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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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Hey guys, I have a restorative question. This patient is from Argentina and has a TQu4tro Tip implant, #12. (also manufactured in Argentina). When the patient presented to my practice 1 year ago it had a temporary crown which broke. I removed it an placed an Implant club healing abutment. I reached out to the implant manufacturer to ask…
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@ivan-chicchon are you able to answer this one? @ninjacayleen can you check with Ivan? Thanks.
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@rumelchor Hi Dr. Uly, I sent you a direct message for the answer to this question. Please check your inbox!
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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
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?
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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…
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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.
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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!
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