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Essentially, it is a titanium screw buried in your jaw (to replace a missing tooth) that a new crown will be screwed-in or cemented after 4-6months. During our waiting time, the titanium integrates with the bone, and when we uncover the implant - it is locked in something fierce (wicked tight!). Monday I placed 1 implant, and on Tuesday I placed 2 more.
Here is the first case, a relatively straight-forward implantGUIDE POST (to check alingment of my drilling)
Cover Screw in place
Final Image
[When we place them (in this case), we try to parallel the implant with the root of the pre-molar. I was pleased with the result.]
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The next two are on the same pt from Tuesday afternoon (1 - upper, 1 - lower).
On the Maxillary (Upper), we didn't have enough bone height, so we raised the floor of the maxillary sinus internally (with a mallet) and maintained the space using freeze dried bone - Mineross.
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My osteotomy (read: hole) was to buccal (towards the front of the tooth). Therefore, I had to place the implant a little bit more palatally (towards the backside of the tooth). Hence the small space beside the implant. We filled it with extra bone graft...
Implant in place
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This is my horrible outline of the floor of the sinus (and where it was raised to). There is a faint circle there, and that is the mineross graft we packed in there after raising (hammering) the floor up. Then the implant is placed.
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Final Image
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Then, we did the mandibular (lower) implant.
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radiograph/x-ray is a little angled....the teeth and implant look short...
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Final Image
(Sadly, I was running short of time and didn't get to take any images of my this last implant...)
My pictures are not that great, and technically I should be taking more. No time, no time.....
All in all, CRAZY! Can you believe they let this guy do this to people.......yikes!
4 comments:
Nice job, Will! I can't believe you are raising sinus floors now. Stacey was saying, "I can't believe this is what you do" and I told her that I don't do THAT. By the way, tomorrow I'm doing a hospital case with 2 root canals, 7 crowns and 5 fillings on an autistic kid who is 13. Funny how far removed from dental school we already are!
WOW...DEFINITE hospital case...sedation much?
That's my boy!!!!!!!!!!!!
Sick.
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