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Ryan to Ivan and Jedediah 8 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…
Erick and Jedediah11 CommentsView more comments-
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. 8 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 8 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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Jedediah replied to the discussion Implant #8 complication in the forum Complications 8 months ago
Reply to Implant #8 complication
If there is enough bone and biology around it and the body heals well should be straightforward. You’ll just have to remove bone that heals over the top which is a good problem to have and it’s pretty straightforward.
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ninja89546 started the discussion Implant #8 complication in the forum Complications 8 months ago
Guide failed, freehand placement immediate #8. First 2 sizes I wanted were sinkers. Finally got a larger one super deep as a spinner so grafted and left it. How can I salvage this when it comes time uncover/restore or am I gonna have to take it out? buccal lingual position is in screw retained position. Thank you
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ghouse122 posted an update 8 months ago
Hi my name is Mohammed ghouse
I finished my residency in omfs recently and have been practicing as a full time consultant from past 1 year. Iam here at implant ninja to learn the nitty grits of implantology and improve my practice.
Thanks
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Thanks for joining us Mohammed! I am sure we can learn from you as well! Where do you live? Please share some pics of your cases when you can! 😁
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Welcome!
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Ivan posted an update 8 months ago
🔥It’s SHARE YOUR WIN WEDNESDAY! Let’s GO!
No win is too small. Maybe you tackled a tough case, learned something new, or maybe you were just happy a prep looked today—that’s a WIN baby 😄🙌
Drop your wins in the comments, big or small. It’s all about celebrating progress, supporting each other, and building that momentum.
So tell me—what’s YOUR…
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Happy hump day. This was my win today. It always feels good to see an immediate implant placed two weeks ago healing this nicely 🙂
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Restored my second overdenture case today in our school clinic. It went well independently. Overdenture Cookbook really helped with each! Now only if school would let us do the surgery😅
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jason posted an update 8 months ago
I try-in this implant crown (acrylic crown), is the crown well seated?
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Hey @jason im attaching the picture you were trying to show 🙂
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I personally don’t use this system. But the seating definitely looks questionable to me. Is this a temporary crown? I think it is worth taking it off checking contacts, and wiggling it to see if you can get a deeper engagement. Confirming with x-rays, of course. I believe that @restoredsmiles uses this system. Can you share your thoughts, Jed?
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HANNAH posted an update 8 months ago
Hi all! My name is Hannah, and I own a small dental office in Bakersfield, CA. Implant ninja has been super helpful to me, and I look forward to learning with all of you! One question- What speed and torque do you use to drill bone for implant placement? Mine is at 55Ncm and I dont know whether thats too strong or not.
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Hello Hannah,
So glad Implant Ninja has been super helpful. Speed typically depends on what system you are placing, for drilling speed where torque is not the issue typically 800 to 2,000rpm is the speed. You want to make sure you check the protocol with that specific system. When placing your implant that would be a different setting,…
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Hi Hannah,
My personal take on this:
50 Ncm torque generally works well across the board.
Starting speed for hard bone: 1,200 RPM
Starting speed for soft bone: 900 RPM
And with each subsequent drill I run the drill a little slower. Why? Minimizing speed helps to keep the temperature down and thereby cause less cell damage in your prep.
You can…
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Ivan posted an update 8 months ago
Thanks to everyone who participated in the giveaway! I have tagged the winners of the mystery prizes within their comments. Thanks for being here y’all! Our goal is to make this a safe space where we can support each other on our journey!
I’d love to hear what you’d like to share & discuss in this group. If you have ideas for other topics, drop…
What topics would you like to discuss and share about in this community?
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Grafting!
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