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87madrigal posted an update 4 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…
Ivan, jostanger and 2 others4 CommentsView more comments-
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 4 months ago
Reply to Vertical grafting or not?
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 4 months ago
Reply to Prolia and medical hx
Thanks everyone for your input
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Dr. replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 4 months ago
Reply to Vertical grafting or not?
Thanks for your input!
jostanger -
drcajee posted an update 4 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 4 months ago
4 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 4 months ago
Reply to Prolia and medical hx
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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drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 4 months ago
Reply to Prolia and medical hx
Regarding use PRF for B/MRONJ – not enough data out there to call that standard of care. https://pmc.ncbi.nlm.nih.gov/articles/PMC8140838/
pmc.ncbi.nlm.nih.gov
Dentoalveolar surgery is probably the major risk factor for MRONJ and for other complications following a tooth extraction, especially in patients affected by systemic diseases. The aim of this retrospective study is to evaluate whether a PRF plug ...
Ivan -
drcajee replied to the discussion Prolia and medical hx in the forum Implant Tx Planning 4 months ago
Reply to Prolia and medical hx
Since she’s paused her Prolia, it’s generally a good idea to remove the tooth soon after that to avoid complications. But definitely recommend checking in with her managing physician to make sure everyone’s on the same page about timing and any other precautions. This way, we can ensure a smooth process for her!
Jonathan -
drcajee replied to the discussion Vertical grafting or not? in the forum Implant Tx Planning 4 months ago
Reply to Vertical grafting or not?
When I look at this case, you have enough bone to secure your implant. Regarding the vertical deficiency, I wouldn’t be too concerned as long as the Implant prosthesis has enough tissue support. If it doesn’t, I would consider a connective tissue graft and custom healing abutment.
Lori - Load More
