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87madrigal replied to the discussion #10 implant site in the forum Implant Tx Planning 10 months ago
You’re on the right track with your planning. Prioritizing at least 1.5mm of buccal bone is crucial, and having over 2mm in the incisal 4mm is definitely a positive. As for the thinner palatal bone, you’re right that the thicker palatal tissue and improved blood supply can compensate to some extent.
However, when palatal bone starts getting…
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Ivan replied to the discussion #10 implant site in the forum Implant Tx Planning 10 months ago
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jostanger replied to the discussion #10 implant site in the forum Implant Tx Planning 10 months ago
You are totally right that palatal bone is less likely to get resorption or peri-implantitis and that most problems occur on the buccal. However, as a periodontist I often get cases sent to me where they went too palatal and now there’s no palatal support for the implant. 1.5-2mm buccal and palatal is a recipe for success in my book.
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Dr. started the discussion #10 implant site in the forum Implant Tx Planning 10 months ago
#10 is planned for a 3.2x10mm implant. The socket was grafted about 4 months prior to the CBCT. I skewed it more towards the palate to ensure the 1.5mm buccal bone (which I believe is more important to have that thickness on buccal rather than the palate). I do have 2+mm buccal bone in the incisal 4mm of the implant. My concern still is…
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drcajee posted an update 10 months ago
Hey Guys. I have an immediate implant for site #7 with a signif PARL, prob cystic. pt has no significant reported med hx. As this case approaches im asking myself weather physical debridments and pre/post op abx are enough to prevent infection/early failure. Thankfully in general after 8 years of placing implants ive only had a few of…
Jedediah, jostanger and Ivan5 Comments-
Because CHX can inhibit fibroblasts and osteoblasts I’m always wary of using it in these cases. I go the systemic abx route.
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I find peridex to be highly effective in infected extraction sites and use it regularly with great success of many immediate implants. I don’t find the negative effects to be clinically significant b/c the site to continually bleeding. I don’t use it for healing post op and many other situations but after extracting infected teeth and those…
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Ivan posted an update 10 months ago
🚀 Motivation Monday 🚀
⭐️ What is a routine, ritual, or habit that has helped you to be your best self lately?
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I’ll go first. Switching away from coffee to matcha has been a game changer for me. Also running at least 1 mile every day has helped me stay on track in terms of mindset.
For some reason after turning 35, I had to develop some new routines and rituals to be my best self. Maybe it’s due to parenthood, or maybe I’m gettin old haha 😅 (I’m 37 now) …
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I have found yoga helps my back to stay loose. I do not do anything else. I feel they have me running around the office so much I get a good cardio workout most days. 😂
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Ivan posted an update 10 months ago
10 months ago (edited)
Whats up yall. Lets get to know eachother!
Share what your plans are for this weekend! Big plans, small plans, or even no plans! 👇🏼
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I’ll go first, first stopping by the vet to get these guys their shots. They’re only 3 months but soon they’ll be absolutely massive. Got them so they can protect our property from coyotes and mountain lions!🐶
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Working on giving my website a facelift. 😬
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Ivan posted an update 10 months ago
10 months ago (edited)
Break in at our practice today 🤦🏻♂️ our new practice is still under construction so luckily no dental equipment was stolen. They stole tools and a compressor.
Have you guys had any vandalism in your practices? What do you do for prevention?
0:13
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Boss I don’t know the prices for such services in Cali for you, but for us if the practice is relatively not small and can afford it – we just hire night shift guards and we sleep well knowing there’s a dude guarding the practice with a licensed gun that’s ready to fire some bullets if need be.
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That sucks I’m sorry to hear that. Hope your day gets better.
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andanbcx posted an update 10 months ago
Not the best outcome… dont really know why. So I completed this implant with sinus bump using the Densah system about a month ago. Everything went pretty straightforward. Got my little lift and placed the implant with great (maybe too great) insertion torque it measured out at about 60ish but i remember wanting the implant just a little more…
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What size was the implant?
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And what was the torque when it went in? Randon stuff happens but I’d graft and come back in after a few months. Keep 1.5 mm around the implant with good irrigation
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10 months ago (edited)
LOST ROOT TIP
To piggyback on the theme of @RYAN ‘s WTF Wednesday post... Take a look at this little complication.
I extracted #14 by sectioning it, however a little piece of root tip fractured off of the palatal root. I considered leaving it, but figured I would try one last time with the root tip pick. As I reached for the root tip and gave it…
What should we do about the root tip?
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WTF is right!
Sounds like it’s time to find a new OS to refer to.. that’s ridiculous how they handled it
Is a root tip in the sinus usually handled like a tooth displaced into the infratemporal fossa? Let it fibrose? Or do they usually like to go after them in the sinus right away?
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I am not a fan of leaving root tips behind so I’m sure I would’ve done the same and ended up in the same boat!
I would have called another OS to get the patient in right away though. If the OS isn’t available same day for cases like this.. then they won’t be getting my referrals anymore.
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