Likes : 0

Chad Denomme Replied at Wed, May 8, 2019 6:15 PM

Thank you

is it a bad plan to move implants a bit lingually to try to avoid grafting?

if I do graft and release vertically at 44 MB line angle

and dissect down to foramen to see nerve can you give me more detail how to protect it properly.

also if I only have the one short vertical how do I effectively release the flap.

thanks

chad

Likes : 0

Ho-Young Chung Replied at Wed, May 8, 2019 9:18 AM

Hey Chad. Great planning here.  I would suggest 4.5 by 8.5 for molar and 4 by 7 for premolar. the premolar implant needs to be countersunk deeper than planned here on cbct.  the distal bone will shrink close to the level of 46 M of the implant.  flap management certainly is important as to not cause parasthesia as mental foramen is right above 45 site.  make flap ending coronal to mental foramen.  If you see the foramen, place collagtape around it to protect the area from bone graft material going around it.  you can make vertical releasing incision if need be 44MB line angle.  periosteal release without actually traumatizing the periosteum will be critical in achieving primary closure and graft success as blood supply is critical.  good luck and keep us updated.  Ho-Young Chung

Likes : 0

Chad Denomme Replied at Tue, May 7, 2019 9:11 AM

Sorry those are 4.0mm diameter not 5.