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  • Ryan posted an update a year ago

    a year ago

    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
    25 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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      • mikeissak posted an update a year ago

        a year 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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          • wemo posted an update a year ago

            a year ago

            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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          • 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…

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            dt-mert, Dr. Amal and 3 others
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          • Ivan posted an update a year ago

            a year ago

            What are you thankful for this year? 🙏🏼

            Benjamin, sameerdentist and wemo
            10 Comments
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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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            • 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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              87madrigal and Ivan
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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.

                • 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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                • 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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                  dt-mert, Jedediah and Ivan
                  4 Comments
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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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                  • 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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                    Ivan and Jedediah
                    2 Comments
                    • 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! 🙂

                      • 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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                      • 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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                        Ingus and Ivan
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