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We did a regular 4.5 ×10 mm implant in 46 region. The buccal bone was fractured coronally thus we grafted the area with a mix of autogenous and allogenous bone graft.
66 year old female had implants #6, #7 and #8 placed elsewhere after alveolar bone grafting. Patient now presents with esthetic problems.
Implant placed 1.5 years ago overseas. Patient not able to travel overseas to get it restored. Much too palatally placed.
The current tx plan is to place an 8mm implant in an upper molar area where the ridge height is approx. 7-8 mm. The surgical plan is to drill through the sinus floor quickly and carefully to achieve bicortical fixation without sinus lift.
I understand loops and branches and averages distances to avoid complications but I am wondering if panos have ANY value at all now in our 3D profession.