#14 needs replacing, a ton of attached tissue and surprisingly, a lot of bone. I usually just scan in the arch with cerec, but for “non book end” cases I do the buccal bite and opposing. Radiographic guide in the mouth, you may notice it a bit translucent, I played with taking these guys off the model early and letting them harden in the mouth, but had one lock on, no bueno! So don’t do that.
WYSIWYG, planned without the benefit of CEREC, CEREC Proposal is then toggled on and fine tuned, ref body then located:
11.5 Nobel planned, cheesy clock graphic, not sure if this was updated,.CMG.DXD export note the notch goes on the lingual.
For all the emails I get these are the parts and pieces you need, Radiographic Guide with Ref body, stone or PVS model (I use Mach 2 by Parkell) CEREC Block and you will need the Sirona Keys for the most part.
Guide in place, Nobel Punch, note the amount of attached tissue on the buccal and palatal you need at least 2mm.
Go through the series. Now you may notice that I am not using the Sirona Keys. Do as I say not as I do! Buy the Sirona Keys. I like to Alpha and Beta test, I am used to “jerry rigging”, the Nobel RP keys just so happen to fit the medium block, the NP fit the small block but are a bit loose, and the WP don’t fit the Large block. Make your life easy, buy the Sirona Keys particular to your implant, there are 5 companies: Camlog, Biomet/3i, Strauman, Nobel, and Astra but check Sirona.com for an updated list.
Indexed, 3mm healing cap placed, look ma no blood!
Case progression, super easy:
4 months later, healing abutment removed, good tissue response:
Abutment placed and indexed with my patent pending sharpie pen technique! Stock Re-Plant abutment.
Crown cemented. Decent anatomy and emergence profile! Every day Implantology!