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Alan posted an update a year 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 a year 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 a year 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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Jonathan posted an update a year ago
For immediate implants, i’ve seen videos where it was mentioned to use a Linderman drill at 2000rpm to make an initial slot to prevent the slope of the extraction socket from deflecting the drill. This is in regards to anterior teeth as well as upper premolars where you are aiming for lingualized positioning
I had two questions about this
1) do… -
Erick posted an update a year ago
NEW! Study Club Meeting, this Saturday, December 9th @8-9AM PST, Dr. Lorenzo Tavelli takes the stage to discuss Soft Tissue Grafting at Implant Sites. Hop into the Zoom Meetings tab for more information: https://implantninjadojo.ue1.rapydapps.cloud/zoom-meetings/
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Alan posted an update a year ago
a year ago (edited)
I’ve been getting random early failures in slam dunk cases lately. Healed ridges with adequate bone. Usually in the mandible when I have insertion torque 50ncm or greater. Any recommendations to prevent early failures? Is it important to do preop antibiotic prophylaxis (I don’t)?
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I do prophylactic antibiotics but that’s more cuz my pts all smoke. I would make sure that your drills are new, and you’re pumping to clean the flutes. Are you placing healing abutments? I’ve had a rash of pts whose implants failed cuz I think they were hitting on the healing abutment. Biology sucks sometimes.
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Nick posted an update a year ago
So inherited case. Pt has several milled dentures made. He wants me to make him one. Pano shows lack of oros space. Denture confirms this. I plan to shorten anterior abutments. Thoughts on using Dentapreg or FiberForce? These options are glass fiber mesh and mught actually help unlike CrCo.
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Apexa posted an update a year ago
Can a non surgical straight handpice be used to do alveoloplasty? If not what is the alternative to surgical handpiece? I am concerned about speed and air emphysema. I have a case coming up for lower overdenture (2 implants), I need to do 5 mm alveoplasty anteriorly, surgical handpiece broke down and dont have a back up.
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Yes channel your inner hulk and ronjour the bone. Do u have electric handpiece cuz that won’t cause an air embolism. So I would invest in a straight 1:1 attachment for your implant motor. This will allow even reduction. I find a handpiece can tend to gouge. Eat your Wheaties and let us know how it goes.
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Apexa posted an update a year ago
The case I am sharing has been quite challenging for me restoratively. Patient was referred out for implant placement #31. It is a Nobel implant WP. First time I restored it, within a week of insert abutment fractured. Fortunately, retrieving the abutment screw was not that difficult. When I inserted the first time I did know something is…
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This one is a bit tough. I say that because it looks like it was a little difficult on the surgical aspect with minimal bone height. It always seems to work out this way–in the cases where you wish to have no problems, you often encounter them.
It’s okay though. Let’s try to get to the bottom of this.
First: I understand you cemented the crown…
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