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

Cherilyn Sheets, DDS

5 minute read · March 18, 2025

InnerView Quantifies Osseointegration Strength

A 50-year-old male patient was preparing for the final restorations of two anterior implants in the maxillary right lateral incisor (#7) and left central incisor (#9). In addition, #8 and #10 were prepped for porcelain veneers.

Assessing Implant Stability with InnerView®

The InnerView System was used to quantify implant osseointegration before final restorations. InnerView provides two key metrics:
  • Mobility Score (FDA Cleared in 2023) – Measures overall implant movement and correlates with osseointegration stability.
  • Normal Fit Error (NFE) – Measures localized mobility within an implant complex (not yet FDA cleared).
Standard periapical radiographs showed well-placed implants with adequate bone support. However, these conventional imaging techniques provide only a static assessment and do not measure functional stability.
While X-rays confirm bone presence, they do not measure functional osseointegration or detect micro-mobility. InnerView provided a functional assessment that revealed hidden stability concerns—offering objective data that traditional diagnostics could not.

InnerView Results: What Did It Show?

InnerView testing revealed higher-than-expected Mobility Scores, suggesting weaker osseointegration than anticipated. InnerView Mobility Scores (based on internal data):
  • Ideal Stability: Below 51
  • Moderate Stability: 52-57
  • Weak Stability: Above 57
Both implants measured 73, indicating weaker osseointegration than expected, despite appearing stable on radiographs.
Pre-treatment InnerView® assessment of #7 and #9, showing elevated Mobility Scores of 73, indicating weaker-than-expected osseointegration.

InnerView Results: What Did It Show?

The information below refers to future capabilities, currently under development andclinical evaluation. Not yet FDA cleared.
During a follow-up appointment, InnerView’s Health Monitoring Trendline revealed a notable increase in the NFE score for Tooth 29, rising from 112 to 138. This increase signified progressive micromobility, indicating a high risk of further structural breakdown.

InnerView NFE Scores

  • Low NFE scores indicated well-seated impression abutments with no localized structural issues. This confirmed that implant mobility was due to bone quality, not hardware failure.
Post-treatment InnerView® assessment of #7 and #9,demonstrating improved stability with reduced NFE values.

Impact of InnerView Data On treatment Planning

With objective InnerView data, the clinician had new treatment insights:
  • Delay Final Restorations: Keep provisional restorations longer to allow additional osseointegration.

Or

  • Do Final Restorations:
    • Adjust Occlusion: Minimize protrusive contacts and lighten occlusal load to reduce stress.
    • Protect with Splint: Provide a protective occlusal guard to mitigate bruxismrelated forces.

Why This Matters

Traditional methods—such as manual tapping with a mirror handle or reverse torque testing—are subjective and risk compromising implant stability. InnerView delivers quantitative data using non-invasive technique, removing guesswork and guiding evidence-based treatment decisions.
InnerView is redefining implant care by providing real-time functional data—helping clinicians detect weaknesses before failure occurs.

Key Takeaways

  • Early Detection Before Symptoms Appear – InnerView identified osseointegration weakness not visible on X-rays.
  • Minimally Invasive Intervention – Prevented unnecessary risks associated with reverse torque testing.
  • Proactive Implant Monitoring – InnerView supports long-term tracking for early intervention and better clinical outcomes.
InnerView is changing the standard of care, giving dentists the ability to track implant integrity in real time – before it’s too late.

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