InnerView Validates Long-Term Implant Success in a High-Risk Tooth Replacement

Bao-Thy N. Grant, DDS, Board-Certified Oral & Maxillofacial Surgeon

5 minute read

Chief Complaint:

“My tooth is cracked and I am not eligible for another root canal.”

Patient Overview

The patient was a 66-year-old dental hygienist who presented with a fractured, non-restorable tooth #3i. Following extraction with ridge preservation and PRF, a dental implant was placed five months later using YOMI robotic guidance. A final screw-retained restoration was delivered, and the patient has been functioning successfully on the implant since 2023.

Challenge

While traditional diagnostics revealed clear risk factors, they lacked the precision to assess implant integration — a critical factor in predicting long-term success. Without more definitive data, the stability of the restoration could not be confirmed with confidence.

Initial Clinical Findings

Traditional Diagnostic Methods

CBCT and clinical findings revealed:

  • Bone loss in furcation on tooth #3 with a history of endodontic treatment with re-treatment

  • Deep periodontal pocket between teeth #2 and #3, secondary to localized vertical bone loss

  • Vertical infra-bony loss mesial to tooth #2

Treatment Solution

Phase I
Surgical extraction of tooth #3 with ridge preservation and PRF under IV Deep Sedation/GA

Phase II
Surgical placement of dental implant #3 via YOMI robotic guided planning and surgery

Phase III
Ready to restore check at 4 months post-operation.

Phase IV
Final screw-retained restoration and testing with InnerView two years post-op

Phase III: Screw-Retained Temporization and Monitoring

Final screw-retained restoration and testing with InnerView two years post-op

The InnerView Examination Process

InnerView provides quantifiable data on tooth and/or implant stability. The handpiece delivers four percussive taps to the tooth or implant at any stage and measures energy return to support the evaluation of:

  • External tooth and /or implant mobility

  • Defects that are undetectable by xrays or visual inspection

  • Early signs of failure before symptoms appear

Results

At two years post-restoration, InnerView testing confirmed implant #3i had a consistent mobility value of 45, indicating favorable osseointegration. The test was repeated four times, each showing stable results within the good integration range.

Traditional diagnostics such as CBCT, RFA, percussion, and torque testing can only detect structural issues once they are advanced. InnerView provided quantifiable stability data that guided treatment decisions and confirmed long-term integration. These results gave the clinician confidence to proceed with final restoration and validated the implant’s favorable condition.

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