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

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There are hundreds of thousands of people who can be helped by the introduction of three or four blades into a totally edentulous mandible to support a full arch fixed prosthesis. Fig. 1 shows a clinical view of a totally edentulous young lady in her early twenties. With a # 15 disposable scalpel, fig. 2, the incision is made, fig. 3, and the tissues are reflected to expose the bone, fig. 4. Grooves are carefully made, fig. 5, and the various designed blades, fig. 6, are placed, bent, and tapped into the bone, figs. 7, 8, 9, 10, 11. If the grooves were not made deep enough the implants cannot be properly seated so they must be tapped out of the bone with an implant removing instrument, figs.. 12, 13. The grooves are made deeper with a longer bur so that the blades can

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1 Totally edentulous mandible before implant placement



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