Exercise III  Fabrication of the Pilot/Osteotomy

Drill Guide Stent

From the foregoing two exercises, we have determined which size implant we should use in the implant site.  We have also determined where we should place the implant.  But how do we use this valuable information?  The answer is the placement guide stent

BASIC has developed a unique placement guide that not only informs us of the start point (as all other guides do also) but physically directs the pilot drill for direction as well as length of channel, and physically directs the osteotomy drill in the same manner.  In other words, it guides us to three dimensionally place the implant in that position within the range site that the data states is the most appropriate.  In actuality, it does away with the need to "free hand" drill, which then greatly increases safety, reduces risk and enhances the potential for an excellent treatment outcome.
If we would lay a flap and observe the facial aspect of the ridge, we still don't know very much about the lingual or if the maxilla, the palatal aspect of the ridge site.  Even if we have an expensive CAT scan of our proposed site, our drilling will still be free hand toward a three dimensional placement outcome and in the mouth we realistically have but one try for excellence. 

Let's proceed now with the aids we have:

  1. P.A. film for M/D direction, M/D Implant size
  2. Bone soundings for B/L implant diameters (2mm)
  3. A Typodont Model Tomographicsm

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