root tip no problemo

Post on 26-Mar-2016

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DESCRIPTION

53 year old male presented with failing 3 unit bridge. A retained root tip at the crest was removed during standard implant placement. Alternative carrier with blue mouse is shown. Root tip removal created small defect in the ridge, a locally harvest bone chip is used to graft an exposed threat.

TRANSCRIPT

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Grafting, Nobel Biocare

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Failing 3 unit bridge, note retained roottip

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Pontic removed

4 Copyright © 2012 Idondivi, Inc. All rights reserved

Plastic putty spacer on buccal so flap can be released down

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Note space in vacuform carrier, allow the flap to be released down

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Case planned on web based lab communication tool.

7 Copyright © 2012 Idondivi, Inc. All rights reserved

Actual BLP placement for screw retained crown

8 Copyright © 2012 Idondivi, Inc. All rights reserved

Mesio-Distal position determined, note that correction slot allows a few mm

adjustability

9 Copyright © 2012 Idondivi, Inc. All rights reserved

Ortho acrylic bonds wings to vacuform carrier

10 Copyright © 2012 Idondivi, Inc. All rights reserved

Blue mouse alternative carrier. Thermoplastic is another option. You decide

11 Copyright © 2012 Idondivi, Inc. All rights reserved

Blue mouse alternative carrier. Thermoplastic is another option. You decide

12 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP’s overlap, radiograph is diagnostic. Use 0 degree rotation block

13 Copyright © 2012 Idondivi, Inc. All rights reserved

Astra Facilitate drill 18.7 mm – 10 = 8.7 mm osteotomy

14 Copyright © 2012 Idondivi, Inc. All rights reserved

2.0 mm osteotomy

15 Copyright © 2012 Idondivi, Inc. All rights reserved

Astra Facilitate 3.85 drill , 3 mm red flexistop creates stepped back osteotomy for

tapered implant

16 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Biocare RP guided tap

17 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Biocare RP guided tap

18 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Active 8.5 x 4.3 mm implant on guided implant carrier

19 Copyright © 2012 Idondivi, Inc. All rights reserved

Bone chip harvested, and placed on buccal thread . Root tip removal created

small defect in the ridge

20 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placed as planned

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