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Jedediah posted an update a year ago
Happy Thursday to ALL! I hope all my Implant Ninja DOJO peeps are havning a fantastic day and week. Just remember if you’re havning a bad day or week it can always be worse, like this photo of a fractured implant. Make sure you always you the torque wrench properly and don’t over torque your implants or this can happen. Only way to remove…
Nicolas and Erick2 Comments-
at what torque value is considered “over torqueing”?
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It depends on the implant system, as well as the diameter of the implant. Typically implants can be torqued at very, very high torque values and I am not one that believes in Osteo pressure necrosis. I have not experienced that clinically, and my implants are placed subcrestal and I have no bone loss around implants at extremely high…
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Justin posted an update a year ago
For an mandibular 2 implant overdenture what do you think is bare minimum width for a 3.2mm implant? I know we try for 1.5 mm but I also know Ivan said we could get away with 1mm for lateral incisors. Is this the case for an overdenture in this area too?
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You typically want 2mm all the way around your implant b/c implants require much more bone and biology around them than teeth do. If less than try to favor the buccal bone more (i.e. more bone to buccal of implant than lingual). 1mm only all the way around will not be successful consistently so try to have more bone especially for overdentures…
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One tool to keep in mind is mini implants. People love to hate them–but they are great for situations in which you have minimal bone and it may not be feasible or practical to undergo significant grafting.
for example, 80 year old woman that just wants her dentures to not move around. I wouldnt recommend a hip graft. Instead i would use a couple mini’s.
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Jedediah posted an update a year ago
Very important when doing any type of bone augmentation that you ask yourself where is my blood supply coming from and how can I get greater access of cells to my bone graft material.
You always want to make sure that you decorticate the buccal plate to help stimulate bleeding and allow greater access to cells to feed your bone graft…
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Let’s elaborate on this for a moment… what’s ur preferred way to release around the mental nerve location
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Connor posted an update a year ago
Hi, can someone please help me identify this implant please? Patient reports that she had the implant placed around 2007. Thank you!
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here is another angle
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Possible Implant Direct, or replace implant from Nobel. I would also recommend sending that information to your lab that sees lots and lots of different implants and they also could probably give you an idea what it is. I also find the website whatimplantisthat.com can be helpful as well
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Cayleen posted an update a year ago
Join Dr. Jed on Monday (May 27) for our May Study Club Session on Marketing, Social Media, and Photography!
The session will start at 5:30 pm PST / 8:30 pm EST.
Here is the link to join: https://us02web.zoom.us/s/85019334296
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Look Forward To Joining From Smile Design Dental Centre in Canada!
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Jedediah posted an update a year ago
I hope everyone is having a great week! This photo speaks to what we have discussed a bit with Paul’s case on this forum. This was an implant placed by one of our attendees at our live surgical courses and I want to point out a 3 things.
First is the proper height of the healing abutment so that it is easy to suture because the tissue is easier…
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Jedediah replied to the discussion Placed first implant (#4) solo, 2 weeks later looks like it's failing in the forum Complications a year ago
Reply to Placed first implant (#4) solo, 2 weeks later looks like it's failing
Looks fine. I would agree with Doug. Leave it alone. It will continue to improve and settle back down over time. In the future try to place a wider and taller healing abutment to better shape the tissue and make it easier to prevent tissue from healing partially over the healing abutment that can creat food traps and less ideal healing it…
Maria and Erick -
doug replied to the discussion Placed first implant (#4) solo, 2 weeks later looks like it's failing in the forum Complications a year ago
Reply to Placed first implant (#4) solo, 2 weeks later looks like it's failing
I would leave it alone. The torque is now about half of the initial insertion. I would not disturb the implant by placing a driver and force on the healing abutment. The soft tissue will remodel around the healing abutment. Come back to it in 16 weeks and torque test the implant. If it fails, remove it then, currette the socket and…
Erick and Jedediah -
Paul replied to the discussion Placed first implant (#4) solo, 2 weeks later looks like it's failing in the forum Complications a year ago
Reply to Placed first implant (#4) solo, 2 weeks later looks like it's failing
An update 4 weeks post op:
The PA looks a lot better and clinically the implant seems to be taking. The pt is continuing with CHX rinses. Unfortunately primary/secondary closure did not seem to happen. I am wondering on how to continue with this case. What should I do with that excess buccal tissue? I was thinking of just removing the…
Can, Erick and Jedediah -
Jedediah posted an update a year ago
Many of you have asked what a mental formen and nerve looks like so here it is. This case was at one of our live surgical courses we teach where we performed some alveoplasty and identified the mental foramen prior to implant placement. You especially want to be aware of this and to identify on full arch cases and any possible anterior loop it…
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