Mandibular Implants (published 1977)   Dr. Leonard I. Linkow

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The right ramus is exposed by incising at least 15 mm of tissue covering the antero-buccal line angle of the ramus, starting approximately five mm below the base of the coronoid process and continuing downward near the buccal surface of the anterior border of the ramus.

The groove is then carefully made with a 700 fissure bur in either a straight or a bayonet type handpiece. The groove should be close to the buccal peripheral border of the ramus but not close enough so as to encourage a possible perforation of the bur through the often concave surface that exists on the buccal surface of the ramus. The groove must be nearly as deep as the blade and 2 mm of it's necks and must be exactly the same length of the blade or slightly shorter, but not longer. In this manner, the blade can first be tapped into the groove from it's superior portion and then tapped downward so that the inferior portion can be tapped into uncut bone (Figs. 12, 13 & 14). Wherever necessary the blade is removed and the horizontal arm of the blade is bent to allow for complete passivity of its fit over the symphyseal blade post (Figs. 15 & 16).

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1 Tapping ramus blade in to the groove in mandible



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