Working safely above the foramen

Categories ; Posterior, Grafting, Multiple implants, Blue Sky Bio

Failing abutment molar

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Failing abutment molar

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Extraction, non resorbable PTFE membrane

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At 3 weeks

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At 3 weeks

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At 3 months post extraction, cast based planning

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Screw retained crown setup

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Perfect but tight fit for two 4 mm impants

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Cross bars removed

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Two 8 mm implants planned. Note close proximation to mental foramen on X ray

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No need for rotational adjustment, so use green 0 degree rotation blocks

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Flapped access allowing for grafting hard and soft tissue

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18.7 mm drill shortened with green flexistop to evaluate distance to foramen

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Length pins used to evaluate that indeed an 8 mm implant is OK, prep not yet to full length

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Additional 1.5 mm OK to prep deeper at # 29 implant above foramen. Check twice drill once ď &#x160;

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Prep now to full length

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Nobel Biocare starter drill used to flatten top of ridge.

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3.2 mm Astra facilitate drill

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3.7 MM Astra facilitate drill reduced length with 3 mm flexistop for stepped back preparation. 18 – 3 – 10 = 5 mm

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Confirmation

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Gentamycin antibiotic eyedrops

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Blue Sky Bio Conus implant 8 x 4 mm. Carrier set for guided depth control

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Implants placed as planned, note local buccal tread exposed on # 29 implant

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Bone chip harvest

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Bone chip placed

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Protected with non resorbing bio-oss

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Mucograft to increase keratinized tissue

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Implants placed as planned

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Implants placed as planned

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3 weeks post placement, note increase in buccal attached tissues

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