Copyright © 2012 Idondivi, Inc. All rights reserved.
Categories ; Posterior, Grafting, Nobel Biocare
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Two teeth, only space for one implant, so cantilever cuspid
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Two teeth, only space for one implant, so cantilever cuspid
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BLP setup for screw retained restoration
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Buccal wing, setup for premolar implant, while not involving sinus
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Guide in place
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X-ray is diagnostic as both BLP’s overlap, no need for rotational correction, so
use green, 0-degree rotation block
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Flapped since buccal will need augmentation to increase volume
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Crest
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Initial osteotomy with drill length set with red flexistop at 10 mm ( 23-10-3)
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Initial osteotomy
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2.8 at 10 mm
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3.4 at 7 mm for stepped back preparation for tapered implant
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Note high tech holder for universal drill guide from Idondivi, Inc.
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Guided tap
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Final osteotomy
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4.3 x 10 mm, Nobel Active
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50 N / cm insertion torque
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Guided, bonemill
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Implant in predetermined position
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Resorbable collagen membrane secured with healingcap
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Bio-Oss, non resorbable grafting material to increase buccal volume
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Covered with resorbable collagen membrane
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# 12 implant with healing cap, ( note that # 7 implant will heal submerged)
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Implant 4.3 x 10 mm Nobel Active placed as planned