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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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intraoral pic
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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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Alejandro posted an update 2 years ago
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JOIN THE STUDY CLUB WITH DR LORENZO TAVELLI! SEE YOU THERE!Ivan Chicchon is inviting you to a scheduled Zoom meeting.
Topic: Lorenzo Tavelli: Implant Ninja Dojo Study Club Meeting – Guest Speaker
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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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I took it out, cleaned the sige and replaced it. We shall see what happens
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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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Jonathan posted an update 2 years 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 2 years 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 2 years ago
2 years 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 2 years 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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