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Jedediah replied to the discussion Narrow diameter implant in the forum Implant Tx Planning 8 months 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 8 months 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 !
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Jedediah posted an update 9 months 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…
Dr., Khurrum and janell4 Comments-
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 9 months 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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lolo posted an update 9 months ago
I have a question about restoring this case. The plan was to do over denture. But now the patient can’t handle the denture and she wants a bridge. Implants are fully healed and ready to be restored. She doesn’t want to wait another 5 months ( so adding 2 posterior implants is not an option). How would you go about restoring this? Screw…
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I typically try not to cantilever more than one tooth. In this case you may be able to get away with two smaller teeth and get to the 2 pre molar if placing more posterior implants aren’t an option.
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Thank you!
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Ramsey posted an update 9 months ago
Anybody have a bur kit recommendation for socket debridement prior to placing graft material for socket preservation? And who makes the best plastic scalers for debriding implant surfaces for peri-implantitis cases? Thanks!
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Hello Ramsey,
I’m not sure of the plastic scalers but where ever you get your scalers now they should have some as well. Various curettes of different sizes and even serrated ones do a great job. A Titan has some great ones. Also, if you want a bur to some cases they may be more challenging we have an awesome one with Meisinger USA that is a…
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Hey Jed!
Thanks so much for the reply. I’ll check out that kit. Thanks again for the information and timely reply.
-Ramsey
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Nick posted an update 9 months ago
Can u take a wash impression under a PMMA if theres is not enough tissue contact or is it best to take a new master cast impression?
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It depends on the lab, but many times yes.
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Jedediah posted an update 9 months ago
Regardless of your experience and how many implants you placed, it’s never a bad idea to make sure that you always get a direction indicator to keep you honest🤓👍.
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Joseph posted an update 9 months ago
9 months ago (edited)
Might have a case where I need to remove a failing implant n site #14. A ton of bone loss already to the near apex about 270 degrees around the implant. it is 6mm wide platform. During percussion is still feels decently integrated, but patient can tell it is moving and painful on chewing.
Can I treat that case like a natural tooth ext?…
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Hey Joseph, correct you could reverse toque and/or trephine if needed but it sounds like with that little support the forcep should do the trick. A great kit to have in the office to remove various implants and/or broken screws is the kit that Salvin has. Good luck!
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Dragos posted an update 9 months ago
Hey guys! Question… how would you treat an early implant dehiscence? I ve tried placing them with gbr and membrane but i got dehiscence after 3 weeks (patient already left the country- I wasn t informed about that she wanted to leave). Where the incision line was, i can see my cover screws. I know that i shouldve grafted first with ctg to…
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Hey Dragos. This is a case where you would try to do a ridge augmentation and try to get more bone and biology first and hopefully some more vertical bone height first to give you a higher percentage of success but as always there is never any guarantees but that would be more predictable for sure in a case like this and yes improving soft…
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