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Full-arch rehabilitation: displacing the sinus walls to obtain the most distal implant emergence

In a full-arch rehabilitation, Melillo describes maneuvers along the sinus walls to obtain remote anchorage and a more distal implant emergence. Melillo also explains axis adjustment for MUA use and presents the provisional restoration at delivery.

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Good morning, everyone. I am sharing another example of using the Magnetic Mallet to obtain remote anchorage in full-arch cases. The ability to “advance” by displacing bone, like the bow of an icebreaker, allows us to gently follow and distract the sinus walls, thereby achieving a more distal implant emergence. No bone is removed and the sinus is not opened for a more invasive trans-sinus approach. The procedure can often be performed through very small flaps, guided solely by the tactile feedback from the handpiece. The ability to incline the implant axes by reshaping the alveolus also makes it possible to correct angulation and optimise MUA selection. <This message was edited>

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Buongiorno a tutti. Condivido un altro esempio di uso del MM per raggiungere ancoraggi remoti nei full arch. La possibilità di “camminare” spostando l’osso come la prua di una nave spacca ghiacci ci permette di “accarezzare” le pareti del seno, distraendolo e guadagnando l’emergenza più distale. Senza togliere osso, senza aprire il seno per approcci più invasivi (transinusali), il tutto spesso con lembi minimali guidati solo dalla sensibilità del manipolo. La possibilità anche di inclinare gli assi deformando l’avelolo permette di correggere le angolazioni ottimizzando l’uso dei Mua. <Questo messaggio è stato modificato>

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At delivery of the provisional restoration.

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Alla consegna del provvisorio

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😘❤️

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😘❤️

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I remember—this was at 26, when the patient closed their mouth while you were using the Mallet! 😂😂😂

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Mi ricordo qua sul 26 è quando il paziente ha chiuso mentre usavi il mallet!😂😂😂

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