Australasian Dentist Issue 89

Category 60 AustrAlAsiAn Dentist Surgery After opening the flap, the surgical drilling sequence was initiated using the drills from the Grand Morse surgical kit to place the implant. instrumentation was done as far as drill 4.0, without the use of pilot drill 4.0 and drill 4.0+, since less bone density was found in the area than expected, in order to allow good primary stability of the implant, permitting immediate loading technique. Placement began with the surgical contra-angle and finished with the torque wrench (final torque: 40ncm). Conclusion the GM HeliX implant proved highly favorable for performing the immediate loading technique, offering great versatility in the instrumentation technique, according to the available bone density, due to the various drill options in its surgical Kit. extremely easy capture is one of its great benefits, in addition to providing a range of prosthetic options similar to the neodent Cone Morse implants. the click coping for temporary restoration is also a great improvement for the immediate loading technique since it facilitates intraoral capture of provisional crowns. u Summary of medical history Female patient aged 48, leucoderma, AsA 1, without systemic complications for dental implant surgery, missing teeth 36 and 37 for 5 years. Planejamento single Position 36 of Mandible immediate loading Access technique with flap Neodent®GM HELIX implant with immediate loading in lower molar lInICal By Marcelo Fontes Teixeira Marcelo Fontes Teixeira About the author MARCELO FONTES TEIXEIRA mfonttes@uol.com.br BRAZIL – Masters degree in Implantology Specialist in Periodontology Orthodontology and TMD Coord. Spec. Implantology (UniFOA – VR / RJ – Brazil) Scientific reviewer, JOMI/EJOI – Brazil Scientific consultant for NEODENT www.neodent.com.au Figure 1. CBTC image and implant planning. Figure 4. Implant being placed. Figure 5. Universal Click abutment in position. Figure 7. Initial X ray imediately after surgery. Figure 8. Temporary restoration. Figure 10. Universal Click abutment analogue. Figure 13. Occlusal view of the final restoration. Figure 11. Final porcelain restoration. Figure 14. Final periapical X ray with the porcelain. Figure 12. Clinical view of the final restoration. Figure 9. Click Impression coping for Universal abutment. Figure 6. Occlusal view from the temporary crown. Figure 2. Inital perforation with the 2.0 drill. Figure 3. Indication pin of 3.5.