HOW THE HELL?!

[Sevan P]

looks nice, just made me wonder though, whats the max angulation you can mill out? The one looks like it's approaching 45deg.

I don't know i will know once my friend gets my stl files.

 

[Sevan P]

Got the abutments in today. Turned out really nice for the hard angle I had to work with.









Might have to drop that one tall one a bit.

Sevan

 

[DrWalterKulick]

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Way to many implants, only increased the difficulty , and the profit.

 

[DrWalterKulick]

So I got this case from a local doc and i'm scratching my head on to how in the world he placed the implant on #3

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Looks like cad cam to the rescue. Get them all nice and parallel.


Sevan
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I would consider a substructure tap the metal and do over crowns screw retained. Now you’re showing what I see to restore frequently.

 

[2thm8kr]

I would consider a substructure tap the metal and do over crowns screw retained. Now you’re showing what I see to restore frequently.

It seems the surgeon was trying to avoid the sinus regarding the positioning of #3. Maybe because the patient rejected a sinus lift or the surgeon just assumed they would. Have you considered getting involved in the planning process and reverse engineer the case from the desired results down to the placement of the implants?
It doesn't eliminate all goofy angled implants, but at least you will know what you are faced with before the implants are placed. This also gives the patient the opportunity to decide ahead of the surgery if they are willing to make a compromise in aesthetics due to anatomic circumstances.