full flap Bone Supported Guide in Maxilla with 6 implants

Screw-retained

full flap Bone Supported Guide in Maxilla with 6 implants

Dr. Benny Retzkin & Dr. David Ben Israel.
Bone supported guides require a full flap procedure, but are the most accurate. The guide has direct contact with bone, with excellent stability.
The guide sleeves are as close as possible to the bone, enabling shorter drill lengths and
maximum precision.
This case was planned using only a CT. To relate to the tooth positions there are 2 options:
1. CT with markers in the patient’s denture
2. CT with CT Guides made by AB Guided on models of the soft tissues.

A.

Anterior view of planning

B.

Sagittal sections of each implant in 3D Planning

C.

Sagittal sections of each implant in 3D Planning

D.

Sagittal sections of each implant in 3D Planning

E.

Sagittal sections of each implant in 3D Planning

F.

Sagittal sections of each implant in 3D Planning

G.

Sagittal sections of each implant in 3D Planning

H.

Edentulous maxilla

I.

3D Occlusal view of implants and fixation positions

J.

Bone Supported Guide 3D Digital Manufacture

K.

Bone Supported Guide 3D Digital Manufacture

L.

Initial incision

M.

Bone exposed

N.

Guide in position

O.

Drilling through guide with color coded drill with stopper

P.

After osteotomy-direction of angled implants

Q.

Angulation of angled abutments

R.

Angled abutments for screw retained immediate loading

S.

Converting denture into temporary bridge

T.

Post-Operative Pano X-ray