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Youssef posted an update 6 months ago
Hello everyone, wanted to ask a question that came to my mind. My colleague was doing a lateral window sinus lift after elevating the membrane, he mentioned he saw a small perforation in the mesial aspect. He then placed a resorbable collagen membrane like a parachute and compacted a little bit of bone not applying to much pressure. He did a…
Jedediah, Nolan and 2 others14 CommentsView more comments-
Hello Youssef, thank you for posting the question. Do you have any pictures of the CBCT?
My understanding is that if the sinus membrane was stabilized, and you grafted it, and the patient has low contraindications, blood clots are likely to turn into bone.
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I agree I think bone will form but it will take a long time to mature. If you wait only 6 mo the density may still be low. It is also possible to loose some height.
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Ivan posted an update 6 months ago
Reminder: We’re doing a LIVE case review session TOMORROW. If you want me to answer any particular questions or look at any x rays or pictures, drop them HERE in the comments ASAP! I’ll review and dive into your questions and post up the video here in the community.
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Ivan posted an update 6 months ago
In know we’re all dentists and dental students here, BUT lets celebrate who were are outside of dentistry.
Share a picture or video showing what you like to do not related to teeth!
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I’ll go first. I spend most of my time outside of work being on daddy duty. I just made some dirt ramps for the kids to ride their ATVs. I also just recently got into wine making. 🍇
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We love dirt biking with the fam at Restored Smiles Ranch 🙂
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Ivan posted an update 6 months ago
Ridge Split video: For those whe saw this on Instagram, but the video got clipped short… Here’s the rest:https://youtu.be/8lpNF0Dvkrw?si=LLT4BKUo-Js0DfJz
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how can you manage if you crack the buccal plate of bone?
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Lori posted an update 6 months ago
Hello just a few questions.
1. After extraction ans socket preservation are complete , how long do you wait until you take a cbct and plan the implant?
2. What do you do when the IAN canal is NOT visible at all on the CBCT? How can I forward the cbct to you for review?
Thank you!
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Thanks for the questions Lori! You can record a little video clip on your phone and post it here! Or you can take pics and share it directly here 🙂
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Hello Lori,
I typically wait 4mo. On a healthy patient when there was no real defect at the site. If I have to repair a missing buccal wall then it’s usually 5mo. Or so. Also, typically the easiest way to identify I difficult nerve is to start at the mental Foreman which is much easier to identify and then follow the nerve more posterior to…
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Ivan posted an update 6 months ago
🔥 ALRIGHT, NINJA NATION! It’s FEEDBACK FRIDAY! 🔥
Today’s the day to get some eyes on your work. Drop your cases, X-rays, and questions in here by 3 PM PST. This is your chance to get real, no-BS feedback.
👉🏼We’ll dive deep and give you a insightful review of your case/question on Monday. 🎥
You in? Let’s make this happen! 👊💥
#FeedbackFriday…
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Jedediah posted an update 6 months ago
What in the Trauma is going on? Ok, you all wanted implants and bone grafting so here ya go…
This was a challenging case to say the least, especially when it’s your mother. She fell and fractured 3 of her front teeth amongst other things. A few hours later I had 3 teeth extracted, extracted sockets grafted, ridge augmentation complete, 8…
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Bro, those are some CRAZY gains
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Is this basically done in two stages? One for graft and one for implant placement?
Dude you bulked that up considerably. I am always cautious about overbulking to much—just due to nervousness on my end. But you totally disprove that. Do you just go HAM on the amount of allograft as long as you can get passive closure?2- View 1 reply
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Ryan to Ivan and Jedediah 6 months ago
Didn’t expect this case to walk in the door today..
New patient exam. 82 yo Male who was recently diagnosed with stage IV prostate cancer. His oncologist told him he needed a dental exam prior to beginning his cancer treatment.
Patient’s CC: “My denture has gotten a little loose over time, can you reline it?”
Maxillary arch: 4 implants with…
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Definitely a can of worms. Given his situation it sounds like we want to make the best with what we can it get him healthier and ready for larger more important treatment. I would most likely do something similar. I would cut the bar and try to use the two anterior implants and get what function out of them I can and reline and/or do a…
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Super interesting case Ryan. Do you have any additional pictures?
Helping patients in this situation can be tough.
The back two implants are obviously goners. Your plan to remove them is sound.
You might consider removing the bar and sectioning it to remove the back two implants.
The anterior portion can stay intact. You can re-insert the…
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Ivan posted a new post. 6 months ago
Reimplanting into Failed Sites?A friend told me that she placed implants at 18 and 19, and they failed. Then she had gone back to remove them, meticulously clean…
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Ivan replied to the discussion Implant #8 complication in the forum Complications 6 months ago
Reply to Implant #8 complication
Hey man, thanks for sharing here! First off, no I don’t think you’re going to have to take this implant out. I think it’s gonna turn out just fine.
Secondly, you might not have as much bone as you think covering the implant. If that’s graft on top of the screw, it might resorb a few mm.
Be prepared to remove and shape bone a little bit for the…
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