It’s On Like Donkey Kong: Completed CEREC Guide Molar Immediate

These Immediate Upper Molar cases are coming out of the woodwork!Fractured clinical crown, not a lot to hang your hat on:Mach 2 PVS die material, Medium Reference Body as I could not fit in a large:I just love how much data the combined CBCT and Optical Impression can give you.  Here I know where the interseptal bone is from the scan, I know that I want to be 2-3mm subrcrestal as outlined by the soft tissue height, I have the angulation to know that my screw access will be located in the central pit.  Everything is there.  Implant Direct Legacy 3 5.7 by 8 in the SICAT database.

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!

Back from the lab.

Stock abutments.

Final, maybe a little shy on attached tissue which may be caused by the contours of the crown, will take another shot at recall