just to make sure all is good how are you doing great thank you okay you can see the implant is
placed kind of in a 2d spatial we can see but we can see it's kind of place right where we want
it to be now we're going to try in our surgical guide so for my purpose i always like to bring
the patient in before the day of surgery try in the guide make sure that it fits um so
today we're gonna we'll try it in again just to show you guys the bit so you're looking to make
sure that it doesn't rock right we don't want any movement of the guide all right we can go
ahead and we're going to do the first thing we're going to do is our tissue punch drill
right we have previously anesthetized our patient so he is ready to go are you feeling okay
ready and this is what this is going to do it's going to take just a little
cut the hole around the site the tissue will have to be further released so i usually just
take a little curette and get underneath it as you can see it kind of just pops right out
and put the guide back in we're gonna go through our sequence so the nice part about
the han implant drills so i've used a couple different kits the really nice part about this
is especially with any guided surgery kit is they bottom out so you see this little
flange here on each of the drills we talked about this before so you really don't have
to worry about any depth guidance all of that is worked into our calculations like we talked about
so as you drill you can just push the drill all the way down until it bottoms out forward
right so these burs the pilot drills come in different lengths so you want to have
that purchase point to put this into because this portion of the bar will engage the bone
prior to the guided portion engaging the guide so you do want a place to put this in
our final drill that we're going to use in our sequins today is our shaping drill
so the first drill is going to help bring us to length this is going to
bring us to our final length as well as widening or widening our osteotomy
okay
so now we are ready to place our implant so i do like to just rinse out the site really well so
so this is our pawn implant
this is how it comes packaged okay so this is our final step with the kit this is our implant mount
so this is very important when you attach these together that you squeeze the top portion of this
so you put them together like that and then this actually just gets screwed into place you can just
pull it apart by squeezing the bottom this actually just gets placed right back through
just like that and tighten it in you can use your ratchet you do not need a torque
any ratchet with any sort of measured torque on this it's going to bottom out with the guide
okay i do like to apply a little downward pressure as i'm inserting my implant this
will help the implant especially in softer bone kind of from stripping out you're going to take
your driver and just disconnect the mount nice big and just pull the mount right out
now we can take our guide off
and you can see our emblem is right where we wanted it to be so now you can see our implant
is right where we need it to be it was just hand tighten our healing abutment there we go
we got one final x-ray
you can see the implant is placed kind of in a 2d spatial we can see but we can see it's
kind of place right where we want it to be nice away from our nerve right in between our teeth
so everything looks pretty good are you enjoying this instructional video i hope so if you'd like
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