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Categories ; Posterior, grafting, CBCT, Nobel Biocare

Copyright Š 2011 Idondivi, Inc. All rights reserved.


Hopeless molar with advanced bone loss

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Extraction and grafting with synthetic material

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Healing after 4 months

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Considerable bone-loss, Impressionable ridge is small, hence the decision to take a CBCT

Copyright Š 2011 Idondivi, Inc. All rights reserved

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CBCT image, patient is wearing the VPS impression while taking scan. The impression is actually setting while the scan is made. Visualizing soft tissue in relation to bone volume and the mandibular canal

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Cross cut with scalpel in VPS cast ( Mach 2 slow and Blu-mouse from Parkel, Inc.)

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Data from CBCT are easily transferred to cast

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Implant position is selected to be parallel to root of premolar.

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Wings are adapted to the vacuform carrier

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Finished surgical guide. Note that Mesio-Distal angulation is different from starting point of BLP.

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Very limited mouth opening.

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Implant direction is as planned, so use 0 degree rotation block

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Implant placement as planned

Copyright Š 2011 Idondivi, Inc. All rights reserved

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Need for CBCT due to small alveolar ridge  

Advanced bone-loss at molar site of 83 years old patient. Because there is only a small portion of the ridge that can be captured in an imp...