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William started the discussion Implant Prosthetic Planning in the forum Implant Tx Planning a year ago
Good day to all, I am having some issues with this case which was performed without a surgical guide. The fixtures were placed too distally and lingually tilted. I would like to get your expert opinion on the design of the final crowns.
1) Would it be better to join the crowns together to dissipate the occlusal force ? since the screw…
Erick, Jedediah and Cayleen -
Habib posted an update a year ago
Hello everybody! A pmeasure to be here in this studyclub
Cayleen and Jedediah2 Comments-
Welcome😊
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Welcome to the study club!😄
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Jedediah posted an update a year ago
Lots of bone building needed with this case in order for the patient to receive his desired implant. Elderly patient had a failed bridge and he preferred to have individual teeth this time around. However, patient presented with severe bone resorption around the upper right lateral incisor area. We opted to place the implant and…
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In case like those how can you manage provisional prosthesis?
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Robbie posted an update a year ago
EXT 15, 16 today and grafted 15
Teeth came out great with luxation and forceps, grafted and just used a flattened collaplug over the top. and stuffed some into 16 as well.
That said is it a potential issue on the distal of the 15 site for the graft to drop into 16 during the initial healing phase?
Maybe a dumb question, just looking to…
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No issue at all. Many times in a case like that I will just graft both sites to help maintain gingival architecture better and maximize healing with less risks.
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Khurrum posted an update a year ago
I have a patient who has a cemented implant crown but wants it changed do to color. What techniques or methods do clinicians have to help remove the crown safely? I have tried to prep into crown searching for screw but that can be fruitless. Hoping some people have pearls.
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This is certainly anxiety inducing and all I have ever done is go sloth slow. I will usually start with a small spot on the lingual and lightly advance until I see a cement line. At that point I will start searching for the teflon. I would be very interested to know what others are doing. Ive recently heard of green teflon being used as a means…
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Unfortunately, no magic to this procedure. It definitely helps to go slow and I use a flat tapered diamond but or a diamond chamfer bur. Definitely, looking at multiple X-rays to have your best access location is helpful but it just takes that along with patience. Also, if it’s not your crown you may not be fortunate to find teflon, it may just…
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Adis posted an update a year ago
a year ago (edited)
Treatment plan question: #6 is pretty much toast as it stands now, he can floss all the way through it.
I gave him 3 possible fixed choices –
1. Crown lengthening, endo/post #6 and new bridge same as before – root is a mile long so that’s in our favor, but still guarded.
2. EXT #6 and new FPD 3-p-p-p-7-8, but that’s looong.
3. Section FPD at…
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The third option is definitely preferable if the patient is able to do that. Bone in those sites look good and when it comes to tooth number six if you do immediate implants often and most likely you would do an immediate in that case but if it seems a little bit out of your scope, then there’s no problem, grafting it and coming back and…
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John posted an update a year ago
Hi
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Sup @drtookey 👊🏼
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Hey John 👋
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Safanah replied to the discussion Implant bridge planning in the forum Implant Tx Planning a year ago
Reply to Implant bridge planning
I use Galileos and a Cerec scan to kinda do a digital wax up then send for a guide.
Good to know there’s no specific exact distance required as long as it is within reasonable distance to fit the pt’s occlusion.
I appreciate all the responses this has been very helpful!
Jedediah and Dao -
Jedediah posted an update a year ago
Sub crestal placement of your implants are crucial, but none more than your immediate implants. The thickness of your tissue and quality of tissue have a lot to do with your crestal bone maintenance and health over the life of your implant.
In this case, there were two premolars that were nonrestorable and were removed. The sites were cleaned…
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During uncovering can reflecting a flap from the buccal and releasing it to cover the healing abutments help?
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Jedediah replied to the discussion Implant treatment planning for #3,4,11,13,14 in the forum Implant Tx Planning a year ago
Reply to Implant treatment planning for #3,4,11,13,14
#3- width 10.6, height 10.7, bone seems a bit spongy, but should be ok? It’s not quite as wide as you think your measurement is very far down in the bone and it’s much thinner towards the top. You should be able to get an implant in there, but it’s not quite as wide as you think.
#4- width 7.3, height 13.6, width can benefit from guided bone…
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