Trouble with BioHorizon Bone Surgical Guide and Drill kit?

I routinely use them for all-on-4 cases. Sometimes These cases are done at time of extraction material and sometimes after healing period. So when placing them I like to know 2 things. 1. That implants are alll the way down for enough clearance for the final prosthesis 2. When they are placed with extraction sockets sometimes you can't find the ostemotmy so easily

I am not saying I am not ready or that I don't plan. I actually am able to handle a case of the guide doesn't work out. I am saying that the driver binds and wanted to know if that was a design flaw from the company or maybe I was doing something wrong somewhere. I make sure all my guides are fully seated before proceeding. But still Sometimes have this issue

Thank you so much. I will pay attention next case to make sure this is done better

I do tend to find more than I like, a tight fit, but certainly your points are completely valid. I do tend to stop a fraction of a millimeter short now. When me or the clinicians I mentor, do not stop short, there is a firm seat and almost a swedging effect. This friction fit of metal on metal can make the removal of the guided driver a bit more taxing. Is this clearly explained? Its not a counter to your response, just a point of clarification...

Amen! Same analogy to going to ED and doc ordering all sorts of tests and scans even before examianation of the patient. The art of physical diagnosis has been lost. Tests and other studies should help confirm your clinical diagnosis. Same is true for use of all this technology for implant surgery. Surgical skills have been lost with total reliance on the technology, labs and guides. So much cost is added to a case to the surgical practitioner AND the patient for routine cases for all these scans, surgical guides, etc. instead of using our 3D perception once learned in dental school. Sad statement on our profession.

Surgical skills not lost. Technology is the future. If you don’t want to use technology then go back in old times and stop using anesthesia, antibiotics, X-rays, titanium implants( in old time they used to make teeth from wood, there was no zirconia or porcelain crowns) You people don’t understand that technology is only to help us make better decisions, not to eliminate the knowledge that you gained. There is no way you can know 100% the size of the bone( you can estimate, yes) but without CT scan there is no way you will know how exact anatomy and exact placement of the implant. Yes, I did more than 1000 Implants and I do implants every day and I can see how much guided surgery improves dentistry.

Eric, You ares my kind of dentist. Nothing is better than a well trained implantologist with good hand🖐🏿 Eye👁Brain cordination

Erik- with a tissue supported guide, you definitely do not get the same stability as with a tooth-supported guide. Guided surgery is successful when the guide is placed exactly in the planned orientation and does not move. For a case with lack of tooth support, I recommend that you plan the guide with at least 3 skeletal fixation screws or pins. That will keep the guide stable so that it cannot move or tilt in use.

Thank you Dr. Resnik. I always use 3 fixation pins on mucosal supported edentulous cases. Hope to see you in Orlando January.

@Geoff, I had to tell you, I laughed out loud after your comment succinctly captured a lot of the threads on this site. We all learn a lot from this site and I am thankful for this being a great resource, but your last sentence was too funny, "The guy asked for...". I am not sure if you were trying to be funny but I feel the same when sometimes (I read on other threads here), when someone asks an honest question, and he/she gets lectured about other issues. All well and good, but sometimes you want another, Fellow, hopefully more experienced, doctor to help you out of your situation. Bounce things off so to say off a colleague. And so many times it turns into patronizing the questioner (Sometimes it is definitely Warranted, when you see someone is going to unwittingly, harm the patient, definitely keep that up!) rather than we all remembering our first several times doing a particular procedure and being unsure. Always a good read, the material here, though. Thanks