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Implant Case conference III㊣
50 y/o male Implants for crowns Bilateral lower post. teeth missing reporter Dr. 黃佐維
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First implant surgery
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Patient profile intraoral photos
L’t R’t Patient profile intraoral photos
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Chief complain asking for faulty bridge #35 X #37 and RR #47 remove L
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Medical history Hypertension: controlled < drug taking: Q.D. >
Hepatitis B
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Medical history
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Dental problems L ○ R.R. #47 Faulty prothesis ~bridge#35X37
┼Adult periodontieis ○ L
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Treatment planning L ○ ┼Perio. treatment
Removal of faulty prothesies~ Lower L’t side Extraction #47 ○ L
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Prophylactic antibiotics
clindamycin 150mg Tid*Ⅲ
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Checking CBCT
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R’t alveolar ridge form
R’t mental foramen R’t alveolar ridge form R’t inf. alveolar nerve
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R’t inf. alveolar nerve
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R’t alveolar ridge form
R’t mental foramen R’t inf. alveolar nerve
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Thickness: 5mm Height: 13mm
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Thickness: 8mm Height: 11mm
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Drill holes on stent for surgical guide
Implants for crowns Occlusion check Drill holes on stent for surgical guide
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Check channel direction with paralle device gauge
10mm
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Check channel direction &deepth
with expansion screw 11mm
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Check implant body insertion
5.0*11mm& 4.5*11mm
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Removal of healing srews and abuntments try in
Buccal I 47 I 46 Lingual Removal of healing srews and abuntments try in 20
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Removal of healing srews and abuntments try in
Buccal I 47 I 46 Lingual Removal of healing srews and abuntments try in 21
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Bite registraction and impression~ transfer insertion
Bite registration with PVS Bite registraction and impression~ transfer insertion
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半年後完成左側植牙以及三年 後追蹤之環口X光片~
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