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Ivan posted an update 10 months 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!
Renzel Kearny, Jedediah and Khurrum3 Comments-
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 10 months 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 10 months 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 10 months 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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Khurrum posted an update 10 months ago
We all can agree you want a minimum of 1.5 between implant and tooth. What are the risks if it is 1.2 or 1.0. Are they ways to still have success?
Attached is a picture of an immediate implant placement after extraction, threading the needle. In the picture we had 1.5 mm but I know posts with pictures do better lol.
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Yes, typically you want 1.5mm to 2 millimeters between tooth and implant however, sometimes in cases where it’s tight, we can’t achieve that. One possible complication can be bone loss overtime, or just rejection of the implant due to lack of blood supply. However, over many cases I have been much less than that with good outcomes, especially…
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crest meaning placing the implant subcrestal? does having good bone bucally and lingually also help?
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Jedediah replied to the discussion Mandibular 3 units posterior space with limited bone dimension in the forum Implant Tx Planning 10 months ago
Reply to Mandibular 3 units posterior space with limited bone dimension
More lingual placement on 47 and site 45 looks very narrow so may have the most predictable outcome performing GBR in area prior to placement and I would go with shorter implants to allow more subcrestal placement which will also allow more restorative space. I also typically prefer individual implants but in this case an implant bridge may…
Erick -
William started the discussion Mandibular 3 units posterior space with limited bone dimension in the forum Implant Tx Planning 10 months ago
Mandibular 3 units posterior space with limited bone dimension
Good morning everyone, I would like to get your opinion on the following treatment options for this case. This patient has missing 47, 46 and a retained root at 45. Interocclusal space is about 5mm ( so i cannot perform vertical bone augmentation), bone height is limited, about 10mm ( close proximity to ID canal) and bone width is not…
Erick and Jedediah -
Nairy posted an update 10 months ago
Can you guys help me with this case
Pt does not want to remove the bar to make a new snap on denture. Her existing denture is broken! 24 year old denture!
In this case i am assuming that i have to do a chair side pick up impression for the bar, i just don’t know what is the bar brand and what kind of clips i should use ! Can you please help me…
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My best advice is to call your lab and have a good discussion on what they are able to do the most accurate as it will vary greatly depending on the lab. I’m sure you will be able to get the impressions you need and info for lab use what you have. Any other thoughts @ivan-chicchon ???
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Hi @nairysekayan Preat.com has been such a tremendous resource for me. I would go on there and download some of their guides on bar attachments. These look like Hader Bar Clips btw.
Also you want to make sure to use LOTS of block out when you do the pick up. I mean LOTS of it. Use wax or putty to get into the big undercuts
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Jedediah posted an update 10 months ago
Happy Thursday! Here’s some full arch action to get your juices flowing into the weekend😁.
This type of case illustrates my preference for a lower over denture. If bone and anatomy allow I prefer 4 implants with this type of AP spread. Very stable for an implant assisted denture and if patient would like to go fixed in the future no extra…
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Very nice case, do you always place bone graft material in the extraction sites in full arch cases? I have seen it done both ways but wondering what your thoughts are. Thank you!
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ANDREW posted an update 11 months ago
11 months ago (edited)
Case I got yesterday. Patient really wants an implant at #18 site. Fun case! ~60yo female, non-smoker, no DM, no osteoporosis or any other bone-related diseases.
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How does one clean that PARL adequately, avoid disturbing the IA, and graft reliably. That is a fun case!
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Looks like fun. Once that site is cleaned out thoroughly It should heal fairly predictively. Keep us updated.😊👍
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