Copyright © 2012 Idondivi, Inc. All rights reserved.

Categories ; Posterior, Grafting, Nobel Biocare

2 Copyright © 2012 Idondivi, Inc. All rights reserved

Two teeth, only space for one implant, so cantilever cuspid

3 Copyright © 2012 Idondivi, Inc. All rights reserved

Two teeth, only space for one implant, so cantilever cuspid

4 Copyright © 2012 Idondivi, Inc. All rights reserved

BLP setup for screw retained restoration

5 Copyright © 2012 Idondivi, Inc. All rights reserved

Buccal wing, setup for premolar implant, while not involving sinus

6 Copyright © 2012 Idondivi, Inc. All rights reserved

Guide in place

7 Copyright © 2012 Idondivi, Inc. All rights reserved

X-ray is diagnostic as both BLP’s overlap, no need for rotational correction, so

use green, 0-degree rotation block

8 Copyright © 2012 Idondivi, Inc. All rights reserved

Flapped since buccal will need augmentation to increase volume

9 Copyright © 2012 Idondivi, Inc. All rights reserved

Crest

10 Copyright © 2012 Idondivi, Inc. All rights reserved

Initial osteotomy with drill length set with red flexistop at 10 mm ( 23-10-3)

11 Copyright © 2012 Idondivi, Inc. All rights reserved

Initial osteotomy

12 Copyright © 2012 Idondivi, Inc. All rights reserved

2.8 at 10 mm

13 Copyright © 2012 Idondivi, Inc. All rights reserved

3.4 at 7 mm for stepped back preparation for tapered implant

14 Copyright © 2012 Idondivi, Inc. All rights reserved

Note high tech holder for universal drill guide from Idondivi, Inc.

15 Copyright © 2012 Idondivi, Inc. All rights reserved

Guided tap

16 Copyright © 2012 Idondivi, Inc. All rights reserved

Final osteotomy

17 Copyright © 2012 Idondivi, Inc. All rights reserved

4.3 x 10 mm, Nobel Active

18 Copyright © 2012 Idondivi, Inc. All rights reserved

50 N / cm insertion torque

19 Copyright © 2012 Idondivi, Inc. All rights reserved

Guided, bonemill

20 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant in predetermined position

21 Copyright © 2012 Idondivi, Inc. All rights reserved

Resorbable collagen membrane secured with healingcap

22 Copyright © 2012 Idondivi, Inc. All rights reserved

Bio-Oss, non resorbable grafting material to increase buccal volume

23 Copyright © 2012 Idondivi, Inc. All rights reserved

Covered with resorbable collagen membrane

24 Copyright © 2012 Idondivi, Inc. All rights reserved

# 12 implant with healing cap, ( note that # 7 implant will heal submerged)

25 Copyright © 2012 Idondivi, Inc. All rights reserved

Implant 4.3 x 10 mm Nobel Active placed as planned