[Nick]

Ok, so I always place my Neodent subcrestal. I was told that leaving the implant in the cortical layer of.bone will cause resorbption. Its important to drill deeper than you intend. It also depends on density. If I were placing a 1st molar in a healed site I would drill to 10 mm with 2.2 drill then drill to a 5.0 at 8mm then place a 5×8. I have found that this will allow me to get the 1mm subcrestal. I have had spinners. Its important to remember that a spinner will integrate. I’ve been burned too many times with putting healing abutments on immediately. <div>

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[Nick]

So a molar is about 8 mm mesial distal. I would use opposing dentition to help determine tooth size. If you wanna go old school you can capture models and wax up some teeth. ????

[Nick]

Use air and really dry the acrylic but you can see the outline of the access on the occlusal of 5,6. I would block enough time and just go slow. Best part is since the prosthesis is plastic it’s easily repairable. U got this.

• This reply was modified 1 year, 10 months ago by  Nick.

[Nick]

What about this particular case lends itself to doing the VST type technique you mentioned. How is the graft kept stable to avoid movement? Periosteal sling suture? U have a case you can show?