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Nick posted an update
Drill protocol for D4+ bone. Only pilot drill? This is pt second upper attempt bc I couldnt get primary stability. I’ll try to engage nasal floor to help but eekk. Second attempt tmrw, these full arch cases kicking my butt lately.
Ivan, Ulises and 3 others4 Comments-
Hey Nick to be honest these are tricky when there is minimal bone in the maxilla.
I’m attaching an article by Jensen which is cool, but still it’s not an easy thing. You might look into Remote Anchorage Solutions as discussed here:
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I already have his book. The jump to zygo and ptery isn’t small and with increased complications I decided to stage her case. I kid u not the 4.3 drill was pushed to depth in the #10 area 😂
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oh yea man, i would most definitely not encourage that jump. Tuberosity implants, but zygos and ptrery is a differnt level of liability that I simply wouldn’t want to take on. So that’s why i prefer to take these cases slower ie staging
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As for me, when the case is too atrophic I prefer to do it staged with sinus lifts. But I know that’s not the popular choice these days. Don’t know if @vorholtdds is more adventerous than me
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