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Jedediah posted an update a year 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…
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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…
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Youssef posted an update a year 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?
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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.
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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?
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Jedediah replied to the discussion #13 implant in the forum Implant Tx Planning a year 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…
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Dr. started the discussion #13 implant in the forum Implant Tx Planning a year 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…
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Khurrum posted an update a year 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?
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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
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Jedediah posted an update a year 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…
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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.
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Ivan posted an update a year ago
Mornin yall! I’m off to my Alma Mater to convince them to use Implant Ninja online education for their dental students 🙂 WIsh me luck! Hope you’re having an amazing start to the day!
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how did it go?
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Good luck!🤞🤞🤞
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Ivan replied to the discussion Mandibular 3 units posterior space with limited bone dimension in the forum Implant Tx Planning a year ago
Reply to Mandibular 3 units posterior space with limited bone dimension
Thanks for the post William! I think in this case, you should plan a GBR like @restoredsmiles suggested. Also, the shorter implants are the way to go here so you still have 2mm safety zone before the nerve canal!
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Jedediah posted an update a year ago
Happy 4th of July to you ALL! I was the first dentist this patient had ever seen in his life and he was 82 years old. I was shocked this patient had this many teeth but unfortunately they all had to be extracted on a path to get this patient healthier.
Let’s make sure we emphasis and education the importance of dental hygiene and continued…
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the fact he held on to as many teeth without a dental visit is amazing.
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This is the classic “I don’t want anything removable, and I want it affordable” patient
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Khurrum posted an update a year ago
What’s our study member’s thoughts on splinted crowns? Especially with two implants adjacent to each other like #12 and #13? Or even molars like #30 and 31?
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Hey Khurrum. I would love to hear everyone’s opinion on this as well. Generally speaking, I prefer not to split implants unless I need to as it’s not nearly as hygienic or natural for the patient. However, if I have very short and narrow implants in the posterior region due to, not ideal bone and biology ramus. I will split those to the risk of failure.
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