root tip no problemo

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Copyright © 2012 Idondivi, Inc. All rights reserved. Categories ; Posterior, Grafting, Nobel Biocare

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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

Page 1: Root tip no problemo

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Grafting, Nobel Biocare

Page 2: Root tip no problemo

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Failing 3 unit bridge, note retained roottip

Page 3: Root tip no problemo

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Pontic removed

Page 4: Root tip no problemo

4 Copyright © 2012 Idondivi, Inc. All rights reserved

Plastic putty spacer on buccal so flap can be released down

Page 5: Root tip no problemo

5 Copyright © 2012 Idondivi, Inc. All rights reserved

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

Page 6: Root tip no problemo

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Case planned on web based lab communication tool.

Page 7: Root tip no problemo

7 Copyright © 2012 Idondivi, Inc. All rights reserved

Actual BLP placement for screw retained crown

Page 8: Root tip no problemo

8 Copyright © 2012 Idondivi, Inc. All rights reserved

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

adjustability

Page 9: Root tip no problemo

9 Copyright © 2012 Idondivi, Inc. All rights reserved

Ortho acrylic bonds wings to vacuform carrier

Page 10: Root tip no problemo

10 Copyright © 2012 Idondivi, Inc. All rights reserved

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

Page 11: Root tip no problemo

11 Copyright © 2012 Idondivi, Inc. All rights reserved

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

Page 12: Root tip no problemo

12 Copyright © 2012 Idondivi, Inc. All rights reserved

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

Page 13: Root tip no problemo

13 Copyright © 2012 Idondivi, Inc. All rights reserved

Astra Facilitate drill 18.7 mm – 10 = 8.7 mm osteotomy

Page 14: Root tip no problemo

14 Copyright © 2012 Idondivi, Inc. All rights reserved

2.0 mm osteotomy

Page 15: Root tip no problemo

15 Copyright © 2012 Idondivi, Inc. All rights reserved

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

tapered implant

Page 16: Root tip no problemo

16 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Biocare RP guided tap

Page 17: Root tip no problemo

17 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Biocare RP guided tap

Page 18: Root tip no problemo

18 Copyright © 2012 Idondivi, Inc. All rights reserved

Nobel Active 8.5 x 4.3 mm implant on guided implant carrier

Page 19: Root tip no problemo

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

Page 20: Root tip no problemo

20 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placed as planned