Upload
idondivi
View
214
Download
0
Tags:
Embed Size (px)
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.
Citation preview
Copyright © 2012 Idondivi, Inc. All rights reserved.
Categories ; Anterior, Posterior, Grafting, Multiple implants,
Nobel Biocare
2 Copyright © 2012 Idondivi, Inc. All rights reserved
Failing teeth with advanced boneloss
3 Copyright © 2012 Idondivi, Inc. All rights reserved
Extraction after creating posterior implant support
4 Copyright © 2012 Idondivi, Inc. All rights reserved
Healing at 3 months , note less density at cuspid site
5 Copyright © 2012 Idondivi, Inc. All rights reserved
Over extended impression acquiring a large part of the edentulous ridge
6 Copyright © 2012 Idondivi, Inc. All rights reserved
BLP locks in the Bucco-lingual position and the shoulder of the implant,a 3.5 mm
implant will be selected
7 Copyright © 2012 Idondivi, Inc. All rights reserved
BLP glued in at premolar site, a 4.3 mm implant will be selected
8 Copyright © 2012 Idondivi, Inc. All rights reserved
The wings are bonded to the vacuform carrier
9 Copyright © 2012 Idondivi, Inc. All rights reserved
The clinical situation, note how the molar implant does create posterior support,
while the anterior situation is under treatment
10 Copyright © 2012 Idondivi, Inc. All rights reserved
The buccal has been cut short for easy flap management
11 Copyright © 2012 Idondivi, Inc. All rights reserved
Drills set at 8.5 mm ( 13 – 3 – 1.5)
12 Copyright © 2012 Idondivi, Inc. All rights reserved
Radiograph shows that an additional 1.5 mm, for 10 mm implants is OK
13 Copyright © 2012 Idondivi, Inc. All rights reserved
Preparation now made for 10 mm implant, note green 1.5 mm flexistop was
removed
14 Copyright © 2012 Idondivi, Inc. All rights reserved
Last drill with additional 3 mm flexistop for stepped back preparation for tapered
implant
15 Copyright © 2012 Idondivi, Inc. All rights reserved
Premolar site is tapped with guided tap from Nobel Biocare
16 Copyright © 2012 Idondivi, Inc. All rights reserved
Bone particles are collected
17 Copyright © 2012 Idondivi, Inc. All rights reserved
Incomplete healing at cuspid site, osteotomies are completed
18 Copyright © 2012 Idondivi, Inc. All rights reserved
Implants are placed
19 Copyright © 2012 Idondivi, Inc. All rights reserved
Final torque, with good initial stability, 3.5 x 10 and 4.3 x 10 Nobel Active
20 Copyright © 2012 Idondivi, Inc. All rights reserved
Buccal defect, although body of implant is within bone contour.
21 Copyright © 2012 Idondivi, Inc. All rights reserved
Bone collected
22 Copyright © 2012 Idondivi, Inc. All rights reserved
Defect is grafted with collected bone particles
23 Copyright © 2012 Idondivi, Inc. All rights reserved
Submerged healing as patient is wearing a stay plate
24 Copyright © 2012 Idondivi, Inc. All rights reserved
Implants placed as planned, submerged healing.