MS Implant #20 Pt #1929

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

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.

pt19291080068guidedimplantpt 1929surgerysweden martina

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.

pt19291080073guidedimplantpt 1929surgerysweden martina

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

pt19291080080guidedimplantpt 1929surgerysweden martina

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

pt19291080087guidedimplantpt 1929surgerysweden martina

Initial turns done through guide tube by hand turning.

pt19291080089guidedimplantpt 1929surgerysweden martina

initial turns done through guide tube by hand turning.

pt19291080090guidedimplantpt 1929surgerysweden martina

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

pt19291080091guidedimplantpt 1929surgerysweden martina

Torque wrench used to tighten to 50 NCM

pt19291080096guidedimplantpt 1929surgerysweden martinatorque wrench

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.

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.

pt19291080101guidedimplantpt 1929surgerysweden martina

well healed implant on uncovering day.

impression visitpt 1929sweden martina

impression visitpt 1929sweden martina

impression visitpt 1929sweden martina

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.

impression visitpt 1929sweden martina

Stock healer placed and flap was displaced apically.

impression visitpt 1929sweden martina

Patient requested A2

impression visitpt 1929sweden martina

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.

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.

cereccrowne.Maxpt 1929screw retained

cereccrowne.Maxpt 1929screw retained

cereccrowne.Maxpt 1929screw retained