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    Need Help With case

    Discussion in 'Implants' started by J Pierce, Nov 11, 2016.

    1. lcmlabforum

      lcmlabforum Well-Known Member Full Member

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      Wow, that's a lot of work!!
      I want to say you may have created a niche market to sell to, but I have to moderated that against
      what the companies might say to know you are doing this and whether any legal issues are involved.
      It is a 'custom abutment' and not completely "milled' by a computer, so not sure if this comes under
      the FDA thing . . .
      Still, amazing outcome. Would you tell them to only torque to 20Ncm so the wonderful surgeon
      won't shear off you hard work?
      LCM
       
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    2. J Pierce

      J Pierce Active Member Full Member

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      3.0 should only be torqued to 15 ncm
       
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    3. 2thm8kr
      Devilish

      2thm8kr Beanosavedmysociallife Full Member

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      That has never stopped docs from overdoing it.:confused:
       
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    4. kcdt

      kcdt Well-Known Member Full Member

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      I doesn't; my understanding is abutments done by hand are exempt.
       
    5. J Pierce

      J Pierce Active Member Full Member

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      That's a fact!!
       
    6. lcmlabforum

      lcmlabforum Well-Known Member Full Member

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      Ah, so you hand milled the healing abutments?
      LCM
       
    7. droberts
      Energetic

      droberts Well-Known Member Full Member

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      To follow up with this. They were milled using a Ferraro Mill, pretty much a dremel mounted in a
      frame. Yes, I would call that hand milled. The analog was placed parallel in stone using the surveyor
      apparatus of the mill. All three will milled utilizing the same analog. The one nice thing the OS did,
      was placed the three implants very close to same angle and depth.
       
    8. JohnWilson

      JohnWilson Moderator Staff Member Full Member

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      Good work Danny, bailed out another surgeon.

      At least you didn't have to angle correct this one :)
       
    9. Soniq

      Soniq Member Full Member

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      Beautiful work Danny!!!!


      Darwin
       
    10. J Pierce

      J Pierce Active Member Full Member

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      Just to follow up, The case was just seated this week. Bernard hit a HOME RUN!! The bar was beautiful!!! I want to Thank John Wilson for recommending Panthera and Bernard for the kicka$$ craftsmanship!!!!!!
       
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    11. lcmlabforum

      lcmlabforum Well-Known Member Full Member

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      Good to know, but I have not known Bernard and Panthera to deliver anything less from what we have heard all this time.
      Cheers!
      LCM
       
    12. JohnWilson

      JohnWilson Moderator Staff Member Full Member

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      Glad it worked out. Bernard and his team are top notch, people say they are expensive, I say its good value.
       
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    13. J Pierce

      J Pierce Active Member Full Member

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      Well said!! The website, customer service, even the packaging is Top Notch!!
       
    14. prestige.dental
      Artistic

      prestige.dental Member Full Member

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      Hello Robert:

      This looks actually awesome. Looks really really good.

      Could u pl share how you milled the healing collars, using what.What laser welder do u use. How much does it cost.

      So if the implants were angled too off, you could have milled the collar at angle and then laser welded. Is that correct.

      Would not the healing collars make locators too proud and eating restorative space.

      Thanks
       
      Last edited: Feb 5, 2017
    15. JKraver
      Tired

      JKraver Well-Known Member Full Member

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      I think some schools have it every semester.
       
    16. JKraver
      Tired

      JKraver Well-Known Member Full Member

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      I don't think you could angle correct much because of the screw channel.

      Let the man enjoy the homerun you can make stuff work with limited space.
       
    17. droberts
      Energetic

      droberts Well-Known Member Full Member

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      Milled the healing abutments utilizing a Ferraro Mill, with them screwed into an analog placed in stone.
      This is not the best case to describe a divergent implant. But one that needed support due to tooth placement
      and arch for this cancer patient. Started out with three Straumann Ti milling cylinders, and laser welded a
      so called "dog bone" hader bar, and metal support for the Locator abutment. So to answer your question.
      Yes, custom abutments can be utilized, and laser welded to provide support from a Locator attachment.
      The laser I use was purchased from BTI, their made in Italy. The price of them was around $30,000.

      Thank you,
      Danny

      IMG_0262 copy.JPG IMG_0265 copy.JPG
       
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