Case Forum

Title

Immediate Functional Rehabilitation of a Severely Collapsed Bite Using a Digitally Guided Implant and Immediate Loading Protocol using NeoBiotech IS-III implants : A Six-Month Clinical Follow-Up

Case Presentation

A patient with a severely collapsed occlusal relationship was rehabilitated using a digitally planned implant-supported workflow.

The treatment protocol involved digital diagnosis and planning, controlled elevation of the bite, implant placement, and immediate loading with a digitally designed prosthesis. Functional occlusion was established within 48 hours of implant placement.

At the 6-month follow-up, the rehabilitation remained clinically functional and stable, with maintenance of the established occlusal relationship and no evident significant peri-implant bone loss on radiographic evaluation.

Clinical Overview & Case Summary

Preserving Nature's Signature-Central Blue Zone (Implant/Abutment Interface): Represents the prosthetic emergence profile and the central transmucosal zone directly surrounding the implant platform and screw access.

Green Ring (Peri-implant Mucosa / Biological Width Area): Denotes the immediate zone of free peri-implant mucosa (sulcular and junctional epithelium equivalents), critical for establishing the mucosal seal and biological width.

Orange Zones (Interproximal Papillae): Highlights the mesial and distal papillae sites adjacent to the implant restoration, which are crucial for managing the aesthetic interdental height and preventing black triangles.

Pink Zones (Keratinized Tissue / Mucogingival Complex): Maps the band of keratinized and attached mucosa required to provide stable soft-tissue sealing and resistance to functional mechanical stress.

Clinical Case Explanation:

This presentation highlights a comprehensive full upper arch rehabilitation for an 86-year-old patient, utilizing Neobiotech implants guided by the Crestal-Middle-Incisal (CMI) implant design philosophy to maximize primary stability in compromised maxillary bone.

Key surgical and prosthetic milestones documented in the sequence include:

Pre-Operative Assessment: CBCT evaluation of the upper jaw showing failing dentition, reduced bone volume, and proximity to the maxillary sinuses.

Step-by-Step Surgical & Prosthetic Protocol

1. Pre-Operative Assessment & Planning-

Detailed pre-operative radiographic analysis performed via CBCT imaging to evaluate bone height, width, and proximity to vital structures.

2. Atraumatic Extraction-