Two on one

Categories ; Posterior, Grafting, Nobel Biocare

Two teeth, only space for one implant, so cantilever cuspid

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Two teeth, only space for one implant, so cantilever cuspid

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BLP setup for screw retained restoration

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Buccal wing, setup for premolar implant, while not involving sinus

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Guide in place

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X-ray is diagnostic as both BLPâ&#x20AC;&#x2122;s overlap, no need for rotational correction, so use green, 0-degree rotation block

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Flapped since buccal will need augmentation to increase volume

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Crest

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Initial osteotomy with drill length set with red flexistop at 10 mm ( 23-10-3)

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Initial osteotomy

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2.8 at 10 mm

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3.4 at 7 mm for stepped back preparation for tapered implant

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Note high tech holder for universal drill guide from Idondivi, Inc.

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Guided tap

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Final osteotomy

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4.3 x 10 mm, Nobel Active

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50 N / cm insertion torque

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Guided, bonemill

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Implant in predetermined position

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Resorbable collagen membrane secured with healingcap

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Bio-Oss, non resorbable grafting material to increase buccal volume

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Covered with resorbable collagen membrane

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# 12 implant with healing cap, ( note that # 7 implant will heal submerged)

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Implant 4.3 x 10 mm Nobel Active placed as planned

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