Early Detection of Implant Instability in a 75-Year-Old Patient

Overview

A 75-year-old male patient presented for a routine hygiene exam with no reported symptoms. However, a loose crown on #13 raised concerns, prompting further evaluation. Standard visual and radiographic diagnostics confirmed mobility but
failed to identify the underlying issue threatening implant stability.

With InnerView^®, Dr. Howard Golan detected an early-stage implant complication that was otherwise undetectable. This case demonstrates how InnerView’s quantitative percussion diagnostic technology can reveal implant instability before catastrophic failure occurs.

Initial Clinical Findings

Patient Condition

Loose #13 with no symptoms
Poorly adapted crown on #13
Generalized perio inflammation & bone loss tooth #14
Slight bone defect with calculus on #14

Initial Treatment Plan

Splinted PFM crowns on #12 and #13 to stabilize mobility
Implant maintenance for #14

Initial NFE Test Result

InnerView^® Examination: What TraditionalTools Missed

During the evaluation, InnerView measurements confirmed the expected mobility of #13 but also uncovered an unexpected finding—implant instability at #14.

The information below refers to future capabilities, currently under development andclinical evaluation. Not yet FDA cleared.

InnerView NFE Score for #14: 162(Extremely high, indicating structural instabilityin the implant complex)
Multiple peaks in the diagnostic readoutsuggested an underlying issue before clinicalsymptoms appeared

InnerView® Examination: What TraditionalTools Missed

Intervention & Immediate Results

Dr. Golan removed the screw channel composite and re-torqued the abutment screw on #14 to 32NCM. Following this minoradjustment, a second InnerView measurement revealed:

Significant reduction in NFE scores
Restoration of implant stability
Prevention of potential implant failure

This result strongly suggests that the abutment screw was in the early stages of loosening, and had it gone undetected, the patient could have faced costly implant failure and irreversible bone loss.

NFE Test Results Post Adjustment

Detail with NFE and Mobility Trending for Implant #14

Key Takeaways

Early Detection Before Symptoms – InnerView NFE measurements helped identify instability that was invisible on X-rays and undetectable by traditional methods.
Minimally Invasive Intervention – Regular InnerView measurements and clinicalassessment prevented a major restorative failure.
Proactive Implant Maintenance – Regular InnerView measurements and clinicalassessment can track implant health and prevent long-term complications.

Early Detection of Implant Instability in a 75-Year-Old Patient

Howard Golan, DDS

Overview

Initial Clinical Findings

Patient Condition

Initial Treatment Plan

InnerView^® Examination: What TraditionalTools Missed

InnerView® Examination: What TraditionalTools Missed

Intervention & Immediate Results

Key Takeaways

More Case Studies

Beyond X-Rays: how InnerView Reveals hidden Structural Issues Before Symptoms Appear

Innerview in a Full-Mouth Hygiene Recall for a 75-Year-Old Patient

Final Restoration of Two Anterior Implants: A Stability-First Approach with InnerView

Quantitative Percussion Diagnostics(QPD) in a 90-Year-OldPatient with Severe Wear

From Reconstruction to Routine Care: InnerView’s Role in Long-Term Dental Health

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