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Categories ; Posterior, Nobel Biocare

Copyright Š 2012 Idondivi, Inc. All rights reserved.


85 year old male with failing dentition, create occlusal posterior contact before anterior tooth loss

Copyright Š 2012 Idondivi, Inc. All rights reserved

2


21/22 poor prognosis

Copyright Š 2012 Idondivi, Inc. All rights reserved

3


BLP placed ; screw access in estimated fossa, no wax up was made, casting material is Tak earth Stone, which does not need mixer or vibrator for fast in-office casts

Copyright Š 2012 Idondivi, Inc. All rights reserved

4


Free end situation requiring sufficient acrylic to create a non flexing stiff guide

Copyright Š 2012 Idondivi, Inc. All rights reserved

5


Guide in place

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6


Radiograph indicates no need for rotational adjustment, so use 0 degree green rotation block

Copyright Š 2012 Idondivi, Inc. All rights reserved

7


X-tip ( Tulsa Dental) intra osseous anesthetic ; very fast , deep, local anesthesia

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8


Crestal incision, without releasing incisions, to bring keratinized gingiva to the buccal

Copyright Š 2012 Idondivi, Inc. All rights reserved

9


23.7 -3-1.5 = 18.7 for 8.5 mm implant osteotomy. Red flexistop = 3 mm, green flexistop = 1.5 mm

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10


2.8 mm diameter at 8.5 mm

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11


18 – 3 - 10 = 5 mm osteotomy at 3.8 mm diameter for stepped back prep for osteotomy of tapered implant.

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12


Depth verification

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13


Nobel Active Guided Tap

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14


Nobel Active guided tap

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15


Nobel Active 4.3 x 8.5 mm

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16


Seated at 70 N/cm

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17


Attached gingiva towards the buccal without releasing incisions

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18


Implant will give patient posterior support, when 22/21 are lost

Copyright Š 2012 Idondivi, Inc. All rights reserved

19


Preventing posterior collapse.