-
Jedediah posted an update 7 months ago
This case was a tricky one. Sometimes, we just need to do the best with what our patients anatomy gives us. Patient was referred to me wanting an implant and there wasn’t much to work with and oh yeah, the mental foremen was smack dab in the middle of our sight.
With the help of some buccal plate decorticating, a tenting screw, and some CGF/PRF…
Erick2 Comments-
Wow nice. What kind of membrane and stabilization techniques did you use?
1- View 1 reply
-
-
Jedediah posted an update 7 months ago
I’m a big fan of placing immediate implants when indicated. However, with this full arch case this patient had extreme buccal and facial undercuts which prevented immediate implant placement. 6cc’s of bone were used to graft a fair amount of the upper right and upper left quadrant using CGF protocols. 5 to 6 months later we have beautiful,…
-
Looks great. Very clean
1- View 1 reply
-
-
Justin posted an update 7 months ago
What would you do here for possible implant in 21 location? Space is limited ~6mm. My PA measures 6.5 between roots and 5.7 between crowns. I was able to get a 6mm caliper between the contacts.
1) Enamelplasty
2) Ortho to open space
3) 3.2mm diameter implant
-
I would do enamelplasty and a narrow implant. Ortho treatment for these cases can be more ideal, but in some cases can tip the roots in a way that may be more restrictive
1
-
-
Jedediah posted an update 8 months ago
Here is an update from the previous post…
This shows how we dealt with the complication of a buccal perforation. Luckily, the patient had sufficient width so we removed the implant and placed another implant lingual to that site with better buccal lingual agulation. We then bone grafted the site and perforation and secured a resorbable collagen…
-
Jedediah posted an update 8 months ago
Looks good, right?!? Not once you see the cbct and create a larger full thickness flap. What would you do here? What are your options? This happened during one of our live surgery courses. Please leave a comment below on what you would do and a couple options we may have. After I recieve several comments I will post a follow up post next week…
-
implant position looks too buccal to me in this photo. i’d remove and start a new osteotomy and sink the implant to the level of the lingual bone
1- View 1 reply
-
Any other comments???
-
-
Jedediah replied to the discussion #20, 19 grafting in the forum Implant Tx Planning 8 months ago
Lots of different options and ways you can do this procedure but you need to remember what is best in your hands and what you are best trained and comfortable to do. Reinforced ptfe could be done but is much more extensive of a procedure and tissue manipulation are key for success and you would need to keep that in for a minimum of 5 to 6…
-
Dr. started the discussion #20, 19 grafting in the forum Implant Tx Planning 8 months ago
#20 is planned for an extraction. Patient wants to know fixed options so my thought is bridge #20-x-x-18 (not the greatest option due to bone loss on both abutment teeth) or implant #20 and #19. The ridge width around #20 is naturally narrow (6.5-7mm – virtual implant I placed Is 3.5×8.5mm). #20 also has 4mm buccal recession/dehiscence…
Jedediah -
Jedediah posted an update 8 months ago
This was a tough case with a large through-and-through defect on an upper central incisor. After the area was throughly cleansed I grafted using mineralized cortical particulate with CGF/PRF protocols. A thick collegen resorbable membrane was secured with membrane stabilizing sutures and primary closure achieved with a nonresorbable PTFE…
-
Khurrum posted an update 8 months ago
8 months ago (edited)
After un-covering buried implants for a mandibular overdenture, there was barely any keratinized tissue around the implants. 1mm at most. Instead of short locators, I’m thinking of getting the tissue around the implants better, are there techniques, materials, to do this non-invasively (meaning doing a complete re-flap)
-
Typically many periodontists would say the gold standard is a FGG to help in those type of cases. Also, placing your implants deeper especially in thin biotype patients will greatly improve those cases as well.
-
For vertical tissue growth, one successful technique i’ve been able to do especially in locator cases is using Alloderm. It will require a flap but essentially you release the flap like a GBR, use healing abutments to tack the alloderm along with sutures and close the flap. Don’t necessarily need air tight closure but I would definitely not…
-
-
Jedediah posted an update 8 months ago
The destructive consequences of periodontal disease. We have many great ways to help patients take their health back and replace their teeth but it’s so much better (and much less expensive) to just take care of your own teeth and form healthy habits from the beginning. Together as a profession, let’s please make sure that we’re properly…
- Load More
