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Categories ; Posterior, sinus lift, multiple implants, Nobel Biocare
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Partially edentulous
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The fastest wax-up in the west
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BLP placed for screw retained restoration, prosthetically driven implant
placement, necessitating shorter implant
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Bone driven implant placement, necessitating cement retained restoration
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Finished 3D Click Guide
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X-ray is diagnostic as buccal and lingual RIR’s overlap. No need for rotational
adjustment, so use 0 degree green rotation blocks
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Site is flapped, drilled at 7 mm
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8.5 mm long implant OK as planned
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2.8 twist at 18-10 = 8 mm
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3.2 twist at 5 mm for stepped back preparation
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8.5 x 3.5 Nobel Active
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2 mm twist at 18-10-3 = 5 mm
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Correct length
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3.2 twist at 18-10-3 = 5 mm
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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
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Opening into sinus, with intact sinus membrane
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Collatape first
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Unigraft, ceramic material
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Condensed with the MIS expansion instruments
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Nobel Active 8.5 x 4.3
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Implants placed as planned, sinus lifted. Submerged healing, while patients
wears Removable partial denture.
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Flapped versus flapless