Osstem Malaysia Clinical Cases, Osstem Malaysia OIC Training Center, Kuala Lumpur (2026)

06/09/2026

I like to keep procedure simple, repeatable and biologically sound. Overcomplicated treatment strategies have higher complication rates and less predictability for the final outcome. Staged approach was applied to keep procedure simple, repeatable and biologically sound.
For the following case, horizontal bone augmentation was done. Horizontal bone augmentation rebuilds the lost width of the jawbone so a dental implant can be placed safely.
The "Sausage Technique," developed by Dr. István Urban was applied . It is called a "sausage" technique because the bone graft material is packed tightly under a flexible collagen membrane and pinned down under immense tension, creating a firm, balloon-like bulge that resembles a sausage. (( A small round drill to make tiny holes in the existing bone. This induces minor bleeding, which releases growth factors and stem cells to accelerate healing. A resorbable collagen membrane was placed over the area and pinned down tightly on one side using titanium tacks. A mixture of allograft (sureoss) & xenograft(Aoss) was packed tightly into the defect.The loose end of the collagen membrane was pulled tightly over the graft material like a sling and pinned down securely on the opposite side with titanium tacks. This extreme immobilization prevented the graft from moving .
Before two Osstem implants ( ETIII NH fixtures) were placed 4 months later , an apical reposition flap & free gingival graft was done to increase keratinised gingival & depth of vestibule.
Staged approach was applied to keep procedure simple, repeatable ,and biologically sound as overcomplicated treatment strategies have higher complication rates and less predictability for the final outcome.
To ensure successful implant outcome,
Implants of sufficient length, diameter, strength , with a micro-rough surface and platform switching (for subcrestal fixture placement) were placed
Implants were inserted in the correct prosthetic position (restorative-driven @ prosthetic-driven implant placement).
Clinical photos in chronological order from pretreatment photos to review 15 months post treatment photos are shared

04/08/2026

For this clinical case , Osstem implants were placed with vertical and crestal splitting ((using Osstem ESSET( Easy safe Stable Expanding & Tapping )kit )). Minor GBR was performed as well .In this ridge split case, the dental implants were enveloped by patient's natural bone. Sufficient blood supply surrounding the implant allowed for bone regeneration to occur quicker. This shortened the bone healing process and integration of the implant. Clinical photos in chronological order from pretreatment photos to 6 months post treatment photos are shared

01/08/2026

This clinical case combined implant placement ,sinus lift ,and guided bone regeneration (GBR) to augment bone height and width. Two Osstem TSIII implant were placed . 2 year 10 month review revealed the implants truly withstood functional loading and biological challenges over time. It showed stability in
bone levels, soft tissue health and prosthetic integrity.

02/07/2026

Successful implant therapy includes
– Successful outcomes from an esthetic and functional point of view.
– Long-term stability of peri-implant hard and soft tissues.
– A low risk of complications during healing and during function.
– The least number of surgical interventions to reduce invasiveness.
– The least possible pain and morbidity.
– Short healing and overall treatment periods.
– Treatment with good cost-effectiveness.

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.

The main advantage of immediate implant placement is that it condenses treatment procedures into fewer patient appointments, thereby reducing overall treatment time and increasing patient comfort while preserving the natural shape of the surrounding hard and soft tissues .

Sharing with you a case of immediate implant placement with a crestal sinus lift . . Osstem Implant was placed. The fixture was restored with customised abutment and monolithic zirconium crown.

01/06/2026

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
For this clinical case , Osstem implant was placed with crestal splitting ((using Osstem ESSET( Easy safe Stable Expanding & Tapping )kit )). In this ridge split case, the dental implant was enveloped by patient's natural bone. Sufficient blood supply surrounding the implant allowed for bone regeneration to occur quicker. This shortened the bone healing process and integration of the implant. Clinical photos in chronological order from pretreatment photos to 4 year post treatment photos are shared.

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

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.

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 .

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.

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.

Osstem Malaysia Clinical Cases

06/09/2026

04/08/2026

01/08/2026

02/07/2026

01/06/2026

03/05/2026

02/04/2026

17/03/2026

09/03/2026

02/02/2026

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