-
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
Being grafted again alone does not necessarily decrease success rate. However, if the patient is showing a consistent delayed healing and/or poor reaction to treatment and there might be some underlying issue that is affecting overall healing, and that would be an account when doing further treatment.
jdawg22 and Erick -
Justin posted an update a year ago
When placing two immediate implants for a mandibular overdenture how deep sub crestal would you recommend to place the implants?
Erick and Jedediah7 CommentsView more comments-
For implants I place for overdentures I prefer to place them more subcrestal than other implants. Typically 2 to 3 mm below the crest of the bone. Over the years I just find I have better overall crystal bone and less issues and more compromised patients as bacteria tend to leak down those locators more frequent overtime and this helps…
- View 4 replies
-
Here are some screenshots of the CT for the case I am planning. Should I be concerned about the circular radiolucent area below 22 on page 2? When I traced it back I only saw it in a few segments. I remember Ivan saying there could be anterior branches of the IAN or vasculature in this region.
1 - View more comments
-
-
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
True about silk sutures, I will have the office purchase some monofilament sutures for next time. Thank you for the reassurance, I was ready to throw in the towel and give up on it especially seeing these results 2 weeks post op. In terms of medical history, pt had a history of taking blood thinners in the past and has not within the last 2…
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
Not sure if I overheated the bone to be honest, constant irrigation was used during the osteotomy. I did put the pt on CHX, will see them back in about a week to reevaluate. Thank you for your help!
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
Thank you for the recommendation! Good to know that an immediate is an option in this case.
Jedediah -
Jedediah replied to the discussion Upper full arch implant case discussion in the forum Implant Tx Planning a year ago
Reply to Upper full arch implant case discussion
Hello William,
Based off the limited info I see here it doesn’t appear the pt. Has sufficient bone for either of those procedures for long term success of the implants. Ridge augmentations possibly to improve success and have sufficient bone and biology for the implants or possible another route such as Zygo’s and/or ptero implants. Either way…
-
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
Very easy to remove if needed by just reversing it out with your torque wrench and implant driver. However, I agree with Adis that it’s a bit too soon to throw the towel in. First, I wouldn’t ever use silk sutures and they do collect a ton of plaque, bacteria, and food and are not very hygienic. Monofilament sutures will keep site cleaner.… Read more
-
William started the discussion Upper full arch implant case discussion in the forum Implant Tx Planning a year ago
Upper full arch implant case discussion
Good day to everyone, recently a gentleman came to my practice, requesting for implants to replace his upper non retentive complete denture. After taking the CBCT, i noticed that the remaining alveolar bone width and height are just sufficient for the all on 4 concept based on literature (5mm width and 10mm height). My surgical plan is as follows…
Cayleen and Jedediah -
Adis posted an update a year ago
I have a full arch fixed case mid-restorative phase and would like feedback from the community and Drs. Ivan and Jed.
I did wax rims and VDO/bite last visit, now the lab sent back a U/L wax trying. The bite is off on the L which is fine and needs a reset, my question is on proper lip support vs. a very large anterior cantilever of the teeth…
-
I wouldn’t be too concerned out the anterior cantilever effect and it has great support with all splinted implants. However, looks like he has plenty of lip suppor so you could splint the difference and it’s a little bit easier for the lab to make a very cleanable prosthesis and it convex with not concavities. That is most important is not the…
1 -
Thanks for the reply, I will have them reset the max. teeth to about 1/2 the way out, then place the lowers to match and do another try-in before doing the PMMA.
1
-
-
Adis 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
Any chance you overheated the bone during osteotomy prep? You could put patient on CHX and wait to take an xray at 1 month post placement to check on the bone, all may not be lost yet. If it looks worse, you can still remove and replace immediate or graft and delayed.
Jedediah - Load More
