OMX Pisano
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A great case today at the OU College of Dentistry Oral Surgery Clinic with .omfs residents and dental students. Thank you to for sharing her expertise in digital workflow for fixed full arch restorations!
Sometimes a wide ridge can be deceiving. This anterior mandible, at site #23, had soft, D4 bone. This is often referred to as a 'hollow mandible', and the super soft medullary bone can't be relied on for achieving high torque even with a wider implant with compressive threads. The first implant I placed had low torque (15Ncm).
As my mentor used to tell me, "Sometimes the only way out is to go deeper.."
I placed a 4.3x18mm implant to engage the strong cortical bone at the inferior border of the mandible. This produced 60 Ncm of torque and allowed for immediate loading of the prosthesis.