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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?
Ivan and Jedediah3 Comments-
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 a year 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 a year 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…
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William started the discussion Mandibular 3 units posterior space with limited bone dimension in the forum Implant Tx Planning a year 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…
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Nairy posted an update 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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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 a year 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 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.
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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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Justin posted an update 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?
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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.
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Hey Justiin are you able to share the CBCT on a google drive link?
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Antigone posted an update a year ago
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!
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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
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Cayleen to Jedediah a year ago
a year ago (edited)
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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