Two implants in a free ending situation

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Copyright © 2011 Idondivi, Inc. All rights reserved. Categories ; Posterior, Multiple implants, CBCT, Implant Direct

description

Eight months after extraction, two implants were planned for site 19 & 20. CBCT imaging was performed with the patient wearing the VPS impression during the scan, so the tissue is readily visible on the cross sectional view. Because the contour of the cast is similar as the contour on the scan, the pertinent date can easily be transferred to the cast for the fabrication of the 3D Click Guide.

Transcript of Two implants in a free ending situation

Copyright © 2011 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Multiple implants, CBCT, Implant Direct

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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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RIR’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