After planning the implant in relation to the adjacent teeth contacts, I located the reference body.
Constructed the Surgical Guide, always check the underside to make sure that the drill body is flush:
Nobel Pilot to the 13mm mark (D2 of 22mm):
Used the Nobel angulation pin which is 2mm wide, the Implant Direct ones are 2.3/2.8mm:
Sectioned the tooth, removed each root, hard to see my pilot hole in the bleeding, but we have a nice shelf of interseptal bone:
Went through the Implant Direct protocol using the Nobel Sirona CEREC block keys. Used the 5.1mm drill alone:
You can see our well centered osteotomy. Someone said that Upper Molar Immediates were hard, not so with the right tools!
Implant placed subcrestal, torqued out at 45 Ncm: Screw access in line with adjacent teeth contacts and central fissures:
MFDBA, membrane, and yes I know, I need to stop using silk sutures, I just like how I can control them!
Planned and Placed, the CEREC Guide makes this too easy!