Anatomically guided Implant

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Posted on By Jorge Campos In Implants

Same case of Dr. Ehab Moussa...
I was preparing for my students this images and saw the case prepared by our college Dr. Moussa.
Similar images, xrs.
See the distal socket filled with Miner oss and packed with PRF.
Why didn´t I do Socket Shield? Molar movility...
The patient is a Class III with no anterior guide, and disoclussion with 2nd mollar did the loosening.
Dr. Campos




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12 Comments

Jorge; This is an excellent approach and wonderful documentation. This "limits" the GAP around the implant and still provides for stability and screw access down the center of the future restoration. Well done. Maurice


Reply

Eihhhh Jorge you never stop, great case, doing magic to restore a second molar. Incredible. Thank you so much.


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Hi Alberto!
Thanks for your kind words.
Usually we have to choose: mesial or distal socket.
This way is easy, simple and predictable.
Regards Alma.
Jorg3


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The original idea as we know is from M. Hurzeler. But this case was ideal to document for my students.
The implant had thorough stability and was crown centered as well.
Thanks Mo.
Jorge


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Jorge. Excellent work! Did the opposing occlusion or expected buccal resorption influence your choice of implant position? Great documentation. Thank you for sharing. Chuck


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Hi Chuck.
Not the oposite crown didn't influence nor the expected resorption of the buccal plate did.
Just ideal anatomical position. Function simply works.
Thanks for your comment.
Jorge


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Jorge,
a really great case of a great surgeon!
You're saying is a case to show to your student.
Here is one :): how thick is lingual bone wall how thick is vestibular one?
What are your expectation of bone vestibular loss?
Are you compesating that well enough with slight implant position and proper depth?
Digital planning may represnt a key for discussion about initial data.
What do you think about it?
Armando


Reply

Hi Armando.
Buccal wall is thick. 2 mm. At least and also lingual.
We know we will loose buccal bone but there is the external oblique line that will help. This is basal bone, that remains...longer than a thin buccal plate.
Yes digital diagnosis will help, but on this case we have the molar before xtraction. So we know what ee have to replace.
Regards.
Jorge


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Jorge,

Great skill, beautiful documentation and excellent outcome...AS USUAL !!

Best,

Ehab


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Thanks Ehab!!
I uploaded this case because I see yours !!!
Thanks for inspiring...
Jorge


Reply

Beautiful work Jorge.


Reply

Thanks Ashok!
Good Halloween to all.
Jorge


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