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Immediate Placement #19 and 20
with BSB
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emilverban
Member Since: 10/13/05
Post: 1 of 97
Introduction: #19 and #20 old endo with recurrent decay – crowns removed for replacement and the photos reveal not much tooth structure left to work with. Not a good day for
the patient so we re-appointed for removal and implant placement. Immediate placement is
my first choice with these cases.
F ig. 1
F ig. 2
F ig. 3
t
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F ig. 6
F ig. 4
F ig. 5
F ig. 7
F ig. 8
F ig. 9
Fig. 1: Original film
Fig. 2: After removal of old crowns and decayed tooth structure
Fig. 3: #1 BTI – These allow me to enlarge the osteotomy and stay centered in septum.
I progressed to #3 BTI to 8mm depth. From there I used 2.2-2.8-3.5-4.2 to 10mm depth.
I only had to drill about 2mm apical to the #3 BTI expander.
Fig. 4: #20 in place 4.1x12mm BSB – BTI #3 expander to further enlarge osteotomy in
septum of bone
Fig. 5: Implants placed with HDD’s filled with Grafton – No membrane used
Fig. 6: Closure
Fig. 7: Another view
Fig. 8: Final – #19 4.8WNx10 BSB
#20 4.1x12 BSB
Fig. 9: One-week follow-up – The cover screws were visible on the first day but not at
one week.
Fig. 10: One-week follow-up
Fig. 11: Removal of healing cuff and poured model of impression
Fig. 12: Another view
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