Off Kilter: CEREC Guide Immediate Molar Case

Here is another immediate molar case but done a little differently. Usually the molar is where it should be and I like to drill through it with my pilot. In this case the molar was shoved really distal. Failing endo with a deep peril lesion on the distal root. Could I have done 2 implants instead of one biggie? Maybe but we would have had an extra pre molar or molar in there, so I opted for just one large 7 mm. Created my radiographic guide for CEREC Guide, using the Macy 2 die material. Note that at least my local Patterson does not carry the while material any more, which is fine as the Omnicam does not need powder.

Love the new graphics in 4.3! Planned the case, in retrospect I should have scanned the patient in CEREC before I extracted so I did not have to design.

Made the guide. One of the main reasons why I did this guided was that MB root of the molar having such a curve. It would have made my pilot deviate. Not so in this case.

HA coated 7 by 10mm Legacy 2 implant. My CEREC keys on the medium only go to the 4.8MM drill so I had to free hand the last 2 drills. I was out of the Large

 

Implant placed with great stability. Packed the DFDBA and membrane. Note the offset drill hole in the membrane for the cover screw to make up for the socket position. Will restore in 4 months.