#Immediacy 25. Apr 2025

1-Year follow-up of fast molar solution in bilateral upper premolars

A clinical case report by Dr. Christian Jarry, Switzerland, and Dr. Dalton Marques, Brazil

The following clinical case report presents the successful treatment of bilateral sites using both immediate and conventional implant placement with the Straumann® Fast Molar solution. The optimized soft tissue conditioning enabled by the Anatomical Healing Abutment demonstrated its patient-centric relevance, while its scannable head introduced a new level of time efficiency for clinicians by eliminating the need for abutment removal.

Initial situation

A 38-year-old female patient presented to the dental office reporting discomfort when smiling, due to the absence of both upper second premolars (Figs. 1-3). 

Clinical examination revealed tooth #16 with an intraradicular post and preparation for a crown, which was missing. In the adjacent quadrant, a cavity was noted on the distal surface of tooth #14. Overall, the patient exhibited healthy periodontal conditions. She is a non-smoker and does not present with any comorbidities or systemic health issues. CBCT imaging showed no signs of acute infection, and adequate bone quality and quantity at both sites. Additionally, a residual root was identified at site #15 beneath the already healed gingiva.

Treatment planning

The patient’s upper and lower arches were scanned using the Straumann® SIRIOS™ system. The scans, along with the DICOM files from the CBCT, were sent to Straumann® AXS™ – Smile in a Box® for treatment planning, surgical guide design, and 3D printing of the model and surgical guides (Figs. 4-6).

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