New Linkow Ramus Systems

Combination of unilateral sliding cable (ramus implant) with blade implants

In a totally edentulous mandible, when enough bone exists all over, except on one posterior side preventing an endosteal blade to be inserted, the author does the following:

An incision is made around the entire arch, not necessarily on the side lacking bone, fig. 1, 2. A symphyseal blade is inserted, fig. 3, 4, 5. It must have the rounded posts so at the very first visit a connection between the ramus blade and the corresponding post can be accomplished. Posteriorly, on the left side where sufficient bone existed, a double posted endosteal blade was inserted, fig. 6, 7, 8. The tissues were sutured closed, fig. 9.

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