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lolo posted an update a year 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…
Jedediah2 Comments-
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 a year 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 a year 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 a year 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 a year ago
a year 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 a year 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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Jedediah posted an update a year ago
Everything is not always as it may appear. This patient had fractured his upper left central incisor and the tooth needed to be extracted and grafted for a future implant. Intra orally everything around the edentulous space for #10 looked fine until we looked at the CBCT. There was a large infectious cyst space that had destroyed a lot of…
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beautiful work!
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Nairy posted an update a year ago
An update! First i sucked second need help ! Will do one more try but them i will refer ! So the denture ended up haveing this big gap under
One of the pictures is her old denture and the other one is her new one ! She obviously hated it !
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So if you were able to put locators on there and get rid of the bar and the new one snaps on and fits well, then the gap should be an easy fix where you can just do a reline of the denture and have the lab correct it so that you can have proper tissue support with no gaps. Again, when you do this kind of thing, I would always communicate to…
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Nairy posted an update a year ago
Just wanted to have your opinion on this case that came across me ! If you have time !
It is snap on denture over a bar!
Pt existing denture broke , she doesn’t want to remove the bar !
So the solution that we make he a new denture and chair side pick up ! So i am not sure if i am on the right track! Would you give me your thoughts?
Thanks
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Jedediah posted an update a year ago
This reminded me of Two Face from Batman. This is a great example of the impact smoking has on the overall healing process.
This was an implant placed by doctors attending our LIVE surgical implant courses and this was two weeks post operative. Notice that the poorest healing is taking place on the palate where the greatest amount of smoke and…
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