PMC9899356_01
PMC9899356_02
Implant surgery placement. All surgeries followed the same protocol. A. Alveolar ridge incision and periosteal tissue detachment. B. After the 2.0 drilling, a parallelizer was placed to check the correct tridimensional position of the implant to be inserted. C. Implant engaged and torque measuring. D. Implant installed with a cover screw to be reopened in 4 months.
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F3
All surgeries were executed with the assistance of parallelizer pins to help to guide the 3-dimensional implant angulation and the occlusal patient reference (Fig. 3).
PMC9899356_03
In the follow-up periods, if the healing screw were more than 1mm above the soft tissues, they were changed to a smaller one. A, C. Replacement of the healer on the right side and left side respectively. B, D. Soft tissue aspect without the healer bilaterally. E. Panoramic postoperative radiography from the same patient showing the Neodent WS short implant and healing screw. The screws in the mandibular angle are from the rigid internal fixation of a previous orthognathic surgery.
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F4
During the follow-up appointments, if necessary, adjustments were made in the RPD and a substitution in the healing screw was accomplished so it could remain at a 0.5mm or maximum 1mm above the gingival tissue (Fig. 4).
PMC9899356_04
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