Implant case

Copyright © 2011 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Flapless, Astra Tech

2 Copyright © 2011 Idondivi, Inc. All rights reserved

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


Healed site # 19


Purposely over extended impression captures 14 mm of the alveolar ridge


Bone sounding measurements topical anesthetic and small needle with rubber-

stop.


Denture tooth, the “fastest wax –up in the west”, and reusable over and over

again.


Vacuform of denture tooth


BLP related to screw access hole in the central fossa.


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.


Radiograph is diagnostic since the RIR’s overlap. The trajectory needs correction

though.


A 7 degree ( red) rotation block is selected. A metal drill guide is placed, and the

trajectory is verified.


Adequate attached tissue allows tissue punch.


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.


Facilitate 2.0 drill with build in stop. Tip to stop 18.7 mm , listed as 18 mm.


Osteotomy preparation for 8 mm implant


Verification of initial twist drill preparation


3.2 mm Facilitate drill


3.7 Facilitate drill per Astra Tech drilling protocol.


Astra Tech OsseoSpeed TX 4.0 S - 8 mm


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


Implant placed to full depth. Bottom of osteotomy is the depth control.


Implant placed as planned


Implant placed as planned

Documents

Implant case