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Khurrum posted an update 4 days ago
What is the guideline for implant placement for a patient on Prolia or other osteoporosis drugs and medications?
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Khurrum posted an update a week ago
If a patient had prostrate cancer and was on radiation and chemotherapy, how long should you wait for extractions or implant placement? Are there any restrictions or guidelines?
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chris posted an update a week ago
Hi I have an implant bridge case to restore. Pt is in his 80s. I have just been restoring single units before this and would love some help/advice about how to proceed. The initial idea was just to scan, which I’m comfortable doing. But I have learned that the scanner may not be so accurate for larger cases like this. I will order a special… Read more
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you can scan cases like this, we have done it at our office plenty of times. if its an impression, its always full upper and full lower impression with bite registration including all the teeth. Try closed tray technique. what’s your restorative space here and choice of material?
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Traditional impressions for the lab to scan if needed and bite with wax rim. I find that to be most predictable.
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Nairy posted an update a week ago
Do you guys recommend lower fixed hybrid denture opposing a regular denture this patient has sever bone loss !
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What does the patient currently have? Are they happy, if not what’s the patients main concern?
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Nairy replied to the discussion #20 implant in the forum Complications 2 weeks ago
Hello hope all is well !
I don’t have much experience in implants but why you don’t take a cbct first ? To see exactly what is happening? Is only the HA loose? I am sure you will know the difference but just a thought!
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Dr. started the discussion #20 implant in the forum Complications 2 weeks ago
Hi, this implant was placed in June 2024. I have 3PAs (one from day of placement, one month later, and 9 month later). The intraoral picture of the soft tissue is from yesterday and tissue looks great… patient has no discomfort/pain either. She did have some discomfort between 2-3rd week after placement but subsided after taking…
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Inna posted an update 2 weeks ago
I need your advise, what would you do to remidy the situation, tooth #10 was lost probably due to perio, no caries was, implant was placed with some bone graft, then restored and now bone and gingival loss is happening to #9, implant is placed slightly too deep and too facial, what should be fone, thank you.
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Olga posted an update 5 weeks ago
This patient wants implants. We just finished treating her periodontal disease and she is ready for the next phase, however, she has severe bite collapse. In addition, she has uneven ridge in the upper anterior, which would make it challenging esthetically. I asked her dentist to make her a partial denture but the patient kept going back…
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You’re right, the bite collapse and the uneven ridge in the upper anterior make things tricky. It’s understandable the patient struggled with the partial denture, especially with the adjustments.
Absolutely, orthodontics is something you should be considering, but it’s not the first step. We need to really figure out where we’re going before… Read more -
I say remove the upper remaining teeth and now the sky is the limit you can do upper denture snap on or all on X ! and that’s it cz if the pt is unreliable and had this much gim disease i don’t know about compliance and orthos ?
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Khurrum posted an update 5 weeks ago
When to bonegraft?
Pt came in with swelling and failing RCT with fracture. Pt has been dealing with it for 2 years. When do you forgo socket preservation? I am worried about any graft failing and may be better to go back in after infection clears up and extraction of tooth.
Thoughts?
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You can either try to remove all of the infection (consider degranulating with a bur) if you have all four walls present, of you can extract/degranulate as much as possible, and then go back 2-3 weeks later to do the bone graft.
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Joseph posted an update 6 weeks ago
Pt has had #29-#31 implant placed 30 years ago, #30 and #29 in good functional condition. #31 hasnt had functional crown for last 10 years. has kept ” failling off”
Fractured/ flowered implant collar? abutment is loose, looks like possible fractured screw.
Is removing the only reccomended treatment for #31 implant for this case at this stage?
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Hey joseph, I have some good recommendations for you here. Not sure what you mean that it hasnt had a “functional crown.”
The way to really dig in here is to remove the abutment and see what’s going on. I would DEFINTELY warn the patient that its not guaranteed to work, but that you are doing exploring to get to the cause.
It might be a…
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