NeoTell® clinical case
Implant stability measurements with Neoss NeoTell®
Dr. Safa Somi, DDS
Specialist in prosthodontics
London, United Kingdom
Case facts
Patient:
A 67-year-old female patient with a recent extraction of the right maxillary central incisor.
Clinical problem:
Maxillary central incisor with a vertical root fracture and recurring gingival abscess. After extraction, a large buccal bone defect was revealed.
Clinical solution:
Treatment plan:
Products:
Conclusion:
Step by step
Step by step
Figure 1.
Eight weeks post extraction. The patient had an immediate partial denture as provisional.
Figure 2.
A mucoperiostal flap was raised, revealing a large buccal bony defect. A Neoss ProActive Straight implant was placed with simultaneous bone grafting. A tooth supported provisional restoration allowed for undisturbed healing.
Figure 3.
Four months of healing. Buccolingual and mesio-distal ISQ readings show high stability of the implants (BL 68, MD 68), allowing to proceed with delivery of the definitive implant-supported crown.
Figure 4.
Four months of healing. ISQ value measurement using the Neoss NeoTell unit with 45° angle and 2-4 mm distance from the SmartPeg.
Figure 5.
Final screw-retained implantsupported zirconia crown. While waiting for healing the patient had tooth whitening and restoration of non-carious cervical cavities on adjacent teeth.
“NeoTell is an impressive diagnostic tool. It is a necessity for my day-to-day implant dentistry especially on immediately placed and loaded implant cases. This tool makes communication easier with patients explaining the clinician's decision on the next stage of their implant treatment.”
Dr. Safa Somi, Specialist in prosthodontics, United Kingdom 
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