but actually into the palatal wall or into the lingual area where the bone is very stable and this allows us to get into a screw retain position for dentemax implant placement we want it would rather be lingual than buckle in this because of the stability of this bone and we get too close to the facial plate if you try to put it where the the teeth used to be so.
you have to notice the angle of the drill we're using a precision drill and we're going to actually angle it very much palatal and then rotate the hand as we're going in to make this go into that screw routine position when using the precision drill we want to maintain our vision
on the two roots that are adjacent because we want to stay parallel with each two roots but also to hit this target up inside where we were going into the palatal wall so our next drill
we're going to use is the two millimeter twist drill and we'll still follow this on an angle when we first start the mastectomy just so we can engage that palatal wall but it's very important to follow where that precision drill has just made that first start of the mastectomy so we're
following this in making it a little bigger and we're rotating as we go in so we're actually pushing the bone a little bit at the same time as cutting it to check our angulation it's important to place an x-ray guide pin and then we're able to see visual that we're in a good
position but also to take an x-ray is always prudent to make sure we're in the right position mesial distal e so we're going to place a . millimeter narrow platform normal active and using a surgical driver which is the the choice of instruments here we're going to take the implant
to the mouth caring with the surgical driver well the surgical driver is going to enable us to position this in that palatal position we actually start very very buccal and we want to do this on purpose so we start buccal so the threads are so aggressive .
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