Tissue level implant in tight Mesio-Distal space

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Categories ; Posterior, Flapless, Straumann Courtesy of : Tom Bakker DDS, periodontist, San Francisco, CA

Copyright Š 2011 Idondivi, Inc. All rights reserved.


Non restorable tooth is extracted an socket is grafted to restore palatal bone contour

Copyright Š 2011 Idondivi, Inc. All rights reserved

2


Uneventful healing at 10 weeks

Copyright Š 2011 Idondivi, Inc. All rights reserved

3


Bone sounding readings as utilized

Copyright Š 2011 Idondivi, Inc. All rights reserved

4


Screw access in central fossa. Note considerable bony undercut on buccal

Copyright Š 2011 Idondivi, Inc. All rights reserved

5


A yellow, Regular diameter buccal wing is selected. Note the limited Mesio-Distal space.

Copyright Š 2011 Idondivi, Inc. All rights reserved

6


Straumann instrumentation has + 1 and +3 side. Use + 1 side !!

Copyright Š 2011 Idondivi, Inc. All rights reserved

7


2.2 mm twist drill in 0-degree ( green) rotation block . A rotational correction is indicated; the 7 degree rotation block is selected

Copyright Š 2011 Idondivi, Inc. All rights reserved

8


The green , 0 degree rotation block, is replaced with the red 7 degree rotation block

Copyright Š 2011 Idondivi, Inc. All rights reserved

9


Final osteotomy with 7 degree rotation block in place

Copyright Š 2011 Idondivi, Inc. All rights reserved

10


Straumann, Standard Plus 4.1 x 12 MM, SLA Active

Copyright Š 2011 Idondivi, Inc. All rights reserved

11


Mesio-Distal placement as planned

Copyright Š 2011 Idondivi, Inc. All rights reserved

12


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