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Justin posted an update a year 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…
Jedediah, Ingus and Ivan11 CommentsView more comments-
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. a year 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 a year 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 a year 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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Ash replied to the discussion Tightened inplant which starts spinning in the forum Complications a year ago
Reply to Tightened inplant which starts spinning
Thanks all
My intended length was reached, it was just strange because the implant reached the intended length (subcrestal), and at 30ncm torque, but then on the last turn of the wrench it became a spinner. Thats what i didn’t get, i thought maybe i overtorqued and wiped out the threads of the site.
karthick -
@ivan-chicchon
Hi all,
Link of buying 2 drills only instead of having all screw removal kit does not work ??View more comments-
Which is provided in little wisdom book
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Hello Ahmed! Thank you for asking. You are absolutely right! We actually put our 2-piece screw removal kit on pause for the moment. I want to improve its quality at the moment.
I will share some links to alternatives that you might want to try.
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Nick replied to the discussion Tightened inplant which starts spinning in the forum Complications a year ago
Reply to Tightened inplant which starts spinning
Ok, so I always place my Neodent subcrestal. I was told that leaving the implant in the cortical layer of.bone will cause resorbption. Its important to drill deeper than you intend. It also depends on density. If I were placing a 1st molar in a healed site I would drill to 10 mm with 2.2 drill then drill to a 5.0 at 8mm then place a 5×8. I… Read more
Ivan, Ash and Nolan -
javohiros replied to the discussion Tightened inplant which starts spinning in the forum Complications a year 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 a year 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…
Mic and Ivan -
Ash replied to the discussion Tightened inplant which starts spinning in the forum Complications a year 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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