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cone beam – international magazine of cone beam dentistry

case report _ guided implant surgery I tion system to guide the drilling procedure in real time by indicating the desired drilling pathway on the computer screen. Prior to the use of each new drill, a calibration process was performed (Figs. 7–9) in order to determine the exact location of the drilling tip. No punching of the gingival tissue was performed prior to the preparation of the implant sites. Before placement of each implant, an extra calibration procedure was performed in order to be able to track the implant itself also in real time dur- ing insertion. This means that both the osteotomy preparation and the implant placement process are tracked in real time. The Navident tracking sys- tem uses an on-screen visual representation of the surgical area and auditory cues to aid the clini- cian (Figs. 10a & b). Two XPEED AnyRidge implants (Megagen) were installed. At region #15, an im- plant of 4mm in length and 13mm in diameter was placed, whereas at region #25 an implant of 10mminlengthand3.5mmindiameterwasplaced (Figs. 11a & b, 12). After completion of the dental implant placement, a crown-lengthening proce- durewasperformedintheanteriormaxillaryregion in order to ameliorate the aesthetic outcome. It is beyond the purpose of this report to provide any detail regarding this procedure. Figs. 10a & b_Surgical guidance using Navident. I 21cone beam4_2015 Figs. 11a & b_Post-op image of regions #15 and 25. Fig. 12_Post-op panoramic image. Fig. 10a Fig. 10b Fig. 11a Fig. 11b Fig. 12

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