Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Flapless, Astra

Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Healed site first premolar

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Soft tissue thickness, based on bone sounding with short dental needle and

endodontic stopper

4 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP placed for screw retained restoration, decision is made to use 3.5 mm wide

implant as bucco lingual bone volume is limited

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Finished 3D Click Guide

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Buccal and Lingual RIR overlap, so photo is diagnostic. No need for rotational

adjustment, so use green 0 degree rotation block

7 Copyright © 2012 Idondivi, Inc. All rights reserved

Motorized tissue punch

8 Copyright © 2012 Idondivi, Inc. All rights reserved

Adequate keratinized tissue remains

9 Copyright © 2012 Idondivi, Inc. All rights reserved

2.0 twist drill

10 Copyright © 2012 Idondivi, Inc. All rights reserved

13 mm deep osteotomy

11 Copyright © 2012 Idondivi, Inc. All rights reserved

2.8 mm twist drill , 3 I Navigator

12 Copyright © 2012 Idondivi, Inc. All rights reserved

3.2 mm twist,

13 Copyright © 2012 Idondivi, Inc. All rights reserved

Astra 3.5 x 13

14 Copyright © 2012 Idondivi, Inc. All rights reserved

Visual guidance

15 Copyright © 2012 Idondivi, Inc. All rights reserved

Final depth placement under direct visual control

16 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant shoulder 3 mm below gingival margin

17 Copyright © 2012 Idondivi, Inc. All rights reserved

Healing cap

18 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placement as planned