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A tapered implant3 was placed according to an acrylic surgical guide maintaining at least 1.5 mm from adjacent tooth to implant edge, with implant platform placed 3-4 mm from the proposed CEJ of the implant restoration. The implant site was found to have good bone density approaching D2. The implant torqued greater than 35 NCM. A healing abutment was placed with 1 mm flare and allowed to heal for 8 weeks.
At 8 weeks the healing abutment was removed, and a final impression was taken after try-in abutments estimated potential abutment options for the lab. A precontoured abutment was selected and a PFM was fabricated as the final restoration. The final restoration was cemented after torquing the final abutment to 32 NCM.
CLINICAL CASE KODAK 9000 3D Extraoral Imaging System Testimonial This case presents the routine use of focused-field cone beam scans in our implant practice. Due to high resolution, low radiation, and the ability to image the specific area of interest, we employ CT scans at various timepoints in implant therapy: pre-bone graft, post-bone graft / preimplant, and during evaluation of peri-implantitis lesions. The advent of cone beam technology is a natural and necessary in implant dentistry. Implant dentistry requires careful planning to achieve long-term stability and biologic imitation. Three-dimensional radiology allows evaluation of anatomy that is difficult or impossible to interpret from two dimensional radiographs. Superimposition of structures, anatomic variations, and bone volume are critical to proper implant planning, yet require extrapolation with traditional radiology. Seeing the true anatomy present in each patient affords greater confidence in selecting bone graft techniques and final implants for the conservative and careful implantologist.
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Carestream Dental
Carestream Health, Inc. 2011. The Kodak trademark and trade dress are used under license from Kodak. 1.Socket Repair Membrane. Zimmer Dental. Carlsbad, CA. 2.Puros Mineralized Cancellous Bone Graft 250-1000 micron. Zimmer Dental. Carlsbad, CA. 3.Tapered Screw Vent Implant 4.1 x 11.5 mm. Zimmer Dental. Carlsbad, CA.