Dude, Who Moved My Implant?

Dude!  Who Moved my Implant?  Actually it looks like the molar drifted!  This case was about 6 months old.  I really don’t remember the implant being so distal.  Here’s a recap:

Implant planned for cerec guide:

Everything went well in the Surgery:

Implant placed non Guided:

Although closer to the molar than the pre molar due to bone, we have some distance between the implant and the molar.

Patient went away for 6 months, returned, note the position of the molar!  A lot closer!

You can see the position exaggerated with the impression coping!  Still workable, but not ideal:

Look at the funky stalk on the crown!  The abutment is really close to that molar.

In the mouth:

Seated, not a terrible result, but not ideal.  Not sure if I will make all my patient wear flippers to stabilize their teeth, but does get you thinking.  I have some radiographs, but the post op on the surgery was really foreshortened and angled as the patient has a small mouth.