Case Forum

Today, I performed my first hands-on implantation on a plastic jaw model with new NeoBiotech ALX-BT implant, focusing on the new drilling protocol and implant placement characteristics.

Two features particularly caught my attention: the new final drill design and the Bone Taper. Together, they provide excellent control during osteotomy preparation and implant insertion, especially when primary stability is the main objective.

My first impression is that the ALX-BT has very promising characteristics for soft bone conditions, particularly D444 bone, where achieving reliable primary stability can be challenging.

Below, I’m sharing some photos and videos from today’s procedure

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.