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Figure 4: Cross-sectional view of proposed implant site
Figure 7: Universal SurgiGuide
Figure 5: The Inclusive Tooth Replacement Solution prosthetic guide
Figure 8: Universal SurgiGuide in situ
surgical drills (as needed) and implant placement are
performed freehand.
If additional guidance is needed, Universal SurgiGuides (Materialise
Dental; Glen Burnie, Md.) are available (Figs. 7, 8).
In these cases, all the drills can be guided. The implant is
placed freehand once the osteotomy has been created.
At the time of placement, a custom healing abutment can be
delivered (Figs. 9, 10). The custom healing abutment allows
you to start anatomically sculpting the soft tissues at the
time of surgery.
Figure 6: Prosthetic guide in situ
A custom temporary abutment and BioTemps crown also
are provided with the Inclusive Tooth Replacement Solution.
If high primary stability is achieved and the crown is
taken well out of occlusion, the implant can be temporized
at the time of surgery. Due to the occlusal forces that can be
exerted in the molar region, another approach would be to
utilize the custom healing abutment at the time of surgery
and provisionalize the case at a later date.
– Restoring Mandibular Single Teeth with the Inclusive Tooth Replacement Solution – 21