Vertically cracked tooth

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Categories ; Posterior, Immediate placement, Astra,

Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

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Soft tissue thickness measured with short dental needle and endodontic stopper

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BLP placed for screw retained crown, ample bone volume for 5.0 wide implant

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Finished surgical guide

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Initial set up is correct, no need for rotational adjustment, use 0 degree green

rotation block

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Fractured second premolar is extracted

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2.0 mm twist drill, set at 23 -10 – 3 ( red flexistop) = 10 mm osteotomy

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3.2 mm twist

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4.7 mm twist, not that there is no drill guide , hole in rotation block is 5.05 mm in

diameter

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5.0 x 9 mm implant, stacked with rotation-block

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Implant is positioned,

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and rotation-block is now clicked in place

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Implant is visually guided

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Implant placement as planned

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Implant placement as planned

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1 week post operative