Planned in CEREC and Galileos for #18, Again, leaning mesial per the Curve of Spee and lingual per the curve of Wilson.
Also in the works is the IME Sirona Punch kit. There are Small Medium and Large punches that correspond to the block sized of CEREC Guide as well as the two sized sleeves we have in the Implant Direct Sirona Guides. The Large and Medium fit Nobel, but the small is a little too big for the Nobel sleeve. These punches have a longer shank so that they can work with most guides without an extender. They will come in a bur block with six punches (2 of each) and these will be ready at the same time as the handles so send me an email at email@example.com if you want to be on the list and for which products. ImplantsMadeEasy.com will launch Jan and will have a shopping cart.
Smooth procedure. I know it looks like we are lacking attachment on the buccal but the tissue is just a little flabby around the implant. Also in #18 and #31 its just tough to laterlize the tissue due to the ascending ramus. Only had a HA so I used it, but normally I just use SBM implants, and only use HA in D3 and D4 bone,
Final, the graft was only 8 weeks out and still felt soft, so I probably only got about 20 Ncm of torque. The tongue exerts 25 Ncm so I did not want to go with a healing abutment. Also I wanted to see if I could get some more attached tissue to granulate over, so I went with a cover screw.