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Nairy posted an update 2 months ago
Do you guys recommend lower fixed hybrid denture opposing a regular denture this patient has sever bone loss !
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What does the patient currently have? Are they happy, if not what’s the patients main concern?
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Perhaps a lower fixed acrylic wrapped bar opposing the acrylic complete denture, rather than a fixed zirconia.
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Nairy replied to the discussion #20 implant in the forum Complications 2 months ago
Hello hope all is well !
I don’t have much experience in implants but why you don’t take a cbct first ? To see exactly what is happening? Is only the HA loose? I am sure you will know the difference but just a thought!
rroque29 -
Dr. started the discussion #20 implant in the forum Complications 2 months ago
Hi, this implant was placed in June 2024. I have 3PAs (one from day of placement, one month later, and 9 month later). The intraoral picture of the soft tissue is from yesterday and tissue looks great… patient has no discomfort/pain either. She did have some discomfort between 2-3rd week after placement but subsided after taking…
chris -
Inna posted an update 2 months ago
I need your advise, what would you do to remidy the situation, tooth #10 was lost probably due to perio, no caries was, implant was placed with some bone graft, then restored and now bone and gingival loss is happening to #9, implant is placed slightly too deep and too facial, what should be fone, thank you.
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Olga posted an update 3 months ago
This patient wants implants. We just finished treating her periodontal disease and she is ready for the next phase, however, she has severe bite collapse. In addition, she has uneven ridge in the upper anterior, which would make it challenging esthetically. I asked her dentist to make her a partial denture but the patient kept going back…
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You’re right, the bite collapse and the uneven ridge in the upper anterior make things tricky. It’s understandable the patient struggled with the partial denture, especially with the adjustments.
Absolutely, orthodontics is something you should be considering, but it’s not the first step. We need to really figure out where we’re going before… Read more -
I say remove the upper remaining teeth and now the sky is the limit you can do upper denture snap on or all on X ! and that’s it cz if the pt is unreliable and had this much gim disease i don’t know about compliance and orthos ?
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Khurrum posted an update 3 months ago
When to bonegraft?
Pt came in with swelling and failing RCT with fracture. Pt has been dealing with it for 2 years. When do you forgo socket preservation? I am worried about any graft failing and may be better to go back in after infection clears up and extraction of tooth.
Thoughts?
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You can either try to remove all of the infection (consider degranulating with a bur) if you have all four walls present, of you can extract/degranulate as much as possible, and then go back 2-3 weeks later to do the bone graft.
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Joseph posted an update 3 months ago
Pt has had #29-#31 implant placed 30 years ago, #30 and #29 in good functional condition. #31 hasnt had functional crown for last 10 years. has kept ” failling off”
Fractured/ flowered implant collar? abutment is loose, looks like possible fractured screw.
Is removing the only reccomended treatment for #31 implant for this case at this stage?
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Hey joseph, I have some good recommendations for you here. Not sure what you mean that it hasnt had a “functional crown.”
The way to really dig in here is to remove the abutment and see what’s going on. I would DEFINTELY warn the patient that its not guaranteed to work, but that you are doing exploring to get to the cause.
It might be a…
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fahadghaffar posted an update 3 months ago
https://digitallistings.net/product/the-all-on-x-course-full-arch-implants-2/
Is that course valid? Why is it cheaper there?
digitallistings.net
The All-on-X Course (Full Arch Implants) + The Implant Ninja All-On-X Handbook – Dental Knowledge
The All-on-X Course (Full Arch Implants) + The Implant Ninja All-On-X Handbook – Dental Knowledge
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Hey there Fahad, this is sort of a scam site. I get so many messages from people upset that they didnt get their content. They purchased from here and never got the content promised.
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Nairy posted an update 4 months ago
Have anyone heard of sirios scanner from straumann ??? Is it good ?
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I always suggest find out from the lab you are sending your scans to is there preferred scanner. Some might prefer one over the other.
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tannersmenard posted an update 4 months ago
I am a general dentist who is fairly new in my implant journey. The previous owner placed quite a few implants and is adamant that a prophylactic antibiotic (often a course of amoxicillin starting the day before the procedure) is imperative and necessary.
I have found literature on both sides of this issue. I am curious to hear others opinions…
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I usually do a loading dose and then a week of antibiotic. I also like to give either 8mg of dexamethasone (If not a diabetic) right before the appointment. In larger implant cases I will give loading dose of antibiotic day before (continue for week afterwards) and medrol dose pack (non-diabetics) the day before. It may be overkill but I think…
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Hi Tanner,
I’m at a similar spot as you are so I can’t speak with years of personal experience. I decided for the time being to follow this protocol from Misch’s Contemporary Implant Dentistry. At the end of the day for liability it gives me something to turn to in case I need to justify my decision making.3- View 2 replies
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