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drcajee posted an update 2 weeks ago
Hey guys. Last week, while I was in the middle of a FBI #17 case I noticed something interesting. I laid my flap and I saw this structure. Can you guess what it is?
It’s an extra nerve exiting from the bone!
In this case, you can decide whether to sever the nerve or work around it. It reminded me a lesson I learned sometime back – if you don’t…
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jorbrown posted an update 2 weeks ago
2 weeks ago (edited)
Distance between implants? Do we still keep 3 mm of bone between implants?
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The guideline of maintaining 3 mm between them is still widely recommended.
Bone Health: Keeping 3 mm of bone between implants helps prevent bone loss. If implants are too close, it can lead to complications like bone resorption, which can jeopardize the stability of both implants.
Soft Tissue Support: Adequate spacing is essential… Read more -
That is what i figured, thank you!
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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
When it comes to bone grafting, there are a few options like demineralized bone allograft (DBA), freeze-dried bone allograft (FDBA), and synthetic calcium phosphate (like Augma Bondapatite).
– DBA: This is human bone that’s had the minerals taken out, which makes it great for bone growth because may actually help recruit your body’s own cells…
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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
Regarding use PRF for B/MRONJ – not enough data out there to call that standard of care. https://pmc.ncbi.nlm.nih.gov/articles/PMC8140838/
pmc.ncbi.nlm.nih.gov
Dentoalveolar surgery is probably the major risk factor for MRONJ and for other complications following a tooth extraction, especially in patients affected by systemic diseases. The aim of this retrospective study is to evaluate whether a PRF plug ...
Ivan -
drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
Reply to Prolia and medical hx
Since she’s paused her Prolia, it’s generally a good idea to remove the tooth soon after that to avoid complications. But definitely recommend checking in with her managing physician to make sure everyone’s on the same page about timing and any other precautions. This way, we can ensure a smooth process for her!
Jonathan -
drcajee replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 2 weeks ago
Reply to Vertical grafting or not?
When I look at this case, you have enough bone to secure your implant. Regarding the vertical deficiency, I wouldn’t be too concerned as long as the Implant prosthesis has enough tissue support. If it doesn’t, I would consider a connective tissue graft and custom healing abutment.
Lori -
Dr. started the discussion Prolia and medical hx in the forum Implant Tx Planning 2 weeks ago
I have a 76y.o. female patient who is currently on prolia, actemra and prednisone for a year or so. She was dx with giant cell arteritis this past year which prompted her to be on these meds. She needs an extraction of #19. She has had implants in the past so she is interested in an implant to replace this tooth. Conveniently enough,…
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Dr. started the discussion Vertical grafting or not? in the forum Implant Tx Planning 2 weeks ago
Hi,
I’m planning for #30 implant (5×8.5mm virtually planned here). My concern is there is a vertical bone deficiency (about 3.62mm depression compared to the adjacent bone peaks) and that without vertical augmentation, the implant appears to be too submerged…which also appears to lead to a greater than ideal distance from the gingiva to the…
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jorbrown posted an update 2 weeks ago
Socket preservation Question. Had a trauma case for intruded #9 as part of 4 unit bridge. I extracted it and i had difficulty relieving palatal tissue to tuck the membrane. And there was no buccal shelf. He had extremely deep vault with very thick vissuen The socket apex felt like it was near his nose do i ended up placing collagen plug in…
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jostanger posted an update 3 weeks ago
Practice question— does anyone have a partner or work in a group practice? I might be buying into one and id love any advice on how to handle partner dynamics!
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👋 Is there a specific aspect of partnerships you have a question regarding?
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I prefer being the boss and not having a partner. Make the decisions yourself, keep all the profit. If experience is what you need good consultants can help and don’t take away from your equity.
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