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Categories ; Posterior, sinus lift, multiple implants, Nobel Biocare

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Crestal approach sinus lift, not incremental fill with glass ceramic graft ( Unigraft)

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Two implants planned after 6 months healing

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BLP positioned for screw retained restoration.

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Two implants planned, root of cuspid is far distal hence inclination

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Wings removed to allow side by side nesting for two implants

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Guide in place

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Guided surgery does not mean flapless surgery. A flap allows transportation of

keratinized gingiva to the buccal

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Initial setup. Radiograph is diagnostic the buccal and lingual RIR’s overlap

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The red 7 degree RIR allow visualization of a 7 degree rotation

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# 12 yellow rotation-block for 3 degree rotation. 2 mm twist drill for 8.5 mm

osteotomy

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8.5 x NP Nobel Active

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Bonemill

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# 13 site, 7 mm osteotomy. Red rotation-block gives 7 degree rotation

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7 mm osteotomy

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Motorized BTI expanders for sinus bump if needed

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Motorized BTI expander

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8.5 x ND Nobel Active implant

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Attached tissue moved towards the buccal

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Two implants placed as planned