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Guided surgery · Full arch

A guided lower full arch on six BTI implants

Six BTI INTERNA® Narrow implants placed through a pin-fixed surgical guide and restored on straight MULTI-IM® abutments — a lower jaw prepared for a screw-retained full-arch prosthesis, planned on the CBCT before the first incision.

Surgery
Prof. Dr. Waleed Abbas
Guided surgery design
Dr. Dina Abed
Photon Dental Lab
CBCT imaging
Photon Scan
Implants & components
BTI Biotechnology Institute
supplied by Integra Egypt

Contains surgical footage · for dental professionals

In the film
Arch
Lower jaw, full arch
Implants
6 × BTI INTERNA® Narrow
Abutments
Straight MULTI-IM® on all six
Guide
Fixed by 3 lateral pins, Ø1.5 × 20 mm
CBCT
668 slices at 0.15 mm
Plan check
No collision at any implant or pin
The digital plan

Planned on the CBCT, before the first incision

The CBCT from Photon Scan was reconstructed in 3D and the six implants were positioned for a screw-retained full-arch restoration on straight MULTI-IM® abutments. Dr. Dina Abed at Photon Dental Lab then designed the surgical guide around them, held in place by three lateral fixation pins.

Panoramic reconstruction of the lower jaw with the six planned implants, abutments and fixation pins
Panoramic reconstruction, patient's right on the left of the image: implants at 46, 44, 43, 33, 34 and 36, each with its MULTI-IM® abutment (capped); the three short markers between implants are the fixation pins seen end-on.
3D plan, frontal view: jaw, surgical guide and implant axes
Frontal view
3D plan, occlusal view: jaw, surgical guide and implant axes
Occlusal view
3D plan, right view: jaw, surgical guide and implant axes
Right view
3D plan, left view: jaw, surgical guide and implant axes
Left view
Site by site

Six implants, each sized to its own site

All six are BTI INTERNA® Narrow implants. The longest, at Ø3.5 and Ø3.75 mm, sit in the denser front of the jaw; shorter Ø4.25 mm ones go toward the molars, where the density readings were lowest. Every site carries a straight MULTI-IM® abutment for the full-arch restoration.

CBCT cross-section through the planned implant at 46
Site
46
Narrow
INTERNA® Ø4.25 × 10 mm
IIPECA4210
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
10.52 mm above the platform
Bone densityD4 · 280 HU
CBCT cross-section through the planned implant at 44
Site
44
Narrow
INTERNA® Ø4.25 × 11.5 mm
IIPECA4211
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
9.02 mm above the platform
Bone densityD3 · 559 HU
CBCT cross-section through the planned implant at 43
Site
43
Narrow
INTERNA® Ø3.5 × 15 mm
IIPECA3515
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
9.02 mm above the platform
Bone densityD3 · 692 HU
CBCT cross-section through the planned implant at 33
Site
33
Narrow
INTERNA® Ø3.75 × 15 mm
IIPECA3715
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
9.02 mm above the platform
Bone densityD2 · 1092 HU
CBCT cross-section through the planned implant at 34
Site
34
Narrow
INTERNA® Ø4.25 × 11.5 mm
IIPECA4211
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
9.02 mm above the platform
Bone densityD3 · 416 HU
CBCT cross-section through the planned implant at 36
Site
36
Narrow
INTERNA® Ø4.25 × 10 mm
IIPECA4210
Abutment
Straight MULTI-IM®, 2 mm collar
Sleeve top
10.52 mm above the platform
Bone densityD3 · 397 HU

Bone density is the planning software's mean grey value inside each planned implant, on its HU scale (D1 > 1250 · D2 850 – 1250 · D3 350 – 850 · D4 < 350). CBCT grey values depend on the scanner's calibration, so they are an estimate, not a calibrated measurement.

BTI components in this case
  • INTERNA® Narrow Ø3.5 × 15 mmIIPECA3515× 1
  • INTERNA® Narrow Ø3.75 × 15 mmIIPECA3715× 1
  • INTERNA® Narrow Ø4.25 × 10 mmIIPECA4210× 2
  • INTERNA® Narrow Ø4.25 × 11.5 mmIIPECA4211× 2
  • Straight MULTI-IM®, 2 mm collar× 6
The guide
Pinned, with custom sleeves

Three lateral fixation pins (Ø1.5 × 20 mm) hold the guide on one reference for every osteotomy and insertion. Its custom sleeves sit 9.02 mm above the implant platform at 33, 34, 43 and 44, and 10.52 mm at 36 and 46.

What comes next
The full-arch prosthesis

With MULTI-IM® abutments on all six implants, the arch is ready for a screw-retained full-arch restoration. This page will follow the case to its prosthetic result.

Credits

The team behind the case

Surgery
Prof. Dr. Waleed Abbas
Guided surgery design
Dr. Dina Abed
Photon Dental Lab
CBCT imaging
Photon Scan
Implants & components
BTI Biotechnology Institute
supplied by Integra Egypt

Photon Scan and Photon Dental Lab are part of Photon.Group, Integra's independent partner for imaging, planning and laboratory work. Film by Prof. Dr. Waleed Abbas.

Clinical case shared for dental professionals. The patient's identity is withheld. Planning values are taken from the guide plan; outcomes depend on case selection and clinical protocol.