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  1. Dental

MS Implant #20 Pt #1929

A guided Sweden Martina Case
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  • The interproximal portions of the tube support were removed to clear the adjacent teeth.

    The interproximal portions of the tube support were removed to clear the adjacent teeth.

    pt19291080063guidedimplantpt 1929surgerysweden martina

  • Surgical guide was designed in Blue Sky Plan and made with Moonray Surgical Guide Resin

    Surgical guide was designed in Blue Sky Plan and made with Moonray Surgical Guide Resin

    pt19291080063guidedimplantpt 1929surgerysweden martina

  • Initial design was for pilot hole only.  Both designs were printed flat to the bed of a Moonray S.  100 micron layers.

    Initial design was for pilot hole only. Both designs were printed flat to the bed of a Moonray S. 100 micron layers.

    pt19291080068guidedimplantpt 1929surgerysweden martina

  • Fully guided tube guide was a good fit once the interproximal portions were trimmed away from the guide tube.

    Fully guided tube guide was a good fit once the interproximal portions were trimmed away from the guide tube.

    pt19291080071guidedimplantpt 1929surgerysweden martina

  • Sweden Martina Echo Plan Kit was used through the 415 tube.

    Sweden Martina Echo Plan Kit was used through the 415 tube.

    pt19291080073guidedimplantpt 1929surgerysweden martina

  • H shaped incision was made and a papilla sparing double flap was made.

    H shaped incision was made and a papilla sparing double flap was made.

    pt19291080080guidedimplantpt 1929surgerysweden martina

  • Sweden and Martina<br />
Premium (non switch)<br />
Ref: A-ZT-330-100<br />
Lot 0000296268<br />
Exp 2021-10-03<br />
Diameter 3.3mm x 10mm length

    Sweden and Martina
    Premium (non switch)
    Ref: A-ZT-330-100
    Lot 0000296268
    Exp 2021-10-03
    Diameter 3.3mm x 10mm length

    pt19291080085guidedimplantpt 1929surgerysweden martina

  • Carrier mount fastened to implant for hand delivery

    Carrier mount fastened to implant for hand delivery

    pt19291080087guidedimplantpt 1929surgerysweden martina

  • Initial turns done through guide tube by hand turning.

    Initial turns done through guide tube by hand turning.

    pt19291080089guidedimplantpt 1929surgerysweden martina

  • initial turns done through guide tube by hand turning.

    initial turns done through guide tube by hand turning.

    pt19291080090guidedimplantpt 1929surgerysweden martina

  • Carrier mount had to be removed due to incorrect RA driver selection.

    Carrier mount had to be removed due to incorrect RA driver selection.

    pt19291080091guidedimplantpt 1929surgerysweden martina

  • Torque wrench used to tighten to 50 NCM

    Torque wrench used to tighten to 50 NCM

    pt19291080096guidedimplantpt 1929surgerysweden martinatorque wrench

  • The implant was 3mm above the crest.<br />
Cone beam image taken to verify implant location prior to drilling further.<br />
Implant removed by wrench<br />
13mm drill stop selected and the implant was successfully turned to level of the bone crest.

    The implant was 3mm above the crest.
    Cone beam image taken to verify implant location prior to drilling further.
    Implant removed by wrench
    13mm drill stop selected and the implant was successfully turned to level of the bone crest.

    pt19291080097guidedimplantpt 1929surgerysweden martina

  • Fotona Lightwalker ND:YAG used for biostimulation.  3mm spot size, 100 µs pulse width, 2 W, 25 Hz, for 30 seconds.

    Fotona Lightwalker ND:YAG used for biostimulation. 3mm spot size, 100 µs pulse width, 2 W, 25 Hz, for 30 seconds.

    pt19291080100guidedimplantpt 1929surgerysweden martina

  • Single interrupted vicryl suture to close flap.  Pt displayed above average vascularity and clotting throughout the procedure, so she should heal exceptionally well.

    Single interrupted vicryl suture to close flap. Pt displayed above average vascularity and clotting throughout the procedure, so she should heal exceptionally well.

    pt19291080101guidedimplantpt 1929surgerysweden martina

  • well healed implant on uncovering day.

    well healed implant on uncovering day.

    impression visitpt 1929sweden martina

  • Untitled photo

    impression visitpt 1929sweden martina

  • Untitled photo

    impression visitpt 1929sweden martina

  • Untitled photo

    impression visitpt 1929sweden martina

  • Implant was reverse torqued to 50 ncm without issue.    impression transfer used to take PVS impression.  Stock healer placed and flap was displaced apically.

    Implant was reverse torqued to 50 ncm without issue. impression transfer used to take PVS impression. Stock healer placed and flap was displaced apically.

    impression visitpt 1929sweden martina

  • Stock healer placed and flap was displaced apically.

    Stock healer placed and flap was displaced apically.

    impression visitpt 1929sweden martina

  • Patient requested A2

    Patient requested A2

    impression visitpt 1929sweden martina

  • Patient actually shaded about A3 (3m2)

    Patient actually shaded about A3 (3m2)

    impression visitpt 1929sweden martina

  • Screw retained e.max crown milled on Cerec system and bonded with Ivoclar Multilink Hybrid abutment cement.  Retouched to remove dust and porcelain blemishes.

    Screw retained e.max crown milled on Cerec system and bonded with Ivoclar Multilink Hybrid abutment cement. Retouched to remove dust and porcelain blemishes.

    cereccrowne.Maxpt 1929screw retained

  • Screw retained e.max crown milled on Cerec system and bonded with Ivoclar Multilink Hybrid abutment cement.  Retouched to remove dust and porcelain blemishes.

    Screw retained e.max crown milled on Cerec system and bonded with Ivoclar Multilink Hybrid abutment cement. Retouched to remove dust and porcelain blemishes.

    cereccrowne.Maxpt 1929screw retained

  • Untitled photo

    cereccrowne.Maxpt 1929screw retained

  • Untitled photo

    cereccrowne.Maxpt 1929screw retained

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