expanding a case
DESCRIPTION
This 83 year old male received an implant in first molar site so he would have posterior support once two hopeless teeth would be removed. Well that time has come. 21 and 22 were removed. After initial healing two Nobel Biocare implants were placed in a submerged protocol.TRANSCRIPT
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Copyright © 2012 Idondivi, Inc. All rights reserved.
Categories ; Anterior, Posterior, Grafting, Multiple implants,
Nobel Biocare
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2 Copyright © 2012 Idondivi, Inc. All rights reserved
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.