Implant Cases

Case Example #1- Multiple teeth missing

46/y/o patient with missing posterior molar teeth in upper left jaw.  Three implants placed with simple local anesthetic. Two to three months later, the implants /abutments were ready for the restorative dentist to fabricate crowns.

Implants and final abutments were placed  in one stage with the non-surgical flapless technique (i.e. no incisions or stitches).

Three implants replacing upper molar teeth



Case Example #2 - All teeth missing in one or both arches

50 y/o male with complaint of ill fitting lower denture. The dentures  are secured with implants and special attachments to prevent movement during eating or speaking    

Two implants on lower jaw with ball attachment (or Zest snap-on locators) to secure lower denture.



Case example #3 - All upper teeth missing

70 y/o male with all upper teeth missing.  Patient was prepared and evaluated in our office.  With the use of the CT Implant scanner and advanced  implant planning software, implants were placed and a fixed provisional was delivered the same day.  "Teeth in an Hour"!


Teeth Placed Same Day As Implants Placed

Virtual implant planning with immediate placement of full arch fixed provisional, “Teeth in an Hour.” 
Combining the  technology of the I-Cat‘s precise dicom files with the highly accurate Nobel Guide software (Fig. D,) a two scan technique will allow specialized laboratories to fabricate a Cad/Cam surgical guide and  an  immediate fixed provisional .  This advanced technology allows us to place the implants precisely and accurately. The implants can be placed in proper relation to the simulated fixed restoration (Fig. E.) Subsequently, the precision surgical guide (Fig. F) is used to fabricate the fixed provisional and place the implants.  Immediately after removal of surgical guide the 12 unit fixed provisional is secured to the implants with prosthetic screws at the time of surgery (Fig. G, H, I.)

In summary, the I CAT scanner can be used for a variety of applications. Precise planning of routine cases, detailed evaluation of Implant sites, sinus anatomy, and nerve locations. Post operative implant evaluations are easily done as demonstrated in the sinus graft case above. In addition, there are other uses that are applicable. Orthodontic patient analysis, TMJ evaluations and airway evaluations are additional uses of this technology.

The I-Cat scanner is one of the most beneficial tools that has helped advance implant dentistry during the last decade. 

Dr. Paul T. Akers

1. Nobel Guide Procedures & Products manual
2. Use of “Virtual” Implant treatment planning: Inside Implant Dentistry, 6/08, pp 58-64, Orentlicher,
    Goldsmith, Horowitz DMD.

Fig. D Implants are positioned with virtual technology in proper relation to the simulated prosthesis

Fig. E  I-Cat detailed anatomical cross-sections utilized to place virtual implants

Fig. F  Precision Cad Cam surgical guide fabricated from NobelGuide software.  This is used to place implants in precise locations to accomodate the full arch fixed provisional

Fig. G  Precision placement of implants with Cad/ Cam surgical guide

Fig. H  Pre-fabricated fixed provisional ready to secure to implants

Fig. I  12-unit fixed provisional secured in place immediately after implant placement "Teeth in an Hour"