Use of Densah drill on integrated implantology.
A CBCT together with intraoral scanner impression were used to have a complete data set for production of stent. The amount of bone (7mm implant on the project) may not provide sufficient initial stability. A custom abutment was studied and split into two area subgingival and supragingival.
We produced just the subgingival area one, the abutment acting as a custom healing cap.
The densah drill allowed to optimize the site : a 10mm implant was positioned and a subcrestal elevation of 3 mm from the initial planning.
The future abutment will incorpored the same digital subgingival morphology and it will be expanded on prosthetic area, to hold the crown.
Densah drill are an invaluable tool here as they provide predictable sinus elevation, simplflifyng procedure and osseodensification improved the torque of insertion and merging them with digital planning provide a degree of liberty from range.(accuracy required to mount implant and abutment )
The complete abutment was not planned on this clinical case but the question I would like to share is would you do a single step with immediate abutment(1A1 and provisional?