P7D

Delayed implants at 4.6 and 4.7 with laminate bone grafting

A 50-year-old woman. P7D implants were placed and the deficient ridge rebuilt with a bone block from the external oblique line fixed with mini-screws (laminate technique). At 3.5 months the implants were exposed, screws removed, bone profiled and soft tissue augmented; final zirconia on titanium bases was fixed with a cement-screw technique.

Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 1 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 2 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 3 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 4 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 5 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 6 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 7 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 8 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 9 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 10 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 11 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 12 of 13Delayed implants at 4.6 and 4.7 with laminate bone grafting, image 13 of 13
Timeline

Step by step

  1. Assessment and radiographs
  2. Flap; P7D 4.2×11.5 mm placed
  3. Bone block from the mandibular oblique line fixed with 10 mm mini-screws; filling
  4. 2 weekssuture removal
  5. 3.5 monthsexposure; mini-screws removed
  6. Bone profiling; soft-tissue augmentation (rotational pedicle flap + tuberosity graft); HWD-5 mm caps
  7. 2 weekswider HW8D caps; scanning
  8. Cement-screw zirconia on STCSD 1.5 mm titanium bases
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