Here is a case that really shows how valuable a chairside milled Guide system is. If you have done any immediates you know how your drill kicks around the socket and can deviate from your planned osteotomy. Here is one of my favorite patients. We did endo on #12 about 3 weeks ago, continued to have pain and swelling. Tried Medrol, Flagyl, nothing. Offered to re-treat or refer, patient had a number of implants placed and just wanted it out. I credited the patient the cost of the RCT and Crown towards the implant, crown, and extraction/bonegraft.
Fabricated the Radiographic Guide with the Reference Body. A FB friend had a question about why I don’t use Omni Cam (I have two CEREC machines), I used Mach 2 Scannable for my model, so I have to have a model to make the radiographic Guide and it has powder in it anyway, so rather than using different .RST files, I just use the model and scan it in Blue Cam
Extracted the tooth prior to fabricating the Radiographic Guide. You can really see that Septum. I want to be in that septum with my implant Apex so you can imagine how hard that would be to hold your drill steady. With Guided, its no big deal, just like any other case.
After the series of drills, placed the implant. Again, I do not want to be in the palatal canal I want to be in the septum, so thats where we ended up.
Indexed the Implants, you can see a large Gap distance:
Direct Gen from IDSI as well as the membrane and sutures. Temp out of occlusion. I love this stuff!!