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Real-time data confirmed full osseointegration in a site with a history of endodontic failure
5 minute read
“My tooth is cracked and I am not eligible for another root canal.”
Patient is a 66-year-old female dental hygienist who presented with a symptomatic, non-restorable, and fractured tooth #3. The tooth was surgically extracted with ridgepreservation and PRF. A dental implant was placed 5 months later via YOMI robotics. Finalscrew-retained restoration was subsequently completed, and the patient has beenfunctioning on the dental implant since 2023. This case is presented to evaluate thecurrent values of osseointegration using InnerView.
Traditional diagnostics identified the obvious risks, but lacked the precision to evaluate implant integration — which was critical for the long-term success of this restoration.
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
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
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
Tooth #3
Low numerical values in mobility, indicating that the dental implant has successfully healed and achieved full osseointegration with the bone.
This image shows the InnerView app displaying mobility on implant #3 tested 2 years post-restoration. A mobility value of 45 indicates favorable osseointegration.
Traditional diagnostic tools (X-rays/CBCT, RFA, percussion and torque test) are only able to detect structural abnormalities to an extent.
InnerView quantified the stability of the implant, leading to moreeffective treatment.
Post-treatment scans confirmed that stability is progressing well and appears to be in afavorable condition to process with final restorations.
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