oral bisphosphonates in otherwise straightforward case
DESCRIPTION
80 year old female on oral bisphosphonates. Hopeless lower molar was extracted and the site grafted. Upon healing a CBCT was taken, while the patient had the VPS impression in her mouth. This allows depiction of the soft tissue in relation to the bone. A flapless procedure made this a fast and limited invasive procedureTRANSCRIPT
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Copyright © 2011 Idondivi, Inc. All rights reserved.
Categories ; Posterior, Flapless, grafting, CBCT, Nobel Biocare
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Hopeless lower molar 80 year old female, taking oral bisphosphonates
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Grafting with synthetic bone substitute
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Considerable resorbtion of alveolar ridge after healing. Limited mouth opening.
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CBCT, as there is insufficient ridge for bone sounding to be adequately diagnostic
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Selection of slice 5 mm distal of rootsurface.
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Soft tissue readings and distance to mandibular canal
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Transfer of readings to cast and proposed bucco-lingual implant axis
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BLP locks in Bucco-lingual position and top of the implant.
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BLP locks in Bucco-lingual position and top of the implant.
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Buccal wing positioned while maintaining bucco-lingual and top of the implant
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Buccal wing positioned while maintaining bucco-lingual and top of the implant
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Lingual and buccal wings positioned
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Wings connected to vacuform carrier with Ortho Acrylic
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Wings connected to vacuform carrier with Ortho Acrylic
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Radiographic Implant Replica’s overlap, image is diagnostic.
No need for rotational correction, so use 0 degree ( green) rotation block
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8.5 x 4.3 mm Nobel Active, placed as planned, flapless procedure