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javohiros replied to the discussion Tightened inplant which starts spinning in the forum Complications 9 months ago
Reply to Tightened inplant which starts spinning
Hey guys just my 2 cents here:
I prefer to go slightly deeper even with a BLT implant (others may classify this as subcrestal) and to obtain this I usually leave an extra 1-1.5mm of space just in case. For example cbct shows 10mm depth available, so I choose an 8 or 8.5mm implant, prep the zone with guide drill to approximately 9-9.5mm, place…
Ivan -
87madrigal replied to the discussion Tightened inplant which starts spinning in the forum Complications 9 months ago
Reply to Tightened inplant which starts spinning
Hi Ash, as you continue to place more implants you will run into this. Like Ivan said, the reason is because the implant just can’t go lower (even if it’s tapered it needs a bit of osteotomy). I tend to use a 11.5 drill for my 10mm implants as I like them to be a little subcrestal. When this happens just take the implant out, set it aside, drill…
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Ash replied to the discussion Tightened inplant which starts spinning in the forum Complications 9 months ago
Reply to Tightened inplant which starts spinning
Thank you Ivan.
Its a bone level tapered, in the posterior mandible (LR6) in a healed socket. No xrays on me. Does overpreparing work with tapered implants? Such that will a 10mm implant get good stability in a 12mm socket (as its tapered).
I think i may have overtorqued, is it possible i may have wiped out the threads in the socket?
Thank you
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Ivan replied to the discussion Tightened inplant which starts spinning in the forum Complications 9 months ago
Reply to Tightened inplant which starts spinning
Hello Ash! Thank you for being part of the community. this is the perfect place to seek guidance on this.
The #1 reason I have found that this happens is because the implant hits the bottom of the prep. Especially in harder bone.
To avoid this, I always prep 1.5mm beyond the desired implant length. Can you tell us a bit more bout the case? Any…
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Ash started the discussion Tightened inplant which starts spinning in the forum Complications 9 months ago
Tightened inplant which starts spinning
Hi folks, i placed a BLT implant which was tight initially but then then suddenly became a spinner after i reached the determined length. Whats the reason for this?
Thank you
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Nolan replied to the discussion #10 implant site in the forum Implant Tx Planning 9 months ago
Thank you for providing a video explanation. These are awesome!
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Ivan posted an update 9 months ago
Looking to host webinars & some meet-ups with you guys.
What times work best for you? Please feel free to add a date/time if its not on here.
Looking forward to finding a time to get connected! 🙌🏼
What times work for you?
maja and Nolan2 Comments-
Looking forward to it!
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9AMpst
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jorbrown posted an update 9 months ago
Question, what does implant planning and presentation look like in your office? Do you charge for the CBCT? How do you present the implant as the best option for patients?
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We don’t charge at our office for the CBCT. I see it as a tool I need and it costs me nothing more to take a scan. But then again we do a 3D scan on all our new patients.
We always give 3 options:
Good: removable partial.
Better: Fixed Bridge
Best: Implant
We have models of all three and put them in front of the patient.
We tell them advantages…
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I love the idea of not charging for CBCT. Its a great lead generator for your implant cases.
However, not being a practice owner, we usually end up charging for it (because that’s how the practice does it) Some people argue that due to the liability of the CBCT, some fee should be charged. Others say that a serious patient will be willing to…
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87madrigal posted an update 9 months ago
When I started my implant journey, I primarily placed implants at the bone level. It was straightforward, and at the time, I thought it was the best approach for most cases. As I’ve grown in my understanding and experience, I’ve transitioned to placing implants subcrestally in many cases—and the benefits have been significant.
Placing…
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Thank you for the thoughtful tip Apolinar! Have you encountered any challenges or any negative effects of placing subcrestally? Has it been any more difficult restoratively? Beautiful crowns by the way!
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jostanger posted an update 9 months ago
Tough tough overall case. Patient is a 15yo female with aggressive perio. Cases like this take careful planning and consideration because youre trying to plan for the next 60+ years.
I’m partnering with a prosthodontist for this case and we have a tentative tx plan but I’d love to hear outside opinions!
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I simply refuse to believe they are 15 🙁 that’s so sad!
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That is so tough! Definitely not your run-of-the-mill case! I would love for you to share some of the options we should be considering here.
Specifically your thoughts on implants in a person so young!
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