Toothless Wonder: Another CEREC Guide Case

Here is another very simple case.  Could you do it non guided? Probably, but why?  #4 post graft.  Previous large buccal swelling so I did not want to do an immediate.  Grafted with a membrane.  Small Reference body tried in and scanned with CEREC.

There has been a lot of buzz lately on studies showing that Guided may not be as accurate as thought.  I use it on almost all cases and I know that there are tools you can use to increase the accuracy.  First, realize that you are now in the 3D world, so evaluate roots in a bucco lingual dimension, you may think you are too close but look if you are buccal or lingual.  In the case above in the 2D we look very close to the mesial root, but look at the CEREC optical scan, we are really palatal. Always evaluate the 2D, then the 3D then look at the optical scan and take all data together.

The kits are on their way, so bear with me.  I should get them by monday but its the last day before we break for Christmas, those that sent me an email will get first crack.  We have about 25 pre orders and 35 kits.  Anyway, with the small we were able to go up to the 3.8 which will place a 4.2.  I planned a 4.7 in soft bone so I did the whole thing guided.

Implant in place, only about 20 Ncm of torque so no immediate temporization for this one.