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Copyright © 2011 Idondivi, Inc. All rights reserved. Categories ; Posterior, Multiple implants, CBCT, Implant Direct
24

Two implants in a free ending situation

Mar 22, 2016

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Eight months after extraction, two implants were planned for site 19 & 20. CBCT imaging was performed with the patient wearing the VPS impression during the scan, so the tissue is readily visible on the cross sectional view. Because the contour of the cast is similar as the contour on the scan, the pertinent date can easily be transferred to the cast for the fabrication of the 3D Click Guide.
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Page 1: Two implants in a free ending situation

Copyright © 2011 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Multiple implants, CBCT, Implant Direct

Page 2: Two implants in a free ending situation

2 Copyright © 2011 Idondivi, Inc. All rights reserved

Teeth extracted 8 months prior

Page 3: Two implants in a free ending situation

3 Copyright © 2011 Idondivi, Inc. All rights reserved

CBCT

Page 4: Two implants in a free ending situation

4 Copyright © 2011 Idondivi, Inc. All rights reserved

Patient wore VPS impression during scan. VPS material is radio opaque so you

can easily image the soft tissues in relationship to the bone and vital structures

Page 5: Two implants in a free ending situation

5 Copyright © 2011 Idondivi, Inc. All rights reserved

Denture teeth on triad composite for “ wax up” .

Page 6: Two implants in a free ending situation

6 Copyright © 2011 Idondivi, Inc. All rights reserved

Vacuform carrier

Page 7: Two implants in a free ending situation

7 Copyright © 2011 Idondivi, Inc. All rights reserved

Implant position for screw retained crown

Page 8: Two implants in a free ending situation

8 Copyright © 2011 Idondivi, Inc. All rights reserved

The BLP locks in the bucco lingual position and the top of the implant

Page 9: Two implants in a free ending situation

9 Copyright © 2011 Idondivi, Inc. All rights reserved

# 19 site , BLP set up to allow for screw retained crown

Page 10: Two implants in a free ending situation

10 Copyright © 2011 Idondivi, Inc. All rights reserved

Side by side implants

Page 11: Two implants in a free ending situation

11 Copyright © 2011 Idondivi, Inc. All rights reserved

BLP set up for screw retained restoration

Page 12: Two implants in a free ending situation

12 Copyright © 2011 Idondivi, Inc. All rights reserved

Wings are clipped for side by side implants

Page 13: Two implants in a free ending situation

13 Copyright © 2011 Idondivi, Inc. All rights reserved

Reversible connection with hot glue, before permanent connection with Ortho

Acrylic

Page 14: Two implants in a free ending situation

14 Copyright © 2011 Idondivi, Inc. All rights reserved

Cut and remove cross bar after Ortho Acrylic connection of wings to vacuform

carrier

Page 15: Two implants in a free ending situation

15 Copyright © 2011 Idondivi, Inc. All rights reserved

RIR’s Overlap, so radiograph is diagnostic. No need for rotation correction use

green 0 degree rotation-block

Page 16: Two implants in a free ending situation

16 Copyright © 2011 Idondivi, Inc. All rights reserved

Guide in place

Page 17: Two implants in a free ending situation

17 Copyright © 2011 Idondivi, Inc. All rights reserved

Preservation of attached gingiva with small flap

Page 18: Two implants in a free ending situation

18 Copyright © 2011 Idondivi, Inc. All rights reserved

2.O mm twist drill with red Flexistop 3 MM. So 13-3 = 10 mm implant

Page 19: Two implants in a free ending situation

19 Copyright © 2011 Idondivi, Inc. All rights reserved

Flexistop gives definitive depth control

Page 20: Two implants in a free ending situation

20 Copyright © 2011 Idondivi, Inc. All rights reserved

Sequential enlargement of osteotomy

Page 21: Two implants in a free ending situation

21 Copyright © 2011 Idondivi, Inc. All rights reserved

Final preparation

Page 22: Two implants in a free ending situation

22 Copyright © 2011 Idondivi, Inc. All rights reserved

Implant direct 4.3 x 10 mm

Page 23: Two implants in a free ending situation

23 Copyright © 2011 Idondivi, Inc. All rights reserved

Guided placement

Page 24: Two implants in a free ending situation

24 Copyright © 2011 Idondivi, Inc. All rights reserved

Final placement