Monitoring Implant Stability Before Final Restoration

The information in this case study pertains to future capabilities, currently under clinical evaluation – Not yet FDA cleared

Patient Overview

A 35-year-old patient presented with a chief complaint: “My front tooth is loose.”

Tooth #9 had sustained multiple traumatic injuries over the years—first as a teenager, and again as a young adult—resulting in endodontic treatment to teeth #7, #8, and #9.

Initial Clinical Findings

Traditional Diagnostic Methods

Cone Beam CT (CBCT) and clinical evaluation revealed:

1+ mobility on the restoration of tooth #9
No facial edema or drainage
Existing endodontic treatment on tooth #9

At this stage, traditional diagnostics suggested the implant site was viable, but further data was needed to guide the next phase.

Treatment Plan

Phase I: Surgical Extraction and Immediate Implant

Tooth #9 was extracted with ridge preservation and PRF under IV deep sedation. An immediate implant was placed using robotic-guided YOMI surgery.

Yomi-guided implant placement for tooth #9 ensured precision in angulation and depth.

Phase II: Readiness Check Using InnerView

At the 5-month mark, prior to moving into the restoration phase, the team performed a follow-up check using InnerView to evaluate implant stability.

Phase III: Screw-Retained Temporization and Monitoring

With osseointegration confirmed, the clinician proceeded with screw-retained temporization to:

Develop gingival architecture
Test-drive the dental implant under function
Verify oral hygiene prior to final restoration

Screw-retained temporization allowed functional testing and soft tissue shaping prior to the final crown.

How InnerView Guided the Next Phase

InnerView provides quantifiable data on tooth, and/or dental implant stability. The handpiece delivers four percussive taps to the tooth or an implant at any stage, and measures energy return.

This allows clinicians to evaluate:

The overall tooth or implant mobility
Substructure defects undetectable by X-rays
Early signs of implant failure—even before symptoms appear

In this case, InnerView revealed:

Tooth #9 demonstrated low mobility values, confirming the implant had osseointegrated well and was structurally stable.
The Energy Return Graph (ERG) showed a stable Gaussian curve with only slight bumps—signs of minor structural variability but nothing significant enough to delay restoration.

InnerView mobility assessment at 5 months post-surgery for implant #9. Quantitative data supported the healing process and integration.

What InnerView Revealed

InnerView provided quantitative mobility data on implant #9, tested at 5 months post-surgery. The results showed:

Mobility Score: 46
Interpretation: Within the normal healing range, indicating the implant had integrated well with surrounding bone.
Energy Return Graph: A Gaussian-shaped curve was observed, with slight undulations suggesting minor residual instability, but not enough to warrant intervention.

This data gave the clinician confidence to proceed with temporization while continuing to monitor implant stability closely.

A stable Gaussian curve confirmed good osseointegration. Small fluctuations suggested minor residual instability, prompting cautious progression to temporization with ongoing monitoring.

Key Takeaways - Why InnerView is a Game-Changer in Diagnostics

Traditional diagnostic tools (X-rays, percussion, CBCT) are only able to detect structural abnormalities to an extent.

InnerView quantified the stability of the implant, leading to more effective treatment.
Post-treatment scans confirmed that stability is progressing well and appears to be in a favorable condition to process with final restorations.