CT Design for Upper Left Quadrant

Alginate impression will most likely dislodge #11-15 loose FPD.  Start osteotomy at #11 and 15 first (Fig.6, 10) and use the teeth #9 and 10 as trajectory reference.  Prepare PRF (Fig.10 white curved line) and Magic Lifter for #15.

Then use Magic Split (flapless) and Magic Expanders for #13, since bone density is between 150-800 (Fig.8). 

The bone width at #9 is narrow (Fig.3, as compared to Fig.2 for #8).  Prepare SM (straight) and Tatum (angled) 1-piece implants.  Try to place a 2-piece implant at #10 if possible (Fig.5, compare to Fig.4) so that FPDs and crowns can be converted to hybrid denture in the future. 

In case primary stability is questionable for example at #15 (Fig.10), consider placing implants at #12 and/or 14 (Fig.7,9).

Return to Upper Arch Immediate Implant, IBS

Xin Wei, DDS, PhD, MS 1st edition 02/18/2017, last revision 03/02/2019