Case Summary 🔎
Patient Information
Date: 2022-05-22
Patient Information: 68 years old, Male
Medical History: Diabetes, Hyperlipidemia, Thyroid disease
Treatment Plan
Remove old crown of tooth #13, perform root cutting, and apply the socket shield technique
Implant placement using Digital Guide (VAROGuide)
VAROGuide initial drilling ▶ Neo Master kit drilling ▶ Maxy kit (Upcoming Release) ▶ IS-II active implant placement
Immediate placement and immediate loading with Magic i Temp
Results
Product used : IS-II active Ø4.0X13mm (BIS4013A)
Bone Quality : D113 (C1M1I3) – CMI Fixation
ITV : 40Ncm
Immediate loading with Magic i Temp
ISTV : 69 (On the Magic i Temp)
Case Presentation
1️⃣ Pre-Op
1) Pre-Op X-ray
2) Pre-Op Smile Line & Intraoral Photo
2️⃣ Surgical Plan
#13 VAROGuide Implant planning
Implant size : 4.0X13.0 / Sleeve offset : 13.5mm
3️⃣ Surgery: Using Socket Shield Technique
1) Crown cutting and Root rest
2) VAROGuide R/W kit Initial drilling, Ø2.2 drilling followed by confirmation of Bone Quality D113 (C1M1I3)
3) Proceeded with Ø3.5 drilling using the VAROGuide R/W Kit according to the drill protocol
4) Used Master kit for additional drilling after Ø3.5 drilling
5) Performed pre-tapping due to hard bone, removed the palatal root, leaving only the buccal root
6) Implant placement of IS-II active Ø4.0X13mm (BIS4013A)
7) Placement with Buccal Root Shield left in place (Insertion Torque: 40N)
8) Immediate loading using Magic i Temp was performed with appropriate fixation of D113-CMI fixation and 40N
4️⃣ Post-Op
Post-Op Smile line & Intraoral Photo
ISTV 69 (On the Magic i Temp)
ISTV measurement reference chart
H.A. Cuff | ISTV |
6mm | A+4 |
5mm | A+2 |
4mm | A |
3mm | A-2 |
2mm | A-4 |
5️⃣ Pre-Op PA & Post-Op PA
6️⃣ Post-Op Follow-Up
4 weeks follow-up (ISTV-68)
7️⃣ Results
Maintained gingival volume and alveolar bone structure by using the socket shield technique without extracting the buccal root rest, minimizing gingival collapse and surrounding tissue resorption
Used the VAROGuide system for initial drill – Ø2.2 drill - Ø3.0 drill - Ø3.5 drilling followed by additional drilling with the Master Kit
Confirmed Bone Quality D113 during Ø2.2 drilling
Pre-tapping was performed due to hard bone to form threads optimized for the fixture
Placed IS-II active Ø4.0X13mm (BIS4013A) implant
Achieved appropriate fixation of 40N with CMI fixation at D113 (C1M1I3) without additional bone graft at the canine position
Maintained ISTV of 69 at 2 weeks and 68 at 4 weeks, achieving stability with fixation from the remaining buccal tooth
Plan for final prosthesis after 3 months
8️⃣ Clinical Video
💡 Discover the detailed surgical process by watching the video below.