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ePaper created 2017-04-26, 10:06:04 | version 1.38.0
implants_research Fig. 16 Fig. 17 Fig. 18 Fig. 19 Fig. 20 Fig. 21 Fig. 16: Mobile Anyray 2 (VATECH) X-ray generator. Ideally, the implant should be inserted between 4.5 and 5.5 months after the graft (Fig. 13). Fig. 17: Intraoperative X-ray, Precision Drill inlay (left on picture) and in situ (right on picture). Fig. 18: Clinical outcome five months after the graft. Postoperative X-ray NobelActive 3/0 implant and 15° abutment in place. Fig. 19: Initial situation. Fig. 20: De-epithelialisation of “Fully reconstruct papillary support.” Insertion of implant a palatal flap into a diamond shape. Choice of implant implants is that they transmit higher stresses to the crestal bone than do standard implants. When re- placing a lateral maxillary incisor, it is possible to arrange both the anterior guidance and the deduc- tion in such a way as to make them largely affect the natural teeth, in the absence of any significant malpositioning, and in this way reduce the stresses applied to the implants. Under these conditions, small diameter implants have the advantage of in- creasing surrounding residual bone volume as well as space available for papillary healing. Fig. 21: Unfoldment of palatal flap, vestibular edge. The mesio-distal dimension of the gap will deter- mine the choice of the implant. When this is close to or less than the average size of 6.5 mm, the bone and papillary volume around standard size implants will be limited. According to Hasan et al.10 and Bourauel et al.,11 the disadvantage of small diameter In a forthcoming study of 120 NobelActive 3 mm diameter implants, one of the conclusions con- firmed the importance of these small diameter im- plants as regards the additional height of the papil- lae, resulting in an improvement in the Fürhauser pink aesthetic score12 (Figs. 14, 15a & b). Fig. 22: Creation of flap envelope, Swann-Morton blade through the envelope. SM 63, inlaid with transparency. Fig. 23: Passage of suture through the envelope. Fig. 24: The palatal flap is folded into the vestibular envelope using a suture thread. 38 1_2017 38 implants Fig. 22 Fig. 23 Fig. 24