Two implants in a free ending situation

Categories ; Posterior, Multiple implants, CBCT, Implant Direct

Teeth extracted 8 months prior

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CBCT

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Patient wore VPS impression during scan. VPS material is radio opaque so you can easily image the soft tissues in relationship to the bone and vital structures

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Denture teeth on triad composite for “ wax up” .

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Vacuform carrier

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Implant position for screw retained crown

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The BLP locks in the bucco lingual position and the top of the implant

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# 19 site , BLP set up to allow for screw retained crown

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Side by side implants

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BLP set up for screw retained restoration

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Wings are clipped for side by side implants

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Reversible connection with hot glue, before permanent connection with Ortho Acrylic

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Cut and remove cross bar after Ortho Acrylic connection of wings to vacuform carrier

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RIRâ&#x20AC;&#x2122;s Overlap, so radiograph is diagnostic. No need for rotation correction use green 0 degree rotation-block

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Guide in place

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Preservation of attached gingiva with small flap

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2.O mm twist drill with red Flexistop 3 MM. So 13-3 = 10 mm implant

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Flexistop gives definitive depth control

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Sequential enlargement of osteotomy

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Final preparation

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Implant direct 4.3 x 10 mm

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Guided placement

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Final placement

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