Use of Magic Split as a Scalpel
Magic split is designed to test bone density after incision (Fig.1). Since it is sharp and blade-shaped (Fig.2), it is used as a scalpel to penetrate the mucosa at the crest of #14 and tapped in for ~ 7 mm from the gingival margin. The bone density is moderate. Osteotomy is initiated with 1.6 mm pilot drill for 13 mm (Fig.3,4 (red line: the lower border of the sinus floor) and increased by Magic Expanders (ME) and Magic Drills until 4.5x13 mm. A 5x11 mm dummy implant is placed (Fig.5). After reusing ME 3.8 mm for 13 mm at the palatal gingival margin (which is more apical than the buccal one by ~2 mm), a definitive IBS implant (5x11 mm) is placed (Fig.6). Later the implant is turned 4 more times. Without an incision, there is no hemorrhage when a 6x4(4) mm Hexa abutment is placed (Fig.7 (palatal view) A). As a routine, an immediate provisional is fabricated with occlusal clearance. The implant/crown ratio is less favorable. Restore more than 4 months. In fact, the patient returns for crown 4 months postop. The implant appears to have osteointegrated (Fig.8).
Return to Upper Arch Molar Molar Immediate Implant, #7,18,19,30, 1st Year Course 1 2 Xin Wei, DDS, PhD, MS 1st edition 11/06/2016, last revision 10/24/2018