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  • Profile photo of Nairy

    Nairy posted an update a year ago

    a year 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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    Ivan, Erick and Jedediah
    5 Comments
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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 ???

      1
      • 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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      • 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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        Crystal and Erick
        2 Comments
        • 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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      • Profile photo of ANDREW

        ANDREW posted an update a year ago

        a year 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.

        Ivan, Erick and Jedediah
        4 Comments
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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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        • Profile photo of Justin

          Justin posted an update a year ago

          a year ago

          I have this implant case for tooth #28. I am worried about the anterior loop of the IAN here. It looks like it terminates at slice 62 and 63 but then I have a circular radiolucent area in slice 65. Do you think this is still the mental? If so I have about 10mm from the crest of the ridge. Do you think I’d be safe with an 8 mm implant here?

          Ivan, Maaz and 3 others
          2 Comments
          • Just looking at what you provided it looks like there is sufficient room for an 8mm implant and that other slice I believe around 65 just looks like a void around the bone that looks similar to the pano version of the cbct and doesn’t present in other slices, nerve appears to be below that area.

            • Hey Justiin are you able to share the CBCT on a google drive link?

            • Hi everyone! I was wondering if someone can direct me to finding some consent forms for an overdenture or a hybrid all on X. I’m doing these for the first time and trying to get situated. Thank you!

              Maaz and Jedediah
              1 Comment
              • I don’t know of one specific site per se, but many can get those online. I know some doctors that have actually used ChatGPT for those and organizations such as AGD or ADA if you are a member hace example forms on their website that you can use and download as well as other implant organizations such as ICOI And AAID

              • Hello members! Join Dr. Jed Huss on Monday, June 24th for our next Study Club Meeting! We’re doing things a little differently this time around.

                It’s BYOC (Bring Your Own Case), the Good, the Bad, and the Ugly! Have a case you’d like to discuss? Submit it on the Activity Feed, tag @restoredsmiles (Dr. Jed), and join our meeting on Monday!

                Hope…

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                dr-b and Jedediah
                0 Comments
              • Profile photo of Robbie

                Robbie posted an update a year ago

                a year ago

                Vertical Loft or no? Whats the data on placing a couple mm into the sinus floor?

                Lift to be safe? Enough residual height where I feel comfortable doing it.

                Nicolas and Jedediah
                3 Comments
                • Definitely better to lift with less risk. Let’s discuss your case Monday!

                  • I’ll make an effort to log on. If you don’t mind 3 little humans running around and likely interrupting lol

                    Love
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                • Failures are apart of dentistry and any profession whether we like it or not. Our responsibility and goal is to deal with them in an effiecient and professional manner. With all the research articles and studies out there implants typically have a 96% to 97% survival rate at 10 years. This means on average you will have 3 to 4 implant…

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                  Ivan, Andrea and Cayleen
                  1 Comment
                  • I think the self doubt that comes from failures or criticism is one of the biggest issues in our profession.

                    One big stumbling block is that pressure you get from these things and it often gets blown out of proportion in your head

                    1
                  • Question, after doing a full arch for an overdenture, (meaning placing 4 implants with cover screw, and primary closure), how long do you wait to remove sutures. I used PTFE. Is it recommended 3 weeks, 6 weeks, 2 weeks? Appreciate the help.

                    William, Ivan and Jedediah
                    2 Comments
                    • No official timeline it’s what you’re most comfortable with. I’ve done it at two weeks in the past, but I prefer three weeks as I see more consistent healing over a wide variety of patients so I always do three weeks. Six weeks is a really long time with those sutures in there And overkill in my opinion

                      3
                      • I’d say any of those options except 6 weeks. PTFE stays super clean, I really like suturing with that!

                        1
                      • Profile photo of Nairy

                        Nairy posted an update a year ago

                        a year ago

                        Which implant restoration is better? Find the 5 diffrences in the picture 😂😂😂 just want to know if it is any diffrent in long term restoration and which lab i should go with ?

                        Jedediah and Ivan
                        3 Comments
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