-
Jedediah posted an update 9 months 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…
2 Comments-
beautiful work!
2- View 1 reply
-
-
Nairy posted an update 9 months 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 !
-
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…
-
-
Nairy posted an update 9 months 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
-
Jedediah posted an update 10 months 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…
-
Jedediah posted an update 10 months ago
Simultaneous immediate implant placement and GBR (guided bone regeneration) utilizing CGF/PRF protocols on tooth #9 due to a failing root canal that destroyed the facial plate.
Reentry was between 5 and 6 months right after CBCT was taken and shortly after the site was restored. Upper right central incisor was crowned when the upper left…
-
Great work man! I would have done it the same way, if I had your cojones. Well done!
So of course you weren’t able to get 1* closure, did you use a non-resorbable membrane on the crest and a resorbable on the buccal?
Tell me aout the suture that goes across the membrane, I think it is a sling attached to the periosteum at the base of your…
1- View 1 reply
-
-
Youssef posted an update 10 months ago
Hello everyone,
This patient attended wanting a full mouth rehabilitation over implants. I will perform an intraoral scan soon. Was wondering how you would approach this case?
1:05
-
Lots to discuss here and many different ways to approach. Fixed? Overdenture? Establish VDO and VDR. Ensure proper bone reduction and place with good AP spread. Even if lower over denture if bone width good I prefer to place 4 implants around 1st molars and canine areas.
-
Thank you for your response. She is looking for a fixed prosthesis. Initially what i wanted to do is make a digital wax up. How would you bring this to the mouth to evaluate all this? Wouldn’t you need to first extract all teeth followed by complete dentures then analyse?
1- View 1 reply
-
-
Jedediah replied to the discussion #13 implant in the forum Implant Tx Planning 10 months ago
The discrepancy in height doesn’t bother me. However, the width of the bone is definitely a concern as it is very thin. Ideally, ridge augmentation would greatly improve the outcome long-term of that implant and what could be placed in terms of size. Definitely a more narrow implant would be best with the existing bone and even better a ridge…
-
Dr. started the discussion #13 implant in the forum Implant Tx Planning 10 months ago
Hi everyone. The virtually planned implant #13 (3.8x12mm BH tapered pro) is considerably more submerged vs #12 implant (about 4mm difference). Would there be any serious long term issues with this large discrepancy between adjacent implant platforms? My initial thought is to GBR the buccal first so it would “fatten up” the thin crestal…
Rana and Jedediah -
Khurrum posted an update 10 months ago
I did a max overdenture and pt has good stability and retention. However in on spot approx where #11 would be he feels a give or push when he chews. Everything is engaged. I did a soft line to see if that helps. Any other suggestions with this overdenture?
-
If the implants are healthy, you can take a pano with the overdenture in to ensure they’re all properly seated equally. also ensure that tissue pressure is equal throughout the denture, especially around that area. as long as there’s no issues with the implant, those should address all the potential issues
-
-
Jedediah posted an update 10 months ago
Gotta graft those gaps. Implant surgery has come a long way over the years along with improved surgical techniques. Even though bone graft is not required for these implants to osseointegrate it is a must for ideal healing and to preserve the patients existing gingival architecture with minimal soft and hard bone remodeling.
Here are two…
-
Hi, I placed an immediate implant on #31 with cover screw (final torque at 35Ncm) but my suture loosen up and most of the graft/membrane came out in 2 days. Can I go back and graft it or it’s best to replace it? Thank you.
1- View 2 replies
-
- Load More
