infected recipient site

14
Copyright © 2012 Idondivi, Inc. All rights reserved. Categories ; Posterior, Immediate placement, Astra, Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

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40 year old male, with a failing endodontically treated tooth. Active infection resulted in significant bone loss. The 3D Click Guide was made using a thermoplastic carrier. Minimal preparation was needed to allow the placement of a 5 mm wide implant.

TRANSCRIPT

Page 1: Infected recipient site

Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Immediate placement, Astra,

Courtesy of : Aparna Subramanian, prosthodontist San Francisco, CA

Page 2: Infected recipient site

2 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP placed for screw retained restoration. 5.0 diameter implant selected

Page 3: Infected recipient site

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Finished 3D Click Guide, with thermoplastic carrier ( TAK industries)

Page 4: Infected recipient site

4 Copyright © 2012 Idondivi, Inc. All rights reserved

Failed second premolar with active infection

Page 5: Infected recipient site

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Extraction.

Page 6: Infected recipient site

6 Copyright © 2012 Idondivi, Inc. All rights reserved

9 mm long root

Page 7: Infected recipient site

7 Copyright © 2012 Idondivi, Inc. All rights reserved

Surgical guide in place, note precise fit of regular platform rotation-block , hole is

5.05 mm, total width is 6.25

Page 8: Infected recipient site

8 Copyright © 2012 Idondivi, Inc. All rights reserved

2.0 twist

Page 9: Infected recipient site

9 Copyright © 2012 Idondivi, Inc. All rights reserved

3.25 twist

Page 10: Infected recipient site

10 Copyright © 2012 Idondivi, Inc. All rights reserved

3.85 twist

Page 11: Infected recipient site

11 Copyright © 2012 Idondivi, Inc. All rights reserved

5.0 x 9 mm implant stacked with rotation-block

Page 12: Infected recipient site

12 Copyright © 2012 Idondivi, Inc. All rights reserved

Clicking rotation-block in place, then visually guided impant placement

Page 13: Infected recipient site

13 Copyright © 2012 Idondivi, Inc. All rights reserved

Final depth with direct visual control

Page 14: Infected recipient site

14 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant placement as planned, note residual defect.