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  • Join Dr. Jed tonight for our April Study Club Session on Implant Complications A-to-Z! 🙌

    Session will start at 5:30 pm PST / 8:30 pm EST.

    Here is the link to join: https://us02web.zoom.us/s/85019334296#success

    Erick, akob and Jedediah
    4 Comments
  • Implant placed by GP 6 months ago, #14 is integrated yet has bone defect. What is best suggestion to move forward?

    venu, Erick and 2 others
    6 Comments
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    • I would consider taking it out; angulation looks off, soft tissue looks extremely thin which will cause issues with the implant in the long run anyways. Explant, graft and do a sinus lift (vertical approach or lateral depending on bone at time of placement) and make sure you have 3 mm of vertical soft tissue height above the implant platform.

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    • How did you check integration?

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  • Anything seem out of place??? What would you do? How could a mistake like this be prevented in the future? Leave a comment below👇👇👇.

    Join me for our monthly study club session when we talk about implant complications from A to Z this upcoming Monday!

    Can, Erick and Cayleen
    3 Comments
    • This one will make you lose sleep for days 😅; Implant in the sinus UL. I would say if you are comfortable with doing a lateral window/caldwell luc, take a cbct and see where it is relatively in the sinus and remove with that procedure. I find that sometimes you can push the patients head a certain way (since the sinus the pyramidal) to get…

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  • Profile photo of Jedediah

    Jedediah replied to the discussion #20 ext/graft in the forum Implant Tx Planning a year ago

    a year ago

    Reply to #20 ext/graft

    It looks like there’s great interproximal Bone so that’s what you should lean into on a case like this. You may have to go slightly wider to get really good engagement on the mesial and distal walls and remove some of the lingual portion of the bone socket just slightly so that you can maintain a good 2 mm buccal gap so you have sufficient…

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    annie, Aman and 2 others
  • Profile photo of Dr.

    Dr. started the discussion #20 ext/graft in the forum Implant Tx Planning a year ago

    a year ago

    #20 ext/graft

    Hi,

    #20 is planned for an extraction and socket grafting. I planned for an implant 4.0x7mm (which I’m thinking is a bit short – would have liked at least 8.5mm) but is limited in length due to the lingual concavity.

    The implant fits into this pre-extraction dimensions; however, I’m anticipating some bone loss even after socket grafting and…

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    Nick, venu and 3 others
  • Hey Dojo peeps! Hope everyone is doing great😁…Can anyone name this suture technique? Which suture technique do you use the most? This case was just a straight forward socket preservation with some CGF/PRF for a future implant.

    ALSO…what would you all like to talk about and discuss at the next webinar this month??? PLEASE LEAVE A COMMENT SO I…

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    Erick, Alejandro and Cayleen
    4 Comments
    • Continuous interlocking sutures? I would love to learn about periimplantitis management and disinfection protocols!

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    • could be s a continous horizontal matress kind of thing?
      i think this suture trivia will work good for interaction! 💪

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  • Profile photo of Erick

    Erick posted an update a year ago

    a year ago

    This Saturday April 13 @8AM PST! 🗓 Join us for our monthly study club event, this month, with Dr. Erik Solberg as he discusses Guided Implant Surgery: Is it Always a Slam Dunk?

    Link to join: https://us02web.zoom.us/j/84281012627

    poulson, Raouaa and 4 others
    4 Comments
  • Here’s a full arch we did for this patient with 6 implants for a fixed hybrid. Bone reduction for these cases can be crucial especially depending on your approach and material selection. Good keratinized tissue around your multi unit abutments and/or locators are also key to long term success.

    What are some key factors you focus on? What are…

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    Can and Erick
    2 Comments
    • @restoredsmiles ahhh you’re one of those guys who’s patients don’t bleed… 😆 jk that is great work!
      I struggle with how to handle excess tissue left after bone reduction. I’ve seen people cut off a band of tissue including the papillae – but that often causes more bleeding and I still end up with a “flabby” sutured tissue since its… Read more

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  • Profile photo of Adis

    Adis posted an update a year ago

    a year ago

    This is a 1st time complaint from a pt for me: she says that she can HEAR and FEEL the saliva come through around the #8 MUA of an all on 4. She didn’t have this issue in her pmma which the lab was supposed to copy, and she doesn’t feel it around any other implants. This is a Zirconia fill arch prosthesis and convex on the tissue side.

    How much…

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    Jedediah, Alvin and Erick
    3 Comments
    • Hey Adis. I know that’s gotta be frustrating. Especially when the trial PMMA was good but to be honest, it just seems like it needs proper tissue pressure and there’s just too much space there which is causing that. You could set expectations and see if the patient gets used to it and then it’s fine or what would be best as to Improve the…

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      • Thank you for the response. I’ve already had the talk with the patient but she keeps coming back with the other side doesn’t do that. I’ll talk with the lab next.

        Is there such a thing as ideal tissue pressure? Do we want it to blanch when seating? And do gum contours change over time? This case is about 1 month in, but what to do if this occurs…

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    • Reply to Implant treatment planning for #3,4,11,13,14

      Thank you Jedediah for your detailed response!

      annie and Erick
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