Technology & Patient Resources
Case study: multiple guided implants
Three failing teeth in the upper right quadrant replaced with individual implant-supported ceramic crowns — planned digitally, placed in a single session.
The situation
The patient presented with three non-restorable teeth in the upper right quadrant: two premolars and a molar. All three were beyond repair, and the molar site had insufficient bone height beneath the sinus.
The plan was three individual implants rather than a bridge, so each tooth would function independently and each could be maintained — and, if ever necessary, treated — on its own.
How it was done
3D CBCT planning
Detailed diagnostic imaging mapped bone volume at all three sites and confirmed the extent of sinus lift needed at the molar position.
Extraction and grafting
The non-restorable teeth were removed, with bone graft material placed during a minor sinus lift at the molar site.
Guided placement — 90 minutes
All three implants placed in a single session under IV sedation, using a surgical guide generated from the digital plan.
Five months of integration
Healing while the implants fused with bone, including the grafted sinus site.
Digital impressions and crowns
CAD/CAM design and in-house ceramic fabrication of three individual crowns.
The result
Full function and esthetics restored in six months, with each crown functioning independently, much like a natural tooth.
Placing three implants in one ninety-minute session was possible because every position was determined before surgery began. Freehand, the same case would have taken considerably longer and carried more risk near the sinus.
Have a question?
Book a consultation with Dr. Singh. Call (905) 479-7777.