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  • Reply to #10 implant site

    You’re very welcome! Hope it was useful!

  • Reply to UPPER OVERDENTURE CASE

    hey Ahmad,

    I just now saw your post and hopefully, you haven’t done it yet. A few tips from someone who has completed 1,000+ of these over-denture surgeries + restoring:

    1) I would make sure you do good alveoplasty – think back to dental school when we made wax rims: exactly like that, NO undercuts. I use the “finger swipe” test – as in, after…

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    Ivan
  • Profile photo of Dr.

    Dr. replied to the discussion #10 implant site in the forum Implant Tx Planning 12 hours ago

    12 hours ago

    Reply to #10 implant site

    Thank you everyone for your input and help!

    Love
    Ivan and ladalle
  • Case here for a maxillary partial overdenture. How do these positions look prosthetically in respect to their existing partial? I placed them as best I could. Also how far subcrestal should I am for? 1-2mm?

    • These positions look okay to me–but i might suggest some slight modification. So, because this is a partial, the implants don’t necessarily need to follow the angulation of the teeth.

      Instead, the things to try to optimize for aside from bone availability are:

      1. Parallelism between the fixtures. It would be great to try to get them…

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      • That said, you don’t want those anterior implants to come out too far on the palate because you’ll run out of restorative space. It’s a balance.

        One solution for the anterior might be to use some angled locators on those. They fix that up real quick.

        2mm subcrestal would be good. Hardest thing on this case will be making sure you have…

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      • Hı everyone,I couldnt understand aim of these blue lines.Can you explain further?

        • The blue lines on a stacked implant guide are like the dimple on BioHorizons implants, they serve a similar purpose—they help ensure the implant is placed in the correct orientation, a process called “timing.” These markers act as guides to align the implant properly in the bone, ensuring that the connection where the crown or restoration… Read more

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          2
        • Has anyone had any experience removing mini implants? Any tips or recommendations. These are 3M small diameter 2.4X10.

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          • I’m actually do this exact same thing next week. When are you doing it?

            1
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          • I’ll record my procedure for you. Often the come right out with the mini implant insertion tool. You just turn it counterclockwise. 🤞🏼

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          • Profile photo of chris

            chris posted an update 2 days ago

            2 days ago

            Sorry if this is a double post. I was wondering if this case should be better splinted or with separate crowns. I did look at the research and it seems splinted crowns are better. But I’m just worried as there is already bone loss around the mesial implant would it be better to do separate crowns so she can clean it better

            • Hey Chris, thanks for your post! I would leave these UNsplinted. Here’s why:

              There is already some bone loss at those implant sites and if you splint those, the situation can get worse as the patient wont be able to clean them as effectively. (What you said)

              I can’t think of a benefit to splinting them in this case.

              Also, you might have a…

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              • Thanks again Ivan. Much appreciated

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            • Profile photo of Nick

              Nick posted an update 3 days ago

              3 days ago (edited)

              Remember if you think you are having a bad day, think about this dentist. 😳

              Ivan and dtberat_dds
              2 Comments
              • this one’s a doozy, not sure what I would do in this case !

                • This is really crazy. Thankfully I’ve never had to deal with that myself but in general you have to open up a window and get it out of these. When it’s that high up that’s a bit crazier

                • Profile photo of HANNAH

                  HANNAH posted an update 3 days ago

                  3 days ago

                  Hi all, Im trying to place a single unit #13. Due to boneloss, it looks like the buccal side is longer than the palatal side. If I were to place #13 completely submerged, 1mm subcrestal on the lingual side, it looks like it would be 2.2mm subcrestal on the buccal side. Should I shave down 1mm of the buccal bone to make it more even?

                  If so, do…

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                  • I would not shave down anything. If needed at time of uncover you can remove any bone around the cover screw as needed. That being said I always shoot for 2mm subcrestal to create enough running room for my crown. You want 4mm from top of tissue to implant platform. This is the cornerstone of ZBLC.

                    1
                    • Hey Nick, thanks for your input! What does ZBLC stand for?

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