(1) Background: Different techniques and tools have been developed for implant site preparation. In this clinical scenario, Hybrid Funnel Technique (HFT), a novel osteotomy procedure, has been proposed. (2) Aim: The aim of this retrospective observational study was to consider the different responses to compression of the histological bony compartments (cancellus and cortical). HFT involves the use of multiple drills for the cortical layer preparation and of an osteotome for the osteocompaction of the cancellous bone. (3) Materials and Methods: Following computer-supported implant planning and guided surgery, 10 osteotomies with HFT were performed and 10 implants with the same length and diameter were placed in seven healthy and no daily smoking patients. Periapical X-ray and intraoral photographs were performed at baseline and after 12 months of follow-up to evaluate marginal bone level (MBL) changes and aesthetic results obtained from implant prosthetic rehabilitation. (4) Results: At 1 year of follow-up, 100% of the implants were successfully integrated, MBL change mean value was 0.17 mm ± 0.21. No differences in terms of MBL were noted between thin and thick biotypes. Pink esthetic score (PES) and white esthetic score (WES), assessed one year after definitive restoration placement, were 7.5 ± 2.3 and 8.5 ± 1.1, respectively. (5) Conclusions: Based on the findings of this preliminary clinical study, HFT has led to stability of peri-implant tissues and could represent a reliable technique for surgical preparation of the implant site.

The article presents a case report of a 42-year-old man with missing maxillary left first premolar first and second molars due to endodontic treatment failure and symptomatic periapical disease. The article discusses the challenge of replacing maxillary molars with dental implants and presents a surgical approach called Post Extractive Palatal Socket Implant with a “one time one abutment” approach. The article highlights the use of a primary prosthetic implant component to combine the palatal positioning of the implant with the “one time one abutment” approach. The technique aims to optimize osteointegration and periointegration in one surgical time for challenging cases. The article discusses the advantages of such a technique for maxillary molar replacement with dental implants.