Post on 09-Mar-2016
description
Copyright © 2012 Idondivi, Inc. All rights reserved.
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