Here is an unfortunate case. Patient came out of her apartment to see that her car was being stolen! She tried to stop the robber and was punched in the mouth and thrown out of a moving car! Needless to say #7 took the impact and was fractured not only horizontally but vertically. This patient could not afford anything plus she now had to get a new car, so this one was on the house.
Did not have time to do a CEREC Guide, but I could. Patient was concerned about #7 falling out and it was late on thursday so I went commando with this one and did it Guide-less. Lance bur on the drill extender, 2.3mm pilot to check angulation.
We used a 16mm implant on this one and had a tough time getting the apex. I was also concerned about the angulation on #8 so we took a scan. We have at least 1.5mm between 7 and 8 so its all good. But again this brings up the limitations of 2D radiology when dealing with teeth that superimpose one another in 3D space.
Stock abutment. The crown on #7 moved in the initial impression so I had to do the temp free hand. Will restore in 4 months