1.
Short & Wide
Dental Implants
Dr. H. Ryan Kazemi
Oral & Maxillofacial Surgery
Bethesda, MD

2.
•This patient presents with missing teeth # 30 and 31
•Minimal available height of bone due to nerve position and
bone atrophy

3.
•Site #31: CBCT shows 8 mm of bony height and 9 mm of
width

4.
•Site #30: CBCT shows 8.5 mm of bony height and 7-9 mm
of width

5.
•3-D model demonstrates a very wide ridge with minimal
height of bone due to nerve position and atrophy at the crest.

6.
•This is an ideal patient for short and wide dental implants.
Through a 3-D planning two dental implants measuring 7mm
width by 7 mm length were considered.

7.
•Clinically, there is good tissue quality. While vertical onlay
bone grafting is an option, it is very unpredictable and limited.
Short and wide dental implants are ideal for this patient.

8.
•The anatomy of available bone is shown on this photo. A
surgical guide was prepared from the 3-D model to guide the
surgeon during implant placement.

9.
•Careful surgical preparation of the implant sites
•The depth of preparation is very crucial as there is only 1
mm of safe zone between implant and the nerve.

10.
•The implant is a wide body implant with machined smooth
collar and blasted surface.

11.
•These implants do come in various lengths: 5mm , 7mm,
9mm , or 11mm.

12.
•Implants are placed. Due to tapered shape of the implants,
great primary stability is achieved. While it is possible to
provisionalize these implants immediately, they were allowed
to integrate for 3 months in this patient.

13.
•Post operative panorex

14.
•Post op CBCT was done to assess placement. Normally, this
is not indicated, but due to extreme close proximity, a
verification was done. Note position of the canal with respect
to the implants

15.
•The final abutments and .....

16.
•....the final implant-supported crowns. Crowns were
fabricated as single units.

17.
The keys to Success...
•3-D diagnostic imaging for precise measurement
•Choose the right size implant to accommodate restorations
while allowing safe placement with respect to adjacent teeth
and the inferior alveolar nerve
•Primary stability with proper torque test if considering
immediate provisionalization
•Use of surgical guide for precise positioning

18.
www.facialart.com
301.654.7070
Dr. H. Ryan Kazemi
Oral & Maxillofacial Surgery
Bethesda, MD