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Trajectory looks off, threads are exposed, or the kit is wrong — how do I decide and recover?

Problem What to do
Trajectory looks off Assemble the spoon and drill and trace the trajectory down to the bone. The sleeve often looks lingual, but it represents the trajectory, not the implant's stopping point — so it may be exactly as designed. If it clearly shows a wrong trajectory, a clinical judgment is needed; freehand may be required.
When to bail to freehand Clinical solution: watch the drill touch bone first, then decide.
Implant threads exposed but the spoon is buried in the guide Bone was likely over-reduced. Bone level should be an extension of the Fixation Base plane (not angled up or down). Use your training for exposed threads; if anatomy and prosthetics allow, place the implant deeper with a hand driver.
Crooked drill locks into the Osteotomy Guide Do not use forceps — you don't want to dislodge the Fixation Base.
Wrong implant sizes/parts ordered Call your rep (call the company to find the rep if needed); call local doctors who may have inventory; or find a compatible implant system and contact that rep. Try not to bail.

 

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