Here is a case that didn’t go as planned, but we are still going to end up with a good result. Patient presented with two implants in the #24,25 spot with some bone loss. These were placed out of the country and upon unscrewing, seemed to be kinda Zimmer. Obviously too close together and not in a great restorative position. The plan was to remove the #25 implant and place implants in the #22, 26 and 27 spots, as well as implants in the #18,19 position. Well, that was the plan at least. Patient scanned in Galileos for the CBCT and Trios for the teeth and tissue.
This case was sent to full contour where they did an amazing design!! Full contour will do the design and send you a video of the design and rationale and you can change as you go. These were planned for Nobel Conical Replace implants using the Nobel Replace Tapered fully guided kit. Design is $100 per case. The guide was printed using KeyPrint from Keystone on the Moonray S! Love the purple color, keep in mind that you need to select NextDent Tray in the resin options. The Guide Sleeves are form Steco.
Super smooth surgery until I got to #25. Could not get it out. Was worried about stripping the internal hex so I left it ad will just make due. Plan is for splinted either screw retained mini hybrid in the anterior with pink porcelain or cemented and splinted.
Grafted after this shot from 25-22. His tissue was pretty friable hence the black silk. I usually just use gut, but it wasn’t holding. Fully guided with the mount. Overall, not the most ideal case, but still pretty smooth and we should get a great restorative result.
Want to learn more about making your own guides, 3D printed hybrids, dentures and aligners? Come to a Printing Party!! July 19/20 in Vegas!!
Also stay tuned July 25-27 we are going to being doing Digital Implantology Live!! This is a live patient hands on course where you get a temporary license in Arizona, hands on with Guided Surgery and Implant Restorative!!! Check out Brighterway Institute and we will have the course link up soon!!