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Seth posted an update 2 years ago
Not sure if this has been discussed yet but when do you guys consider it “ok” to do flapless guided implant placement or do you think a flap should always be done?
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I think flapless definitely has a place, especially if you’re doing guided AND you are placing an implant into a very thick ridge of bone. I think, if its not thick, you could be asking for trouble by sticking to flapless
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Always exceptions but typcially a great habit to flap even if a minor one to verify accuracy and to maximize your keratinized tissue where you want it to be.
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Connor replied to the discussion CBCT viewer/converter on Mac in the forum Implant Tx Planning 2 years ago
If my office only uses implant direct, how do I select for that implant on BSB?
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Jakob posted an update 2 years ago
About to do my first removal of a cemented implant crown (just the crown, the implant itself is fine).
It’s a bone level implant with a cemented metall-ceramic crown on top. Do you have any recommendations/tips how to proceed?
Thank a bunch in advance
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Connor started the discussion CBCT viewer/converter on Mac in the forum Implant Tx Planning 2 years ago
Hi, I a received my CBCT file in DICOM format from the doc I work with that has a Cone beam. The issue I am running into is converting the DICOM into a file that I can open it in Blue Sky Bio. Do you have any recommendations on how I can convert the file? So far I can only view the file using a separate app called “Bee Dicom Viewer”. Thank…
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Nick posted an update 2 years ago
Any strategies to help gain primary stability? Could u run the drill in reverse to help densify it. I removed this implant that failed.
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Andrew posted an update 2 years ago
New grad here….
Have a patient with implants placed at 3 &4 several years ago but didn’t have the funds to restore them until now. Obviously, the anterior one doesn’t look so great radiographically (no bleeding inflammation, etc clinically). Both feel solid and pass the mirror-tapping test.
Would you guys think #3 could still be restored?…
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I would remove them both and start over. The only way I’d restore 3 is if it was aware that it had less than 5 year prognosis. The issue was tissue thickness which was less than 2mm thick in all dimensions. I would just be honest with pt that their bone didn’t heal well and you’re concerned about long term prognosis. If they were hell bent I…
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Alan posted an update 2 years ago
This is a recent case that is failing and had adequate bone. I’ve attached a radiograph taken at placement, and another one taken a month after. The cover screw is not exposed, patient is not in pain but there is some purulence on palpation and crestal bone loss. Insertion torque was 35ncm. I had to use external irrigation for this…
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I think it wasn’t deep enough. ZBLC says we need 4mm from tissue to collar to prevent this bone loss. I would go back use the same site and if possible put in a 4.3 x8 . It looks like this implant was a 3.5 x 10. I bet if you hug the lingual you can put in a new 3.5 x 10 and countersink it.
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Hoss posted an update 2 years ago
Hi guys. What are your thoughts about staging this case. Plan overall is ext #23 and 2 implant FPD with hard and soft tissue augmentation. Would you prefer to first do FGG to increase KT and vestibular depth prior to GBR or would you do the opposite and begin with hard tissue then soft tissue. If you were to do hard tissue first after…
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Nick posted an update 2 years ago
UCLA abutment Q. I didnt see until after case returned. I ordered the 4.5/4.3 diameter ucla abutment however i just noted i placed 3.5 implants. Is it a problem since all Neodent platforms are the same.
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