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Nick posted an update 2 years ago
Drill protocol for D4+ bone. Only pilot drill? This is pt second upper attempt bc I couldnt get primary stability. I’ll try to engage nasal floor to help but eekk. Second attempt tmrw, these full arch cases kicking my butt lately.
Ivan, Ulises and 3 others4 Comments-
Hey Nick to be honest these are tricky when there is minimal bone in the maxilla.
I’m attaching an article by Jensen which is cool, but still it’s not an easy thing. You might look into Remote Anchorage Solutions as discussed here:
<br… Read more- View 2 replies
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As for me, when the case is too atrophic I prefer to do it staged with sinus lifts. But I know that’s not the popular choice these days. Don’t know if @vorholtdds is more adventerous than me
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Nick posted an update 2 years ago
What would u do? Pt was getting headaches bc she was hitting too hard on LL didnt tell me till she rolls in for suture removal and out implant comes. My current plan is replace and sleep it. Concerned about LR also, will flap and visualize possibly replace also.
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Hey Nick, this has happened to me several times.
1) I usually prepare to make a new provisional right away. Because you’re going to have an extended healing period now, you know your temp will go through more wear and tear.
2) place a new implant in a new site on the left.
3) deliver new temp attached to all implants and wait it out.
No… Read more
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Ivan replied to the discussion Another Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Reply to Another Ridge Augmentation
Check these vids out: https://library.implantninjadojo.ue1.rapydapps.cloud/video/releasing-incisions-for-gbr/
Ulises -
Ivan replied to the discussion Another Ridge Augmentation in the forum Implant Tx Planning 2 years ago
Reply to Another Ridge Augmentation
Your plan looks okay–with some minor modifications.
1) Grafting a 6.7mm site is good because you dont really need to gain much. Just a small win will be enough.
2) Especially if you are newer to this, I would probably want to move those vertical releasing incisions further away from the graft site. You can hop over to the next tooth. The idea…
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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?
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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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