Oral Bisphosphonates in otherwise straightforward case

Categories ; Posterior, Flapless, grafting, CBCT, Nobel Biocare

Hopeless lower molar 80 year old female, taking oral bisphosphonates

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Grafting with synthetic bone substitute

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Considerable resorbtion of alveolar ridge after healing. Limited mouth opening.

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CBCT, as there is insufficient ridge for bone sounding to be adequately diagnostic

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Selection of slice 5 mm distal of rootsurface.

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Soft tissue readings and distance to mandibular canal

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Transfer of readings to cast and proposed bucco-lingual implant axis

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BLP locks in Bucco-lingual position and top of the implant.

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BLP locks in Bucco-lingual position and top of the implant.

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Buccal wing positioned while maintaining bucco-lingual and top of the implant

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Buccal wing positioned while maintaining bucco-lingual and top of the implant

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Lingual and buccal wings positioned

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Wings connected to vacuform carrier with Ortho Acrylic

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Wings connected to vacuform carrier with Ortho Acrylic

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Radiographic Implant Replicaâ&#x20AC;&#x2122;s overlap, image is diagnostic. No need for rotational correction, so use 0 degree ( green) rotation block

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8.5 x 4.3 mm Nobel Active, placed as planned, flapless procedure

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