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Ivan replied to the discussion Impression stage in the forum Complications a year ago
Great to hear @Williamwy1994 ! It looks good to me. No need to worry. Actually a high five is in order!
Jonathan, Erick and Jedediah -
Jedediah replied to the discussion Impression stage in the forum Complications a year ago
Should be ok with thickness of other bone and thick palatal tissue
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Hobin replied to the discussion Impression stage in the forum Complications a year ago
Radiographically, it looks good
Jedediah -
Talha replied to the discussion Impression stage in the forum Complications a year ago
If the implant is stable and integrated, I wouldn’t touch it. Palatal bone loss on the anterior implants is not as big of an issue due to thick attached tissue there. It’s also harder to graft the site after implant placement back there. In the future, consider using a guide for optimum placement B/L.
Erick and Jedediah -
William replied to the discussion Impression stage in the forum Complications a year ago
Good day to all, I have another case in which I have postioned the implant too palatally because i was too focused on achieveing the maximum buccal bone thickness. Took a post operative CBCT and realised that about 3mm of implant is out of the cortical bone at the palatal side. Implant dimension is 3.3x12mm. Raised the palatal flap and…
Erick and Jedediah -
William replied to the discussion Impression stage in the forum Complications a year ago
Thank you Ivan and Jedediah for your reply. I have proceeded with impression scan. This is the photo of the implant. Implant was still firm and asymptomatic upon removal of healing abutment.
Jedediah -
Ivan replied to the discussion Impression stage in the forum Complications a year ago
More info (pics & x rays) be helpful if you have it William. But in general, it’s not a deal breaker. Most likely you can restore it and if it is an esthetic concern you can plan to refer out for soft tissue graft in the future.
Jedediah and Erick -
Adis posted an update a year ago
I extracted #5 on this 30yo almost 5 years ago. I remember the tooth was bombed out and so was the buccal plate with soft tissue ingrown all the way to the palatal bone. I did the best I could to clean the socket and graft at the time but I don’t think I got much to stick. The 5 years since also didn’t help the matter.
How do you guys approach…
Ivan, Dao and 2 others3 Comments-
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You will definitely want to go in there and clean that site and perform a ridge augmentation prior to implant placement. If patient heals and responds well you can should be able to place a short implnat to avoid a sinus lift.
From what I can see I wouldn’t place an implnat and perform a simultaneous ridge augmentation as it won’t be as…
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Jedediah posted an update a year ago
Concentrated growth factors within dentistry can be a great add to your tool belt within your practice. I love CGF/PRF and what I am able to accomplish by following these protocols especially on larger bone augmentation procedures. It is no magic pill, however, the results speak for itself and this topic is a very well researched area that…
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Jedediah replied to the discussion Impression stage in the forum Complications a year ago
Welcome to the forum William. It just depends on the case. If the implant is sounding, you know that there’s plenty of bone around it. Sometimes all of our patients can’t heal perfectly if there’s a mild bit of bone loss but everything looks stable and the patient aesthetically is OK with it and you can go ahead and proceed. Depending on the…
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