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welcome to the University of Michigan dentistry podcast series promoting oral health care worldwide so when we take the radiograph for our patients what we want to do is place this lower radiographic guide in the patientamp;#39;s mouth have them leave in their upper denture we place a cotton roll on either side so the patient can bite this radiographic guide to place so it doesnamp;#39;t shift what we do first is take our lateral cephalo gram so we get the view from the side so what weamp;#39;ll see is the radiopaque silhouettes of our radiographic guide and weamp;#39;ll see the sim fasil area of the mandible on the lateral cephalo gram and what weamp;#39;re looking for is that both the location and the angulation of our proposed implant placement is such that when extended the implant location orientation will pass through the center of the sim fasil region as seen on the lateral cefalo gram if we need to replace or reorient that is re angle or get a new location for the implant