It is cool to see full mouth cases however I am a simple, single tooth dentist and the single implant and CEREC crown is what I do day in and day out. I have always placed my implants just below the crest, but saw a few lecturers placing their implants more and more sub crestal. This makes a lot of sense. First, we know that the cortical bone does not expand and has very little blood supply. Also, if we have a platform switched implant, there is no way the bone can grow up and over it if you have it at the crest. By placing the implant in the blood rich trabecular bone, I, anecdotally, have seen a huge increase in my success rate and bone surrounding my implant. Non guided in this case as the ridge was giant and tons of attached tissue.
Zosseo drill stops are great as they are pretty wide and really help you center mesio distally. As is you can see that I need to go deeper as that top of the abutment is right at the occlusal table.
Implant was placed about 3 mm sub crestal. Note that you can’t use the traditional flared healing abutment unless you profile the bone. The image of the healing collar that was seated was from yesterday.
Tissue was shaped with a DEKA CO2 laser. Scan post for a TSV 4.5mm platform.
I like using an analog to hold the ti base and we mark the notch with a sharpie as well as the Emax framework.
Should have packed the Teflon tape a little higher to mask the ti base but in the end the opaque flowable took care of it.
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