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Jedediah posted an update a year 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…
Ulises, Erick and Jonathan3 Comments-
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
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Any other comments???
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Jedediah replied to the discussion #20, 19 grafting in the forum Implant Tx Planning a year 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…
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Dr. started the discussion #20, 19 grafting in the forum Implant Tx Planning a year 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 a year 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…
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Khurrum posted an update a year ago
a year 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)
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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.
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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…
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Jedediah posted an update a year 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…
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Jedediah replied to the discussion Narrow diameter implant in the forum Implant Tx Planning a year ago
Reply to Narrow diameter implant
Typically, there can be very good outcomes, and there are some great research that supports shorter and/or narrow implants in specific cases. It depends on the implant system and your ability to fully torque those restorations as you do your normal diameter implants and if that’s the case they typically have a very favorable outcome. However, do…
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William started the discussion Narrow diameter implant in the forum Implant Tx Planning a year ago
Good morning everyone, does anyone have good experience with placing narrow diamter implant (3.3mm) at the maxillary canine or even premolar region for single tooth replacement? I have come across a few articles on Pubmed that showed good clinical outcome. Feel free to share your experience here. Thank you !
Jedediah -
Jedediah posted an update a year ago
There was two failing anterior incisors with significant infection that had to be removed and we placed two immediate implants into sites with severe bony defects. We performed simultaneously GBR/GTR using CGF/PRF protocols. After 6 months of healing we fortunately had a great outcome with ample bone.
There’s always a nervous excitement when…
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beautiful case! How do you manage soft tissue after uncovery? Assuming you’ve migrated the vestibule coronal when doing the GBR, I struggle to tell when a FGG is needed
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Great case. Thanks for sharing!
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Jedediah posted an update a year ago
I haven’t taken an analog impression for these cases for quite a long time but whether it’s analog or digital we want to capture the soft tissue well for our future restorations.
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How do you capture soft tissue in a digital impression? It seems when I remove the healing/custom healing abutment, the tissue immediately starts to collapse and I can’t maintain the soft tissue profile.
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Hey Talha, yes the tissue does clapse quickly but you do have a few minutes where it is very stable, So, as soon as you remove the healing abutment you take your soft tissue digital scan and/or your put your analog impression coping in and take your impression. If you do it promptly then it is not a problem at all.
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