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rez posted an update 5 months ago
HI Guys
i am a bit confused on PRF & CGF (sticky bone),mostly the RPM & time to prepare for sticky bone.
I understand A-PRF (PRF membrane) is 1300 rpm at 8 minutes (red tube), is the CGF (sicky bone0 is i-PRF which is red tube at 7oo RPM for 3 minutes then mixed with allograft? I understand each centrifuge has its own settings!
Can someone…
Jedediah and Ivan-
Hey! There’s a lot of info out there so it can get a bit confusing with all the different protocols. each centrifuge does have its own settings, which can make things tricky.
For A-PRF (membrane), I use 1300 rpm for 8 minutes with a red tube. For CGF (sticky bone), you’re on the right track! Usually, i-PRF is prepared at 700 rpm for 3… Read more2
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Can posted an update 5 months ago
Hi guys, I have a problem with an implant that I placed three months ago. bone was good, my torque 45 nm, the patient does not smoke, what could be the cause of this situation
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two things to possibly consider if you see bone loss before loading.
1.) possible over-torquing or compression necrosis during placement
2.) overheating of bone during prep
of course a third option..
3.) some other factor we dont know and havent considered (i know real helpful right?)
probably/maybe 1 of first two but very difficult to know…
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Any other medical conditions or medications to consider?
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Aman posted an update 5 months ago
Anyone have any recommendations for a universal implant driver? Tryna make a universal kit
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There are a lot out there now! You can actually find a kit on amazon even. https://amzn.to/4fXkPGh
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87madrigal posted an update 5 months ago
Posterior implant placement with a surgical guide: a case that highlighted the value of precision, even in favorable conditions.
This patient had abundant posterior bone, which made planning and execution straightforward but no less important. Here are the lessons reinforced during this case:
1. Guided Surgery Refines Precision: Even with…
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Very clean work and great documentation. 👊
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I usually save guides for more “tricky” cases. But I also don’t have the best workflow at my office on getting them since the previous docs never did guided. I think I’ll be incorporating more as time goes.
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Amy replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 5 months ago
I agree. You should be good if the implant has enough bone support. However, I would mention the deficient gum support to the patient and show him/her with visuals, then document in your notes that options were given about potential outcomes down the way.
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Dr. replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 5 months ago
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Dr. replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 5 months ago
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drcajee posted an update 5 months ago
Hey guys. Last week, while I was in the middle of a FBI #17 case I noticed something interesting. I laid my flap and I saw this structure. Can you guess what it is?
It’s an extra nerve exiting from the bone!
In this case, you can decide whether to sever the nerve or work around it. It reminded me a lesson I learned sometime back – if you don’t…
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jorbrown posted an update 5 months ago
5 months ago (edited)
Distance between implants? Do we still keep 3 mm of bone between implants?
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The guideline of maintaining 3 mm between them is still widely recommended.
Bone Health: Keeping 3 mm of bone between implants helps prevent bone loss. If implants are too close, it can lead to complications like bone resorption, which can jeopardize the stability of both implants.
Soft Tissue Support: Adequate spacing is essential… Read more -
That is what i figured, thank you!
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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 5 months ago
When it comes to bone grafting, there are a few options like demineralized bone allograft (DBA), freeze-dried bone allograft (FDBA), and synthetic calcium phosphate (like Augma Bondapatite).
– DBA: This is human bone that’s had the minerals taken out, which makes it great for bone growth because may actually help recruit your body’s own cells…
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