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Tooth supported - with flap or flapless

3d Surgical Guide for 3 Implants Mandible, Impacted Tooth, Full Flap surgery

Dr. Gustavo Yatzkaier.
ABGuided 3D Planning and Surgical Guide were used to restore the lower left mandible, without removing the impacted tooth at 45 and avoiding the danger of damage to the nerve.

A. 2 Extractions 44 and 47
B. 2 Extractions 44 and 47
C. Impacted Tooth in the Nerve Canal. There is a high possibility of nerve damage if the tooth is extracted.
D. Panoramic view showing the implant positions. Implant 44 is I5-3mm x 16mm
E. Sagittal views of the implants. In the extraction sites 44 and 47 the implants are longer than the roots, to ensure initial stabilization.
F. Sagittal views of the implants.
G. Sagittal views of the implants.
H. 3D image of the planned implant position
I. 3D image of the planned implant position
J. Before treatment
K. After extractions: the incision is made lingually to allow the flap to be opened bucally, without affecting the fit of the guide.
L. The ABGuide sits on the teeth and the lingual soft tissues. The guide sleeves are color coded to indicate the drill length.
M. Post-Op showing Healing Caps and Flap Closure
N. Post-Op Xray: The implant at 44 has more than 2mm between the adjacent teeth
O. Post-Op CT

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