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Categories ; Posterior, Grafting, Nobel Biocare

Copyright Š 2011 Idondivi, Inc. All rights reserved.


First molar extracted 6 months before.

Copyright Š 2011 Idondivi, Inc. All rights reserved

2


Limited ridge width, decision is made to do ridge split procedure

Copyright Š 2011 Idondivi, Inc. All rights reserved

3


BLP locks in the Bucco-lingual position and the top of the implant

Copyright Š 2011 Idondivi, Inc. All rights reserved

4


Ideal Mesio – Distal position is established, note BLP position is not at desired MD Adjustment slot allows precise positioning

Copyright Š 2011 Idondivi, Inc. All rights reserved

5


No need for rotation adjustment, so a 0 degree ( green) rotation block is used

Copyright Š 2011 Idondivi, Inc. All rights reserved

6


Bone cut is made with SonoSurgery blade in sonic Kavo handpiece

Copyright Š 2011 Idondivi, Inc. All rights reserved

7


Releasing bone cut made

Copyright Š 2011 Idondivi, Inc. All rights reserved

8


Bone cut is enlarged with Sonic diamond insert to allow positioning of expander 1.25 mm thick

Copyright Š 2011 Idondivi, Inc. All rights reserved

9


Primary bone cut and two releasing bone cuts. Note minimal retraction of flap with the intention to maintaining buccal blood supply to bone section

Copyright Š 2011 Idondivi, Inc. All rights reserved

10


Expander activated, note mobility of bone segment.

Copyright Š 2011 Idondivi, Inc. All rights reserved

11


Birds-eye view of initial expansion

Copyright Š 2011 Idondivi, Inc. All rights reserved

12


When limited access, stack drill, drill guide, and rotation block extra orally

Copyright Š 2011 Idondivi, Inc. All rights reserved

13


Rotate assembly in

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14


Click in rotation block, and drill down

Copyright Š 2011 Idondivi, Inc. All rights reserved

15


Repeat with all drill sizes

Copyright Š 2011 Idondivi, Inc. All rights reserved

16


Osteotomy in development

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17


Guided tap

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18


Implant placement

Copyright Š 2011 Idondivi, Inc. All rights reserved

19


Implant does the final expansion of the bone segment

Copyright Š 2011 Idondivi, Inc. All rights reserved

20


Guided bone mill, to remove crestal bone, so healing cap can be placed

Copyright Š 2011 Idondivi, Inc. All rights reserved

21


Implant placed

Copyright Š 2011 Idondivi, Inc. All rights reserved

22

Ridge split and bone expansion  

A marginally limited bucco-lingual width was expanded through a ridge split technique. A Sono-surgery blade was used in a Sonic handpiece t...

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