CATEGORY 98 AUSTRALASIAN DENTIST CLINICAL Fig 53 Fig 56 Fig 59 Fig 54 Fig 57 Fig 60 Fig 55 Fig 58 Fig 61 to 35Ncm on each of the four implants (Figs. 33,34). Radiographs were taken to confirm the correct position of the implants (Figs. 35-38). The provisional restoration was secured using prefabricated lateral pins in the same location as the surgical guide to ensure exact positioning. The temporary copings were individually bonded to the provisional restoration to maintain the exact position (Figs. 39-41). Finally, the provisional was removed, any excess material was trimmed, and additional material was added where needed. The restoration was then sent to the lab for final adjustments. On the lower jaw, Straumann® Tissue Level implants were placed in the areas of teeth #34, #36, and #37. Infiltration anesthesia was administered. After verifying the surgical guide, a mucoperiosteal flap was created with a crestal incision. The surgical guide (Template Fixation Pin, 1.3 mm) was then positioned, and the Straumann® Surgical Cassette was used to prepare the implant bed following the SP Tissue Level drilling protocol. The depth preparations were checked using depth gauges. The implants were inserted with a handpiece, rotating clockwise at a speed of 15 rpm, and torqued to 35 Ncm. Closing caps were placed, and the mucoperiosteal flap was carefully adapted and sutured (Figs. 42-47). Fig 50 Fig 51 Fig 52 Fig 47 Fig 48 Fig 49
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