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Ivan posted an update 6 months ago
This book was where it all started. I wrote it back in 2016 after i had tk resuscitate a patient in my chair and decided to quit at the high stress implant center i was working at.
Did you know you have access to this book? Its on the Books Tab! 🔥
Jedediah, Michael and 3 others1 Comment-
Amazing having access to all that great content Ivan. Much appreciated.
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implantninja posted an update 6 months ago
6 months ago (edited)
This weeks surgery pay-by-play. #27 implant placed and Failed Bridge resinsertion
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well done.
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Nairy posted an update 6 months ago
Does anyone suggest a surgical stent company ?
Implant concierge ? Or smile in a box
I am planning on doing guided implant placement for 2 posterior implants !
I place Neodent !
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Smile in a Box works great
There should be a local dental lab that can fabricate for you as well
I purchased a Phrozen 3D printer with KeyGuide resin and now make my own. Send out my scans through RapidGuide from my Sirona CT on simple cases. More complex I will utilize 3Shapes guide service.
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Heard good things about Implant Concierge. I’ve used 3DDX. Also, my buddies Nate Farley and Kent Howell are prosthodontists who started their own lab and they do loads of guided stuff: https://renewdigitaldesign.com
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Khurrum posted an update 6 months ago
Placed an implant and healing abutment and patient came with overgrown tissue on lingual which is not soft or hard but a bump. At first I thought it was an ill-fitting interim denture and adjusted. Also placed a soft liner. She came back 2 weeks later still there. So I placed a taller healing abutment and adjusted her existing denture to not…
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From the picture, it looks like some decent quality tissue that has built up over time. When you finish your new prosthesis and have proper tissue pressure everywhere, it might settle down slightly, but at this point, I would just leave it as it’s better to have that type of tissue than oral mucosa up against your locators. It looks like…
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Have you tried adjusting the tissue at all? You could just use a 15 blade and trim it down a bit. It’s not the end of the world to have the tissue bulging like that but it can be a nuisance
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Jedediah posted an update 6 months ago
Implants are NOT teeth, let me explain…
Dental implants can not survive without sufficient bone and biology within the patients mouth. Teeth can survive and even thrive with as little as a 1/4 or a 1/2mm of bone present on the buccal or facial plate; an implant generally will not. It is imperative to plan the proper bone and biology to surround…
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Jonathan posted an update 7 months ago
What are your thoughts on removing the incisive canal? Often times i find that with bone grafting on a 8 or 9 site that the canal still gets in the way for implants
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That can be done, but that would be my least favorite option and my last resort. The patient can have long lasting paresthesia and sensation on the roof of their mouth so I typically don’t want to remove any anatomy that normally should be there so that would be my last resort Situation where I couldn’t avoid it. If you do do that make sure…
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Emily posted an update 7 months ago
Working to reorganize our implant components (restoring general dentist). Does anyone have a system that works really well thats not a ton of small little baggies or a box of everything mixed together? Would also love recommendations on autoclavable storage boxes.
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Hello Emily. We typically just have Home Depot type of containers with lots of individual compartments that are labeled. I would love if others would share what they do and even share some pics here for everyone.
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Honestly what seems to work best is minimizing the systems that you have on hand. If you have parts that are not critical to the workflow, I hide those–because assistants will find them and mix them up with your essentials, then it all goes to hell
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Justin posted an update 7 months ago
Any tips for evaluating a grafted site through CBCT to see if its ready for the implant? I hate not knowing if the bone is dense enough until I’ve flapped and started the osteotomy
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To be honest I find it easier and more reliable taking a 2D b/w and p/a that will give you a good idea along with the patient history (healing time) and their medical history. CBCT good as well to see if larger soft tissue defects but can be misleading slice by slice on the cbct so I like to get a b/w and p/a of the site every time as well
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Jedediah posted an update 7 months ago
Very cool study here on immediate implants that I share with docs we teach and thought you all would benefit. Let me know what you think and/or if you have any questions.
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This case I posted last year when I was planning. Here it is at 5 months, I am concerned about the buccal plate width at the mid/apical third. Clearly should have put this more lingual. Long term predictability?
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Immediate #8, I did graft the buccal gap, but boy did that resorb :/
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Jonathan posted an update 7 months ago
I have never placed an immediate implant before but I think I found a good first case.
Patient is a 40 year male with a low smile line. Here is my proposed implant site.I am planning on placing a 4.2×13 implant direct legacy 3. My current plan is to drill to a 2.8 osteotomy and then place the implant and hope for enough primary stability.
Do…
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You typically want to place the top of your implant 2 to 3mm below the crest of the bone with immediate implants so you should have sufficient stability. Also, ensure a 2mm buccal gap that your should be grafted to get a more ideal healing response and to reserve the patients existing bone and biology. Also, typically the best case selection…
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