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Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case by Dr. Brett Titensor

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Categories: Implant Dentistry;
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case 

by Dr. Brett Titensor

Introduction
Full-arch implant cases present unique clinical challenges. Maintaining a clear field, protecting the airway during sedation and managing soft tissues while following a digital surgical plan require precise coordination. For this case, the Isolite Pro from Zyris became an indispensable tool. It made the surgery easier by eliminating concerns about the patient’s tongue and lips, safer by protecting the airway during IV sedation, and faster by allowing me to focus solely on the clinical procedure without constant pauses to reposition or suction.

Case presentation
A 62-year-old female presented with terminal dentition in the maxilla and a desire for a fixed implant solution. After diagnostic workup, including CBCT and panoramic imaging (Figs. 1, 2), we planned an immediate full-arch implant reconstruction using a fully guided approach. The treatment plan included extractions of the remaining anterior teeth, site preparation and placement of four DS PrimeTaper implants (Dentsply Sirona). Because of loss of bone in the posterior, while still meeting the expectations of the patient, it was decided to place the most posterior implants at an angle, with the patient knowing it would be more ideal to place more implants.
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 1
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 2
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 3
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 4
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 5
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 6
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 7
Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 8

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Fig. 9
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 10
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 11
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 12
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 13
Clinical Case Spotlight: Using the Isolite Pro to Simplify a Full-Arch Implant Case
Fig. 14

Clinical technique
The patient was placed under IV sedation, and before any surgical steps, I inserted the Isolite Pro with a medium mouthpiece. With the patient sedated, airway control is always at the forefront of my mind. The Isolite not only provided continuous suction and retraction but also acted as a physical airway barrier, offering an added layer of safety throughout the procedure.

Step 1: Extractions and site preparation
Using the guided surgical plan generated from the CBCT scan and in-house 3D printed surgical guides (Figs. 2, 3), we began a staged extraction of teeth #s 7-9 for maximum tooth-borne stability for our surgical guide (Figs. 4, 5). The Isolite maintained a clean field throughout, keeping blood and irrigation fluids away from the oropharynx while completely retracting the tongue and soft tissues.

Step 2: Guided osteotomies
With the surgical guide seated (Fig. 6), we prepared the osteotomies using the DS PrimeTaper Guided Surgery Kit (Figs. 3, 7). The implant’s tapered geometry and aggressive apical threads are designed for high primary stability, which is critical in immediate implant placement success. The isolation allowed me to work without interruption; no need to stop for suctioning or repositioning of retractors meant a smooth, efficient drilling sequence.

Step 3: Implant placement
Two PrimeTaper implants were placed according to the plan (Fig. 8). I particularly chose this guided implant system because it allows me to not only do the osteotomies but also place the implants through the guide. The Isolite Pro continued to provide excellent visualization and retraction during placement, which can be particularly challenging in posterior maxillary sites during full-arch procedures.
Repeated steps 2 and 3 for the remaining two implants (Figs. 9, 10).

Step 4: Bone reduction, grafting
and suturing
After placement, all remaining teeth were extracted. A mini-flap was laid to safely conduct an alveoloplasty to the level of the implants. The site was thoroughly irrigated. The cover screws were removed and more robust healing caps placed. We bone-grafted the remaining extraction sites and sutures were used to obtain primary closure (Figs. 11-14). Due to the soft nature of maxillary bone and only having four implants, a traditional denture was delivered in order to ensure proper osseointegration before moving to her final screw-retained smile. The Isolite kept the surgical field dry and unobstructed, making the grafting and suturing process stress-free.

Results and observations
The procedure was completed in significantly less time than comparable full-arch cases without advanced isolation. The Isolite Pro created a stable, protected environment that allowed me to work continuously without the usual interruptions for suctioning, lip retraction or clearing the field. The patient recovered uneventfully and left the same day with a removable provisional that she could use during the healing process.

Discussion
In traditional full-arch implant surgeries, especially under sedation, airway management and fluid control can be a constant source of stress. Standard suction tips and retractors require an assistant to be in near-constant motion, and any lapse can allow blood or irrigation to pool in the oropharynx. The Isolite Pro solved these issues simultaneously, providing continuous high-volume suction, soft-tissue retraction, illumination and airway protection in one device.
Pairing the Isolite Pro with the DS PrimeTaper implant system created a synergistic workflow. The implant’s aggressive thread design and OsseoSpeed surface provided excellent initial stability. Combined with guided surgery, it reduced surgical time and patient morbidity, and the isolation kept the procedure efficient from start to finish.

Conclusion
This case reinforced for me how critical the right tools are in delivering predictable, safe and efficient outcomes. The Isolite Pro fundamentally changed the pace and comfort level of this full-arch implant surgery, making it easier, safer and faster than traditional methods. For any clinician performing advanced implant procedures under sedation, integrating isolation technology like the Isolite Pro is not just a convenience—it’s a clinical advantage that directly impacts patient safety and surgical success.
This content is sponsored by Zyris.
For more information, visit zyris.com.
Author Bio
Dr. Brett Titensor Dr. Brett Titensor practices in a fully digital dental office in Flower Mound, Texas. He lectures and teaches hands-on courses nationally and internationally on digital dentistry with a special emphasis on the Dentsply Sirona workflow.
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