Grafting with gem 21s

Page 1

Categories ; Anterior, Grafting, Nobel Biocare

Copyright Š 2012 Idondivi, Inc. All rights reserved.


BLP set for screw retained crown

Copyright Š 2012 Idondivi, Inc. All rights reserved

2


Narrow Diameter with vacuform carrier.

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3


Narrow Diameter with thermoplastic carrier

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4


Material is soft in heated stage, moldable for 5 -10 minutes. Hardens when cool

Copyright Š 2012 Idondivi, Inc. All rights reserved

5


Same case, 3 carriers; vacuform, thermoplastic, VPS

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6


Radiograph is diagnostic since both BLP’s overlap, no need for adjustment use green , 0-degree rotation block

Copyright Š 2012 Idondivi, Inc. All rights reserved

7


Buccal plate loss

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8


Buccal plate loss

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9


Initial osteotomy with 1.5 mm diameter drill and custom drill guide

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10


Initial osteotomy

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11


BTI, motorized expanders

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12


10 mm drill ( 23-10-3)

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13


Nobel Active 3.5 x 10 mm

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14


50 N/cm insertion torque

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15


Buccal view

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16


Lingual threads exposed as planned

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17


Grafting with gem 21s, platelet derived growth factor

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18


Titanium reinforced PTFE, non resorbable, to be removed in 4 weeks

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19


Bio-Oss / Gem 21 50/50 on buccal

Copyright Š 2012 Idondivi, Inc. All rights reserved

20


Resorbale collagen membrane on buccal

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21


5 x 0 sutures with tissue glue

Copyright Š 2012 Idondivi, Inc. All rights reserved

22


Implant placed as planned, titanium reinforcement of PTFE visible

Copyright Š 2012 Idondivi, Inc. All rights reserved

23


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