cronicaskaterbinas

80 YEAR OLD GENTLEMAN VERY LOOSE LOWER DENTURES MARKED WITH INDELIBLE PENCIL REVERSED MARKS ON DENTURE TREPHINING A THROUGH HOLE USE A 4mm DIAMETER TREPHINE YES, IT IS THE SAME ONE WE USE FOR CUTTING A PRECISE HOLE IN BONE A 1.3mm DIAMETER PARALLEL DRILL FULL DEPTH IN THIS CASE TO A DEPTH OF 10-15 mm SINCE THE MOSTDI THREADED LENGTH IS 10mm A 2.1 mm DIAMETER DRILL JUST ABOUT 5 mm DEPTH IS ENOUGH TO GO THROUGH THE CORTICAL PLATE A MOSTDI  INITIAL PURCHASE INTO THE CORTICAL PLATE CONTINUE WITH A DRIVER AND RACHET WRENCH STOP AS SOON AS THE DRIVER REACHES THE GUM THE COLLAR OF THE IMPLANT SHOULD BE ABOVE GUM ABOUT 0.5mm to 1.0mm THIS IS TO FACILITATE CAPTURE OF THE DAD aka ORING AND HOUSING  WITHIN THE DETNTURE THE MOSTDI IS NOW AT THE CORRECT DEPTH OF INSERTION TO RECEIVE THE DAD AKA DENTURE ANCHORAGE DEVICE VITAL TO PLACE THE FIRST ONE ACCURATELY THE REST CAN THEN FOLLOW SUIT AFTER THE PLACEMENT OF ALL FOUR MOSTDIS FOUR CORRESPONDING THROUGH HOLES ARE TREPHINED INTO THE DENTURE CHECKED