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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
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…
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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
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
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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…
Can, Jedediah and Cayleen2 Comments-
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…
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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.
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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 -
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
The implant you can back out easily with the hand torque wrench at this point. If you want to replace it, it look like you have space for a longer implant. Remove the implant, currette and take the osteotomy deeper and place another implant, bury it this time. No need to wait and relay the case.
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
Also, any advice on how to remove the implant?
Jedediah -
Paul started the discussion Placed first implant (#4) solo, 2 weeks later looks like it's failing in the forum Complications a year ago
Placed first implant (#4) solo, 2 weeks later looks like it's failing
Finally took the dive to plan and place my first implant in private practice, unfortunately it looks like it’s failing 2 weeks later.
Placed a 5.0 x 7.0 Hiossen implant at #4 site. Every thing seemed to be going well, undersized my osteotomy by 1x (3.5). Placed the implant to 40 Ncm. Felt pretty confident so placed a healing abutment. Sutured…
Jedediah and Cayleen -
Jedediah posted an update a year ago
I get this questioned asked a lot so I figured someone here could benefit from it. Specifically I get asked how and where to I place the sutures to stablize the membrane. There is a full thickness flap here then at the base a partial thickness flap which if you look closely can see that is what i sutured to on the facial/buccal aspect. This can…
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