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jostanger posted an update a year 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!
Nolan, 87madrigal and 4 others5 CommentsView more comments-
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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87madrigal replied to the discussion #10 implant site in the forum Implant Tx Planning a year 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 a year ago
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jostanger replied to the discussion #10 implant site in the forum Implant Tx Planning a year 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 a year 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 a year 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…
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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 a year 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 a year ago
a year 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 a year ago
a year 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?
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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 a year 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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