Download - Expanding a case
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Copyright © 2012 Idondivi, Inc. All rights reserved.
Categories ; Anterior, Posterior, Grafting, Multiple implants,
Nobel Biocare
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Failing teeth with advanced boneloss
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Extraction after creating posterior implant support
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Healing at 3 months , note less density at cuspid site
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Over extended impression acquiring a large part of the edentulous ridge
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BLP locks in the Bucco-lingual position and the shoulder of the implant,a 3.5 mm
implant will be selected
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BLP glued in at premolar site, a 4.3 mm implant will be selected
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The wings are bonded to the vacuform carrier
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The clinical situation, note how the molar implant does create posterior support,
while the anterior situation is under treatment
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The buccal has been cut short for easy flap management
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Drills set at 8.5 mm ( 13 – 3 – 1.5)
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Radiograph shows that an additional 1.5 mm, for 10 mm implants is OK
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Preparation now made for 10 mm implant, note green 1.5 mm flexistop was
removed
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Last drill with additional 3 mm flexistop for stepped back preparation for tapered
implant
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Premolar site is tapped with guided tap from Nobel Biocare
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Bone particles are collected
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Incomplete healing at cuspid site, osteotomies are completed
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Implants are placed
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Final torque, with good initial stability, 3.5 x 10 and 4.3 x 10 Nobel Active
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Buccal defect, although body of implant is within bone contour.
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Bone collected
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Defect is grafted with collected bone particles
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Submerged healing as patient is wearing a stay plate
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Implants placed as planned, submerged healing.