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Level II: Advanced Implant Placement and Restoration Course Dr. David Dalise Dr. Gary McCabe Ross
Diagnosis and Treatment Planning
Treatment Planning ,[object Object],[object Object],[object Object]
Comprehensive Stomatognathic Assessment (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hard Tissue Evaluation ,[object Object],[object Object],[object Object]
Partially Edentulous Arch with Bilateral Edentulous Areas Posterior to Remaining Natural Teeth
Partially Edentulous Arch with Bilateral Edentulous Areas Posterior to Remaining Natural Teeth
Partially Edentulous Arch with Bilateral Edentulous Areas Posterior to Remaining Natural Teeth
Partially Edentulous Arch with Bilateral Edentulous Areas Posterior to Remaining Natural Teeth
Partially Edentulous Arch with Bilateral Edentulous Areas Posterior to Remaining Natural Teeth
Partially Edentulous Arch with Unilateral Edentulous Area Posterior to Remaining Teeth
Partially Edentulous Arch with Unilateral Edentulous Area Posterior to Remaining Teeth
Partially Edentulous Arch with Unilateral Edentulous Area with Natural Teeth Remaining Anterior and Posterior
Partially Edentulous Arch with Unilateral Edentulous Area Anterior to Remaining Natural Teeth, and Crosses the Midline
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Classification of Completely Edentulous Arches
Soft Tissue Evaluation ,[object Object],[object Object]
Occlussal Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Occlussal Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prosthetic Analysis ,[object Object],[object Object],[object Object],[object Object]
Implant Placement
Root Form Implants ,[object Object]
Root Form Implants ,[object Object]
Root Form Implants ,[object Object]
Root Form Implants ,[object Object],[object Object]
“ Mini” Implants ,[object Object],1.8mm 3.0mm I-Mini
Anatomical Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Note:  Anterior mandible has the highest incidence of initial implant failure due to over heating of bone during osteotomy procedure.  Use caution and adequate irrigation to minimize heat production during osteotomy!
Anatomical Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Note:  Bone quality in this region is usually type D2 or type D3.  Rarely type D1, but possible type D4.
Anatomical Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],D1 D2 D3 D4
Maxilla ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maxilla ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Posterior: distal to anterior border of the maxillary sinus extending to maxillary tuberosity. Note: When reading tomograph, must be able to confirm patency of maxillary sinus ostium prior to contemplating any future sinus grafts.
Surgical Considerations ,[object Object],[object Object]
Surgical Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flap (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flap, Anatomical Considerations (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Single Tooth Esthetic Zone (preop) Incisal View
Single Tooth Esthetic Zone (preop) Labial View
Papillae Saving Incision
Extension to Lingual
Tissue Flap Release
Flap Release Continued
Initiation of Osteotomy Utilizing Osteotomes
Implant Placed with Cover Screw
Primary Closure
Flapless Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flapless Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Flapless Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Example # 2 Pre Operative
Pre Operative Ridge
Pre Operative Ridge Occlusal View
Acrylic Stent in Place
Marking Ridge Utilizing Acrylic Stent
Marking Ridge Utilizing Acrylic Stent
Osteotomy Sites Marked On Ridge
Tissue Punch Pre Osteotomy
Appearance of Ridge Following Initial Use of Tissue Punch
Removal of Tissue Plug and Initiation of Pilot Hole (#8 Bur)
Appearance of Ridge Following Removal of Tissue Plug
Appearance of Ridge Following Removal of Tissue Plug
Pilot Drill – Initial Osteotomy
Flapped to Expose Bone Fixation Screws for Removal Prior to Implant Placement
Bone Fixation Screw
Occlusal View
Removal of Fixation Screw
Ligated Paralleling Pin
Ligated Paralleling Pins
Implant Placement with Handpiece
Implant Placement with Handpiece
Implant Placement with Handpiece
Implant Placement with Handpiece
Implant Placement with Handpiece Implant Seated to Proper Depth
Implant Placement with Handpiece Implant Seated to Proper Depth
Implant Placement Prior to Soft Tissue Closure
Placement of Healing Abutments/Temporary Abutments
Occlusal View
Flap Closure
Flap Closure
Flap Closure
Final Occlusal View
Temporary Abutments Prepared for Use with Temporaries
Temporary Stent in Place Over Implants
Finalizing Reduction of Temporary Abutments
Obturation of Abutment Access
Use of Tempit Light Cure to Close Access Hole
Prefabricated Silicone Temporary Stent
Temporary Stent with BIS-Acrylic Temporary Material in Place
Immediate Post Operative Temporization
Osteotomies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implant Placement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implant Placement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immediate Post Placement Options ,[object Object],[object Object],[object Object],[object Object]
Immediate Post Placement Options ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
One Piece Implants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
One Piece Implants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implant Loading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Implant Loading Immediate Loading ,[object Object],[object Object],[object Object],[object Object],[object Object]
Delayed Loading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU Questions?

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Diagnosis and treatment planning part 1