Semi Guided Surgery

A 62-year-old woman returns for #18 implant with guide 3 months post #14 crown cemen-tation (Fig.1).  The implant at #14 was placed free hand after guided osteo-tomy.  It appears that its buccal plate is thin (Fig.2).  Full guided surgery seems to be nece-ssary. 

Since the bone density at #18 is low, under drilling is required (with guide).  A 5x11 mm tissue-level implant will be inserted initially through the metal sleeve (Fig.3).  Double check the trajectory in the second part of place-ment without the sleeve.

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Xin Wei, DDS, PhD, MS 1st edition 02/27/2020, last revision 03/12/2020