cone beam international magazine of cone beam dentistry

I case report _ CBCT and digital surface scanner The next day, the patient returned to our prac- tice for the surgical procedure. After a mouth rinse with 0.12 % chlorhexidine gluconate (Oralgene, Laboratorios Maver) for 2 minutes and the dis- infection and preparation of the surgical field, local anaesthetic was delivered to the edentulous area (tooth 36 region) by buccal, crestal and lin- gual infiltrations (2 % lidocaine hydrochloride and 1:100,000 epinephrine). After a few minutes, the surgical guide was placed in position and the 4.6mm-diameterguidedtissuepunchwasutilised through the master cylinder placed in the surgical guide at 1,200 rpm. The guide was then removed and the sectioned soft tissue was removed with a tissue elevator and kept in saline solution (Figs. 10b–d). Fig. 11a_The 2.0 mm guided key in position in the master cylinder in the surgical guide. Fig. 11b_The 2.0 mm pilot guided drill was used to begin the osteotomy. Fig. 11c_The 4.1 mm tapered guided drill was used to widen the osteotomy. Fig. 11d_The surgical site showing the osteotomy without the surgical guide. Fig. 11e_The guided implant driver and drill stop key with the Tapered Internal implant. Fig. 11f_Guided implant placement. Fig. 12a_The implant placed in final position. Fig. 12b_A healing abutment was placed. Fig. 12c_A small connective tissue graft was placed in a buccal wedge to create denser and thicker keratinised tissue around the implant. Fig. 12d_A post-op periapical radiograph of the implant. 28 I cone beam2_2014 Fig. 12c Fig. 12d Fig. 12a Fig. 12b Fig. 11d Fig. 11a Fig. 11cFig. 11b Fig. 11fFig. 11e