16
Copyright © 2012 Idondivi, Inc. All rights reserved. Categories ; Posterior, Immediate placement, Astra, Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

Vertically cracked tooth

Embed Size (px)

DESCRIPTION

40 year old male with a virgin tooth that unfortunately had to be removed due to a vertical fracture. The bucco-lingual width is generous; the length is limited by the sinus. Fully restrictive guided surgery does allow very precise osteotomy preparation versus free handed surgery when the drill wants to jump towards the free space.

Citation preview

Page 1: Vertically cracked tooth

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Immediate placement, Astra,

Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

Page 2: Vertically cracked tooth

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Soft tissue thickness measured with short dental needle and endodontic stopper

Page 3: Vertically cracked tooth

3 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP placed for screw retained crown, ample bone volume for 5.0 wide implant

Page 4: Vertically cracked tooth

4 Copyright © 2012 Idondivi, Inc. All rights reserved

Finished surgical guide

Page 5: Vertically cracked tooth

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Initial set up is correct, no need for rotational adjustment, use 0 degree green

rotation block

Page 6: Vertically cracked tooth

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Fractured second premolar is extracted

Page 7: Vertically cracked tooth

7 Copyright © 2012 Idondivi, Inc. All rights reserved

2.0 mm twist drill, set at 23 -10 – 3 ( red flexistop) = 10 mm osteotomy

Page 8: Vertically cracked tooth

8 Copyright © 2012 Idondivi, Inc. All rights reserved

3.2 mm twist

Page 9: Vertically cracked tooth

9 Copyright © 2012 Idondivi, Inc. All rights reserved

4.7 mm twist, not that there is no drill guide , hole in rotation block is 5.05 mm in

diameter

Page 10: Vertically cracked tooth

10 Copyright © 2012 Idondivi, Inc. All rights reserved

5.0 x 9 mm implant, stacked with rotation-block

Page 11: Vertically cracked tooth

11 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant is positioned,

Page 12: Vertically cracked tooth

12 Copyright © 2012 Idondivi, Inc. All rights reserved

and rotation-block is now clicked in place

Page 13: Vertically cracked tooth

13 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant is visually guided

Page 14: Vertically cracked tooth

14 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placement as planned

Page 15: Vertically cracked tooth

15 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placement as planned

Page 16: Vertically cracked tooth

16 Copyright © 2012 Idondivi, Inc. All rights reserved

1 week post operative