Categories ; Posterior, Flapless, Astra
Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA
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Healed site first premolar
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2
Soft tissue thickness, based on bone sounding with short dental needle and endodontic stopper
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3
BLP placed for screw retained restoration, decision is made to use 3.5 mm wide implant as bucco lingual bone volume is limited
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4
Finished 3D Click Guide
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5
Buccal and Lingual RIR overlap, so photo is diagnostic. No need for rotational adjustment, so use green 0 degree rotation block
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6
Motorized tissue punch
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7
Adequate keratinized tissue remains
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8
2.0 twist drill
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9
13 mm deep osteotomy
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10
2.8 mm twist drill , 3 I Navigator
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11
3.2 mm twist,
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12
Astra 3.5 x 13
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13
Visual guidance
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14
Final depth placement under direct visual control
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15
Implant shoulder 3 mm below gingival margin
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16
Healing cap
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17
Implant placement as planned
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18