Osstem Malaysia Clinical Cases

Osstem Malaysia Clinical Cases Welcome Osstem Malaysia Clinic Cases! This page is all about Osstem Cases for research/study from Osstem KOL💖

Surgical keys for successful implant outcomes/ Long-term Stability are as below -Utilise an implant of sufficient len...
03/05/2026

Surgical keys for successful implant outcomes/ Long-term Stability are as below
-Utilise an implant of sufficient length, diameter, strength and with a micro-rough surface.
-Insert an implant in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement.
-The implant must be completely imbedded in healthy bone at completion of healing & many hears after.
During the implant placement, the peri-implant bone walls must be at least 1.5mm .
When there is bone defect , bone augmentation should be done .
- Ideally, the implant must be located in keratinised mucosa

Long-term review reveal whether the implant truly withstands functional loading and biological challenges over time. It shows implant's stability in bone levels, soft tissue health and prosthetic integrity. It not only proves that the treatment worked but that it lasted, which is ultimately what matters most in implant dentistry.

For this clinical case , two Osstem implants were placed with vertical and crestal splitting (using Osstem Esset kit) as well as GBR at buccal. Clinical photos in chronological order from pretreatment photos to 4 year post treatment photos are shared

I like to share clinical case with long-term review as it reveal whether the implant truly withstands functional loadi...
02/04/2026

I like to share clinical case with long-term review as it reveal whether the implant truly withstands functional loading and biological challenges over time. It shows implant's stability in bone levels, soft tissue health and prosthetic integrity. It not only proves that the treatment worked but that it lasted, which is ultimately what matters most in implant dentistry.
Sharing a clinical case of implant placement with sinus graft (lateral window approach) for 3 Osstem implants. Allograft ( Sureoss) was used.

A crack in a dental implant wall (the titanium fixture placed in bone) is uncommon but serious. It usually means the imp...
17/03/2026

A crack in a dental implant wall (the titanium fixture placed in bone) is uncommon but serious. It usually means the implant has been under stress or has structurally failed.
Here are the main causes.

1) Poor Implant Positioning
If the implant is placed at the wrong angle or depth:
Forces are unevenly distributed
Certain areas take too much load
This leads to stress concentration → cracking over time

2) Thin Implant Diameter
These are more prone to fracture under heavy force

3)Excessive Bite Force (Occlusal Overload)
Continuous pressure creates micro-damage
→ eventually a crack.

4)Prosthetic Misfit
If the prosthesis on top doesn’t fit properly:
It creates abnormal loading patterns
Constant micro-movement weakens the implant.

For the following case, The cracked fixture was identified and subsequently removed, followed by immediate replacement with new fixture ( wider diameter fixture ) in proper 3d position after proper socket debridement .

Surgical keys for successful implant outcomes/ Long-term Stability are as below -Utilise an implant of sufficient len...
09/03/2026

Surgical keys for successful implant outcomes/ Long-term Stability are as below

-Utilise an implant of sufficient length, diameter, strength and with a micro-rough surface.
-Insert an implant in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement.
-The implant must be completely imbedded in healthy bone at completion of healing & many hears after.
During the implant placement, the peri-implant bone walls must be at least 1.5mm .
When there is bone defect , bone augmentation should be done .
- Ideally, the implant must be located in keratinised mucosa

For the following case,
implant placement with ridge splitting and GBR was done for 46 .
47 was Immediate implant placement with duozone graft . Osstem SOI implants were placed . Sureoss,Aoss and Aoss collagen were used as graft.

Surgical keys for successful implant outcomes1. Utilise an implant of sufficient length, diameter, strength , shape an...
02/02/2026

Surgical keys for successful implant outcomes
1. Utilise an implant of sufficient length, diameter, strength , shape and with a micro-rough surface.
2. Insert an implant in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement.
3. The implant must be completely imbedded in healthy bone at completion of healing & many years after
4. The implant ideally should be located in keratinised mucosa.
Objectives of implant therapy include
– Successful outcomes from an esthetic and functional
– A low risk of complications during healing
– The least number of surgical interventions
– The least possible pain and morbidity
– Short healing and overall treatment periods
– Treatment with good cost-effectivene
There are several ways to manage this case, and each method has its own strengths and weakness. I performed implant (Osstem implant) placement with minor transmucosal GBR to achieve satisfactory aesthetic and functional outcomes while limiting surgical intervention and treatment time.

Success is defined as the condition where the implants are in situ without any kind of biological or technical complicat...
11/01/2026

Success is defined as the condition where the implants are in situ without any kind of biological or technical complications over the entire follow-up period.

The prosthesis survival rate has been defined as the presence of the restoration in the same position and in the same original extension over a specific follow-up period without it needing to be remanufactured when complications occur.

The implant must be completely imbedded in healthy bone at completion of healing & many years after for long term implant stability.

Sharing another reviewed case of Osstem's bone level implant placed more than 4 years ago.

