Straightforward case multiple implants

Categories ; Posterior, CBCT, Multiple Implants, Nobel Biocare

Collapse of posterior support

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Mental foramen was not visible on PA radiographs, hence CBCT. VPS impression is used to measure soft tissue

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Implant position is prosthetically driven, screw access through central fossa

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Distinctly different implant angles

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BLP’s in position

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Surgical guide .

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Acceptable set up, no need for rotational adjustment, use 0 degree, green rotation blocks

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Guided surgery is NOT flapless surgery, flap to bring keratinized tissue towards the buccal

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Astra Facilitate drill used, although Nobel Biocare Implants will be placed

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Stepped back preparation for tapered implant, place 3 mm flexistop on last drill ( 18 – 10 – 3 = 5 mm deep osteotomy

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Guided tap

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Final osteotomies

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Nobel Active 4.3 x 8.5

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Implants in place

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Guided Bone mill

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Implants in place, resorbable sutures and tissue glue

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Implants in place as planned. In this case longer implants have no advantage over short implants.

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