To flap or not to flap, that is the question!

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, sinus lift, multiple implants, Nobel Biocare

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Partially edentulous


The fastest wax-up in the west


BLP placed for screw retained restoration, prosthetically driven implant

placement, necessitating shorter implant


Bone driven implant placement, necessitating cement retained restoration


Finished 3D Click Guide


X-ray is diagnostic as buccal and lingual RIR’s overlap. No need for rotational

adjustment, so use 0 degree green rotation blocks


Site is flapped, drilled at 7 mm


8.5 mm long implant OK as planned


2.8 twist at 18-10 = 8 mm


3.2 twist at 5 mm for stepped back preparation


8.5 x 3.5 Nobel Active


2 mm twist at 18-10-3 = 5 mm


Correct length


3.2 twist at 18-10-3 = 5 mm


Sonic Kavo hand piece with insert indicated for lateral sinus lift, used for internal

sinus lift. The bone will be abraded, while not affecting the soft tissue sinus

membrane


Opening into sinus, with intact sinus membrane


Collatape first


Unigraft, ceramic material


Condensed with the MIS expansion instruments


Nobel Active 8.5 x 4.3


Implants placed as planned, sinus lifted. Submerged healing, while patients

wears Removable partial denture.


Flapped versus flapless

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To flap or not to flap, that is the question!