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yeah this is Bobby Murray Iamp;#39;m an oral and maxillofacial surgeon in Washington DC and Iamp;#39;m going to be talking to you today about using pre-planned pre milled custom gingival healing cuffs this is the case that were planned we took a preoperative intraoral scan you can see weamp;#39;ve used virtual teeth to plan tooth number 18 we plan to number 19 the tooth has been extracted and bone grafted you can see after weamp;#39;ve done the plan which included this superimposition and the virtual teeth weamp;#39;re going to export the plan as merged items and thatamp;#39;s going to be uploaded to the dental lab these are the virtual gingival healing cuffs based on the previous prior extracted teeth and the virtual teeth and you can see what weamp;#39;ve tried to do in this case at least my opinion the best design is a reverse goosenecks to avoid the soft tissues and the bone these are the custom gingival healing cuffs the parts are made of PMMA the buckle is marked by the li