Skip to main content
Dr. Jens ens Tartsch

Simultaneous sinus floor lift and placement of a metal-free implant

Dr. Jens Tartsch

Switzerland 

“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.”

Case courtesy of Dr. Tartsch

Patient: 35-year-old, female, good general and oral health

Clinial 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.

Some products may not be regulatory cleared/released for sale in all markets.

Please use landscape mode when viewing this page on mobile.

Case courtesy of Dr. Tartsch

Initial clinical situation

Healed site 2 years after extraction of tooth 26. Note the lateral (left) and vertical (right) bone remodeling.

Case courtesy of Dr. Tartsch

Treatment planning

Presurgical digital volume tomography (DVT) shows the vertical bone remodeling 2 years after extraction of tooth 26.

Case courtesy of Dr. Tartsch

Treatment planning

Flap opening and surgical site preparation (left).

Sinus window preparation and access to maxillary sinus (center).

Sinus floor elevation (right).

Case courtesy of Dr. Tartsch

Surgical procedure

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).

Case courtesy of Dr. Tartsch

Surgical procedure

Horizontal augmentation using deproteinized bovine bone (left).

Bone substitute covered with resorbable collagen membrane (center).

Primary wound closure (right).

Case courtesy of Dr. Tartsch

Restorative procedure

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).

Case courtesy of Dr. Tartsch

Restorative procedure

NobelPearl Impression Coping Closed Tray Inter-X and lab Replica Inter-X (left).

Repositioning of the NobelPearl Impression Coping Closed Tray Inter-X in the impression material with the NobelPearl Implant Replica Inter-X and making sure that it is fully seated (right).
 

Case courtesy of Dr. Tartsch

Restorative procedure

NobelPearl Abutment Straight Inter-X placed on the master cast with gingiva mask (left).

Monolithic zirconia crowns placed on the master cast (right).

Case courtesy of Dr. Tartsch

Restorative procedure

Healthy and thick keratinized peri-implant mucosa seen following removal of the NobelPearl Healing Abutment Inter-X 4 months after surgery.

Case courtesy of Dr. Tartsch

Restorative procedure

Try-in of the NobelPearl abutment (left).

Abutment in situ, with VICARBO® screw torqued 25 Ncm (right).

Case courtesy of Dr. Tartsch

Restorative procedure

After restoration was cemented to the abutment intraorally, it was taken out of the mouth for cleaning (left). 

Final insertion of the restoration with ratchet and torque 25 Ncm (right).

Case courtesy of Dr. Tartsch

Restorative procedure

Restoration after installation and closing the screw access hole with Teflon.

Case courtesy of Dr. Tartsch

Restorative procedure

Final restoration after screw access hole closed with composite.

Case courtesy of Dr. Tartsch

Outcome

X-ray 3 months after implant insertion before loading (left).

1-year follow-up after loading. X-ray radiography shows excellent bone level preservation (right).

Case courtesy of Dr. Tartsch

Outcome

Note the healthy mucosa without any signs of inflammation after removing the crown for control at 1-year follow-up (left). 

1-year follow-up. Esthetic excellence with zirconia final restoration and very healthy soft tissue (right).

Related products

  • NobelPearl

    NobelPearl™

    Unique metal-free, two-piece ceramic dental implant solution. An evolution of ceramic implants.

Sign up for our blog update

Get the latest clinical cases, industry news, product information and more.

© Nobel Biocare Services AG, 2019. All rights reserved. NobelPearl™ distributed by: Nobel Biocare. Legal manufacturer: Dentalpoint AG, Bodenäckerstrasse 5, 8957 Spreitenbach, Switzerland. VICARBO and ZERAFIL are trademarks of Dentalpoint AG. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Please refer to nobelbiocare.com/trademarks for more information. Product images are not necessarily to scale. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. For prescription use only. Caution: Federal (United States) law restricts this device to sale by or on the order of a licensed clinician, medical professional or physician. See Instructions For Use for full prescribing information, including indications, contraindications, warnings and precautions. Nobel Biocare does not take any liability for any injury or damage to any person or property arising from the use of this clinical case. This clinical case is not intended to recommend any measures, techniques, procedures or products, or give advice, and is not a substitute for medical training or your own clinical judgement as a healthcare professional. Viewers should never disregard professional medical advice or delay seeking medical treatment because of something they have seen in this clinical case. Full procedure is not shown. Certain sequences have been cut.