composed by dr. gary f. turnier implant placement dr.gary f. turnier
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Composed by Dr. Gary F. Turnier
Implant placementDr.Gary F. Turnier
Local anesthesia:4 carp. Articaine HCL 4% with epinephrine 1:100,000
Informed consent given
Surgical procedure performed by Dr. Gary F.Turnier
Premedication with 1gm Azithromycin 1 hour before txIbuprofin 600mg 1 tab 1 hour before tx
Dr. Gary F. Turnier
Maxillary soft tissue considerations: Since interdental papillae –saving incision was not needed , sulcular incision performed midcrestal mesial of #15-distal of #13
Dr. Gary F. Turnier
Dr. Gary F. Turnier
Drilling sequenceA-LENDERMAN’SDRILL 9MMB.2.3MM PILOT DRILL 10MMC.2.8MM OSTEOTOMY DRILL 10MMD.3.4MM OSTEOTOMY DRILL 10M-FINAL DRILL FOR PLA CING A 4.7X11.5MM IMPLANT
ZIMMER GUIDE PIN
Dr. Gary F. Turnier
Used Nobel Biocare osteotomes
Bone spreading techniques
3.4mm osteotomy drill was used to a depth of 10mm then Dr. Kale proceeded to use the osteomes to a depth of
11mm. Using the engine to place the implant , we achieved a torque of 55ncm and at this point we had to use the
Gemlock Retaining Square ratchet to hand torque. As a result of the bone spreading with the Nobel Biocare Osteotomes. The hand torque ratchet was extremely
difficult due to the tightness between implant and bone contact. It felt like D1 bone. We might of achieved a
torque of >70ncm as a result of using the osteotomes. However, it was so tight that in hindsight, we could of gone to the 3.7mm osteotomy drill and proceeded with
implant placement without sacrificing buccal bone.Dr. Gary F. Turnier
Nobel Biocare Osteotomes measured with perio probe to confirm depth of 11mm
Dr. Gary F. Turnier
Dr. Gary F. Turnier
4.5mm diameter platform diameter
Dr. Gary F. Turnier
ZimmerTapered screw vent implants have 1.0mm machined milled platform and
1.5mm textured surface 4.5mmDiameter platform
4.7mm Diameter tapered screw vent body
1.0mm
1.5mm
2.5mm length from first thread to the coronal aspect
Dr. Gary F. Turnier
sinus
2.5mm
9.0mm implant tapered screw-
vent MTX surface
THCW5/5 healing collar for internal hex
4.5mm diameter platform
Dr. Gary F. Turnier
Dr. Gary F. Turnier
Dr. Gary F. Turnier
THE END
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