Surgical Protocol

Fig. 7.1

Orthopantomography and CBCT before surgery

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Fig. 7.2

Orthopantomography and CBCT before surgery

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Fig. 7.3

Type of rehabilitation procedure according to the available bone volume from a conventional full-arch rehabilitation with six implants to an ALL-ON-4® double-zygoma protocol

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Fig. 7.4

Lip support and smile line evaluation

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Fig. 7.5

Lip support and smile line evaluation

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Fig. 7.6

Implant planning software [11, 12]

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Fig. 7.7

Implant planning software [11, 12]

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Fig. 7.8

Implant planning software [11, 12]

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Fig. 7.9

Implant planning software [11, 12]

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Fig. 7.10

Measuring occlusion vertical dimension

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Fig. 7.11

Incision on maxilla

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Fig. 7.12

Flap raising

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Fig. 7.13

Incision on mandible

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Fig. 7.14

Bone reduction with rongeur

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Fig. 7.15

Bone reduction with round bur

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Fig. 7.16

Osteotomy to place the All-on-4® guide

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Fig. 7.17

Osteotomy to place the All-on-4® guide

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Fig. 7.18

Placement of the All-on-4® guide

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Fig. 7.19

Placement of the All-on-4® Guide

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Fig. 7.20

Opening the access and probing the anterior sinus wall of maxilla

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Fig. 7.21

Opening the access and probing the anterior sinus wall of maxilla

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Fig. 7.22

Probing the mental foramen in order to evaluate the alveolar nerves’ loop

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Fig. 7.23

Initiating drill sequence after using precision drill: 2 mm twist drill (first drill)

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Fig. 7.24

Initiating drill sequence after using precision drill: 2 mm twist drill (first drill)

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Fig. 7.25

2.4–2.8 mm step drill

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Fig. 7.26

2.4–2.8 mm step drill

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Fig. 7.27

3.2–3.6 mm step drill

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Fig. 7.28

3.2–3.6 mm step drill

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Fig. 7.29

Posterior implant placement. Note the implant’s angulation to provide a more posterior emergence

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Fig. 7.30

Posterior implant placement. Note the implant’s angulation to provide a more posterior emergence

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Fig. 7.31

Bone mill to remove bone around the head of the implant

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Fig. 7.32

Bone mill to remove bone around the head of the implant

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Fig. 7.33

Connecting angulated abutments with the help of ALL-ON-4® guide

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Fig. 7.34

Connecting angulated abutments with the help of ALL-ON-4® guide

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Fig. 7.35

Drilling protocol and anterior implant placement

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Fig. 7.36

Drilling protocol and anterior implant placement

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Fig. 7.37

Drilling protocol and anterior implant placement

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Fig. 7.38

Drilling protocol and anterior implant placement

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Fig. 7.39

Drilling protocol and anterior implant placement

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Feb 19, 2019 | Posted by in Periodontics | Comments Off on Surgical Protocol
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