2 Fast 2 Furious: An Old CEREC Guide case completed

Here is a case that I did the surgery over a long time ago and just came back for the crowns.  #18 and 19 missing.  Check out that D1 bone in the #19 area.  Retained root tip removed in the osteotomy.

I have done so many its hard to keep track, but I believe this was my first multi unit CEREC Guide case.  I no longer use the same size ref body.  Its easy to mix them up, now I would have used a large and a medium.  With my new keys that are Zimmer/ID compatible you should be able to go up to a 4.7 with the medium.

I obviously don’t use nobel any more but did for the beta test.  I think you can see that the implants ended up exactly where I planned them.  Also if I did the case currently I would not have punched it, I would have done an apically positioned flap to get more attachment on #18

Over the year or so this guy was out you can see how far #14 drifted coronally!  I should have replaced the crown on #14 but that one is iffy and may need the same.

Final, you can see we got some attached tissue back on #18 and you can really see the drift on #14. But overall I think it turned out OK.