sinus floor liftand placement of a metal-free implant
Dr. Jens Tartsch
“Because of the tapered design of the implant body and geometry of the threads, NobelPearl™ can be used in the rehabilitation of a broad range of indications, from single-tooth restoration to more challenging cases such as simultaneous sinus lift and implant placement, where high primary stability is required.”
Patient: 35-year-old, female, good general and oral health
Clinical situation: tooth 26 removed 2 years before rehabilitation
Surgical solution: NobelPearl™ Tapered RP 4.2 mm x 10 mm
Restorative solution: NobelPearl Abutment Straight Inter-X RP 1 mm with monolithic zirconia crown
Surgery date: December 2017
Tooth position: 26 (FDI system)
Total treatment time: 4 months
Case courtesy of Dr. Jens Tartsch.
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Initial clinical situation
Healed site 2 years after extraction of tooth 26. Note the lateral (left) and vertical (right) bone remodeling.
Presurgical digital volume tomography (DVT) shows the vertical bone remodeling 2 years after extraction of tooth 26.
Flap opening and surgical site preparation (left).
Sinus window preparation and access to maxillary sinus (center).
Sinus floor elevation (right).
Inserting the NobelPearl Tapered Ø 4.2 mm x 10 mm implant (letf).
Implant inserted 0.6 mm supracrestal (center).
Sinus filled with deproteinized bovine bone (right).
Horizontal augmentation using deproteinized bovine bone (left).
Bone substitute covered with resorbable collagen membrane (center).
Primary wound closure (right).
The re-entry took place 3 months after implant insertion with small crestal incision. Healthy soft tissue 2 weeks after re-entry around the gingiva cap (left).
Placing the NobelPearl Impression Coping Closed Tray Inter-X onto the implant (right).