Malpositioned and misangled implants: thoughts on restoration?

How about removing and restoring with a blade in the thin ridge?

CRS, First remove the malpositioned root forms. Then graft and give it tincture of time. Depending on the available bone, blades or root forms are appropriate. We do not know if the ridge is thin or sufficient in width and height. This is a clinical FUBAR I would like to see radiographs (PAs and pano) As Palo stated I have never seen anything like this.

One should not drink and drive, nor place implants.

I think it is an interesting tutorial. Eventually I think a wax up is needed for adjacent implants due to crown morphology I like to use the same stent for the ct guide and surgery which is a waxed up barium guide. My lab charges $150. But at surgery I only use them at the beginning and end initial drill guide and final with implant to check how close I am. I've rarely had a perfect stent due to bone morphology even in orthognathic surgery there is a slop factor. Close is good in horseshoes and intra oral splints. However I will take a little more time to investigate your technique. I have such a variety of stents sent with me to work with, like a box of chocolates. I agree that there is a large market on surgical stents that are overpriced. I used to make my own stents the old fashioned way on an articulator so I trusted what I had. Nice product you invented thanks. I don't honestly feel in this case a stent would have helped this guy is an idiot who doesn't get anatomy.

Take a look on youtube for BlueSkyBio and you will find you can get a surgical guide made for less than 50 dollars. This technology is growing super fast with lots of new developments because the company is listening to the users and advancing the technology quickly to the users requests.

Yes, the SGLA is a SURGICAL GUIDE LASER ALIGNER. It is a desktop tool, equipped with two digital lasers, a parallel arm and a small software. You just measure two CBCT angles fill up the two fields in the software press calculate and you are almost done. The point is that you don't have to fix it in most of the cases, because the material is like a firm thermoplastic material with some degree of elasticity. The base-plate passes the undercut of the teeth by clicking into it's place. That's why it is very stable and your both hands are free. By the way it is good for edentelous cases too. The tube is adjustable to the bone level. The tube is also a stopper at the same time. After all the "hell" that we had with the Rapid Prototyping Manufacturing guides it is hard to believe that there is something really practical and you can use it on case by case basis. With the SGLA it doesn't cost more than 15 bucks to fabricate a guide, as far as you have the tool in your office or lab. You make 15 guides you get your investment back. I want to point out a very important thing: The main purpose of the surgical guide is not about placing the implant straight in a raw, it is about to plan correctly the treatment. Most of the time when you make your implant eyeballing and drilling freehand you also not putting an accent on the planning. Another mistake that we do; is that we think that the surgical guide is mostly meant for the surgeon. No, it is firstly important for the restorative dentist. An experienced surgeon or periodontist can stick an implant anywhere, will it deliver a prosthetic result? I'm not sure. Who will pay the price? The restorative dentist.

This outcome seems to me to be iatrogenic and an instance of negligence and incompetence. Whether it is malpractice is up to a jury to decide.

I cannot imagine a clinical situation that could in anyway justify this .Compounded only by poor quality impressions.

I agree with Dr SenGupta, look at tooth #2 in the impression, there is no way it would have produced the model shown. Someone is having some fun at everyone's expense.