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Tilted implants: reshaping the sinus with the Mallet, an immediate-loading case

Melillo describes repositioning an implant more distally to achieve a more distal prosthetic emergence and reports choosing immediate loading because of the stability obtained. A colleague shares another case with only 2 mm of cortical bone.

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Follow-up CBCT.

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Cbct di controllo

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Let me show you this case, with implants at sites 24 and 25. After the initial placement, I used the Magnetic Mallet to remove the implant at site 25 and reposition it more distally by displacing the sinus as described above.

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Vi mostro questo caso. Impianti 24/25 Dopo un primo inserimento, grazie al MM ho rimosso l’impianto 25 e risposizionato più distale con la deformazione del seno come detto sopra

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PS: exceptional primary stability, allowing immediate loading.

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Ps stabilità eccezionale e quindi carico immediato

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Today I used a light Mallet impulse—I had 2 mm of cortical bone—followed by graft material and placement of a 5 × 8.5 mm implant. The radiographic result looks encouraging; we will assess the clinical outcome over time. 😃

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Oggi ho dato un colpetto di Mallet ( avevo 2 mm di corticale) e poi biomateriale ed impianto 5x 8,5. il risultato radiologico è simpatico, vedremo in futuro quello clinico😃

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Did you place an 8.5 mm implant with only 2 mm of bone? I thought at least 3–4 mm of native bone was required for implant placement.

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Con 2 mm hai messo un 8.5?? Io pensavo che x mettere un impianto ci volessero almeno 3-4 mm di osso nativo

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Hello, Michele, do you have any educational videos?

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Ciao Michele, hai qualche video didattico?

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Yes, I took some risk. During insertion, I still achieved approximately 20 Ncm of torque. I know it was risky.

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Si ho rischiato un po', durante l'avvitamento avevo cmq una ventina di N di torque. Lo so ho rischiato

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