Surgical keys for successful implant outcomes
1. Utilise an implant of sufficient length, diameter, strength , shape and with a micro-rough surface.
2. Insert an implant in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement.
3. The implant must be completely imbedded in healthy bone at completion of healing & many years after
4. The implant ideally should be located in keratinised mucosa.

Objectives of implant therapy include
– Successful outcomes from an esthetic and functional
– A low risk of complications during healing
– The least number of surgical interventions
– The least possible pain and morbidity
– Short healing and overall treatment periods
– Treatment with good cost-effectivene

There are several ways to manage this case, and each method has its own strengths and weakness.
In this case , I performed a lateral approach sinus graft with simultaneous implant placement : delayed placement at site 16 and immediate placement at site 17. Guided bone regeneration was carried out for both implants.
I used non-resorbable high-density polytetrafluoroethylene(d-PTFE) membrane as it enable maintenance of the soft tissue architecture and contours since no primary wound closure is required.
Due to the missing flap closure, the mucogingival line will not be displaced and the attached/keratinized gingival will be preserved.

The combination of ridge splitting and GBR has shown predictable and favourable outcomes in my experience. However, this...
19/12/2025

The combination of ridge splitting and GBR has shown predictable and favourable outcomes in my experience. However, this particular case has only been reviewed for 3years 6 months to date. For the following case, for the tooth 15, implant placement was performed using crestal splitting and transmucosal guided bone regeneration (GBR). For tooth 16 immediate implant placement was carried out with transmucosal GBR and sinus lift procedure
Osstem TSIII SOI implants were placed. The ridge splitting procedure was carried out with Esset kit.

The combination of ridge splitting and GBR has shown predictable and favourable outcomes in my experience. However, this...
23/11/2025

The combination of ridge splitting and GBR has shown predictable and favourable outcomes in my experience. However, this particular case has only been reviewed for 3years 10 months to date. A crestal sinus lift was performed to increase vertical bone height as well.

Osstem TSIII implant was placed. The ridge splitting procedure was carried out with Esset kit.

As professionals, we are continually learning throughout our careers. Courses, seminars, and other forms of continuing e...
09/11/2025

As professionals, we are continually learning throughout our careers.

Courses, seminars, and other forms of continuing education are important educational vehicles, but I believe we learn the most from our own experiences.

Photographing surgeries allows us to look back at our cases from incision design, osseous contouring, implant placement, suturing and flap management.

Photographs don't lie, and honest self-assessment helps us to improve the quality of care we provide to our patients.

Photographing allows us to visualise and appreciate the chronological changes of the surgical site.

For the following clinical case ,dense polytetrafluorethylene (d-PTFE) membrane in conjunction with a bone graft were applied to regenerate a resorbed bony wall of an extraction socket for immediate implant placement.

For this case ,Osttem TSIII fixture ,allograft(sureoss),and d-PTFE(Cytoplast TXT-200) were used.

The main advantage of this type of membrane (barrier) is that it facilitates predictable guided bone regeneration in defective sockets without having to attain primary wound closure.

Since no primary wound closure is required, it enable maintenance of the soft tissue architecture and contour.
Due to the missing flap closure, the mucogingival line will not be displaced and the attached/keratinized gingival will be preserved.

Whether it is immediate, early, or delayed implant placement, achieving a successful outcome with papilla recreation dep...
02/11/2025

Whether it is immediate, early, or delayed implant placement, achieving a successful outcome with papilla recreation depends on the bone level of adjacent teeth, the embrasure form of the fixture restoration, and the gingival thickness.
For the following reviewed case , Early implant placement was done with minor guided bone regeneration . Osstem TSIII implant was placed with allograft ( Sureoss ), Xenograft ( Aoss ) & collagen membrane ( Cytoplast RTM collagen membrane ).
I placed an implant of sufficient length, diameter, strength , shape and with a micro-rough surface.
and inserted an implant in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement.
The implant achieved complete Osseointegration, being fully embedded in healthy bone at the time of healing & maintained over several years. The implant site is surrounded by keratinised gingiva contributing to long-term peri-implant tissue stability

An important benefit of the immediate implant placement, especially when an implant is placed together with provisional ...
19/10/2025

An important benefit of the immediate implant placement, especially when an implant is placed together with provisional restoration or customised healing abutment is that it provides more effective preservation of ridge dimension and soft tissue architecture.
More anatomically appropriate root and crown contours can be achieved, thereby eliminating or minimizing buccolingual and mesiodistal food impaction areas.
With the least number of surgical interventions,
the least possible pain and morbidity, short healing and overall treatment periods, we can achieve treatment with good cost-effectiveness.

With proper case selection, sound fundamentals and clinical skill, we can achieve satisfactory outcome.

The following clinical case is immediate implant placement with Osstem Implant in type II extraction socket.

Immediate implant placement with atraumatic flap-less extraction, proper socket debridement, dual zone intrasocket grafting (( xenograft (Aoss) at bone zone, allograft (sureoss) at tissue zone )) , collagen membrane ( cytoplast RTM collagen membrane) and proper socket sealing using customised healing abutment was done.

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