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Updated: Jun 12, 2026
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Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Published on: October 18, 2021
A single implant with tissue training in the aesthetic zone
1Square Mile Dental Centre, White Kennett Street, London, E1 7BS, UK.
Summary
This case study demonstrates successful replacement of a single maxillary central incisor using dental implants and tissue grafting. Staged protocols ensured implant stability and favorable tissue integration for a predictable outcome.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Tooth loss, particularly of a maxillary central incisor, presents significant aesthetic and functional challenges.
- Regenerative grafting of lost hard and soft tissues is often necessary for successful dental implant placement.
- Staged treatment protocols allow for biological healing and tissue maturation, crucial for long-term implant success.
Purpose of the Study:
- To present a case study on single maxillary central incisor replacement using a dental implant.
- To highlight the importance of staged surgical and restorative protocols in managing complex grafting scenarios.
- To evaluate the long-term stability and aesthetic outcome of implant-supported restoration following extensive tissue regeneration.
Main Methods:
- A single maxillary central incisor was replaced with a dental implant.
- Simultaneous or sequential grafting of lost hard and soft tissues was performed.
- A staged approach was employed, allowing for extended healing and evaluation periods between surgical and restorative phases.
- Implant stability and tissue integration were monitored over time before final restoration.
Main Results:
- The staged protocol allowed for comprehensive evaluation of each phase, ensuring biological readiness for subsequent steps.
- Despite an extended patient follow-up period (one year instead of the planned nine months), the graft and surrounding tissues achieved stability.
- The final implant-supported restoration was successfully fitted, demonstrating a stable and aesthetically pleasing outcome.
- The extended timeline facilitated biological healing and allowed the patient to manage treatment costs.
Conclusions:
- Staged protocols in dental implantology, especially when combined with bone and soft tissue grafting, enhance predictability and success rates.
- Allowing ample time for biological processes is critical for achieving stable and aesthetically satisfactory results in complex cases.
- This case underscores the benefits of a phased approach, ensuring tissue maturity and implant integration before final restoration.
