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87madrigal posted an update 5 months ago
Tip I am grateful to have been taught early by my mentor: Check Your Pilot Drill Angulation Early.
When placing implants, taking a PA X-ray of the pilot drill is a crucial step that’s often overlooked. This simple check can save you from a lot of headaches down the line.
The pilot drill sets the foundation for the entire implant trajectory. If…
dt-mert, Dr. Amal and 3 others1 Comment-
I love this! Thank you for sharing!
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Ivan posted an update 5 months ago
What are you thankful for this year? 🙏🏼
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I’ll go first here. This is a special year for us.
My older daughter, Olivia, was born with a medical issue known as a lymphatic malformation on her face and neck. We have had quite a rough time for many years due to medical emergencies related to it.
This year was the first year in a very long time that Olivia did not have any medical issues. <br…
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Last year I spent a week, including Thanksgiving in the hospital, waiting for an opening in the OR to have a surgery done. I was on NPO, only liquids over Thanksgiving. So thankful to be very healthy again, active and to be able to eat turkey and all kinds of healthy food this Thanksgiving with my family! Thanks for posting, Ivan. Wishing you…
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chris posted an update 5 months ago
Hi nice to meet you guys. I am new to implant crowns and just wanted your opinion. I have a case for the 14 15 for impressions this Tuesday. I noticed on the radiographs there is quite a bit of bone loss on the 14 two months after placement. I do intend to take another xray on the day but is this cause for concern or is it normal. Thanks
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Is it just me or can we sort of see a slight preview of the future bone loss in the first x ray?
The answer to your question is that yes, it is a cause for concern, but also that yes this is normal. It does happen to us all.
Best thing to do now is stop the progression of the bone loss. Curious to hear what you guys would do.
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I think at this stage your best ally is going to be thick connective tissue and a well polished (not glazed) crown with good profile. It is a concern, but not enough to remove the implant. I have actually seen some cases fill in later if the crown, hygiene and tissue is ideal.
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jorbrown posted an update 5 months ago
Planning implants 4/5 (singles) implant bridge 7-9, single implants 12/13. Best long term temp while implants heal? Flipper vs long term lab made temp? Im also crowning 6/10/11 so i could have nice lab made temp for him to wear for 4 months?
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100% long term fixed temp from lab.
I love these because you are basically previewing what the final will be, but you can still tweak it. I like acrylic, but some labs like to do zirc temps too
I would still use a flipper tho during the initial healing phases.
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So for surgery day stick with just the implants. Let it heal for a little bit, then go back in and prep 6/10/11?
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jostanger posted an update 5 months ago
What implants is everyone using? And what made you choose that system?
When I was in perio residency, we used about 5-6 systems just to get a feel for them all and see how things differed. But in practice there is so much to consider (price, healing, ease of use for surgical and restorative).
So I’m interested in what people are using!
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Well, yall know what I’m using haha! Been exclusively using Implant Club for many years now 😁
But would love to hear what everyone else is using! 🙂
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I used to place almost all Neodent, now I have been placing more and more Implant Club 😅. Still placing Zeramex for Zirconia Implants.
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Cameron posted an update 5 months ago
Is the online course to take quizzes for the fundamentals of implantology book still available? I do not know how to access this content. Thanks in advance.
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Here ya go Cameron!
Part 1: https://www.implantninja.com/courses/foundations-1
Part 2: https://www.implantninja.com/courses/foundations-2
PS: As part of our Black Friday deals, our courses are 50% off until tomorrow 🙂
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Justin posted an update 5 months ago
Hello Everyone,
I have a patient I recently saw for an impression for an implant crown. I completed a two stage implant surgery. I didn’t note any complications at time of implant placement or uncovering.
The patient returned after three weeks for her impression. I noticed some inflammation surrounding the buccal of the healing abutment. There…
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Was the healing abutment down all the way? Typically nothing should get between the healing abutment and implant if that connection is snug. I’ve seen ones where stuff gets in there with it not being down all the way.
Oral hygiene? This absolutely makes a difference when you have a fresh surgical site (even just for an uncovery) and can cause…
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Hey Justin,
Thank you for sharing this case with us.
Let’s rule out some possibilities.
1. Was the healing abutment brand new? If it was brand new, was it sterile? Some docs sterilize old used healing abutments and re-use them on other patients. Unfortunately, that sometimes results in transfering debris from one patient to another, which is…
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Ivan posted a new post. 5 months ago
Too Close For Comfort?What to do if the implant is too close to the adjacent tooth? Someone sent me this question not too long ago, with the accompanying…
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@jostanger @drcajee @87madrigal @mickyfrick I'd love to hear your any insight you have into these types of situations. They're no fun, but many of us have found ourselves here!
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I completely agree with your reasoning here. If you feel like you can do better, you owe yourself and the patient the opportunity to do so. I also have the pleasure of seeing a lot of implants placed by a lot… Read more
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Mic posted an update 5 months ago
Hello everyone,
I have a patient with a fractured Straumann tissue-level implant at site #31. The coronal portion of the implant has fractured off circumferentially, leaving only the bone-level portion intact. This implant previously supported a gold crown on a one-piece abutment. Additionally, the tissue-level implant at site #30 has a worn… Read more
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let me also clarify the PA. that is a Closed tray impression coping screwed on to the fractured implant.
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I would love to see what the remaining platform looks like. It may surprise us!
If the remaining piece is fractured in a way that an abutment would leave some irregular gaps and holes, you may consider using your impression coping to try to capture the shape of the remaining fractured implant. You can do that by applying light body…
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Ivan posted an update 5 months ago
What are some goals and challenges that you are working on?
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I’ll go first.
1. I want to build up my bone grafting tool belt. Expanding to bigger grafts.
2. In the next 2 weeks I want to get 2 new referring doctors to my practice. I’m going to be sending out some letters and making personal visits.
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