composed by dr. gary f. turnier implant placement dr.gary f. turnier

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Composed by Dr. Gary F. Turnie Implant placement Dr.Gary F. Turnier

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Page 1: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Composed by Dr. Gary F. Turnier

Implant placementDr.Gary F. Turnier

Page 2: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000

Informed consent given

Surgical procedure performed by Dr. Gary F.Turnier

Premedication with 1gm Azithromycin 1 hour before txIbuprofin 600mg 1 tab 1 hour before tx

Dr. Gary F. Turnier

Page 3: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Maxillary soft tissue considerations: Since interdental papillae –saving incision was not needed , sulcular incision performed midcrestal mesial of #15-distal of #13

Dr. Gary F. Turnier

Page 4: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Dr. Gary F. Turnier

Page 5: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier
Page 6: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Drilling sequenceA-LENDERMAN’SDRILL 9MMB.2.3MM PILOT DRILL 10MMC.2.8MM OSTEOTOMY DRILL 10MMD.3.4MM OSTEOTOMY DRILL 10M-FINAL DRILL FOR PLA CING A 4.7X11.5MM IMPLANT

Page 7: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

ZIMMER GUIDE PIN

Dr. Gary F. Turnier

Page 8: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Used Nobel Biocare osteotomes

Bone spreading techniques

3.4mm osteotomy drill was used to a depth of 10mm then Dr. Kale proceeded to use the osteomes to a depth of

11mm. Using the engine to place the implant , we achieved a torque of 55ncm and at this point we had to use the

Gemlock Retaining Square ratchet to hand torque. As a result of the bone spreading with the Nobel Biocare Osteotomes. The hand torque ratchet was extremely

difficult due to the tightness between implant and bone contact. It felt like D1 bone. We might of achieved a

torque of >70ncm as a result of using the osteotomes. However, it was so tight that in hindsight, we could of gone to the 3.7mm osteotomy drill and proceeded with

implant placement without sacrificing buccal bone.Dr. Gary F. Turnier

Page 9: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Nobel Biocare Osteotomes measured with perio probe to confirm depth of 11mm

Dr. Gary F. Turnier

Page 10: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Dr. Gary F. Turnier

Page 11: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

4.5mm diameter platform diameter

Dr. Gary F. Turnier

Page 12: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

ZimmerTapered screw vent implants have 1.0mm machined milled platform and

1.5mm textured surface 4.5mmDiameter platform

4.7mm Diameter tapered screw vent body

1.0mm

1.5mm

2.5mm length from first thread to the coronal aspect

Dr. Gary F. Turnier

Page 13: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

sinus

2.5mm

9.0mm implant tapered screw-

vent MTX surface

THCW5/5 healing collar for internal hex

4.5mm diameter platform

Dr. Gary F. Turnier

Page 14: Composed by Dr. Gary F. Turnier Implant placement Dr.Gary F. Turnier

Dr. Gary F. Turnier

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Dr. Gary F. Turnier

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