Implant case

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Categories ; Posterior, Flapless, Astra Tech

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Non restorable lower first molar, extracted, healed site at 3 Months

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Healed site # 19

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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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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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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