Australasian Dentist Issue 92
CATEGORY 58 AUSTRALASIAN DENTIST LINICAL shoulder to the adjacent tooth was taken into consideration. Due to the self-cutting properties of the TLX Implant, the implant bedwas lightly underprepared.The drill bits were rotated clockwise, and an intermittent drilling technique with pre-cooled (5°C, 41°F) sterile saline solution was employed. The 1.6 mm diameter needle drill was used first to mark the implant site, followed by the pilot drill ( ∅ 2.2 mm), which was drilled down to the full implant length (10 mm) (Fig. 5). The bone density was then determined by drilling a pilot hole with drill # 2 ( ∅ 2.8 mm) (Fig. 6). Next, an alignment pin was placed to check the 3D position of the osteotomy and preparation depth (Figs. 7, 8). Additionally, since the placement of the implant was planned to be deeper than the shoulder mark on the mesial site, the corresponding profile drill was used (Fig. 9). The Straumann® TLX implant was placed with a surgical ratchet with a torque setting >35 Ncm, and optimal primary stability was achieved (Figs. 10-12). Prosthetic procedure Since optimal primary stability was achieved, we were able to proceed with the preparation of the provisional restoration as requested initially by the patient. For the provisionalization, a straight provisional titanium abutment and a pre- selected tooth based on the stone cast were used (Figs. 13-18). The provisional titanium Figure 4 Figure 7 Figure 10 Figure 13 Figure 16 Figure 5 Figure 8 Figure 11 Figure 14 Figure 17 Figure 6 Figure 9 Figure 12 Figure 15 Figure 18
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