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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.
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Copyright © 2012 Idondivi, Inc. All rights reserved.
Categories ; Posterior, Immediate placement, Astra,
Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA
2 Copyright © 2012 Idondivi, Inc. All rights reserved
Soft tissue thickness measured with short dental needle and endodontic stopper
3 Copyright © 2012 Idondivi, Inc. All rights reserved
BLP placed for screw retained crown, ample bone volume for 5.0 wide implant
4 Copyright © 2012 Idondivi, Inc. All rights reserved
Finished surgical guide
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Initial set up is correct, no need for rotational adjustment, use 0 degree green
rotation block
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Fractured second premolar is extracted
7 Copyright © 2012 Idondivi, Inc. All rights reserved
2.0 mm twist drill, set at 23 -10 – 3 ( red flexistop) = 10 mm osteotomy
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3.2 mm twist
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4.7 mm twist, not that there is no drill guide , hole in rotation block is 5.05 mm in
diameter
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5.0 x 9 mm implant, stacked with rotation-block
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Implant is positioned,
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and rotation-block is now clicked in place
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Implant is visually guided
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Implant placement as planned
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Implant placement as planned
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1 week post operative