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Categories ; Posterior, sinus lift, multiple implants, Nobel Biocare

Copyright Š 2012 Idondivi, Inc. All rights reserved.


Partially edentulous

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2


The fastest wax-up in the west

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3


BLP placed for screw retained restoration, prosthetically driven implant placement, necessitating shorter implant

Copyright Š 2012 Idondivi, Inc. All rights reserved

4


Bone driven implant placement, necessitating cement retained restoration

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5


Finished 3D Click Guide

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6


X-ray is diagnostic as buccal and lingual RIR’s overlap. No need for rotational adjustment, so use 0 degree green rotation blocks

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7


Site is flapped, drilled at 7 mm

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8


8.5 mm long implant OK as planned

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9


2.8 twist at 18-10 = 8 mm

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10


3.2 twist at 5 mm for stepped back preparation

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11


8.5 x 3.5 Nobel Active

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12


2 mm twist at 18-10-3 = 5 mm

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13


Correct length

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14


3.2 twist at 18-10-3 = 5 mm

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15


Sonic Kavo hand piece with insert indicated for lateral sinus lift, used for internal sinus lift. The bone will be abraded, while not affecting the soft tissue sinus membrane

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16


Opening into sinus, with intact sinus membrane

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17


Collatape first

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18


Unigraft, ceramic material

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19


Condensed with the MIS expansion instruments

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20


Nobel Active 8.5 x 4.3

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21


Implants placed as planned, sinus lifted. Submerged healing, while patients wears Removable partial denture.

Copyright Š 2012 Idondivi, Inc. All rights reserved

22


Flapped versus flapless

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To flap or not to flap, that is the question!  

67 year old female with longstanding loss of posterior teeth, and replacement with a removable partial denture. Pneumatization of the sinus...

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