Page 63 - CEREC Q3|2013

quarter 4 | 2013 | cerecdoctors.com | 61
but that is the role the drill stop.
Drill down to 6 mm. Use any method of lift technique
you like. Place the implant. No guide needed.
...
I agree that you should not follow the socket in most
cases. It’s the workflow that is a big issue in immediate
placements, so learn how to drill in the socket so the cortical
plates will not misdirect the drills.
These approaches have worked well for me.
A round bur to create a purchase point seems towork best.
Robert Hoffmann | München, Germany
What a great discussion to see evolving! Thanks.
I scanned my first two implant patients with
the NewTom in 2000, to feel secure, and then only with
multiple implants or together with a surgeon.
Changing bur direction in stages. Yes, experience.
Farhad Boltchi
Hi Emil,
Agree with you completely. The round bur
has worked better for me as well when compared to the
pointed spade drill (which most people teach). Funny how
our experiences are so similar.
I have also found that a lot of times you have to pre-tap
the osteotomy for about 5-6 mm in order to not have the
cortical bone deflect the implant (at least with Straumann
implants) if you are placing the implants non-guided.
Guided surgery just makes all of this easier. And again
we come back to the impact of experience.
BTW: Great schematics. You are one talented guy if you
did those yourself.
Emil Verban
[In response to Farhad Boltchi]
I must admit, not my graphics. To be honest, I
do not know if I have ever had an original idea.
Yes, the taps from Straumann are very helpful and I use
them on a regular basis.
Let’s assume: guided surgery with a guide is different
than guided surgery with one-half a brain plus experience.
Initial
trajectory
Change
trajectory