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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.
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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.
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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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Youssef posted an update a year ago
Quite a challenging case here, what would you do for this lower anterior sector. The two lower central incisors were extracted 6 months ago and the area has healed but still vertical bone loss is observed. Here is a video of the cbct scan.
Options to do:
– extractions of lower laterals followed by vertical and horizontal bone grafting…
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Also, I’m not worried about Crown to root ratio. It does not have the same effect with implants.
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Ivan replied to the discussion Impression stage in the forum Complications a year ago
Thanks for sharing! Do you have any intraoral pictures or radiographs?
Jedediah -
Robbie posted an update a year ago
I EXT/grafted a #4 today. A) this little bugger did not just come out, had to cut down the root all the way to that laceration and some on the buccal. B) this caused me to make the mistake of perfing out the buccal plate like a 3mm sized hole or so. Something of that nature.
I cut a piece of membrane into a sort of ice cream cone and stuffed it…
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I would also apply the ice cream cone technique. But if you cannot see it could be quite challenging. If it was too apical i would open a flap with relieving incisions and access the fenestration area grafting it and placing a collagen membrane
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If the socket has good width and it’s very small perforation 1 to 3 mm you would be fine just grafting that with really having minimal negative effect to the outcome and you would just graft it and come back and place an implant and four months or so. If it was a much larger defect in the bone is very thin where would be best to do additional… Read more
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William started the discussion Impression stage in the forum Complications a year ago
Good day everyone, I have just started my implant journey. I have a case in which during impression stage, I have noted some metal showing through the soft tissue and I think buccal bone resorption must have taken place. Buccal bone width and height were satisfactory during second stage. Although the implant is still firm and stable, should…
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Jedediah posted an update a year ago
Any specific type of case or complication that ya’ll want me to share tomorrow???
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