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Implant Surgical Guide
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<blockquote data-quote="patmo141" data-source="post: 49140" data-attributes="member: 2560"><p>Ashley,</p><p></p><p>Thanks so much for posting and congratulations on your first case of this kind. I like some of differences in your protocol compared to what we have been shown here at BU. I especially like the suckdown as opposed to waxing up the guide.</p><p></p><p>1. Do you end up purchasing two lab analogues? One for pre-op planning and one for your final impression/master cast later?</p><p></p><p>2. I'm curious how you place the lab analog into the pre-op cast. Is the flow like this</p><p></p><p>CT scan -> planned ideal implant location -> guide sleeve in stent with CAD/CAM -> analogue in cast is rigidly guided</p><p></p><p>or</p><p></p><p>CT Scan -> planned ideal implant location -> attempt to place it in cast in that location using the stent as reference-> fixation of guide sleeve into stent using pieces of hardware connected to the lab analogue.</p><p></p><p></p><p>See what I mean? I'm trying to visualize the flow of 3d information from CT scan to implant placement to final restoration fabrication. Which steps are "rigidly guided" eg with a sleeve of metal vs which steps are "loosely guided" eg trying to angulate your pilot drill based on visual references in the stent.</p><p></p><p><img src="/forums/images/smilies/test/cheers.gif" class="smilie" loading="lazy" alt="Cheers" title="Cheers Cheers" data-shortname="Cheers" />,</p><p>Patrick</p></blockquote><p></p>
[QUOTE="patmo141, post: 49140, member: 2560"] Ashley, Thanks so much for posting and congratulations on your first case of this kind. I like some of differences in your protocol compared to what we have been shown here at BU. I especially like the suckdown as opposed to waxing up the guide. 1. Do you end up purchasing two lab analogues? One for pre-op planning and one for your final impression/master cast later? 2. I'm curious how you place the lab analog into the pre-op cast. Is the flow like this CT scan -> planned ideal implant location -> guide sleeve in stent with CAD/CAM -> analogue in cast is rigidly guided or CT Scan -> planned ideal implant location -> attempt to place it in cast in that location using the stent as reference-> fixation of guide sleeve into stent using pieces of hardware connected to the lab analogue. See what I mean? I'm trying to visualize the flow of 3d information from CT scan to implant placement to final restoration fabrication. Which steps are "rigidly guided" eg with a sleeve of metal vs which steps are "loosely guided" eg trying to angulate your pilot drill based on visual references in the stent. Cheers, Patrick [/QUOTE]
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