Punching & flapless surgery of mandibular multiple case with Neo NaviGuide

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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The treatment plan was as follows:
1) extractions of #32, 42, 44 and 45
2) implant placement at sites #32, 35, 37, 42, 44, 46 and 47


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Intra-oral photograph of after the extractions

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The Neo NaviGuide was placed in the mouth.

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Tissue punch (200RPM)

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Soft tissues on the planned implant sites were removed using a tissue punch.

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Bone trimmer (200RPM) was used to remove residual alveolar bone and flattening the bone level.

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A point drill (200RPM) was used for initial drilling. 

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Ø 2.2 drill (200RPM)

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Ø 3.0 drill (50RPM)

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Ø 3.5 drill (50RPM)

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Ø 4.0 drill (50RPM)

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IS-III active Ø 4.0x10mm (50RPM) fixture was placed in the area of #44.

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Ø 4.5 drill (50RPM)

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Ø 5.0 Cortical Tap (30~50RPM)

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IS-III active Ø 5.0x8.5mm (50RPM) fixture was placed in the area of #46.

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IS-III active Ø 5.0x7.3mm (50RPM) fixture was placed in the area of #47.

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The fixture was finally tightened with the torque ratchet.

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Ø 4.5 Cortical Tap (30~50RPM)

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IS-III active Ø 4.5x10mm (50RPM) fixture was placed in the area of #35.

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IS-III active Ø 4.5x7.3mm (50RPM) fixture was placed in the area of #37.

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Ø 1.2 drill (200RPM)

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Ø 1.5 drill (50RPM)

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Ø 2.0 drill (50RPM)

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Ø 2.5 drill (50RPM)

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CMI S-mini (Neobiotech, Korea) fixtures were placed in the area of #32 and 42.

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S-mini Ø 3.0x13mm (50RPM)

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After the surgery

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Bone Profile (50RPM)

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Implants were placed successfully. 

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After the surgery

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After the surgery

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Post-op panorama

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Click on the image to see clinical video.

Punching technique and flapless surgery in the insufficient attached gingiva of mandibular multiple teeth replacement with Neo NaviGuide…

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