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Immediacy in the posterior teeth areas and mostly in the maxillae has always been a challenge because of the limited bone volume and the soft quality of the bone. To overcome this, the solution will be to place longer tilted implants (and not larger) in a way to reach the anchor zones that is composed of harder bone. 3D positioning will ensure the possibility of placing longer than usual implants. Learning objectives:
Bicortical anchoring
Tilting implants
Drilling technique
Exposing the mental foramen
Locating the anterior wall of the sinus