Case Study 1 – Blink n' Smile | بسمة بغمزة

CASE STUDY
elie merheb

Case Study: Dental Implant Treatment

Patient: Elie Merheb
Date: May 2026

Patient Profile

Name: Elie Merheb
Age: 42 years old
Gender: Male
Medical History: Non-smoker, no systemic diseases, no known drug allergies
Chief Complaint: Missing upper left first molar causing difficulty chewing and aesthetic concern

Clinical Examination

Mr. Merheb reported a missing tooth in the upper left quadrant following an extraction performed 8 months prior due to severe decay. Intraoral examination revealed an edentulous space at site #26 with adequate mesiodistal space, healthy adjacent teeth, no periodontal disease, and sufficient keratinized gingiva. CBCT imaging confirmed 14 mm bone height, 8 mm bone width at the crest, and a safe distance from the maxillary sinus.

Diagnosis

Partial edentulism at site #26 with sufficient bone volume for implant placement and no contraindications.

Treatment Plan

After discussing available options including a fixed bridge and removable partial denture, Mr. Merheb opted for a single-tooth dental implant. Treatment was planned in two stages: implant placement followed by a prosthetic phase after osseointegration.

Treatment Procedure

Under local anesthesia, a full-thickness flap was elevated and a 4.1 mm x 12 mm bone-level titanium implant was placed at site #26 with 35 Ncm insertion torque, indicating good primary stability. After a 4-month healing period with uneventful recovery, a screw-retained porcelain-fused-to-zirconia crown was fabricated and delivered with verified occlusal contacts.

Outcome and Conclusion

At the 3-month post-loading review, Mr. Merheb showed stable bone levels, healthy peri-implant tissue, and reported comfortable chewing and full satisfaction with the aesthetic result. This case highlights how thorough pre-surgical planning and precise execution can deliver a predictable and successful implant outcome.