Working safely above the foramen

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Grafting, Multiple implants, Blue Sky Bio

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Failing abutment molar


Failing abutment molar


Extraction, non resorbable PTFE membrane


At 3 weeks


At 3 weeks


At 3 months post extraction, cast based planning


Screw retained crown setup


Perfect but tight fit for two 4 mm impants


Cross bars removed


Two 8 mm implants planned. Note close proximation to mental foramen on X ray


No need for rotational adjustment, so use green 0 degree rotation blocks


Flapped access allowing for grafting hard and soft tissue


18.7 mm drill shortened with green flexistop to evaluate distance to foramen


Length pins used to evaluate that indeed an 8 mm implant is OK, prep not yet to

full length


Additional 1.5 mm OK to prep deeper at # 29 implant above foramen. Check

twice drill once


Prep now to full length


Nobel Biocare starter drill used to flatten top of ridge.


3.2 mm Astra facilitate drill


3.7 MM Astra facilitate drill reduced length with 3 mm flexistop for stepped back

preparation. 18 – 3 – 10 = 5 mm


Confirmation


Gentamycin antibiotic eyedrops


Blue Sky Bio Conus implant 8 x 4 mm. Carrier set for guided depth control


Implants placed as planned, note local buccal tread exposed on # 29 implant


Bone chip harvest


Bone chip placed


Protected with non resorbing bio-oss


Mucograft to increase keratinized tissue


Implants placed as planned


Implants placed as planned


3 weeks post placement, note increase in buccal attached tissues

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Working safely above the foramen