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Treatment of a fractured root using dynamic navigated surgery by Dr. Luca De Stavola
implant placement dtx
stav 7
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Patient cases:
Multi-unit restorations
(Maxilla)

Minimally invasive treatment a partially dentate elderly patient with dynamic navigation to place a tilted implant

Lead:  
Luca De Stavola

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22.10.2020 | 14:17

Abutment on #5

Hi

its a good case . Can u tell was a multi unit or what abutment was used on # 5

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Hi

its a good case . Can u tell was a multi unit or what abutment was used on # 5

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Profile picture for user ruth.bloechlinger@envistaco.com
10.11.2020 | 09:40

Why use a Nobel Active and a Parallel CC

Question posted by moderator on behalf of FOR.org community member. 

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Question posted by moderator on behalf of FOR.org community member. 

Profile picture for user ruth.bloechlinger@envistaco.com

I used an active 3.5 in the 1.4 position so to have optimal primary stability and reduced implant diameter, in the position 1.6 I used a parallel 3.75mm diameter so to increase the mechanical resistance keeping the implant diameter relatively small. (Answer posted by moderator, on behalf of author, Dr. Luca De Stavola) 

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Profile picture for user ruth.bloechlinger@envistaco.com
10.11.2020 | 09:45

My plan would be as follows:

Separate the bridge from distal to the canine, and extract tooth the second bicuspid.
Then place 3 implants at the area of first and second bicuspid and short implant at the first molar area.
Then connect them all with one bridge.

(Comment posted by moderator on behalf of FOR.org community member)

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Separate the bridge from distal to the canine, and extract tooth the second bicuspid.
Then place 3 implants at the area of first and second bicuspid and short implant at the first molar area.
Then connect them all with one bridge.

(Comment posted by moderator on behalf of FOR.org community member)

Profile picture for user ruth.bloechlinger@envistaco.com

It is an option, in the area of the second bicuspid the bone was limited in dimension due to the infection around the tooth so I preferred to avoid the implant in that area an have the space to tilt the distal implant. (Posted by moderator on behalf of author, Dr. Luca De Stavola)

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Profile picture for user ruth.bloechlinger@envistaco.com
10.11.2020 | 10:16

I have the following question related to the case (click on details):

A flapless immediate procedure was used to place implants,at # 14 and # 16 to replace failed FPD.I noticed no surgical guide was used clinically or confirmation of angulation and depth of pilot drill radiographically.Did I miss something or was it done freehand due to experience of the surgeon.Thanking you in anticipation. (Posted by moderator on behalf of FOR.org community member)

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A flapless immediate procedure was used to place implants,at # 14 and # 16 to replace failed FPD.I noticed no surgical guide was used clinically or confirmation of angulation and depth of pilot drill radiographically.Did I miss something or was it done freehand due to experience of the surgeon.Thanking you in anticipation. (Posted by moderator on behalf of FOR.org community member)

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Profile picture for user ruth.bloechlinger@envistaco.com
10.11.2020 | 10:29

Comment: New X-Guide workflow with X-Mark

X Mark is a great new addition to the X-Guide workflow. It allows me to virtually plan a case using the patient’s diagnostic scan and then accurately register the virtual plan to the patient for a predictable navigated surgery every time. No X-Clip in the scan means fewer appointments for the patient. (Comment posted by moderator on behalf of Dr. Robert Pauley.) 

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X Mark is a great new addition to the X-Guide workflow. It allows me to virtually plan a case using the patient’s diagnostic scan and then accurately register the virtual plan to the patient for a predictable navigated surgery every time. No X-Clip in the scan means fewer appointments for the patient. (Comment posted by moderator on behalf of Dr. Robert Pauley.) 

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Anonymous
27.04.2021 | 02:51

Porque realizar una molar tan grande. Podría ser mejor biomecánicamente reconstruir con tres premolares

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