Clinical case · VPI Pilot Drill Kit
Dr. Ioannis Vergoullis
Delayed implant placement at position 12. The VPI Pilot Drill Kit sleeve centres and initiates the pilot osteotomy at the correct position and angulation, removing the inconsistency of the first drilling step. The rest of the sequence runs on the implant system’s own kit.


Position 12, healed ridge, delayed placement
VPI Pilot Drill Kit, sleeve #7I
Position and angulation of the pilot osteotomy
Standard drilling sequence of the implant system
None required
Centred placement at the planned depth

STEP 01
Healed edentulous site at position 12 with adequate ridge dimensions. Flap raised.

STEP 02
Sleeve #7I centres and initiates the pilot osteotomy at the correct position and angulation, setting the trajectory for the entire drilling sequence.

STEP 03
With the trajectory established, the remaining drilling uses the implant system’s standard kit. The implant is placed into the centred osteotomy.

STEP 04
Final position: seated at the planned depth, centred within the ridge.
Everything downstream of the pilot drill inherits its position and angle. Fixing that one step with a sleeve is cheaper and simpler than a full surgical guide, and it pairs with the Cervico Guide’s tabs for space evaluation.
Materials: VPI Pilot Drill Kit · Implant system standard surgical kit
Credit: Case and images: Dr. Ioannis Vergoullis. Full case as published by the clinician; patient details are not disclosed.
Products used in this case
Six clinical scenarios. A clearer plan for the emergence profile.The free Emergence Profile Playbook: limited space, off-centre implants, molar sites, deeper platforms, tissue challenges and the provisional workflow, with documented cases and the Cervico workflow.
Get the playbookNew to the technique? Read custom healing abutments: four ways to make one, compared, or start with what a healing abutment is.
One documented case cannot isolate the contribution of a single component. Read the full sequence, including the other interventions, before applying any step.