Punching & flapless surgery of mandibular multiple case with Neo NaviGuide

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.

The Neo NaviGuide was placed in the mouth.

Tissue punch (200RPM)

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

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

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

Ø 2.2 drill (200RPM)

Ø 3.0 drill (50RPM)

Ø 3.5 drill (50RPM)

Ø 4.0 drill (50RPM)

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

Ø 4.5 drill (50RPM)

Ø 5.0 Cortical Tap (30~50RPM)

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

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

The fixture was finally tightened with the torque ratchet.

Ø 4.5 Cortical Tap (30~50RPM)

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

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

Ø 1.2 drill (200RPM)

Ø 1.5 drill (50RPM)

Ø 2.0 drill (50RPM)

Ø 2.5 drill (50RPM)

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

S-mini Ø 3.0x13mm (50RPM)

After the surgery

Bone Profile (50RPM)

Implants were placed successfully.

After the surgery

After the surgery

Post-op panorama

Click on the image to see clinical video.