Clinical Case Report
Management of Postoperative Infection Following Implant Placement
A healthy 20-year-old patient presented with missing upper right second premolar, and implant placement was performed uneventfully. Unfortunately, he returned with a postoperative infection 3 weeks later. This was successfully managed with systemic antibiotics, and the treatment approach was changed to a 2-stage protocol. Contour augmentation was performed during Stage 2 implant surgery to restore buccal bone contour, and the implant-supported single crown was delivered without compromising the end result.
Surgical SAC classification
Advanced
Prosthodontic SAC classification
Complex
Learner Level
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1
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2
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3
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Source
User Case
CME/CPD
0.25 hours
Purchase price
10
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General information
Case Type | |
---|---|
Jaw | Maxilla |
Area | Posterior |
# of Teeth | 1 |
# of Implants | 1 |
Type of Implants | Two-Piece |
Attachment | Two-Piece |
Bone Augmentation | Simultaneous |
---|---|
Augmentation Materials | Xenogenous |
Guided Surgery | - |
Soft Tissue Grafting | - |
Abutment Type | - |
Prosthesis Type | FDP |
Esthetic Risk Assessment
Esthetic Risk Factors | Low | Medium | High |
---|---|---|---|
Medical Status | Healthy | Compromised | |
Smoking Habit | Non-smoker | Light smoker (< 10 cigarettes per day) | Heavy smoker (>= 10 cigarettes per day) |
Patient's Esthetic Expectations | Low | Medium | High |
Lip Line | No exposure of papillae | Exposure of papillae | Full exposure of mucosa margin |
Periodontal Phenotype | Low-scalloped, thick | Medium-scalloped, medium-thick | High-scalloped, thin |
Shape of Tooth Crowns | Rectangular | Triangular | |
Infection at Implant Site | None | Chronic | Acute |
Bone Level at Adjacent Teeth | <= 5 mm to contact point | 5.5 to 6.5 mm to contact point | > 7 mm to contact point |
Prosthodontic Status of Neighboring Teeth | Virgin | Restored | |
Width of Edentulous Span | 1 tooth (>= 7 mm) | 1 tooth (< 7 mm) | 2 teeth or more |
Soft Tissue Anatomy | Intact | Defective | |
Bone Volume | Horizontally and vertically sufficient | Horizontally deficient | Deficient vertically or deficient vertically AND horizontally |
* General SAC assessment modifiers that are also part of the ERA. To avoid redundancy they are listed in this section even if no complete ERA has been made.
** Not applicable to the ERA of immediate placement cases and replaced by "Socket Integrity" listed below under "Surgical SAC Classification". For all other placement types this value is a classification determinant and listed here even if no complete ERA has been made.
Surgical SAC classification
SAC Level | Advanced |
---|---|
Defining Characteristics | One missing tooth to be replaced by an implant-borne prosthesis |
Modality | Modality |
Placement Protocol | Early or late implant placement |
Tooth Site | Tooth site |
Socket Morphology | Socket morphology |
Socket Integrity | Socket integrity |
Bone Volume | Deficient horizontally, allowing simultaneous augumentation |
Anatomic Risk | Low |
Esthetic Risk | High |
Complexity | Low |
Risk of Complications | Low |
Prosthodontic SAC classification
SAC Level | Complex |
---|---|
Defining Characteristics | One missing tooth to be replaced by an implant-borne crown |
Loading Protocol | Conventional or early |
Retention | - |
Maxillomandibular Relationship | - |
Mesio-Distal Space | - |
Inter-Arch Distance | - |
Bruxism | - |
Esthetic Risk | High |
Provisional Implant-Supported Prosthesis | - |
Interim Prosthesis during Healing | - |
Occlusion/Articulation | - |
Occlusal Scheme/Issues | - |
Surgical SAC Modifiers
Periodontal Status | Healthy |
---|
Prosthodontic SAC Modifiers
Soft Tissue Contour and Volume | Ideal |
---|
General SAC Modifiers
Oral Hygiene and Compliance | Good |
---|---|
Access | Adequate |
Craniofacial/Skeletal Growth | Completed |
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