Gefilte Fish was only something I heard on Rush Hour 2, but apparently its a destroyer of clinical crowns. This patient was eating said dish when he felt his crown come out in his mouth. Silver point end non restorable, but in a hard place, the mandibular second molar. As you know we have the mental foramen there so doing this case guided was a must. Scanned in CEREC and Galielos.
Simple and straightforward. I don’t know if everyone’s water is backing up milling these but my Patterson technology advisor told me to place a coffee filter underneath the grate and that helped but it still kept filling up. What should have been 45 mins took about an hour.
I initially treatment planned the case about 3 mm past the apex but needed a little more length. With the ID system the drill extender will give you about 2mm and if you ever need more ID now has extra long drills as well. Note the viewing window on the buccal
Tried to get all fancy and place the implant through the guide which engaged initially but the abutment/mount was too big and I had to remove it. Grafted and used a shard of a reservable membrane. 5.7mm healing abutment to seal it up.
Patient returned in 6 months to restore. Used my DEKA laser and a TSV 4.5mm Scan Post.
Nice and smooth! A little teflon tape and opaque flowable and pastes composite after Hydrofluoric Acid for 20 secs and Silane for 60.