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Khurrum posted an update 6 months ago
When to bonegraft?
Pt came in with swelling and failing RCT with fracture. Pt has been dealing with it for 2 years. When do you forgo socket preservation? I am worried about any graft failing and may be better to go back in after infection clears up and extraction of tooth.
Thoughts?
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You can either try to remove all of the infection (consider degranulating with a bur) if you have all four walls present, of you can extract/degranulate as much as possible, and then go back 2-3 weeks later to do the bone graft.
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Joseph posted an update 6 months ago
Pt has had #29-#31 implant placed 30 years ago, #30 and #29 in good functional condition. #31 hasnt had functional crown for last 10 years. has kept ” failling off”
Fractured/ flowered implant collar? abutment is loose, looks like possible fractured screw.
Is removing the only reccomended treatment for #31 implant for this case at this stage?
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Hey joseph, I have some good recommendations for you here. Not sure what you mean that it hasnt had a “functional crown.”
The way to really dig in here is to remove the abutment and see what’s going on. I would DEFINTELY warn the patient that its not guaranteed to work, but that you are doing exploring to get to the cause.
It might be a…
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fahadghaffar posted an update 6 months ago
https://digitallistings.net/product/the-all-on-x-course-full-arch-implants-2/
Is that course valid? Why is it cheaper there?
digitallistings.net
The All-on-X Course (Full Arch Implants) + The Implant Ninja All-On-X Handbook – Dental Knowledge
The All-on-X Course (Full Arch Implants) + The Implant Ninja All-On-X Handbook – Dental Knowledge
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Hey there Fahad, this is sort of a scam site. I get so many messages from people upset that they didnt get their content. They purchased from here and never got the content promised.
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Nairy posted an update 6 months ago
Have anyone heard of sirios scanner from straumann ??? Is it good ?
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I always suggest find out from the lab you are sending your scans to is there preferred scanner. Some might prefer one over the other.
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tannersmenard posted an update 7 months ago
I am a general dentist who is fairly new in my implant journey. The previous owner placed quite a few implants and is adamant that a prophylactic antibiotic (often a course of amoxicillin starting the day before the procedure) is imperative and necessary.
I have found literature on both sides of this issue. I am curious to hear others opinions…
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I usually do a loading dose and then a week of antibiotic. I also like to give either 8mg of dexamethasone (If not a diabetic) right before the appointment. In larger implant cases I will give loading dose of antibiotic day before (continue for week afterwards) and medrol dose pack (non-diabetics) the day before. It may be overkill but I think…
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Hi Tanner,
I’m at a similar spot as you are so I can’t speak with years of personal experience. I decided for the time being to follow this protocol from Misch’s Contemporary Implant Dentistry. At the end of the day for liability it gives me something to turn to in case I need to justify my decision making.3- View 2 replies
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drcajee replied to the discussion Creation of lateral window for sinus augmentation in the forum Implant Tx Planning 7 months ago
Reply to Creation of lateral window for sinus augmentation
Lateral window sinus lifts are indicated when there’s 3 mm or less of residual bone height. In this case, you may still be able to go intracrestal for these lifts.
However, yes, if you do have a bony window you can leave it attached to the membrane when you elevate. It’s basically added bone graft!
I haven’t used those kits so I couldn’t tell…
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William started the discussion Creation of lateral window for sinus augmentation in the forum Implant Tx Planning 7 months ago
Creation of lateral window for sinus augmentation
Good day everyone, I have just started to perform sinus augmentation and still new in this journey. Currently, I am using the conventional way with slow handpiece and round carbide bur (for dentoalveolar impactedd tooth removal) to cut and create the window. I am also aware of the LAS kit from osstem and DASK kit from dentium. May I know does…
r7eemhamada and alexwilliams -
drcajee started the discussion Controlling Bleeding with Transexamic Acid in the forum Complications 7 months ago
Controlling Bleeding with Transexamic Acid
I have a case share. I have a patient who presented with Pericoronitis tooth number #1 and other impacted wisdom teeth. Medical history significant for von Willebrand‘s disease. I had a difficult time getting a medical status update from her PCP. Upon questioning the patient, it looks like a bleeding issues haven’t been too severe for her.…
raghavaa19 -
drcajee replied to the discussion Sinus lift or not in the forum Implant Tx Planning 7 months ago
In this case, it looks like a minimal sinus augmentation is needed. There is a technique you can consider for this clinical scenario called a ‘sinus implosion’. For this technique, you drill your osteotomy just shy of the sinus floor cortex and then you place your implant fracturing the sinus floor into the sinus. So it often looks like drill 6…
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William started the discussion Sinus lift or not in the forum Implant Tx Planning 7 months ago
Good day everyone, I have a case which may involve challenging sinus lifting at the area with sinus septum. LIterature has shown that the risk of perforating sinus lining is low as long as the drilling does not exceed 2mm over the sinus floor or wall.
In this case, should I avoid sinus lifting and engage the implant fixture right at the…
Can, Nairy and drcajee - Load More
