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Copyright © 2011 Idondivi, Inc. All rights reserved.
Categories ; Posterior, Flapless, Astra Tech
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2 Copyright © 2011 Idondivi, Inc. All rights reserved
Non restorable lower first molar, extracted, healed site at 3 Months
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Healed site # 19
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4 Copyright © 2011 Idondivi, Inc. All rights reserved
Purposely over extended impression captures 14 mm of the alveolar ridge
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Bone sounding measurements topical anesthetic and small needle with rubber-
stop.
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6 Copyright © 2011 Idondivi, Inc. All rights reserved
Denture tooth, the “fastest wax –up in the west”, and reusable over and over
again.
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Vacuform of denture tooth
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BLP related to screw access hole in the central fossa.
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Wings attached to vacuform carrier. Note that position of BLP is just a starting
point, the wings are positioned independently, while the BLP is locking in the
Bucco-Lingual and the platform position of the implant.
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Radiograph is diagnostic since the RIR’s overlap. The trajectory needs correction
though.
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A 7 degree ( red) rotation block is selected. A metal drill guide is placed, and the
trajectory is verified.
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Adequate attached tissue allows tissue punch.
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Nobel Biocare starting drill is used ( not to full depth) , although an Astra Tech
implant will be placed. The starting drill removes the tissue plug, and flattens the
ridge.
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Facilitate 2.0 drill with build in stop. Tip to stop 18.7 mm , listed as 18 mm.
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Osteotomy preparation for 8 mm implant
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Verification of initial twist drill preparation
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3.2 mm Facilitate drill
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3.7 Facilitate drill per Astra Tech drilling protocol.
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Astra Tech OsseoSpeed TX 4.0 S - 8 mm
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20 Copyright © 2011 Idondivi, Inc. All rights reserved
Visual guidance of implant placement. The guided carrier from Astra does not fit
the hole diameter of the 3DCG. Hence the use of the regular Astra implant carrier
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Implant placed to full depth. Bottom of osteotomy is the depth control.
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Implant placed as planned
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Implant placed as planned