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

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A patient with a unilateral posterior edentulous area presents herself, fig. 1. With a #15 disposable scalpel, the incision is made and the tissues are reflected to expose the underlying bone, figs. 2, 3.

With a #700 XL fissure bur with a water spray the groove is made, figs. 4 & 5. The blade is carried to the groove and the body of the blade is adjusted to fit into the groove passively, figs. 6 & 7. With the inserting instrument the blade is tapped until a solid sound is heard, figs. 8 & 9. Sometimes if the blade is not buried deeply enough a single headed inserting instrument can rock the implant into position, fig. 10. Sometimes, also, it is necessary to use the shoulder set point instrument, fig. 11, until the implant is properly buried, fig. 12. A tissue punch sometimes is used to prevent "crimping" of the soft tissues around the blade posts when suturing, figs. 13, 14.

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1 Incision and tissues reflection to expose the underlying mandibular bone



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