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5 Implants in the Mandible, 2 Extractions, 3D Planning, 2 Guides

Dr. Kevin Johnson, USA.
The 2 remaining teeth in the mandible are to be extracted.
5 implants are planned for a screw retained denture.
The implants are planned in the extraction sites, and 2 guides were planned to allow 1 tooth to remain to locate the ABGuide.
The first guide is for 4 implants with extraction of 33, leaving 43 to locate the guide.
The second guide is for implant at 33 using the same fixation locations as the first guide.

A. Pre-Op Panoramic X-ray
B. Clinical picture. 2 teeth to be extracted.
C. Panoramic view of 3D plan
D. Plan relating to scanned model, superimposed on CT. In this case the implants can be planned parallel.
E. Plan relating to scanned model, superimposed on CT. In this case the implants can be planned parallel.
F. Sagittal views of the implants
G. Sagittal views of the implants
H. Sagittal views of the implants
I. Sagittal views of the implants
J. Sagittal views of the implants
K. First Guide, using 43 to locate the guide after extraction of 33.
L. 2nd Guide for implant at 43. The location of the fixation screws is the same in both guides.
M. Screw retained Abutments planned in ABGuided Software, relating to gingival height, after flapless implant placement.
N. Abutments for Screw Retained Denture.
O. 2 of the Titanium Sleeves for Denture
P. Patient\'s denture with titanium sleeves
Q. Patient\'s denture with titanium sleeves
R. Denture on implants
S. Post-Op Panoramic
T. Compared to the initial 3D planning

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