Here is a case where I found an opportunity to use the new Legacy 3 6mm length implant! Patient came in about 3 months ago with a loose 14-15 splint. #15 was fractured underneath and #14 was just not right for the world periodontally. A 3 implant splint was planned using a 6 and 2 8mm X 5.7mm platform Legacy 3s. The patient had a hx of sinus issues and wanted no involvement of the sinus, so this was a good opportunity. I could have done just 14 and 15, but I threw in 16 at no charge for stability or if we lost one of the other two.
We had a tough time imaging in the mouth so we went with alginate, CAD Stone and the Blue Cam! The Omni was being used. For stone models, in my opinion, the Blue is quicker. But I still love the Omni for everything else.
In the Galileos software you have a choice of 15.5 or 20.5 for your D2 for the Implant Direct kit. In this case I selected 20.5 and went to the 22 laser line. Punched the tissue with my tried and true Salvin rotary punches.
This patient had limited opening so we “pre-loaded” the drill, guide and handle as one unit. You can see in the PA I am riding up that sinus floor.
Implants placed. In retrospect I could have been closer to #4 with #3 and got the spacing a little more even. Here is the little shorty with HA coating. HA is my default to for anything in D3 and D4 bone. We should be able to use the stock abutment for the splint with minimal prep for draw.
Due to the fact that the gingiva was not too deep around the platform I opted for simple stock abutments. Based on the placement the lab really did not have to even prep them. The healing abutments retained a lot of plaque and a few were loose hence the red tissue.
The torque values on these were great. I like to start at 15, then 20, 25 etc. Everything torqued out pretty early, which is surprising due to the fact that we are in D4 bone and dealing with two 8mm and a 6mm length implant. Maybe its the HA? Floss trick to prevent cement getting stuck. Lost some more bone on 15 than 14 prior to implant placement hence the un even CEJs.