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  • Reply to Upper Anterior Implant Position

    Hello William, thank you for posting this.

    This is a very common issue and it is great that you did not actually break through the labial plate. Although it looks very thin on the CBCT in that region, if you flapped it you might find that there is still bone covering the implant and that no exposure is present. (I am not advising you to flap it!)

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  • Upper Anterior Implant Position

    Good day everyone ! Recently I have placed an implant in the 23 region without using a guide. Patient has a prominent buccal exostosis and low smile line. However the bone apical to the bony exostosis is narrow. I made a mistake by focusing too much on getting the ideal screw channel axis and placed the implant too lingually.

    While the…

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    Erick, toothtalkers and Ivan
  • Hey guys first time post. Ive bren trying to learn more about implants and doing my best to get better and better as a clinician.

    The other day I placed an implant and tried to do a crestal sinus lift using the densah burs and allograft. The CBCT showed that i had about 6mm of bone till the sinus floor at site of the first molar. So I decided…

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    Erick and Ivan
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    • Hi @rroque29 great to see you on here!

      What makes you think you perfd the membrane?

      Did you feel when you broke the floor of the sinus?

      Would love to hear what you guys think, @jostanger @mickyfrick

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    • When just getting Into Christal, sinus lifting, I’ve often found that it feels like you are going in blind Because, well, you are!

      If the membrane was not punctured during the drilling protocol, the bone should stay localized.

      However, the situation that you’re describing has happened to me many many times as well. Personally, it has not become…

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    • End-of-year purchases for tax purposes

      Do you guys buy materials or equipment to offset taxes? I’ve always sort of done this as sort of a kneejerk reaction to saving some taxable income, but not very methodically.

      Do you guys do this or are you thinking of doing this at all?

      If so, what you gonna buy?

      • I’ll go first.

        I’m going to buy a bunch of implant accessories and mess around with them. Nothing too expensive, but just handful of 20 different gadgets or so. I’ll buy some bone tacks and screws as well.

        I’ve been toying with the idea of buying an X Nav and Yomi. But I’ll probably not get around to purchasing them. The technology still seems…

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        • We normally don’t! Our practice accountant doesn’t advise it so we just don’t and I’ve never looked more into it LOL

        • im Thankful for my wife and family and my staff for all the support over the years. I am thankful for being able to continue my education and Get master of science in oral Implantology Class of 2026. I am also gratful for living in USA we have it pretty good compared to alot of countries

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          Mic, rroque29 and Ivan
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          • Thanks for sharing Gene! I am a first generation immigrant here in the US. And very grateful for it.

            Would love to continue to hear from you on here as you go along in your masters in Implantology! 😁

            • drgene1 (edited)

              Ivan where is your family from?

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          • Just wanted to say hello

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            • Hello Gene! Glad to have you here! Tell us about yourself!

              • good to be here been watching you build this im impressed…. im 59 and loving what i do went back to school getting my Master of Science in Implantology from Goethe in Frankfurt going to spend the time i have left to practice to be the Best Implantologist I can be looking forward to the journey with Implant Ninja as well Im a big fan of…

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            • CUSTOM HEALING ABUTMENTS

              Hey folks! Hope everyone had a wonderful thanksgiving!

              I went down a custom healing abutment rabbit hole yesterday and wound up with a few lingering questions.

              The protocol for immediate implants makes total sense.. but how can we make custom healing abutments for delayed implant placement?? Does anyone do this and have…

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              Erick, Mic and Ivan
              24 Comments
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              • Hey @RYAN Thanks for sharing this man. You got me going down the rabbit hole as well.

                I’ve periodically make them to use on the day of implant placement. Not so frequently as a stage 2 procedure.

                A couple things:

                The product you shared led me to several instructional videos that tried to teach me to use some free new software. The truth is, i…

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              • @mickyfrick are you messing around with custom healing abutments much?

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            • Hi guys,I’m new on implant dentistry.I’ll ask about full mouth cases.I just wonder if we are able to place 4-6 implants so why would we still go overdenture instead of fixed.I know it makes prosthesis more stable but it is still removable? (Photo from Ivan’s Overdenture Cookbook :))

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              • Hi Berat! Great question. You’re asking, if we can place 4-6 implants and do a bar on it—why wouldn’t we simply do fixed?

                Fixed vs removable full arch is a great topic.

                Removable is a great option if:

                – patient has a very high smile line and shows gums.

                – patient has a big “composite defect” basically meaning that they have had a lot of…

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                • Did I answer your question? Happy to help further!

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                • Profile photo of mikeissak

                  mikeissak posted an update 5 months ago

                  5 months ago (edited)

                  First time as a surgeon restoring an AOX case, please send me with recs based of this limited pictures/PANO

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                  • Thanks for sharing Michael! Are implants already or are you starting from scratch and working it up?

                    • All of scratch, high profile pt… looking to immediately load on the same day

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                    • If you would excuse me I would to share a post as this is my first day in the community which figures to be a great community ❤️🙏🏻

                      Some of the most rookie mistakes can be a fractured screw of an abudment. It’s really annoying but that involves in some cases. Let’s say you made a perfect All on X case with perfect prothesis all good 👍🏻 till now.…

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                      dtberat_dds, 87madrigal and Ivan
                      3 Comments
                      • Thank you for sharing Mohamed! For those of us who might not understand the first picture. Can you tell us what that is? Is it an abutment that is cold welded to the implant?

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