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. |
Additional Resources
For more information concerning CHROME GuidedSMILE:
Contact Information
For help with a digital denture solution for your next case, contact ROE Dental Laboratory:
- Phone: (216) 663-2233
- Email: info@roedentallab.com