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Coronal view of mandible. | Make a full-thickness flap and a narrow crestal osteotomy. Make a wider horizontal osteotomy 3.0mm above the mandibular canal. |
Lateral view of two thin vertical osteotomies and a wider horizontal osteotomy. | Close for three or four weeks to re-establish blood supply to the cortical bone. |
A Curved Cottle chisel is used to separate the buccal plate. | Buccal plate separated, but remains attached to the buccal periosteum using Bicon's Bone Graft Syringe. |
Without reflecting the buccal periosteum, drill a 2.0mm pilot hole to a depth below the horizontal osteotomy. | Buccal cortex is outfractured as wider reamers are used. |
Insert implant into a widened osteotomy apical to the horizontal cut. Allow a minimum of four months for osseointegration. |