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Ivan replied to the discussion Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Great question. 4.5mm for a molar is okay.
However, it’s hard to give a cookie cutter answer. It comes down to the platform design, the titanium grade, and the occlusion.
So if you have a 4mm implant with a good emergence profile, and its made with titanium alloy and the walls of the platform are not thin, and occlusion is light…
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Ivan posted an update 2 years ago
Great meeting all of you guys this morning! If you were at the meeting drop a comment to say hi!
What would you like to see a lecture on next time?
Erick, Chadd and 4 others4 Comments-
Thank you for the great study club! Those presentations were fantastic!
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Great presentations and really valuable. Made it entertaining too haha.
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Ivan posted an update 2 years ago
The cases from Josh’s talk this morning are 🔥🔥🔥!
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Anthony started the discussion Another Ridge Augmentation in the forum Implant Tx Planning 2 years ago
I have another case here with a buccal defect on tooth # 13. Pt has been wearing a flipper for over 10 years.
Looking at the insufficient B-L width at 4.8mm, I’d like to do a ridge augmentation (mini-sausage technique) and two stage this ( I really dont want to do a ridge split) where I would:
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crestal incision with 2 vertical releasing…
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Anthony replied to the discussion Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Thanks so much for the reply- you would feel comfortable putting in a 4mm in a molar site? I don’t have the mesial distal with of #19 site right now, but I imagine it to be around 10mm.
From my understanding, molar sites should be at least 5mm to prevent implant fracture, and to counter act the force of an opposing molar.
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Ivan replied to the discussion First complication in the forum Complications 2 years ago
That’s great to hear! I would definitely reinforce the the OHI and put the patient on a more frequent follow up schedule. Although the bone loss is controlled at this point, we do have to keep in mind that implants with exposed threads do have a higher risk for peri-implantitis in the future.
I’m glad to hear it didnt get worse!
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Ivan replied to the discussion Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Hey Anthony,
Thanks for the question.
4 months is usually a sufficient amount of time to wait before placing your implant–unless there is some underlying medical condition. For example, diabetes or smoking can alter healing.
I can definitely see the dimensional changes you mentioned, but the bone inside the socket looks how I would expect it…
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Anthony started the discussion Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Hi I extracted tooth # 19 about 4 months ago and grafted it with 50/50 cortical cancellous bone and resorbable membrane.
I saw the pt today and felt like the bone could be more dense in the extraction site. Looking at the photos you can see that the ridge was 9.7mm and now it’s 7.8mm after 4 months.
I was going to drop a 4.5x 8.5 in the site,…
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Jeremy replied to the discussion First complication in the forum Complications 2 years ago
I saw him again and the tissue health looked good, no bleeding or oozing. I basically reinformed him whats going on and that we want to monitor it closely and watch for changes. We did verify correct occlusion and contacts and got a night guard made for him.
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Ivan posted an update 2 years ago
Currently at Academy of Osseointegration in PHX. Thinking im going to get some of these speakers to give a lecture to our group here!
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