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  • Hi everyone,

    I got some conflicting advices regarding socket preservation (4 walls are all preserved), and would like to clear it up here once and for all:

    The material-

    Salvin rep says using the fulfill plug- 80& synthetic calcium phosphate granules with 20% bovine collagen is sufficient. Bone will turnover in 6 months and become ready…

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    Jedediah
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    • I use allograft 50/50 mix for all my socket preservation, membrane depending on if there are any Boney wall defects as you eluded to. For simple sockets 4 walls a lot of times flattening a collaplug or the like material into the shape of the socket outline, placing it over the top and a figure 8 suture will do fine. Some folks don’t even cover…

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      3
      • I immediately thought of you @restoredsmiles as I believe you’re teaching a grafting course in march right?

        What are your thoughts on plug vs allograft.

        In your opinion, Does it matter too much in a case where all 4 walls are intact?

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    • When doing a lateral sinus lift like you were talking about yesterday, have you encountered an intrabony artery? And if you have, what is your preferred way of managing bleeding complications? Thank you!

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      Vidit, Erick and 3 others
      1 Comment
      • Yes, very often 50% of greater you will have a PSAA (posterior superior alveolar artery) within the bony buccal wall as the window is created. Sometimes you can work around it and/or carefully through it with the help of a piezo. If cut you can apply pressure to the hard bony wall to stop bleeding or if large enough plug it up with a Perio…

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      • Ivan posted an update 2 years ago

        2 years ago (edited)

        Thanks to everyone who attended tonight’s study club session! We will post up the recorded session by Wednesday. If you’re new to the group, drop a message here and say hello! 😁

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        Erick, Jedediah and 2 others
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      • When placing an immediate implant , in study club today and the dental lit states it is best to place bonegraft with a provisional. My question is does it make a difference in placing the implant first and than the bone graft? I find it easier to leave my last implant drill, place the allograft and than seat the implant. Does the dental…

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        Ivan and Jedediah
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        • Either before or after is fine, most of it just comes down to preference. As long as the gap is grafted, that is what is the most Important. If you do place the bone after often times I place a little bit at a time and then I use something like a Perio probe to gently push the bone graft material as apical as possible so I get a good…

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          Love
          4
          • I really like to do it this way also, I leave my last drill in the prep and pack bone around it. Then the implant compresses everything together. Although its tricky when bone ends up accidentally falling into the prep!

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          • Cayleen posted an update 2 years ago

            2 years ago (edited)

            Hey everyone! Just a little reminder that we are having our Study Club Session in a few hours with Dr. Jed! He will be discussing Immediate Implants. See you at 5:30 p.m. PST/8:30 p.m. EST. 🙌

            Zoom link: https://us02web.zoom.us/j/85019334296

            Tahu, Vũ Anh and 4 others
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          • Hi! Happy to be here, thanks for being so welcoming. Minnesota

            Neodent Helix Acqua 4.3 x 10

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            cshan3298, Sumver and 4 others
            5 Comments
            • Nicely done mate, thanks for sharing your case! Where did you go to school?

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            • Nice! Well done. Thanks for sharing Robbie👏👏👏

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          • I did the uncovery on this case yesterday. My question is about approximating the flap margins with healing abutments involved. He had really tall and thick tissue, most of these are 7mm tall healing abutments and some barely poke through.

            Do you recommend leaving the gap to fill in, try to thin/undermine the tissue, or even do a…

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            Jedediah, Allan and Ivan
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            • Is the pt getting a hybrid? I would just make sure you can get parts that tall. If not then u may need to go back and thin the tissue. Keep us updated.

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              • Yes U/L FP3s. He had been without teeth for years and smokes so I just buried everything and told it’ll be another 6 months before teeth he was cool with that.

                I’m pretty sure they have MUAs this tall although I’ve never used them.

                I guess another question is would anyone have impressed at this uncovery appointment? Or wait for healing then…

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            • Hey, guys! Dragos from Romania here! I’ve made a bit of courage to start posting and asking about some of my cases (since i started doing them more frequently). Please don’t judge mistakes since I don’ t pretend to be a guru of surgery of some sort. Actually I still consider myself a begginer in that matter. Anyway, here’s a case I did this…

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              Esther, Rod and 2 others
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              • Thank you for your question! This is a JUDGEMENT FREE ZONE 🙂

                I have a follow up question: So she experienced her sinus symptoms 5 days after the procedure?

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              • Before:

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              • Hey everyone,

                Did one immediate in November and want to understand its prognosis.

                Leave it for some more time or take it out.

                Kindly suggest.

                Jedediah and Ivan
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                • Thanks for the question 🙂 What are your concerns about it? Also, does the patient have any risk factors as far as implants are concerned?

                  • Well no risk factors, but I see some gap mesial to the implant.

                    So that’s the concern.

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                  • Dang, lots of new people joining in today but nobody has taken the plunge to be the first to post! Lol lets see if anyone works up the nerve to drop a post and say hi 👋🏼

                    Dr.Kashyap, Robbie and 2 others
                    3 Comments
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