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Hobin posted an update 2 years ago
Patient wants #12 and #19 replaced with implants.
I was going to try to increase her VDO using a partial for #19. Would you replace #13/14 to gain more space as well? How would you approach this case?
Erick, Ivan and 2 others5 CommentsView more comments-
Without having a lot of information and just taking a look at that cast tge plan on number 12 seems to have plenty of space the concern I’m sure for you is number 19. I would extract and graft number 18 and then number 14, potentially 13 and 14 could have crowns to open up more restorative space and you can even do some alveoplasty on 19 prior…
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Can you provide any additional pictures of the case? Or even just of the models. Can we see some occlusal model pics?
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Ivan replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
I’m with @suredds, Old school wax ups are the best!
You can do a new school wax up just using blue sky bio. You can add a tooth within that software that somewhat matches the patient’s existing dentition. Do you know how to add teeth in the software?
8-9mm MD length sounds reasonable. It doesn’t have to be an exact textbook size, but it should…
Ingus and Jedediah -
Youssef posted an update 2 years ago
Hello everyone,
These are osstem bone level implants which i placed 3 months ago. Upper right first premolar was immediate after extraction with grafting in the gap. 3 months after you can see some slight bone loss especially mesially of the upper premolar implant, would like to know the cause and how to prevent this? Also if implants are…
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For the upper pre-molar, potentially, it may not have been deep enough. The x-ray does look like it could’ve been deep enough, but if there was some buccal or Palatal bone loss on the mesial then it may had to have been slightly deeper to compensate for that and if there’s too much bone loss on either of those walls, it would definitely be…
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Another thing to consider is the proximity to the tooth anterior tooth. Did the anterior teeth have any perio-disease? Studies show that disease from neighboring teeth can extend up to 2mm outwards. This might be something to consider. Thanks for sharing!
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Jedediah posted an update 2 years ago
Here’s a case to follow up on our immediate implant placement discussion this past Monday. I’m not a huge fan of having to do a fixed temporary crown chair side if I don’t have to but I want the benefits of it and not the risk of the patient biting into something that can compromise the surgery. So, many times I’ll do these custom healing…
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for custom temporaries, are you using a temp cylinder and composite?
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Safanah replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
Thank you for your help! I’ll make the advised adjustments 🙂
Jedediah and Erick -
Safanah replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
Thanks for your help!
Jedediah and Erick -
Jedediah replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
Hello Safanah! I typically don’t stick to one general number they can range from 7 to 9 mm or even greater but much of it depends on the patients occlusion and their existing dentition. Yes, you could go old-school like some mentioned and do a model and wax up or you can just do that digitally very similar to what you did and get it pretty good…
Erick -
Nick replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
So a molar is about 8 mm mesial distal. I would use opposing dentition to help determine tooth size. If you wanna go old school you can capture models and wax up some teeth. ????
Erick, Jedediah and Abbas -
Safanah replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Erick and Jedediah -
Ivan replied to the discussion Implant bridge planning in the forum Implant Tx Planning 2 years ago
Reply to Implant bridge planning
Hi Safanah, thanks for your post. Do you have any x rays or pictures to share?
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